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Honorable Holly Mitchell, Chair Senate Budget and Fiscal Review Committee

Attention: Mr. Joe Stephenshaw, Staff Director (2)

Honorable Phil Ting, Chair Assembly Budget Committee

Attention: Mr. Christian Griffith, Chief Consultant (2)

Amendment to Budget Bill Item 4140-001-3085, Support, Office of Statewide Health Planning and Development

It is requested that Item 4140-001-3085 be increased by $215,000 in fiscal years 2018-19 and 2019-20 to provide support for administrative activities for the Mental Health Loan Assumption Program (MHLAP) to manage and close out all program grants awarded through 2017-18.

MHLAP was created to retain qualified mental health providers working within the public mental health system. Grantees can receive up to $10,000 to repay educational loans in exchange for a 12-month service obligation in hard-to-fill or difficult-to-retain positions within the public mental health system. The administrative workload to support the final disbursement of the awards in 2017-18 are expected to continue for two years after the grants are awarded.

The effect of my requested action is reflected on the attachment.

If you have any questions or need additional information regarding this matter, please call Maricris Aeon, Principal Program Budget Analyst, at (916) 445-6423.

cc: On following page

MICHAEL COHEN DirectorBy:

/s/ Amy M. Costa

AMY M. COSTA Chief Deputy Director

Attachment

March 29, 2018

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cc: Honorable Ricardo Lara, Chair, Senate Appropriations Committee Attention: Mr. Mark McKenzie, Staff Director

Honorable Jim Nielsen, Vice Chair, Senate Budget and Fiscal Review Committee Attention: Mr. Kirk Feely, Budget Fiscal Director

Honorable Lorena Gonzalez Fletcher, Chair, Assembly Appropriations Committee Attention: Mr. Jay Dickenson, Chief Consultant

Honorable Jay Obernolte, Vice Chair, Assembly Budget Committee Attention: Ms. Cyndi Hillery, Staff Director

Honorable Richard Pan, Chair, Senate Budget and Fiscal Review Subcommittee No. 3 Honorable Joaquin Arambula, Chair, Assembly Budget Subcommittee No. 1 Mr. Mac Taylor, Legislative Analyst (4) Mr. Christopher Woods, Senate President pro Tempore's Office (2) Mr. Jason Sisney, Assembly Speaker's Office (2) Ms. Cheri West, Deputy Chief of Staff, Policy, Assembly Republican Leader's Office Mr. Jim Richardson, Policy and Fiscal Director, Assembly Republican Leader's Office Mr. Michael Wilkening, Undersecretary, Health and Human Services Agency Ms. Samantha Lui, Assistant Secretary, Health and Human Services Agency Ms. Fran Mueller, Chief Deputy Director, Office of Statewide Health Planning and Development Ms. Monica Flowers, Deputy Director, Office of Statewide Health Planning and Development Ms. Lilia Young, Budget Manager, Office of Statewide Health Planning and Development

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Amendment to Budget Bill Item 4170-001-0001 and Reimbursements, Support, and Item 4170-101-0001 and Reimbursements, Local Assistance, Department of Aging

It is requested that Item 4170-001-0001 be amended by increasing reimbursements by $200,000 and 3 positions, and Item 4170-101-0001 be amended by increasing reimbursements by $1,280,000, to reflect a planned increase in funding for the Supplemental Nutrition Assistance Program Education (SNAP-Ed) program. This additional funding, which consists of federal funds budgeted in the Department of Social Services, will be used to administer and evaluate the department's SNAP-Ed service delivery model and increase base funding to the local Area Agencies on Aging that participate in the program.


If you have any questions or need additional information regarding this matter, please call Lia Moore, Principal Program Budget Analyst, at (916) 445-6423.

MICHAEL COHEN Director By:

Attachment



/s/ Amy M. Costa


Attachment

March 29, 2018

-2-

cc: Honorable Ricardo Lara, Chair, Senate Appropriations Committee Attention: Mr. Mark MoKenzie, Staff Director




Honorable Richard Pan, Chair, Senate Budget and Fiscal Review Subcommittee No. 3 Honorable Joaquin Arambula, Chair, Assembly Budget Subcommittee No. 1 Mr. Mac Taylor, Legislative Analyst (4) Mr. Christopher Woods, Senate President pro Tempore's Office (2) Mr. Jason Sisney, Assembly Speaker's Office (2) Ms. Cheri West, Deputy Chief of Staff, Policy, Assembly Republican Leader's Office Mr. Jim Richardson, Policy and Fiscal Director, Assembly Republican Leader's Office Mr. Marko Mijic, Assistant Secretary, Health and Human Services Agency Ms. Jeannine Fenton, Chief Deputy Director, Department of Aging

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Addition of Budget Bill Item 4185-490, Support, California Senior Legislature

It is requested that Item 4185-490 be added as follows to reappropriate the unencumbered balance of General Fund appropriated in Item 4185-001-0001, Budget Act of 2017. The California Senior Legislature estimates that $300,000 of the $375,000 appropriated in fiscal year 2017-18 will not be expended by June 30, 2018. The requested reappropriation item extends the availability of this funding through June 30, 2019.

4185-490-Reappropriation, California Senior Legislature. The balances of the appropriations provided in the following citations are reappropriated for the purposes provided for in those appropriations and shall be available for encumbrance or expenditure until June 30, 2019: 0001-General Fund (1) Item 4185-001-0001, Budget Act of 2017 (Chs. 14, 22, and 54, Stats. 2017)



MICHAEL COHEN



/s/ Amy M. Costa


Attachment

March 29, 2018

-2-





Honorable Richard Pan, Chair, Senate Budget and Fiscal Review Subcommittee No. 3 Honorable Joaquin Arambula, Chair, Assembly Budget Subcommittee No. 1 Mr. Mac Taylor, Legislative Analyst (4) Mr. Christopher Woods, Senate President pro Tempore's Office (2) Mr. Jason Sisney, Assembly Speaker's Office (2) Ms. Cheri West, Deputy Chief of Staff, Policy, Assembly Republican Leader's Office Mr. Jim Richardson, Policy and Fiscal Director, Assembly Republican Leader's Office Ms. Janice Bailey, Staff Services Manager, California Senior Legislature

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Amendment to Budget Bill Items 4260-001-0001 and 4260-001-0890, Support, Department of Health Care Services

Ombudsman Customer Relations Management System (Issue 303-A1)-lt is requested that Item 4260-001-0001 be increased by $250,000 and Item 4260-001-0890 be increased by $250,000 to procure a new cloud-based customer relations management system to support the call center within the Office of the Ombudsman for the Medi-Cal program. Chapter 52, Statutes of 2017 (SB 97) requires the Department to provide a quarterly report to the Legislature regarding specified data collected by the Ombudsman. The new cloud-based customer relations management system will allow the Department to comply with these requirements.

Medi-Cal Program Integrity Data Analytics (Issue 302-A1)-lt is further requested that Item 4260-001-0001 be increased by $2,250,000 and Item 4260-001-0890 be increased by $6,750,000 to allow the Department to secure a data analytics contractor to enhance Medi-Cal fraud and program integrity efforts. This effort will help the Department to focus and prioritize fraud prevention efforts. It is also requested that provisional language be added to Item 4260-001-0001 (see Attachment 1) and Item 4260-001-0890 (see Attachment 2) to allow the Departments of Finance and Health Care Services to track the level of fraud detected by the data analytics service before optional features of the service are funded in subsequent years.


If you have any questions or need additional information regarding this matter, please call Guadalupe Manriquez or Maricris Aeon, Principal Program Budget Analysts, at (916) 445-6423.

MICHAEL COHEN


March 29, 2018


/s/ Amy M. Costa


Attachment

Honorable Ricardo Lara, Chair, Senate Appropriations Committee Attention: Mr. Mark McKenzie, Staff Director




Honorable Richard Pan, Chair, Senate Budget and Fiscal Review Subcommittee No. 3 Honorable Joaquin Arambula, Chair, Assembly Budget Subcommittee No. 1 Mr. Mac Taylor, Legislative Analyst (4) Mr. Christopher Woods, Senate President pro Tempore's Office (2) Mr. Jason Sisney, Assembly Speaker's Office (2) Ms. Cheri West, Deputy Chief of Staff, Policy, Assembly Republican Leader's Office Mr. Jim Richardson, Policy and Fiscal Director, Assembly Republican Leader's Office Mr. Michael Wilkening, Undersecretary, California Health and Human Services Agency Mr. Robert Ducay, Assistant Secretary, California Health and Human Services Agency Ms. Jennifer Kent, Director, Department of Health Care Services Ms. Mari Cantwell, Chief Deputy Director, Department of Health Care Services Ms. Erika Sperbeck, Chief Deputy Director, Department of Health Care Services Mr. Bruce Lim, Deputy Director, Department of Health Care Services Ms. Sarah Brooks, Deputy Director, Department of Health Care Services Ms. Lisa Lassetter, Deputy Director, Administration, Department of Health Care Services Ms. Kathleen Dong, Budget Officer, Department of Health Care Services

Attachment 1

Add the following provision to Item 4260-001-0001:

6. The Department of Finance may augment the amount appropriated in Schedule (1) beginning in fiscal year 2019-20 by up to $250,000 for the data analytics contract based upon verified satisfactory progress or completion of predetermined data analytics milestones.

Attachment 2


1. The Department of Finance may augment the amount appropriated in Schedule ( 1)beginning in fiscal year 2019-20 by up to $750,000 for the data analytics contract basedupon verified satisfactory progress or completion of predetermined data analyticsmilestones.

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Amendment to Various Budget Bill Items, Support and Local Assistance, Department of Public Health

BabyBIG®/lnfant Botulism Treatment and Prevention Program (Issue 306-A1)-lt is requested that provisional language be added to Item 4265-001-0272 to provide the Department the flexibility to meet manufacturing costs for the next production cycle of BabyBIG® (Human Botulism Immune Globulin), should the production timeline shift into fiscal year 2018-19. BabyBIG® is an orphan drug, and is the only treatment of infant botulism in the United States. The Department is the only producer of BabyBIG® in the world, with only one facility approved by the Food and Drug Administration for production of the drug, located in Los Angeles, California: Shire Biotechnology. The production of BabyBIG® is difficult to schedule. Currently, the Governor's Budget assumes a 2019-20 production timeline. The proposed language would allow the Department to adjust expenditure authority to meet the uncertain timing for manufacturing (see Attachment 1 ).

Emergency Response: Public Health Crisis Response Grant (Issue 303-A1)-lt is requested that provisional language be added to Items 4265-001-0890 and 4265-111-0890 to allow the Department to quickly accept public health emergency funding pursuant to a new Centers for Disease Control and Prevention (CDC) Public Health Crisis Response Grant. In February 2018, the Department received approval to be placed on an "Approved-But-Unfunded" list of grantees, which stipulates that its recipients have certified that they can submit to CDC an amended budget within 14 days of notice of CDC's intent to make an award, and complete hiring and execute contracts within 30 days of the notice. The proposed provisional language will allow the Department to meet these requirements in response to public health emergencies (see Attachments 2 and 3).

Health Care Licensing and Oversight (Issue 305-A1)-lt is requested that Item 4265-001-3098 be increased by $2,373,000 and 20 positions, and Item 4265-004-0942 be increased by $296,000 and 2 positions to support: the implementation of Chapter 52, Statutes of 2017 (SB 97) nursing home staffing standards; data quality improvement activities; certification of various healthcare professionals, including certified nurse assistants; and the evaluation of training programs for specified healthcare professionals. The resources will also help address: the increased workload related to reviewing criminal background checks for applicants, increased volume of telephone calls related to pending applications for certification, and various quality improvement activities.

March 29, 2018

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If you have any questions or need additional information regarding this matter, please call Phuong La, Principal Program Budget Analyst, at (916) 445-6423.


Attachment





Honorable Richard Pan, Chair, Senate Budget and Fiscal review Subcommittee No. 3 Honorable Joaquin Arambula, Chair, Assembly Budget Subcommittee No. 1 Mr. Mac Taylor, Legislative Analyst (4) Mr. Christopher Woods, Senate President pro Tempore's Office (2) Mr. Jason Sisney, Assembly Speaker's Office (2) Ms. Cheri West, Deputy Chief of Staff, Policy, Assembly Republican Leader's Office Mr. Jim Richardson, Policy and Fiscal Director, Assembly Republican Leader's Office Mr. Michael Wilkening, Undersecretary, California Health and Human Services Agency Ms. Michelle Baass, Deputy Secretary, California Health and Human Services Agency Ms. Janne Olson-Morgan, Assistant Secretary, California Health and Human Services Agency Ms. Samantha Lui, Assistant Secretary, California Health and Human Services Agency Dr. Karen Smith, Director and State Public Health Officer, California Department of Public Health Mr. Brandon Nunes, Chief Deputy Director of Operations, California Department of Public

Health Mr. Alan Lum, Deputy Director, Administration Division, California Department of Public

Health


/s/ Amy M. Costa


Attachment

Attachment 1


1. In the event the production schedule for BabyBIG® Lot 7 is accelerated and begins in the 2018-19 fiscal year, the Department of Finance may augment this item in the amount necessary to support these production costs. Any augmentation shall be authorized no sooner than 30 days after notification in writing to the Chairperson of the Joint Legislative Budget Committee, or no sooner than whatever lesser time the Chairperson of the Joint Legislative Budget Committee, or his or her designee, may determine.

Attachment 2


3. Notwithstanding any other provision of law, the Department of Finance may augment this item in excess of the amount appropriated upon notice by Public Health of available funds by the Centers for Disease Control and Prevention's Cooperative Agreement for Emergency Response: Public Health Crisis Response Grant. Within 10 working days of authorizing such an augmentation, the Department of Finance shall provide written notification of the augmentation to the chairpersons of the fiscal committees in each house of the Legislature and the Chairperson of the Joint Legislative Budget Committee.

Attachment 3


3. Notwithstanding any other provision of law, the Department of Finance may augment this item in excess of the amount appropriated upon notice by Public Health of available funds by the Centers for Disease Control and Prevention's Cooperative Agreement for Emergency Response: Public Health Crisis Response Grant. Within 10 working days of authorizing such an augmentation, the Department of Finance shall provide written notification of the augmentation to the chairpersons of the fiscal committees in each house of the Legislature and the Chairperson of the Joint Legislative Budget Committee.

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Amendment to Budget Bill Item 4440-490, Capital Outlay, Department of State Hospitals

Reappropriation, Patton State Hospital: New Main Kitchen-It is requested that Item 4440-490 be amended to reappropriate the construction phase of this project. The project consists of a new single-story central kitchen facility and upgrades to seven satellite kitchens. This action, in conjunction with a recently requested scope change and augmentation, is necessary because the project has been delayed for various reasons, including inclement weather and design issues (see Attachment 1 ).


If you have any questions or need additional information regarding this matter, please call Koreen van Ravenhorst, Principal Program Budget Analyst, at (916) 445-9694.



March 29, 2018

MICHAEL COHENDirectorBy:

/s/ Amy M. Costa

AMY M. COSTAChief Deputy Director

Attachment

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cc: Honorable Rlcardo Lara, Chair, Senate Appropriat ions Committee Attention: Mr. Mark MoKenzie, Staff Director


Honorable Lorena Gonzalez Fletcher, Chair, Assembly Appropr iat ions Committee Attention: Mr. Jay Dickenson, Chief Consultant

Honorable Jay Obernolte, V ice Chair, Assembly Budget Committee Attention: Ms. Cyndi Hillery, Staff Director

Honorable Richard Pan, Chair, Senate Budget and Fiscal Review Subcommit tee No. 3 Honorable Joaquin Arambula, Chair, Assembly Budget Subcommittee No. 1 Mr. Mac Taylor, Legislative Analyst (4) Mr. Christopher Woods , Senate President pro Tempore 's Office (2) Mr. Jason Sisney, Assembly Speaker's Office (2) Ms. Cheri West, Deputy Chief of Staff, Policy, Assembly Republican Leader's Office Mr. Jim Richardson, Policy and Fiscal Director, Assembly Republ ican Leader's Office Ms. Lupe Alonzo-Diaz, Deputy Director, Department of State Hospitals Ms. Kathy Tschudin , Chief Operating Officer, Department of State Hospitals

Attachment 1

"4440-490—Reappropr iat ion , Department of State Hospitals. The balances of the appropriations provided in the fol lowing citations are reappropriated for the purposes and subject to the limitations, unless otherwise specif ied, provided for in the appropriations: provided for in those appropriations and shall be available for encumbrance or expenditure until June 30, 2019:

0001—Genera l Fund

(1) Up to $5,738,000 of Item 4440 -301 -0001 , Budget Act of 2017 (Chs. 14, 22, and 54, Stats. 2017).

(3) 0000719-Coal inga: New Activity Courtyard—Construct ion

(2) Up to $3,392,000 of Item 4440 -301 -0001 , Budget Act of 2017 (Chs. 14, 22, and 54, Stats. 2017).

(4) 0001415-Metropol i tan: CTE Fire Alarm System Upgrade—Const ruct ion

0660—Pub l ic Buildings Construction Fund

(1) U P to $33,086.000 of Item 4440-301-0660, Budget Act of 2008 (Chs. 268 and 269. Stats. 2008), as reappropriated by Item 4440-490, Budget Act of 2010 (Ch. 712, Stats. 2010), and Item 4 4 4 0 - 4 9 1 , Budget Act of 2012 (Chs. 21 and 29, Stats, of 20121

(2) 55 .45 .295—Patton : Construct New Main Ki tchen—Construct ion"

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Amendment to Budget Bill Items 5160-001-0001, 5160-001-0600, and Reimbursements, Support, Department of Rehabilitation

It is requested that Item 5160-001-0001 be amended by increasing reimbursements by $2.4 million and 3 positions. Of this amount, $2 million will support the increased workload associated with a planned interagency agreement with the Public Utilities Commission to expand the Deaf and Disabled Telecommunications Program. The 3 positions and remaining $400,000 will support existing interagency agreements with the California State Lottery and the California Workforce Association. This increase will also allow the Department of Rehabilitation to provide technical assistance to state entities in converting their websites and documents into an accessible format.

It is also requested that Item 5160-001-0600 be increased by $1 million to support the Business Enterprises Program, which serves blind food vendors operating in government facilities. The increased expenditure authority will allow the Department to replace equipment and renovate facilities for blind food vendors.



MICHAEL COHEN



/s/ Amy M. Costa


Attachment

March 29, 2018

-2-





Honorable Richard Pan, Chair, Senate Budget and Fiscal Review Subcommittee No. 3 Honorable Joaquin Arambula, Chair, Assembly Budget Subcommittee No. 1 Mr. Mac Taylor, Legislative Analyst (4) Mr. Christopher Woods, Senate President pro Tempore's Office (2) Mr. Jason Sisney, Assembly Speaker's Office (2) Ms. Cheri West, Deputy Chief of Staff, Policy, Assembly Republican Leader's Office Mr. Jim Richardson, Policy and Fiscal Director, Assembly Republican Leader's Office Mr. Kristopher Kent, Assistant Secretary, Health and Human Services Agency Ms. Kelly Hargreaves, Chief Deputy Director, Department of Rehabilitation

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Amendment to Budget Bill Item 5180-001-0001 and Reimbursements, Support, Department of Social Services

It is requested that Item 5180-001-0001 be increased by $288,000 and reimbursements be increased by $277,000 on a two-year limited-term basis, to address a temporary increase in workload for the Department of Social Services associated with recent statutory changes (Chapter 25, Statutes of 2017) to the In-Home Supportive Services (IHSS) program related to collective bargaining for IHSS provider wages and benefits and county maintenance-of-effort (MOE) provisions. The workload consists of technical assistance to counties and collective bargaining representatives, and review of county-negotiated collective bargaining proposals for compliance with state law. The requested resources will also support the increased administrative workload associated with the revised county IHSS MOE funding structure.


If you have any questions or need additional information regarding this matter, please call Yang Lee, Principal Program Budget Analyst, at (916) 445-6423.


Director

Attachment


March 29, 2018


/s/ Amy M. Costa


Attachment

-2-

cc: Honorable Rlcardo Lara, Chair, Senate Appropriations Committee Attention: Mr. Mark McKenzie, Staff Director




Honorable Richard Pan, Chair, Senate Budget and Fiscal Review Subcommittee No. 3 Honorable Joaquin Arambula, Chair, Assembly Budget Subcommittee No. 1 Mr. Mac Taylor, Legislative Analyst (4) Mr. Christopher Woods, Senate President pro Tempore's Office (2) Mr. Jason Sisney, Assembly Speaker's Office (2) Ms. Cheri West, Deputy Chief of Staff, Policy, Assembly Republican Leader's Office Mr. Jim Richardson, Policy and Fiscal Director, Assembly Republican Leader's Office Mr. Michael Wilkening, Undersecretary, Health and Human Services Agency Ms. Michelle Baass, Deputy Secretary, Health and Human Services Agency Mr. Marko Mijic, Assistant Secretary, Health and Human Services Agency Ms. Pat Leary, Chief Deputy Director, Department of Social Services Ms. Karen Dickerson, Deputy Director, Administration Division, Department of Social

Services Mr. Jim O'Brien, Budget Bureau Chief, Department of Social Services

Documents

DEPARTMENT OF' FI N A N C o ,FDit .. ,,. E-------------E o M u N o G ...dof.ca.gov/Budget/Historical_Budget_Publications/2018-19/April1... · _B_R_a_w_N_J_R_ ._. _G_c_v_E_R _N c_R