Bill Summary – FastDemocracy

STATEMENT OF PURPOSE
                                                        RS27048
This is the FY 2020 original appropriation bill for the Department of Health and Welfare, Divisions of
Mental Health Services, Psychiatric Hospitalization, and Substance Abuse Treatment and Prevention. It
appropriates a total of $107,579,800 and caps the number of authorized full-time equivalent positions at
717.58.
For benefit costs, the bill maintains the current appropriated amount for health insurance at $11,650 per
eligible FTP; provides a 5.5% increase for the employer's share of PERSI contributions; and temporarily
reduces the rate agencies pay the Division of Human Resources for its services. For statewide cost
allocation, $126,900 is provided. The bill provides funding for the equivalent of a 3% change in employee
compensation for permanent employees, with a minimum increase of $550 for each employee and the
remaining amount to be distributed based on merit. The bill provides $203,100 for inflationary adjustments,
and $549,200 for replacement items at both State Hospital South and State Hospital North with items
to be replaced at the discretion of the hospital administrator. The bill also shifts $40,900 to the General
Fund for changes in the Medicaid match rate and shifts $860,800 from the General Fund for increased
Endowment Fund distributions to State Hospital South. The bill reduces $6,400,000 for cost offsets related
to Medicaid Expansion; provides staffing support to both State Hospital North and State Hospital South;
and $4,110,000 to address the opioid issue facing Idahoans. The bill also reduces $735,000 for specialty
court costs that will now be directly paid for by the Judicial Branch. Finally, the bill provides for eight
sections of language: clarifies the department's responsibilities for services provided, restricts transfers,
requires crisis centers to report on achieving non-state funding, and provides flexibility for transfers into
the Community Hospitalization Program.
                                                    FISCAL NOTE
                                                   FTP         Gen              Ded             Fed              Total
FY 2019 Original Appropriation                    716.58     67,925,500       13,228,500      28,005,200       109,159,200
FY 2019 Total Appropriation                       716.58     65,145,500       13,228,500      28,005,200       106,379,200
FY 2020 Base                                      716.58     66,996,100       12,675,700      25,800,200       105,472,000
Benefit Costs                                       0.00         80,800           15,400          20,300           116,500
Inflationary Adjustments                            0.00        133,600           69,500               0           203,100
Replacement Items                                   0.00        390,200          159,000               0           549,200
Statewide Cost Allocation                           0.00        102,300                0          24,600           126,900
Annualizations                                      0.00      2,592,500                0               0         2,592,500
Change in Employee Compensation                     0.00        932,700          183,600         235,500         1,351,800
Nondiscretionary Adjustments                        0.00         40,900                0        (40,900)                 0
Endowment Adjustments                               0.00      (860,800)          860,800               0                 0
FY 2020 Program Maintenance                       716.58     70,408,300       13,964,000      26,039,700       110,412,000
Mental Health Services
36. Medicaid Expansion                               0.00 (4,200,000)                    0                0     (4,200,000)
DISCLAIMER: This statement of purpose and fiscal note are a mere attachment to this bill and prepared by a proponent
of the bill. It is neither intended as an expression of legislative intent nor intended for any use outside of the legislative
process, including judicial review (Joint Rule 18).
Statement of Purpose / Fiscal Note                                                                                   S1173
Psychiatric Hospitalization
13. SHS Additional Staffing                          1.00         48,600                 0                0          48,600
17. Psychiatry and Nursing Services                  0.00        144,200                 0                0         144,200
36. Medicaid Expansion                               0.00 (1,000,000)                    0                0     (1,000,000)
Substance Abuse Treatment and
Prevention
22. Opioid Response Grant                            0.00              0                 0      4,110,000         4,110,000
30. Problem-Solving Courts Transfer                 0.00       (735,000)               0               0          (735,000)
36. Medicaid Expansion                              0.00     (1,200,000)               0               0        (1,200,000)
FY 2020 Total                                     717.58     63,466,100       13,964,000      30,149,700       107,579,800
Chg from FY 2019 Orig Approp                        1.00     (4,459,400)         735,500       2,144,500        (1,579,400)
% Chg from FY 2019 Orig Approp.                    0.1%           (6.6%)           5.6%            7.7%              (1.4%)
Contact:
    Jared Tatro
    Budget and Policy Analysis
    (208) 334-4740
DISCLAIMER: This statement of purpose and fiscal note are a mere attachment to this bill and prepared by a proponent
of the bill. It is neither intended as an expression of legislative intent nor intended for any use outside of the legislative
process, including judicial review (Joint Rule 18).
Statement of Purpose / Fiscal Note                                                                                   S1173