Children and Family Services 755,300 -2.00 -82,200 -0.72 -14,800 0.22 0 0.00
Health Care Financing 972,777,600 117.68 1,734,276,500 370.85 18,807,900 52.39 102,700 1.50
Supportive Living -783,000 1.14 40,800 0.37 -32,400 -0.50 0 0.00
Management and Technology 248,800 4.80 79,600 1.50 798,400 7.45 0 0.00
Total $0 3.15 $2,200 5.25 -$1,096,300 -7.28 $0 0.00
2000-01
GPR FED PR SEG
Program Funding Positions Funding Positions Funding Positions Funding Positions
Public Health - state operations -$22,826,400 -118.17 -$47,628,400 -326.70 -$6,153,800 -66.14 -$102,700 -1.50
Public Health - aids and local assistance -950,150,700 0.00 -1,686,254,300 0.00 -14,502,700 0.00 0 0.00
Care and Treatment Facilities -21,600 -0.30 0 0.00 0 -0.70 0 0.00
Children and Family Services 755,300 -2.00 -82,200 -0.72 -14,800 0.22 0 0.00
Health Care Financing 972,777,600 117.68 1,733,846,700 330.85 18,809,000 52.39 102,700 1.50
Supportive Living -738,000 1.14 40,800 0.37 -32,400 -0.50 0 0.00
Management and Technology 248,800 4.80 79,600 1.50 798,400 7.45 0 0.00
Total $0 3.15 $2,200 5.25 -$1,096,300 -7.28 $0 0.00
Transfer appropriations currently budgeted in the health services planning, regulation and delivery; state operations program and the health services planning, regulation and delivery; aids and local assistance program to a new health services planning, regulation and delivery; health care financing program and create new appropriations within this program to reflect the creation of a Division of Health Care Financing. Change statutory references to the renumbered appropriations. Rename the "health" programs as the "public health" program to reflect the Department's reorganization.
Division of Public Health -- Operations. Repeal the emergency medical services operations appropriation. Repeal the appropriation used to support certain vital statistics functions, health data analysis, radiation monitoring of nuclear power plants and the purchase of supplies and services and instead fund these activities from a modified appropriation for licensing review, certification and supplies and services. Repeal the appropriation for internal services provided within the Division and transfer funding and positions to other appropriations to reflect that these services would be supported directly, rather than on a program revenue-service basis.
Division of Public Health -- Aids and Local Assistance. Repeal separate appropriations that support relief block grants to Milwaukee County and other counties and transfer funding from these appropriations to a modified appropriation to support all grants distributed under the program. Repeal three separate appropriations that support pregnancy counseling, pregnancy outreach and infant health and family planning and transfer funding from these appropriations to a modified appropriation to support women's health services.
Division of Children and Family Services. Create an appropriation to fund grants for children's community programs and transfer funding currently budgeted for foster placement continuation, Police Athletic League recreational activities and grants for court-appointed special advocates currently budgeted in the Division of Supportive Living to the new appropriation. Create an appropriation to fund local assistance expenditures from federal block grant funds. Transfer $150,000 GPR annually from the Division of Supportive Living to the Division of Children and Family Services for administrative costs for the temporary emergency food assistance program.
Division of Supportive Living. Repeal the appropriation that supports the benefit specialist program and transfer funding to a modified appropriation to support programs for senior citizens, elder abuse services and the benefit specialist program. Repeal the appropriation that supports the Council on Physical Disabilities and transfer funding to the Division's general program operations appropriation. Delete the appropriation that supports capacity building for treatment programs.
Modify all statutory cross-references to reflect appropriation renumbering.
[Bill Sections: 372 thru 384, 386, 390, 398, 400, 401, 403, 405, 407 thru 424, 426, 427, 429, 431, 432 thru 441, 445, 448, 449, 450, 454, 1054, 1056 thru 1058, 1061 thru 1063, 1065, 1083, 1093, 1095, 1097, 1099 thru 1101, 1111, 1112, 1117, 1203 thru 1206, 1362, 1371, 1375, 1381, 1389, 1402, 1404, 1405, 1407, 1408, 1411 thru 1415, 1418, 1419, 1426, 1441, 1461, 1482, 1483, 1524, 2254, 2255, 2262 thru 2268, 2278, 2280 thru 2283, 2436 thru 2438 and 3111]
14. PROGRAM REVENUE -- SERVICE STAFF COSTS
PR $700,600
Governor: Provide $175,400 in 1999-00 and $525,200 in 2000-01 to fund projected increases in pay plan costs for positions in the Division of Management and Technology (DMT) that are supported by funds contributed by other DHFS divisions on a charge-back basis. This funding would be transferred from the Division of Care and Treatment Facilities to DMT to support fiscal services, information management and personnel services provided by DMT.
15. TIME REPORTING
Funding Positions
PR $86,000 1.00
Governor: Provide $39,600 in 1999-00 and $46,400 in 2000-01 to support 1.0 two-year project position, terminating October 30, 2001, to manually review time reports for the purpose of claiming federal reimbursement for certain activities for which federal funds can be claimed. This position would be supported by funds transferred from other divisions to the Division of Management Technology.
16. ELECTRONIC BENEFITS TRANSFER POSITION
PR - $10,600
Governor: Transfer $99,100 annually and 1.0 position from an appropriation for DHFS information systems to an interagency and intra-agency programs appropriation and delete $5,300 annually that is not needed to support the activities of this position. The transferred position would continued to work on EBT tasks related to various programs, including the women, infants and children (WIC) supplemental food program.
17. OFFICE OF LEGAL COUNSEL POSITION TRANSFER
FED - $200
Governor: Reduce funding by $100 FED annually and transfer $244,100 GPR and 3.37 GPR attorney positions and $182,300 FED and 2.48 FED attorney positions annually from the Division of Public Health, the Division of Children and Family Services and the Division of Supportive Living to the Office of Legal Counsel in the DHFS Secretary's Office. Further, delete the PR appropriation for legal services collections in the Division of Management and Technology.
[Bill Section: 456]
18. RENT AND RENT DEBT SERVICE
FED - $1,017,800
PR 153,400
Total - $864,400
Governor: Modify funding by -$445,800 (-$519,300 FED and $73,500 PR) in 1999-00 and -$418,600 (-$498,500 FED and $79,900 PR) in 2000-01 to reflect reestimates of space rental and lease costs.
19. EXCESS FEDERAL FUNDING
Governor: Create a federal appropriation that would authorize DHFS to expend specified federal revenues for the purpose of paying federal disallowances, federal sanctions or penalties and the costs of any corrective action affecting DHFS. Credit this appropriation with all federal funds DHFS receives (other than MA targeted case management funds, federal income augmentation funds, certain supplemental MA hospital payments and funds described under MA violations provisions) that are intended to reimburse the state for expenditures in previous fiscal years from GPR appropriations whose purpose includes a requirement to match or secure federal funds and that exceeded in those fiscal years the estimates reflected in the intentions of the Legislature, the Governor, as express by them in their budget determinations, and estimates approved for expenditure by DOA. Specify that at the end of the fiscal year, an amount determined by DOA would lapse to the general fund. Under current practice, DHFS submits an annual plan for the use of these funds for the review by the Joint Committee on Finance. A similar provision is summarized under "Department of Workforce Development -- Economic Support and Child Care."
[Bill Section: 457]
Medical Assistance
1. OVERVIEW OF MEDICAL ASSISTANCE BENEFITS
Governor: Increase total MA benefits funding by $37,633,400 GPR and $187,925,600 FED in 1999-00 and $72,041,800 GPR and $268,248,800 FED in 2000-01 to the cost to continue, and various changes to the MA program and use of MA funding for BadgerCare and Family Care. The following table summarizes all of the changes to the MA base level funding under the bill.
1999-00 2000-01
GPR FED Total GPR FED Total
Base Level Funding $929,587,900 $1,640,689,800 $2,570,277,700 $929,587,900 $1,640,689,800 $2,570,277,700
Base Reestimate 27,790,000 134,698,200 162,488,200 52,144,900 184,603,100 236,748,000
Subtotal--Cost of MA under
Current Law $957,377,900 $1,775,388,000 $2,732,765,900 $981,732,800 $1,825,292,900 $2,807,025,700
Changes to Provider Reimbursement
Nursing homes $6,180,400 $8,819,700 $15,000,100 $9,772,100 $13,904,900 $23,677,000
Drugs -3,227,800 -4,606,200 -7,834,000 -4,310,900 -6,134,100 -10,445,000
Dental services 1,225,300 1,748,600 2,973,900 2,712,500 3,859,800 6,572,300
Noninstitutional providers 1,549,400 4,495,200 6,044,600
Supplemental outpatient hospital payments 1,000,000 1,422,900 2,422,900
Outpatient hospital rates 236,000 335,700 571,700
Graduate medical education payments -1,488,100 -2,120,300 -3,608,400 -2,141,600 -3,041,000 -5,182,600
State Centers 526,500 751,300 1,277,800 1,031,500 2,075,300 3,106,800
DCTF standard budget adjustment -66,000 0 -66,000 -66,300 0 -66,300
Transfer NH funds for facilities' appeals -1,529,800 -2,170,200 -3,700,000
