Office of Mental Retardation and Developmental Disabilities
The enacted budget makes the following changes to the Executive Budget (analysis as of March 30, 2005):
· Reduces nonpersonal service in the Institutional Services Program by $600,000.
· Increases the offset from the Patient Income Account by $4 million.
The Executive Budget recommends (analysis as of January 26, 2005):
· An increase of 185 FTEs over the adjusted SFY 2004-05 FTE level. The OMRDD workforce will be 144 FTEs greater than estimated in the SFY 2004-05 budget. Workforce changes during SFY 2004-05 include: 39 more FTEs in Central Coordination and Support gains 39 FTEs, 105 more FTEs in Institutional Services. During SFY 2005-06 61 FTEs will be added to Institutional Services for direct support positions for DDSOs with intensive behavioral services. According to the Assembly analysis these 61 FTEs will enhance staffing at Intensive Treatment Units.
· An All Funds increase of $93 million (7.4%) to $1.35 billion. The Assembly analysis indicates that $28.4 million of this increase is for contractual salary increases, structural adjustments from promotions and longevity enhancements, and a 3.1 percent increase for nonpersonal service inflation. The analysis also indicates that $6.9 million of the increase is related to the growth in the cost of utilities, pharmaceuticals, and fuel.
· A General Fund appropriation increase of $373.2 million (278.5%). This appears to compensate for the decrease of $280.2 million in the Mental Hygiene Patient Income Account (Medicaid). An explanation of this should be requested at Labor/Management.
· An increase of $9.8 million (17%) in the Central Coordination program including a $6.3 million increase (15%) in personal service, and a $3.5 million increase (22.9%) in Nonpersonal service. An explanation for these increases should be sought in Labor/Management as there is no correlated increase in FTE’s for this program.
· A $41.8 million (10.2%) increase in the Institutional Service program, including an increase of $20.3 million (8.4%) in Personal Service and $11.3 million (18.9%) in Nonpersonal Service.
· Movement of 106 consumers from institutional to community care. This includes 76 consumers moving from developmental centers into community-based residences and 30 consumers transitioning from specialized treatment units to new community based opportunities with enhanced direct support professional staffing. The budget indicates that $5.78 million is provided to “expand State-operated community integration services”. The Assembly analysis indicates that $3.77 million is provided for the opening of 30 Community Intensive Needs Home beds. OMRDD’s own budget analysis indicates that there is funding for 40 new state operated residential opportunities for people in specialized treatment environments. This issue, the different figures, and what they actually fund should be clarified at Labor/Management.
· The budget attributes $37.7 million for various State Operations and Local Assistance efficiencies. The amounts are not broken out and should be clarified at Labor/Management. The budget lists several means by which efficiencies will be achieved, including but not limited to:
§ Maintaining strict controls on hiring in administrative positions in both the DDSOs and Central Office
§ Providing more efficient employee and provider training
§ Limiting non-personal service expenditures, especially non-essential categories such as travel and new equipment purchases
§ Further reducing overtime expenditures
· Continued funding (an increase of $686,000, or 4.4%) and operation of the Institute for Basic Research, with an FTE level of 180 (unchanged from SFY2004-05). Recommendations of the Governor’s Task Force on IBR will be implemented, including the establishment of a Research Advisory Board comprising nationally renowned research scientists to improve oversight of research activities, a review of billing practices and procedures to improve collection rates for the clinical services provided at IBR, and exploration of other options to maximize non-State revenues for IBR
· Under the proposed transfer of Vocational and Educational Services for Individuals With Disabilities (VESID) to the Department of Labor, OMRDD will assume the responsibility for the intensive phase of supported employment services to individuals with developmental disabilities. This appears to be a local assistance initiative, but the implications of this responsibility should be clarified at Labor/Management.
· The new automated time and attendance system, currently in its pilot phase, will be implemented statewide
· Capitol funding includes support for the design of the reconstruction of the Hillside Unit of Bernard Fineson, the design and rehabilitation of Fineson’s Howard Park Unit, and for a 26-bed expansion of Finger Lakes DDSO Local Intensive Treatment Unit
· Aid to Localities funding includes:
§ Funding of a 3.33% trend factor to cover increased costs associated with inflation and to enhance salaries for direct support professionals in the Intermediate Care Facility (ICF/MR), Home and Community Based Services (HCBS) Waiver, Medicaid Service Coordination (MSC), Supported Employment, and Family Care programs. Additional funding for this trend factor is also recognized in both NYS-CARES programs.
§ An initiative to reduce state aid to workshops and allow eligible individuals with developmental disabilities to receive supported employment within existing OMRDD supported employment funding levels. Savings of $1.1 million will be realized in 2005-06, with full annual savings of $2.1 million and will be done without increasing costs to local governments.
§ Funding for nonprofit providers to improve health care for their employees.
§ Expansion of the NYS-OPTS initiative begun in the 2004-05 fiscal year.
§ $31.9 million (full annual, all shares) is available for the NYS-CARES II initiative that will support 350 new out-of-home residential opportunities, 70 new day services, and new family support services
§ $39 million (full annual, all shares) is available to support the development of 140 new residential and 1,640 new day service opportunities (including 750 new supported employment opportunities) for this purpose.
Program Details-State Operations
Enacted
Proposed
Enacted
Change in
Percent
Program
2004-05 Budget
2005-06 Budget
2005-06 Budget
Appropriation
Change
All Funds
$1,263,596,000
$1,356,624,000
$1,356,024,000
$92,428,000
7.3%
General Fund
$134,012,000
$507,221,000
$502,621,000
$368,609,000
275.1%
Special Revenue-Federal
$230,000
$230,000
$230,000
$0
0.0%
Special Revenue-Other
$1,126,854,000
$846,649,000
$850,649,000
($276,205,000)
-24.5%
Enterprise
$2,350,000
$2,374,000
$2,374,000
$24,000
1.0%
Internal Service Fund
$150,000
$150,000
$150,000
$0
0.0%
Central Coordination
$58,033,000
$67,882,000
$67,882,000
$9,849,000
17.0%
Personal Service
$42,383,000
$48,732,000
$48,732,000
$6,349,000
15.0%
Nonpersonal Service
$15,270,000
$18,770,000
$18,770,000
$3,500,000
22.9%
Special Revenue-Fed. (SRF)
$230,000
$230,000
$230,000
$0
0.0%
Internal Service Fund (ISF)
$150,000
$150,000
$150,000
$0
0.0%
Fed Operating Grants Fund - (SRF)
$230,000
$230,000
$230,000
$0
0.0%
OMRDD Copy Center Acct - (ISF)
$150,000
$150,000
$150,000
$0
0.0%
Community Services
$779,901,000
$820,589,000
$820,589,000
$40,688,000
5.2%
Personal Service
$668,518,000
$702,401,000
$702,401,000
$33,883,000
5.1%
Nonpersonal Service
$103,795,000
$109,884,000
$109,884,000
$6,089,000
5.9%
Maintenance Undist.
$7,588,000
$8,304,000
$8,304,000
$716,000
9.4%
Institutional Services
$409,991,000
$451,796,000
$451,196,000
$41,205,000
10.1%
Personal Service
$242,790,000
$263,114,000
$263,114,000
$20,324,000
8.4%
Nonpersonal Service
$59,769,000
$71,062,000
$70,462,000
$10,693,000
17.9%
Maintenance Undist.
$104,578,000
$114,742,000
$114,742,000
$10,164,000
9.7%
Special Revenue-Other (SRO)
$504,000
$504,000
$504,000
$0
0.0%
Enterprise (Ent)
$2,350,000
$2,374,000
$2,374,000
$24,000
1.0%
Gifts and Donations - (SRO)
$500,000
$500,000
$500,000
$0
0.0%
OMRDD Nonexpendable Trust Acct - (SRO)
$4,000
$4,000
$4,000
$0
0.0%
Sheltered Workshop Fund - (Ent)
$1,400,000
$1,400,000
$1,400,000
$0
0.0%
MR Community Stores Fund Acct - (Ent)
$950,000
$974,000
$974,000
$24,000
2.5%
Maintenance Undistributed
$0
$0
$0
$0
Offset
($1,126,300,000)
($846,095,000)
($850,095,000)
$276,205,000
-24.5%
Special Revenue-Other (SRO)
$1,126,300,000
$846,095,000
$850,095,000
($276,205,000)
-24.5%