Adjusted Executive Legislative
Approp. Request Approp.
2000-01 2001-02 2001-02 Change
STATE OPERATIONS
General Fund 202,337,000 153,296,000 149,539,000 (3,757,000)
Special Rev.-Fed. 80,000 80,000 80,000 0
Special Rev.-Other 911,535,000 983,521,000 987,521,000 4,000,000
Fiduciary 555,000 755,000 755,000 0
Enterprise 1,957,000 2,350,000 2,350,000 0
Internal Service Fund 0 150,000 150,000 0
Total for
STATE OPERATIONS: 1,116,464,000 1,140,152,000 1,140,395,000 243,000
AID TO LOCALITIES
General Fund 626,058,684 699,955,000 704,055,000 4,100,000
Special Rev.-Other 445,988,000 461,644,000 461,644,000 0
Fiduciary 2,000,000 2,000,000 2,000,000 0
Total for
AID TO LOCALITIES: 1,074,046,684 1,163,599,000 1,167,699,000 4,100,000
Capital Projects Fund 63,117,000 92,836,000 92,836,000 0
Total for
CAPITAL PROJECTS: 63,117,000 92,836,000 92,836,000 0
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Agency Mission
The Office of Mental Retardation and Developmental Disabilities
(OMRDD) administers a statewide system of care currently structured
around 13 Developmental Disabilities Services Offices (DDSO) for
persons with developmental disabilities and their families. OMRDD
projects having a workforce of 22,182, who will provide direct
services and oversee a network of over 600 not-for-profit residential
and day program providers in the community. OMRDD projects
operating 662 developmental center beds and 1,030 secure treatment
beds during State Fiscal Year (SFY) 2001-02. The third year of the
New York State Creating Alternatives in Residential Environments and
Services (NYS-CARES) initiative begins on April 1, 2001. A net
developmental center census decline of 19 is projected to result
from: 179 persons moving to community settings; the addition of 60
beds at the Valley Ridge Center for Intensive Treatment at Norwich;
the addition of 60 intensive treatment beds statewide and the
addition of 40 beds to serve persons who are dually diagnosed as
both developmentally disabled and mentally ill. OMRDD also plans to
open 24 State-operated community beds in New York City for emergency
placement of children referred by the New York City Administration
for Children's Services and the Health and Hospitals Corporation.
Year-to-Year Change
The Executive proposes an All Funds increase of $142,959,316, or
6.34 percent. On an All Funds basis, the State Operations
appropriation increases $23,688,000, or 2.12 percent. The Aid to
Localities All Funds appropriation increases by $89,552,316, or
8.34 percent. The Capital Projects budget increases $29,719,000, or
47.1 percent.
Legislative Changes
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General Fund contribution is re-estimated due to increased patient
revenues.
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$(4,000,000) ST/GEN
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An analysis of Patient Income Account (PIA) fund balances over an eight year period shows that for each of the eight years the account has had substantial fund balances at the end of the fiscal year. The fund balance at the end of SFY 2001-02 is estimated at nearly $5,000,000. The Assembly proposes that $4,000,000 of the fund balance in the PIA be used to offset General Fund spending.
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Historically high fund balances will be used to offset General Fund.
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$4,000,000 ST/SRO
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The re-estimate of available patient revenue enables $4,000,000 to be added to the PIA offset account to effect a General Fund savings.
Legislative Proposals
The Assembly strongly supports the continued funding of the NYS-CARES -
- New York State Creating Alternatives in Residential Environments and
Services -- program.
Community-based, not-for-profit service providers are currently
experiencing staff turnover rates as high as 35 percent per year. The
Assembly recognizes the need for a dedicated, quality workforce to deal
with the challenge of serving consumers who are developmentally disabled, many
of whom are physically challenged, and some of whom are dually diagnosed as
developmentally disabled and mentally ill and further acknowledges that the
service system cannot sustain the effects of continued high rates of turnover.
Thus, it is essential that strategies be identified that can assist these
providers in recruiting and retaining the staff needed to serve this
extremely vulnerable population. Therefore, the Assembly proposes
appropriating $100,000, to be used in conjunction with a similar amount
to be appropriated to the Office of Mental Health, for a workforce
recruitment and retention study. In addition, the Assembly proposes an
additional $1,600,000 that optimally would be fully matched with federal
funds to support innovative workforce recruitment and retention initiatives.
Funds would be awarded through a request for proposals (RFP) that is
developed by OMRDD, in consultation with a representative group of not-for-profit
service providers.
As the 3.52 percent cost of living adjustment (COLA) proposed by the
Executive for SFY 2001-02 for Medicaid trended community-based not-for-profit
providers did not include Medicaid Service Coordinators (MSC), the Assembly
proposes $1,600,000 in additional funds to include MSCs in the 3.52 percent
increase. The Assembly also proposes additional funding for various
community-based service providers.
The Assembly supports the elimination of the Taconic Developmental Disabilities
Services Office (DDSO) and the merger of its administrative functions with the
Capital District DDSO, thereby bringing the statewide total of DDSOs from 13
to 12.
MEDICAID SERVICE COORDINATION - TREND ADJUSTMENT.
RECRUITMENT AND RETENTION INITIATIVE.
SUPPORT FOR COMMUNITY BASED SERVICE PROVIDERS.
INSTITUTE FOR BASIC RESEARCH-NPS RESTORATION.
WORKFORCE RECRUITMENT & RETENTION STUDY.
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$1,600,000
$1,600,000
$800,000
$243,000
$100,000
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ATL/GEN
ATL/GEN
ATL/GEN
ST/GEN
ATL/GEN
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