Budget subcommittees are meeting today to go over their respective proposals for the upcoming 2017 Fiscal year. House leadership is not expected to release their full budget, tax, and compensation package until next week.
Health and Human Services
This area of funding aims to ensure that the state’s young citizens thrive early, older adults and vulnerable populations have access to quality and affordable health care and social services, and people with disabilities have the supports they need to fully engage as citizens and contribute to their communities.
The House’s proposed budget on health and human services is able to make investments in targeted programs and services in large part due to a $318 million reduction in Medicaid costs. These savings are resulting from lower enrollment and utilization. The proposal does the following key things:
- Includes $318.5 million in savings due to lower enrollment and utilization costs in the program. An improving national economy and recent policy decisions like cutting reimbursements, raising copays, and eliminating optional services over the years are likely contributing to lower enrollment and utilization.
- Provides $1.5 million to support Alzheimer’s patients and their families by creating additional slots for the Community Alternative Program for Disabled Adults.
- Provides $3.7 million to increase RN rates for Community Alternatives Program for Children services to the rate that is in effect for private duty nurses.
- Provides $4.1 million for the projected increase in the number of individuals receiving state-county special assistance due to the increase in the income eligibility level.
- Provides a one-time $1.25 million appropriation to fund a Medicaid analytics project.
- Provides a $4 million appropriation to the NC pre-k program, restoring 800 slots for at-risk children. More than 6,000 children will remain on the waiting list.
- Relies more on federal block grants to fund the NC pre-k program, which frees up 4.2 million state dollars.
- Provides $3.45 million to increase the child care subsidy market rate for children ages 3 to 5 in Tier 1 and 2 counties, which are the most economically-distressed counties in the state.
- Provides a one-time $8.4 million appropriation and a recurring $167,083 appropriation to implement the Program Improvement Plan for child welfare. The goal of the plan is to enhance children’s safety while keeping families together and reducing the likelihood of children entering into foster care.
- Provide $600,000 to promote food and nutrition service outreach to help ensure that older adults who are Medicaid/Medicare (dual eligibles) receive the benefits for which they’re eligible.
- Provides $60,000 to fund 3 additional positions to ensure timely review of child fatalities.
- Provides $1 million for the Children’s Angel Watch Program, which is a foster care program for children who are age 0-6 (with siblings up to age 10) who are not in the custody of the Department of Social Services and whose families are temporarily unable to care for them because of a crisis.
- Provide $3.75 million to increase the State-County Special Assistance rate for Adult Care Homes.
- Creates a one-time $300,000 grant to create jobs for people who are chronically unemployed and fund staff time to focus on business development leadership and technical support for advanced manufacturing.
- Takes $1.9 million in grant funding away from the Office of Minority Health and places it into a program that supports community-based diabetes awareness, per the recommendations of a continuation review.
- Provides a one-time $3.4 million appropriation to the State Public Health Laboratory to partially offset increased newborn screening costs and decreased Medicaid receipts
- Provides a one-time $1.25 million appropriation the Children’s Developmental Services Agencies to partially offset the anticipated decrease in FY 2016-17 Medicaid receipts.
- Provides a one-time $8.5 million appropriation to support the local health departments as they adjust to new Medicaid reimbursement rates.
- Provides a one-time $250,000 appropriation funds for You Quit Two Quit, a smoking prevention and cessation program for pregnant and postpartum women, and mothers.
- Establishes 2 receipt-supported (i.e. non-General Fund) positions to support efforts to reduce infant mortality.
- Provides a one-time $30 million appropriation to a reserve fund to implement the recommendations of the Governor’s Task Force on Mental Health and Substance Use.
- Provides a one-time $30 million appropriation to partially restore single stream funding that was cut last year for Local Management Entities/Managed Care Organizations, which manage mental health, substance use or intellectual/developmental disability services for people enrolled in Medicaid and those who do not qualify for Medicaid or have other insurance.
- Provides $7.7 million to support the establishment of a residency program at Cape Fear Valley Hospital that is affiliated with Campbell University Medical School.
- Provides $550,000 to increase funding for Project CARE to support caregivers of people with Alzheimer’s disease.
- Makes no changes to vocational rehabilitation programs.
- Makes no changes to health service regulation programs.
- Makes no changes to services for people who are blind and/or deaf and hard of hearing.