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The Fiscal Year 2013 total fund recommendation of $5.9 billion is an increase of $194 million or 3.4% over the Fiscal Year 2012 total funds of $5.7 billion.
Facility Rack-Up: In
past years, the Administration has provided funding detail by individual facilities.
For FY13 the Administration did not
disclose this information.
Facility Closures: In January the Governor
announced two facility closures Tinley Park Mental Health Center and Jacksonville
Developmental Center. Tinley is slated
for closure July 1, 2012 while JDC will close at the end of September
2012. Included in the announcement was a
statement that a total of four4 Developmental Centers, the first being JDC,
will be closed over the next two and half years.
With the FY 13 budget comes two additional closure announcements. Singer Developmental Center and Murray Mental
Health Center will close in the fourth quarter of FY13. No figures on how much the closures will save
the state were provided.
For
the second year in a row Child Care Services is being funded by both GRF and
other funds. When this initially
happened in FY12 the Administration portrayed this as a one-time event. But FY13 has an additional $425 million
Employment and Training Fund component.
Community
Mental Health Grants are decreasing by $58.4 million or 40.5% below FY12 GRF
appropriations. As mentioned above, the
Department did not provide information on specific facilities. The Mental Health Grants and Administration
all funds request is $49.2 million, or 7.5% below FY12 appropriations. A few of the options available to the
Department in order to cut costs are to serve a smaller population, eliminate
all non-Medicaid eligible patients, reduce rates, or a combination of these and
other options.
Developmental
Disability Purchase of Care GRF is increasing by $195.6 million or 25.1% over
FY12 appropriations. Again, the Administration
provided no facility-specific data so the only way to proceed is by looking at
the Developmental Disabled Department as a whole. The DD Division is increasing by $195.6
million, or 23.4% over FY12 appropriations.
It appears the Department is using the increase to maintain the current
payment cycle and annualize previous year transitions costs.
The
Home Services Program seems to have joined the Child Care Program in terms of a
funding shift. Approximately $240
million GRF is being pushed onto the newly created Home Services Medicaid Trust
Fund. It remains unclear what the
Department's rationale is for shifting the funding from GRF to another state
fund.
Mental
Health Community Transitions is increasing by $13.6 million, or 60.1% over FY12
estimated expenditures. This is of
particular note, because as mentioned above, one of the few items discernable
in budget documents is that costs for Community Mental Health are drastically
decreasing. No explanation is given why
transition costs would increase.
The
Temporary Assistance Need Program is increasing by $114.9 million or 122.6%
above FY12 GRF. It is possible that the
Agency’s $73.6 million GRF supplemental request went entirely into the program's
FY12 line. If this were the case the
FY13 request would be a $41.3 million GRF, or 24.7% increase over FY12
appropriation.
A
new $100,000 other state funds Autism Awareness program is included in the
budget.
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