old files/fy17_hb 1...executive summary 1 lfo 6/1/2016 executive summary legislative amendments...
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John D. Carpenter, Legislative Fiscal Officer Evan Brasseaux, LFO Staff Director
John D. Carpenter, Legislative Fiscal Officer
Evan Brasseaux, LFO Staff Director
June 1, 2016
LOUISIANA LEGISLATIVE FISCAL OFFICE
Analysis of HB1 Reengrossed,
with Senate Finance Committee Amendments 2016 RS
Executive Summary
Department Budget Summary
Major Enhancements and Increases
Major Reductions
Budget Issues
Analysis of HB 1 Reengrossed w/SFC Amendments
Table of Contents
Executive Summary 1 Department Budget Summary 6 Major Enhancements & Increases 14 Major Reductions 34 Budget Issues 51
Executive Summary LFO 6/1/2016 1
Executive Summary
Legislative amendments resulted in a net SGF increase for the general operating budget of $1.35 B above HB 1 Original. The Table below depicts the FY 17 SGF status of HB 1 as it moves to the Senate Floor for consideration. The source of the net SGF growth is a projected revenue increase of $1.26 B associated with additional revenues from the 2016 First Extraordinary Session.
Notes: 1) The Total Available General Fund Revenue and Total Appropriations and Requirements rows do not reflect a
contingent appropriation and associated revenue of $17 M for the thirteenth managed care payment pushed into FY 17 from FY 16.
2) Total projected Debt Service expenditures (non-appropriated Constitutional requirements) will be updated to$401,452,087 upon publication of the next Fiscal Status Statement by the Division of Administration.
3) The net General Fund Revenue Less Appropriations and Requirements of ($324,693) will become $3,030,022once the new Debt Service payment schedule is officially adopted.
Bond Security & Redemption Fund (BSRF)
House amendments inserted Preamble language that directed the Commissioner of Administration to reduce the appropriations out of statutory dedications and fees and self-generated revenues by the amounts that are allocated for the payment of debt service. The reduction was the relative contribution of each means of finance to the non-appropriated debt service as authorized in the Constitution and applied only to funds credited to the BSRF. Since debt service is currently funded entirely by general fund, by re-directing statutory dedications and self-generated revenue appropriated in HB 1 from their current use to fund debt service, this same amount of general fund (estimated at $100 M) would be available in other areas of the budget, although those funds would not represent new revenues. The Senate Finance Committee (SFC) stripped this language from the Preamble and the use of these monies is no longer contemplated in HB 1.
Executive BudgetHB 1 & Other
FY 2017REC 2/10/16
GENERAL FUND REVENUE
Revenue Estimating Conference $8,239,300,000Total Available General Fund Revenue(1) $8,239,300,000
SGF APPROPRIATIONS AND REQUIREMENTS
Non-Appropriated Constitutional RequirementsDebt Service(2) $404,806,802Interim Emergency Board $1,720,862Revenue Sharing $90,000,000
$496,527,664
AppropriationsGeneral(1) $7,565,546,630DOJ $0Ancillary $0Judicial $121,477,570Legislative $55,748,136Capital Outlay $0
Total Appropriations $7,742,772,336
Total Appropriations and Requirements(1) $8,239,300,000
$0
State General Fund Status
Total Non-Appropriated Constitutional Requirements
General Fund Revenue Less Appropriations and Requirements(3)
HB 1 REENGHB 1 After HB 1 REENG & Other
House Action & Other w/ SFC Amends& Other w/ SFC Amends Compared to FY 2017 FY 2017 HB 1 & Other ORG
REC 3/16/16 REC 3/16/16 (Difference)
$9,498,500,000 $9,498,500,000 $1,259,200,000$9,498,500,000 $9,498,500,000 $1,259,200,000
$404,806,802 $404,806,802 $0$1,720,862 $1,720,862 $0
$90,000,000 $90,000,000 $0$496,527,664 $496,527,664 $0
$8,887,966,405 $8,792,424,482 $1,226,877,852$4,808,077 $0 $0
$0 $0 $0$143,855,017 $143,855,017 $22,377,447
$63,522,124 $66,017,530 $10,269,394$0 $0 $0
$9,100,151,623 $9,002,297,029 $1,259,524,693
$9,596,679,287 $9,498,824,693 $1,259,524,693
($98,179,287) ($324,693) ($324,693)
State General Fund Status
Executive Summary 2 LFO 6/1/2016
General Government Overview
DPSC Corrections Services
DPSC Corrections Services identifies additional funding needs of approximately $18.8 M SGF compared to the current budget recommendation in HB 1. The potential shortfall is in large part due to unfunded supplemental needs identified by DPSC of $14.5 M in FY 16 that will impact FY 17 operations. In order to realign its operations to recommended appropriation levels, the department reports that it will make reductions to existing operating activities to address its projected shortfall. These actions include reductions to per diem rates for private prisons, local housing of adult offenders and transitional work programs. The department also plans to eliminate funds associated with equipment purchases, deferred maintenance, increased pharmaceutical utilization needs, increased utility costs, human capital management fees, and dialysis contracts to meet growing demand. Lastly, the department indicates that it will close all existing reentry centers. Note: DPSC moved monies between budget units in the Supplemental Appropriations Bill (HB 1047) to cover these supplemental needs in FY 16 utilizing existing resources.
DPSC Youth Services – Office of Juvenile Justice
The Office of Juvenile Justice (OJJ) identifies additional funding needs of approximately $19.4 M SGF compared to the current budget recommendation in HB 1. The shortfall remains in part due to ongoing unfunded supplemental needs in the departments existing operating budget as well as a lack of additional funding to open a new facility in FY 17. OJJ has carried deficits in excess of $5 M in each of the past several fiscal years associated with seed funding received from the treasury for which the department was unable to repay due to anticipated but uncollected revenues from Title IV-E (federal monies for states to provide child welfare services. Part E provides federal payments for foster care, adoption assistance and guardianship assistance programs as well as services for youth who are transitioning, or who have already transitioned, out of the foster care system). The department reports that it will postpone the opening of the Acadiana Center for Youth to effectuate a cost savings of $14.2 M. OJJ will reduce capacity at the Bridge City Center for Youth and the Swanson Center for Youth by 24 youth each, allowing the department to close one dormitory at each facility and eliminate funding for 28 vacant positions (14 per facility) and produce a projected savings of $1.8 M. OJJ also intends to reduce funding for contract services and group homes (non-secure care) by approximately $1.3 M by reducing available slots for statewide placements. OJJ will make reductions to probation and parole activities by closing one office and by reducing 28 vacant positions for a savings of approximately $1.9 M. Finally, OJJ will eliminate 2 unspecified positions at its Central Office for an additional $0.1 M savings.
Education Overview
Elementary & Secondary Education
The FY 17 Executive Budget includes an adjustment of $14.8 M for an anticipated increase of 2,298 students. Additionally, there is a $3.7 M MOF swap replacing SGF with Lottery Proceeds and SELF funds based on the most recent Revenue Estimating Conference (REC) forecast. FY 17 recommended funding totals $3,649 M; $3,356.6 M SGF, $181.1 M Lottery Proceeds Fund and $109.7 M SELF Fund.
The FY 16 MFP included $44.2 M, which was funded in a supplemental appropriation outside of the formula: a 1.375% inflation adjustment ($36.2 M); an increase for the Supplemental Course Allocation ($2.6 M); and an increase for the High Cost Services Allocation ($5.4 M). HR 231 of 2015 urged and requested BESE to incorporate the supplemental funding into the FY 17 resolution. As such, the proposed MFP for FY 17 approved by BESE on March 4th incorporated this adjustment into the formula. This represented standstill funding for the MFP. However, in light of the state fisc, the MFP resolution (SCR 44) was rejected by the Senate Education Committee and pursuant to the Constitution, the MFP will be funded in accordance with the last approved resolution (SCR 55 of 2014); accordingly, the proposed budget eliminates this supplemental MFP funding of $44.2 M.
Higher Education
The Existing Operating Budget (EOB) as of 12/1/2015 (without OSFA) totals $2.28 B (including $418.9 M SGF and $350 M SAVE). (SAVE was repealed by Act 21 of 2016 First Extraordinary Session). HB 1 Reengrossed with Senate Finance Committee amendments recommends a total budget of $2.23 B, reflecting a net reduction of $48 M; a $93.7 M reduction in SGF and SGF equivalent, a $15.5 M decrease in IAT and Statutory Dedications, and a $61.2 M increase in SGR
Executive Summary 3 LFO 6/1/2016
from fees associated with Act 377 of 2015; authorized positions totaling 19,483 have been moved off budget.
Act 462 of 2014 required the Board of Regents to develop an outcomes based funding formula for implementation beginning in FY 17. The proposed formula allocates SGF for each institution/system based on a 70% pro-rata share (base funding), 15% cost calculation share and a 15% outcomes share. The pro-rata calculation is based on the 7/1/2016 appropriation levels and provides safeguards to prevent sudden, dramatic changes in the funding level of any postsecondary institution (Act 462).
FY 17 TOPS need is $297.1 M. Executive Budget recommendations totaled $60.2 M but funding was increased to $225.2 M through House actions. Additionally, the House included a supplemental budget recommendation to provide for restoration of the $71.9 M in the event additional revenues are recognized by the REC. SFC has funded TOPS at $141.4 M ($81.2 M SGF and $60.2 M TOPS Fund) with no supplemental budget recommendation.
Health & Hospitals
Medicaid Overview
HB 1 with SFC amendments provides an additional $552.7 M in SGF ($2.2 B total increase in funding) for Medicaid in FY 17. Total Medicaid funding for FY 17 represents a 27.6% increase from the FY 16 EOB (29.5% increase in SGF). In addition, HB 1 reflects approximately $160 M in SGF savings associated with the implementation of Medicaid expansion for certain individuals up to 138% of the Federal Poverty Level (FPL). Projected SGF savings are largely based on a $249 M reduction in Disproportionate Share Hospital (DSH) payments related to uncompensated care costs.
SFC amendments provided significant changes to various House amendments. Specifically, SFC eliminated $24.8 M in additional funding for rural hospitals added with House Floor (HF) amendments, and eliminated a HF amendment that authorized DHH to implement copayment requirements (to the extent authorized under federal law) for individuals receiving certain Medicaid services. In addition, SFC amendments moved $161 M total funding ($60.8 M SGF) in supplementary budget recommendations to the body of HB 1. Information provided by DHH indicates the $161 M in funding moved from the supplementary section of the HB 1 will allow for full funding of all existing waiver slots, and prevent significant cuts to Pediatric Day Healthcare Services. Although these items were not itemized as a cut in the Executive Budget, DHH itemized these services as areas of reduction based on the level of funding provided after House action.
In addition, SFC amendments eliminated the line item appropriation for the public private partner hospitals, and reduced the level of supplemental payments and DSH payments by approximately $98.5 M ($60.4 M SGF). Additionally, SGR used as a state match source increased by $18.6 M for the hospital partnership in Houma. (See Public Private Partnership explanation on next page.)
The Medicaid budget contains certain significant increases/enhancements in FY 17, including funding projected growth in Bayou Health, funding for an FY 16 Bayou Health payment obligation pushed into FY 17 (1 additional Bayou Health check write added in FY 17), MCO payments for Medicaid expansion for individuals to 138% of the FPL, annualized costs of certain home and community based waivers, increases in projected pharmacy costs and provider rate increases, and funding the backfill of revenues reduced in FY 16 as part of the FY 16 mid-year deficit elimination plan. Significant FY 17 SGF increases are reflected below:
$195.3 M - Bayou Health managed care capitation rate payments $167.0 M - Swap non-recurring one-time revenues for SGF $109.2 M - FY 16 pushed check write (June 2016) into FY 17 * $24.3 M - Fee for Service increases (including Pharmacy, PACE, and LT-PCS) $21.3 M - Rate increases (FQHC’s, RHC’s, Hospice, Buy-in, Rural H’s, Nursing F’s)
* The $109.2 M enhancement reflected above does not include $17 M in SGF required statematch to make the projected 13 th managed care payments. This amount will only be available for expenditure when the Department of Revenue prevails in any suit appeal, or petition associated with an amount paid under protest and held in escrow in accordance with R.S. 47:1576 and transfers such monies to the SGF to be utilized to fund the 13th managed care payment. The total SGF need is $126.2 M to draw down $208.2 M in federal funding for $334.4 M in total payments.
Executive Summary 4 LFO 6/1/2016
Public Private Partnerships (PPP)
HB 1 provides total funding of $983.3 M for Public Private Partnerships in FY 17. This represents a $221 M reduction (18%) compared to the FY 16 EOB as of 12/01/16. Information provided by DHH indicates an original expenditure projection of approximately $1.3 B. This original expenditure projection is assumed to change as DHH assumes and will apply a 25% ($249,541,305) reduction in DSH payments to partner hospitals due to anticipated decreases in uncompensated care costs as a result of Medicaid expansion in FY 17 (not including Lallie Kemp). However, the Commissioner of Administration has stated that the DOA, LSU, and partner hospitals are under negotiations to refinance the partnership agreements, and to further review the 25% DSH reduction estimates.
HB 1 does not directly appropriate funding in the Medicaid Program for the individual partner hospitals. Partner hospital reimbursements are paid from the Medicaid Private Providers and Uncompensated Care Costs programs. Therefore, the exact budget by hospital is not known. In addition, the majority of the partnership agreements provide for a finance formula that requires payments to reimburse the hospital providers at 100% of allowable UCC costs
Other Issues
FY 16 Unmet Supplemental Needs
The FY 16 Supplemental Bill (HB 1047) provides adjustments for certain supplemental needs that do not require SGF. However, a number of agencies have expenditures in the current year, for which there are insufficient revenues to fully fund. Some of these items were identified in the 1st Special Session as expenditure requirements that would likely have to be absorbed by the respective agencies; others have been identified more recently. These unmet supplemental needs total $71.3 M; a brief discussion of each is identified below.
LA Public Defender Board ($3.5 M) - The Public Defender Board reports that the supplemental funding needs which are not included in HB 1047 would be used to end restriction of services (ROS) plans currently enacted in 15 of the 42 local public defender offices statewide. Without these supplemental funds, the 15 districts presently under ROS plans would continue operating with services at reduced levels, which includes taking on fewer cases and placing some cases on a waiting list. The current version of HB 1 does not include funding for this shortfall in FY 17.
Governor’s Office of Homeland Security & Emergency Preparedness (GOHSEP) ($10 M) - Supplemental funding needs materialized as a result of damages sustained in the recent Severe Weather and Flooding event DR-4263, which began on 4/2/2016, and includes the required state cost share of the event. Current estimates total $9,589,375 and will increase slightly due to ongoing response efforts. The State of LA, through GOHSEP, negotiated a repayment plan for a total estimated $10 M, payable in three annual installments, and will accrue interest at the rate of one percent. The first payment will be $4.4 M, due 8/1/2016. The final pay plan will be adjusted once actual costs are determined. Projected costs in FY 18 and FY 19 are approximately $2.85 M annually. HB 1 does not include funding for this shortfall in FY 17.
Department of Children & Family Services (DCFS) ($11.4 M) - There are additional needs in Child Welfare services due to several factors including: 1) anticipated savings associated with Targeted Case Management (TCM) was not realized due to non-approval of the program by the federal Centers for Medicare and Medicaid (CMS) ($10.9 M); and 2) payment of outstanding legal invoices and plaintiff attorney fees associated with litigation and judgment in the National Voting Rights Act (NVRA) ($500 K) after the department failed to offer voter registration opportunities at their field offices to persons with disabilities..
Minimum Foundation Program (MFP) ($7 M) - FY 16 Funding for the MFP formula is based on the February 2015 student count of 690,847. Subsequent counts in October 2015 and February 2016 have identified an additional 1,149 students for a new projected count of 691,996. The result is a supplemental funding need of $7 M. The House sought to fund the shortfall using monies that would otherwise be allocated to Non-public Educational Assistance Program but this action was reversed by the SFC. Local school districts will have to absorb the full cost of these students from local revenues. The current version of HB 1 does not include $44.2 M that was funded outside of the MFP formula in FY 16, a portion of which was used to offset the formula funding shortfall.
Taylor Opportunity Program for Scholars (TOPS) ($29.1 M) - The appropriation for TOPS is “more or less estimated” and historically any projected payments in excess of the appropriation are provided in a supplemental appropriation bill. In FY 15 supplemental funding needs of approximately $5 M was not provided and was funded out of the FY 16 appropriation. Additionally, the amount of the current year appropriation did not contemplate
Executive Summary 5 LFO 6/1/2016
tuition increases that were implemented by several institutions. Finally, TOPS Fund revenue collections are $3.7 M lower than what is appropriated, which would otherwise require a mean of finance swap with SGF. Institutions will be required to absorb the ($29.1 M) shortfall. HB 1 funds TOPS at $141.4 M, or approximately 47.5% of actual projected need in FY 17.
Local Housing of State Adult Offenders (LHSAO) ($7 M) - Total FY 16 supplemental needs totaled $13.8 M, primarily as a result of a $3 M shortfall carried forward from FY 15 and the inability to fully realize projected GEMS savings of $7.3 M. This need was offset by transfers in HB 1047 from the Transitional Work Release Program ($4.8 M) and Local Reentry Services Program ($2.1 M) for a net shortfall of $7 M. Per historical practice of the DPSC Corrections Services, this shortfall will be carried forward and paid in FY 17 from the appropriated budget. HB 1 does not include additional funding to address this carry forward amount.
Judicial Budget (HB 616)
HB 616, which provides for the judicial branch’s expenses in FY 17, presently has a projected $16 M shortfall according to staff from Supreme Court. Because a majority of the judicial branch’s expenses are constitutionally and statutorily mandated, the Supreme Court reports that the $16 M shortfall can only be absorbed within select programs of the judiciary’s budget. These programs include drug courts, Court-Appointed Special Advocate services (CASA), Child in Need of Care services (CINC), and the ability to take on Family in Need of Services (FINS) cases. The impact of the reduction to these programs is unknown and subject to the discretion of the Judicial Budgetary Control Board, who will allocate the reduction to the programs as it sees fit.
Funds Bill (HB 409)
HB 409 provides for deposits of state funds into the general fund and other special treasury funds. It nullifies fund transfers previously approved by JLCB as part of mid-year reductions contained in prior year fund transfer bills that have not occurred as of 7/1/2016. SFC amendments direct the Treasurer to transfer and deposit the payment of $20 M received 30 days after the British Petroleum settlement was signed into the Oil Spill Contingency Fund and to transfer and deposit $19.13 M received 60 days after the British Petroleum settlement was signed into the Natural Resource Restoration Trust Fund. The Treasurer will also reverse a transfer of $7 M that was made to the Attorney General from the initial $20 M settlement. These settlements of $39.13 M are current year deposits. The Treasurer is further directed to transfer upon receipt, any future economic settlement proceeds ($19.13 M in FY 17 and $53 M annually beginning in FY 19) in accordance with current law. The bill exempts settlements related to the Deepwater Horizon incident from being deposited into the Department of Justice Legal Support Fund.
FY 2015 FY 2016 FY 2017 Change
Previous Year Current Year Next Year2017 2016- Percent
Change
Statewide Budget
Actual EOB 12/1/2015
Department Budget Summary
HB 1 Reengrossed w/Sen Am
STATE GENERAL FUND (Direct): $8,714,990,337 $8,560,149,964 $9,498,824,693 $938,674,729
Interagency Transfers 1,554,250,005 1,866,810,009 1,628,965,618 -237,844,391Fees & Self-gen Revenues 3,714,373,566 3,874,676,933 3,908,428,201 33,751,268Statutory Dedications 4,344,847,493 4,113,414,793 3,645,221,169Interim Emergency Board 243,089 0 0 0FEDERAL FUNDS 8,762,251,803 9,957,616,548 11,730,937,666 1,773,321,118
$27,090,956,293 $28,372,668,247 $30,412,377,347 $2,039,709,100
-468,193,624
STATE GENERAL FUND BY:
52,955T.O. 52,453 32,715 -19,738
11.0%
-12.7%0.9%
-11.4%
17.8%7.2%
-37.6%
GRAND TOTAL - Statewide Budget
$18,681,439,681$18,415,051,699 $266,387,982$18,328,704,490 1.4%STATE FUNDS (excludes Federal):1,935Other Charges Positions 1,902 1,906 4 0.2%
STATE GENERAL FUND (Direct): $8,118,488,231 $8,041,802,994 $8,792,424,482 $750,621,488
Interagency Transfers 857,056,408 1,273,863,871 950,318,622 (323,545,249)Fees & Self-gen Revenues 2,088,336,606 2,196,127,927 2,320,776,082 124,648,155Statutory Dedications 2,948,388,327 3,106,059,529 2,572,495,804Interim Emergency Board 243,089 0 0 0FEDERAL FUNDS 8,549,235,560 9,724,140,405 11,610,975,158 1,886,834,753
$22,561,748,221 $24,341,994,726 $26,246,990,148 $1,904,995,422
(533,563,725)
STATE GENERAL FUND BY:
51,807T.O. 50,948 31,224 (19,724)
9.3%
(25.4%)5.7%
(17.2%)
19.4%7.8%
(38.7%)
General Appropriation Bill
1,926Other Charges Positions 1,892 1,896 401 Executive
STATE GENERAL FUND (Direct): $147,985,370 $124,494,110
Interagency Transfers 81,397,640 80,932,058Fees & Self-gen Revenues 156,925,827 125,149,512Statutory Dedications 115,761,413 191,857,823Interim Emergency Board 243,089 0FEDERAL FUNDS 1,253,826,731 1,721,638,229
$1,756,140,070 $2,244,071,732
STATE GENERAL FUND BY:
2,011T.O. 1,888
1.1%
7.9%(11.5%)
5.7%
(4.2%)(3.2%)
0.5%
$123,200,136
75,017,789141,355,786181,516,536
01,797,427,266
$2,318,517,513
1,878
$1,293,974
5,914,269-16,206,274
0-75,789,037
-$74,445,781
10,341,287
10381Other Charges Positions 358 358 0
03 Veterans AffairsSTATE GENERAL FUND (Direct): $5,241,090 $5,571,247
Interagency Transfers 1,263,135 1,606,948Fees & Self-gen Revenues 14,563,275 15,765,052Statutory Dedications 20,037 115,528Interim Emergency Board 0 0FEDERAL FUNDS 36,726,098 38,503,005
$57,813,635 $61,561,780
STATE GENERAL FUND BY:
840T.O. 840
33.4%
(38.1%)(1.8%)
0.0%
(1.4%)(0.7%)
0.2%
$4,177,469
2,596,75216,050,000
115,5280
39,048,575$61,988,324
838
$1,393,778
-989,804-284,948
0-545,570
-$426,544
0
20Other Charges Positions 0 0 0
Department Budget Summary 6 LFO 6/1/2016
FY 2015 FY 2016 FY 2017 Change
Previous Year Current Year Next Year2017 2016- Percent
Change
Statewide Budget
Actual EOB 12/1/2015
Department Budget Summary
HB 1 Reengrossed w/Sen Am
04a StateSTATE GENERAL FUND (Direct): $50,531,130 $52,661,485
Interagency Transfers 213,684 325,000Fees & Self-gen Revenues 25,332,729 26,104,125Statutory Dedications 156,519 514,078Interim Emergency Board 0 0FEDERAL FUNDS 0 0
$76,234,062 $79,604,688
STATE GENERAL FUND BY:
313T.O. 313
(5.6%)
(19.3%)(0.3%)
0.0%
(4.0%)
0.0%
$55,809,470
402,81326,176,288
514,07800
$82,902,649
313
-$3,147,985
-77,813-72,163
00
-$3,297,961
0
00Other Charges Positions 0 0 0
04b JusticeSTATE GENERAL FUND (Direct): $14,016,254 $5,108,077
Interagency Transfers 28,422,106 22,615,754Fees & Self-gen Revenues 4,159,720 6,816,714Statutory Dedications 11,693,385 22,098,978Interim Emergency Board 0 0FEDERAL FUNDS 4,890,205 7,546,816
$63,181,670 $64,186,339
STATE GENERAL FUND BY:
467T.O. 479
(33.3%)
(24.8%)(39.2%)
(7.7%)
(2.9%)(20.4%)
0.0%
$7,656,685
30,055,95711,215,39023,953,222
07,771,651
$80,652,905
479
-$2,548,608
-7,440,203-4,398,676
0-224,835
-$16,466,566
-1,854,244
01Other Charges Positions 1 1 0
04c Lieutenant GovernorSTATE GENERAL FUND (Direct): $1,341,788 $1,067,306
Interagency Transfers 6,046 618,931Fees & Self-gen Revenues 10,000 10,000Statutory Dedications 0 0Interim Emergency Board 0 0FEDERAL FUNDS 3,981,759 5,488,059
$5,339,593 $7,184,296
STATE GENERAL FUND BY:
7T.O. 7
(17.4%)
88.0%0.0%
(0.4%)0.6%
0.0%
$1,291,957
329,13210,000
00
5,511,341$7,142,430
7
-$224,651
289,7990
0-23,282$41,866
0
08Other Charges Positions 8 8 0
04d TreasurySTATE GENERAL FUND (Direct): $0 $0
Interagency Transfers 1,588,495 1,488,674Fees & Self-gen Revenues 8,319,502 8,762,768Statutory Dedications 464,741 811,455Interim Emergency Board 0 0FEDERAL FUNDS 0 0
$10,372,738 $11,062,897
STATE GENERAL FUND BY:
54T.O. 54
4.8%7.7%
(5.4%)
6.2%
0.0%
$0
1,421,1238,139,506
857,59600
$10,418,225
54
$0
67,551623,262
00
$644,672
-46,141
00Other Charges Positions 0 0 0
04e Public Service CommissionSTATE GENERAL FUND (Direct): $0 $0
Interagency Transfers 0 0Fees & Self-gen Revenues 0 0Statutory Dedications 8,872,612 9,699,663Interim Emergency Board 0 0FEDERAL FUNDS 136,555 0
$9,009,167 $9,699,663
STATE GENERAL FUND BY:
97T.O. 99
9.0%
9.0%
2.1%
$0
00
8,895,47100
$8,895,471
97
$0
00
00
$804,192
804,192
20Other Charges Positions 0 0 0
Department Budget Summary 7 LFO 6/1/2016
FY 2015 FY 2016 FY 2017 Change
Previous Year Current Year Next Year2017 2016- Percent
Change
Statewide Budget
Actual EOB 12/1/2015
Department Budget Summary
HB 1 Reengrossed w/Sen Am
04f Agriculture & ForestrySTATE GENERAL FUND (Direct): $24,978,022 $24,908,204
Interagency Transfers 620,030 641,125Fees & Self-gen Revenues 6,089,614 7,296,414Statutory Dedications 29,461,427 32,547,947Interim Emergency Board 0 0FEDERAL FUNDS 7,306,299 9,071,078
$68,455,392 $74,464,768
STATE GENERAL FUND BY:
555T.O. 563
(1.1%)
0.7%0.2%
(3.8%)
10.9%(0.9%)
1.8%
$25,193,802
636,9457,282,424
33,822,4710
8,176,775$75,112,417
553
-$285,598
4,18013,990
0894,303
-$647,649
-1,274,524
1022Other Charges Positions 22 26 4
04g InsuranceSTATE GENERAL FUND (Direct): $0 $0
Interagency Transfers 0 0Fees & Self-gen Revenues 28,515,878 28,606,463Statutory Dedications 1,355,775 1,445,979Interim Emergency Board 0 0FEDERAL FUNDS 1,080,019 1,309,816
$30,951,672 $31,362,258
STATE GENERAL FUND BY:
243T.O. 225
4.8%1.0%
(28.9%)2.6%
0.0%
$0
027,291,090
1,431,6290
1,842,690$30,565,409
225
$0
01,315,373
0-532,874$796,849
14,350
00Other Charges Positions 0 0 0
05 Economic DevelopmentSTATE GENERAL FUND (Direct): $16,491,399 $16,313,034
Interagency Transfers 1,535,955 1,231,829Fees & Self-gen Revenues 2,548,329 8,387,873Statutory Dedications 19,973,664 18,200,000Interim Emergency Board 0 0FEDERAL FUNDS 2,891,473 7,500,000
$43,440,820 $51,632,736
STATE GENERAL FUND BY:
113T.O. 110
(2.0%)
(56.9%)182.6%(27.2%)
11.7%(4.7%)
0.0%
$16,649,775
2,856,1592,967,602
24,997,0690
6,711,410$54,182,015
110
-$336,741
-1,624,3305,420,271
0788,590
-$2,549,279
-6,797,069
00Other Charges Positions 0 0 0
06 Culture, Recreation & TourismSTATE GENERAL FUND (Direct): $34,486,802 $32,363,005
Interagency Transfers 5,184,693 6,051,566Fees & Self-gen Revenues 24,301,138 25,649,243Statutory Dedications 12,784,808 13,790,913Interim Emergency Board 0 0FEDERAL FUNDS 5,317,181 7,211,871
$82,074,622 $85,066,598
STATE GENERAL FUND BY:
616T.O. 616
(15.3%)
3.8%(15.9%)
32.3%
(4.1%)(8.0%)
0.0%
$38,190,049
5,830,37930,499,15910,426,959
07,518,319
$92,464,865
616
-$5,827,044
221,187-4,849,916
0-306,448
-$7,398,267
3,363,954
029Other Charges Positions 29 29 0
07 Transportation & DevelopmentSTATE GENERAL FUND (Direct): $0 $0
Interagency Transfers 13,189,822 11,910,000Fees & Self-gen Revenues 23,995,396 28,182,415Statutory Dedications 490,658,964 531,244,581Interim Emergency Board 0 0FEDERAL FUNDS 10,166,959 23,496,792
$538,011,141 $594,833,788
STATE GENERAL FUND BY:
4,220T.O. 4,195
0.0%3.1%1.8%
(9.5%)1.3%
0.0%
$0
11,910,00027,328,296
522,100,0170
25,971,119$587,309,432
4,194
$0
0854,119
0-2,474,327$7,524,356
9,144,564
10Other Charges Positions 0 0 0
Department Budget Summary 8 LFO 6/1/2016
FY 2015 FY 2016 FY 2017 Change
Previous Year Current Year Next Year2017 2016- Percent
Change
Statewide Budget
Actual EOB 12/1/2015
Department Budget Summary
HB 1 Reengrossed w/Sen Am
08 DPSC Corrections ServicesSTATE GENERAL FUND (Direct): $465,520,037 $464,976,800
Interagency Transfers 4,556,490 5,752,519Fees & Self-gen Revenues 37,710,253 41,575,686Statutory Dedications 54,000 54,000Interim Emergency Board 0 0FEDERAL FUNDS 1,114,366 2,230,697
$508,955,146 $514,589,702
STATE GENERAL FUND BY:
4,716T.O. 4,684
0.5%
19.7%3.5%0.0%
50.7%1.1%
0.0%
$462,515,463
4,807,71940,179,645
54,0000
1,480,697$509,037,524
4,684
$2,461,337
944,8001,396,041
0750,000
$5,552,178
0
00Other Charges Positions 0 0 0
08 DPSC Public Safety ServicesSTATE GENERAL FUND (Direct): $8,328,017 $32,261,099
Interagency Transfers 26,294,609 38,258,311Fees & Self-gen Revenues 131,031,724 151,244,193Statutory Dedications 202,614,095 207,284,924Interim Emergency Board 0 0FEDERAL FUNDS 31,841,773 47,761,138
$400,110,218 $476,809,665
STATE GENERAL FUND BY:
2,452T.O. 2,446
0.3%(1.7%)(7.3%)
(2.9%)2.6%
1.3%
$0
38,136,571153,843,013223,599,311
049,181,799
$464,760,694
2,414
$32,261,099
121,740-2,598,820
0-1,420,661
$12,048,971
-16,314,387
320Other Charges Positions 0 0 0
08 DPSC Youth ServicesSTATE GENERAL FUND (Direct): $94,973,085 $102,366,865
Interagency Transfers 12,261,736 11,959,959Fees & Self-gen Revenues 471,673 775,487Statutory Dedications 172,000 149,022Interim Emergency Board 0 0FEDERAL FUNDS 1,384,904 891,796
$109,263,398 $116,143,129
STATE GENERAL FUND BY:
877T.O. 996
5.8%
(29.5%)0.0%0.0%
0.0%0.5%
0.0%
$96,781,581
16,959,959775,487149,022
0891,796
$115,557,845
996
$5,585,284
-5,000,0000
00
$585,284
0
00Other Charges Positions 6 6 0
09 Health & HospitalsSTATE GENERAL FUND (Direct): $2,159,530,454 $2,892,014,536
Interagency Transfers 284,145,847 292,779,384Fees & Self-gen Revenues 226,661,279 298,710,580Statutory Dedications 985,989,088 470,538,987Interim Emergency Board 0 0FEDERAL FUNDS 5,374,842,723 7,773,822,478
$9,031,169,391 $11,727,865,965
STATE GENERAL FUND BY:
5,613T.O. 5,532
25.3%
(35.3%)65.7%
(21.5%)
33.6%25.3%
0.5%
$2,307,668,324
452,275,885180,307,677599,216,336
05,820,327,443
$9,359,795,665
5,502
$584,346,212
-159,496,501118,402,903
01,953,495,035
$2,368,070,300
-128,677,349
301,448Other Charges Positions 1,430 1,430 0
10 Children & Family ServicesSTATE GENERAL FUND (Direct): $136,927,778 $151,530,273
Interagency Transfers 8,759,707 16,420,568Fees & Self-gen Revenues 11,604,290 17,517,760Statutory Dedications 1,142,707 950,757Interim Emergency Board 0 0FEDERAL FUNDS 495,536,555 508,513,022
$653,971,037 $694,932,380
STATE GENERAL FUND BY:
3,481T.O. 3,409
5.3%
(62.9%)0.0%
(24.3%)
(1.1%)(3.6%)
0.0%
$143,956,513
44,217,73417,517,760
1,255,6610
513,925,201$720,872,869
3,409
$7,573,760
-27,797,1660
0-5,412,179
-$25,940,489
-304,904
00Other Charges Positions 0 0 0
Department Budget Summary 9 LFO 6/1/2016
* Does not include $17 M in SGF required state match to make the projected 13th managed care payment. See further explanation in Medicaid Over on Page____.
FY 2015 FY 2016 FY 2017 Change
Previous Year Current Year Next Year2017 2016- Percent
Change
Statewide Budget
Actual EOB 12/1/2015
Department Budget Summary
HB 1 Reengrossed w/Sen Am
11 Natural ResourcesSTATE GENERAL FUND (Direct): $11,344,882 $9,129,427
Interagency Transfers 16,074,009 13,975,783Fees & Self-gen Revenues 101,884 343,889Statutory Dedications 25,673,069 25,011,214Interim Emergency Board 0 0FEDERAL FUNDS 6,786,374 14,483,745
$59,980,218 $62,944,058
STATE GENERAL FUND BY:
335T.O. 320
14.1%
(25.7%)0.0%
(13.0%)
(12.3%)(13.1%)
(1.2%)
$8,003,574
18,799,573343,750
28,753,3560
16,522,373$72,422,626
324
$1,125,853
-4,823,790139
0-2,038,628
-$9,478,568
-3,742,142
-40Other Charges Positions 0 0 0
12 RevenueSTATE GENERAL FUND (Direct): $1,375,682 $44,207,089
Interagency Transfers 171,585 243,000Fees & Self-gen Revenues 99,945,473 53,314,548Statutory Dedications 688,751 628,583Interim Emergency Board 0 0FEDERAL FUNDS 274,454 0
$102,455,945 $98,393,220
STATE GENERAL FUND BY:
715T.O. 703
(67.6%)(44.6%)
14.4%
0.9%
0.4%
$0
749,80196,209,055
549,45900
$97,508,315
700
$44,207,089
-506,801-42,894,507
00
$884,905
79,124
30Other Charges Positions 0 0 0
13 Environmental QualitySTATE GENERAL FUND (Direct): $482,377 $0
Interagency Transfers 212,160 441,000Fees & Self-gen Revenues 20,515 24,790Statutory Dedications 86,717,126 96,336,307Interim Emergency Board 0 0FEDERAL FUNDS 17,043,424 20,148,647
$104,475,602 $116,950,744
STATE GENERAL FUND BY:
681T.O. 677
(100.0%)
0.0%0.0%4.2%
0.7%3.2%
0.0%
$437,665
441,00024,790
92,417,4630
20,000,179$113,321,097
677
-$437,665
00
0148,468
$3,629,647
3,918,844
00Other Charges Positions 0 0 0
14 Workforce CommissionSTATE GENERAL FUND (Direct): $8,163,120 $6,530,496
Interagency Transfers 1,263,600 6,245,368Fees & Self-gen Revenues 15,088 272,219Statutory Dedications 94,589,851 109,698,626Interim Emergency Board 0 0FEDERAL FUNDS 142,107,393 160,383,558
$246,139,052 $283,130,267
STATE GENERAL FUND BY:
938T.O. 917
(20.0%)
35.9%0.0%
(0.6%)
(3.8%)(2.4%)
0.0%
$8,163,120
4,595,368272,219
110,374,1660
166,725,300$290,130,173
917
-$1,632,624
1,650,0000
0-6,341,742
-$6,999,906
-675,540
00Other Charges Positions 0 0 0
16 Wildlife & FisheriesSTATE GENERAL FUND (Direct): $0 $0
Interagency Transfers 3,795,978 14,883,230Fees & Self-gen Revenues 1,671,076 2,011,574Statutory Dedications 94,953,725 125,623,545Interim Emergency Board 0 0FEDERAL FUNDS 28,885,597 49,149,402
$129,306,376 $191,667,751
STATE GENERAL FUND BY:
753T.O. 773
19.4%(61.8%)
8.2%
8.4%7.0%
0.0%
$0
12,463,5445,266,234
116,075,0570
45,355,687$179,160,522
773
$0
2,419,686-3,254,660
03,793,715
$12,507,229
9,548,488
03Other Charges Positions 3 3 0
Department Budget Summary 10 LFO 6/1/2016
FY 2015 FY 2016 FY 2017 Change
Previous Year Current Year Next Year2017 2016- Percent
Change
Statewide Budget
Actual EOB 12/1/2015
Department Budget Summary
HB 1 Reengrossed w/Sen Am
17 Civil ServiceSTATE GENERAL FUND (Direct): $5,183,656 $5,354,654
Interagency Transfers 10,338,735 11,639,313Fees & Self-gen Revenues 785,269 1,091,160Statutory Dedications 2,000,245 2,214,578Interim Emergency Board 0 0FEDERAL FUNDS 0 0
$18,307,905 $20,299,705
STATE GENERAL FUND BY:
161T.O. 171
1.0%
0.6%6.9%4.4%
1.4%
1.2%
$5,302,054
11,569,0451,020,4342,120,685
00
$20,012,218
169
$52,600
70,26870,726
00
$287,487
93,893
20 0 0 0Other Charges Positions
18 Retirement Systems *STATE GENERAL FUND (Direct): $8,925,579 $0
Interagency Transfers 0 0Fees & Self-gen Revenues 0 0Statutory Dedications 6,000,000 0Interim Emergency Board 0 0FEDERAL FUNDS 0 0
$14,925,579 $0
STATE GENERAL FUND BY:
0T.O. 0
$0
00000
$0
0
$0
00
00
$0
0
00Other Charges Positions 0 0 0
19 Higher EducationSTATE GENERAL FUND (Direct): $917,965,959 $786,770,212
Interagency Transfers 13,240,786 26,416,875Fees & Self-gen Revenues 1,226,718,796 1,387,996,800Statutory Dedications 196,750,337 175,521,643Interim Emergency Board 0 0FEDERAL FUNDS 84,441,241 79,903,497
$2,439,117,119 $2,456,609,027
STATE GENERAL FUND BY:
19,972T.O. 0
21.1%
(35.3%)4.6%
(67.1%)
(3.8%)(6.7%)
(100.0%)
$649,879,923
40,846,0311,326,707,754
533,675,1650
83,058,059$2,634,166,932
19,483
$136,890,289
-14,429,15661,289,046
0-3,154,562
-$177,557,905
-358,153,522
-19,4830Other Charges Positions 0 0 0
19 Special Schools & Comm.STATE GENERAL FUND (Direct): $39,497,108 $38,920,524
Interagency Transfers 22,935,847 24,039,727Fees & Self-gen Revenues 2,867,523 3,263,033Statutory Dedications 22,615,747 25,107,770Interim Emergency Board 0 0FEDERAL FUNDS 52,342 85,086
$87,968,567 $91,416,140
STATE GENERAL FUND BY:
730T.O. 726
0.0%
(2.3%)6.8%0.0%
(19.0%)(0.4%)
0.3%
$38,904,363
24,615,5913,055,133
25,107,2510
105,086$91,787,424
724
$16,161
-575,864207,900
0-20,000
-$371,284
519
234Other Charges Positions 35 35 0
19 EducationSTATE GENERAL FUND (Direct): $3,503,772,003 $3,490,973,708
Interagency Transfers 252,937,711 293,348,967Fees & Self-gen Revenues 38,483,910 57,422,846Statutory Dedications 311,556,056 305,732,761Interim Emergency Board 0 0FEDERAL FUNDS 1,030,764,233 1,121,989,830
$5,137,513,913 $5,269,468,112
STATE GENERAL FUND BY:
516T.O. 481
(1.0%)
(25.9%)0.0%1.5%
2.3%(2.0%)
0.0%
$3,527,878,604
396,112,42957,422,846
301,242,8900
1,096,741,043$5,379,397,812
481
-$36,904,896
-102,763,4620
025,248,787
-$109,929,700
4,489,871
00Other Charges Positions 0 0 0
Department Budget Summary 11 LFO 6/1/2016
* FY 14 Surplus Dollars
FY 2015 FY 2016 FY 2017 Change
Previous Year Current Year Next Year2017 2016- Percent
Change
Statewide Budget
Actual EOB 12/1/2015
Department Budget Summary
HB 1 Reengrossed w/Sen Am
19E LSU Health Care Services DivisionSTATE GENERAL FUND (Direct): $3,860,659 $24,664,566
Interagency Transfers 22,694,574 21,883,724Fees & Self-gen Revenues 4,878,873 11,972,658Statutory Dedications 0 0Interim Emergency Board 0 0FEDERAL FUNDS 4,488,695 4,800,336
$35,922,801 $63,321,284
STATE GENERAL FUND BY:
331T.O. 0
(33.7%)
(30.6%)98.4%
0.0%(20.5%)
(100.0%)
$37,222,579
31,543,3836,034,389
00
4,800,336$79,600,687
331
-$12,558,013
-9,659,6595,938,269
00
-$16,279,403
0
-3310Other Charges Positions 0 0 0
20 Other RequirementsSTATE GENERAL FUND (Direct): $457,565,980 $480,237,765
Interagency Transfers 43,951,428 44,609,009Fees & Self-gen Revenues 10,607,572 12,508,280Statutory Dedications 225,668,185 205,316,142Interim Emergency Board 0 0FEDERAL FUNDS 3,348,207 5,046,260
$741,141,372 $747,717,456
STATE GENERAL FUND BY:
0T.O. 0
(0.6%)
(0.1%)41.6%
(21.9%)
0.0%(7.0%)
$482,919,888
44,673,1898,832,200
262,839,1310
5,046,260$804,310,668
0
-$2,682,123
-64,1803,676,080
00
-$56,593,212
-57,522,989
00Other Charges Positions 0 0 0
STATE GENERAL FUND (Direct): $228,691,719 $233,191,719 $209,872,547 ($23,319,172)
Interagency Transfers 697,193,597 592,946,138 678,646,996 85,700,858Fees & Self-gen Revenues 1,626,036,960 1,678,549,006 1,587,652,119 (90,896,887)Statutory Dedications 1,301,269,931 935,283,998 1,024,925,365Interim Emergency Board 0 0 0 0FEDERAL FUNDS 213,016,243 233,476,143 119,962,508 (113,513,635)
$4,066,208,450 $3,673,447,004 $3,621,059,535 ($52,387,469)
89,641,367
STATE GENERAL FUND BY:
1,148T.O. 1,505 1,491 (14)
(10.0%)
14.5%(5.4%)
9.6%
(48.6%)(1.4%)
(0.9%)
Other Appropriation Bills
9Other Charges Positions 10 10 021 Ancillary
STATE GENERAL FUND (Direct): $0 $0
Interagency Transfers 423,993,445 554,254,146Fees & Self-gen Revenues 1,477,357,984 1,484,108,024Statutory Dedications 70,189,624 121,000,000Interim Emergency Board 0 0FEDERAL FUNDS 0 0
$1,971,541,053 $2,159,362,170
STATE GENERAL FUND BY:
1,148T.O. 1,491
(0.3%)(0.9%)
0.0%
(0.7%)
(0.9%)
$0
555,953,2761,497,117,942
121,000,00000
$2,174,071,218
1,505
$0
-1,699,130-13,009,918
00
-$14,709,048
0
-149Other Charges Positions 10 10 0
23 JudiciarySTATE GENERAL FUND (Direct): $155,338,908 $143,855,017
Interagency Transfers 0 9,392,850Fees & Self-gen Revenues 0 0Statutory Dedications 6,616,337 10,407,485Interim Emergency Board 0 0FEDERAL FUNDS 0 0
$161,955,245 $163,655,352
STATE GENERAL FUND BY:
0T.O. 0
(10.0%)
0.0%
0.3%
(8.9%)
$159,838,908
9,392,8500
10,371,43400
$179,603,192
0
-$15,983,891
00
00
-$15,947,840
36,051
00Other Charges Positions 0 0 0
Department Budget Summary 12 LFO 6/1/2016
FY 2015 FY 2016 FY 2017 Change
Previous Year Current Year Next Year2017 2016- Percent
Change
Statewide Budget
Actual EOB 12/1/2015
Department Budget Summary
HB 1 Reengrossed w/Sen Am
24 LegislatureSTATE GENERAL FUND (Direct): $73,352,811 $66,017,530
Interagency Transfers 0 0Fees & Self-gen Revenues 27,324,676 22,584,095Statutory Dedications 10,001,063 10,000,000Interim Emergency Board 0 0FEDERAL FUNDS 0 0
$110,678,550 $98,601,625
STATE GENERAL FUND BY:
0T.O. 0
(10.0%)
(9.5%)0.0%
(9.0%)
$73,352,811
024,954,06410,000,000
00
$108,306,875
0
-$7,335,281
0-2,369,969
00
-$9,705,250
0
00Other Charges Positions 0 0 0
26 Capital Outlay CashSTATE GENERAL FUND (Direct): $0 $0
Interagency Transfers 273,200,152 115,000,000Fees & Self-gen Revenues 121,354,300 80,960,000Statutory Dedications 1,214,462,907 883,517,880Interim Emergency Board 0 0FEDERAL FUNDS 213,016,243 119,962,508
$1,822,033,602 $1,199,440,388
STATE GENERAL FUND BY:
0T.O. 0
316.7%(48.3%)
11.3%
(48.6%)(1.0%)
$0
27,600,012156,477,000793,912,564
0233,476,143
$1,211,465,719
0
$0
87,399,988-75,517,000
0-113,513,635-$12,025,331
89,605,316
00Other Charges Positions 0 0 0
STATE GENERAL FUND (Direct): $367,810,387 $285,155,251 $496,527,664 $211,372,413
Interagency Transfers 0 0 0 0Fees & Self-gen Revenues 0 0 0 0Statutory Dedications 95,189,235 72,071,266 47,800,000Interim Emergency Board 0 0 0 0FEDERAL FUNDS 0 0 0 0
$462,999,622 $357,226,517 $544,327,664 $187,101,147
(24,271,266)
STATE GENERAL FUND BY:
0T.O. 0 0 0
74.1%
(33.7%)
52.4%
Non-Appropriated Requirements
0Other Charges Positions 0 0 022 Non-Appropriated Requirements
STATE GENERAL FUND (Direct): $367,810,387 $496,527,664
Interagency Transfers 0 0Fees & Self-gen Revenues 0 0Statutory Dedications 95,189,235 47,800,000Interim Emergency Board 0 0FEDERAL FUNDS 0 0
$462,999,622 $544,327,664
STATE GENERAL FUND BY:
0T.O. 0
74.1%
(33.7%)
52.4%
$285,155,251
00
72,071,26600
$357,226,517
0
$211,372,413
00
00
$187,101,147
-24,271,266
00Other Charges Positions 0 0 0
Department Budget Summary 13 LFO 6/1/2016
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fits,
trav
el, s
uppl
ies,
and
adm
inist
rativ
e re
late
d co
sts.
$6,4
97,8
60
FY
17
Prop
osed
UNO
Con
tract
$3,8
00,8
09
Ex
istin
g UN
O C
ontra
ct
$2,6
97,0
51
FY
17
Incr
ease
$1,0
29,6
610
305
09-
Med
ical V
endo
rAd
min
istra
tion
Heal
th &
Hosp
itals
$2,6
97,0
51
Addi
tiona
lfu
ndin
gfo
rM
edica
iden
rollm
ent
brok
erco
ntra
ctse
rvice
s.Th
eso
urce
offe
dera
lfu
nds
($4,
315,
067)
isM
edica
idAd
min
istra
tive
mat
ch.
Max
imus
Heal
thSe
rvice
spr
ovid
esch
oice
coun
selin
g,en
rollm
ent,
and
call
cent
erse
rvice
sfo
rin
divid
uals
inBa
you
Heat
hm
anag
edca
re.
This
adju
stm
ent
prov
ides
addi
tiona
lfun
ding
($2,
682,
928)
forc
ontra
ctre
newa
l(ex
pire
s10
/31/
2016
).Th
eex
istin
gco
ntra
ctPe
rMem
berP
erM
onth
(PM
PM)r
ate
is$0
.72;
and
the
rene
walc
ontra
ctin
clude
san
addi
tiona
l$0.
29on
1.9
Men
rolle
esfo
r8
mon
ths.
The
rem
aini
ng$5
,947
,204
prov
ides
fund
ing
for
apr
ojec
ted
incr
ease
inm
embe
rshi
pdu
eto
the
inte
grat
ion
ofsp
ecia
lized
beha
viora
lhea
lthse
rvice
s($
1,27
6,30
3)an
dca
llsto
the
Call C
ente
r as
a re
sult
of n
ew IR
S ta
x fo
rm m
ailo
uts
requ
ired
unde
r the
Affo
rdab
le C
are
Act (
$4,6
70,9
01).
Cont
ract
Ren
ewal
$2,
682,
928
Call C
ente
r Inc
reas
e
$4,6
70,9
01In
tegr
atio
n of
Spe
cializ
ed S
ervic
es
$1,
276,
303
Enro
llmen
t Bro
ker C
ontra
ct In
crea
se
$
8,63
0,13
2
$4,3
15,0
650
305
09-
Med
ical V
endo
rAd
min
istra
tion
Heal
th &
Hosp
itals
$8,6
30,1
32
Major Enhancements and Increases 20 LFO 6/1/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
85/
31/1
68:
36 P
M
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on
201
6 Se
ssio
n
Tue,
5/3
1/16
8:36
PM
Prov
ides
addi
tiona
lco
ntra
ctfu
ndin
gto
the
LAHe
alth
care
Qua
lityFo
rum
(LHQ
F)fo
rne
wco
ntra
ctde
liver
able
sas
socia
ted
with
the
HITE
CHHe
alth
Info
rmat
ion
Tech
nolo
gy(H
IT)/H
ealth
Info
rmat
ion
Exch
ange
(HIE
)fe
dera
lgr
ant
($3,
555,
483)
.De
liver
able
sin
clude
deve
lopm
ent
ofa
qual
itysu
rvey
toid
entif
yan
dm
easu
requ
ality
mea
sure
s,pe
rform
ance
,out
com
es,a
ndco
sts
acro
sshe
alth
care
setti
ngs;
star
tup
assis
tanc
eto
prov
ider
sfo
rHIE
parti
cipat
ion,
and
repo
rting
onBa
you
Heal
thse
lect
edm
easu
res
such
as
low
birth
wei
ght,
read
miss
ions
; and
oth
er h
ealth
out
com
es.
$336
,476
030
509
-M
edica
l Ven
dor
Adm
inist
ratio
nHe
alth
&Ho
spita
ls$3
,891
,959
Addi
tiona
lfun
ding
tode
velo
pa
Med
icaid
asse
tver
ificat
ion
prog
ram
fort
heag
ed,b
lind
and
disa
bled
.Th
eso
urce
offe
dera
lfun
ds($
637,
500)
isM
edica
idad
min
istra
tive
mat
ch.
The
prog
ram
willv
erify
the
asse
tsof
the
aged
,blin
d,an
ddi
sabl
edap
plica
nts
(app
roxim
atel
y30
0K
recip
ient
san
nual
ly)as
part
ofth
eel
igib
ility
dete
rmin
atio
n pr
oces
s.
$637
,500
030
509
-M
edica
l Ven
dor
Adm
inist
ratio
nHe
alth
&Ho
spita
ls$1
,275
,000
Fund
ing
toau
tom
ate
Med
icaid
elig
ibilit
yan
den
rollm
ent
proc
esse
s.Th
eso
urce
offe
dera
lfu
nds
($25
,958
,018
)is
Med
icaid
adm
inist
rativ
em
atch
.Th
ego
alfo
rthe
new
elig
ibilit
yin
form
atio
nsy
stem
isto
stre
amlin
ean
dau
tom
ate
elig
ibilit
yan
den
rollm
entp
roce
sses
.DH
Hin
dica
tes
the
Cent
ers
forM
edica
re&
Med
icaid
Serv
ices
(CM
S)is
requ
iring
LAto
mod
erni
zeits
exist
ing
syst
emto
beco
me
com
plia
ntwi
thth
eAf
ford
able
Care
Act.
Cost
sar
esp
litbe
twee
nim
plem
enta
tion
ofan
Ente
rpris
eAr
chite
ctur
eSy
stem
($10
,305
,452
)for
the
mod
erni
zatio
nof
allm
edica
idin
form
atio
nsy
stem
s/fu
nctio
ns,a
ndco
sts
asso
ciate
dwi
tha
new
enro
llmen
tsys
tem
fore
ligib
ility
dete
rmin
atio
nsan
dto
mai
ntai
nre
cord
sof
appl
icant
s/el
igib
les
($20
,276
,043
).Co
sts
fore
ligib
ility
and
enro
llmen
tinc
lude
desig
nan
dde
velo
pmen
t($1
4,42
6,04
3),O
TSst
aff (
$2,5
00,0
00),
hard
ware
and
sof
twar
e ($
2,50
0,00
0) a
nd s
yste
m m
aint
enan
ce ($
850,
000)
.
$4,6
23,4
760
305
09-
Med
ical V
endo
rAd
min
istra
tion
Heal
th &
Hosp
itals
$30,
581,
494
Fund
ing
for
the
3rd
Party
Liab
ility
(TPL
)fu
nctio
n.Th
eso
urce
offe
dera
lfun
ding
($94
2,50
0)is
fede
ral
Med
icaid
adm
inist
rativ
em
atch
.LA
purs
ues
liabl
e3r
dpa
rties
for
mon
etar
yre
cove
ries
ofpa
ymen
tsin
orde
rto
ensu
reth
atM
edica
idis
the
paye
rof
last
reso
rt.In
form
atio
npr
ovid
edby
DHH
indi
cate
sth
ecu
rrent
TPL
con
tract
laps
ed in
Dec
embe
r 201
4.
$942
,500
030
509
-M
edica
l Ven
dor
Adm
inist
ratio
nHe
alth
&Ho
spita
ls$1
,885
,000
Prov
ide
fund
ing
for
desig
n,de
velo
pmen
t,an
dim
plem
enta
tion
ofa
prov
ider
man
agem
ent
syst
emto
mod
erni
zepr
ovid
eren
rollm
entf
oren
rollin
gne
wan
dre
valid
atin
gex
istin
gM
edica
idan
dm
anag
edca
repr
ovid
ers.
The
sour
ceof
fede
ralf
unds
($5,
518,
337)
isM
edica
idad
min
istra
tive
mat
ch.
This
func
tion
iscu
rrent
ly pr
ovid
ed u
nder
the
curre
nt F
iscal
Inte
rmed
iary
con
tract
(Mol
ina)
.
$1,0
39,8
230
305
09-
Med
ical V
endo
rAd
min
istra
tion
Heal
th &
Hosp
itals
$6,5
58,1
60
Major Enhancements and Increases 21 LFO 6/1/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
95/
31/1
68:
36 P
M
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on
201
6 Se
ssio
n
Tue,
5/3
1/16
8:36
PM
Fund
ing
for
paym
ents
toRu
ral
Heal
thCl
inics
.RH
C’s
prov
ide
phys
ician
serv
ices,
nurs
epr
actit
ione
rse
rvice
s,ce
rtifie
dnu
rse
mid
wife
serv
ices,
clini
calp
sych
olog
ist,a
ndcli
nica
lsoc
ialw
orke
rse
rvice
s.Th
eso
urce
offe
dera
lfun
ds($
1,75
7,90
2)is
Title
19fe
dera
lfin
ancia
lpar
ticip
atio
n.Th
ein
crea
sed
fund
ing
repr
esen
ts3
sepa
rate
adju
stm
ents
asso
ciate
dwi
tha
proj
ecte
din
crea
sein
Med
icaid
claim
ssp
endi
ngfo
rRH
C’s
inFY
17.
Note
:Tot
alan
ticip
ated
num
bero
fFQ
HC’s
inFY
16is
149
(15
new
clini
csph
ased
inFY
16)
and
FY17
is16
2(1
3ne
wcli
nics
open
edin
FY17
).Th
ein
crea
seis
base
don
the
follo
wing
proj
ectio
ns:
$7
79,3
53
Ann
ualiz
atio
n of
5 R
HC’s
enro
lled
in F
Y 16
$1,4
47,3
70
Pha
se in
of 6
pro
ject
ed n
ew c
linics
in F
Y 17
$5
96,7
62
*M
edica
re E
cono
mic
Inde
x (M
EI) a
djus
tmen
t (1%
on
tota
l RHC
pay
men
ts)
$2,8
23,4
85
*Clin
icsre
ceive
anal
lin
clusiv
epr
ospe
ctive
rate
per
visit/
enco
unte
r,wh
ichin
clude
san
annu
alM
EIad
just
men
t to
the
rate
. Th
e M
EI is
a m
easu
re o
f phy
sicia
n pr
actic
e co
st in
flatio
n.
$1,0
65,5
830
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$2
,823
,485
Incr
ease
inDi
spro
porti
onat
eSh
are
Hosp
ital(
DSH)
fund
ing
for
LINC
CA(L
owIn
com
ean
dNe
edy
Care
Colla
bora
tion
Agre
emen
t)pa
ymen
ts.
DSH
LINC
AAsp
endi
ngis
incr
ease
dfro
m$1
00M
inFY
16to
$177
.5M
inFY
17.
The
sour
ceof
mat
chin
gfu
nds
isIn
terg
over
nmen
talT
rans
fer(
IGT)
reve
nue
from
non
stat
e pu
blic
facil
ities.
The
sou
rce
of fe
dera
l fun
ding
is T
itle 1
9 fe
dera
l fin
ancia
l par
ticip
atio
n.
$00
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$7
7,55
8,78
6
Fund
ing
forM
edica
rePa
rtA
&Pa
rtB
prem
ium
s.Th
eso
urce
offe
dera
lfun
ds($
23,4
25,6
13)i
sTi
tle19
fede
ralf
inan
cialp
artic
ipat
ion.
The
incr
ease
isre
late
dto
proj
ecte
den
rollm
enti
ncre
ase
inth
eM
edica
reSa
vings
Prog
ram
(MSP
)and
apr
ojec
ted
incr
ease
inbo
thPa
rtA
(hos
pita
lins
uran
ce)a
ndPa
rtB
(med
ical
insu
ranc
e)pr
emiu
ms,
asM
edica
repr
emiu
ms
chan
gean
nual
lyin
Janu
ary.
The
MSP
pays
the
Med
icare
prem
ium
s fo
r low
inco
me
Med
icare
ben
efici
arie
s.
Part
A pr
emiu
m to
incr
ease
from
$41
1 to
$42
5; a
nd e
nrol
lees
from
8,4
21 (7
/201
6) to
8,4
99 (6
/201
7)Pa
rt B
prem
ium
to in
crea
se fr
om $
121.
80 to
$12
3.70
; and
enr
olle
es fr
om (7
/201
6) to
177
,120
(7/2
017)
$263
,419
,521
E
OB
for M
edica
re p
rem
ium
s$3
01,0
44,9
83
Pro
ject
ed F
Y 17
cos
t for
Med
icare
pre
miu
ms
$37
,625
,462
F
Y 17
Bud
get A
djus
tmen
t
$14,
199,
849
030
609
-M
edica
l Ven
dor
Paym
ents
Heal
th &
Hosp
itals
$37,
625,
462
Major Enhancements and Increases 22 LFO 6/1/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
105/
31/1
68:
36 P
M
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on
201
6 Se
ssio
n
Tue,
5/3
1/16
8:36
PM
Incr
ease
sfu
ndin
gfo
r‘C
lawb
ack’
paym
ents
that
are
mad
eby
Med
icaid
toth
eM
edica
rePr
ogra
mas
requ
ired
byth
eCe
nter
sfo
rMed
icare
&M
edica
idSe
rvice
s(C
MS)
ona
mon
thly
basis
toco
vert
hest
ates
shar
eof
the
cost
ofth
eM
edica
rePr
escr
iptio
nDr
ugPr
ogra
m,P
artD
.As
ofJa
nuar
y20
06,d
uale
ligib
les
rece
ivepr
escr
iptio
ndr
ugbe
nefit
sfro
mM
edica
reon
ly.Th
eam
ount
that
each
stat
epa
ysis
base
don
the
amou
ntth
est
ate
woul
dpa
yif
adu
alel
igib
leM
edica
iden
rolle
ewo
uld
have
cont
inue
dto
rece
iveth
eir
pres
crip
tion
drug
bene
fitun
der
Med
icaid
.Du
alen
rolle
esar
een
rolle
din
both
Med
icaid
and
Med
icare
.Th
e bu
dget
adj
ustm
ent i
s ba
sed
on th
e fo
llowi
ng c
alcu
latio
n:
FY 1
6 EO
B
$1
39,0
31,5
15FY
17
Proj
ectio
n
$14
1,28
7,83
8
$2,
256,
323
Note
:T
he
FY
17
estim
ate
isbased
on
a.5
%enro
llm
ent
gro
wth
of
enro
llees
and
an
incre
ase
inth
e
month
ly c
law
back p
rem
ium
paym
ents
for
4 m
onth
s in F
Y 1
7.
$2,2
56,3
230
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$2
,256
,323
Fund
ing
for
proj
ecte
dpr
ivate
prov
ider
sm
edica
linf
latio
nan
den
rollm
entg
rowt
h.Th
eso
urce
offe
dera
lfu
nds
($7,
451,
207)
isTi
tle19
fede
ral
finan
cial
parti
cipat
ion.
The
adju
stm
ent
isba
sed
onpr
ojec
ted
utiliz
atio
ngr
owth
inM
edica
idfe
e-fo
r-ser
vice
(pop
ulat
ion
exclu
ded
from
Bayo
uHe
alth
).Th
ein
crea
seis
base
don
trend
fact
ors
appl
ied
toce
rtain
cate
gorie
sof
serv
ice(a
mbu
lato
rysu
rgica
lce
nter
s,ca
sem
anag
emen
t,du
rabl
em
edica
lequ
ipm
ent,
Early
&Pe
riodi
cSc
reen
ing
Diag
nost
ic&
Trea
tmen
tser
vices
,Ea
rlySt
eps,
Fam
ilyPl
anni
ng,H
emod
ialys
is,Ho
me
Heal
th,
Hosp
itals,
Lab
and
XRa
y,Ph
ysici
an,a
ndTr
ansp
orta
tion.
Anin
flatio
npe
rcen
tage
grow
thwa
sap
plie
dto
FY16
proj
ecte
dsp
endi
ngfo
rth
ese
cate
gorie
s, ra
ngin
g fr
om 3
% to
4.5
%.
$4,5
16,6
810
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$1
1,96
7,88
8
Incr
ease
sfu
ndin
g($
195,
263,
304
SGF,
$52,
379,
548
Stat
utor
yDe
dica
tion
&$3
84,5
21,5
58Fe
dera
l)fo
rM
anag
edCa
reO
rgan
izatio
n(M
CO)p
aym
ents
inFY
17.T
heso
urce
offe
dera
lfun
dsis
Title
19fe
dera
lfin
ancia
lpar
ticip
atio
n.Th
ein
crea
ses
repr
esen
tsca
pita
tion
rate
paym
ents
toBa
you
Heal
thm
anag
edca
reor
gani
zatio
ns.
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rmat
ion
prov
ided
byDH
Hre
flect
sfu
ndin
gad
just
men
tsto
the
Bayo
uHe
alth
paym
ent
base
antic
ipat
edfo
rFY
17.
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stm
ents
inclu
deen
rollm
entg
rowt
h(3
%or
28,8
05),
utiliz
atio
nan
dun
itco
sttre
ndad
just
men
tsfo
rser
vices
cove
red
unde
rthe
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vices
,lab
and
X-ra
y,ho
me
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phys
ician
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ices)
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nual
izatio
nof
new
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ices
carv
edin
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th(c
omm
unity
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ice,P
DHC,
and
EPSD
T-PC
S),S
hare
dSa
vings
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uts,
and
asp
ecia
lized
beha
viora
lhe
alth
cos
t tre
nd a
djus
tmen
t.
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,263
,304
030
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edica
l Ven
dor
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ents
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th &
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itals
$632
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Major Enhancements and Increases 23 LFO 6/1/2016
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Tota
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ency
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or In
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ses
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e FY
17
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et C
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e FY
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115/
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slat
ive
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al O
ffice
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s 20
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201
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ssio
n
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ing
($19
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F,$1
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stat
utor
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icalA
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heso
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dsis
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dera
lfin
ancia
lpar
ticip
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n.Th
ede
ntal
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vere
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ntal
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ices
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gacy
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icaid
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for-s
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e en
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es th
at re
ceive
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enef
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ject
ion
$150
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gory
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r Mon
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8,0
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6FY
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ectio
ns
13,
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183
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59
$196
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030
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edica
l Ven
dor
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ents
Heal
th &
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itals
$4,2
91,4
83
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tiona
lfun
ding
for
proj
ecte
din
crea
sein
utiliz
atio
nof
Long
Term
Pers
onal
Care
Serv
ices
(LT-
PCS)
.Th
eso
urce
offe
dera
lfun
ds($
3,73
5,16
5)is
Title
19fe
dera
lfin
ancia
lpar
ticip
atio
n.Th
ead
just
men
tis
base
don
apr
ojec
ted
incr
ease
inne
tenr
ollm
ent/r
ecip
ient
grow
thof
75in
divid
uals
perm
onth
inFY
17.
LTPC
S is
a st
ate
plan
ser
vice,
unl
ike a
wai
ver,
and
is no
t cap
ped
on a
set
num
ber o
f slo
ts.
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,236
,894
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17 P
roje
cted
exp
endi
ture
s$1
93,2
37,5
93 F
Y 16
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$5,
999,
301
$2,2
64,1
360
306
09-
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ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$5
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,301
Major Enhancements and Increases 24 LFO 6/1/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
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et C
ompa
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to th
e FY
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et
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anat
ion
125/
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M
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slat
ive
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al O
ffice
Fisc
al H
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ight
s 20
16 S
essi
on
201
6 Se
ssio
n
Tue,
5/3
1/16
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PM
Annu
alize
dco
stas
socia
ted
with
96ne
wen
rolle
esad
ded
inFY
16to
the
Prog
ram
for
the
AllI
nclu
sive
Care
fort
heEl
derly
(PAC
E)at
the
Bato
nRo
uge
and
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ans
sites
and
aph
ase-
inof
114
addi
tiona
len
rolle
esin
FY17
.Th
eso
urce
offe
dera
lfun
ds($
3,99
2,28
2)is
Title
19fe
dera
lfin
ancia
lpar
ticip
atio
n.PA
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ogra
ms
coor
dina
tean
dpr
ovid
esal
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prev
entiv
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imar
yhe
alth
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tean
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ngte
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rvice
sso
that
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ntin
ueliv
ing
inth
eco
mm
unity
.Th
ispr
ogra
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esse
rvice
sac
ross
allc
are
setti
ngs
ona
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our
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each
day
ofth
eye
ar.T
his
enha
ncem
entm
aybe
impa
cted
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ead
just
men
tsid
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ied
onth
eBu
dget
Redu
ctio
nSu
mm
ary
deta
iled
onPa
ge1
ofth
eM
ajo
rR
eductions
Section.
$17,
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456
FY
17 P
roje
cted
exp
endi
ture
s (in
clusiv
e of
66
new
enro
llees
)$1
3,03
9,77
5 F
Y 16
EO
B $4,5
03,6
81 S
UB
TO
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L -
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n R
ouge &
New
Orleans S
ites
$1,
033,
821
FY
16 e
nrol
lee
cost
(4 p
hase
d in
per
mon
th)
$
874,
772
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17 n
ew P
ACE
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(48)
$1,9
08,5
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UB
TO
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ite
$6,
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274
Tot
al In
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se fo
r FY
17
$2,4
19,9
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ical V
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tsHe
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spita
ls$6
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ing
forp
aym
ents
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dera
llyQ
ualifi
edHe
alth
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ers.
FQHC
’spr
ovid
eco
mpr
ehen
sive
prim
ary
care
serv
ices
inur
ban
and
rura
lare
asth
atar
eco
nsid
ered
med
ically
unde
rser
ved
asde
signa
ted
byth
efe
dera
lgo
vern
men
t.Th
eso
urce
offe
dera
lfun
ds($
4,26
6,18
8)is
Title
19fe
dera
lfin
ancia
lpar
ticip
atio
n.Th
ein
crea
sed
fund
ing
repr
esen
ts3
sepa
rate
adju
stm
ents
asso
ciate
dwi
thpr
ojec
ted
incr
ease
dM
edica
idcla
ims
spen
ding
forF
QHC
’sin
FY17
.Not
e:To
tala
ntici
pate
dnu
mbe
rofF
QHC
’sin
FY16
is14
9(1
5ne
wcli
nics
phas
edin
FY16
)and
FY17
is16
2(1
3ne
wcli
nics
open
edin
FY17
).Th
ein
crea
seis
base
don
the
follo
wing
pro
ject
ions
:
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26,4
05
Ann
ualiz
atio
n of
15
FQHC
’s en
rolle
d in
FY
16
$3,6
57,6
31
Pha
se in
of 1
3 pr
ojec
ted
new
clini
cs in
FY
17 $
668,
178
*M
edica
re E
cono
mic
Inde
x (M
EI) a
djus
tmen
t (1%
on
tota
l FQ
HC p
aym
ents
)$6
,852
,214
*Cen
ters
rece
ivean
all
inclu
sive
pros
pect
ivera
tepe
rvis
it/en
coun
ter,
which
inclu
des
anan
nual
MEI
adju
stm
ent t
o th
e ra
te.
The
MEI
is a
mea
sure
of p
hysic
ian
prac
tice
cost
infla
tion.
$2,5
86,0
260
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$6
,852
,214
Annu
alize
dfu
ndin
gfo
r41
3Su
ppor
tsW
aive
rslo
tsce
rtifie
din
FY16
.Th
eso
urce
offe
dera
lfu
nds
($76
9,50
5)is
Title
19fe
dera
lfin
ancia
lpar
ticip
atio
n.Th
eAv
erag
em
onth
lyco
stpe
rrec
ipie
ntfo
rSup
ports
Wai
ver i
s ap
prox
imat
ely
$662
($7,
944
annu
al),
not i
nclu
sive
of a
cute
ser
vices
.
$466
,449
030
609
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edica
l Ven
dor
Paym
ents
Heal
th &
Hosp
itals
$1,2
35,9
54
Major Enhancements and Increases 25 LFO 6/1/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
135/
31/1
68:
36 P
M
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slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on
201
6 Se
ssio
n
Tue,
5/3
1/16
8:36
PM
Annu
alize
dfu
ndin
gfo
r237
Child
rens
Choi
ceW
aive
r(CC
W)s
lots
certi
fied
inFY
16.
The
sour
ceof
fede
ral
fund
s($
1,02
2,91
2)is
Title
19fe
dera
lfin
ancia
lpar
ticip
atio
n.Th
eav
erag
em
onth
lyco
stpe
rrec
ipie
ntfo
rCC
W w
aive
r is
appr
oxim
atel
y $8
80 ($
10,5
60 a
nnua
l).
$620
,057
030
609
-M
edica
l Ven
dor
Paym
ents
Heal
th &
Hosp
itals
$1,6
42,9
69
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ing
forN
ewO
ppor
tuni
ties
Wai
ver(
NOW
)wai
vers
.Th
eso
urce
offe
dera
lfun
ding
($16
,481
,380
)is
Title
19fe
dera
lfin
ancia
lpa
rticip
atio
n.Av
erag
em
onth
lyco
stpe
rre
cipie
ntfo
ra
NOW
waive
ris
appr
oxim
atel
y $4
,400
($52
,800
ann
ual)
not i
nclu
sive
of a
cute
ser
vices
.
$23,
436,
006
($
8,84
4,74
9 SG
F) -
Fund
ing
requ
ired
to fu
nd th
e FY
16
NOW
exp
endi
ture
pro
ject
ion
$3,
035,
855
($
1,14
5,73
2 SG
F) -
Annu
alize
fund
ing
for 1
55 s
lots
cer
tifie
d in
FY
16$2
6,47
1,86
1
$9,9
90,4
810
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$2
6,47
1,86
1
Fund
ing
for
Coor
dina
ted
Syst
emof
Care
(CSo
C)wa
iver
prog
ram
.Th
eso
urce
offe
dera
lfu
nds
($17
,853
,112
)is
Title
19fe
dera
lfin
ancia
lpa
rticip
atio
n.Th
eCS
oCPr
ogra
mpr
ovid
essp
ecia
lized
beha
viora
lhe
alth
serv
ices
toyo
uth
atris
k.Yo
uth
are
prov
ided
assis
tanc
eof
vario
uswr
apar
ound
agen
cies
that
prov
ide
dire
ctin
tens
iveca
sem
anag
emen
t.Be
ginn
ing
12/1
/201
6,M
VPwi
llbe
gin
payin
gan
adm
inist
rativ
ePe
rM
embe
rPe
rM
onth
(PM
PM)
fee
topr
ovid
ers
that
prov
ide
dire
ctin
tens
iveca
sem
anag
emen
tto
parti
cipan
ts.
The
adju
stm
entc
over
sco
sts
for
appr
oxim
atel
y7
mon
ths
inFY
17.
The
adju
stm
enti
sba
sed
ona
PMPM
cost
toth
eCS
oCco
ntra
ctor
ofap
prox
imat
ely
$309
.90,
and
a$1
,035
PMPM
cos
t to
vario
us w
rap
arou
nd a
genc
ies.
$5,
206,
320
C
SoC
cont
ract
or a
dmin
cos
ts -
2,40
0 kid
s *$
309.
90 P
MPM
* 7 (m
onth
s in
FY
17)
$17,
388,
000
W
rap
arou
nd a
genc
y ad
min
cos
ts -
2,40
0 kid
s *$
1,03
5 PM
PM *7
(7 m
onth
s in
FY
17)
$6,
080,
772
P
roje
cted
fee-
for-s
ervic
e pa
ymen
ts to
pro
vider
s$2
8,67
5,09
2
$10,
821,
980
030
609
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edica
l Ven
dor
Paym
ents
Heal
th &
Hosp
itals
$28,
675,
092
Fund
ing
for
incr
ease
inPh
arm
acy
expe
nditu
res.
The
sour
ceof
fede
ralf
unds
($26
,747
,031
)is
Title
19fe
dera
lfin
ancia
lpar
ticip
atio
n.Th
ead
just
men
tis
base
don
proj
ecte
dph
arm
acy
price
grow
th($
6,35
6,68
8M
)an
dre
plac
emen
tof
reba
tere
venu
es($
35.5
M)
antic
ipat
edto
bere
duce
din
FY17
.In
form
atio
npr
ovid
edby
DHH
indi
cate
spr
ojec
ted
phar
mac
yex
pend
iture
grow
this
drive
nby
gene
ricdr
ugpr
icegr
owth
and
spec
ializ
edm
edica
tions
base
don
natio
nalp
harm
acy
trend
data
asre
porte
din
the
Natio
nalH
ealth
Expe
nditu
res
Fore
cast
Sum
mar
y. T
he in
crea
se a
djus
ts fo
r pha
rmac
y re
bate
redu
ctio
ns in
FY
17.
6.3%
Pha
rmac
y G
rowt
h in
FY
17 (f
ee-fo
r-ser
vice
claim
s)
$6,
356,
688
Proj
ecte
d St
ate
Supp
lem
enta
l Reb
ate
Redu
ctio
n
$2,
400,
000
Proj
ecte
d Fe
dera
l Reb
ate
Redu
ctio
n
$33,
100,
000
$41
,856
,688
$15,
109,
657
030
609
-M
edica
l Ven
dor
Paym
ents
Heal
th &
Hosp
itals
$41,
856,
688
Major Enhancements and Increases 26 LFO 6/1/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
145/
31/1
68:
36 P
M
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on
201
6 Se
ssio
n
Tue,
5/3
1/16
8:36
PM
Addi
tiona
lfun
ding
toin
crea
sepe
rdie
mra
tes
effe
ctive
7/1/
2016
.The
sour
ceof
fede
ralf
unds
($1,
273,
026)
isTi
tle19
fede
ralf
inan
cialp
artic
ipat
ion.
Act3
27of
2007
man
date
san
inpa
tient
perd
iem
rate
incr
ease
for
smal
lrur
alho
spita
lsev
ery
othe
ryea
r.Th
ead
just
men
tis
base
don
the
aver
age
re-b
ase
amou
ntof
the
last
2 ho
spita
l rat
e re
-bas
es (F
Y 13
& F
Y 15
). Th
e es
timat
ed F
Y 17
Acu
te re
-bas
e in
crea
se is
$76
.68
per d
ay.
$771
,668
030
609
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edica
l Ven
dor
Paym
ents
Heal
th &
Hosp
itals
$2,0
44,6
94
Prov
ides
addi
tiona
lfun
ding
for
nurs
ing
hom
epr
ovid
ers
rate
incr
ease
s(ra
tere
-bas
e)fo
rFY
17.
The
sour
ceof
Stat
utor
yDe
dica
tion
isre
venu
efro
mth
eM
edica
idTr
ustF
und
for
the
Elde
rly($
23,9
09,4
31).
The
sour
ceof
fede
ralf
unds
($39
,443
,591
)is
Title
19fe
dera
lfin
ancia
lpar
ticip
atio
n.Th
epr
ovid
erra
tein
crea
seis
base
da
proj
ecte
dpe
rda
yra
tein
crea
seof
$8.6
9pe
rbe
dpe
rda
y(a
vera
geda
ilyra
teof
$164
.22)
.
N
ursi
ng H
omes
Hos
pice
Roo
m/B
oard
FY 1
7 M
edica
id N
ursin
g Ho
me
Days
:
6,
893,
784
417,
196
Proj
ecte
d Pe
r Day
incr
ease
$8.
69
$8.
26Su
btot
al In
crea
se
$5
9,90
6,98
3
$
3,44
6,03
9
Tota
l Inc
reas
e Du
e to
Reb
ase:
$
63,3
53,0
22
$00
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$6
3,35
3,02
2
Prov
ides
fund
ing
fora
nad
ditio
nalM
edica
idBa
you
Heal
thpa
ymen
tche
ckwr
itere
sultin
gin
13pa
ymen
tsfo
rman
aged
care
prem
ium
paym
ents
inFY
17.T
heso
urce
offe
dera
lfun
ds($
208,
239,
595)
isTi
tle19
fede
ral
finan
cial
parti
cipat
ion.
This
adju
stm
ent
repr
esen
tsa
FY16
Bayo
uHe
alth
mon
thly
paym
ent
oblig
atio
n th
at w
as p
ushe
d in
to F
Y 17
as
a re
sult
of th
e FY
16
mid
-yea
r def
icit s
olut
ion.
Note
:Thi
sad
just
men
tdoe
sno
tinc
lude
$17
Min
SGF
requ
ired
stat
em
atch
tom
ake
the
proj
ecte
d13
thm
anag
edca
repa
ymen
tsas
are
sult
ofth
isam
ount
only
bein
gav
aila
ble
for
expe
nditu
rewh
enth
eDe
partm
ento
fRev
enue
prev
ails
inan
ysu
itap
peal
,or
petit
ion
asso
ciate
dwi
than
amou
ntpa
idun
der
prot
esta
ndhe
ldin
escr
owin
acco
rdan
cewi
thR.
S.47
:157
6an
dtra
nsfe
rssu
chm
onie
sto
the
SGF
tobe
utiliz
edto
fund
the
13th
man
aged
care
paym
ent.
The
tota
lSG
Fne
edis
$126
.2M
todr
awdo
wn$2
08.2
Min
fede
ral f
undi
ng fo
r $33
4.4
M in
tota
l pay
men
ts.
$109
,228
,113
030
609
-M
edica
l Ven
dor
Paym
ents
Heal
th &
Hosp
itals
$317
,467
,708
Prov
ides
fund
ing
for
anin
crea
seto
Hosp
icera
tes.
The
sour
ceof
fede
ralf
unds
($53
9,30
0)is
Title
19fe
dera
lfin
ancia
lpa
rticip
atio
n.Th
isad
just
men
tin
crea
ses
Hosp
icera
tes
byap
prox
imat
ely
1.6%
.In
form
atio
npr
ovid
edby
DHH
indi
cate
sth
eHo
spice
rate
incr
ease
isba
sed
ona
rate
sche
dule
esta
blish
edby
the
Cent
ers
for M
edica
re &
Med
icaid
Ser
vices
. The
incr
ease
is b
ased
on
the
follo
wing
pro
ject
ion:
$5,4
03,9
90
F
Y 17
pro
ject
ed H
ospi
ce p
aym
ents
(inc
ludi
ng u
tiliza
tion
grow
th a
nd 1
.6%
rate
incr
ease
)$4
,537
,784
FY
16 E
OB
for H
ospi
ce p
aym
ents
$866
,206
FY
17 In
crea
se
$326
,906
030
609
-M
edica
l Ven
dor
Paym
ents
Heal
th &
Hosp
itals
$866
,206
Major Enhancements and Increases 27 LFO 6/1/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
155/
31/1
68:
36 P
M
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on
201
6 Se
ssio
n
Tue,
5/3
1/16
8:36
PM
Addi
tiona
lfun
ding
forM
edica
idex
pans
ion
toin
divid
uals
upto
138%
ofth
efe
dera
lpov
erty
leve
lund
erth
eAf
ford
able
Care
Act.
The
adju
stm
entr
efle
cts
man
aged
care
prem
ium
paym
ents
fora
nes
timat
ed37
5,00
0en
rolle
es fo
r FY
17.
The
sour
ce o
f fed
eral
fund
s is
Title
19
fede
ral f
inan
cial p
artic
ipat
ion.
SG
F
Tota
l M
CO P
aym
ents
$
39,7
33,0
74
$
1,70
4,34
5,14
6 M
edica
id A
dmin
.
$
11,6
24,3
00
$ 3
9,78
1,75
5
$5
1,35
7,37
4
$
1,74
4,12
6,90
1
$51,
357,
374
030
609
-M
edica
l Ven
dor
Paym
ents
Heal
th &
Hosp
itals
$1,7
44,1
26,9
01
Addi
tiona
lSG
Ffo
rSo
uth
Cent
ral
LAHu
man
Serv
ices
Auth
ority
(SCL
HSA)
over
the
FY16
Exist
ing
Ope
ratin
gBu
dget
(2.2
%in
crea
se).
The
LFO
has
requ
este
dad
ditio
nali
nfor
mat
ion
from
the
SCLH
SAon
how
this
incr
ease
will
impa
ct s
ervic
es.
$310
,778
309
09-
Sout
h Ce
ntra
lLA
Hum
anSe
rvice
sAu
thor
ity
Heal
th &
Hosp
itals
$310
,778
Addi
tiona
lSG
Ffo
rAca
dian
aAr
eaHu
man
Serv
ices
Dist
rict(
AAHS
D)ov
erth
eFY
16Ex
istin
gO
pera
ting
Budg
et(1
1.5%
incr
ease
).Th
eLF
Oha
sre
ques
ted
addi
tiona
linf
orm
atio
nfro
mth
eAA
HSD
onho
wth
isin
crea
se w
ill im
pact
ser
vices
.
$1,4
95,1
8332
509
-Ac
adia
na A
rea
Hum
an S
ervic
esDi
stric
t
Heal
th &
Hosp
itals
$1,4
95,1
83
Incr
ease
SGF
forr
epay
men
toff
unds
toth
efe
dera
lFoo
dan
dNu
tritio
nSe
rvice
(FNS
)age
ncy.
InFY
15,
the
FNS
agen
cyiss
ued
a$9
Mcla
imag
ains
tth
eLA
Wom
en,
Infa
nts
&Ch
ildre
n(W
IC)
Prog
ram
for
impr
oper
paym
ento
fFed
eral
fund
s.DH
Hne
gotia
ted
ase
ttlem
entw
ithFN
Sto
repa
yth
edi
sallo
wanc
e.As
part
ofth
ese
ttlem
ent,
DHH
will
mak
ea
$2.0
5M
cash
paym
ent
toFN
San
dim
plem
ent
vend
orim
prov
emen
tsto
the
WIC
Prog
ram
asth
ateq
uals
the
rem
aini
ng$6
.15
M.
The
$2.0
5M
cash
paym
entw
illbe
repa
id in
3 in
stal
lmen
ts o
f $68
3,33
3 be
ginn
ing
in F
Y 17
.
$683
,333
032
609
-Pu
blic
Heal
thHe
alth
&Ho
spita
ls$6
83,3
33
Incr
ease
sFe
dera
lfun
dsfro
mph
arm
aceu
tical
reba
tes
ondr
ugpu
rcha
ses
thro
ugh
the
Loui
siana
Heal
thAc
cess
Prog
ram
(LA
HAP)
,for
mer
lykn
own
asAI
DSDr
ugAs
sista
nce
Prog
ram
s(A
DAP)
.LA
HAP
assis
tsun
insu
red
and
insu
red
indi
vidua
lswi
thHI
Vwi
thdr
ugco
sts
and
elig
ible
insu
ranc
epl
anpr
emiu
ms
aswe
llas
cost
shar
ing
(i.e.
co-p
aym
ents
,co
-insu
ranc
esan
dde
duct
ible
s)as
socia
ted
with
drug
san
dhe
alth
insu
ranc
eco
vera
ge.T
hepr
ogra
mis
fund
edwi
thfe
dera
lfun
dsfro
mth
eRy
anW
hite
HIV/
AIDS
Prog
ram
,He
alth
Reso
urce
san
dSe
rvice
sAd
min
istra
tion
(HRS
A).
InFY
17,
OPH
ispr
ojec
ting
colle
ctin
gan
addi
tiona
l$9.
9M
inph
arm
aceu
tical
reba
tes.
The
reba
tefu
nds
are
expe
nded
onse
rvice
sfo
rind
ividu
als
with
HIV
.
FY 1
6
$25
.1 M
FY 1
7
$35
.0 M
$
9.9
M R
ebat
e Co
llect
ions
Pro
ject
ed In
crea
se
$00
326
09-
Publ
ic He
alth
Heal
th &
Hosp
itals
$9,9
00,0
00
Major Enhancements and Increases 28 LFO 6/1/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
165/
31/1
68:
36 P
M
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on
201
6 Se
ssio
n
Tue,
5/3
1/16
8:36
PM
Incr
ease
sSG
Rin
the
even
ttha
tHB
995
ofth
e20
16Re
gula
rSes
sion
isen
acte
d.HB
995
incr
ease
sth
ean
nual
adm
inist
ratio
nfe
efo
rthe
Safe
Drin
king
Wat
erPr
ogra
mfro
m$3
.20
to$1
2.Pr
ojec
ted
reve
nue
of$1
2,96
1,00
0fro
mHB
995
willb
eus
edto
fund
upto
40sa
nita
rian
posit
ions
with
inth
eSa
feDr
inkin
gW
ater
Prog
ram
with
inth
eO
ffice
ofPu
blic
Heal
th(O
PH).
The
annu
alco
stof
asa
nita
rian
posit
ion
isap
prox
imat
ely
$96,
000
($65
,000
aver
age
sala
rypl
us$3
1,00
0re
late
dbe
nefit
s).
Inad
ditio
n,O
PHwi
lltra
nsfe
r $50
0,00
0 to
the
LA R
ural
Wat
er A
ssoc
iatio
n as
requ
ired
by a
pro
visio
n of
HB
995
Reen
gros
sed.
$00
326
09-
Publ
ic He
alth
Heal
th &
Hosp
itals
$13,
461,
600
Addi
tiona
lSG
Ffo
rOffi
ceof
Beha
viora
lHea
lth(O
BH)c
ompa
red
toth
eFY
16Ex
istin
gO
pera
ting
Budg
et(2
.3%
incr
ease
).Th
eLF
Oha
sre
ques
ted
addi
tiona
linf
orm
atio
nfro
mth
eO
BHre
gard
ing
the
impa
cton
serv
ices.
See
OBH
Issu
e wr
ite-u
p fo
r add
itiona
l info
rmat
ion.
$2,4
81,1
9733
009
-Be
havio
ral
Heal
thHe
alth
&Ho
spita
ls$2
,481
,197
Fund
ing
fors
ervic
ene
edas
sess
men
tsof
indi
vidua
lson
the
Requ
estf
orSe
rvice
sRe
gist
ry(w
aitin
glis
t)fo
rth
eNO
Wwa
ivert
ode
term
ine
apr
iorit
izatio
nfo
racc
ess.
Asof
12/3
1/20
15,t
here
were
13,6
05in
divid
uals
onth
eNO
Wwa
iting
list.
OCD
Dwi
llco
ntra
ctwi
thex
istin
gpr
ovid
erag
encie
sto
perfo
rmth
ese
asse
ssm
ents
,whi
chis
estim
ated
tobe
com
plet
edbe
fore
the
end
ofFY
17.
OCD
Dwi
llpr
ovid
eth
est
ate
mat
chan
dth
eal
lowa
ble
Fede
rals
hare
tosu
ppor
tthi
sfu
nctio
nwi
llco
me
from
the
Med
icaid
Prog
ram
($2,
929,
070
SGF
and
$1,5
63,5
22 T
itle 1
9 M
edica
id IA
T).
$2,9
29,0
700
340
09-
OCD
DHe
alth
&Ho
spita
ls$4
,492
,592
Incr
ease
sTi
tle19
Med
icaid
IAT
fund
ing
for
30Re
siden
tial
Supp
ort
Spec
ialis
tpo
sitio
nsat
Pine
cres
tSu
ppor
ts&
Serv
ices
Cent
er(S
SC),
which
isth
ela
stst
ate-
oper
ated
SSC.
The
addi
tiona
lpos
itions
are
need
edto
mee
tthe
requ
ired
staf
fto
resid
entr
atio
of1:
3.2
atPi
necr
est.
This
will
resu
ltin
anin
crea
seof
$791
,344
in s
alar
ies
and
$636
,888
in re
late
d be
nefit
s.
$030
340
09-
OCD
DHe
alth
&Ho
spita
ls$1
,428
,232
Addi
tiona
lSG
Ffo
rIm
peria
lCal
casie
uHu
man
Serv
ices
Auth
ority
(ICHS
A)co
mpa
red
toth
eFY
16Ex
istin
gO
pera
ting
Budg
et(2
.8%
incr
ease
).Th
eLF
Oha
sre
ques
ted
addi
tiona
lin
form
atio
nfro
mth
eIC
HSA
rega
rdin
g th
e im
pact
on
serv
ices.
$224
,434
375
09-
Impe
rial
Calca
sieu
Hum
an S
ervic
esAu
thor
ity
Heal
th &
Hosp
itals
$224
,434
$446
,164
,757
30M
ajor
Incr
ease
s or
Enh
ance
men
ts fo
r Hea
lth &
Hos
pita
ls$3
,107
,343
,636
Major Enhancements and Increases 29 LFO 6/1/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
175/
31/1
68:
36 P
M
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on
201
6 Se
ssio
n
Tue,
5/3
1/16
8:36
PM
Repl
aces
$30,
859,
962
ofIA
TTi
tle19
Med
icaid
budg
eted
for
Targ
eted
Case
Man
agem
ent(
TCM
)wi
th$1
3.2
Mof
SGF
and
$27.
4M
ofFe
dera
lTitle
IV-E
fund
ing.
InFY
15,t
hede
partm
enta
ntici
pate
dus
ing
TCM
asa
mea
nsof
finan
cing
child
welfa
re.
Unde
rTC
M,
the
depa
rtmen
tan
ticip
ated
usin
gTi
tle19
Med
icaid
fund
sto
prov
ide
elig
ible
child
welfa
rese
rvice
s.Th
efe
dera
lCen
ters
forM
edica
rean
dM
edica
id(C
MS)
has
nota
ppro
ved
the
TCM
;the
refo
re,a
llan
ticip
ated
Title
19M
edica
idfu
nds
are
rem
oved
and
repl
aced
with
SGF
and
fede
ralT
itleIV
-Eto
supp
ortc
hild
welfa
rese
rvice
s.In
the
FY16
budg
et,t
he$3
0.8
Mof
Title
19M
edica
idre
pres
ents
parti
alfu
ndin
gof
TCM
.In
the
FY17
budg
et,t
he$4
0.6
Mof
SGF
and
Fede
ral f
undi
ng re
pres
ents
tota
l fun
ding
nee
d to
con
tinue
chi
ld w
elfa
re s
ervic
es.
SGF
$13
,200
,000
IAT
(DHH
- M
edica
id)
($
30,8
59,9
62)
Fede
ral (
Title
IV-E
)
$
27,4
00,0
00To
tal
$9,
740,
038
$13,
200,
000
036
010
-Ch
ildre
n &
Fam
ily S
ervic
esCh
ildre
n &
Fam
ilySe
rvice
s$9
,740
,038
Incr
ease
sfu
ndin
gfo
r2
emer
genc
ysh
elte
rs(W
est
Park
and
Mad
ison)
and
one
vaca
ntpo
sitio
n($
1,06
2,00
8);f
undi
ngfo
r22
vaca
ntpo
sitio
nsin
the
Child
Wel
fare
Prog
ram
($75
2,23
8);a
ndfu
ndin
gfo
r66
vaca
nt p
ositio
ns in
the
Supp
lem
enta
l Nut
ritio
n As
sista
nce
Prog
ram
, SNA
P ($
2,18
5,75
4).
$4,0
00,0
000
360
10-
Child
ren
&Fa
mily
Ser
vices
Child
ren
& Fa
mily
Serv
ices
$4,0
00,0
00
$17,
200,
000
0M
ajor
Incr
ease
s or
Enh
ance
men
ts fo
r Chi
ldre
n &
Fam
ily S
ervi
ces
$13,
740,
038
Prov
ides
addi
tiona
lbu
dget
auth
ority
from
Stat
utor
yDe
dica
tions
-Co
asta
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The
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vices
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rict
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th &
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itals
-$46
6,39
4
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ease
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ndin
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rcon
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swi
thth
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regi
onal
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ilies
Help
ing
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em
ajor
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rmat
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rvice
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,and
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ities
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ityof
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peop
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lities
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help
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cil
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-$17
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4
Major Reductions 41 LFO 6/1/2016
SGF
Tota
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Dept
.Ag
ency
Sch.
#
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tions
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e FY
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e FY
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95/
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-$87
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ces
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North
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rvice
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-$21
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otal
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ervin
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ss in
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uals
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Y 17
.
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09-
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mer
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Major Reductions 42 LFO 6/1/2016
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Tota
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Dept
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vice
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Major Reductions 43 LFO 6/1/2016
SGF
Tota
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O.
Dept
.Ag
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Sch.
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Tota
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Tota
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O.
Dept
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ency
Sch.
#
Maj
or R
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tions
in th
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Budg
et C
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mun
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for
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kfor
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nova
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for
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rong
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oses
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eW
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initia
tive
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crea
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gree
and
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lybe
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ency
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or R
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lT.
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Assis
tanc
eEd
ucat
ion
-$9,
397,
494
Redu
ces
SGF
forp
aym
ento
frisk
man
agem
entp
rem
ium
san
dle
gisla
tive
audi
torf
ees
which
willb
efu
nded
with
SG
R fro
m C
harte
r Sch
ool a
dmin
istra
tive
fees
.-$
781,
646
068
219
-Re
cove
rySc
hool
Dist
rict
(RSD
)
Educ
atio
n-$
781,
646
Redu
ces
the
FY16
fund
ing
which
was
inclu
ded
ina
supp
lem
enta
lapp
ropr
iatio
nou
tsid
eof
the
form
ula:
a1.
375%
infla
tion
adju
stm
ent(
$36.
2M
);an
incr
ease
fort
heSu
pple
men
talC
ours
eAl
loca
tion
($2.
6M
);an
dan
incr
ease
fort
heHi
ghCo
stSe
rvice
sAl
loca
tion
($5.
4M
).HR
231
of20
15ur
ged
and
requ
este
dBE
SEto
inco
rpor
ate
the
supp
lem
enta
lfun
ding
into
the
FY17
reso
lutio
n.As
such
,the
prop
osed
MFP
forF
Y17
appr
oved
byBE
SEon
Mar
ch4t
hin
corp
orat
edth
isad
just
men
tin
toth
efo
rmul
a.Th
isre
pres
ente
dst
ands
tillfu
ndin
gfo
rthe
MFP
.Ho
weve
r,in
light
ofth
est
ate’
sfis
cals
tatu
sth
eM
FPre
solu
tion
(SCR
44)
was
reje
cted
byth
eSe
nate
Educ
atio
nCo
mm
ittee
.Pu
rsua
ntto
the
Cons
titut
ion,
the
MFP
willb
efu
nded
inac
cord
ance
with
the
last
appr
oved
reso
lutio
n(S
CR55
of20
14);
acco
rdin
gly,
the
prop
osed
budg
etre
duce
s th
is su
pple
men
tal M
FP fu
ndin
g of
$44
.2 M
.
-$44
,224
,446
069
519
-M
inim
umFo
unda
tion
Prog
ram
(MFP
)
Educ
atio
n-$
44,2
24,4
46
Major Reductions 48 LFO 6/1/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or R
educ
tions
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
165/
31/1
68:
41 P
M
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on
201
6 Se
ssio
n
Tue,
5/3
1/16
8:40
PM
Redu
ces
$7.9
Min
reim
burs
emen
tsto
non
publ
icsc
hool
sfo
rre
quire
dad
min
istra
tive,
cleric
al,
data
man
agem
ent
and
repo
rting
serv
ices
perfo
rmed
byov
er30
0sc
hool
s(F
Y16
budg
etis
$15.
2M
),an
del
imin
ates
all f
undi
ng fo
r cas
h su
pple
men
ts fo
r non
pub
lic s
choo
l lunc
hroo
m e
mpl
oyee
s ($
7.9
M).
-$15
,805
,928
069
719
-No
n-pu
blic
Educ
atio
nAs
sista
nce
Educ
atio
n-$
15,8
05,9
28
Redu
ces
fund
ing
for
22po
sitio
ns(1
4fill
edan
d8
vaca
nt).
The
posit
ions
inclu
de12
educ
ator
,pa
raed
ucat
or,a
ndin
stru
ctio
nalc
oach
posit
ions
,as
well
as2
adm
inist
rativ
epo
sitio
ns;a
lsore
duce
sfu
ndin
gfo
rtra
vel.
The
DOE
has
not p
rovid
ed in
form
atio
n on
the
impa
ct o
f the
se re
duct
ions
.
SSD
prov
ides
spec
iale
duca
tion
and
rela
ted
serv
ices
toap
prox
imat
ely
500
child
ren
with
exce
ptio
naliti
esen
rolle
din
stat
eop
erat
edpr
ogra
ms
(Offi
ceof
Child
ren
with
Deve
lopm
enta
lDi
sabi
lities
,O
ffice
ofBe
havio
ral H
ealth
, Dep
t. of
Cor
rect
ions
and
the
Offi
ce o
f Juv
enile
Jus
tice)
.
-$1,
411,
368
069
919
-Sp
ecia
l Sch
ool
Dist
ricts
Educ
atio
n-$
1,41
1,36
8
-$73
,886
,631
0M
ajor
Red
uctio
ns fo
r Edu
catio
n-$
73,8
86,6
31
Redu
ctio
nin
SGF
toHC
SD.H
CSD
has
stat
edit
will
notr
educ
eLa
llieKe
mp’
sba
sefu
ndin
gus
edfo
rnon
-le
gacy
oper
atio
nsof
$3.8
M(S
GF)
and
will
appl
yth
isre
duct
ion
toth
eav
aila
ble
SGF
for
lega
cyco
sts.
Howe
ver,
thes
ele
gacy
cost
sar
em
anda
tory
expe
nditu
res
that
will
requ
ireHC
SDto
find
avai
labl
efu
nds
from
othe
rso
urce
s.HC
SDha
sst
ated
itwi
llus
eth
ere
venu
esge
nera
ted
from
thei
rco
ntra
ctwi
thth
epr
ivate
partn
ers
fora
dmin
istra
tive
serv
ices,
buta
nych
ange
sto
thes
eco
ntra
cts
may
resu
ltin
cuts
toth
eir
oper
atio
n.Fo
radd
itiona
linf
orm
atio
nse
e“L
SU
Health
Care
Serv
ices
Div
isio
nLegacy
Costs
”iss
uewr
ite-
up.
-$2,
316,
285
061
019
E-LS
U HS
C-HC
SDLS
U He
alth
Car
eSe
rvice
s Di
visio
n-$
2,31
6,28
5
-$2,
316,
285
0M
ajor
Red
uctio
ns fo
r LSU
Hea
lth C
are
Serv
ices
Div
isio
n-$
2,31
6,28
5
Major Reductions 49 LFO 6/1/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or R
educ
tions
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
175/
31/1
68:
41 P
M
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on
201
6 Se
ssio
n
Tue,
5/3
1/16
8:40
PM
DPSC
Corre
ctio
nsSe
rvice
sre
ports
that
the
prop
osed
SGF
redu
ctio
nwi
llcre
ate
prog
ram
mat
icim
pact
sfo
rth
e de
partm
ent.
For
add
itiona
l info
rmat
ion
see
“Corr
ection S
erv
ices R
eductions Im
pact”
issu
e wr
ite-u
p.-$
15,3
25,0
000
451
20-
Loca
l Hou
sing
of S
tate
Adu
ltO
ffend
ers
Oth
erRe
quire
men
ts-$
15,3
25,0
00
Redu
ces
appr
opria
tion
from
Stat
utor
yDe
dica
tions
-2%
Fire
Insu
ranc
eFu
ndto
mat
chav
aila
ble
reve
nues
aspr
ojec
ted
byth
eRE
Con
2/10
/120
6.Th
ese
fund
sar
epa
ssed
thro
ugh
tolo
calg
over
nmen
tale
ntitie
sto
aid
in fi
re p
rote
ctio
n.
$00
932
20-
2% F
ireIn
sura
nce
Fund
Oth
erRe
quire
men
ts-$
6,62
6,19
8
Adju
stva
rious
stat
utor
yde
dica
tion
allo
catio
nsto
refle
ctre
venu
esas
adop
ted
byth
eRE
Con
2/10
/201
6.Th
efu
nds
impa
cted
are
asfo
llows
:($
21,9
83)
Calca
sieu
Paris
hFu
nd,
($33
,353
)St
.La
ndry
Paris
hEx
celle
nce
Fund
,($
220)
Gre
ater
New
Orle
ans
Spor
tsFo
unda
tion
Fund
,$1
69Al
gier
sEc
onom
icDe
velo
pmen
tFun
d,$2
00,6
29N.
O.U
rban
Tour
ism&
Hosp
itality
Trai
ning
Fund
,($2
01,3
81)B
eaut
ificat
ion
Proj
ects
forN
.O.N
eigh
borh
ood
Fund
,($8
24)F
riend
sof
NORD
Fund
,($2
7,34
8)Bo
ssie
rPar
ishTr
uanc
yFu
nd,(
$339
,912
)Bea
utific
atio
n/Im
prov
emen
tN.O
.City
Park
Fund
,($3
,400
,000
)Cas
ino
Supp
ortS
ervic
esFu
nd, a
nd ($
2) R
ehab
ilitat
ion
for t
he B
lind/
Visu
ally
Impa
ired
Fund
.
$00
945
20-
Stat
e Ai
d to
Loca
l Gov
t.En
titie
s
Oth
erRe
quire
men
ts-$
3,82
4,22
5
-$15
,325
,000
0M
ajor
Red
uctio
ns fo
r Oth
er R
equi
rem
ents
-$25
,775
,423
Maj
or R
educ
tions
of F
Y 20
17-$
583,
752,
414
0-$
1,11
0,78
0,15
1
Major Reductions 50 LFO 6/1/2016
FY 17 Major Budget Issues
Budget Issues LFO 6/1/2016
51
DEPT/AGY: Executive / LA Public Defender Board (LPDB) ISSUE: Restoration of LA Public Defender Board Funding in HB 1 The LPDB has received a full restoration of funds reduced in HB 1 Original as a result of increased SGF revenues raised during the First Extraordinary Session of 2016. The restoration increases the LPDB’s budget by approximately $20.97 M, from $12.84 M to $33.81 M. A majority of this restoration ($20.31 M) is derived from the statutorily dedicated LA Public Defender Fund, which receives revenues via direct SGF deposits, raising the fund’s balance from $12.33 M to $32.64 M. The LA Public Defender Fund primarily provides monies for the LPDB’s annual operating expenses. In discussions with LPDB staff, the board has indicated that between 62.5% and 65% of the LA Public Defender Fund, or between $20.4 M and $21.22 M, will be disbursed to the 42 district defender offices. This allocation would represent a disbursement of approximately $485,700 to $505,200 being sent to the district defender offices on average. The board indicates that this allocation to the district offices is greater than in past years, and is an effort to restore full services in district defender offices that have enacted restriction of services (ROS) plans in the current fiscal year. Furthermore, the board indicates that the remainder of the funds would be allocated for the board’s statewide programs and administrative costs. The LPDB has reported that it intends to reduce its administrative expenses by approximately $600,000, from $2.6 M to $2 M, resulting in a balance between $9.42 and $10.24 M to fund statewide programs. Presently, the LPDB carries out statewide indigent capital defense services, statewide indigent appellate services associated with non-capital cases, and juvenile delinquency representation services in Orleans Parish. DEPT/AGY: Culture, Recreation & Tourism (CRT) ISSUE: LA Tourism Promotion District (LTPD)
Historical Pass-throughs Act 1038 of 1990 created the LTPD as a special statewide taxing district and political subdivision of the state which levies three one hundredths of 1 cent of the sales and use tax for the purpose of assisting the state for out-of-state advertising and promoting tourism in LA. Historically this fund generates approximately $20 M in revenue for CRT annually. The following pass-throughs were funded within CRT’s base budget during FY 16: Audubon Golf Trail $93,000 Scenic Byways and the Atchafalaya National Heritage Area $265,110 Total $358,110 Additionally, funding for the following initiatives were part of the department’s base budget during FY 16 and were transferred to other agencies within the department via IAT, the Lieutenant Governor and LTPD Direct: Lt. Governor, Administrative – ENCORE! (Retire LA) $329,083 Lt. Governor, Grants – Volunteer LA $50,000 Office of Secretary (Administrative Program) $1,000 Office of the Secretary (Operating Costs & OMF) $995,186 Office of the State Library (Book Festival) $25,000 Office of the State Library (Operating Cost) $405,363 Office of State Museum (LA Sports Hall of Fame Museum) $552,786 Office of State Museum (Operating Cost) $670,763 Office of State Parks (Kent House) $56,683 Office of Cultural Development (Arts Grants) $1,500,000 Office of Cultural Development (Cultural Economy Initiative) $254,500 Office of Cultural Development (Operating Cost) $190,442 Total $5,030,806 Total Pass-throughs and Programs $5,388,916 Note: The Lieutenant Governor and CRT indicate changing expenditure priorities may impact decisions to fund these in the same manner or amounts as previous years. The department indicates funding of these pass-throughs will be at the discretion of the Lieutenant Governor and the Secretary of the CRT. DEPT/AGY: Transportation & Development (DOTD) ISSUE: DOTD State Transportation Funding State Gas Tax: The 16-cent per gallon state gasoline and special fuels (gas) tax is a flat, non-indexed tax. The state gas tax has a current day buying power of approximately 7 cents.
FY 17 Major Budget Issues
Budget Issues LFO 6/1/2016
52
Historically, gas tax revenues have grown approximately 2.5% per year since 1992 but the rate has slowed substantially over the past decade. Construction and operating inflation substantially exceed the growth rate of the gas tax. (Note: The rate was increased from 8 cents to 16 cents in 1984.) In 1984 the average price per gallon was $0.94 and individuals paid approximately 17% per gallon for road infrastructure with the 16-cent state gas tax. The average price per gallon for regular gasoline in LA as of 2/26/2016 was $1.56. Due to the tax being flat, and not indexed to inflation, the current tax equates to individuals paying approximately 10.3% per gallon for road infrastructure (an increase of approximately 3% over the year as gasoline prices have fallen). Federal Highway Trust Fund (Federal Gas Tax): The federal program is funded by the Fixing America's Surface Transportation Act (FAST Act). FAST Act is the first federal law in over 10 years to provide long-term funding certainty for surface transportation, authorizing monies over fiscal years 2016 through 2020 for the Department's highway, highway and motor vehicle safety, public transportation, motor carrier safety, hazardous materials safety, rail, research, technology and statistics programs. The federal Highway Trust Fund (HTF) is funded with an 18.4-cent per gallon federal gasoline tax and 24.4-cent per gallon federal diesel tax. Like the state gas tax, it has lost ground to inflation since its last increase in 1993. TIMED Program Bond Debt Service Payments - $143.2 M for FY 17: The TIMED Program was established by Act 16 of the 1989 1st Extraordinary Session and designated 16 specific road/bridge projects. The original plan called for a designated funding stream in the form of a 4-cent per gallon gas tax on top of the existing 16-cent per gallon state gas tax, providing for a pay-as-you-go construction program. By utilizing a pay-as-you-go-program, the projected completion date for the program was 2031. In 2002, the DOTD set out to accelerate the program by bonding the remainder of the program in an effort to complete construction of all projects around FY 13. Due to rising construction costs and inaccurate cost estimates at the outset of the program, the program will only have sufficient funding to complete 14 of the original 16 road and bridge projects. 13 of the 14 funded projects are now complete. The 14th project, a final segment-widening on US 165 (Fort Buhlow Bridge), is 96% complete. The projected FY 16 4-cent per gallon gas tax collections for the TIMED Program are not sufficient to cover the debt service payments of the 13 completed projects and the 1 currently under construction. Approximately $18.4 M of the 16-cent per gallon gas tax revenues will be needed to pay TIMED Program debt service payments in FY 16, the 7th consecutive year in which the state gas tax will be used to make the TIMED debt service schedule whole. The portion of the 16-cent gas tax necessary in future years to fund TIMED debt service payments will continue escalating. Based upon estimates by DOTD, the department will use approximately 2.1 cents of the 16-cent per gallon state gas tax at its peak usage in FY 43, which equates to $77.9 M, or approximately 15.6% of the current 16-cent per gallon tax receipts. The growing use of TTF - Regular funds to pay TIMED debt service may impact DOTD’s ability to match federal transportation funds (generally required at 10-20%) in the capital outlay budget and will result in decreased funds available for the department’s operating budget. Currently, the total projected TIMED Program costs are $5.24 B (includes LA 3241 and Florida Avenue Bridge projects), while total revenues for the program will be $4.65 B by the pay-off date of the debt in FY 45. DOTD is in the process of determining the best financing mechanism for completing the final 2 constitutionally required road/bridge projects. DEPT/AGY: Public Safety & Corrections (DPSC)/Corrections Services ISSUE: Reductions Impact DPSC Corrections Services reports that the department remains underfunded by $18.8 M. The potential shortfall is in large part due to unfunded supplemental needs identified by DPSC of $14.5 M in FY 16 that will impact FY 17 operations. Note: To resolve the FY 16 supplemental needs, DPSC moved monies between budget units in the Supplemental Appropriations Bill (HB 1047) to cover these expenditures utilizing existing resources. The department presents the plan detailed below to address the projected shortfall.
• Per Diem Reduction at Winn and Allen Correctional Centers from $31.95 to $22.39 ($9 M).
• Equipment Purchases ($4.6 M) - This funding provides for deferred maintenance. The agency has not been funded for acquisitions and major repairs over the last 7 years. Table 1 on the next page provides the savings allocated by institution/program.
FY 17 Major Budget Issues
Budget Issues LFO 6/1/2016
53
Table 1
Agency Name FY 17 LA State Penitentiary $672,135 Avoyelles Correctional Center $711,294 LA Correctional Institute for Women $572,745 Dixon Correctional Institute $603,600 Hunt Correctional Center $654,276 David Wade Correctional Center $179,220 Rayburn Correctional Center $630,635 Adult Probation & Parole $607,650
Total $4,631,555
• Pharmaceutical Supplies ($2.9 M) - The department has experienced increased demand as well as an increased cost for specialty drugs, specifically cancer and hepatitis. The current level of funding is $5.1 M.
• Utility Rate Increase Funding ($1.1 M) - Funding that provided for the utility rate
increase is eliminated. The department projects an increased use in technology (electronic monitoring/technical security) for equipment (includes shaker fencing, cameras and lighting).
• Human Capital Management ($1 M) - Funding to provide for a statewide adjustment.
Human Capital Management is the current human resources entity for the department and cabinet agencies.
• Dialysis Contract – Total Savings ($0.3 M) - An offender dialysis program operated at
one of the state institutions has experienced an increase in the number of offenders requiring dialysis. This funding increase is eliminated.
Local Housing of Adult Offenders (LHOA) DPSC – Corrections reports that the current funding recommendation for the LHOA in HB 1 will result in an estimated FY 17 funding shortfall of $15.3 M SGF. The impact of this shortfall will result in the following:
• Closure of All Reentry Centers ($5.9 M)
• Per Diem Reduction ($9.4 M) – DPSC Corrections proposes per diem reductions as follows: reduction from $24.39 to $22.39 for local housing of adult state offenders, and from $12.39 to $8.25 for Transitional Work Programs.
DEPT/AGY: Health & Hospitals (DHH)/Medical Vendor Payments (MVP) ISSUE: Medicaid Disallowance – Hospital Partner Advanced Lease Payments LA Medicaid received a letter from Centers for Medicare & Medicaid (CMS) on 12/23/2014 indicating a disallowance in the amount of $311,576,411 as a result of non-allowable provider related donations related to advanced lease payments. The federal portion reimbursed by the federal government to LA Medicaid tied to this disallowance total ($311.5 M) is $189,999,295, and represents the amount the state is responsible to re-pay the federal government. The letter indicates that the disallowance is “related to the cooperative endeavor agreements (CEA’s) that required substantial advanced lease payments by the participating hospitals that were linked to increased Medicaid payments to the same privately owned hospitals.” There are certain restrictions related to provider related donations from private entities that are then used as a state match source for the purposes of federal match. CMS determined that increased Medicaid payments to partner hospitals were conditioned on the advanced lease payments, and considered a non bona fide provider related donation. CMS further indicates these advanced lease payments were not a usual or customary industry payment arrangement. Note: The letter indicates that base lease payments built into the CEA’s appear to comport with normal business practice (are not a component of the disallowance). Note: Information provided by the DHH indicates the state filed an appeal in February of 2015 to the federal Departmental Appeals Board, and awaits a final administrative appeals decision. The estimated timeline for such decision is not indicated. DHH indicates CMS has requested multiple extensions to respond to the department’s appeal. DHH’s further action and level of state liability will ultimately depend on CMS’s formal response, or negotiations to settle the case.
FY 17 Major Budget Issues
Budget Issues LFO 6/1/2016
54
DEPT/AGY: Health & Hospitals (DHH)/Medical Vendors Payments (MVP) ISSUE: Medicaid Outlook The FY 17 Medicaid budget contains approximately $34.5 M in replacement revenues used as a state match source. These sources of revenue likely will need to be replaced with SGF or an alternate revenue source in FY 18. FY 18 Replacement Revenues The FY 17 Medicaid budget contains approximately $34.5 M in replacement revenues, down from approximately $189 M (Amnesty revenues and Overcollections Fund revenues) used in the FY 16 Budget. These FY 17 sources of revenue include monies from the Medicaid Trust Fund for the Elderly and the Health Trust Fund revenues. These fund sources are appropriated in Payments to Private Providers Program, and collectively will draw $56.8 M in federal match for a total of $91.3 M in Medicaid claims payments. DEPT/AGY: Health & Hospitals (DHH)/Medical Vendor Payments (MVP) ISSUE: Medicaid Overview HB 1 provides an additional $552.7 M in SGF ($2.2 B total increase in funding) for Medicaid in FY 17. Total Medicaid funding for FY 17 represents a 27.6% increase from the FY 16 Existing Operating Budget (29.5% increase in SGF). In addition, HB 1 reflects approximately $160 M in SGF savings associated with the implementation of Medicaid expansion for certain individuals up to 138% of the Federal Poverty Level (FPL). Projected SGF savings are largely based on a $249 M reduction in Disproportionate Share Hospital (DSH) payments related to uncompensated care costs. Senate Finance Committee (SFC) amendments provided significant changes to various House amendments. Specifically, SFC eliminated $24.8 M in additional funding for rural hospitals added with House Floor (HF) amendments, and eliminated a HF amendment that authorized the DHH to implement co payment requirements (to the extent authorized under federal law) for individuals receiving certain Medicaid services. In addition, SFC amendments moved $161 M total funding ($60.8 M SGF) in supplementary budget recommendations to the body of the HB 1. Information provided by the DHH indicates the $161 M in funding moved from the supplementary section of the HB 1 will allow for full funding of all existing waiver slots, and prevent significant cuts to Pediatric Day Healthcare Services. Although these items were not itemized as a cut in the Executive Budget, DHH itemized these services as areas of reduction based on the level of funding provided for at Reengrossed (after House action). In addition, SFC amendments eliminated the line item appropriation for the public private partner hospitals, and reduced the level of supplemental payments and DSH payments by approximately $98.5 M ($60.4 M SGF). Additionally, SGR used as a state match source increased by $18.6 M for the hospital partnership in Houma. See Public Private Partnership explanation below. The Medicaid budget contains certain significant increases/enhancements in FY 17, including funding projected growth in Bayou Health, funding for an FY 16 Bayou Health payment obligation pushed into FY 17 (1 additional Bayou Health checkwrite added in FY 17), MCO payments for Medicaid expansion for individuals to 138% of the FPL, annualized costs of certain home and community based waivers, increases in projected pharmacy costs and provider rate increases, and funding the backfill of revenues reduced in FY 16 as part of the FY 16 mid-year deficit elimination plan. Significant FY 17 SGF increases are reflected below:
$195.3 M - Bayou Health managed care capitation rate payments $167.0 M - Swap non-recurring one-time revenues for SGF $109.2 M - FY 16 pushed checkwrite (June 2016) into FY 17 * $24.3 M - Fee for Service increases (including Pharmacy, PACE, and LT-PCS) $21.3 M - Rate increases (FQHC’s, RHC’s, Hospice, Buy-in, Rural H’s, Nursing F’s)
* The $109.2 M enhancement reflected above does not include $17 M in SGF required state match to make the projected 13 th managed care payment as a result of this amount only being available for expenditure when the Department of Revenue prevails in any suit appeal, or petition associated with an amount paid under protest and held in escrow in accordance with R.S. 47:1576 and transfers such monies to the SGF to be utilized to fund the 13th managed care payment. The total SGF need is $126.2 M to draw down $208.2 M in federal funding for $334.4 M in total payments. Public Private Partnerships (PPP) Funding HB 1 provides total funding of $983.3 M for Public Private Partnerships in FY 17. This represents a $221 M reduction (18%) compared to the FY 16 Existing Operating Budget (EOB) as of 12/01/2015. Information provided by DHH indicates an original expenditure projection of
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approximately $1.3 B. This original expenditure projection is assumed to change as DHH assumes and will apply a 25% ($249,541,305) reduction in DSH payments to partner hospitals due to anticipated decreases in uncompensated care costs as a result of Medicaid expansion in FY 17 (not including Lallie Kemp). However, the Commissioner of Administration has stated that the DOA, LSU, and partner hospitals are under negotiations to refinance the partnership agreements, and to further review the 25% DSH reduction estimates. HB 1 does not directly appropriate funding in the Medicaid program for the individual partner hospitals. Partner hospital reimbursements are paid from the Medicaid Private Providers and Uncompensated Care Costs programs. Therefore, the exact budget by hospital is not known. In addition, the majority of the partnership agreements provide for a finance formula that requires payments to reimburse the hospital providers at 100% of allowable UCC costs The Cooperative Endeavor Agreements (CEAs) for each of the partnerships have specific stipulations in regard to termination of these partnerships. For 6 of these partnerships, the CEAs include a clause that allows the private partner to terminate the contract without cause provided they give LA 60 days notice of their intent. The private partners that have this option include Children Hospital (New Orleans), Biomedical Research Foundation (Shreveport/Monroe), Southwest LA Hospital Association (Lake Charles), Lafayette General Hospital System (Lafayette), Our Lady of Angels (Bogalusa), and Our Lady of the Lake (Baton Rouge). CHRISTUS and Rapides Healthcare System (Alexandria) and Southern Regional Medical Corporation (Houma) CEAs do not have specific language in the CEA that allows the private partner to terminate the contract without cause. However, there are several stipulations that allow either of these 2 partners to terminate the contract provided they give advanced notice. The CEAs for CHRISTUS and Southern Regional have a stipulation that if “inadequate” funding is received by the private partner from the state, the CEA can be terminated after the private partner has given the state 90-180 days notice (see Chart 1 below).
Chart 1
These CEAs stipulate the payment methodology and specific amounts that are required based on the agreed upon Medicaid/Medicare Cost Report and the cost analysis worksheet that the partner submits to the state. Based on conversations with entities involved with these CEAs, the Legislative Fiscal Office has been informed that since these private partners are expecting to be reimbursed for all costs associated with their service (as required by the CEA), any funding below this level could be interpreted as “inadequate.”
Overview of Private Public Partnerships Options to Terminate Without Cause
Private Partner LSU Hospital Termination Without Cause Option
# Days Needed to Exit CEA without Cause
LA Children's Medical Center and University Medical Center Management Corporation (UMCMC)
Medical Center in New Orleans Yes 60 Days
Biomedical Research Foundation of Northwest LA and BRF hospital Holdings, L.L.C.
HSC Shreveport and EA Conway Medical Center
Yes 60 Days
Southwest LA Hospital Association (SLHA) dba Lake Charles Memorial Hospital (LCMH)
W.O. Moss Regional Medical Center
Yes 60 Days
Lafayette General Hospital System and University Hospital and Clinics
University Medical Center (UMC)
Yes 60 Days
Our Lady of Angels and Franciscan Missionaries of Our Lady Health System ("FMOLHS")
Washington St. Tammany Medical Center ("Bogalusa")
Yes 60 Days
Our Lady of the Lake (OLOL) Earl K. Long (Baton Rouge)
Clinical Services – Yes; CEA can terminate from inadequate funding
Clinical Services (w/out cause) - 90 days CEA from inadequate funding - 180 days
CHRISTUS Health Central LA and Rapides Healthcare System Huey P. Long
No, but can terminate from inadequate funding from the state
No without cause option, but 180 days for inadequate funding
Southern Regional Medical Corporation and Hospital Service District #1 of Terrebonne Parish
Leonard J Chabert Medical Center
No, but can terminate from inadequate funding from the state
No without cause option, but 90 days for inadequate funding (after 3 years, 60 days)
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In the event a private partner seeks to terminate the contract, the CEA dictates both parties are involved in a “wind-down” period where both parties begin the transition of operations while ensuring services will be provided to the public. If negotiations between LSU and private partners are not successful, LSU and the state will have 60-180 days to 1) contract operations to an outside private entity to assume operations with the State providing operating capital for operations, 2) hire new public employees and assume operations within the 60 days with the State providing operating capital for operations, and 3) LSU would seek approval from the Legislature to close facility. The CEA between BRF and LSU requires a committee of 6 (LSU, BRF, & DOA: 2 members each) to over see the transition and requires LSU to name successor corporation and members of the Board. Private Partner Lease Payments The state receives lease payments from the private partners to use state hospital facilities. This includes Children’s Hospital, Our Lady of the Lake, Biomedical Research Foundation, University Hospitals and Clinics, Southwest LA Hospital Association, and Our Lady of Angels. In the event a partnership is terminated, the lease payments from the partner would cease and as a result the state funding would be lowered. The adopted Revenue Estimating Conference forecast includes $190 M of lease payments for the current year and $160 M for FY 17 (Table 2 below). Based on testimony provided by the private partners, the state would be expected to reimburse these partners for any prepaid rental payments (advanced lease payments), equipment acquisitions made by the private partner, and/or any capital expenditures made by the private partners. University Medical Center CEO, Greg Feirn, has stated in committee that there is nearly $385 M worth of prepaid rental and capital improvements made by Children’s Hospital at the new UMC Hospital that the state would be obligated to reimburse to Children’s Hospital.
Table 2
Overview of Lease Payments Deposited into the State Treasury
2012-13 Actual
2013-14 Actual
2014-15 Actual
2015-16 Appropriated
Total Lease Payments Received* $283,379,817 $132,852,741 $135,560,763 $190 M**
* Source: Treasurer’s reports ** Revenue Estimating Conference Adopted Forecast DEPT/AGY: Health & Hospitals (DHH)/Aging & Adult Services (OAAS) ISSUE: Community-Based Waivers & Other Community Services The Community Choices Waiver (replaced the Elderly & Disabled Adult - EDA Waiver) allows for services to be provided in a home or community-based setting for a qualifying person who would otherwise require care in a nursing facility. In addition to personal care services, the waiver provides a variety of other services that assist people to remain in their homes and communities. Due to the increased demand for these services, there is a Request for Services Registry (waiting list).
FY 17 Funded Slots: 5,303 (200 slots for Pitts vs. Greenstein settlement) FY 16 Funded Slots: 5,303 Slots Filled as of 12/31/2015: 4,463 Slots Funded but not Filled: 840 Registry and/or Waiting List: * 33,278 Average Cost/Capped Cost: $26,533 ($41,799 cap) FY 16 EOB Expenditures: $109,608,993 FY 17 Budget: $118,505,013 Population Served: Ages 21 +, Medicaid eligibility, and meet nursing facility level of care
criteria
The Adult Day Health Care (ADHC) Waiver provides certain services for 5 or more hours per day in a licensed and Medicaid enrolled ADHC facility. Services offered include assistance with activities of daily living, health and nutrition counseling, social services, and exercise programs. There is an ADHC Request for Services Registry that lists the people who requested these services along with the request date.
FY 17 Funded Slots: 825 FY 16 Funded Slots: 825 Slots Filled as of 12/31/2015: 661 Slots Funded but not Filled: 164 Registry and/or Waiting List: * 3,989 Average Cost/Capped Cost: $24,438 ($42,223 cap) FY 16 EOB Expenditures: $10,589,073 FY 17 Budget: $12,091,881 Population Served: Ages 22 +, Medicaid eligibility, and meet nursing facility level of care
criteria
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The Long Term Personal Care Services (LT-PCS) Program** provides help with activities of daily living for people who qualify for assistance under the program guidelines. The program also provides personal care workers to help people in their homes. Care provided includes help with bathing, toileting and grooming activities; eating and food preparation; performance of incidental household chores; assistance getting to medical appointments; and grocery shopping.
Slots Filled as of 12/31/2015: 11,408 Average Cost/Capped Cost: $13,968 ($19,035 cap) FY 16 EOB Expenditures: $193,237,593 FY 17 Budget: $199,236,894 Population Served: Ages 21 + who receive Medicaid benefits, nursing facility level of care
and imminent risk criteria of nursing home admission Program for All Inclusive Care for the Elderly (PACE) Program** coordinates and provides all needed preventive, primary, acute and long-term care services so that older people can continue living in the community. The emphasis is on enabling senior citizens to remain in their communities while enhancing their quality of life.
Slots Filled as of 12/31/2015: 365 Average Cost/Capped Cost: $33,079 ($54,288 cap) FY 16 EOB Expenditures: $13,039,775 FY 17 Budget: $17,543,456 Population Served: Ages 55 +, live in PACE provider service area, nursing facility level of
care, and meet Medicaid financial eligibility The State Personal Assistance Services (SPAS) Program** provides personal assistance services to people with significant disabilities to assist them with activities of daily living. The primary service provided with SPAS funding is Personal Assistance Services. The Office of Aging & Adult Services has contracted with the ARC of Louisiana to administer both the Community & Family Support program and the State Personal Assistance Services Program for a total of $633,229.
Slots Filled as of 12/31/2015: 49 Registry and/or Waiting List: * 111 Average Cost/Capped Cost: $17,152 FY 16 EOB Expenditures: $840,452 FY 17 Budget: $840,452 Population Served: Ages 18 - 60, a significant disability, capable of hiring, firing, and
supervising the persons who provide personal assistance services The LA's Traumatic Head & Spinal Cord Injury (TH/SCI) Trust Fund Program** provides services in a flexible, individualized manner to LA citizens with traumatic head or spinal cord injuries. The program enables individuals to return to a reasonable level of functioning and independent living in their communities. Services are provided on a first-come, first-served basis. Expenditures shall not exceed $15,000 for any 12-month period or $50,000 in total lifetime expenditures per individual.
Slots Filled as of 12/31/2015: 702 Registry and/or Waiting List: * 275 Average Cost/Capped Cost: $8,500 ($15,000 cap) FY 16 EOB Expenditures: $2,895,812 FY 17 Budget: $2,895,812 Population Served: An individual must meet the definition of traumatic head injury or
spinal cord injury. *Registry and/or Waiting List as of 12/31/2015 **Programs without designated slots, the reported data represent the number of participants. DEPT/AGY: Health & Hospitals (DHH)/ Citizens with Developmental Disabilities ISSUE: Community-Based Waivers for the Developmentally Disabled The New Opportunities Waiver (NOW) is offered on a first-come, first-served basis. There is a Developmental Disability Request for Services Registry (RFSR) that lists individuals who meet the LA definition for developmental disability and their request date.
FY 17 Funded Slots: 9,032 FY 16 Funded Slots: 9,032 Slots Filled as of 12/31/2015: 8,676 Slots Funded but not Filled as of 12/31/2015: 156 Registry and/or Waiting List:* 13,605 Average Cost/Capped Cost (Actual): $52,320 Expenditures Forecast (12/31/2015): $449,163,213 Population Served: Ages 3 + who have a developmental disability that manifested
prior to age 22 The Children’s Choice Waiver offers supplemental support to children with developmental disabilities who currently live at home with their families, or who will leave an institution to return home. Children’s Choice is an option offered to children on the Request for Services Registry (RFSR) for the New Opportunities Waiver (NOW) as funding permits. Families choose to either apply for Children’s Choice, or remain on the RFSR for the NOW.
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FY 17 Funded Slots: 1,475 FY 16 Funded Slots: 1,475 Slots Filled as of 12/31/2015: 1,212 Slots Funded but not Filled as of 12/31/2015: 237 Registry and/or Waiting List:* 7,346 Average Cost/Capped Cost (Actual): $10,389 ($16,410 waiver cap only) Expenditures Forecast (12/31/2015): $12,501,666 Population Served: Ages Birth - 18 who meet the federal definition for a
developmental disability *Also subset of individuals under 19 from the NOW waiver and the number is included in the NOW registry. The Support Services Waiver has reserved capacity for individuals who were receiving state general funded vocational and rehabilitation services as of 3/31/2006 or who were listed as waiting for those services prior to 5/31/2006. The Supports Waiver is intended to provide specific, activity focused services rather than continuous custodial care.
FY 17 Funded Slots: 2,050 FY 16 Funded Slots: 2,050 Slots Filled as of 12/31/2015: 1,683 Slots Funded but not Filled as of 12/31/2015: 367 Registry and/or Waiting List:* 1,363 Average Cost/Capped Cost (Actual): $7,752 Expenditures Forecast (12/31/2015): $12,560,155 Population Served: Ages 18 +
The Residential Options Waiver (ROW) offers services designed to support individuals to move from ICFs/DD and nursing facilities to community-based settings, and to serve as an alternative to being institutionalized. ROW was approved by CMS on 10/1/2009.
FY 17 Funded Slots: 210 FY 16 Funded Slots: 210 Slots Filled as of 12/31/2015: 28 Slots Funded but not Filled as of 12/31/2015: 182 Registry and/or Waiting List:* 0 Average Cost/Capped Cost (Actual): $26,983 Expenditures Forecast (12/31/2015): $1,222,809 Population Served: Ages Birth to end of life who have a developmental disability
which manifested prior to the age of 22 *Registry and/or Waiting List as of 12/31/2015
DEPT/AGY: Higher Education ISSUE: Higher Education Funding Overview The EOB as of 12/1/2015 (without OSFA) totals $2.28 B (including $418.9 M SGF and $350 M SAVE). HB 1 with SFC amendments recommends a total budget of $2.23 B, reflecting a net reduction of $48 M; a $93.7 M reduction in SGF, a $15.5 M decrease in IAT and Statutory Dedications, and a $61.2 M increase in SGR from fees associated with Act 377 of 2015.
Table 3
Institution/SystemFY 16 Existing
Operating Budget (EOB)
HB 1 Reengrossed w/ SFC Amendments
% Change FY16 EOB to HB 1 Reengrossed w/ SFC
Amendments
Higher Education - State General Fund Equivalent Summary by Institution and System (FY 16 Existing Budget to HB 1 Reengrossed with Senate Finance
Committee Amendments) based on potential Formula Funding by Regents
LSU System Total $371,709,494 $318,395,775 -14%
SU System Total $44,474,795 $36,585,441 -18%
UL System Total $217,495,183 $196,018,587 -10%
LCTCS System Total $115,508,742 $106,833,790 -8%
LOSFA Administration $3,261,171 $3,013,161 -8% Scholarships* $29,842,486 $29,582,900 -1% TOPS $200,091,126 $81,229,202 -59%LOSFA Total $233,194,783 $113,825,263 -51%
Board of Regents $15,213,434 $13,001,521 -15%
LUMCON 2,283,493 $2,109,835 -8%Statewide Total $999,879,924 $786,770,212 -21%*Maintains static funding of $26.4 M for GO Grants as mentioned in the Executive Budget.
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The first column in Table 3 on Page 58 shows the FY 16 SGF equivalent (SGF + Higher Education Initiatives Fund) budget by budget unit and system. The second column entitled “HB 1 Reengrossed” shows the $786.8 M SGF allocation to higher education including $81.2 M for TOPS. However, the amounts that the LSU System, Southern System, University of LA System, and LA Community & Technical College System will receive are unknown at this time. Based on the pro-rata distribution of SGF available, a total of $657. 3 M (including the $9 M for Ag Centers and Pennington) will be utilized to fund the systems. The distribution of SGF is as follows: Board of Regents (BOR) - $13 M; LA Universities Marine Consortium - $2.1 M, Office of Student Financial Assistance (admin) - $32.6 M, TOPS - $81.2 M and the 4 management boards - $657.3 M. The final amounts appropriated to the management boards will be determined when the Board of Regents distributes funds based on the formula funding process. HB 1 does not allocate specific amounts of SGF to individual institutions. Instead, the bill assigns all SGF to the BOR for allocation by the Board after passage of the appropriations bill. The table assumes the SGF requirements related to the GO Grant Scholarship Program within the LOSFA will be fully funded at $26.4 M. The table serves to illustrate the potential impacts of the SGF reductions or enhancements to systems. The allocation by institution will be determined by the BOR once the board receives the appropriated amount for FY 17 and determines the allocation based on the funding formula. Act 462 of 2014 required the BOR to develop an outcomes based funding formula for implementation beginning in FY 17. The proposed formula allocates SGF for each institution/system based on a 70% pro-rata share (base funding), 15% cost calculation share and a 15% outcomes share. The pro-rata calculation is based on the 7/1/2015 appropriation levels and provides safeguards to prevent sudden, dramatic changes in the funding level of any postsecondary institution as required in Act 462. The cost calculation is based on weighted factors including SREB peer group salary data, course offerings, enrollment of Pell grant students, research, degree level, space utilization, and support services. The outcomes metrics are based on completer degree levels, transfers, completers in high demand fields (4 & 5 star jobs), time-to-award, and completion of students receiving the Pell grant. SFC amendments removed $6.1 M in equity formula funding for LCTCS, $300,000 for Baton Rouge Community College. SFC amendments kept $4 M for Pennington Biomedical Research Center, $4 M for the LSU Ag Center, $1 M for the Southern Ag Center to be adopted into the formula. SFC amendments deleted the $500,000 in SGF for a tier 1 university transportation center grant for LSU A&M to study transportation infrastructure in hot climates including extreme weather conditions in the event the institution is awarded the grant. Table 3 is intended to GENERALLY illustrate the potential SGF allocation by budget units and systems in the proposed budget. Taylor Opportunity Program for Students (TOPS) The FY 16 funding totals for TOPS is $265.2 M ($200.1 M SGF and $65.1 M Statutory Dedications). HB 1 has a budget amount for TOPS of $141.4 M ($81.2 M SGF and $60.2 Statutory Dedications). FY 17 projected need for TOPS is $297.1 M. The Executive Budget proposal only included $60.2 M from the TOPS Fund. HAC amendments restored $236.8 M in SGF to fully fund the Taylor Opportunity Program for Students (TOPS). House Floor amendment reduced SGF by $71,930,619. SFC amendments further reduced TOPS by $83,659,300. As a result of this reduction, TOPS is funded at approximately 48% of the total program cost. SB 470 Enrolled is currently awaiting the signature of the governor. The bill would change the mechanism for the distribution of awards in the event insufficient funds are available. The bill requires that all students that receive an award are allocated an equitably reduced award amount. The projected average award amount for FY 17 is $5,718 for 51,194 students. Based on the current TOPS funding level of $141.5 M, the average award amount would be $2,733 (48% of fully funded award amount), a decrease of $2,986 per student per award. DEPT/AGY: Higher Education/ LSU System ISSUE: LSU Health Sciences Center – Shreveport (HSC-S) Structural Funding Issue For FY 17 the continued financial viability of the medical school is uncertain. Historically, LSU HSC-S has struggled with a structural operating deficit. The FY 16 Mid-Year Deficit Reduction Plan 2 did not contain a SGF reduction to the medical school, but did contain a $4.1 M reduction to the partner, the Biomedical Research Foundation of Northwest LA (BRF). Additionally, HB 1 further reduces state support and includes other adjustments that impact the school’s revenue generating capacity.
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Fiscal Year 2016 The FY 16 total budget for LSU HSC-S is $117.4 M. The medical school did not receive a direct mid-year reduction. However, the medical school still has a projected $3.1 M operating shortfall. In addition to state support for operations, the medical school receives self-generated revenue (SGR) from the Biomedical Research Foundation of Northwest LA (BRF) for providing services to the hospital. On average, the medical school receives $6.7 M per month from BRF. The services provided include physicians’ services, resident support, police, allied health services and shared services. BRF receives payments from the Department of Health & Hospitals (DHH) for the operation of the hospital and then sends payment to LSU HSC-S for the services provided. As a result of this operating arrangement and payment structure, the medical school will receive a reduction in provider payments of $4.1 M. The mid-year provider payment reduction further reduces the available fund balance ($48.6 M). To the extent the operating deficit of $3.1 M for FY 16 is static, LSU HSC-S would end FY 16 with $41.4 M available in restricted fund balance ($48.6 M current balance - $3.1 M operating deficit - $4.1 M mid-year reduction). Fiscal Year 2017 State support for LSU HSC-S is projected to decrease by $36.8 M or 42% in FY 17. This reduction includes non-recurring payments of $32.7 M for operating expenses ($31 M) and reduced legacy costs ($1.7 M) and a pro-rata SGF cut of $4.1 M based on the $94.8 M SGF equivalent reduction to all Higher Education (excluding TOPS). Legacy costs are projected to be $18 M in FY 17 and based on the pro-rata SGF reduction of $4.1 M, would be 77% funded. Furthermore, even if the medical school begins FY 17 with the restricted fund balance of $41.4 M (after the operating shortfall & FY 16 mid-year partnership reductions) it will likely exhaust this balance within the first quarter of the new fiscal year. HB 1 funding related to the public/private partnerships within the DHH is not appropriated by hospital, so the exact funding level to the LSU HSC-S partner hospitals is unknown at this time. It is possible the medical school would have to reduce physicians and medical residents to the extent the partnerships are not fully funded. In February 2016, the potential cuts based on the worst case scenario regarding FY 16 and FY 17 budgets anticipated a reduction of faculty physicians by 161 from 304 to 143 (53%) and medical residents by 352 from 550 to 198 (64%). The medical school would maintain operation of the 6 core departments required for accreditation (Psychiatry, Surgery, Pediatric, Obstetrics & Gynecology, Family Medicine and Internal Medicine). The faculty and resident layoffs would come from specialty departments such as neurology, radiology, and anesthesiology among others. The impact to the instruction of medical students and supervision of residents would ultimately depend on the number of faculty that leave, allocation of the partner reductions to the school and the available fund balance at the end of FY 16. As a result the faculty, resident and program reductions mentioned above may take place sometime in FY 17. The exact impact is indeterminable at this time since the FY 17 reductions will depend on budget adjustments to HB 1 as it moves through the legislative process. Accreditation The Southern Association of Colleges & Schools Commission on Colleges (SACSCOC) is the regional body for the accreditation of degree-granting higher education institutions in the Southern states and reaffirms a school’s accreditation every 10 years. LSU HSC-S was affirmed in December 2014, however SACSCOC raised concerns that the school could not meet the financial stability requirements. The structural operating deficit and declining fund balance have serious implications for the accreditation of the medical school and SACSCOC began monitoring the school in 2015. In FY 16 LSU HSC-S received $51 M in additional state resources for legacy costs ($20 M) and operating expenses ($31 M). This state support seemed to provide assurances and in December 2015, SACSCOC took no action on the medical school. However, the school could be monitored again after SACS meets in December 2016 depending on the funding situation. LSU estimates that reserves of approximately $50 to $55 M are required in order to meet SACSCOC guidelines which the school currently does not have. As part of accreditation standards, the institution is required to finish teaching all students in the program. There are currently 471 medical students with an average of 118 students in each year of medical school. The reductions to the institution and partner in FY 17 affect the school’s ability to provide instruction and may impact SACSCOC accreditation.
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DEPT/AGY: Education (DOE) ISSUE: Elementary & Secondary Education Funding Reduction Impacts FY 17 recommended funding for the Department of Education (DOE) (not including the MFP) totals $1,632 M ($147.9 M SGF, $290.3 M IAT, $57.4 M SGR, $14.8 M Statutory Dedications, and $1,121 M Federal) for a net reduction of $68.3 M. The DOE has not identified the allocation of all the reductions. A brief description of the budget unit, the amount of the reduction allocated, as well as potential impacted activities are as follows: State Activities ($2.3 M) provides for state assessments and school accountability as well as support for local school districts and professional development activities. Funding is reduced for 11 positions (2 in Administration and 9 in District Support). Support Services and Field Services will be reduced; contracts not associated with student assessments will be reduced or eliminated and funding for travel and supplies will be reduces. The DOE has not identified how these reductions will be allocated. Subgrantee Assistance ($9.4 M) provides flow through funds to local educational agencies and schools. The Student Scholarships for Educational Excellence Program (SSEEP) will be reduced $5.9 M- The SSEEP (voucher program) allows selected students to attend participating non public schools with tuition expenses paid by the state. Tuition is reimbursed at a rate that shall not exceed the combined state and local per pupil amount of the district in which the student resides. FY 16 funding is $42 M. There were 7,110 students enrolled in the first quarter as of 9/21/2015 for an annualized cost of $41.7 M. Reductions to this program would result in students returning to public schools which would subsequently increase the MFP costs but at a lower per pupil amount. As a result there would likely be a savings to the state since DOE is paying higher tuition costs for a significant portion of the voucher students. Based on actual 1st quarter expenditures it is estimated that the state will pay $8.3 M more to the voucher schools than it would have paid through the MFP in the current year. For further discussion of the program costs, see “Cost Analysis for SSEEP” issue write-up. The DOE has indicated it will reduce the tuition amount paid in order to retain the existing number of slots available. However, given the annual attrition rate of 20% (the number of students who leave the program each year) combined with the fact that 32 (26%) of the participating schools will not be accepting new students in the 2016-2017 school year, it is very possible that the number of participants in the program will remain sufficiently low enough to maintain the seats for remaining students at the current tuition rate. That information will not be available until the DOE has completed the application and enrollment process. Families received initial award letters at the beginning of April and have until the end of May to register with a second application and enrollment round ending at the end of June with registration by mid July. The Cecil J. Picard LA 4 Early Childhood Program is the primary preschool program in the state, serving approximately 16,300 children. It provides up to 10 hours of early childhood education and before and after activities daily to 4 year olds from disadvantaged families. The Nonpublic Schools Early Childhood Development Program (NCSED) provides low-income families the opportunity to attend state-approved private preschools and childcare centers and serves approximately 1,500 preschool children annually. Current funding is $4,580 per child. For FY 16, the LA 4 Program is funded at $76.9 M ($9.4 M SGF and $67.5 M IAT) and the NCSED is funded at $7.4 M (SGF) for total LA 4 Program funding of $84.3 M. The original source of the IAT is TANF funds from the Department of Children & Family Services (DCFS). FY 17 funding includes a MOF swap replacing TANF funds with $27.4 in SGF. Total funding remains at a standstill level, however the ratio of SGF has increased from 12% to 48% and TANF funding has been reduced from 88% to 52%. Special School District ($1.4 M) provides special education and related services to approximately 500 children with exceptionalities enrolled in state operated programs (Office of Children with Developmental Disabilities, Office of Behavioral Health, Dept. of Corrections, and the Office of Juvenile Justice). Reduces funding for 22 positions (14 filled and 8 vacant). The positions include 12 educator, paraeducator, and instructional coach positions as well as 2 administrative positions; also reduces funding for travel. The reduction will result in the elimination of services to private pay facilities; instead, local school districts will be required to provide these services.
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Special Schools & Commissions FY 17 recommended funding for Board of Elementary & Secondary Education (BESE) and the special schools is recommended at $91.3 M which represents a net reduction of $423 K. The most significant SGF impacts to the special schools and the 1,400 students they serve are listed on the next page. LA School for the Deaf & Visually Impaired ($558 K) provides educational services to approximately 488 students in residential and outreach programs. The reduction eliminates funding for 6 vacant positions, out of state travel and operating services. LA School for the Math Science & the Arts ($265 K) provides educational services to approximately 300 high achieving students in residential and online programs. The reduction eliminates funding for 5 positions. New Orleans Center for the Creative Arts ($293 K) provides specialized arts training to 625 students through a combination of MFP funds and direct state support. The reduction is associated with contracts and operating services. DEPT/AGY: Education ISSUE: Minimum Foundation Program (MFP) The Minimum Foundation Program (MFP) provides for an equitable distribution of state funds to local school districts. The MFP is the major source of state funding to local schools. For FY 16, the MFP is funded at $3.678 B; $3.391 B in SGF and $287.16 M in Statutory Dedications from the Support Education in LA First Fund ($109.7 M) and Lottery Proceeds Fund ($177.4 M). The FY 17 Executive Budget includes an adjustment of $14.8 M for an anticipated increase of 2,298 students. Additionally, there is a $3.7 M MOF swap replacing SGF with Lottery Proceeds funds ($3.7 M) and SELF funds ($0.05 M) based on the most recent Revenue Estimating Conference (REC) forecast. FY 17 recommended funding totals $3.64 B; $3.35 B SGF, $181.1 M Lottery Proceeds Fund and $109.7 M SELF Fund. The FY 16 MFP included $44.2 M, which was funded in a supplemental appropriation outside of the formula: a 1.375% inflation adjustment ($36.2 M); an increase for the Supplemental Course Allocation ($2.6 M); and an increase for the High Cost Services Allocation ($5.4 M). HR 231 of 2015 urged and requested BESE to incorporate the supplemental funding into the FY 17 resolution. As such, the proposed MFP for FY 17 approved by BESE on March 4 incorporated this adjustment into the formula. This represented standstill funding for the MFP. However, in light of the state’s fiscal status the MFP resolution (SCR 44) was rejected by the Senate Education Committee. Pursuant to the Constitution, the MFP will be funded in accordance with the last approved resolution (SCR 55 of 2014); accordingly, the proposed budget eliminates this supplemental MFP funding of $44.2 M. Level 1: Maintains the weights for Career and Technical Education units (6%), Special Education/Other Exceptionalities (150%) and Special Education/Gifted and Talented (60%), and Low Income/English Learner (22%). Maintains the calculation of local share necessary to maintain a state and local allocation ratio of 65% to 35%. Level 2: Maintains the provisions of incentives for local effort. Level 3: Continues the pay raises for certificated and support personnel initiated in 2001-2002 and 2006-2007 through 2008-2009; the 10-year phase out of the hold harmless funding; and a $100 per pupil funding amount for increasing mandated costs of health insurance, retirement and fuel. Level 4: Supplementary Allocations: These new funding initiatives were added in the FY 15 MFP. FY 17 proposed allocations are. 1) Career Development Allocation ($6.3 M) to support the development of technical courses
required for statewide credentials in city and parish school systems and other public schools in the amount of 6% of the base per pupil cost for each qualifying student course enrollment; a minimum amount of $25,000 will be provided for each city and parish school system and a minimum of $10,000 will be provided for other public schools with students enrolled in grades 9 through 12.
2) High Cost Services Allocation ($4 M) currently provides additional funds to public school
systems and schools which substantiate that the prior year cost of services for students with disabilities exceeds three times the most recent state average total expenditure per pupil amount; allocation amounts are limited by the amount budgeted for this initiative and are to be distributed equitably to school systems and other public schools proportional to the total of qualifying applications submitted.
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3) Supplemental Course Allocation ($7.8 M) to provide for the cost of secondary course choices
specifically approved by BESE. For each school system and other public schools funded through the formula, the allocation shall equal $35 for each student enrolled in grades 7-12 as of February 1st. Provides for the redistribution of uncommitted funds as of a date set by DOE.
Also Level 4 includes the Foreign Language Associate Program Salary & Stipends Allocation. The supplemental allocation is $21,000 per teacher. Of this, $20,000 shall be allocated to the school where the teacher is employed for support of the total cost of the teacher salary and $1,000 to be used for the costs of the VISA sponsorship incurred by CODOFIL, pursuant to BESE regulations. The cap of 300 teachers is retained. Allocations for Other Public Schools: Continues funding methodology for the LSU and Southern University Lab Schools, Type 2 Charter Schools, Office of Juvenile Justice Schools, the Recovery School District, NOCCA and LSMSA. Pay Raise Requirements: The FY 15 MFP revised language requiring schools to use at least 50% of any increased funding to supplement and enhance full time certificated staff salaries and retirement benefits for schools with an average teacher salary below the SREB average. New language required school systems to sustain 2013-2014 pay raises if there is a net increase in the Levels 1 and 2 cost allocation. If the school system had established plans to sustain or increase the pay raises prior to the development of this formula, the provision does not apply. DEPT/AGY: LSU Health Care Services Division ISSUE: Legacy Costs The HCSD’s legacy appropriation is $2.3 M below the projected level of legacy expense liability. See illustration below. Legacy Cost Expenditures $23,159,697 Legacy Appropriation after HAC $20,843,412 Legacy Cost Shortfall ($2,316,285)
However, these legacy costs are mandatory expenditures that will require HCSD to find available funds from other sources. HCSD has stated it will use the revenues generated from their contract with the private partners for administrative services and by reducing support services, using one-time funding, and attrition. Note: Prior to these private partnerships, these legacy expenditures were allowable expenses on the cost report to receive federal match funding. CMS has since ruled these expenses are unallowable since these hospitals are no longer associated with the system.