Adjusted Executive
Appropriation Request Percent
2000-01 2001-02 Change Change
AGENCY SUMMARY
Community Projects Fund 2,477,650 0 (2,477,650) -100.00%
General Fund 1,315,585,000 1,464,522,000 148,937,000 11.32%
Special Rev.-Fed. 28,055,000 32,931,000 4,876,000 17.38%
Special Rev.-Other 559,314,000 479,307,000 (80,007,000) -14.30%
Fiduciary 570,000 570,000 0 0.00%
Enterprise 7,842,000 8,015,000 173,000 2.21%
Internal Service Fund 2,051,000 2,234,000 183,000 8.92%
Capital Projects Fund 43,988,000 37,719,000 (6,269,000) -14.25%
Mental Hygiene Capital
Improvement Fund-389 90,132,000 137,016,000 46,884,000 52.02%
Total for AGENCY SUMMARY: 2,050,014,650 2,162,314,000 112,299,350 5.48%
STATE OPERATIONS
General Fund 611,749,000 731,413,000 119,664,000 19.56%
Special Rev.-Fed. 929,000 1,258,000 329,000 35.41%
Special Rev.-Other 516,239,000 404,772,000 (111,467,000) -21.59%
Fiduciary 570,000 570,000 0 0.00%
Enterprise 7,842,000 8,015,000 173,000 2.21%
Internal Service Fund 2,051,000 2,234,000 183,000 8.92%
Total for STATE OPERATIONS: 1,139,380,000 1,148,262,000 8,882,000 0.78%
Administration and Finance
General Fund 57,460,000 57,213,000 (247,000) -0.43%
Special Rev.-Fed. 929,000 1,258,000 329,000 35.41%
Special Rev.-Other 0 1,300,000 1,300,000 --
Fiduciary 570,000 570,000 0 0.00%
Enterprise 7,842,000 8,015,000 173,000 2.21%
Internal Service Fund 2,051,000 2,234,000 183,000 8.92%
Total for Program: 68,852,000 70,590,000 1,738,000 2.52%
Adult Services
General Fund 788,013,000 785,998,000 (2,015,000) -0.26%
Total for Program: 788,013,000 785,998,000 (2,015,000) -0.26%
Children and Youth Services
General Fund 115,353,000 115,645,000 292,000 0.25%
Total for Program: 115,353,000 115,645,000 292,000 0.25%
Forensic Services
General Fund 105,163,000 109,846,000 4,683,000 4.45%
Total for Program: 105,163,000 109,846,000 4,683,000 4.45%
Research
General Fund 40,300,000 40,811,000 511,000 1.27%
Special Rev.-Other 5,751,000 5,772,000 21,000 0.37%
Total for Program: 46,051,000 46,583,000 532,000 1.16%
Maintenance Undistributed
General Fund (510,488,000) (397,700,000) 112,788,000 -22.09%
Special Rev.-Other 510,488,000 397,700,000 (112,788,000) -22.09%
Total for Program: 0 0 0 --
Enhanced Community Services
General Fund 15,948,000 19,600,000 3,652,000 22.90%
Total for Program: 15,948,000 19,600,000 3,652,000 22.90%
AID TO LOCALITIES
Community Projects Fund 2,477,650 0 (2,477,650) -100.00%
General Fund 703,836,000 733,109,000 29,273,000 4.16%
Special Rev.-Fed. 27,126,000 31,673,000 4,547,000 16.76%
Special Rev.-Other 43,075,000 74,535,000 31,460,000 73.04%
Total for AID TO LOCALITIES: 776,514,650 839,317,000 62,802,350 8.09%
Adult Services
General Fund 444,014,000 447,029,000 3,015,000 0.68%
Special Rev.-Fed. 21,617,000 24,695,000 3,078,000 14.24%
Special Rev.-Other 2,475,000 7,735,000 5,260,000 212.53%
Total for Program: 468,106,000 479,459,000 11,353,000 2.43%
Children and Youth Services
General Fund 92,400,000 96,090,000 3,690,000 3.99%
Special Rev.-Fed. 5,509,000 6,978,000 1,469,000 26.67%
Total for Program: 97,909,000 103,068,000 5,159,000 5.27%
Community projects
Community Projects Fund 2,477,650 0 (2,477,650) -100.00%
Total for Program: 2,477,650 0 (2,477,650) -100.00%
Maintenance Undistributed
General Fund (40,600,000) (66,800,000) (26,200,000) 64.53%
Special Rev.-Other 40,600,000 66,800,000 26,200,000 64.53%
Total for Program: 0 0 0 --
Community Mental Health Reinvestment
General Fund 167,422,000 189,990,000 22,568,000 13.48%
Total for Program: 167,422,000 189,990,000 22,568,000 13.48%
Enhanced Community Services
General Fund 40,600,000 66,800,000 26,200,000 64.53%
Total for Program: 40,600,000 66,800,000 26,200,000 64.53%
CAPITAL PROJECTS
Capital Projects Fund 43,988,000 37,719,000 (6,269,000) -14.25%
Mental Hygiene Capital
Improvement Fund-389 90,132,000 137,016,000 46,884,000 52.02%
Total for CAPITAL PROJECTS: 134,120,000 174,735,000 40,615,000 30.28%
Design and Construction Supervision
Capital Projects Fund 1,750,000 1,750,000 0 0.00%
Mental Hygiene Capital
Improvement Fund-389 9,000,000 7,500,000 (1,500,000) -16.67%
Total for Program: 10,750,000 9,250,000 (1,500,000) -13.95%
Executive Direction
Mental Hygiene Capital
Improvement Fund-389 3,300,000 3,300,000 0 0.00%
Total for Program: 3,300,000 3,300,000 0 0.00%
Community Mental Health Facilities
Capital Projects Fund 5,000,000 5,000,000 0 0.00%
Mental Hygiene Capital
Improvement Fund-389 5,412,000 5,424,000 12,000 0.22%
Total for Program: 10,412,000 10,424,000 12,000 0.12%
Non-Bondable Projects
Capital Projects Fund 11,000,000 3,000,000 (8,000,000) -72.73%
Total for Program: 11,000,000 3,000,000 (8,000,000) -72.73%
Maintenance and Improvements of Existing Facilities
Capital Projects Fund 26,238,000 27,969,000 1,731,000 6.60%
Mental Hygiene Capital
Improvement Fund-389 72,420,000 120,792,000 48,372,000 66.79%
Total for Program: 98,658,000 148,761,000 50,103,000 50.78%
ALL FUNDS PERSONNEL
BUDGETED FILL LEVELS
Current Requested
Program 2000-01 2001-02 Change
Capital Planning 41 41 0
Administration and Finance 644 634 (10)
Adult Services 13,159 12,813 (346)
Children and Youth Services 1,955 1,953 (2)
Forensic Services 1,878 1,881 3
Research 524 524 0
Maintenance Undistributed 338 397 59
Total General Fund: 18,078 17,723 (355)
Total All Other Funds: 461 520 59
TOTAL: 18,539 18,243 (296)
BUDGET HIGHLIGHTS
(Executive Budget: pp.163-171)
The Office of Mental Health administers an extensive statewide mental health
network, including community based mental health services, 17 State-operated
psychiatric centers for adults, six State-operated psychiatric centers for
children, three forensic psychiatric centers and two research institutes. The
State-operated inpatient mental health system serves 9,700 adults and children
annually. Outpatient services are provided to an additional 37,000 patients
each year. In addition to serving outpatients, OMH provides other community-
based services, including sheltered employment and residential opportunities.
There are more then 2,500 not-for-profit and proprietary mental health service
providers in the community meeting the needs of over 500,000 persons. All
community based providers are licensed by OMH. The agency is included in the
Health, Mental Hygiene and Environmental Conservation appropriation bill.
The Executive proposes that the moratorium on bed closures implemented on April
1, 2000 will be lifted on April 1, 2001. New bed closures will go forward
although excess capacity of fifty beds will be maintained to allow prompt
response to future emergencies. The Executive also proposes enacting a
new Community Mental Health Support and Workforce Reinvestment Act to redirect
savings from census reduction, facility consolidations and closures to
community based providers. As part of the Executive's proposal, total 725 bed
census reduction would take place over three years, both the Hutchings and
Middletown adult psychiatric centers would be closed; the Queens, Rockland,
Sagamore and Western New York children's psychiatric centers would be relocated
to sites on adult psychiatric center campuses, and the Kirby Forensic
Psychiatric Center would be relocated to empty space in the Manhattan
Psychiatric Center. The savings derived from these actions, as estimated by the
Executive, would provide sufficient revenue to support a 10 percent increase to
the fixed Medicaid fees paid for community-based mental health outpatient
services, thus creating a permanent increase to the base payment in year one of
the program. In addition, these savings would provide for an annual cost of
living adjustment of up to 2.5 percent through SFY 2003-04 for certain community
mental health service providers licensed under Article 41 or Article 43 of the
Mental Hygiene Law through State Fiscal Year (SFY) 2003-04.
State Operations
The Executive recommends a net All Funds increase in appropriations of
$8,882,000 of 0.78 percent for a total of $1,148,262,000. Within State
Operations, Special Revenue Fund-Other Patient Income Account support from
patient care revenues decreases by $116,440,000. As these patient care
revenues decrease, either service levels are decreased or
General Fund dollars must increase to offset losses.
The Executive's State Operations funding proposals include the following:
-- A net increase of $1,738,000 or 2.52 percent in the Administration and
Finance that reflects a General Fund decrease of $247,000 resulting from
various personal service and nonpersonal service actions;
-- A net General Fund decrease of $2,015,000 in the Adult Services Program
resulting from savings from census decline, staffing efficiencies,
automation of the medical records system, decreasing use of overtime and
the transfer of shared staffing costs to Aid to Localities. Savings are
partially offset by increased contractual salary costs and nonpersonal
service expenses including increased energy costs.
-- A net General Fund increase of $292,000 or 0.25 percent in the Children
and Youth Services Program resulting from negotiated salary increases
offset by savings from energy efficiencies and the administrative
consolidation of the Bronx Psychiatric Center with the Bronx Children's
Psychiatric Center.
-- A General Fund increase of $3,652,000 or 22.9 percent in the Enhanced
Community Services Program to bring the program to its full annual
funding level of $19,600,000.
-- A General fund increase of $4,683,000 or 4.45 percent in the Forensic
Services Program resulting from negotiated salary increases, nonpersonal
service adjustments, an increase of three full time equivalent
administrative positions and the full annual impact of staffing increases
made in SFY 2000-01.
-- An increase of $523,000 or 1.16 percent in the Research Program
reflecting negotiated salary increases and nonpersonal service
inflationary increases partially offset by the full annual impact of
personnel reductions
in SFY 2000-01.
Aid to Localities
The Executive recommends a net All Funds increase to Aid to Localities of
$62,802,350 or 8.09 percent for a total of $839,317,000. This funding level
is due primarily to the following actions:
-- The Executive recommends a net increase in the Adult Services Program of
$11,353,000 or 2.43 percent reflecting the transfer of Shared Staffing
funds from State Operations to Aid to Localities and increased
appropriations for supported housing, offset by annualization of savings
from Medicaid maximization and
various technical adjustments.
-- The Executive recommends a net increase in the Children and Youth
Services Program of $5,159,000 or 5.27 percent resulting from increases
in funding for children's community residences and family based
treatment, and a trend adjustment for Residential Treatment Facilities
offset by annualization of savings from Medicaid maximization.
-- The Executive recommends an increase of $26,200,000 or 64.53 percent for
the Enhanced Community Services Program reflecting full annualization of
appropriations for case management services, supported housing,
children's services including case management, Home and Community Based
Services Waiver, family
based treatment and family support services.
-- The Executive recommends an increase of $22,568,000 or 13.48 percent for
the Community Mental Health Reinvestment Program. Of this amount,
$14,900,000 would fund the new Community Mental Health Support
and Workforce Reinvestment Act (described below). The remaining
$7,668,000 would provide eighth year funding for the current Community
Mental Health Reinvestment Program as well as annualized funding for
SFY 2000-01 actions and new funding derived from anticipated census
declines in SFY 2001-02.
Shared Staffing
The Shared Staffing Program was created prior to the enactment in 1993 of the
Community Mental Health Reinvestment Act. The original program goal was to
provide relief to local governments faced with the responsibility for the costs
of providing services to a newly deinstitutionalized mentally ill population.
Under the Program, mental health staff are paid through State psychiatric
centers, but work in county and not-for-profit operated agencies. OMH proposes
transitioning the funding stream which supports these employees from State
Operations to Aid to Localities over a three year period. In SFY 2001-02,
$12,271,000 in General Fund appropriations would be transferred from State
Operations to Aid to Localities for this purpose. State employees would be
offered the option of transferring to county employment or rejoining the staff
of a psychiatric center.
The Community Mental Health Support and Workforce Reinvestment Act
The Executive proposes a new Community Mental Health Support and Workforce
Reinvestment Act to be funded with savings derived from facility closures,
consolidations and downsizing. The following actions are expected to generate
$64,100,000 in savings by SFY 2004-05:
-- Eliminating 725 adult and geriatric beds from the State operated system
over three years starting with SFY 2001-02. In each of the first two
years, 240 beds would be taken out of the system and in the last year
245 beds would be discontinued. The per bed savings associated with
downsizing would be $65,500 in the first year with a $1,000 increment
added in each of the following two years.
-- Relocating four children's psychiatric centers (CPC) to the grounds of
adult psychiatric centers (PCs). The Queens CPC would relocate to the
Creedmoor PC campus, The Rockland CPC would relocate to the campus
of the Rockland PC, the Sagamore CPC would relocate to the campus of the
Pilgrim PC, and the Western New York CPC would relocate to the campus of
the Buffalo PC.
-- Closing both the Hutchings and the Middletown Psychiatric Centers.
-- Relocating the Kirby PC, a forensic facility, into unused space in the
Manhattan PC.
In a related action, the Executive proposes to add up to 144 new State-operated
beds, 104 adult transitional and 40 crisis residence beds for children and
adolescents to be located on the grounds of State-operated psychiatric centers.
This proposal does not rely on revenues generated from bed eliminations and
facility closures.
Capital Projects
The Executive recommends $174,735,000 to fund capital construction projects in
SFY 2001-02. The Governor's proposal allocates $10,424,000 for community
projects and the remaining $164,311,000 for projects within the State operated
system. The recommendation includes $120,792,000 in bonded appropriations.
Article VII
The Executive proposes Article VII legislation which would create the Community
Mental Health Support and Workforce
Reinvestment Act.