Office of Alcohol and Substance

Office of Alcohol and Substance Abuse Services

The enacted budget makes the following changes to the Executive Budget (analysis as of 3/30/09):

No changes to the proposed appropriations for state operations. This will result in the closure of the Manhattan Addiction Treatment Center and the loss of 34 positions, 20 through layoffs and the elimination of funding for the NDRI- AIDS Outreach and Prevention Program (AOP) and the loss of 25 positions.

Part of the Article VII language which reforms the Rockefeller Drug law, also amends the mental hygiene law to require OASAS to monitor programs providing care and treatment to inmates in correctional facilities, operated by the Department of Correctional Services (DOCS), who have a history of alcohol or substance abuse or dependence. It also requires OASAS to develop guidelines for the operation of alcohol and substance abuse treatment programs in such correctional facilities, in order to ensure that such programs sufficiently meet the needs of these inmates and promote the successful transition to treatment in the community upon release. The language also calls for OASAS to submit a report, no later than December 1st of each year, regarding the adequacy and effectiveness of alcohol and substance abuse treatment programs operated by the DOCS.

According to the Assembly Yellow Book, (analysis as of December 31, 2008):

Article VII language would also: close the Manhattan ATC; extend current social worker and mental health professional licensing exemptions for programs operated, regulated or funded by OASAS; and authorize the elimination of the Human Services cost-of-living (COLA) for SFY 2009-10, maintain the COLA for the remaining out years and extend the COLA through March 31, 2013.

The Executive Budget recommends (analysis as of December 16, 2008):

A SFY 2009-10 workforce of 944. This decreases the level of FTEs from the adjusted FTE level for SFY 2008-09 by 47. The 47 FTE reductions will be achieved through the abolition/layoff of 20 FTEs and the attrition of 31 FTES, which are offset by 4 new fills. We expect that the layoffs will be in the Manhattan Addiction Treatment Center. The following chart identifies adjustments in the current fiscal year’s FTEs along with the recommended differences in FY 2009-10 FTEs by program (if the FTE’s are the same the program is not listed):

Program	FY 2008-09 Adjustment	FY 2009-10 Difference
Executive Direction	-10	-11
Institutional Services	-9	-36

The difference between the estimated FTEs for SFY 2008-09 and the adjusted level of 2008-09 FTEs is -19. This should be addressed at statewide labor management.

The decrease of 36 FTEs in the Institutional Services Program for SFY 2009-10 can be attributed to the proposed closing of the Manhattan Addiction Treatment Center (ATC), which according to the Budget Briefing Book will reduce staff by 40 employees and save $4.6 million. The 40 FTE reductions appear to be offset by 4 new fills. The Budget Briefing also states that this closure will avoid $14 million in capital costs; and that aggressive controls on hiring and non-personal service spending will reduce costs by $2.1 million and 11 staff, (in the Executive Direction Program) These proposed changes should be addressed at statewide labor management.

The total appropriation for Personal Service is $67 million, a 6.9% or $4.9 million decrease from SFY 2008-09. However, the Executive Budget Agency Presentation narrative for the Office of Alcohol and Substance Abuse Services (OASAS) shows the total appropriation for Personal Service is decreased by $10.1 million from the adjusted SFY 2008-09 agency appropriation. This reflects adjustments due to the Special Pay Bill, which contained negotiated union raises and also due to the agency-wide reductions made during the fiscal year.

An All Funds decrease of $563,000 (-0.4%) from SFY 2008-09. Decreases are attributed to the annualization of prior year initiatives and savings associated with program efficiencies. The Federal Salary Sharing account within the Executive Direction Program was eliminated (-$11.5 million); however the decrease is offset by the Mental Hygiene Program Fund account within the Executive Direction Program (+$5.4 million) and the Institutional Services Programs (+$5.5 million) increases. According to the Assembly, $7.55 million of the Executive recommended increases are related to inflationary adjustments and negotiated salary increases. The Agency Presentation narrative for OASAS indicates an All Funds decrease of $7.8 million. This reflects adjustments due to negotiated union raises and the agency-wide reductions made during the fiscal year.

The Office of Alcohol and Substance Abuse Services (OASAS) employed an estimated 35 employees under consultant contracts in SFY 2008-09 at a cost of $4.1 million or an average cost of $117,206 per consultant contract employee. It is estimated that $4.13 million will be allocated for consultant contracts in SFY 2009-10 for 35 employees, at a cost of $118,006 per consultant contract employee, a 1% increase over the average cost in SFY 2008-09. The purpose and use of these contract employees should be clarified at statewide labor management.

The following programs had substantial decreases in the proposed contractual services appropriation when compared to SFY 2008-09:

1. Mental Hygiene Program Fund account, SRO account within the Executive Direction Program (-$891,900).

Several of the other programs had slight decreases in the proposed contractual services appropriation when compared to SFY 2008-09. The Agency Presentation states that separate HIV/AIDS contracts in chemical dependence treatment programs had to be ended because OASAS regulations now require its treatment providers to employ health care coordinators who are responsible for the provision of a variety of health-related services, including HIV/AIDS. This may be related to some of the decreases.

Article VII legislation contains provisions to transfer the Alcohol and Drug Rehabilitation Program from the Department of Motor Vehicles to OASAS. OASAS will seek to use a portion ($435,000) of the Federal Governor’s Traffic Safety Board Grant, which is administered by the DMV, to administer this program.

Article VII legislation to extend the authority for Article 28 hospitals to replace state aid grant funds provided by OMH and the OASAS with federal Disproportionate Share (DSH) funds.

Office of Alcohol and Substance Abuse Services
Program Details-State Operations
	Enacted	Proposed	Enacted	Change in	Percent
Program	2008-09 Budget	2009-10 Budget	2009-10 Budget	Appropriation	Change
All Funds	$135,279,000	$134,716,000	$134,716,000	($563,000)	-0.4%
Special Revenue-Federal	$6,445,000	$6,445,000	$6,445,000	$0	0.0%
Special Revenue-Other	$128,834,000	$128,271,000	$128,271,000	($563,000)	-0.4%

Personal Services	$72,022,000	$67,074,000	$67,074,000	($4,948,000)	-6.9%
Contractual Services	$21,034,700	$20,105,000	$20,105,000	($929,700)	-4.4%

Exec Direction Prog.	$69,043,000	$62,976,000	$62,976,000	($6,067,000)	-8.8%
Special Revenue-Federal (SRF)	$5,245,000	$5,245,000	$5,245,000	$0	0.0%
Special Revenue-Other (SRO)	$63,798,000	$57,731,000	$57,731,000	($6,067,000)	-9.5%

Fed Block Grant - (SRF)	$4,555,000	$4,555,000	$4,555,000	$0	0.0%
Personal Service	$3,578,000	$3,578,000	$3,578,000	$0	0.0%
Nonpersonal Service	$977,000	$977,000	$977,000	$0	0.0%

Federal Department of Education Fund - (SRF)	$147,000	$147,000	$147,000	$0	0.0%
Statewide Data Collection Acct - (SRF)	$543,000	$543,000	$543,000	$0	0.0%

Fed Salary Sharing - (SRO)	$11,500,000	$0	$0	($11,500,000)	-100.0%
Personal Service	$7,900,000	$0	$0	($7,900,000)	-100.0%
Regular	$7,900,000	$0	$0	($7,900,000)	-100.0%
Nonpersonal Service	$3,600,000	$0	$0	($3,600,000)	-100.0%
Fringe benefits	$3,600,000	$0	$0	($3,600,000)	-100.0%

Credentialing Svces - (SRO)	$962,000	$962,000	$962,000	$0	0.0%
Personal Service	$631,000	$631,000	$631,000	$0	0.0%
Regular	$626,000	$626,000	$626,000	$0	0.0%
Temporary Service	$5,000	$5,000	$5,000	$0	0.0%
Nonpersonal Service	$331,000	$331,000	$331,000	$0	0.0%
Supplies and materials	$0	$0	$0	$0
Travel	$0	$0	$0	$0
Contractual Services	$10,700	$3,000	$3,000	($7,700)	-72.0%
Fringe benefits	$298,700	$303,000	$303,000	$4,300	1.4%
Indirect costs	$21,600	$25,000	$25,000	$3,400	15.7%

Mental Hygiene Program Fund Acct - (SRO)	$48,966,000	$54,399,000	$54,399,000	$5,433,000	11.1%
Personal Service	$25,377,000	$26,000,000	$26,000,000	$623,000	2.5%
Regular	$25,187,000	$25,795,000	$25,795,000	$608,000	2.4%
Temporary Service	$120,000	$130,000	$130,000	$10,000	8.3%
Holiday/overtime compensation	$70,000	$75,000	$75,000	$5,000	7.1%
Nonpersonal Service	$23,589,000	$28,399,000	$28,399,000	$4,810,000	20.4%
Supplies and materials	$1,449,500	$1,200,000	$1,200,000	($249,500)	-17.2%
Travel	$883,800	$750,000	$750,000	($133,800)	-15.1%
Contractual Services	$9,243,900	$8,352,000	$8,352,000	($891,900)	-9.6%
Equipment	$0	$300,000	$300,000	$300,000	100.0%
Indirect costs	$811,800	$1,100,000	$1,100,000	$288,200	35.5%
Fringe benefits	$11,200,000	$16,697,000	$16,697,000	$5,497,000	49.1%

Methadone Registry - (SRO)	$300,000	$300,000	$300,000	$0	0.0%
Nonpersonal Service	$300,000	$300,000	$300,000	$0	0.0%
Contractual Services	$300,000	$300,000	$300,000	$0	0.0%

Special Projects - (SRO)	$2,070,000	$2,070,000	$2,070,000	$0	0.0%
Nonpersonal Service	$2,070,000	$2,070,000	$2,070,000	$0	0.0%
Supplies and materials	$15,000	$15,000	$15,000	$0	0.0%
Travel	$5,000	$5,000	$5,000	$0	0.0%
Contractual Services	$2,050,000	$2,050,000	$2,050,000	$0	0.0%

Institutional Services	$66,236,000	$71,740,000	$71,740,000	$5,504,000	8.3%
Special Revenue-Federal (SRF)	$1,200,000	$1,200,000	$1,200,000	$0	0.0%
Special Revenue-Other	$65,036,000	$70,540,000	$70,540,000	$5,504,000	8.5%

Fed Health and Human Services Fund - (SRF)	$1,200,000	$1,200,000	$1,200,000	$0	0.0%
Personal Service	$865,000	$865,000	$865,000	$0	0.0%
Nonpersonal Service	$335,000	$335,000	$335,000	$0	0.0%

Mental Hygiene Program Fund Acct - (SRO)	$45,241,000	$48,340,000	$48,340,000	$3,099,000	6.8%
Personal Service	$20,071,000	$21,000,000	$21,000,000	$929,000	4.6%
Regular	$19,135,000	$19,736,000	$19,736,000	$601,000	3.1%
Temporary Service	$500,000	$575,000	$575,000	$75,000	15.0%
Holiday/overtime compensation	$436,000	$689,000	$689,000	$253,000	58.0%
Nonpersonal Service	$25,170,000	$27,340,000	$27,340,000	$2,170,000	8.6%
Supplies and materials	$5,975,000	$5,900,000	$5,900,000	($75,000)	-1.3%
Travel	$294,200	$290,000	$290,000	($4,200)	-1.4%
Contractual Services	$9,430,100	$9,400,000	$9,400,000	($30,100)	-0.3%
Equipment	$510,700	$410,000	$410,000	($100,700)	-19.7%
Indirect costs	$0	$840,000	$840,000	$840,000	100.0%
Fringe benefits	$8,960,000	$10,500,000	$10,500,000	$1,540,000	17.2%

Mental Hygiene Patient Income Acct - (SRO)	$19,795,000	$22,200,000	$22,200,000	$2,405,000	12.1%
Personal Service	$13,600,000	$15,000,000	$15,000,000	$1,400,000	10.3%
Regular	$13,600,000	$15,000,000	$15,000,000	$1,400,000	10.3%
Nonpersonal Service	$6,195,000	$7,200,000	$7,200,000	$1,005,000	16.2%
Indirect costs	$0	$600,000	$600,000	$600,000	100.0%
Fringe benefits	$6,195,000	$6,600,000	$6,600,000	$405,000	6.5%