Health Care Appropriations Subcommittee Chair's Budget

Health Care Appropriations Subcommittee

Chair's Budget Proposal FY 2017-18

March 28, 2017 8:00 AM - 11:00 PM

Sumner Hall (404 HOB)

Row ISSUE CODE ISSUE TITLE

# 1

I--HEAL TH CARE ADMIN

2 1100001 Startup (OPERATING)

3 1605300 Correct Funding Source Identifier - Add

4 1605310 Correct Funding Source Identifier - Deduct

5 1600A50 Salary Rate Adjustment - Add

6 1600A60 Salary Rate Adjustment - Deduct

7 17C08CO Data Processing Services Category - Deduct

8 17C09CO Data Processing Services Category - Add

9 1700050 Transfer to the Agency for Persons with Disabilities Home and Community Based Services Waiver

Transition Traumatic Brain Injury/Spinal Cord Waiver 10 1700140

Recipients to Long-Term Managed Care

Transition Adult Cystic Fibrosis Waiver Recipients to Long-11 1700150

Term Managed Care

-12 2000180 Realignment of Medicaid Appropriation Categories - Deduct

13 2000190 Realignment of Medicaid Appropriation Categories - Add

14 2000200 Realign Budget Authority Between Operating Categories -Deduct Realign Budget Authority Between Operating Categories -

15 2000210 Add

16 2000220 Realignment of Graduate Medical Education Expenditures -Deduct Realignment of Graduate Medical Education Expenditures -

17 2000230 Add -18 2000280 Realign Prepaid Health Plan Funding - Deduct

19 2000290 Realian Prepaid Health Plan Funding - Add

3/27/201 7 8:12 PM

FTE RATE

I

Florida House of Representatives Health Care Appropriations Subcommittee

CHAIRMAN'S PROPOSAL Fiscal Year 2017-2018

REC GR NRGR TOBACCO OTHER STATE

TFs

I I I I ' ALL TF FED

I I 1,547.50 70,780,323 6,529,712,252 266,008,002 3,881,931 ,326 15,851 ,333,292

31,495

(31,495)

48,000 -(48,000) -

- (1 ,734,030)

- 1,734 ,030

(1,098,014) (1,762,887)

1,977,856

474,206

(121,597,694) (11 ,200,411) (299,603, 788)

121,597,694 11 ,200,411 299,603,788

(57,506) (6,430) (115,371)

57,506 6,430 115,371 -~l~~I (6,639,740)!

-(10,660,260)

10,660,260 6,639,740

------ --------- --(30,860,484) (49,547,240) 30,860,484 49,547 ,240

Page 1 of 21

ALL FUNDS COMMENTS ,. Row

---- # 1

26,528,984,872 2 Technical adjustment that corrects the FSI in the

31 ,495 Expenses category in the Administration and Support 3 budget entity due to budget action request in Issue

(31,495) Code 2000210.

4

- Technical adjustment that transfers salary rate between 5

- budget entities. 6

(1 ,734 ,030) Technical adjustment that transfers funding between 7

1,734,030 data processing categories.

8 Transfers funding from AHCA to the APO to support the

(2,860,901 ) transition of 38 eligible beneficiaries from Intermediate

9 Care Facilities for the Developmentally Disabled (ICF/DD) to community-based alternatives. Funding associated with the transfer and administration of the Traumatic Brain and Spinal Cord Injury waiver

1,977 ,856 from DOH to AHCA. Recipients will be served under the 10 L TC Managed Care program, effective January 1, 2018 (this issue reflects six month of funding). Funding associated with the transfer and administration of the Adult Cystic Fibrosis (ACF) waiver from DOH to

474 ,206 AHCA. Recipients will receive services from the L TC 11 Managed Care program, effective January 1, 2018 (this issue reflects six months of fund ing).

(432,401 ,893) Realignment of Medicaid Services categories to reflect 12

transfer of budget from categories consolidated into 432,401 ,893 Other Fee for Services and Regular Disproportionate 13

Share categories.

(179,307) Technical issue that realigns the budget authority 14 between operating categories to cover the

179,307 administrative costs in the Expenses category. 15

(17,300,000) Transfers funding from Hospital Outpatient Services and

16 Prepaid Health Plans to the Graduate Medical

-Education (GME) category to comport with the transition

17,300,000 17 to a hospital outpatient prospective payment system .

(80,407,724) Realignment to place 5% of Prepaid Health Plan funding 18 80,407,724 increase into Qualified Expenditure Category. 19


#

20 2000300 Realign Prepaid Health Plan - Long Term Care Funding -Deduct

21 2000310 - Realign Prepaid Health Plan - Long Term Care Funding - Add

22 2000340 Transfer Project Aids Care Waiver Recipients - Deduct

23 2000350 Transfer Project Aids Care Waiver Recipients - Add

-Transfer Position from the Division of Medicaid to the Division

24 2000380 of Operations - Deduct

25 2000390 Transfer Position from the Division of Medicaid to the Division of Operations - Add

26 2000400 Medicaid Fair Hearings Unit - Deduct 27 2000410 Medicaid Fair Hearings Unit - Add 28 2000420 Transfer Other Personal Services Budget Authority - Deduct 29 2000430 - Transfer Other Personal Services Budget Authority - Add

30 2301510 Jinstitutional and Prescribed Drug Providers -

31 2503080 Direct Billing for Administrative Hearings

-

32 3000150 Consulting Services for Medicaid Program

33 3001780 Children's Special Health Care

34 3004500 Medicaid Services - --

35 3200100 Reduce Federal Budget Authority for Refugee and Entrant Services

36 33A0941 Shriners Hospital for Children - Deduct 37 33A0942 Shriners Hospital for Children - Add

38 33V0430 Reduce Personal Needs Allowance

3/27/2017 8:12 PM

FTE RATE



OTHER STATE REC GR NRGR TOBACCO

TFs

40,707,785

--- ------ ----- (40,707,785) ------ "._L _______ __.., •-------- -~--~~__. __ _.__

(1 ,668,324)

1,668,324

- - - - .. -------------,--.----~--------i...----. (1 .00) (43,675) - (31 ,829)

1.00 43,675 - 31 ,829

(286 ,367) 286,367

(363,288)

ALL TF FED

65,357,313

(65,357,313)

(2,678,535)

2,678,535

-(31 ,829)

31 ,829

(286 ,367) 286,367

(363,288) 363,288 363,288

1 3,066 ,857 ,615 1 [ I_ 800.847 I 4.161 .101 .392 1 ~~

80,232 513,747 80,232

__ ___._ _________ _. ____ _._

- 425,000 425 ,000

712 ,286 1,590,355 60,398,540

(2 ,884,660,002) (147,255,408) (3,628,436,954)

- (32,230,232)

(400,000)

-~ - 400,000

(7,961,470) (114,611) (12,966,339)

Page 2 of 21

. - Row ALL FUNDS COMMENTS

#

106,065,098 Realignment to place 5% of Prepaid Health Plan - Long

20 Term Care funding increase into Qualified Expenditure

(106,065,098) Category requiring LBC approval for release. 21

(4,346,859) Transfers funding associated with the PAC waiver to the

22 Prepaid Health Plan categories to incorporate services under the MMA and L TC service plans. Implementation f---

4,346 ,859 date is January 1, 2018 (this issue reflects six months of

23 fund ing) .

(63,658) Transfer of one FTE and the associated rate and budget

24 from the Division of Medicaid to the Division of

63,658 Operations to address a workload need in the Bureau of

25 Human Resources.

(572,734) Transfer of resources to support the newly establish Fair 26 572 ,734 Hearing unit in Office of the General Counsel. 27

(726,576) Transfers funding to cover the cost of ten full-time OPS 28 726,576 staff assigned to the Office of the General Counsel. 29

7,228,759,854 Medicaid price level adjustment as agreed upon at the

30 March 2017 Social Services Estimating Conference. This issue adjusts the budget in the Transfer to the Division of Administrative Hearings (DOAH)

674,211 appropriations category based upon the actual number

31 of hearing hours reported for the previous fiscal year and adjusted based on the recommended budget for DOAH in FY 2017-2018. Funding to engage consultants and actuaries due to increased complexity of work and level of workload ,

850,000 which include ad hoc projects, physician incentive 32 program, Medicare duals rate setting , and Children's Medical Services transportation rate setting.

62 ,701 ,181 KidCare Program workload adjustment, pursuant to the

33 March 2017 Social Services Estimating Conference .

(6 ,660,352 ,364) Medicaid workload adjustment, pursuant to the March

34 2017 Social Services Estimating Conference. Reduces budget authority for the elimination of the

(32,230,232) Refugee and Entrant Services beginning January 1,

35 2018 in the event CS/HB 427 or similar legislation becomes law.

1400,000' This issue converts a recurring base project funding to 36 .___ 400,000 nonrecurring. 37

(21 ,042,420) Reduces the FY 2014-15 personal needs allowance

38 increase from $105 oer month to $70 oer month.


#

39 33V0760 Reduction In Health Care Regulation for House Bill 1175

,_ --40 33V1620 Vacant Position Reductions

,_ -41 33V7210

Hospital Inpatient Diagnosis Related Group (DRG) Base Rate Reduction

42 33V7220 Hospital Inpatient Exemption Reduction I- --

43 33V7230 Hospital Outpatient Exemption Reduction I-

44 3300070 Delete Unfunded Budget - Florida Medical Schools Quality Network

45 3300100 Delete Unfunded Budget

46 3303550 State Data Center Reduction In Rental and Bandwidth Costs

47 3306000 Reduce Excess Budget Authority

48 3400200 Realignment of Tobacco Settlement Trust Fund/General Revenue Appropriations - Deduct

49 3400210 Realignment of Tobacco Settlement Trust Fund/General Revenue Appropriations - Add

50 3403000 General Revenue to Grants and Donations Trust Fund - Add

General Revenue to Grants and Donations Trust Fund -51 3403100

Deduct

Managed Cyber Security Threat Monitoring and Response 52 36246CO

Solution

3/27/2017 8:12 PM

FTE

(1 .00)

(39.50)



OTHER STATE RATE REC GR NRGR TOBACCO

TFs

(41 ,106) - (352,919)

(1,440, 787) (112 ,759) (967,883)

(55,345, 110)

(153,200,330)

(30, 102,352)

- (3,000,000)

- (28,665,214)

- (49,226)

(792,000) (30,336) (1,487,916)

(33, 100,000)

- 33,100,000

- 1,970,185

(1 ,970, 185)

- 295,980

Page 3 of 21

.... , Row

ALL TF FED ALL FUNDS COMMENTS #

Reduces funding that was inadvertently appropriated in (352,919) House Bill 1175 for the Agency to conduct climate 39

surveys.

(1 ,060,218) (2 ,140,860) Reduction based on positions that have been vacant for

40 180 days or greater.

(88,857,888) (144,202,998) Reduction related to a reduction of Hospital Inpatient

41 DRG Base rates by 7%.

(245,966 , 763) (399,167,093) Tiered reduction to Hospital Inpatient Exemptions based

42 on various levels of Medicaid utilization.

(48,330,039) (78,432 ,391) Tiered reduction to Hospital Outpatient Exemptions

43 based on various levels of Medicaid utilization. Eliminates unfunded budget for program due to intergovernmental transfers to support this spending

(3,000,000) (6 ,000,000) authority. Statutory provisions creating this program

44 remain in place. If future match funds become available , spending authority can be reinstated by the leaislature. -Eliminates unfunded budget to align spending authority due to the transfer of Home and Community Based

(39,705,368) (68,370,582) Waivers (ACF and Traumatic Brain Injury/Spinal Cord 45 waivers) and unnecessary budget authority for Provider Clinics. This issue reflects a reduction in Data Center customer

(49,226) agency billings in FY 2017-2018 based on reductions in 46 rental and bandwidth costs. Eliminates excess budget authority based upon

(71,381 ,748) (72,900,000) historical reversion analysis for Salaries/Benefits, OPS,

47 Contracted Services, and Fiscal Agent Operations. Also, reduces excess federal grant authority.

(33, 100,000) Technical realignment of Tobacco Settlement Trust

48

33,100,000 Fund.

49 -~______..._·---------------

1,970, 185 Transfers General Revenue funding to Grants and 50 Donations Trust Fund to require the Rural DSH Program

-($1 .2 million) and Regular DSH Program ($750,000) to

(1 ,970,185) be paid from AHCA's Grants and Donations Trust Fund. 51

Funding to procure a fully managed IT security service which will monitor and analyze the Department's

204 ,020 500,000 network in real-time. This total includes recurring 52 funding for annual subscription fees and nonrecurring funds for implementation.

Row ISSUE CODE ISSUE TITLE FTE

#

53 36301CO Florida Medicaid Management Information System (FMMIS)

54 36306CO Background Screening Clearinghouse

55 36308CO Bureau of Financial Services Enterprise Financial System

56 36378CO Provider and Data Management System

57 4000100 Online Payment Transaction Fees

- ~--

58 4105400 Establish Budget Authority for Medicaid Services

-59 Toti-I HEAL TH CARE ADMIN ..,M.07.00 60 61 I PERSONS WITH DISABILITIES - .. -62 1100001 Startup (OPERATING) 2,711.50



l -Transfer from the Agency for Health Care Administration 65 1700020 Intermediate Care Facilities to the Agency for Persons with

Disabilities - Waivers

- -,~-~~~ -----

66 2503080 Direct Billing for Adm inistrative Hearings

3/27/2017 8:12 PM

I


CHAIRMAN'S PROPOSAL

Fiscal Year 2017-2018

RATE REC GR NRGR TOBACCO OTHER STATE

TFs

- 849,631

- 610,000

- 1,536,000

- 750 ,000

- 850,000

-~--~~ - 7,903,599

68 506.430 6 431 .• 8-33.889 400,000 299, 108,002 3, 718, 133,493

I I I I 98,659,539 525,844,302 3,163,542

I

(66,049) (225,978)

66 ,049 225,978

I 1.098.014 ·=c I 60,921

Page 4 of 21

Row ALL TF FED ALL FUNDS COMMENTS

#

6,646 ,677 7,496,308 Funding to procure vendors and consultants associated

53 with the reprocurement of FMMIS. Funding to support full implementation of the

610,000 Background Screening Clearinghouse. All costs are

54 allocated between the 7 state agencies utilizing the services of the Clearinghouse. Funding to cover the cost to transition financial

1,536 ,000 accounting systems from FoxPro to a web based 55 platform . Funding to continue with the next phases of the Provider Data Management System (PDMS) within HQA to

750,000 modify the source systems and any other downstream 56 users to first look to the PDMS for the most recent and accurate information the Agency has on a provider. Increase in budget authority to address pass-through

850,000 service fees collected for electronic payment 57 transactions. Technical issue to align waiver funding within AHCA for

15,621,293 23,524,892 proper claims payments relating to waiver and PACE 58 increases.

15,922, 112,010 26,371 ,587 ,394 59 60

I . >~

732,252,471 1,261,260,315 62

(40,056) (332,083) This issue is part of a statewide realignment which 63 transfers each agency's data processing appropriation from the AST - Data Processing category to the State

40,056 332,083 Data Center - Data Processing category. 64

- -

1,762,887 1

Transfers funding from AHCA funds to APO to transition

2,860,901 25 beneficiaries from Intermediate Care Facilities for the

65 Developmentally Disabled (ICF/DD) to community-based alternatives.

--This issue adjusts the budget in the Transfer to the Division of Administrative Hearings (DOAH)

1,690 62,611 appropriations category based upon the actual number

66 of hearing hours reported for the previous fiscal year and adjusted based on the recommended budget for DOAH in FY 2017-2018.

Row #

ISSUE CODE ISSUE TITLE

67 3000090 Contracted Services for Regional Staff Augmentation

-·

68 3004510 Workload Increase for Fair Hearings

69 33A0601 Nemours Children's Hospital 70 33A0901 Arc Florida Training Resources - Deduct 71 33A0902 Arc Florida Training Resources - Add 72 33A0903 Gateway Arc - Deduct 73 33A0904 Gateway Arc - Add


75 33V1620 Vacant Position Reductions

-76 3303550 State Data Center Reduction In Rental and Bandwidth Costs

77 3401470 Changes to Federal Financial Participation Rate - State 78 3401480 Changes to Federal Financial Participation Rate - Federal

79 36201CO Client Data Management and Electronic Visit Verification Project

80 36202CO Computer Refresh

- --Security Information and Event Management and Data Loss

81 36203CO Prevention Systems

82 36305CO Increase Bandwidth

-83 4000050 Employment and Internships - Individual and Family Supports

Questionnaire for Situational Information Validity and 84 4000180

Reliability Study

3/27/2017 8:12 PM

FTE

-

(59.50)

RATE




TFs

1,405,353

-

- 340,738

(667,000) (25,000'

- 25,000 (2,000,000)

- 2,000,000

(106 ,712) -

(1,793,097) (1 ,760,074) (29,780)

-(3,901) (13,345)

(6,467,749) - ·-- 351 , 190

195,840

364 ,612 59,964 39,804

133,427 14,080

-

- 104,197

Page 5 of 21

.. Row

ALL TF FED ALL FUNDS COMMENTS #

Additional contract staff to mitigate increased workload from bringing clients off the HCBS Medicaid Waiver

930,776 2,336 ,129 waitlist (Waiver liaisons, quality assurance staff, forensic 67 liaisons, administrative support, abuse investigations, provider violations). Funding for additional attorneys to conduct fair hearings

340,739 681 ,477 that will result from implementation of the new iBudget

68 algorithm (statute allows 30 days for a client to contest changes in his/her iBudget allocation).

(667,000 Recurring project reduction . 69 (25,000 This issue converts a recurring base project funding to 70 -25,000 nonrecurring. 71

(2 ,000,000) This issue converts a recurring base project funding to 72 -2,000,000 nonrecurring. 73

(171 ,328) (278,040) Reduces the FY 2014-15 personal needs allowance

74 increase from $105 per month to $70 per month.

(1,000,563) (2, 790,417) Reduction based on positions that have been vacant for

75 180 days or greater. Statewide reduction based on reduced rental and

(2,365) (19,611) bandwidth costs.

76

(6,467,749) Adjustments related to FMAP change from 61 .01% to 77 6,467,749 6,467,749 61 .62%. 78

1,650,732 2,001 ,922 Continued funding for the data system that will collect

79 Medicaid provider and client service information. Supports a recurring computer refresh program enabling

110,160 306,000 the agency to replace all computers every five years or 80 360 computers annually. System enhancements to prevent breaches of

238,824 703,204 confidential information as required by state and federal 81 rules (HIPPA). Funds increased bandwidth (internet speed) for the

75,052 222,559 agency's regional offices and Developmental Disability 82 Centers. Funding to assist approximately 150 Waiver waitlist

500,000 500,000 clients gain employment or paid internships.

83

Funding to contract for a validity and reliability testing of 104,198 208,395 the QSI survey which is used to assess the optimal 84

needs of the client.


#

85 4000560 Waiver Rates for Nurses

86 4000780 Waiver Intensive Behavior Models

Serve Additional Clients on the Home and Community Based 87 4001200

Services Waiver Waitlist

88 4001261 Easter Seals - Brevard County 89 4003200 Our Pride Academy Child Care Training Program

90 4003306 Operation Grow - Seminole County Work Opportunity Program

91 4003308 Area Stage Company (ASC) Developmental Disabilities Theater Program for Children

92 4003316 Arc Jacksonville 93 4003318 JAFCO's Children's Ability Center 94 990COOO Code Corrections

95 080754 APDIFCO Needs/Gen Mgd Faes

96 990GOOO Grants and Aids - Fixed Capital Outlay

97 140211 Foci-Persons W/Oisabilities

3/27/2017 8:12 PM

FTE RATE




TFs

1,294,969

1,759 ,295

2,874, 143

- 50,000 - 600,000

- 240,000

- 175,000

- 300,000 - 500,000 -

- 850,000

-

- 1,325,000

Page 6 of 21


#

Increases the rate for Waiver nursing services to a level equal to that paid by the Medicaid State Plan. The 2016-

2,079 ,104 3,374 ,073 17 GAA provides an increase to the Medicaid State Plan

85 nursing rates; consequently, some nursing providers have discontinued providing Waiver services and increased Medicaid State Plan services. Provides a new intensive behavior model for clients with a dual diagnosis of developmental and mental health

2,824 ,590 4,583,885 disorders. Funding will be provided towards new 86 residential settings and specialized training and placed in a QEC pending a final Agency plan . Funding to serve an additional 682 clients from the Home and Community-Based Services Medicaid Waiver. It is expected these individuals will be

4,614 ,505 7,488,648 determined as critical needs, the highest priority for 87 placement. The same amount is annualized to account for the administrative delay that accompanies new clients.

50,000 Community Initiative - HB 2135 88 600,000 Community Initiative - HB 2747 89

240,000 Community Initiative - HB 2121 90



- 94 Funds Americans with Disabilities Act (ADA)

850,000 accessibility modifications and other critical repairs to 95 state facilities .

- 96 Community Initiative - HB 3629 (Stirring the Waters $500,000) Community Initiative - HB 2741 (Miracle League

1,325,000 $300,000)

97 Community Initiative - HB 4089 (ARC Nature Coast $425,000) Community Initiative - HB 3029 (ARC Broward $100,000)


# 98 990MOOO Maintenance and Repair

99 080754 APDIFCO Needs/Gen Mgd Faes

f----

100 Total PERSONS WITH DISABILITIES -!CHILDREN & FAMILIES

101 ~ ---

102 103 1100001 Startup (OPERATING)

104 160F250 Transfer Expenses to Other Personal Services for the State Office on Homelessness - Add

160F260 Transfer Expenses to Other Personal Services for the State

105 Office on Homelessness - Deduct



Transfer Four Contractor Positions from the Agency for State 108 1702020 Technology to the Department of Children and Family

Services - Add

109 1800310 Bandwidth Costs Related to Northwood Move - Add

110 1800320 Bandwidth Costs Related to Northwood Move - Deduct

111 2000760 Realignment of Resources Within the Department - Add

112 2000770 Realignment of Resources Within the Department - Deduct

113 2002260 Office of Substance Abuse and Mental Health Realignment Between Appropriation Categories - Add

114 2002270 Office of Substance Abuse and Mental Health Realignment Between Appropriation Categories - Deduct


3/27/2017 8:12 PM

FTE

2,652.00

I 11 ,909.50

6.00

(6.00)


CHAIRMAN'S PROPOSAL



TFs

-

- 850,000

3,619,236 96,866,442 1 524,000,'=i 7...lli.J...54 -f I

479,336,287 1,688,296,299 46,540,098

82,000

(82,000)

(8,553,368) (2,669,242)

8,553,368 2,669,242

598,104

138,583

(138,583)

356,525 302,864 67,553

(356,525) (302,864) (67,553)

136,798

(136 ,798)

223,073

Page 7 of 21

ALL TF FED ALL FUNDS COMMENTS Row

#

- 98 Funds Americans with Disabilities Act (ADA)

850,000 accessibility modifications and other critical repairs to 99 state facilities.

752,779,221 1,287,725,051 100

I 101 I I .~

1,279,534,352 3,014,370,749 103

82 ,000 Annualization of previously approved budget

104

(82 ,000) amendment.

105

(7,021 ,250) ( 18,243,860) This issue is part of a statewide realignment which 106 transfers each agency's data processing appropriation

7,021 ,250 18,243,860 from the AST - Data Processing category to the State 107 Data Center - Data Processing category.

Transfer funding for contractors who were specifically designated for the Department of Children and Families

147,376 745,480 application development. This transfer does not create 108 a new service, but allows the department to continue implementation of its application development.

Realigns budget authority between the categories State 138,583 Data Center AST and Expenses in order to allow 109

bandwidth services to be handled by the Division of Telecommunications within the Department of

(138,583) Management Services instead of the Agency for State 110 Technology.

130,051 500,468 Technical realignment among several program 111

(130,051) (500,468) components and budget entities to properly align

112 positions based on their prescribed work function .

72 ,614 209,412 This issue properly aligns budget with anticipated 113

expenditure needs in the delivery of substance abuse

(72 ,614) (209,412) and mental health services. 114

This issue adjusts the budget in the Transfer to the Division of Administrative Hearings (DOAH)

223,073 appropriations category based upon the actual number



#

Cash Assistance Adjustment - Estimating Conference 116 3000091

Adjustment

117 3000120 Restore Funding for Additional Staff for the State Mental Health Treatment Facilities


119 33A0401 Informed Families of Florida 120 33A0403 First Steps of Sarasota 121 33A0404 Vivitrol Extended Release Naltrexone 122 33A0405 Circles of Care 123 33A0905 Here's Help - Deduct 124 33A0906 Here's Help - Add

125 33A0907 Drug Abuse Comprehensive Coordinating Office (DACCO) -Deduct - --

126 33A0908 Drug Abuse Comprehensive Coordinating Office (DACCO) -Add

127 33A0943 Ft. Myers Salvation Army - Deduct 128 33A0944 Ft. Myers Salvation Army - Add

129 33V0320 Reduce Central Receiving Facilities

130 33V0340 Eliminate Mental Health Transition Vouchers



Adult Community Mental Health - County Criminal Justice 133 33V7080

(CJ) Grants Reduction

134 33V7420 Reduce Optional State Supplement -

135 330FOOO Eliminate Unfunded Budget

Reduction Related to Transfer of Four Contractor Positions 136 3300300 from Agency for Statewide Technology to Department of

Children and Families


3/27/2017 8:12 PM

FTE

(19.00)

RATE




TFs

(11 ,808,081)

2,709,181

I

-

(750,000) (278,100)

(1 ,500,000) (1,455,000)

(200,000' - 200,000

(250,000)

- 250,000

(165,000) - 165,000

( 10,000,000)

(3,500,000)

(2,595,009)

(941 ,778) (590,243) (29,601)

(3,000,000)

(1,000,000) ..

- (195,149)

(598,104)

(206,877) (66,433)

Page 8 of 21


# Reduction based on decreased T ANF caseloads

(11 ,808,081) pursuant to the most recent Social Services Estimating 116 Conference. Restores funding for 79 OPS positions that assist with

2,709,181 monitoring residents deemed to be a serious risk to

117 themselves or others and require additional staff coverage. Reduces budget authority for the elimination of the

(49,028,275) (49,028,275) Refugee and Entrant Services beginning January 1,


(750,000) Recurring project reduction . 119 (278,100) Recurring project reduction . 120

(1 ,500,000) Recurring project reduction . 121 (1 ,455,000' Recurring project reduction . 122

(200,000) This issue converts a recurring base project funding to 123 I--

200,000 nonrecurring. 124

(250,000) This issue converts a recurring base project funding to 125 -

250,000 nonrecurring.

126

(165,000) This issue converts a recurring base project fund ing to 127 165,000 nonrecurring . 128

(10,000,000) Reduction based on half of the recurring base

129 appropriation .

(3,500,000) Reduction of total base appropriation initially funded in

130 FY 2016-17.

(12 ,681) (2,607,690) Reduces the FY 2014-15 personal needs allowance

131 from $105 monthly to $70 monthly.

(696,412) (1 ,316,256) Reduction based on positions that have been vacant for

132 180 days or greater. Partial reduction to the FY 2016-17 increase. The base

(3,000,000) for this program will become $6M, which is double the 133 amount prior to FY 2016-17.

(1 ,000,000) Reduction based upon budget surplus in this program. 134 - Eliminates budget for which there is no longer a (4,230,524) (4,425,673)

dedicated fund source. 135

Corresponding reduction to Issue #1702020 that (147,376) (745,480) 136

transfers DCF-specific application funding from AST.

This issue reflects a reduction in Data Center customer (152,241) (425,551) agency billings in FY 2017-2018 based on reductions in 137

rental and bandwidth costs.


#

138 3400220 Changes In Federal Financial Participation for Maintenance Adoption Subsidy - Deduct

139 3400230 Changes In Federal Financial Participation for Maintenance Adoption Subsidy - Add

140 3400260 Realign General Revenue with Temporary Assistance for Needy Families - Deduct

141 3400270 Realign General Revenue with Temporary Assistance for Needy Families - Add

142 3401470 Changes to Federal Financial Participation Rate - State 143 3401480 Changes to Federal Financial Participation Rate - Federal

144 3407080 Substance Abuse and Mental Health Fund Shift - Add

145 3407090 Substance Abuse and Mental Health Fund Shift - Deduct

Substance Abuse and Mental Health Financial and Service 146 36312CO

Accounting System

147 36322CO Continued Resources for Florida Safe Families Network (FSFN) During Conversion to Cloud Services

148 36323CO Electronic Personal Health Records for Foster Children

149 36329CO Medicaid Eligibility System (MES) System Software Annual License Maintenance

Federal Information Security and Privacy for Minimum 150 36335CO

Acceptable Risk Standards for Exchanges (MARS-E)

151 36336CO Florida Abuse Hotline Technology Refresh

Enhancing Family Safety Through Florida Safe Families 152 36353CO

Network (FSFN) Services Modules Improvements

Improve Programs at the State Mental Health Treatment 153 4000160

Facilities 90.00

3/27/2017 8:12 PM

RATE




TFs

(607,725)

-

(1 ,553.400)

-

(44,677) -

-

-

ALL TF FED

607,725

1,553.400

44,677

159,526

(159,526)

-·- --- 2,000,000

1,350.437 1,350.438

- 350,000

228,268 353,908

- 106,828 28.423 839.749

- 435,589 70.447

- 451 ,677 428,323

4,103,092 5,988,989 386,640

Page 9 of 21

ALL FUNDS COMMENTS Row

#

(607,725) Adjustments related to FMAP change from 61 .01 % to 138

607,725 61.62%.

139

(1 ,553.400) Realigns funding based upon historical reversions of 140

1,553.400 T ANF budget authority.

141

(44,677) Adjustments related to FMAP change from 61 .01 % to 142 44,677 61 .62%. 143

Realignment to maintain two positions that are funded 159,526 by a grant that will end in Fiscal Year 2016-17. These 144

positions are responsible for data reporting

(159,526) requirements of the substance abuse and mental health

145 block grants.

Funding to continue the development of a financial and 2,000,000 services tracking and information system for community 146

based services.

2.700,875 Resources necessary to continue the transition of FSFN

147 to a cloud based service provider.

350,000 Statewide enhancement- HB 2105 148 Funding to renew annual software licenses that are

582 , 176 expiring for the Medicaid Eligibility System . Renewed

149 licenses are needed to maintain fully supported systems software . Funding to remain compliant with information security

975,000 and data privacy requirements for state systems 150 interfacing with federal exchanges. Updates the Florida Abuse Hotline Telephone and CRM

506,036 Systems to remain on vendor recommended support 151 levels. This issue will allow for the capture of services data into FSFN, the generation of reports , and the ability to

880,000 upload standardized data from numerous providers . 152 The data will provide the ability to assess outcomes of the services. Funds additional staff resources at the Mental Health Treatment Facilities based upon an analysis showing

6,375 ,629 Florida's therapist-to-resident ratio are lower than 153 comparable states, where staffing models were based in response to a Department of Justice lawsuit.


#

154 4000210 Foster Parent Cost of Living Adjustment Growth Rate

-f-

155 4000610 Domestic Violence Operations - ---

156 4000660 Community Based Care Risk Pool

157 4000823 Expand Services to Sexually Exploited Youth - Devereux

Restore Direct Services Funding for Mental Health and 158 4000920

Substance Abuse

159 4001140 Increase to Core Service Funding for Community Based Care Lead Agencies

160 4003355 Citrus Health Network - Safe Haven Homeless Youth 161 4004310 Marissa Amora Relief Bill Annual Request

162 4005210 Juvenile Incompetent to Proceed Program

f---

Maintenance Adoption Subsidy and Other Adoption 163 4006010

Assistance

164 4007200 Nonrelative Caregiver Program Growth

Specialized Treatment Programs for Dually Served Youth and 165 4007300

Families

Increase Federal Grant Authority for Domestic Violence 166 4400150

Programs

167 4402006 Clay Behavioral Health Community Crisis Prevention Team 168 4402008 Grace Point Crisis Stabilization Unit 169 4402026 Meridian Behavioral Healthcare 170 4402027 Directions for Living 171 4402038 Stewart-Marchman Behavioral Healthcare 172 4402040 Here's Help 173 4402047 Lakeview Center 174 4402048 Family First

3/27/2017 8:12 PM

FTE RATE




TFs

600 ,000

- 1,000,000

- 5,000,000

- 700,000

- 8,000 ,000

11 ,267,232 4,326 ,000

- 140,800 - 1,700,000

556 ,524

3,357,150

1,200,000

-

--·--

- 300,000 - 848,000 - 500,000 - 400,000 - 750,000

·- --- -----· - 300,000 - 750,000 --- 475,000

Page 10 of 21


# Cost of living increase to foster parents' room and board

440,121 1,040, 121 rate calculated on the CPI index pursuant to 154 requirements of chapter 2013-178, F.S.

1,000,000 Increase funding to support the state's domestic

155 violence programs and services. Funds the Community-based Care (CBC) lead agency

5,000,000 risk pool to mitigate operating deficits that may occur

156 from unanticipated events. The Risk Pool is established pursuant to s. 409.990(7)(a), F.S.


Provides nonrecurring General Revenue and recurring 3, 500,000 11 ,500,000 federal block grants to partially mitigate reduction issues 158

#33V0320 #33V0340 #33V7080. -

Funding increase to CBC core service functions to 4,406,768 20 ,000,000 compensate for the increase of out-of-home care 159

caseloads. 140,800 Community Initiative - HB 4123 160

1,700,000 Funding for the final installment of a Claims Bill. 161 Funds community-based competency restoration

556,524 services for juveniles with a mental illness, intellectual

162 disability, autism or dual diagnosis and are adjudicated incompetent to proceed to trial. Funding for the Maintenance Adoption Subsidy (MAS)

2,942 ,343 6,299,493 increase as determined by department calculations for 163 an additional 3,500 adoption finalizations. Funding for the program 's increase of caseloads. This

1,200,000 program provides financial assistance for nonrelative 164 placement when a child is removed from the home. Funds three pilot programs with in-home services to

1,061 ,300 1,061 ,300 youth who are dually-served by the child welfare and 165 juvenile justice systems. Increase of federal budget authority for the Grants to

5,027,274 5,027 ,274 Encourage Arrest Policies and Enforcement of 166 Protection Orders Program .

300,000 Community Initiative - HB 2263 167 848,000 Community Initiative - HB 3491 168 500,000 Community Initiative - HB 3063 169 400,000 Community Initiative - HB 3897 170 750,000 Community Initiative - HB 3113 171 300,000 Community Initiative - HB 4359 172 750,000 Community Initiative - HB 3311 173 475,000 Communitv Initiative - HB 2285 174

Row ISSUE CODE ISSUE TITLE FTE RATE

#

175 4402051 Partnership for Strong Families Community Based Care Lead Agency

176 4402053 Camelot Community Care 177 4402055 Starting Point Behavioral Healthcare 178 4402057 Camillus House Human Trafficking Services

179 4402058 Forever Family Child Safety and Adoption Awareness Initiative

180 4402061 Northside Mental Health Center

181 4402065 Substance Abuse and Mental Health Community-Based Programs

182 4402070 Results Oriented Accountability and Data Analytics

183 4402072 Aoalachee Center - Forensic Residential Treatment

184 4402074 Family Preservation Services - Children's Community Action Team

185 4402075 Osceola Mental Health - Children's Community Action Treatment Team

186 4402076 Jewish Family and Children Services of the Suncoast 187 4402077 Henderson Behavioral Healthcare 188 4402078 Life Management Center of Northwest Florida

189 4402079 Charlotte Behavioral Healthcare - Children's Community Action Treatment Team

190 4402080 Automated Employment and Income Verification

191 4600130 Agape Network - Integrated Care Team, Behavioral Health Services

I----192 4600140 Bridgeway Center Emergency Mobile Access Team

193 4600230 New Hope Residential Substance Abuse and Mental Health Treatment Project

194 4600270 Opioid Peer Coach Pilot Program - Manatee County 195 4600540 Baycare Behavioral Health - Children and Families 196 4600710 Lifestream Crisis Stabilization Unit 197 990GOOO Grants and Aids - Fixed Capital Outlay

198 140188 Residential Support

199 140431 Housing/Child Abuse Victim

3/27/2017 8:12 PM




TFs

- 100,000

- 250,000 - 300,000 --- 500,000

-I 250,000

- 275,000

12,950,000

--

- 1,001,560

- 750,000

- 750,000

- 100,000 - 750,000 - 700,000

- 750,000

2,284, 164

- 567,250

- 350,000

- 500,000

- 100,000 - 485,000 - 1, 123,634 -

- 467,000

- 1,500,000

Page 11 of 21

ALL TF FED

2,000,000

2,150,636


#


250,000 Community Initiative - HB 3499 176 300,000 Community Initiative - HB 4045 177 500,000 Community Initiative - HB 4369 178


275,000 Community Initiative - HB 4039 180 Increased funding available to support community-

12,950,000 based behavioral health programs. Funding provided in

181 a lump sum to enable the Department to seek grant proposals to provide funds in area of greatest need. This issue provides funding to continue the

2,000,000 development of the child welfare Results Oriented 182 Accountability system.

1,001 ,560 Community Initiative - HB 2067 183

750,000 Community Initiative - HB 3675 184 - -


100,000 Community Initiative - HB 2179 186 750,000 Community Initiative - HB 3153 187 700,000 Community Initiative - HB 2939 188


Funding to continue contracting for wage verification 4,434,800 services to acquire current employment and income 190

information for public assistance eligibility determination.





1, 123,634 Community Initiative - HB 3591 196 - 197

Community Initiative - HB 2743 (Fellowship House

467,000 $67,000)

198 Community Initiative - HB 3099 (Gateway Supportive Housing $400,000)

1,500,000 Community Initiative - HB 2085 (All Star Children 's

199 Campus of Caring )


# 200 140671 Facilities for Indigent 201 990MOOO Maintenance and Repair

202 080751 HRS/Cap Needs/Gen Mgd Faes

i- - --203 Total CHILDREN & FAMILIES '204 -205 I ELDER AFFAIRS 206 1100001 Startup (OPERATING) 207 17C08CO Data Processing Services Category - Deduct 208 17C09CO Data Processing Services Category - Add


210 33A0200 West Central Florida Area on Aging , Inc. (MODEL DAY CARE PROJECT)

211 33A0201 Mid-Florida Area Agency on Aging , Inc. (MODEL DAY CARE PROJECT)

212 33A0202 Alliance for Aging , Inc. (MODEL DAY CARE PROJECT) 213 33A0203 University of South Florida Policy Exchange 214 33A0204 Alliance for Aging , Inc. 215 33A0205 Aging and Disability Resource Center of Broward 216 33A0206 Area Agency on Aging of Pasco- Pinellas, Inc. 217 33A0207 _ Areawide Council on Aging of Broward County

218 33A0208 Southwest Focal Point Community Center - City of Pembroke Pines

219 33A0210 Little Havana Activities and Nutrition Centers of Dade County, Inc.

220 33A0909 Alzheimer's Caregiver Program - Deduct 221 33A0910 Alzheimer's Caregiver Program - Add 222 33A0911 Alzheimer's Family Care Center of Broward County - Deduct 223 33A0912 Alzheimer's Family Care Center of Broward County - Add 224 33A0913 Alzheimer's Memory Mobile - Deduct 225 33A0914 Alzheimer's Memory Mobile - Add 226 33A0915 Dan Cantor Center - Alzheimer's Project - Deduct 227 33A0916 Dan Cantor Center - Alzheimer's Project - Add 228 33A0917 Deerfield Beach Day Care Center - Deduct 229 33A0918 Deerfield Beach Day Care Center - Add 230 33A0919 Austin Hepburn Senior Mini-Center - City of Hialeah - Deduct

231 33A0920 Austin Hepburn Senior Mini-Center - City of Hallandale Beach -Add

3/27/2017 8:12 PM


CHAIRMAN'S PROPOSAL


FTE RATE REC GR NRGR TOBACCO OTHER STATE

TFs - 218,000 -

- 2,000 ,000

11,980.50 T 482,491,601 1,691,507,~ 35,622,978 r - 53,977,338

I I I I I 439.50 18,498,267 127,577,033 722,268

(27,784) 27 ,784

(5,452) ---- ---- ~----------"'--------· _ __.__.

(113,355)

(113,355)

(113,355 (80,997)

(152 ,626 (119,537) (105,571' (167,292)

(23,234)

(334,770)

(162,568) - 162,568

(220,454) - 220,454

(100,000) - 100,000

(169,287 - 169,287

(195,150 - 195, 150

(82 ,080

- 82,080

Page 12 of 21


ALL TF FED #

218,000 Community Initiative - HB 21 77 (Love and Hope Center) 200 - 201

Fixed capital outlay needs at state hospitals and

2,000,000 regional offices, including HVAC repairs , code

202 corrections, electrical repairs, and window replacements. -- 203 1,252, 191 ,~ 3,033,298,849

204 I I 205 ,_

174,408,046 302,707,347 206 (534,809) (562,593) Technical adjustment that transfers funding between 207 534 ,809 562 ,593 data processing categories. 208

(5,452) Division of Administrative Hearings assessments based

209 on statewide assessment. -

(113,355) Recurring project reduction . 210


(113,355) Recurring project reduction . 212 (80,997' Recurring project reduction . 213

(152 ,626) Recurring project reduction . 214 (119,537) Recurring project reduction . 215 (105,571) Recurring proiect reduction . 216 (167,292) Recurring project reduction . 217



(162 ,568) This issue converts a recurring base project fund ing to 220 162,568 nonrecurring. 221

(220,454 This issue converts a recurring base project funding to '~

220,454 nonrecurring. 223 (100,000) This issue converts a recurring base project funding to 224 ,_

100,000 nonrecurring. 225 (169,287) This issue converts a recurring base project funding to 226 169,287 nonrecurring. m

(195, 150) This issue converts a recurring base project funding to 228 195,150 nonrecurring. 229 (82,080)

This issue converts a recurring base project funding to ,.?lQ

82,080 nonrecurring . 231


#

232 33A0921 Elderly House Call Program - Mount Sinai Medical Center -Deduct

233 33A0922 Elderly House Call Program - Mount Sinai Center - Add 234 33A0923 Federation Transportation Services - Deduct 235 33A0924 Federation Transportation Services - Add 236 33A0925 Feed the Elderly - 55 Years & Up, Inc. - Deduct 237 33A0926 Feed the Elderly - 55 Years & Up, Inc. - Add 238 33A0927 Hialeah Gardens Elderly - Dade County - Deduct 239 33A0928 Hialeah Gardens Elderly - Dade County - Add

240 33A0929 Holocaust Survivors Assistance Program - Boca Raton Jewish Federation - Deduct Holocaust Survivors Assistance Program - Boca Raton

241 33A0930 Jewish Federation - Add

242 33A0931 Lippman Senior Center - Deduct 243 33A0932 Lippman Senior Center - Add

244 33A0933 Michael-Ann Russell Jewish Community Center - Sr. Wellness Center - Deduct Michael-Ann Russell Jewish Community Center - Sr.

245 33A0934 Wellness Center - Add

246 33A0935 Neighborly Pharmacy Program - Neighborly Care Network -Deduct Neighborly Pharmacy Program - Neighborly Care Network -

247 33A0936 Add



250 3306000 Reduce Excess Budget Authority - -

251 3400050 Realignment of Funds to Support the Comprehensive Eligibility Services Program - Add

252 3400060 Realignment of Funds to Support the Comprehensive Eligibility Services Program - Deduct

- -253 3401470 Changes to Federal Participation Rate - State Expenses 254 3401480 Chanaes to Federal Participation Rate - Federal Expenses

3/27/201 7 8:12 PM

FTE

(18.00)

RATE




TFs

(164, 160)

- 164, 160 (143,640)

- 143,640 (37,178)

- 37, 178 (46,468)

- 46,468

(92 ,946)

- 92,946

(228,000) - 228,000

(83,647)

- 83,647

(83 ,647)

- 83,647

(610,654) (258,359) -

(832)

-·-

3,288,015

(23,940)

-(291 ,081)

-

Page 13 of 21


#

(164, 160) This issue converts a recurring base project funding to 232

164, 160 nonrecurring.

233 (143,640) This issue converts a recurring base project funding to 234 -143,640 nonrecurring. 235 (37, 178 This issue converts a recurring base project funding to 236 37,178 nonrecurring. 237

(46,468) This issue converts a recurring base project funding to 238 46,468 nonrecurring . 239

(92 ,946) This issue converts a recurring base project funding to

240 --

92 ,946 nonrecurring .

241

(228,000) This issue converts a recurring base project funding to 242 -228,000 nonrecurring. 243

(83,647) This issue converts a recurring base project funding to

244 -


245

(83,647) This issue converts a recurring base project funding to

246 ~


247

(664,352) (922,711) Reduction based on positions that have been vacant for

248 180 days or greater. This issue reflects a reduction in Data Center customer

(16,012) (16,844) agency billings in FY 2017-2018 based on reductions in 249 rental and bandwidth costs.

(2,000,000) (2,000,000) Eliminates excess budget authority due to historical

250 - - reversion analysis of federal grant funding .

23,940 3,311 ,955 Transfers funds for the Comprehensive Assessment 251 and Review for Long Term Care Services (CARES) f---

program to adjust for the Federal Financial Participation enhanced match going from 75% to 50% for providing Pre-admission Screening and Resident Reviews

(3,288,015) (3,311 ,955) (PASRR) and Medicaid Institutional Care Program (ICP)

252 reviews to ensure individuals are appropriately placed in the least restrictive care setting . CMS approval of AHCA's Public Assistance Cost Allocation Plan was approved May 31 , 2016.

,- -(291 ,081) Adjustments related to FMAP change from 61 .01 % to 253

291 ,081 291 ,081 61 .62%. 254

Row #

ISSUE CODE ISSUE TITLE

255 4100030 Aging Resource Centers

Alzheimer's Disease Initiative - Frail Elders Waiting for 256 4100040

Services

Serve Additional Clients In the Community Care for the 257 4100200

Elderly (CCE) Program

Serve Additional Clients In the Home Care for the Elderly 258 4100210

(HCE) Program

259 4100274 City of Hialeah Gardens - Hot Meals 260 4100275 City of Hialeah - Meals Program 261 4100276 Community Coalition Hot Meals Program 262 4100278 Jewish Family and Community Services of Southwest Florida

263 4100280 Northeast Florida Area Agency on Aging - Home Delivered Meals Hospice Foundation of America - Improving Communication

264 4100281 and Knowledge Around Advance Care Planning and End-Of-Life

265 4100282 Center for Independent Living Central Florida , Inc. - Central Florida Health and Safety for Seniors Pilot Project

266 4100284 The Silver Club Program at WOW

267 4300750 Pace Expansion - Add

268 4400080 Recurring Funding for Public Guardianship Program

3/27/2017 8:12 PM

FTE RATE




TFs

176,087

3,000 ,000

4,000 ,000

3,000,000

- 245,532 - 1, 150,000 - 250,000 - 50,000

- 400,000

- 185,000

- 375,000

- 170,408

1,547 ,578

750,000

Page 14 of 21

•.. - Row ALL TF FED ALL FUNDS COMMENTS

# Funding for distribution to the 11 Area Agencies on

176,087 352, 174 Aging to assist seniors and individuals with disabilities in

255 enrolling in the Statewide Medicaid Managed Care Long Term Care program . Funding for the Alzheimer's Disease Initiative to serve caregivers and frail individuals diagnosed or suspected

3,000,000 of having Alzheimer's Disease or other related memory 256 disorders. Will serve approximately 249 individuals from the waitlist at a cost of $12 ,028 per slot. Funding for Community Care for the Elderly program to serve individuals aged 60 or greater, that have been

4,000,000 assessed as frail , functionally impaired , and at risk of 257 nursing home placement. Will serve approximately 497 individuals from the waitlist at a cost of $8,046 per slot. Funding for the Home Care for the Elderly Program to serve individuals 30 and older in family-type living arrangements within private homes as an alternative to

3,000,000 institutional or nursing facility care. A basic subsidy is 258 provided for support and maintenance of the elder, including some medical costs. Will serve approximately 1,302 individuals.

245,532 Community Initiative - HB 2053 259 1, 150,000 Community Initiative - HB 2055 260






2,484,674 4,032 ,252 Funding for PACE expansion in Miami-Dade County

267 (100 slots) and Broward County (50 slots). Funding for the Public Guardianship Program to provide

750,000 public guardianship services to 285 additional

268 incapacitated and indigent persons from the public quardian proqram waitlists.


# 269 990GOOO Grants and Aids - Fixed Capital Outlay

270 140033 G/A-Alzh Comm Care/Serv >-----

271 140080 GIA-Senior Citizen Centers

'm Total ELDER AFFAIRS 'm

- i HEALTH ~ 275 1100001 Startup (OPERATING)

276 160E470 Realignment of Agency Spending Authority for Data Center Billing - Deduct

277 160E480 Realignment of Agency Spending Authority for Data Center Billing -Add

Continuation of Budget Amendment Epidemiology and Lab 278 1601510

Capacity Zika Arboviral Disease and Pregnancy Registry


280 17C09CO Data Processing Services Category - Add Transfer Brain and Spinal Cord Home and Community Based

281 1700240 Services Waiver to Agency for Healthcare Administration (AHCA) - Deduct Transfer Cystic Fibrosis Home and Community Based

282 1700250 Services Waiver to Agency for Healthcare Administration (AHCA) - Deduct

-Realignment of Prescription Drug Monitoring Expenditures -

283 2000520 Deduct

284 2000530 Realignment of Prescription Drug Monitoring Expenditures -Add

285 2001040 Realign Full-Time Equivalent (FTE), Rate, and Budget Between Budget Entities for the Dental Program - Deduct

286 2001050 Realign Full-Time Equivalent (FTE), Rate, and Budget

- Between Budget Entities for the Dental Program - Add

287 2001060 Transfer Other Personal Services to Full-Time Equivalents (FTE) for Newborn HearinQ Program - Deduct

288 2001070 Transfer Other Personal Services to Full-Time Equivalents ' FTE) for Newborn Hearin<l Pro<1ram - Add

3/27/2017 8:12 PM

FTE RATE

-


CHAIRMAN'S PROPOSAL



TFs

-- 196,000

-· --

- 500,000

421==-r= 17.887.613 r 139,625.732 f 5,331,165+ . 722,268

I 14,065.57 592,913,968 502,311,031 68,073,956 922,725,484

- (22,991)

- 22,991

-

(911,377) (1 ,652,883)

911 ,377 1,652,883 ---

(1 ,977,856)

(474,206)

- --~----~-(499,985)

499,985

(4.00) (285,471) (538,702)

4.00 285,471 538,702

ALL TF FED

[ 111 ,415,449T

I I 1,37 4,563,444

5,751 ,273

(3,179,166)

3,179,166

(209,804)

209,804

- ~--~- ------~---- ,-..------------~--- ---·-(3.00) (104,599) - (157,037)

3.00 104,599 - 157,037

Page 15 of 21

Row ALL FUNDS COMMENTS

#

- 269

196,000 Community Initiative - HB 3263 (Easter Seals of Florida

270 Adult Day Care Center in Kendall) Community Initiative - HB 4361 (Southwest Social

500,000 Services Programs, Inc. - Dr. Armando Badia Senior 271 Center) - >-----

317,094,614 272 ,_ 273

~ 2,867,673,915

-275

(22,991) Technical transfer of data center billing funds between

276

22 ,991 categories.

277

Provides for continuation of budget authority to support 5,751 ,273 the Centers for Disease Control and Prevention award 278

relating to detecting and responding to Zika .

This issue is part of a statewide realignment which (5,743,426) transfers each agency's data processing appropriation 279

from the AST - Data Processing category to the State

5,743,426 Data Center - Data Processing category.

280 Transfers the Brain and Spinal Cord Injury Waiver to the

(1 ,977,856) Long-term Care component of Medicaid Managed Care 281 program in AHCA effective January 1, 2018. Transfers the Cystic Fibrosis Waiver to the Long-term

(474,206) Care component of Medicaid Managed Care program in 282 AHCA effective January 1, 2018.

~

(709,789) Technical transfer of Prescription Drug Monitoring

283

709,789 Program funds between categories.

284

(538,702) Technical transfer of Dental Program FTEs from County 285 Health Departments to headquarters to comport with the

538,702 DOH organizational structure.

286

(157 ,037) 287 Transfer of OPS positions to full time equivalent (FTEs)

!-

157,037 in the Newborn Hearing Program .

288


#

289 2001080 Realign X-Ray Inspection Program - Deduct

290 2001090 . Realign X-Ray Inspection Program - Add

291 2401010 l Replacement Equipment- High Purity Germanium Detector


293 3000200 Workload - Epidemiology, Surveillance and Outbreak Control

294 3000210 Workload - Early Steps - Transfer Full-Time Equivalent (FTE} and Rate

295 3000220 Workload - Early Steps

296 3000230 Workload - Child Protection Teams

297 3000240 Workload - Office of General Counsel Increased Litigation

Workload - Institutional Review Board - Transfer Full-Time 298 3000250

Equivalent (FTE) and Rate

299 3000260 Workload - Institutional Review Board Infrastructure Development

300 3000280 Workload - Office of Compassionate Use

3/27/2017 8:12 PM



FTE RATE REC GR NRGR TOBACCO OTHER STATE

TFs

(3.00) (120,350) - (176 ,194)

3.00 120,350 - 176,194 _

- I - I I -~-~-~~

1-= ~.-----1 100,000 l ---.- --.-~-.,.-.......-----

- 72,611

---·-· --·------ ·- - 1 -1,809,784 90,216 1,900 ,000

(7.00) (336,173) -

7.00 336, 173 -

1,382,033 357,000

-

(1 .00) (50,226) - (94, 130)

1.00 50,226 - 94,130

9.00 410,322 - 785,092

Page 16 of 21


#

(176,194) Transfer of X-Ray Inspection Program FTEs from

289 County Health Departments to headquarters to comport

176,194 with DOH organizational structure.

290

=--=c= 100,000 Provides funding for the replacement of two high purity

291 germanium detectors (detects radioactive levels). This issue adjusts the budget in the Transfer to the Division of Administrative Hearings (DOAH)

8,682 81 ,293 appropriations category based upon the actual number


~

Provides funding for established FTEs for 21 new 3,800,000 epidemiologists to assist with disease investigation and 293

outbreak control.

(641 ,165) (641 , 165) Transfer of 7 vacant FTEs from County Health

294 Departments to headquarters to support additional workload in the Early Steps Program . -

641, 165 641 ,165 295 Provides funding for established FTEs for 9 ARNPs and 9 Case Coordinators and the purchase of 17 iRecord

1,739,033 System sites (high quality and reliable recording) to

296 increase capacity for follow-up activities referred to Child Protection Teams in the assessment of serious cases of child abuse and neglect. Provides funding to contract with outside counsel to assist with ongoing legal cases and projected litigation in the areas of:

2,775,000 2,775,000 Children's Medical Services - $1 ,000,000 297 Trauma - $800,000 Compassionate Use - $800,000 Vital Statistics - $175,000

Transfer of 1 vacant FTE from the County Health (94, 130) Departments to the Institutional Review Board program 298

to assist with the processing of research applications, modifications, and continuing reviews relating to

-94, 130

biomedical and behavioral research on human subjects. 299

785,092 Provides funding for 9 FTEs in the Office of

300 Compassionate Use.


#

301 3000300 Workload - New Test for Newborn Screening Program

302 3000310 Workload - Newborn Screening Diagnostic Centers

Workload - Disability Benefits Determinations Consultative 303 3000320

Examinations


305 33A0801 Economic Opportunity Dade

306 33A0802 Florida State University College of Medicine - lmmokalee Primary Care

307 33A0803 County Specific Dental Projects - Charlotte, Lee, Collier 308 33A0804 Martin County Health Department - Water Testing 309 33A0805 Manatee County Rural Health Services 310 33A0806 Duval Teen Pregnancy Prevention

311 33A0807 Southwest Alachua County Primary and Community Health Care Clinic - Acorn

312 33A0808 St. Joseph's Children's Hospital 313 33A0809 Alpha One Program

314 33A0937 Islet Cell Transplantation to Cure Diabetes - Add

315 33A0938 Islet Cell Transplantation to Cure Diabetes - Deduct University of Miami - Human Immunodeficiency

316 33A0939 Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) Research - Deduct University of Miami - Human Immunodeficiency

317 33A0940 Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) Research- Add

318 33V0040 Reduce Children's Medical Services Safety Net Program


3/27/201 7 8:12 PM

FTE

2.00

(438.25)




TFs

90,059 - 1,331,492

- -

- 1,810,608

-

. --- -

- (28,972)

(52,422)

(450,000)

(453,834) (15,000) (82 ,283' (75,943

(94,867)

(98,000) (345, 169)

- 213,332

(213,332)

(1 ,000,000)

- 1,000,000

(2,500,000)

(15,434,100) (3,916,578) (14 ,007,455)

Page 17 of 21


# Provides funding for the addition of

1,331,492 Adrenoleukodystrophy to the list of disorders screened

301 by the Newborn Screening Program and two full time equivalent FTEs for increased workload . -Provides funding to support the increased workload related to newborn screenings for genetic, metabolic,

1,810,608 hematologic, and infections disorders and the 302 subsequent follow-up, diagnosis, treatment, and evaluation . Provides funding to support the increased workload relating to an increase in the number of cases assigned

7,289,038 7,289,038 by the Social Security Administration and the 303 subsequent examinations needed to process disability cases. Reduces budget authority for the elimination of the

(13,027,077) (13,056,049) Refugee and Entrant Services beginning January 1,


(52,422' Recurring project reduction . 305


(453,834' Recurring project reduction . 307 (15,000 Recurring project reduction. 308 (82,283) Recurring project reduction . 309 (75,943) Recurring project reduction . 310


(98,000) Recurring project reduction . 312 (345, 169) Recurring project reduction . 313

213,332 This issue converts a recurring base project funding to 314

(213,332) nonrecurring. 315

(1 ,000,000) 316 This issue converts a recurring base project funding to nonrecurring.

1--

1,000,000 317

Reduces CMS Safety Net Program funding . Of the $5m (2,500,000) appropriated in FY 16-17 only about $154,000 has been 318

spent.

(7,326 ,990) (25,251,023) Eliminates funding for positions vacant more than 180

319 days.


#

320 3300180 Eliminate Statewide Marketing Campaign

Delete Unfunded Budget, Position , and Rate - Healthiest 321 3300390

Weight Initiative (1 .00)

,,-



Reduce Excess Budget Authority - Children's Medical 324 3306010

Services - -I Delete Unfunded Budget Authority - Sanford-Burnham _ I 325 3306020

Medical Research Institute

326 34G1100 Abolish Operations and Maintenance Trust Fund Per Chapter 2016-29, Laws of Florida

327 3400100 Transfer Budget Authority from Operations and Maintenance Trust Fund to Federal Grants Trust Fund - Deduct

328 3400210 Transfer Budget Authority from Operations and Maintenance Trust Fund to Federal Grants Trust Fund - Add -

329 3401120 General Revenue to Admin istrative Trust Fund - Add

330 3401130 General Revenue to Administrative Trust Fund - Deduct ---331 3401470 Changes to Federal Financial Participation Rate - State

332 3401480 _Changes to Federal Financial Participation Rate - Federal 11nformation Technology- Wide Area Network Bandwidth

333 36204CO Upgrade

3/27/201 7 8:1 2 PM

RATE




TFs

I (250,000)

- --

(42,161) -

--~~-J (1 ,998,430)

~- ----------- - -- -.....

(38,254) (69,378)

-

- (16,698,865)

I -I I r. (2 ,228,743)1

- (70,000)

-

--

- 2,000,000

(2,000,000) __

(117,760)

-

,- 3.214.221 1 -

200,000 l r 1.500.000 I

Page 18 of 21


# Eliminates funding for statewide marketing campaign to

(250,000) promote Bright Expectations - the Information 320 Clearinghouse on Developmental Disabilities. Deletes unfunded budget for the Healthiest Weight

(1 ,998,430) Initiative as DOH has never accessed private grant 321 funds to support this initiative. - -~ This issue reflects a reduction in Data Center customer

(133,441) (241,073) agency billings in FY 2017-2018 based on reductions in 322 rental and bandwidth costs. Reduces excess budget authority for: Brain and Spinal Cord Waiver - $3, 175,494 Cystic Fibrosis Waiver - $761 ,349 Salaries and Benefits - $1 ,500,000

(8,436,843) (8,436 ,843) Expenses - $1 ,000,000 323 Contracted services - $1 ,000,000 Contracted Professional Services - $1 ,000,000 Reversions over the last three years indicate budget authority in excess of what is necessary. Reduces excess budget authority for the CMS Title XXI

(35,301 , 135) (52,000,000) program to comport with the SSEC estimate for the 324 CMS Title XXI program.

l Deletes unfunded budget for the Sanford-Burnham

(2,228,743) Medical Research Institute to comport with Ways and 325 Means legislation to redirect these funds.

(2, 156,407) (2,226,407) Elimination of budget authority in the Operations and

326 Maintenance TF due to its termination .

(2,443,885) (2,443 ,885) Transfer budget authority from the Operations and 327 Maintenance TF to the Federal Grants TF due to the

2,443,885 2,443,885 Operations and Maintenance TF termination .

328

Fund shift from General Revenue to the Administrative

2,000,000 TF in the Administrative Support budget entity. An

329 analysis of the administrative trust fund revealed additional revenues available the could support these functions and free up general revenue . I-

(2,000,000) 330 ~ -

(117,760) Reflects an increase of the Federal Financial

331 Participation Rate in the Brain and Spinal Cord Injury

117,760 117,760 Waiver from 61 .01 % to 61 .62%.

332 --

I Provides fund ing to increase network speed at 410 4,914,221 county health department field sites.

333


#

334 4000010 !Funding for Federally Qualified Health Centers (FQHC)

Change In Medicaid Federal Medical Assistance Percentage 335 4000530

(FMAP) 336 4100190 Auditory-Oral Services for Children with Hearing Loss - --337 4200301

Crohn's and Colitis Foundation of America - University of Florida Research on Colitis Associated Colorectal Cancer -

338 4200302 University of Miami Miller School of Medicine - Florida Stroke Registry - --

339 4200303 Miami Beach Community Health Center - Increased Access to Primary Health Care Services

340 4200304 University of Florida - Medical Marijuana Efficacy and Safety Evaluation

341 4200306 Senior Smiles Pilot Program - Broward , Miami-Dade, and Palm Beach

342 4200308 Florida State University - Rural Northwest Florida Public Health Mosquito Surveillance

343 4200309 Keys Area Health Education Center - Monroe County Children's Health Center

344 4309000 Tobacco Constitutional Amendment

345 4400020 Additional Federal Funding for Rape Prevention Program Grants

346 4800020 Child Nutrition Program

347 4807000 Women , Infant and Children (WIC) Program

348 5300170 Florida Poison Information Center Network (FPICN)

349 6500120 St. John Bosco Clinic 350 990MOOO Maintenance and Reoair

351 081108 Hlth Fae Repair/Maint-Stw

352 Total _ t EALTH -353

3/27/2017 8:12 PM

FTE RATE




TFs

I - 4,500,000

ALL TF FED

- -~~- --~· --~-- ---- - -- -- --··~- -- --- - --r,- -

ALL FUNDS

4,500,000

(59,188) (59,188) --- - - -- - - - ---- ·- ---- - ·----- --

- 300,000 300,000

- 50,000 50,000

- 500,000 500,000

- 50,000 50,000

- 500,000 500,000

- 535,250 535,250

- 350,000 350,000 -

- 250,000 250,000

- 879,735 879,735

- 811 ,984 811 ,984

- 44,882,835 44,882 ,835

- 13,000,000 13,000,000

- 3,672,805 3,672,805

- 300,000 300,000 - -

- 206,585 206,585

- .... 13,637.32 577,938,088 494,502,377 12,868,603 68,953,691 .. 897,330,029 I 1,382,818, 123 f 2,85.!5.47.'.2,823 r I i T

Page 19 of 21

COMMENTS Row

# Provides funding for FQHCs. This is half of FY 16-17

334 appropriation as final year to mitigate loss of LIP. Adjustments related to FMAP change from 61.01 % to 61 .62%.

335

Community initiative - HB 2159 336








Adjustment for the Statewide Tobacco Education and Use Prevention Program based on the Consumer Price 344 Index as required by the State Constitution . Increases budget authority to support additional federal

345 funding for rape prevention program grants. Increases budget authority to support increased

346 program costs. Increases budget authority to provide available resources to reimburse vendors for food that is 347 purchased. Provides funding for the poison control centers in Jacksonville , Tampa , and Miami. These centers provide 24/7/365 advice related to toxic or suspected toxic 348 exposures to Floridians through the use of a toll free hotline. Community initiative - HB 3883 349

350 Provides funding for the final phase of the Orlando Health Physics Laboratory renovations. 351

I-

352 - I-

353


# 354 !VETERANS' AFFAIRS I I-

355 1100001 Startup (OPERATING) 1,106.50



358 2006030 Florida Department of Veterans' Affairs Transfer Funding for Food Products - Add

359 2006040 Florida Department of Veterans' Affairs Transfer Funding for Food Products - Deduct Florida Department of Veterans' Affairs State Veterans'

360 2401510 Nursing Home Program Replace Vans Equipped to Transport Handicapped Residents

361 2402350 Additional Medical/Non-Medical and Recreational Equipment and Furniture In State Veterans' Homes

362 3000450 Benefits and Assistance Increase Staffing 10.00



--

365 36370CO Health Information Technology Systems Upgrade

Florida Department of Veterans' Affairs Audit Findings and 366 4A00200 1.00

Recommendations

Florida Department of Veterans' Affairs , Florida Is for 367 4000090 Veterans, Inc., Workforce Training Grant Aid to Local

Governments

368 4000100 Florida Department of Veterans' Affairs, Florida Is for Veterans Inc., Entrepreneur Training Grant

3/27/2017 8:12 PM

.




TFs

I I I I 37,915,292 8,194,087 61,332,187

{10, 172)

10, 172

- 69,002

- (69,002) ------ ------------ -

- 163,000

- 1, 136,000

481 ,850 - 768,468

.. ---------·-{479)

- (804,479)

- 168,944

76,216 - 100,317

- 1,000,000

- 500,000

Page 20 of 21


#

I I 354 25,065,636 94,591 ,910 355

This issue is part of a statewide realignment which

{10,172) transfers each agency's data processing appropriation

356 from the AST - Data Processing category to the State Data Center - Data Processing category.

10, 172 357

27,734 96,736 Transfers budget authority between appropriation 358 categories to allow DVA to pay for increased food , food

{27,734) {96,736) supplements, and tube-feeding supplements.

359 --- - --

Replacement of two 15 passenger, handicap 163,000 360

accessible, wheelchair buses to transport residents.

Provides for the replacement of recreational equipment,

1,136,000 medical and non-medical equipment, and furniture in

361 the Veterans' Nursing Homes.

Provides funding for 10 new FTE Veterans' Claims 768,468 Examiners to assist with claims, issue resolutions, and 362

outreach activities. . --- This issue reflects a reduction in Data Center customer

{479) agency billings in FY 2017-2018 based on reductions in 363 rental and bandwidth costs. Reduces excess budget authority in the Operations and

{323,348) {1, 127,827) Maintenance Trust Fund. Reversions over the last three

364 years indicate budget authority in excess of what is necessary. Replacement of facilities wireless system to continue

168,944 wireless capabilities to medication and treatment carts 365 utilizing the Electronic Health Record System. New IT Systems Programming Administrator to address

100,317 department computer security risks as identified by the 366 Florida Auditor General. Provides funding to Florida is for Veteran's Workforce

1,000 ,000 Training Grant which provides grants to target industry 367 businesses of up to $8,000 per veteran trainee. Provides funding to Florida is for Veteran's Entrepreneur

500,000 Training Grant to continue entrepreneurial training

368 opportunities to veterans at Florida universities and colleges.


#

369 4200060 Increase In Budget Authority for Contracted Services Due to Increase In Price and Workload

370 4200307 Veterans of Foreign Wars Department of Florida for Disability Determination Assistance

371 990MOOO Maintenance and Repair - -·

372 080859 Maint!Rep/Res FacNeterans

373 990POOO Increased Capacity

374 080004 St Nursing HomeNet

375 Total VETERANS' AFFAIRS 1,117.50 376 Grand Total 31 315.82

Trust Fund Sweeos DOH-Medical Quality Assurance Trust Fund $ AHCA-Medical Care Trust Fund $ AHCA-Health Care Trust Fund $

3/27/2017 8:12 PM

RATE


CHAIRMAN'S PROPOSAL



TFs

- 1, 140,053

- 250,000

-

- 2,000,000

-

- 3,000,000 10,542,792

38,473 358 8,193,608 4,750,000 - 76,547,282

ALL TF FED

458,227

25,150,900

50,351 ,415 1 282 169 532 9 289 663 251 66 298 900 368 061 693 4 750 329 646 19 531 667 546

10,000,000 25,000,000

5,000,000

Page 21 of 21


# Provides funding for increased costs and utilization of

1,598,280 pharmacy, therapy, housekeeping, medical services,

369 contracted direct care staffing , and other miscellaneous services in Veterans' Homes.

250,000 Community initiative - HB 2789 370

- 371 For site specific facilities plans for maintenance: Lake City SVDH - $470,000 Panama City SVNH - $370,000

2,000,000 Port Charlotte SVNH - $270,000

372 Daytona Beach SVNH - $350,000 Land o· Lakes SVNH - $250,000 Pembroke Pines SVNH - $90,000 St. Augustine SVNH - $200,00

- 373 Provides funding for the final phase of construction of the St. Lucie County skilled nursing facility:

38,693,692 General Revenue - $3,000,000 374 Federal Grants TF - $25, 150,900 Operations and Maintenance TF - $10,542,792 - f--..

139,842,305 375 34 006 021 036 376

Documents

Health Care Appropriations Subcommittee Chair's Budget