DEPARTMENT OF HEALTH
Adjusted Executive Legislative
Approp. Request Approp.
1999-00 2000-01 2000-01 Change
STATE OPERATIONS
General Fund 143,116,000 189,305,800 190,805,800
1,500,000
Special Rev.-Fed. 2,729,447,600 3,265,405,600 3,270,383,300 4,977,700
Special Rev.-Other 422,596,500 341,163,400 339,143,400 (2,020,000)
Fiduciary 2,725,000 2,725,000 2,725,000 0
Enterprise 10,000 10,000 10,000 0
Total for Agency: 3,297,895,100 3,798,609,800 3,803,067,500
4,457,700
Total Contingency: 500,000,000 650,000,000 650,000,000 0
Total for STATE OPERATIONS:
3,797,895,100 4,448,609,800 4,453,067,500 4,457,700
AID TO LOCALITIES
Community Projects Fund21,599,372 0 0 0
General Fund 6,207,889,500 6,208,171,600 6,307,622,600 99,451,000
Special Rev.-Fed. 15,631,996,500 16,559,793,500 16,559,793,500 0
Special Rev.-Other 1,100,268,500 1,671,581,100 1,673,981,100 2,400,000
Total for Agency: 22,961,753,872 24,439,546,200 24,541,397,200 101,851,000
Total Grants In Aid: 0 0 15,545,293 15,545,293
Total for AID TO LOCALITIES:
22,961,753,872 24,439,546,200 24,556,942,493 117,396,293
CAPITAL PROJECTS
Capital Projects Fund 98,877,000 120,077,000 120,077,000 0
Total for CAPITAL PROJECTS:
98,877,000 120,077,000 120,077,000 0
LEGISLATIVE ACTION
The Legislature provides $28,480,086,993 for the Department of Health
on an All Funds basis, an increase of $121,853,993 from the Executive
budget submission. These restorations and additions reflect
enhancements to the State`s Medical Assistance Program (Medicaid), as
well as to various general public health programs.
Legislative Reductions
Department of Health General Fund reductions total $6,000,000,
including:
-- General Fund savings related to a reduction in start-up funds
for a new MMIS contract -
State share $5,000,000
-- Nonpersonal service $1,000,000
Legislative Changes
As a result of the Conference Committee process, the Legislature adds
a total of $100,501,000 in General Fund appropriations to the
Department of Health for State Fiscal Year (SFY) 2000-2001. Of this
amount, the Legislature provides $11,930,000 in additional funding to
support the State share of Medicaid for the following:
-- $7,000,000 for supplemental payments to clinics to assist in the
transition to a managed care environment;
-- $2,000,000 to increase Medicaid fee-for-service payments for
specialists;
-- $1,500,000 to adjust the cap on reimbursement of administrative
and fiscal costs of nursing homes to alleviate a
disproportionate impact on certain homes without shifting costs
to other nursing homes;
-- $640,000 for an additional rate add-on for certain clinics
serving the developmentally disabled;
-- $500,000 to expand eligibility for the Prenatal Care Assistance
Program (PCAP) to 200 percent of the Federal Poverty Level,
effective November 1, 2000;
-- $250,000 for uncompensated care and payments to dental clinics
sponsored by dental schools;
-- $40,000 to expand eligibility for family planning services to
200 percent of the Federal Poverty Level.
In addition, the Legislature provides for an increase in Medicaid
reimbursement rates for physicians on a fee-for-service basis.
The Legislature appropriates the remaining $88,570,000 for various
public health programs. Of this amount, the Legislature provides
$55,400,000 in SFY 2000-2001 for an expansion of the Elderly
Pharmaceutical Insurance Coverage (EPIC) program. The Legislature`s
EPIC expansion program increases income eligibility to $35,000 for
singles and $50,000 for married couples. In addition, the EPIC
expansion reduces annual fees and co-payments by 20 percent and
reduces co-pay thresholds by 5 percent. The EPIC expansion also
reduces the number of co-payments from five to four. Additionally,
the EPIC expansion simplifies the program structure by limiting the
fee plan to incomes up to $20,000 for singles and $26,000 for married
couples and by providing that eligible persons with incomes over these
amounts will be in the deductible plan.
The Legislature restores $3,901,000 to AIDS-related programs not
funded by the Governor and provides an additional $4,000,000. The
Legislature further provides $25,269,000 for various health
initiatives including cancer, alzheimers, family planning, rape crisis
centers, school-based health centers, local and statewide quality
initiatives and other public health programs.
Furthermore, the Legislature denies the Executive proposal which would
cap reimbursement to local health departments and labs at 1999 levels,
adjusted by no more than a 2.5 percent inflation factor, but
implements restrictions on the use of local tobacco settlement funds
for matching State reimbursement except in the case of a public health
emergency. The Legislature also denies the Executive language that
allocates $250,000 to manufacturers, distributors and promoters of
tobacco products for tobacco education programs from the tobacco
enforcement and education program.
Article VII
The Legislature accepts Article VII language which:
-- extends the effective date of the Medicaid Managed Care Program,
including special needs plans for persons with HIV/AIDS, until
December 31, 2003;
-- creates an amnesty program for delinquent payments of the health
provider assessments, effective April 1, 2000 until March 31,
2001;
-- authorizes additional disproportionate share payments in the
amount of $103,000,000 as an intergovernmental transfer to
hospitals operated by the New York City Health and Hospitals
Corporation;
-- extends the provision that "carves out" pharmacy costs from
Medicaid managed care premiums, effective until December 31,
2003,
-- authorizes the comptroller to use Department of Health, Office
of Temporary and Disability Assistance and Office of Children
and Family Services local assistance appropriations and other
local assistance appropriations to offset the local share of
Medicaid; and
-- requires local social services districts to use electronic funds
transfers to pay the local share of Medicaid, beginning January
1, 2001.
The Legislature adds new Article VII language which:
-- expands eligibility for the Prenatal Care Assistance Program
(PCAP) and for Medicaid for infants up to 1 year of age, up to
200 percent of the Federal Poverty Level, effective November 1,
2000;
-- expands Medicaid eligibility for family planning services to 200
percent of the Federal Poverty Level, effective 180 days after
receipt of a Federal waiver;
-- increases Medicaid reimbursement for office-based practitioner
visits to thirty dollars, effective October 1, 2000;
-- increases Medicaid reimbursement for specialists, effective
October 1, 2000;
-- increases Medicaid reimbursement for clinics that serve
individuals with developmental disabilities, commencing July 1,
2000;
-- establishes a separate cap on administrative and fiscal costs
for nursing homes that were once health-related facilities, in
order to alleviate an inequity created by the existing cap,
effective immediately;
-- provides for supplemental payments to community-based health
care providers to help them transition to a managed care
environment;
-- provides for the allocation of $500,000, in the aggregate, to
dental clinics sponsored by dental schools for uncompensated
care,effective July 1, 2000;
-- precludes consideration of volume attributable to certain units
serving mentally ill chemically addicted persons in calculating
the volume adjustment to hospital reimbursement under Medicaid;
-- provides $1,000,000 in grants to certain school-based health
centers; and
-- provides for a $180,000,000 expansion of the Elderly
Pharmaceutical Insurance Coverage (EPIC) program, effective
January 1, 2001. The EPIC expansion increases income
eligibility limits for comprehensive coverage (fee plan) to
$20,000 for single individuals and $26,000 for married
individuals and establishes income eligibility limits for
catastrophic coverage (deductible plan) from $20,001 to $35,000
for single individuals and from $26,001 to $50,000 for married
individuals; provides for outreach and the availability of
applications for the expanded EPIC program as of October 1,
2000; reduces the EPIC program`s annual fees, co-payments and
co-payment maximums for individuals eligible for comprehensive
and catastrophic coverage; establishes an additional drug rebate
based on the Consumer Price Index (CPI) which rolls forward
every two years and uses 1998 as the initial base year,
effective April 1, 2000; and repeals the 1990 enhancements.
Legislative Additions
The Legislature provides funding for the following:
EPIC-PROGRAM EXPANSION AND ENHANCEMENTS. $49,900,000
MEDICAID: TRANSITIONAL SUPPLEMENTAL CLINIC PAYMENTS.
$7,000,000
EPIC - ADMINISTRATION. $5,500,000
ADULT CARE FACILITY: QUALITY INCENTIVE PAYMENT PROGRAM.
$4,000,000
HEALTH RELATED GRANTS-IN-AID. $4,000,000
FAMILY PLANNING SERVICES. $3,000,000
STATEWIDE QUALITY INITIATIVES. $3,000,000
HEALTH AND SOCIAL SERVICES SEXUALITY RELATED PROGRAMS.
$2,500,000
MEDICAID: PHYSICIAN SPECIALTY RATE INCREASE. $2,000,000
AIDS: HIV/AIDS-MULTI SERVICE AGENCIES (MSA`S). $1,750,000
AIDS: HIV/AIDS-COMMUNITY SERVICE PROGRAM (CSP`S).
$1,750,000
MEDICAID: HEALTH RELATED FACILITIES ADJUSTMENT. $1,500,000
BREAST CANCER SCREENING, EDUCATION AND OUTREACH SERVICES.
$1,400,000
HEALTH AND WELLNESS PROGRAM. $1,250,000
AIDS - PERMANENCY PLANNING PROGRAM. $1,250,000
AIDS: TREATMENT AND COMPLIANCE. $1,250,000
MIGRANT WORKER HEALTH CLINICS. $1,035,000
SCHOOL BASED HEALTH CLINICS. $1,000,000
CANCER INITIATIVES. $1,000,000
PRIMARY CARE DEVELOPMENT INITIATIVES. $1,000,000
BREAST CANCER - SUPPORT AND EDUCATION SERVICES. $750,000
AIDS - SPECIALTY SERVICES. $700,000
RATE ADJUSTMENT FOR CLINICS SERVING DEVELOPMENTALLY DISABLED.
$640,000
RAPE CRISIS SERVICES. $600,000
MATERNITY AND EARLY CHILDHOOD FOUNDATION. $600,000
PRENATAL CARE ASSISTANCE PROGRAM (PCAP). $500,000
LONG TERM CARE INSURANCE MARKETING AND OUTREACH. $500,000
MERCY FLIGHT. $500,000
NORTH GENERAL HOSPITAL. $500,000
BRONX-LEBANON HOSPITAL - ASTHMA PROGRAM. $500,000
LOCAL QUALITY INITIATIVES. $500,000
BREAST CANCER-HEALTHY WOMAN`S PARTNERSHIP. $500,000
BROOKDALE HOSPITAL - BREAST CANCER AND PROSTATE SCREENING PROGRAM.
$500,000
CANCER PERMANENCY PLANNING - LEGAL & FAMILY COUNSELING SERVICES.
$500,000
CENTER FOR THE DISABLED. $405,000
AIDS: HOMELESS HOUSING ASSISTANCE PROGRAM - OPERATING SUPPORT.
$401,000
ALTAMONT PROGRAM. $400,000
HEALTH CARE PROVIDERS - ELECTRONIC DATA TRANSMISSION.
$350,000
ROCHESTER GENERAL HOSPITAL. $315,000
WESTCHESTER COUNTY DEPARTMENT OF HEALTH. $300,000
BREAST CANCER TREATMENT DEMO PROGRAM. $250,000
ACADEMIC DENTAL CLINICS. $250,000
NSLIJHS. $250,000
NEW YORK STATE HEALTH ACCOUNTABILITY FOUNDATION. $250,000
BREAST CANCER TREATMENT DEMONSTRATION PROGRAM. $250,000
COOLEY`S ANEMIA FOUNDATION. $225,000
CENTER FOR HEALTH CARE ACCESS. $225,000
SISTERS OF CHARITY HOUSING DEVELOPMENT CORP. $200,000
AIDS: NATIONAL BLACK LEADERSHIP COMMISSION ON AIDS.$200,000
MARGARETVILLE MEMORIAL HOSPITAL. $200,000
ASTHMA MANAGEMENT PROGRAMS. $200,000
EDUCATION, SUPPORT SERVICES & EARLY DIAGNOSIS FOR ALZHEIMERS.
$200,000
NEW YORK STATE HEALTH ACCOUNTABILITY FOUNDATION. $200,000
DOR YESHORIM GENETIC SCREENING. $190,000
HIGHLAND HOSPITAL CENTER FOR WOMEN. $175,000
LEGAL SERVICES FOR NEW YORK CITY. $150,000
LEGAL AID SOCIETY OF NEW YORK CITY. $150,000
MOUNT SINAI HOSPITAL. $150,000
LENOX HILL HOSPITAL. $150,000
BLIND ASSOCIATION OF WESTERN NEW YORK. $120,000
AIDS: NEW YORK AIDS COALITION. $100,000
MERCY FLIGHT OF WESTERN NY. $100,000
MID-HUDSON FAMILY HEALTH INSTITUTE. $100,000
CHILDHOOD CANCER AWARENESS PROGRAM. $100,000
BETH ISRAEL HOSPITAL. $100,000
COMMUNITY GENERAL HOSPITAL - GROVER HERMAN DIVISION.
$100,000
PUBLIC INTEREST LAW OFFICE OF ROCHESTER. $100,000
CENTER FOR HOSPICE & PALLIATIVE CARE. $100,000
NARAL/TORCH. $100,000
THE EDDY. $100,000
GAY MENS HEALTH CRISIS. $100,000
WILLIAMSBURG CHILDREN PROTECTION & RESPONSIBILITY PROGRAM.
$100,000
ADELPHI UNIVERSITY BREAST CANCER HOTLINE & SUPPORT.$100,000
SICKLE CELL SCREENING. $100,000
LEUKEMIA RESEARCH/SLOAN KETTERING. $100,000
MERCY FLIGHT CENTRAL. $100,000
ALZHEIMER`S DISEASE ASSISTANCE CENTERS (ADAC). $90,000
ALZHEIMER`S COMMUNITY ASSISTANCE PROGRAM. $85,000
CALLEN-LORDE COMMUNITY HEALTH CENTER. $75,000
ELIZABETH PIERCE OLMSTEAD CENTER VISUALLY IMPAIRED RENOVATIONS.
$75,000
UNITED JEWISH COMMUNITIES CANCER SOCIETY-ROFEH CHOLIM CANCER
SOCIETY. $55,000
WESTCHESTER COUNTY DIABETES COALITION. $50,000
RAPE CRISIS CENTERS. $50,000
CENTER FOR THE DISABLED - MENTAL HEALTH PROJECT. $50,000
HEALTHY NEIGHBORHOOD PROGRAM: ONEIDA COUNTY. $50,000
HOSPITAL FOR SPECIAL SURGERY. $50,000
COMMUNITY HOSPICE. $50,000
CALVARY HOSPITAL. $50,000
SCHOOL BASED HEALTH COALITION. $50,000
NURSING HOME COMMUNITY COALITION. $40,000
MEDICAID: EXPAND ELIGIBILITY FOR FAMILY PLANNING. $40,000
CENTER FOR THE DISABLED-CREATIVE THERAPY PROJECT. $35,000
UTICA RED CROSS: EMERGENCY RESPONSE VEHICLE. $30,000
PERINTON VOLUNTEER AMBULANCE. $11,000