Backward    Forward     Overview    Table of Contents

OFFICE OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES



                              Adjusted      Executive    Legislative                       
                               Approp.        Request        Approp.
                               2000-01        2001-02        2001-02     Change

STATE OPERATIONS
  General Fund             202,337,000    153,296,000    149,539,000 (3,757,000)
  Special Rev.-Fed.             80,000         80,000         80,000          0 
  Special Rev.-Other       911,535,000    983,521,000    987,521,000  4,000,000 
  Fiduciary                    555,000        755,000        755,000          0 
  Enterprise                 1,957,000      2,350,000      2,350,000          0 
  Internal Service Fund              0        150,000        150,000          0 
  Total for 
  STATE OPERATIONS:      1,116,464,000  1,140,152,000  1,140,395,000    243,000 

AID TO LOCALITIES
  General Fund             626,058,684    699,955,000    704,055,000  4,100,000 
  Special Rev.-Other       445,988,000    461,644,000    461,644,000          0 
  Fiduciary                  2,000,000      2,000,000      2,000,000          0 
  Total for 
  AID TO LOCALITIES:     1,074,046,684  1,163,599,000  1,167,699,000  4,100,000 

  Capital Projects Fund     63,117,000     92,836,000     92,836,000          0 
  Total for 
  CAPITAL PROJECTS:         63,117,000     92,836,000     92,836,000          0
          

Agency Mission

The Office of Mental Retardation and Developmental Disabilities (OMRDD) administers a statewide system of care currently structured around 13 Developmental Disabilities Services Offices (DDSO) for persons with developmental disabilities and their families. OMRDD projects having a workforce of 22,182, who will provide direct services and oversee a network of over 600 not-for-profit residential and day program providers in the community. OMRDD projects operating 662 developmental center beds and 1,030 secure treatment beds during State Fiscal Year (SFY) 2001-02. The third year of the New York State Creating Alternatives in Residential Environments and Services (NYS-CARES) initiative begins on April 1, 2001. A net developmental center census decline of 19 is projected to result from: 179 persons moving to community settings; the addition of 60 beds at the Valley Ridge Center for Intensive Treatment at Norwich; the addition of 60 intensive treatment beds statewide and the addition of 40 beds to serve persons who are dually diagnosed as both developmentally disabled and mentally ill. OMRDD also plans to open 24 State-operated community beds in New York City for emergency placement of children referred by the New York City Administration for Children's Services and the Health and Hospitals Corporation.

Year-to-Year Change

The Executive proposes an All Funds increase of $142,959,316, or 6.34 percent. On an All Funds basis, the State Operations appropriation increases $23,688,000, or 2.12 percent. The Aid to Localities All Funds appropriation increases by $89,552,316, or 8.34 percent. The Capital Projects budget increases $29,719,000, or 47.1 percent.

Legislative Changes

General Fund contribution is re-estimated due to increased patient revenues. $(4,000,000)   ST/GEN

An analysis of Patient Income Account (PIA) fund balances over an eight year period shows that for each of the eight years the account has had substantial fund balances at the end of the fiscal year. The fund balance at the end of SFY 2001-02 is estimated at nearly $5,000,000. The Assembly proposes that $4,000,000 of the fund balance in the PIA be used to offset General Fund spending.

Historically high fund balances will be used to offset General Fund. $4,000,000   ST/SRO

The re-estimate of available patient revenue enables $4,000,000 to be added to the PIA offset account to effect a General Fund savings.

Legislative Proposals

The Assembly strongly supports the continued funding of the NYS-CARES - - New York State Creating Alternatives in Residential Environments and Services -- program.

Community-based, not-for-profit service providers are currently experiencing staff turnover rates as high as 35 percent per year. The Assembly recognizes the need for a dedicated, quality workforce to deal with the challenge of serving consumers who are developmentally disabled, many of whom are physically challenged, and some of whom are dually diagnosed as developmentally disabled and mentally ill and further acknowledges that the service system cannot sustain the effects of continued high rates of turnover. Thus, it is essential that strategies be identified that can assist these providers in recruiting and retaining the staff needed to serve this extremely vulnerable population. Therefore, the Assembly proposes appropriating $100,000, to be used in conjunction with a similar amount to be appropriated to the Office of Mental Health, for a workforce recruitment and retention study. In addition, the Assembly proposes an additional $1,600,000 that optimally would be fully matched with federal funds to support innovative workforce recruitment and retention initiatives. Funds would be awarded through a request for proposals (RFP) that is developed by OMRDD, in consultation with a representative group of not-for-profit service providers.

As the 3.52 percent cost of living adjustment (COLA) proposed by the Executive for SFY 2001-02 for Medicaid trended community-based not-for-profit providers did not include Medicaid Service Coordinators (MSC), the Assembly proposes $1,600,000 in additional funds to include MSCs in the 3.52 percent increase. The Assembly also proposes additional funding for various community-based service providers.

The Assembly supports the elimination of the Taconic Developmental Disabilities Services Office (DDSO) and the merger of its administrative functions with the Capital District DDSO, thereby bringing the statewide total of DDSOs from 13 to 12.


MEDICAID SERVICE COORDINATION - TREND ADJUSTMENT.
RECRUITMENT AND RETENTION INITIATIVE.
SUPPORT FOR COMMUNITY BASED SERVICE PROVIDERS.
INSTITUTE FOR BASIC RESEARCH-NPS RESTORATION.
WORKFORCE RECRUITMENT & RETENTION STUDY.
$1,600,000
$1,600,000
$800,000
$243,000
$100,000
ATL/GEN
ATL/GEN
ATL/GEN
ST/GEN
ATL/GEN