State University of New York
The enacted budget makes the following changes to the Executive Budget (analysis as of 4/2/07):
- Adds $10.45 million to the All State University Colleges Program appropriation. This figure includes the following changes to the accounts within this program:
o $6.98 million decrease for services and expenses related to programs that support Cornell University’s agriculture and equine services, (Research and Public Service account);
o $500,000 increase for additional services and expenses of the small business development centers (Infrastructure and Technology account);
o $839,511 in additional support for the Educational Opportunity Program (Programs for the Educationally and Economically Disadvantaged account);
o $6.1 million for expenses related to the operation of the ATTAIN lab program (Advanced Technology Training and Information Network) program (Programs for the Educationally and Economically Disadvantaged account); and
o $10 million for additional financial assistance for SUNY – for services and expenses related to enrollment growth, full-time faculty, expansion of opportunity, and high need programs (Programs for the Educationally and Economically Disadvantaged account).
- Makes changes to the Executive’s Article VII proposal for Graduate Medial Education (GME): reduces Medicaid spending for those hospitals whose GME current costs have decreased compared to the value in the rates; and applies an across-the-board cut of $24 million in the HCRA GME pool. It is unclear how these changes will affect the SUNY hospitals
The Senate and Assembly recommend (analysis as of March 16, 2007):
Assembly:
· Adds $26.4 million: $9 million in the General Revenue Offset Program appropriation; and $17.4 million in the All State University Colleges Program appropriation (this figure includes: a decrease of $8.6 million in the Research and Public Services account; an increase of $2 million in the Infrastructure & Technology account; and a $23 million increase in the Programs for the Educationally and Economically Disadvantaged account).
Senate
· Adds $4.02 million in the All State University Colleges Program appropriation (this figure includes: a decrease of $6.98 million in the Research and Public Services account; and an increase of $11 million in the Infrastructure & Technology account).
· Adds Article VII language to develop a “Commission on SUNY for the 21st Century.” This Commission would be charged with developing a set of recommendations that will help guide the State in developing policies for the long term goals and objectives of SUNY.
· Adds Article VII language which establishes a local quality assessment and review board for the SUNY Hospital at Stony Brook
The Executive Budget recommends (analysis as of January 31, 2007):
A FY 2007-08 workforce of 39,834. This is an increase of 200 FTEs from the adjusted FTE level for FY 2006-07.
- The total appropriation for Personal Service is $789 million, +8%.
- An All Funds increase of $301 million, (+4.8%) from SFY 2006-07.
- The Executive Budget recommends implementing the Berger Commission’s recommendations; (1) Joining Upstate Medical Center and Crouse Hospital under a single unified governance structure to promote better strategic planning, service delivery and bed utilization, and (2) Studying the feasibility of privatizing SUNY’s teaching hospitals at Stony Brook, Syracuse and Brooklyn, with such study conducted by the Commissioner of Health in consultation with other relevant groups. This language is a significant change from the Berger Commission’s language for Upstate and Crouse. In the Report the Commission called for the unified hospital to be run by, “an entity other than the State University of New York…” and this language was eliminated in the Executive Budget. This statement in the Budget narrative is not definitive but it may indicate some flexibility on the issue of privatization of SUNY Upstate.
- Increases the State subsidy by $6.8 million for the hospitals in recognition of salary increases and fringe benefit increase. This is less than the $29 million increase requested by SUNY.
- SUNY Stony Brook’s personal services appropriation is increased $44.9 million (16.9 percent) but this includes the entire campus and is not specific to the hospital. The specific personal services appropriation for the hospital is increased by $23.1 million (6.8%).
- SUNY Downstate’s personal services appropriation is increased by $28.2 million (13.8%).
- SUNY Upstate’s personal services appropriation is increased by $7.1 million (3.9%).
- The Medicaid reform proposals makes the following changes to Graduate Medical Education (GME) aid: limits GME payments to actual cost; and redirects $24 million (state share) in HCRA GME pool payments to establish a $48 million Medicaid payment to public hospitals that serve more than 35 percent of Medicaid recipients. According to SUNY management the GME changes could result in a $13 to $15 million loss collectively to all three SUNY hospitals. It is unclear whether this potential funding loss will have any impact on staffing levels at the SUNY hospitals. This issue should be clarified at statewide labor management.
- The Executive Budget shows that SUNY employed an estimated 324 employees under consultant contracts in SFY 2006-07 at an estimated cost of $33.6 million or an average cost of $103,595 per consultant contract employee. It is estimated that the number of employees employed under consultant contracts will increase to 331 employees in SFY 2007-08, an increase of 7 contract employees (2%). Consultant contract employees will be paid $34.2 million in SFY 2007-08 or an average cost of $103,432 per consultant contract employee, a .2% decrease from the average cost in SFY 2006-07. The purpose and use of these contract employees and whether they can be replaced by state employees should be clarified at statewide labor management.
State University of New York Program Details-State Operations Enacted Proposed Enacted Change in Percent Program 2006-07 Budget 2007-08 Budget 2007-08 Budget Appropriation Change All Funds $6,320,452,600 $6,622,101,300 $6,632,556,140 $312,103,540 4.9% General Fund $2,111,329,600 $2,310,253,700 $2,320,708,540 $209,378,940 9.9% Special Revenue-Federal $230,500,000 $250,500,000 $250,500,000 $20,000,000 8.7% Special Revenue-Other $3,966,623,000 $4,049,347,600 $4,049,347,600 $82,724,600 2.1% Internal Services Funds $12,000,000 $12,000,000 $12,000,000 $0 0.0% Personal Services (for Hosp. Income Reimb.) $730,600,000 $789,025,000 $789,025,000 $58,425,000 8.0% Contracutal Services $440,937,000 $440,937,000 Doctoral&Health Sci Campus $1,042,897,000 $1,185,069,700 $1,185,069,700 $142,172,700 13.6% SUNY Stony Brook $266,619,000 $311,617,400 $311,617,400 $44,998,400 16.9% Personal Service $232,582,300 $232,582,300 Regular $218,425,100 $218,425,100 Temporary Service $12,807,400 $12,807,400 Holiday/overtime compensation $1,349,800 $1,349,800 Nonpersonal Service $79,035,100 $79,035,100 Supplies and materials $5,121,300 $5,121,300 Travel $749,400 $749,400 Contractual Services $63,847,000 $63,847,000 Equipment $9,317,400 $9,317,400 SUNY HSC Brooklyn $78,530,000 $89,431,400 $89,431,400 $10,901,400 13.9% Personal Service $78,232,200 $78,232,200 Regular $75,670,100 $75,670,100 Temporary Service $1,454,000 $1,454,000 Holiday/overtime compensation $1,108,100 $1,108,100 Nonpersonal Service $11,199,200 $11,199,200 Supplies and materials $431,200 $431,200 Travel $58,000 $58,000 Contractual Services $8,867,500 $8,867,500 Equipment $1,842,500 $1,842,500 SUNY HSC Syracuse $58,493,000 $68,074,000 $68,074,000 $9,581,000 16.4% Personal Service $53,102,300 $53,102,300 Regular $51,069,100 $51,069,100 Temporary Service $1,623,400 $1,623,400 Holiday/overtime compensation $409,800 $409,800 Nonpersonal Service $14,971,700 $14,971,700 Supplies and materials $1,591,100 $1,591,100 Travel $164,300 $164,300 Contractual Services