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John D. Carpenter, Legislative Fiscal Officer Evan Brasseaux, LFO Staff Director
John D. Carpenter, Legislative Fiscal Officer
Evan Brasseaux, LFO Staff Director
June 3, 2016
LOUISIANA LEGISLATIVE FISCAL OFFICE
Analysis of HB 1 Reengrossed,
with Senate Amendments 2016 RS
Executive Summary
Department Budget Summary
Major Enhancements and Increases
Major Reductions
Budget Issues
House Rule 7.19 Report
Analysis of HB 1 Reengrossed w/Senate Amendments
Table of Contents
Executive Summary 1 Department Budget Summary 6 Major Enhancements & Increases 14 Major Reductions 35 Budget Issues 51 House Rule 7.19 Report 64
Executive Summary LFO 6/3/2016 1
Executive Summary
Legislative amendments resulted in a net SGF increase for the general operating budget of $1.35 B above HB 1 Original. The Table below depicts the FY 17 SGF status of HB 1 as it leaves the Senate Floor. The source of the net SGF growth is a projected revenue increase of $1.26 B associated with additional revenues from the 2016 First Extraordinary Session.
Notes: 1) The Total Available General Fund Revenue and Total Appropriations and Requirements rows do not reflect a contingent appropriation and associated revenue of $17 M for the thirteenth managed care payment pushed into FY 17 from FY 16. 2) Total projected Debt Service expenditures (non-appropriated Constitutional requirements) will be updated to $401,452,087 upon publication of the next Fiscal Status Statement by the Division of Administration. 3) The net General Fund Revenue Less Appropriations and Requirements of ($324,693) will become $3,030,022 once the new Debt Service payment schedule is officially adopted. Bond Security & Redemption Fund (BSRF) House amendments inserted Preamble language that directed the Commissioner of Administration to reduce the appropriations out of statutory dedications and fees and self-generated revenues by the amounts that are allocated for the payment of debt service. The reduction was the relative contribution of each means of finance to the non-appropriated debt service as authorized in the Constitution and applied only to funds credited to the BSRF. Since debt service is currently funded entirely by general fund, by re-directing statutory dedications and self-generated revenue appropriated in HB 1 from their current use to fund debt service, this same amount of general fund (estimated at $100 M) would be available in other areas of the budget, although those funds would not represent new revenues. The Senate stripped this language from the Preamble and the use of these monies is no longer contemplated in HB 1.
Executive BudgetHB 1 & Other
FY 2017 REC 2/10/16
GENERAL FUND REVENUE
Revenue Estimating Conference $8,239,300,000Total Available General Fund Revenue(1) $8,239,300,000
SGF APPROPRIATIONS AND REQUIREMENTS
Non-Appropriated Constitutional RequirementsDebt Service(2) $404,806,802Interim Emergency Board $1,720,862Revenue Sharing $90,000,000
$496,527,664
AppropriationsGeneral(1) $7,565,546,630DOJ $0Ancillary $0Judicial $121,477,570Legislative $55,748,136Capital Outlay $0
Total Appropriations $7,742,772,336
Total Appropriations and Requirements(1) $8,239,300,000
$0
State General Fund Status
Total Non-Appropriated Constitutional Requirements
General Fund Revenue Less Appropriations and Requirements(3)
HB 1 REENG& Other After House Action
FY 2017REC 3/16/16
$9,498,500,000$9,498,500,000
$404,806,802$1,720,862
$90,000,000$496,527,664
$8,887,966,405$4,808,077
$0$143,855,017
$63,522,124$0
$9,100,151,623
$9,596,679,287
($98,179,287)
State General Fund StatusHB 1 REENG
HB 1 REENG & Other After& Other After Senate ActionSenate Action Compared to
FY 2017 HB 1 & Other ORGREC 3/16/16 (Difference)
$9,498,500,000 $1,259,200,000$9,498,500,000 $1,259,200,000
$404,806,802 $0$1,720,862 $0
$90,000,000 $0$496,527,664 $0
$8,792,424,482 $1,226,877,852$0 $0$0 $0
$143,855,017 $22,377,447$66,017,530 $10,269,394
$0 $0$9,002,297,029 $1,259,524,693
$9,498,824,693 $1,259,524,693
($324,693) ($324,693)
State General Fund Status
Executive Summary 2 LFO 6/3/2016
General Government Overview DPSC Corrections Services DPSC Corrections Services identifies additional funding needs of approximately $18.8 M SGF compared to the current budget recommendation in HB 1. The potential shortfall is in large part due to unfunded supplemental needs identified by DPSC of $14.5 M in FY 16 that will impact FY 17 operations. In order to realign its operations to recommended appropriation levels, the department reports that it will make reductions to existing operating activities to address its projected shortfall. These actions include reductions to per diem rates for private prisons, local housing of adult offenders and transitional work programs. The department also plans to eliminate funds associated with equipment purchases, deferred maintenance, increased pharmaceutical utilization needs, increased utility costs, human capital management fees, and dialysis contracts to meet growing demand. Lastly, the department indicates that it will close all existing reentry centers. Note: DPSC moved monies between budget units in the Supplemental Appropriations Bill (HB 1047) to cover these supplemental needs in FY 16 utilizing existing resources. DPSC Youth Services – Office of Juvenile Justice The Office of Juvenile Justice (OJJ) identifies additional funding needs of approximately $19.4 M SGF compared to the current budget recommendation in HB 1. The shortfall remains in part due to ongoing unfunded supplemental needs in the departments existing operating budget as well as a lack of additional funding to open a new facility in FY 17. OJJ has carried deficits in excess of $5 M in each of the past several fiscal years associated with seed funding received from the treasury for which the department was unable to repay due to anticipated but uncollected revenues from Title IV-E (federal monies for states to provide child welfare services. Part E provides federal payments for foster care, adoption assistance and guardianship assistance programs as well as services for youth who are transitioning, or who have already transitioned, out of the foster care system). The department reports that it will postpone the opening of the Acadiana Center for Youth to effectuate a cost savings of $14.2 M. OJJ will reduce capacity at the Bridge City Center for Youth and the Swanson Center for Youth by 24 youth each, allowing the department to close one dormitory at each facility and eliminate funding for 28 vacant positions (14 per facility) to produce a projected savings of $1.8 M. OJJ also intends to reduce funding for contract services and group homes (non-secure care) by approximately $1.3 M by reducing available slots for statewide placements. OJJ will make reductions to probation and parole activities by closing one office and by reducing 28 vacant positions for a savings of approximately $1.9 M. Finally, OJJ will eliminate 2 unspecified positions at its Central Office for an additional $0.1 M savings.
Education Overview
Elementary & Secondary Education The FY 17 Executive Budget includes an adjustment of $14.8 M for an anticipated increase of 2,298 students. Additionally, there is a $3.7 M MOF swap replacing SGF with Lottery Proceeds and SELF funds based on the most recent Revenue Estimating Conference (REC) forecast. FY 17 recommended funding totals $3,649 M; $3,356.6 M SGF, $181.1 M Lottery Proceeds Fund and $109.7 M SELF Fund. The FY 16 MFP included $44.2 M, which was funded in a supplemental appropriation outside of the formula: a 1.375% inflation adjustment ($36.2 M); an increase for the Supplemental Course Allocation ($2.6 M); and an increase for the High Cost Services Allocation ($5.4 M). HR 231 of 2015 urged and requested BESE to incorporate the supplemental funding into the FY 17 resolution. As such, the proposed MFP for FY 17 approved by BESE on March 4th incorporated this adjustment into the formula. This represented standstill funding for the MFP. However, in light of the state fisc, the MFP resolution (SCR 44) was rejected by the Senate Education Committee and pursuant to the Constitution, the MFP will be funded in accordance with the last approved resolution (SCR 55 of 2014); accordingly, the proposed budget eliminates this supplemental MFP funding of $44.2 M. Higher Education The Existing Operating Budget (EOB) as of 12/1/2015 (without OSFA) totals $2.28 B (including $418.9 M SGF and $350 M SAVE). (SAVE was repealed by Act 21 of 2016 First Extraordinary Session). HB 1 with Senate amendments recommends a total budget of $2.23 B, reflecting a net reduction of $48 M; a $93.7 M reduction in SGF and SGF equivalent, a $15.5 M decrease in IAT and Statutory Dedications, and a $61.2 M increase in SGR from fees associated with Act 377 of 2015. Authorized positions totaling 19,483 have been moved off budget.
Executive Summary 3 LFO 6/3/2016
Act 462 of 2014 required the Board of Regents to develop an outcomes based funding formula for implementation beginning in FY 17. The proposed formula allocates SGF for each institution/system based on a 70% pro-rata share (base funding), 15% cost calculation share and a 15% outcomes share. The pro-rata calculation is based on the 7/1/2016 appropriation levels and provides safeguards to prevent sudden, dramatic changes in the funding level of any postsecondary institution (Act 462). The FY 17 TOPS need is $297.1 M. Executive Budget recommendations totaled $60.2 M but funding was increased to $225.2 M through House actions. Additionally, the House included a supplemental budget recommendation to provide for restoration of the $71.9 M in the event additional revenues are recognized by the REC. The Senate funded TOPS at $141.4 M ($81.2 M SGF and $60.2 M TOPS Fund) with no supplemental budget recommendation.
Health & Hospitals Medicaid Overview HB 1 with Senate amendments provides an additional $552.7 M in SGF ($2.2 B total increase in funding) for Medicaid in FY 17. Total Medicaid funding for FY 17 represents a 27.6% increase from the FY 16 EOB (29.5% increase in SGF). In addition, HB 1 reflects approximately $160 M in SGF savings associated with the implementation of Medicaid expansion for certain individuals up to 138% of the Federal Poverty Level (FPL). Projected SGF savings are largely based on a $249 M reduction in Disproportionate Share Hospital (DSH) payments related to uncompensated care costs. Senate amendments provided significant changes to various House amendments. Specifically, the Senate eliminated $24.8 M in additional funding for rural hospitals added by the House, and eliminated a House amendment that authorized DHH to implement copayment requirements (to the extent authorized under federal law) for individuals receiving certain Medicaid services. In addition, Senate amendments moved $161 M total funding ($60.8 M SGF) in supplementary budget recommendations to the body of HB 1. Information provided by DHH indicates the $161 M in funding moved from the supplementary section of the HB 1 will allow for full funding of all existing waiver slots, and prevent significant cuts to Pediatric Day Healthcare Services. Although these items were not itemized as a cut in the Executive Budget, DHH itemized these services as areas of reduction based on the level of funding provided after House action. In addition, Senate amendments eliminated the line item appropriation for the public private partner hospitals, and reduced the level of supplemental payments and DSH payments by approximately $98.5 M ($60.4 M SGF). Additionally, SGR used as a state match source increased by $18.6 M for the hospital partnership in Houma. (See Public Private Partnership explanation on next page.) The Medicaid budget contains certain significant increases/enhancements in FY 17, including funding projected growth in Bayou Health, funding for an FY 16 Bayou Health payment obligation pushed into FY 17 (1 additional Bayou Health check write added in FY 17), MCO payments for Medicaid expansion for individuals to 138% of the FPL, annualized costs of certain home and community based waivers, increases in projected pharmacy costs and provider rate increases, and funding the backfill of revenues reduced in FY 16 as part of the FY 16 mid-year deficit elimination plan. Significant FY 17 SGF increases are reflected below: $195.3 M - Bayou Health managed care capitation rate payments $167.0 M - Swap non-recurring one-time revenues for SGF $109.2 M - FY 16 pushed check write (June 2016) into FY 17 * $24.3 M - Fee for Service increases (including Pharmacy, PACE, and LT-PCS) $21.3 M - Rate increases (FQHC’s, RHC’s, Hospice, Buy-in, Rural H’s, Nursing F’s) * The $109.2 M enhancement reflected above does not include $17 M in SGF required state match to make the projected 13 th managed care payment. This amount will only be available for expenditure when the Department of Revenue prevails in any suit appeal, or petition associated with an amount paid under protest and held in escrow in accordance with R.S. 47:1576 and transfers such monies to the SGF to be utilized to fund the 13th managed care payment. The total SGF need is $126.2 M to draw down $208.2 M in federal funding for $334.4 M in total payments.
Executive Summary 4 LFO 6/3/2016
Public Private Partnerships (PPP) HB 1 provides total funding of $983.3 M for Public Private Partnerships in FY 17. This represents a $221 M reduction (18%) compared to the FY 16 EOB as of 12/01/16. Information provided by DHH indicates an original expenditure projection of approximately $1.3 B. This original expenditure projection is assumed to change as DHH assumes and will apply a 25% ($249,541,305) reduction in DSH payments to partner hospitals due to anticipated decreases in uncompensated care costs as a result of Medicaid expansion in FY 17 (not including Lallie Kemp). However, the Commissioner of Administration has stated that the DOA, LSU, and partner hospitals are under negotiations to refinance the partnership agreements, and to further review the 25% DSH reduction estimates. HB 1 does not directly appropriate funding in the Medicaid Program for the individual partner hospitals. Partner hospital reimbursements are paid from the Medicaid Private Providers and Uncompensated Care Costs programs. Therefore, the exact budget by hospital is not known. In addition, the majority of the partnership agreements provide for a finance formula that requires payments to reimburse the hospital providers at 100% of allowable UCC costs
Other Issues
FY 16 Unmet Supplemental Needs The FY 16 Supplemental Bill (HB 1047) provides adjustments for certain supplemental needs that do not require SGF. However, a number of agencies have expenditures in the current year, for which there are insufficient revenues to fully fund. Some of these items were identified in the 1st Special Session as expenditure requirements that would likely have to be absorbed by the respective agencies; others have been identified more recently. These unmet supplemental needs total $71.3 M; a brief discussion of each is identified below. LA Public Defender Board ($3.5 M) - The Public Defender Board reports that the supplemental funding needs which are not included in HB 1047 would be used to end restriction of services (ROS) plans currently enacted in 15 of the 42 local public defender offices statewide. Without these supplemental funds, the 15 districts presently under ROS plans would continue operating with services at reduced levels, which includes taking on fewer cases and placing some cases on a waiting list. The current version of HB 1 does not include funding for this shortfall in FY 17. Governor’s Office of Homeland Security & Emergency Preparedness (GOHSEP) ($10 M) - Supplemental funding needs materialized as a result of damages sustained in the recent Severe Weather and Flooding event DR-4263, which began on 4/2/2016, and includes the required state cost share of the event. Current estimates total $9,589,375 and will increase slightly due to ongoing response efforts. The State of LA, through GOHSEP, negotiated a repayment plan for a total estimated $10 M, payable in three annual installments, and will accrue interest at the rate of one percent. The first payment will be $4.4 M, due 8/1/2016. The final pay plan will be adjusted once actual costs are determined. Projected costs in FY 18 and FY 19 are approximately $2.85 M annually. HB 1 does not include funding for this shortfall in FY 17. Department of Children & Family Services (DCFS) ($10.9 M) - There are additional needs in Child Welfare services due to unrealized savings anticipated from Targeted Case Management (TCM) due to non-approval of the program by the federal Centers for Medicare and Medicaid (CMS). Taylor Opportunity Program for Scholars (TOPS) ($29.1 M) - The appropriation for TOPS is “more or less estimated” and historically any projected payments in excess of the appropriation are provided in a supplemental appropriation bill. In FY 15 supplemental funding needs of approximately $5 M was not provided and was funded out of the FY 16 appropriation. Additionally, the amount of the current year appropriation did not contemplate tuition increases that were implemented by several institutions. Finally, TOPS Fund revenue collections are $3.7 M lower than what is appropriated, which would otherwise require a mean of finance swap with SGF. Institutions will be required to absorb the ($29.1 M) shortfall. HB 1 funds TOPS at $141.4 M, or approximately 47.5% of actual projected need in FY 17. Local Housing of State Adult Offenders (LHSAO) ($7 M) - Total FY 16 supplemental needs totaled $13.8 M, primarily as a result of a $3 M shortfall carried forward from FY 15 and the inability to fully realize projected GEMS savings of $7.3 M. This need was offset by transfers in HB 1047 from the Transitional Work Release Program ($4.8 M) and Local Reentry Services Program ($2.1 M) for a net shortfall of $7 M. Per historical practice of DPSC Corrections Services, this shortfall will be carried forward and paid in FY 17 from the appropriated budget. HB 1 does not include additional funding to address this carry forward expenditure obligation.
Executive Summary 5 LFO 6/3/2016
Judicial Budget (HB 616) HB 616, which provides for the judicial branch’s expenses in FY 17, presently has a projected $16 M shortfall according to staff from Supreme Court. Because a majority of the judicial branch’s expenses are constitutionally and statutorily mandated, the Supreme Court reports that the $16 M shortfall can only be absorbed within select programs of the judiciary’s budget. These programs include drug courts, Court-Appointed Special Advocate services (CASA), Child in Need of Care services (CINC), and the ability to take on Family in Need of Services (FINS) cases. The impact of the reduction to these programs is unknown and subject to the discretion of the Judicial Budgetary Control Board, who will allocate the reduction to the programs as it sees fit. Funds Bill (HB 409) HB 409 provides for deposits of state funds into the general fund and other special treasury funds. It nullifies fund transfers previously approved by JLCB as part of mid-year reductions contained in prior year fund transfer bills that have not occurred as of 7/1/2016. Senate amendments direct the Treasurer to transfer and deposit the payment of $20 M received 30 days after the British Petroleum settlement was signed into the Oil Spill Contingency Fund and to transfer and deposit $19.13 M received 60 days after the British Petroleum settlement was signed into the Natural Resource Restoration Trust Fund. The Treasurer will also reverse a transfer of $7 M that was made to the Attorney General from the initial $20 M settlement. These settlements of $39.13 M are current year deposits. The Treasurer is further directed to transfer upon receipt, any future economic settlement proceeds ($19.13 M in FY 17 and $53 M annually beginning in FY 19) in accordance with current law. The bill exempts settlements related to the Deepwater Horizon incident from being deposited into the Department of Justice Legal Support Fund. Finally, the amendments direct the transfer of $7 M from the Attorney General’s Consumer Support Escrow Fund to the state general fund. These funds were used to address the current year shortfall in the Minimum Foundation Program (MFP).
FY 2015 FY 2016 FY 2017 Change
Previous Year Current Year Next Year2017 2016- Percent
Change
Statewide Budget
Actual EOB 12/1/2015
Department Budget Summary
HB 1 Reengrossed w/Sen Am
STATE GENERAL FUND (Direct): $8,714,990,337 $8,560,149,964 $9,498,824,693 $938,674,729
Interagency Transfers 1,554,250,005 1,866,810,009 1,716,699,118 -150,110,891Fees & Self-gen Revenues 3,714,373,566 3,874,676,933 3,903,728,201 29,051,268Statutory Dedications 4,344,847,493 4,113,414,793 3,684,328,236Interim Emergency Board 243,089 0 0 0FEDERAL FUNDS 8,762,251,803 9,957,616,548 11,744,037,628 1,786,421,080
$27,090,956,293 $28,372,668,247 $30,547,617,876 $2,174,949,629
-429,086,557
STATE GENERAL FUND BY:
52,955T.O. 52,453 32,771 -19,682
11.0%
-8.0%0.7%
-10.4%
17.9%7.7%
-37.5%
GRAND TOTAL - Statewide Budget
$18,803,580,248$18,415,051,699 $388,528,549$18,328,704,490 2.1%STATE FUNDS (excludes Federal):1,935Other Charges Positions 1,902 1,906 4 0.2%
STATE GENERAL FUND (Direct): $8,118,488,231 $8,041,802,994 $8,792,424,482 $750,621,488
Interagency Transfers 857,056,408 1,273,863,871 951,378,622 (322,485,249)Fees & Self-gen Revenues 2,088,336,606 2,196,127,927 2,320,776,082 124,648,155Statutory Dedications 2,948,388,327 3,106,059,529 2,576,938,419Interim Emergency Board 243,089 0 0 0FEDERAL FUNDS 8,549,235,560 9,724,140,405 11,610,975,158 1,886,834,753
$22,561,748,221 $24,341,994,726 $26,252,492,763 $1,910,498,037
(529,121,110)
STATE GENERAL FUND BY:
51,807T.O. 50,948 31,264 (19,684)
9.3%
(25.3%)5.7%
(17.0%)
19.4%7.8%
(38.6%)
General Appropriation Bill
1,926Other Charges Positions 1,892 1,896 401 Executive
STATE GENERAL FUND (Direct): $147,985,370 $124,494,110
Interagency Transfers 81,397,640 80,932,058Fees & Self-gen Revenues 156,925,827 125,149,512Statutory Dedications 115,761,413 192,212,823Interim Emergency Board 243,089 0FEDERAL FUNDS 1,253,826,731 1,721,638,229
$1,756,140,070 $2,244,426,732
STATE GENERAL FUND BY:
2,011T.O. 1,888
1.1%
7.9%(11.5%)
5.9%
(4.2%)(3.2%)
0.5%
$123,200,136
75,017,789141,355,786181,516,536
01,797,427,266
$2,318,517,513
1,878
$1,293,974
5,914,269-16,206,274
0-75,789,037
-$74,090,781
10,696,287
10381Other Charges Positions 358 358 0
03 Veterans AffairsSTATE GENERAL FUND (Direct): $5,241,090 $5,571,247
Interagency Transfers 1,263,135 1,606,948Fees & Self-gen Revenues 14,563,275 15,765,052Statutory Dedications 20,037 115,528Interim Emergency Board 0 0FEDERAL FUNDS 36,726,098 38,503,005
$57,813,635 $61,561,780
STATE GENERAL FUND BY:
840T.O. 840
33.4%
(38.1%)(1.8%)
0.0%
(1.4%)(0.7%)
0.2%
$4,177,469
2,596,75216,050,000
115,5280
39,048,575$61,988,324
838
$1,393,778
-989,804-284,948
0-545,570
-$426,544
0
20Other Charges Positions 0 0 0
Department Budget Summary 6 LFO 6/3/2016
FY 2015 FY 2016 FY 2017 Change
Previous Year Current Year Next Year2017 2016- Percent
Change
Statewide Budget
Actual EOB 12/1/2015
Department Budget Summary
HB 1 Reengrossed w/Sen Am
04a StateSTATE GENERAL FUND (Direct): $50,531,130 $52,961,485
Interagency Transfers 213,684 325,000Fees & Self-gen Revenues 25,332,729 26,104,125Statutory Dedications 156,519 514,078Interim Emergency Board 0 0FEDERAL FUNDS 0 0
$76,234,062 $79,904,688
STATE GENERAL FUND BY:
313T.O. 313
(5.1%)
(19.3%)(0.3%)
0.0%
(3.6%)
0.0%
$55,809,470
402,81326,176,288
514,07800
$82,902,649
313
-$2,847,985
-77,813-72,163
00
-$2,997,961
0
00Other Charges Positions 0 0 0
04b JusticeSTATE GENERAL FUND (Direct): $14,016,254 $4,808,077
Interagency Transfers 28,422,106 22,615,754Fees & Self-gen Revenues 4,159,720 6,816,714Statutory Dedications 11,693,385 22,098,978Interim Emergency Board 0 0FEDERAL FUNDS 4,890,205 7,546,816
$63,181,670 $63,886,339
STATE GENERAL FUND BY:
467T.O. 479
(37.2%)
(24.8%)(39.2%)
(7.7%)
(2.9%)(20.8%)
0.0%
$7,656,685
30,055,95711,215,39023,953,222
07,771,651
$80,652,905
479
-$2,848,608
-7,440,203-4,398,676
0-224,835
-$16,766,566
-1,854,244
01Other Charges Positions 1 1 0
04c Lieutenant GovernorSTATE GENERAL FUND (Direct): $1,341,788 $1,067,306
Interagency Transfers 6,046 618,931Fees & Self-gen Revenues 10,000 10,000Statutory Dedications 0 0Interim Emergency Board 0 0FEDERAL FUNDS 3,981,759 5,488,059
$5,339,593 $7,184,296
STATE GENERAL FUND BY:
7T.O. 7
(17.4%)
88.0%0.0%
(0.4%)0.6%
0.0%
$1,291,957
329,13210,000
00
5,511,341$7,142,430
7
-$224,651
289,7990
0-23,282$41,866
0
08Other Charges Positions 8 8 0
04d TreasurySTATE GENERAL FUND (Direct): $0 $0
Interagency Transfers 1,588,495 1,488,674Fees & Self-gen Revenues 8,319,502 8,762,768Statutory Dedications 464,741 811,455Interim Emergency Board 0 0FEDERAL FUNDS 0 0
$10,372,738 $11,062,897
STATE GENERAL FUND BY:
54T.O. 54
4.8%7.7%
(5.4%)
6.2%
0.0%
$0
1,421,1238,139,506
857,59600
$10,418,225
54
$0
67,551623,262
00
$644,672
-46,141
00Other Charges Positions 0 0 0
04e Public Service CommissionSTATE GENERAL FUND (Direct): $0 $0
Interagency Transfers 0 0Fees & Self-gen Revenues 0 0Statutory Dedications 8,872,612 9,699,663Interim Emergency Board 0 0FEDERAL FUNDS 136,555 0
$9,009,167 $9,699,663
STATE GENERAL FUND BY:
97T.O. 99
9.0%
9.0%
2.1%
$0
00
8,895,47100
$8,895,471
97
$0
00
00
$804,192
804,192
20Other Charges Positions 0 0 0
Deparrtment Budget Summary 7 LFO 6/3/2016
FY 2015 FY 2016 FY 2017 Change
Previous Year Current Year Next Year2017 2016- Percent
Change
Statewide Budget
Actual EOB 12/1/2015
Department Budget Summary
HB 1 Reengrossed w/Sen Am
04f Agriculture & ForestrySTATE GENERAL FUND (Direct): $24,978,022 $24,908,204
Interagency Transfers 620,030 641,125Fees & Self-gen Revenues 6,089,614 7,296,414Statutory Dedications 29,461,427 32,547,947Interim Emergency Board 0 0FEDERAL FUNDS 7,306,299 9,071,078
$68,455,392 $74,464,768
STATE GENERAL FUND BY:
555T.O. 563
(1.1%)
0.7%0.2%
(3.8%)
10.9%(0.9%)
1.8%
$25,193,802
636,9457,282,424
33,822,4710
8,176,775$75,112,417
553
-$285,598
4,18013,990
0894,303
-$647,649
-1,274,524
1022Other Charges Positions 22 26 4
04g InsuranceSTATE GENERAL FUND (Direct): $0 $0
Interagency Transfers 0 0Fees & Self-gen Revenues 28,515,878 28,606,463Statutory Dedications 1,355,775 1,445,979Interim Emergency Board 0 0FEDERAL FUNDS 1,080,019 1,309,816
$30,951,672 $31,362,258
STATE GENERAL FUND BY:
243T.O. 225
4.8%1.0%
(28.9%)2.6%
0.0%
$0
027,291,090
1,431,6290
1,842,690$30,565,409
225
$0
01,315,373
0-532,874$796,849
14,350
00Other Charges Positions 0 0 0
05 Economic DevelopmentSTATE GENERAL FUND (Direct): $16,491,399 $16,313,034
Interagency Transfers 1,535,955 1,231,829Fees & Self-gen Revenues 2,548,329 8,387,873Statutory Dedications 19,973,664 18,200,000Interim Emergency Board 0 0FEDERAL FUNDS 2,891,473 7,500,000
$43,440,820 $51,632,736
STATE GENERAL FUND BY:
113T.O. 110
(2.0%)
(56.9%)182.6%(27.2%)
11.7%(4.7%)
0.0%
$16,649,775
2,856,1592,967,602
24,997,0690
6,711,410$54,182,015
110
-$336,741
-1,624,3305,420,271
0788,590
-$2,549,279
-6,797,069
00Other Charges Positions 0 0 0
06 Culture, Recreation & TourismSTATE GENERAL FUND (Direct): $34,486,802 $32,363,005
Interagency Transfers 5,184,693 6,051,566Fees & Self-gen Revenues 24,301,138 25,649,243Statutory Dedications 12,784,808 13,790,913Interim Emergency Board 0 0FEDERAL FUNDS 5,317,181 7,211,871
$82,074,622 $85,066,598
STATE GENERAL FUND BY:
616T.O. 616
(15.3%)
3.8%(15.9%)
32.3%
(4.1%)(8.0%)
0.0%
$38,190,049
5,830,37930,499,15910,426,959
07,518,319
$92,464,865
616
-$5,827,044
221,187-4,849,916
0-306,448
-$7,398,267
3,363,954
029Other Charges Positions 29 29 0
07 Transportation & DevelopmentSTATE GENERAL FUND (Direct): $0 $0
Interagency Transfers 13,189,822 11,910,000Fees & Self-gen Revenues 23,995,396 28,182,415Statutory Dedications 490,658,964 531,244,581Interim Emergency Board 0 0FEDERAL FUNDS 10,166,959 23,496,792
$538,011,141 $594,833,788
STATE GENERAL FUND BY:
4,220T.O. 4,195
0.0%3.1%1.8%
(9.5%)1.3%
0.0%
$0
11,910,00027,328,296
522,100,0170
25,971,119$587,309,432
4,194
$0
0854,119
0-2,474,327$7,524,356
9,144,564
10Other Charges Positions 0 0 0
Department Budget Summary 8 LFO 6/3/2016
FY 2015 FY 2016 FY 2017 Change
Previous Year Current Year Next Year2017 2016- Percent
Change
Statewide Budget
Actual EOB 12/1/2015
Department Budget Summary
HB 1 Reengrossed w/Sen Am
08 DPSC Corrections ServicesSTATE GENERAL FUND (Direct): $465,520,037 $464,976,800
Interagency Transfers 4,556,490 5,752,519Fees & Self-gen Revenues 37,710,253 41,575,686Statutory Dedications 54,000 54,000Interim Emergency Board 0 0FEDERAL FUNDS 1,114,366 2,230,697
$508,955,146 $514,589,702
STATE GENERAL FUND BY:
4,716T.O. 4,684
0.5%
19.7%3.5%0.0%
50.7%1.1%
0.0%
$462,515,463
4,807,71940,179,645
54,0000
1,480,697$509,037,524
4,684
$2,461,337
944,8001,396,041
0750,000
$5,552,178
0
00Other Charges Positions 0 0 0
08 DPSC Public Safety ServicesSTATE GENERAL FUND (Direct): $8,328,017 $32,261,099
Interagency Transfers 26,294,609 38,258,311Fees & Self-gen Revenues 131,031,724 151,244,193Statutory Dedications 202,614,095 207,284,924Interim Emergency Board 0 0FEDERAL FUNDS 31,841,773 47,761,138
$400,110,218 $476,809,665
STATE GENERAL FUND BY:
2,452T.O. 2,446
0.3%(1.7%)(7.3%)
(2.9%)2.6%
1.3%
$0
38,136,571153,843,013223,599,311
049,181,799
$464,760,694
2,414
$32,261,099
121,740-2,598,820
0-1,420,661
$12,048,971
-16,314,387
320Other Charges Positions 0 0 0
08 DPSC Youth ServicesSTATE GENERAL FUND (Direct): $94,973,085 $102,366,865
Interagency Transfers 12,261,736 11,959,959Fees & Self-gen Revenues 471,673 775,487Statutory Dedications 172,000 149,022Interim Emergency Board 0 0FEDERAL FUNDS 1,384,904 891,796
$109,263,398 $116,143,129
STATE GENERAL FUND BY:
877T.O. 996
5.8%
(29.5%)0.0%0.0%
0.0%0.5%
0.0%
$96,781,581
16,959,959775,487149,022
0891,796
$115,557,845
996
$5,585,284
-5,000,0000
00
$585,284
0
00Other Charges Positions 6 6 0
09 Health & HospitalsSTATE GENERAL FUND (Direct): $2,159,530,454 $2,892,014,536
Interagency Transfers 284,145,847 292,779,384Fees & Self-gen Revenues 226,661,279 298,710,580Statutory Dedications 985,989,088 470,538,987Interim Emergency Board 0 0FEDERAL FUNDS 5,374,842,723 7,773,822,478
$9,031,169,391 $11,727,865,965
STATE GENERAL FUND BY:
5,613T.O. 5,572
25.3%
(35.3%)65.7%
(21.5%)
33.6%25.3%
1.3%
$2,307,668,324
452,275,885180,307,677599,216,336
05,820,327,443
$9,359,795,665
5,502
$584,346,212
-159,496,501118,402,903
01,953,495,035
$2,368,070,300
-128,677,349
701,448Other Charges Positions 1,430 1,430 0
10 Children & Family ServicesSTATE GENERAL FUND (Direct): $136,927,778 $151,530,273
Interagency Transfers 8,759,707 16,420,568Fees & Self-gen Revenues 11,604,290 17,517,760Statutory Dedications 1,142,707 950,757Interim Emergency Board 0 0FEDERAL FUNDS 495,536,555 508,513,022
$653,971,037 $694,932,380
STATE GENERAL FUND BY:
3,481T.O. 3,409
5.3%
(62.9%)0.0%
(24.3%)
(1.1%)(3.6%)
0.0%
$143,956,513
44,217,73417,517,760
1,255,6610
513,925,201$720,872,869
3,409
$7,573,760
-27,797,1660
0-5,412,179
-$25,940,489
-304,904
00Other Charges Positions 0 0 0
Department Budget Summary 9 LFO 6/3/2016
FY 2015 FY 2016 FY 2017 Change
Previous Year Current Year Next Year2017 2016- Percent
Change
Statewide Budget
Actual EOB 12/1/2015
Department Budget Summary
HB 1 Reengrossed w/Sen Am
11 Natural ResourcesSTATE GENERAL FUND (Direct): $11,344,882 $9,129,427
Interagency Transfers 16,074,009 13,975,783Fees & Self-gen Revenues 101,884 343,889Statutory Dedications 25,673,069 25,011,214Interim Emergency Board 0 0FEDERAL FUNDS 6,786,374 14,483,745
$59,980,218 $62,944,058
STATE GENERAL FUND BY:
335T.O. 320
14.1%
(25.7%)0.0%
(13.0%)
(12.3%)(13.1%)
(1.2%)
$8,003,574
18,799,573343,750
28,753,3560
16,522,373$72,422,626
324
$1,125,853
-4,823,790139
0-2,038,628
-$9,478,568
-3,742,142
-40Other Charges Positions 0 0 0
12 RevenueSTATE GENERAL FUND (Direct): $1,375,682 $44,207,089
Interagency Transfers 171,585 243,000Fees & Self-gen Revenues 99,945,473 53,314,548Statutory Dedications 688,751 628,583Interim Emergency Board 0 0FEDERAL FUNDS 274,454 0
$102,455,945 $98,393,220
STATE GENERAL FUND BY:
715T.O. 703
(67.6%)(44.6%)
14.4%
0.9%
0.4%
$0
749,80196,209,055
549,45900
$97,508,315
700
$44,207,089
-506,801-42,894,507
00
$884,905
79,124
30Other Charges Positions 0 0 0
13 Environmental QualitySTATE GENERAL FUND (Direct): $482,377 $0
Interagency Transfers 212,160 441,000Fees & Self-gen Revenues 20,515 24,790Statutory Dedications 86,717,126 96,773,972Interim Emergency Board 0 0FEDERAL FUNDS 17,043,424 20,148,647
$104,475,602 $117,388,409
STATE GENERAL FUND BY:
681T.O. 677
(100.0%)
0.0%0.0%4.7%
0.7%3.6%
0.0%
$437,665
441,00024,790
92,417,4630
20,000,179$113,321,097
677
-$437,665
00
0148,468
$4,067,312
4,356,509
00Other Charges Positions 0 0 0
14 Workforce CommissionSTATE GENERAL FUND (Direct): $8,163,120 $6,530,496
Interagency Transfers 1,263,600 6,245,368Fees & Self-gen Revenues 15,088 272,219Statutory Dedications 94,589,851 109,698,626Interim Emergency Board 0 0FEDERAL FUNDS 142,107,393 160,383,558
$246,139,052 $283,130,267
STATE GENERAL FUND BY:
938T.O. 917
(20.0%)
35.9%0.0%
(0.6%)
(3.8%)(2.4%)
0.0%
$8,163,120
4,595,368272,219
110,374,1660
166,725,300$290,130,173
917
-$1,632,624
1,650,0000
0-6,341,742
-$6,999,906
-675,540
00Other Charges Positions 0 0 0
16 Wildlife & FisheriesSTATE GENERAL FUND (Direct): $0 $0
Interagency Transfers 3,795,978 14,883,230Fees & Self-gen Revenues 1,671,076 2,011,574Statutory Dedications 94,953,725 125,623,545Interim Emergency Board 0 0FEDERAL FUNDS 28,885,597 49,149,402
$129,306,376 $191,667,751
STATE GENERAL FUND BY:
753T.O. 773
19.4%(61.8%)
8.2%
8.4%7.0%
0.0%
$0
12,463,5445,266,234
116,075,0570
45,355,687$179,160,522
773
$0
2,419,686-3,254,660
03,793,715
$12,507,229
9,548,488
03Other Charges Positions 3 3 0
Department Budget Summary 10 LFO 6/3/2016
FY 2015 FY 2016 FY 2017 Change
Previous Year Current Year Next Year2017 2016- Percent
Change
Statewide Budget
Actual EOB 12/1/2015
Department Budget Summary
HB 1 Reengrossed w/Sen Am
17 Civil ServiceSTATE GENERAL FUND (Direct): $5,183,656 $5,354,654
Interagency Transfers 10,338,735 11,639,313Fees & Self-gen Revenues 785,269 1,091,160Statutory Dedications 2,000,245 2,214,578Interim Emergency Board 0 0FEDERAL FUNDS 0 0
$18,307,905 $20,299,705
STATE GENERAL FUND BY:
161T.O. 171
1.0%
0.6%6.9%4.4%
1.4%
1.2%
$5,302,054
11,569,0451,020,4342,120,685
00
$20,012,218
169
$52,600
70,26870,726
00
$287,487
93,893
20Other Charges Positions 0 0 0
18 Retirement SystemsSTATE GENERAL FUND (Direct): $8,925,579 $0
Interagency Transfers 0 0Fees & Self-gen Revenues 0 0Statutory Dedications 6,000,000 0Interim Emergency Board 0 0FEDERAL FUNDS 0 0
$14,925,579 $0
STATE GENERAL FUND BY:
0T.O. 0
$0
00000
$0
0
$0
00
00
$0
0
00Other Charges Positions 0 0 0
19 Higher EducationSTATE GENERAL FUND (Direct): $917,965,959 $786,770,212
Interagency Transfers 13,240,786 26,416,875Fees & Self-gen Revenues 1,226,718,796 1,387,996,800Statutory Dedications 196,750,337 175,521,643Interim Emergency Board 0 0FEDERAL FUNDS 84,441,241 79,903,497
$2,439,117,119 $2,456,609,027
STATE GENERAL FUND BY:
19,972T.O. 0
21.1%
(35.3%)4.6%
(67.1%)
(3.8%)(6.7%)
(100.0%)
$649,879,923
40,846,0311,326,707,754
533,675,1650
83,058,059$2,634,166,932
19,483
$136,890,289
-14,429,15661,289,046
0-3,154,562
-$177,557,905
-358,153,522
-19,4830Other Charges Positions 0 0 0
19 Special Schools & Comm.STATE GENERAL FUND (Direct): $39,497,108 $38,920,524
Interagency Transfers 22,935,847 24,039,727Fees & Self-gen Revenues 2,867,523 3,263,033Statutory Dedications 22,615,747 25,107,770Interim Emergency Board 0 0FEDERAL FUNDS 52,342 85,086
$87,968,567 $91,416,140
STATE GENERAL FUND BY:
730T.O. 726
0.0%
(2.3%)6.8%0.0%
(19.0%)(0.4%)
0.3%
$38,904,363
24,615,5913,055,133
25,107,2510
105,086$91,787,424
724
$16,161
-575,864207,900
0-20,000
-$371,284
519
234Other Charges Positions 35 35 0
19 EducationSTATE GENERAL FUND (Direct): $3,503,772,003 $3,490,973,708
Interagency Transfers 252,937,711 293,348,967Fees & Self-gen Revenues 38,483,910 57,422,846Statutory Dedications 311,556,056 305,732,761Interim Emergency Board 0 0FEDERAL FUNDS 1,030,764,233 1,121,989,830
$5,137,513,913 $5,269,468,112
STATE GENERAL FUND BY:
516T.O. 481
(1.0%)
(25.9%)0.0%1.5%
2.3%(2.0%)
0.0%
$3,527,878,604
396,112,42957,422,846
301,242,8900
1,096,741,043$5,379,397,812
481
-$36,904,896
-102,763,4620
025,248,787
-$109,929,700
4,489,871
00Other Charges Positions 0 0 0
Department Budget Summary 11 LFO 6/3/2016
FY 2015 FY 2016 FY 2017 Change
Previous Year Current Year Next Year2017 2016- Percent
Change
Statewide Budget
Actual EOB 12/1/2015
Department Budget Summary
HB 1 Reengrossed w/Sen Am
19E LSU Health Care Services DivisionSTATE GENERAL FUND (Direct): $3,860,659 $24,664,566
Interagency Transfers 22,694,574 21,883,724Fees & Self-gen Revenues 4,878,873 11,972,658Statutory Dedications 0 0Interim Emergency Board 0 0FEDERAL FUNDS 4,488,695 4,800,336
$35,922,801 $63,321,284
STATE GENERAL FUND BY:
331T.O. 0
(33.7%)
(30.6%)98.4%
0.0%(20.5%)
(100.0%)
$37,222,579
31,543,3836,034,389
00
4,800,336$79,600,687
331
-$12,558,013
-9,659,6595,938,269
00
-$16,279,403
0
-3310Other Charges Positions 0 0 0
20 Other RequirementsSTATE GENERAL FUND (Direct): $457,565,980 $480,237,765
Interagency Transfers 43,951,428 45,669,009Fees & Self-gen Revenues 10,607,572 12,508,280Statutory Dedications 225,668,185 208,966,092Interim Emergency Board 0 0FEDERAL FUNDS 3,348,207 5,046,260
$741,141,372 $752,427,406
STATE GENERAL FUND BY:
0T.O. 0
(0.6%)
2.2%41.6%
(20.5%)
0.0%(6.5%)
$482,919,888
44,673,1898,832,200
262,839,1310
5,046,260$804,310,668
0
-$2,682,123
995,8203,676,080
00
-$51,883,262
-53,873,039
00Other Charges Positions 0 0 0
STATE GENERAL FUND (Direct): $228,691,719 $233,191,719 $209,872,547 ($23,319,172)
Interagency Transfers 697,193,597 592,946,138 765,320,496 172,374,358Fees & Self-gen Revenues 1,626,036,960 1,678,549,006 1,582,952,119 (95,596,887)Statutory Dedications 1,301,269,931 935,283,998 1,059,589,817Interim Emergency Board 0 0 0 0FEDERAL FUNDS 213,016,243 233,476,143 133,062,470 (100,413,673)
$4,066,208,450 $3,673,447,004 $3,750,797,449 $77,350,445
124,305,819
STATE GENERAL FUND BY:
1,148T.O. 1,505 1,507 2
(10.0%)
29.1%(5.7%)13.3%
(43.0%)2.1%
0.1%
Other Appropriation Bills
9Other Charges Positions 10 10 021 Ancillary
STATE GENERAL FUND (Direct): $0 $0
Interagency Transfers 423,993,445 556,254,146Fees & Self-gen Revenues 1,477,357,984 1,484,108,024Statutory Dedications 70,189,624 121,000,000Interim Emergency Board 0 0FEDERAL FUNDS 0 0
$1,971,541,053 $2,161,362,170
STATE GENERAL FUND BY:
1,148T.O. 1,507
0.1%(0.9%)
0.0%
(0.6%)
0.1%
$0
555,953,2761,497,117,942
121,000,00000
$2,174,071,218
1,505
$0
300,870-13,009,918
00
-$12,709,048
0
29Other Charges Positions 10 10 0
23 JudiciarySTATE GENERAL FUND (Direct): $155,338,908 $143,855,017
Interagency Transfers 0 9,392,850Fees & Self-gen Revenues 0 0Statutory Dedications 6,616,337 10,407,485Interim Emergency Board 0 0FEDERAL FUNDS 0 0
$161,955,245 $163,655,352
STATE GENERAL FUND BY:
0T.O. 0
(10.0%)
0.0%
0.3%
(8.9%)
$159,838,908
9,392,8500
10,371,43400
$179,603,192
0
-$15,983,891
00
00
-$15,947,840
36,051
00Other Charges Positions 0 0 0
Department Budget Summary 12 LFO 6/3/2016
FY 2015 FY 2016 FY 2017 Change
Previous Year Current Year Next Year2017 2016- Percent
Change
Statewide Budget
Actual EOB 12/1/2015
Department Budget Summary
HB 1 Reengrossed w/Sen Am
24 LegislatureSTATE GENERAL FUND (Direct): $73,352,811 $66,017,530
Interagency Transfers 0 0Fees & Self-gen Revenues 27,324,676 22,584,095Statutory Dedications 10,001,063 10,000,000Interim Emergency Board 0 0FEDERAL FUNDS 0 0
$110,678,550 $98,601,625
STATE GENERAL FUND BY:
0T.O. 0
(10.0%)
(9.5%)0.0%
(9.0%)
$73,352,811
024,954,06410,000,000
00
$108,306,875
0
-$7,335,281
0-2,369,969
00
-$9,705,250
0
00Other Charges Positions 0 0 0
26 Capital Outlay CashSTATE GENERAL FUND (Direct): $0 $0
Interagency Transfers 273,200,152 199,673,500Fees & Self-gen Revenues 121,354,300 76,260,000Statutory Dedications 1,214,462,907 918,182,332Interim Emergency Board 0 0FEDERAL FUNDS 213,016,243 133,062,470
$1,822,033,602 $1,327,178,302
STATE GENERAL FUND BY:
0T.O. 0
623.5%(51.3%)
15.7%
(43.0%)9.6%
$0
27,600,012156,477,000793,912,564
0233,476,143
$1,211,465,719
0
$0
172,073,488-80,217,000
0-100,413,673$115,712,583
124,269,768
00Other Charges Positions 0 0 0
STATE GENERAL FUND (Direct): $367,810,387 $285,155,251 $496,527,664 $211,372,413
Interagency Transfers 0 0 0 0Fees & Self-gen Revenues 0 0 0 0Statutory Dedications 95,189,235 72,071,266 47,800,000Interim Emergency Board 0 0 0 0FEDERAL FUNDS 0 0 0 0
$462,999,622 $357,226,517 $544,327,664 $187,101,147
(24,271,266)
STATE GENERAL FUND BY:
0T.O. 0 0 0
74.1%
(33.7%)
52.4%
Non-Appropriated Requirements
0Other Charges Positions 0 0 022 Non-Appropriated Requirements
STATE GENERAL FUND (Direct): $367,810,387 $496,527,664
Interagency Transfers 0 0Fees & Self-gen Revenues 0 0Statutory Dedications 95,189,235 47,800,000Interim Emergency Board 0 0FEDERAL FUNDS 0 0
$462,999,622 $544,327,664
STATE GENERAL FUND BY:
0T.O. 0
74.1%
(33.7%)
52.4%
$285,155,251
00
72,071,26600
$357,226,517
0
$211,372,413
00
00
$187,101,147
-24,271,266
00Other Charges Positions 0 0 0
Department Budget Summary 13 LFO 6/2/2016
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ified
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and
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eful
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nera
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e fu
ll-tim
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ther
than
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due
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rmed
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ar.
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fully
fund
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nd p
rovid
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r the
incr
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nhan
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Tota
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66/
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Legi
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ive
Fisc
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ffice
Fisc
al H
ighl
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s 20
16 S
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on 2
016
Sess
ion
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Incr
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serv
ices
($1,
276,
303)
and
calls
toth
eCa
ll Cen
ter a
s a re
sult o
f new
IRS
tax f
orm
outs
requ
ired
unde
r the
Affo
rdab
le Ca
re A
ct ($
4,67
0,90
1).
Cont
ract
Rene
wal
$
2,68
2,92
8Ca
ll Cen
ter I
ncre
ase
$4
,670
,901
Inte
grat
ion o
f Spe
cializ
ed S
ervic
es
$1,
276,
303
Enro
llmen
t Bro
ker C
ontra
ct In
crea
se
$
8,63
0,13
2
$4,3
15,0
650
305
09-
Med
ical V
endo
rAd
mini
strat
ionHe
alth
&Ho
spita
ls$8
,630
,132
Major Enhancements and Increases 21 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
96/
2/16
12:0
1 PM
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on 2
016
Sess
ion
Thu,
6/2
/16
12:0
0 PM
Prov
ides
addit
ional
cont
ract
fund
ingto
the
LAHe
althc
are
Quali
tyFo
rum
(LHQ
F)fo
rne
wco
ntra
ctde
liver
ables
asso
ciate
dwi
thth
eHI
TECH
Healt
hIn
form
ation
Tech
nolog
y(H
IT)/H
ealth
Info
rmat
ionEx
chan
ge(H
IE)
fede
ralg
rant
($3,
555,
483)
.De
liver
ables
includ
ede
velop
men
tof
aqu
ality
surv
eyto
ident
ifyan
dm
easu
requ
ality
mea
sure
s,pe
rform
ance
,out
com
es,a
ndco
stsac
ross
healt
hcar
ese
ttings
;sta
rtup
assis
tanc
eto
prov
iders
forH
IEpa
rticip
ation
,and
repo
rting
onBa
you
Healt
hse
lecte
dm
easu
res
such
as l
ow b
irth
weigh
t, re
adm
ission
s; an
d ot
her h
ealth
out
com
es.
$336
,476
030
509
-M
edica
l Ven
dor
Adm
inistr
ation
Healt
h &
Hosp
itals
$3,8
91,9
59
Addit
ional
fund
ingto
deve
lopa
Med
icaid
asse
tver
ificat
ionpr
ogra
mfo
rthe
aged
,blin
dan
ddis
abled
.Th
eso
urce
offe
dera
lfund
s($6
37,5
00)i
sMed
icaid
adm
inistr
ative
mat
ch.
The
prog
ram
willv
erify
the
asse
tsof
the
aged
,blin
d,an
ddis
abled
appli
cant
s(a
ppro
ximat
ely30
0K
recip
ients
annu
ally)
aspa
rtof
the
eligib
ility
dete
rmina
tion
proc
ess.
$637
,500
030
509
-M
edica
l Ven
dor
Adm
inistr
ation
Healt
h &
Hosp
itals
$1,2
75,0
00
Fund
ingto
auto
mat
eM
edica
ideli
gibilit
yan
den
rollm
ent
proc
esse
s.Th
eso
urce
offe
dera
lfu
nds
($25
,958
,018
)is
Med
icaid
adm
inistr
ative
mat
ch.
The
goal
fort
hene
weli
gibilit
yinf
orm
ation
syste
mis
tostr
eam
line
and
auto
mat
eeli
gibilit
yan
den
rollm
entp
roce
sses
.DH
Hind
icate
sth
eCe
nter
sfo
rMed
icare
&M
edica
idSe
rvice
s(C
MS)
isre
quirin
gLA
tom
oder
nize
itsex
isting
syste
mto
beco
me
com
plian
twith
the
Affo
rdab
leCa
reAc
t.Co
stsar
esp
litbe
twee
nim
plem
enta
tion
ofan
Ente
rpris
eAr
chite
cture
Syste
m($
10,3
05,4
52)f
orth
em
oder
nizat
ionof
allm
edica
idinf
orm
ation
syste
ms/f
uncti
ons,
and
costs
asso
ciate
dwi
tha
new
enro
llmen
tsys
tem
fore
ligibi
lityde
term
inatio
nsan
dto
main
tain
reco
rds
ofap
plica
nts/e
ligibl
es($
20,2
76,0
43).
Costs
fore
ligibi
lityan
den
rollm
enti
nclud
ede
sign
and
deve
lopm
ent(
$14,
426,
043)
,OTS
staff
($2,
500,
000)
, har
dwar
e an
d so
ftwar
e ($
2,50
0,00
0) a
nd sy
stem
main
tena
nce
($85
0,00
0).
$4,6
23,4
760
305
09-
Med
ical V
endo
rAd
mini
strat
ionHe
alth
&Ho
spita
ls$3
0,58
1,49
4
Fund
ingfo
rthe
3rd
Party
Liabil
ity(T
PL)f
uncti
on.T
heso
urce
offe
dera
lfun
ding
($94
2,50
0)is
fede
ral
Med
icaid
adm
inistr
ative
mat
ch.
LApu
rsue
slia
ble3r
dpa
rties
form
onet
ary
reco
verie
sof
paym
ents
inor
dert
oen
sure
that
Med
icaid
isth
epa
yero
flas
tres
ort.
Info
rmat
ionpr
ovide
dby
DHH
indica
tes
the
curre
nt T
PL co
ntra
ct lap
sed
in De
cem
ber 2
014.
$942
,500
030
509
-M
edica
l Ven
dor
Adm
inistr
ation
Healt
h &
Hosp
itals
$1,8
85,0
00
Prov
idefu
nding
for
desig
n,de
velop
men
t,an
dim
plem
enta
tion
ofa
prov
ider
man
agem
ent
syste
mto
mod
erniz
epr
ovide
renr
ollm
entf
oren
rollin
gne
wan
dre
valid
ating
exist
ingM
edica
idan
dm
anag
edca
repr
ovide
rs.
The
sour
ceof
fede
ralf
unds
($5,
518,
337)
isM
edica
idad
mini
strat
ivem
atch
.Th
isfu
nctio
nis
curre
ntly
prov
ided
unde
r the
curre
nt F
iscal
Inte
rmed
iary c
ontra
ct (M
olina
).
$1,0
39,8
230
305
09-
Med
ical V
endo
rAd
mini
strat
ionHe
alth
&Ho
spita
ls$6
,558
,160
Major Enhancements and Increases 22 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
106/
2/16
12:0
1 PM
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on 2
016
Sess
ion
Thu,
6/2
/16
12:0
0 PM
Fund
ingfo
rpa
ymen
tsto
Rura
lHea
lthCl
inics
.RH
C’s
prov
ideph
ysici
anse
rvice
s,nu
rse
prac
tition
erse
rvice
s,ce
rtifie
dnu
rse
midw
ifese
rvice
s,cli
nical
psyc
holog
ist,a
ndcli
nical
socia
lwor
kers
ervic
es.T
heso
urce
offe
dera
lfun
ds($
1,75
7,90
2)is
Title
19fe
dera
lfina
ncial
parti
cipat
ion.T
heinc
reas
edfu
nding
repr
esen
ts3
sepa
rate
adjus
tmen
tsas
socia
ted
with
apr
ojecte
dinc
reas
ein
Med
icaid
claim
ssp
endin
gfo
rRH
C’si
nFY
17.
Note
:Tot
alan
ticipa
ted
num
bero
fFQH
C’s
inFY
16is
149
(15
new
clinic
sph
ased
inFY
16)
and
FY17
is16
2(1
3ne
wcli
nics
open
edin
FY17
).Th
einc
reas
eis
base
don
the
follo
wing
proje
ction
s:
$779
,353
A
nnua
lizat
ion o
f 5 R
HC’s
enro
lled
in FY
16
$1,4
47,3
70
Pha
se in
of 6
pro
jecte
d ne
w cli
nics i
n FY
17
$5
96,7
62
*M
edica
re E
cono
mic
Inde
x (M
EI) a
djustm
ent (
1% o
n to
tal R
HC p
aym
ents)
$2,8
23,4
85*C
linics
rece
ivean
allinc
lusive
pros
pecti
vera
tepe
rvis
it/enc
ount
er,
which
includ
esan
annu
alM
EIad
justm
ent t
o th
e ra
te.
The
MEI
is a
mea
sure
of p
hysic
ian p
racti
ce co
st inf
lation
.
$1,0
65,5
830
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$2
,823
,485
Incr
ease
inDi
spro
porti
onat
eSh
are
Hosp
ital(
DSH)
fund
ingfo
rLIN
CCA
(Low
Inco
me
and
Need
yCa
reCo
llabo
ratio
nAg
reem
ent)
paym
ents.
DSH
LINC
AAsp
endin
gis
incre
ased
from
$100
Min
FY16
to$1
77.5
Min
FY17
.Th
eso
urce
ofm
atch
ingfu
nds
isIn
terg
over
nmen
talT
rans
fer(
IGT)
reve
nue
from
non
state
pub
lic fa
cilitie
s. T
he so
urce
of f
eder
al fu
nding
is T
itle 1
9 fe
dera
l fina
ncial
par
ticipa
tion.
$00
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$7
7,55
8,78
6
Fund
ingfo
rMed
icare
Part
A&
Part
Bpr
emium
s.Th
eso
urce
offe
dera
lfun
ds($
23,4
25,6
13)i
sTi
tle19
fede
ralf
inanc
ialpa
rticip
ation
.Th
einc
reas
eis
relat
edto
proje
cted
enro
llmen
tinc
reas
ein
the
Med
icare
Savin
gsPr
ogra
m(M
SP)a
nda
proje
cted
incre
ase
inbo
thPa
rtA
(hos
pital
insur
ance
)and
Part
B(m
edica
lins
uran
ce)p
rem
iums,
asM
edica
repr
emium
sch
ange
annu
ally
inJa
nuar
y.Th
eM
SPpa
ysth
eM
edica
repr
emium
s for
low
incom
e M
edica
re b
enef
iciar
ies.
Part
A pr
emium
to in
crea
se fr
om $
411
to $
425;
and
enr
ollee
s fro
m 8
,421
(7/2
016)
to 8
,499
(6/2
017)
Part
B pr
emium
to in
crea
se fr
om $
121.
80 to
$12
3.70
; and
enr
ollee
s fro
m (7
/201
6) to
177
,120
(7/2
017)
$263
,419
,521
E
OB fo
r Med
icare
pre
mium
s$3
01,0
44,9
83
Pro
jecte
d FY
17
cost
for M
edica
re p
rem
iums
$37
,625
,462
F
Y 17
Bud
get A
djustm
ent
$14,
199,
849
030
609
-M
edica
l Ven
dor
Paym
ents
Healt
h &
Hosp
itals
$37,
625,
462
Major Enhancements and Increases 23 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
116/
2/16
12:0
1 PM
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on 2
016
Sess
ion
Thu,
6/2
/16
12:0
0 PM
Incr
ease
sfu
nding
for
‘Claw
back
’pay
men
tsth
atar
em
ade
byM
edica
idto
the
Med
icare
Prog
ram
asre
quire
dby
the
Cent
ers
forM
edica
re&
Med
icaid
Serv
ices
(CM
S)on
am
onth
lyba
sisto
cove
rthe
state
ssh
are
ofth
eco
stof
the
Med
icare
Pres
cript
ionDr
ugPr
ogra
m,P
artD
.As
ofJa
nuar
y20
06,d
uale
ligibl
esre
ceive
pres
cript
iondr
ugbe
nefits
from
Med
icare
only.
The
amou
ntth
atea
chsta
tepa
ysis
base
don
the
amou
ntth
esta
tewo
uldpa
yif
adu
aleli
gible
Med
icaid
enro
llee
would
have
cont
inued
tore
ceive
their
pres
cript
iondr
ugbe
nefit
unde
rMed
icaid.
Dual
enro
llees
are
enro
lled
inbo
thM
edica
idan
dM
edica
re.
The
budg
et a
djustm
ent is
bas
ed o
n th
e fo
llowi
ng ca
lculat
ion:
FY 1
6 EO
B
$1
39,0
31,5
15FY
17
Proje
ction
$
141,
287,
838
$
2,25
6,32
3 No
te:T
heFY
17es
timat
eis
base
don
a.5
%en
rollm
entg
rowt
hof
enro
llees
and
aninc
reas
ein
the
mon
thly
clawb
ack p
rem
ium p
aym
ents
for 4
mon
ths i
n FY
17.
$2,2
56,3
230
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$2
,256
,323
Fund
ingfo
rpro
jecte
dpr
ivate
prov
iders
med
icali
nflat
ionan
den
rollm
entg
rowt
h.Th
eso
urce
offe
dera
lfu
nds
($7,
451,
207)
isTi
tle19
fede
ralf
inanc
ialpa
rticip
ation
.Th
ead
justm
ent
isba
sed
onpr
ojecte
dut
ilizat
iongr
owth
inM
edica
idfe
e-fo
r-ser
vice
(pop
ulatio
nex
clude
dfro
mBa
you
Healt
h).
The
incre
ase
isba
sed
ontre
ndfa
ctors
appli
edto
certa
inca
tego
ries
ofse
rvice
(am
bulat
ory
surg
ical
cent
ers,
case
man
agem
ent,
dura
blem
edica
lequ
ipmen
t,Ea
rly&
Perio
dicSc
reen
ingDi
agno
stic
&Tr
eatm
ents
ervic
es,
Early
Step
s,Fa
mily
Plan
ning,
Hem
odial
ysis,
Hom
eHe
alth,
Hosp
itals,
Lab
and
XRa
y,Ph
ysici
an,a
ndTr
ansp
orta
tion.
Aninf
lation
perc
enta
gegr
owth
was
appli
edto
FY16
proje
cted
spen
ding
for
thes
eca
tego
ries,
rang
ing f
rom
3%
to 4
.5%
.
$4,5
16,6
810
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$1
1,96
7,88
8
Incr
ease
sfu
nding
($19
5,26
3,30
4SG
F,$5
2,37
9,54
8St
atut
ory
Dedic
ation
&$3
84,5
21,5
58Fe
dera
l)fo
rM
anag
edCa
reOr
ganiz
ation
(MCO
)pay
men
tsin
FY17
.The
sour
ceof
fede
ralf
unds
isTi
tle19
fede
ral
finan
cialp
artic
ipatio
n.Th
einc
reas
esre
pres
ents
capit
ation
rate
paym
ents
toBa
you
Healt
hm
anag
edca
reor
ganiz
ation
s.In
form
ation
prov
ided
byDH
Hre
flects
fund
ingad
justm
ents
toth
eBa
you
Healt
hpa
ymen
tba
sean
ticipa
ted
forF
Y17
.Ad
justm
ents
includ
een
rollm
entg
rowt
h(3
%or
28,8
05),
utiliz
ation
and
unit
cost
trend
adjus
tmen
tsfo
rser
vices
cove
red
unde
rthe
MCO
’s(fo
rexa
mple
hosp
itals
ervic
es,l
aban
dX-
ray,
hom
ehe
alth,
phys
ician
serv
ices)
,an
nuali
zatio
nof
new
serv
ices
carv
edin
toBa
you
Healt
h(c
omm
unity
hosp
ice,P
DHC,
and
EPSD
T-PC
S),S
hare
dSa
vings
Payo
uts,
and
asp
ecial
ized
beha
viora
lhe
alth
cost
trend
adju
stmen
t.
$195
,263
,304
030
609
-M
edica
l Ven
dor
Paym
ents
Healt
h &
Hosp
itals
$632
,164
,410
Major Enhancements and Increases 24 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
126/
2/16
12:0
1 PM
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on 2
016
Sess
ion
Thu,
6/2
/16
12:0
0 PM
Fund
ing($
196,
912
SGF,
$1,4
22,6
94sta
tuto
rilyde
dicat
edM
edica
lAss
istan
ceTr
ustF
und,
&$2
,671
,877
Fede
ral)
fora
dditio
nalp
aym
ents
fort
heDe
ntal
Bene
fitsPl
an(M
anag
edCa
re)d
ueto
apr
ojecte
dinc
reas
ein
enro
llmen
t(m
embe
rmon
ths)
.The
sour
ceof
fede
ralf
unds
isTi
tle19
fede
ralf
inanc
ialpa
rticip
ation
.The
dent
albe
nefit
man
aged
care
plan
prov
ides
Med
icaid
cove
red
dent
alse
rvice
sto
allBa
you
Healt
hen
rolle
es a
nd le
gacy
Med
icaid
fee-
for-s
ervic
e en
rolle
es th
at re
ceive
full b
enef
its.
$154
,477
,959
F
Y 17
Pro
jectio
n$1
50,1
86,4
76
FY
16 E
OB
$4
,291
,483
Cate
gory
M
embe
r Mon
ths
Ra
te
F
Y 17
Esti
mat
ed e
xpen
ditur
esM
edica
id Ch
ildre
n
8,0
46,1
95
$15.
48
$
124,
555,
096
Med
icaid
Adult
s
3
,696
,696
$
1.96
$7,2
45,5
24CH
IP (a
ge 0
-18)
1,4
21,5
15
$15
.41
$22
,005
,053
CHIP
Affo
rdab
le Pl
an
36,
777
$1
8.28
$67
2,28
6 FY
17
Proje
ction
s
1
3,20
1,18
3
$154
,477
,959
$196
,912
030
609
-M
edica
l Ven
dor
Paym
ents
Healt
h &
Hosp
itals
$4,2
91,4
83
Addit
ional
fund
ingfo
rpro
jecte
dinc
reas
ein
utiliz
ation
ofLo
ngTe
rmPe
rson
alCa
reSe
rvice
s(L
T-PC
S).
The
sour
ceof
fede
ralf
unds
($3,
735,
165)
isTi
tle19
fede
ralf
inanc
ialpa
rticip
ation
.Th
ead
justm
enti
sba
sed
ona
proje
cted
incre
ase
inne
tenr
ollm
ent/r
ecipi
entg
rowt
hof
75ind
ividu
alspe
rmon
thin
FY17
.LT
PCS
is a
state
plan
serv
ice, u
nlike
a w
aiver
, and
is n
ot ca
pped
on
a se
t num
ber o
f slot
s.$1
99,2
36,8
94 F
Y 17
Pro
jecte
d ex
pend
iture
s$1
93,2
37,5
93 F
Y 16
EOB
$
5,99
9,30
1
$2,2
64,1
360
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$5
,999
,301
Major Enhancements and Increases 25 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
136/
2/16
12:0
1 PM
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on 2
016
Sess
ion
Thu,
6/2
/16
12:0
0 PM
Annu
alize
dco
stas
socia
ted
with
96ne
wen
rolle
esad
ded
inFY
16to
the
Prog
ram
fort
heAl
lInc
lusive
Care
fort
heEl
derly
(PAC
E)at
the
Bato
nRo
uge
and
New
Orlea
nssit
esan
da
phas
e-in
of11
4ad
dition
alen
rolle
esin
FY17
.Th
eso
urce
offe
dera
lfun
ds($
3,99
2,28
2)is
Title
19fe
dera
lfina
ncial
parti
cipat
ion.
PACE
prog
ram
sco
ordin
ate
and
prov
ides
allne
eded
prev
entiv
e,pr
imar
yhe
alth,
acut
ean
dlon
gte
rmca
rese
rvice
sso
that
older
adult
scan
cont
inue
living
inth
eco
mm
unity
.Th
ispr
ogra
mpr
ovide
sser
vices
acro
ssall
care
settin
gson
a24
-hou
rbas
isea
chda
yof
the
year
.This
enha
ncem
entm
aybe
impa
cted
byth
ead
justm
ents
ident
ified
onth
eBu
dget
Redu
ction
Sum
mar
yde
taile
don
Page
1of
the
Majo
rRed
uctio
nsSe
ction
.$1
7,54
3,45
6 F
Y 17
Pro
jecte
d ex
pend
iture
s (inc
lusive
of 6
6 ne
w en
rolle
es)
$13,
039,
775
FY
16 E
OB
$4,
503,
681
SUB
TOTA
L - B
aton
Rou
ge &
New
Orle
ans S
ites
$1,
033,
821
FY
16 e
nroll
ee co
st (4
pha
sed
in pe
r mon
th)
$
874,
772
FY
17 n
ew P
ACE
enro
llees
(48)
$1,
908,
593
SUB
TOTA
L - L
afay
ette
Site
$6,
412,
274
Tot
al In
crea
se fo
r FY
17
$2,4
19,9
920
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$6
,412
,274
Fund
ingfo
rpay
men
tsto
Fede
rally
Quali
fied
Healt
hCe
nter
s.FQ
HC’s
prov
ideco
mpr
ehen
sive
prim
aryc
are
serv
ices
inur
ban
and
rura
lare
asth
atar
eco
nside
red
med
ically
unde
rser
ved
asde
signa
ted
byth
efe
dera
lgo
vern
men
t.Th
eso
urce
offe
dera
lfun
ds($
4,26
6,18
8)is
Title
19fe
dera
lfina
ncial
parti
cipat
ion.
The
incre
ased
fund
ingre
pres
ents
3se
para
tead
justm
ents
asso
ciate
dwi
thpr
ojecte
dinc
reas
edM
edica
idcla
imss
pend
ingfo
rFQH
C’si
nFY
17.N
ote:
Tota
lant
icipa
ted
num
bero
fFQH
C’si
nFY
16is
149
(15
new
clinic
spha
sed
inFY
16)a
ndFY
17is
162
(13
new
clinic
sope
ned
inFY
17).
The
incre
ase
isba
sed
onth
efo
llowi
ng p
rojec
tions
:$2
,526
,405
A
nnua
lizat
ion o
f 15
FQHC
’s en
rolle
d in
FY 1
6$3
,657
,631
P
hase
in o
f 13
proje
cted
new
clinic
s in
FY 1
7 $
668,
178
*M
edica
re E
cono
mic
Inde
x (M
EI) a
djustm
ent (
1% o
n to
tal F
QHC
paym
ents)
$6,8
52,2
14*C
ente
rsre
ceive
anall
inclus
ivepr
ospe
ctive
rate
per
visit/e
ncou
nter
,whic
hinc
ludes
anan
nual
MEI
adjus
tmen
t to
the
rate
. Th
e M
EI is
a m
easu
re o
f phy
sician
pra
ctice
cost
inflat
ion.
$2,5
86,0
260
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$6
,852
,214
Annu
alize
dfu
nding
for
413
Supp
orts
Waiv
erslo
tsce
rtifie
din
FY16
.Th
eso
urce
offe
dera
lfu
nds
($76
9,50
5)is
Title
19fe
dera
lfina
ncial
parti
cipat
ion.
The
Aver
age
mon
thly
cost
perr
ecipi
entf
orSu
ppor
tsW
aiver
is a
ppro
ximat
ely $
662
($7,
944
annu
al), n
ot in
clusiv
e of
acu
te se
rvice
s.$4
66,4
490
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$1
,235
,954
Major Enhancements and Increases 26 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
146/
2/16
12:0
1 PM
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on 2
016
Sess
ion
Thu,
6/2
/16
12:0
0 PM
Annu
alize
dfu
nding
for2
37Ch
ildre
nsCh
oice
Waiv
er(C
CW)s
lotsc
ertifi
edin
FY16
.Th
eso
urce
offe
dera
lfu
nds
($1,
022,
912)
isTi
tle19
fede
ralf
inanc
ialpa
rticip
ation
.Th
eav
erag
em
onth
lyco
stpe
rrec
ipien
tfor
CCW
waiv
er is
app
roxim
ately
$88
0 ($
10,5
60 a
nnua
l).$6
20,0
570
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$1
,642
,969
Fund
ingfo
rNew
Oppo
rtunit
iesW
aiver
(NOW
)waiv
ers.
The
sour
ceof
fede
ralf
undin
g($
16,4
81,3
80)i
sTi
tle19
fede
ral
finan
cial
parti
cipat
ion.
Aver
age
mon
thly
cost
per
recip
ient
for
aNO
Wwa
iver
isap
prox
imat
ely $
4,40
0 ($
52,8
00 a
nnua
l) no
t inclu
sive
of a
cute
serv
ices.
$23,
436,
006
($
8,84
4,74
9 SG
F) -
Fund
ing re
quire
d to
fund
the
FY 1
6 NO
W e
xpen
ditur
e pr
ojecti
on $
3,03
5,85
5
($1,
145,
732
SGF)
- An
nuali
ze fu
nding
for 1
55 sl
ots c
ertifi
ed in
FY
16$2
6,47
1,86
1
$9,9
90,4
810
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$2
6,47
1,86
1
Fund
ingfo
rCo
ordin
ated
Syste
mof
Care
(CSo
C)wa
iver
prog
ram
.Th
eso
urce
offe
dera
lfu
nds
($17
,853
,112
)is
Title
19fe
dera
lfin
ancia
lpa
rticip
ation
.Th
eCS
oCPr
ogra
mpr
ovide
ssp
ecial
ized
beha
viora
lhea
lthse
rvice
sto
yout
hat
risk.
Yout
har
epr
ovide
das
sista
nce
ofva
rious
wrap
arou
ndag
encie
stha
tpro
vide
direc
tinte
nsive
case
man
agem
ent.
Begin
ning
12/1
/201
6,M
VPwi
llbeg
inpa
ying
anad
mini
strat
ivePe
rM
embe
rPe
rM
onth
(PM
PM)
fee
topr
ovide
rsth
atpr
ovide
direc
tint
ensiv
eca
sem
anag
emen
tto
parti
cipan
ts.Th
ead
justm
entc
over
sco
stsfo
rapp
roxim
ately
7m
onth
sin
FY17
.Th
ead
justm
enti
sba
sed
ona
PMPM
cost
toth
eCS
oCco
ntra
ctoro
fapp
roxim
ately
$309
.90,
and
a$1
,035
PMPM
cost
to va
rious
wra
p ar
ound
age
ncies
. $
5,20
6,32
0
CSo
C co
ntra
ctor a
dmin
costs
- 2,
400
kids *
$309
.90
PMPM
* 7 (m
onth
s in
FY 1
7)$1
7,38
8,00
0
Wra
p ar
ound
age
ncy a
dmin
costs
- 2,
400
kids *
$1,0
35 P
MPM
*7 (7
mon
ths i
n FY
17)
$6,
080,
772
P
rojec
ted
fee-
for-s
ervic
e pa
ymen
ts to
pro
vider
s$2
8,67
5,09
2
$10,
821,
980
030
609
-M
edica
l Ven
dor
Paym
ents
Healt
h &
Hosp
itals
$28,
675,
092
Fund
ingfo
rinc
reas
ein
Phar
mac
yex
pend
iture
s.Th
eso
urce
offe
dera
lfun
ds($
26,7
47,0
31)i
sTi
tle19
fede
ralf
inanc
ialpa
rticip
ation
.Th
ead
justm
enti
sba
sed
onpr
ojecte
dph
arm
acy
price
grow
th($
6,35
6,68
8M
)an
dre
place
men
tof
reba
tere
venu
es($
35.5
M)
antic
ipate
dto
bere
duce
din
FY17
.In
form
ation
prov
ided
byDH
Hind
icate
spr
ojecte
dph
arm
acy
expe
nditu
regr
owth
isdr
iven
byge
neric
drug
price
grow
than
dsp
ecial
ized
med
icatio
nsba
sed
onna
tiona
lpha
rmac
ytre
ndda
taas
repo
rted
inth
eNa
tiona
lHea
lthEx
pend
iture
s For
ecas
t Sum
mar
y. T
he in
crea
se a
djusts
for p
harm
acy r
ebat
e re
ducti
ons i
n FY
17.
6.3%
Pha
rmac
y Gro
wth
in FY
17
(fee-
for-s
ervic
e cla
ims)
$
6,35
6,68
8 Pr
ojecte
d St
ate
Supp
lemen
tal R
ebat
e Re
ducti
on
$2,
400,
000
Proje
cted
Fede
ral R
ebat
e Re
ducti
on
$33
,100
,000
$41
,856
,688
$15,
109,
657
030
609
-M
edica
l Ven
dor
Paym
ents
Healt
h &
Hosp
itals
$41,
856,
688
Major Enhancements and Increases 27 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
156/
2/16
12:0
1 PM
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on 2
016
Sess
ion
Thu,
6/2
/16
12:0
0 PM
Addit
ional
fund
ingto
incre
ase
perd
iemra
tese
ffecti
ve7/
1/20
16.T
heso
urce
offe
dera
lfund
s($1
,273
,026
)is
Title
19fe
dera
lfina
ncial
parti
cipat
ion.A
ct32
7of
2007
man
date
san
inpat
ientp
erdie
mra
teinc
reas
efo
rsm
allru
ralh
ospit
alsev
eryo
ther
year
.Th
ead
justm
entis
base
don
the
aver
age
re-b
ase
amou
ntof
the
last
2 ho
spita
l rat
e re
-bas
es (F
Y 13
& F
Y 15
). Th
e es
timat
ed F
Y 17
Acu
te re
-bas
e inc
reas
e is
$76.
68 p
er d
ay.
$771
,668
030
609
-M
edica
l Ven
dor
Paym
ents
Healt
h &
Hosp
itals
$2,0
44,6
94
Prov
ides
addit
ional
fund
ingfo
rnu
rsing
hom
epr
ovide
rsra
teinc
reas
es(ra
tere
-bas
e)fo
rFY
17.
The
sour
ceof
Stat
utor
yDe
dicat
ionis
reve
nue
from
the
Med
icaid
Trus
tFun
dfo
rthe
Elde
rly($
23,9
09,4
31).
The
sour
ceof
fede
ralf
unds
($39
,443
,591
)is
Title
19fe
dera
lfina
ncial
parti
cipat
ion.T
hepr
ovide
rrat
einc
reas
eis
base
da
proje
cted
perd
ayra
teinc
reas
eof
$8.6
9pe
rbed
perd
ay(a
vera
geda
ilyra
teof
$164
.22)
.
N
ursi
ng H
omes
Hos
pice
Roo
m/B
oard
FY
17
Med
icaid
Nurs
ing H
ome
Days
:
6,
893,
784
417,
196
Proje
cted
Per D
ay in
crea
se
$
8.69
$
8.26
Subt
otal
Incr
ease
$59,
906,
983
$3,
446,
039
Tota
l Incr
ease
Due
to R
ebas
e:
$63
,353
,022
$00
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls$6
3,35
3,02
2
Prov
ides
fund
ingfo
ran
addit
ional
Med
icaid
Bayo
uHe
alth
paym
entc
heck
write
resu
lting
in13
paym
ents
form
anag
edca
repr
emium
paym
ents
inFY
17.T
heso
urce
offe
dera
lfun
ds($
208,
239,
595)
isTi
tle19
fede
ral
finan
cial
parti
cipat
ion.
This
adjus
tmen
tre
pres
ents
aFY
16Ba
you
Healt
hm
onth
lypa
ymen
tob
ligat
ion th
at w
as p
ushe
d int
o FY
17
as a
resu
lt of t
he F
Y 16
mid-
year
def
icit s
olutio
n.No
te:T
hisad
justm
entd
oes
noti
nclud
e$1
7M
inSG
Fre
quire
dsta
tem
atch
tom
ake
the
proje
cted
13th
man
aged
care
paym
ents
asa
resu
ltof
this
amou
nton
lybe
ingav
ailab
lefo
rex
pend
iture
when
the
Depa
rtmen
tofR
even
uepr
evail
sin
any
suit
appe
al,or
petiti
onas
socia
ted
with
anam
ount
paid
unde
rpr
otes
tand
held
ines
crow
inac
cord
ance
with
R.S.
47:1
576
and
trans
fers
such
mon
iesto
the
SGF
tobe
utiliz
edto
fund
the
13th
man
aged
care
paym
ent.
The
tota
lSGF
need
is$1
26.2
Mto
draw
down
$208
.2M
in fe
dera
l fund
ing fo
r $33
4.4
M in
tota
l pay
men
ts.
$109
,228
,113
030
609
-M
edica
l Ven
dor
Paym
ents
Healt
h &
Hosp
itals
$317
,467
,708
Prov
ides
fund
ingfo
ran
incre
ase
toHo
spice
rate
s.Th
eso
urce
offe
dera
lfun
ds($
539,
300)
isTi
tle19
fede
ral
finan
cial
parti
cipat
ion.
This
adjus
tmen
tinc
reas
esHo
spice
rate
sby
appr
oxim
ately
1.6%
.In
form
ation
prov
ided
byDH
Hind
icate
sth
eHo
spice
rate
incre
ase
isba
sed
ona
rate
sche
dule
esta
blish
edby
the
Cent
ers f
or M
edica
re &
Med
icaid
Serv
ices.
The
incre
ase
is ba
sed
on th
e fo
llowi
ng p
rojec
tion:
$5,4
03,9
90
F
Y 17
pro
jecte
d Ho
spice
pay
men
ts (in
cludin
g ut
ilizat
ion g
rowt
h an
d 1.
6% ra
te in
crea
se)
$4,5
37,7
84
F
Y 16
EOB
for H
ospic
e pa
ymen
ts
$866
,206
FY
17 In
crea
se
$326
,906
030
609
-M
edica
l Ven
dor
Paym
ents
Healt
h &
Hosp
itals
$866
,206
Major Enhancements and Increases 28 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
166/
2/16
12:0
1 PM
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on 2
016
Sess
ion
Thu,
6/2
/16
12:0
0 PM
Addit
ional
fund
ingfo
rMed
icaid
expa
nsion
toind
ividu
alsup
to13
8%of
the
fede
ralp
over
tylev
elun
dert
heAf
ford
able
Care
Act.
The
adjus
tmen
tref
lects
man
aged
care
prem
iumpa
ymen
tsfo
ran
estim
ated
375,
000
enro
llees
for F
Y 17
. Th
e so
urce
of f
eder
al fu
nds i
s Title
19
fede
ral fi
nanc
ial p
artic
ipatio
n.
S
GF
Tot
al
MCO
Pay
men
ts
$39
,733
,074
$1,
704,
345,
146
Med
icaid
Adm
in.
$11
,624
,300
$
39,
781,
755
$51,
357,
374
$1,
744,
126,
901
$51,
357,
374
030
609
-M
edica
l Ven
dor
Paym
ents
Healt
h &
Hosp
itals
$1,7
44,1
26,9
01
Addit
ional
SGF
for
Sout
hCe
ntra
lLA
Hum
anSe
rvice
sAu
thor
ity(S
CLHS
A)ov
erFY
16EO
B(2
.2%
incre
ase)
. The
LFO
has
requ
este
d inf
orm
ation
rega
rding
the
impa
ct to
serv
ices.
$310
,778
309
09-
Sout
h Ce
ntra
lLA
Hum
anSe
rvice
sAu
thor
ity
Healt
h &
Hosp
itals
$310
,778
Addit
ional
SGF
for
Acad
iana
Area
Hum
anSe
rvice
sDi
strict
(AAH
SD)
over
the
FY16
EOB
(11.
5%inc
reas
e). T
he L
FO h
as re
ques
ted
infor
mat
ion re
gard
ing th
e im
pact
to se
rvice
s.$1
,495
,183
325
09-
Acad
iana
Area
Hum
an S
ervic
esDi
strict
Healt
h &
Hosp
itals
$1,4
95,1
83
Incr
ease
sSG
Ffo
rrep
aym
ento
ffun
dsto
the
fede
ralF
ood
&Nu
tritio
nSe
rvice
(FNS
)age
ncy.
InFY
15,
the
FNS
agen
cyiss
ued
a$9
Mcla
imag
ainst
the
LAW
omen
,Inf
ants
&Ch
ildre
n(W
IC)
Prog
ram
for
impr
oper
paym
ento
fFed
eral
fund
s.DH
Hne
gotia
ted
ase
ttlem
entw
ithFN
Sto
repa
yth
edis
allow
ance
.As
part
ofth
ese
ttlem
ent,
DHH
will
mak
ea
$2.0
5M
cash
paym
ent
toFN
San
dim
plem
ent
vend
orim
prov
emen
tsto
the
WIC
Prog
ram
asth
ateq
uals
the
rem
aining
$6.1
5M
.Th
e$2
.05
Mca
shpa
ymen
twill
be re
paid
in 3
insta
llmen
ts of
$68
3,33
3 be
ginnin
g in
FY 1
7.
$683
,333
032
609
-Pu
blic H
ealth
Healt
h &
Hosp
itals
$683
,333
Incr
ease
sFe
dera
lfun
dsfro
mph
arm
aceu
tical
reba
tes
ondr
ugpu
rcha
ses
thro
ugh
the
LAHe
alth
Acce
ssPr
ogra
m(L
AHA
P),
form
erly
know
nas
AIDS
Drug
Assis
tanc
ePr
ogra
ms
(ADA
P).
LAHA
Pas
sists
unins
ured
and
insur
edind
ividu
alswi
thHI
Vwi
thdr
ugco
stsan
deli
gible
insur
ance
plan
prem
iums
aswe
llas
cost
shar
ing(i.
e.co
-pay
men
ts,co
-insu
ranc
esan
dde
ducti
bles)
asso
ciate
dwi
thdr
ugs
and
healt
hins
uran
ceco
vera
ge.T
hepr
ogra
mis
fund
edwi
thfe
dera
lfun
dsfro
mth
eRy
anW
hite
HIV/
AIDS
Prog
ram
,He
alth
Reso
urce
san
dSe
rvice
sAd
mini
strat
ion(H
RSA)
.In
FY17
,OP
His
proje
cting
colle
cting
anad
dition
al$9
.9M
inph
arm
aceu
tical
reba
tes.
The
reba
tefu
nds
are
expe
nded
onse
rvice
sfo
rind
ividu
alswi
th H
IV.
FY 1
6
$25
.1 M
FY 1
7
$35
.0 M
$
9.9
M R
ebat
e Co
llecti
ons P
rojec
ted
Incr
ease
$00
326
09-
Publi
c Hea
lthHe
alth
&Ho
spita
ls$9
,900
,000
Major Enhancements and Increases 29 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
176/
2/16
12:0
1 PM
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on 2
016
Sess
ion
Thu,
6/2
/16
12:0
0 PM
Incr
ease
sSG
Rin
the
even
ttha
tHB
995
ofth
e20
16Re
gular
Sess
ionis
enac
ted.
HB99
5inc
reas
esth
ean
nual
adm
inistr
ation
fee
fort
heSa
feDr
inking
Wat
erPr
ogra
mfro
m$3
.20
to$1
2.Pr
ojecte
dre
venu
eof
$12,
961,
000
from
HB99
5wi
llbe
used
tofu
ndup
to40
sanit
arian
posit
ionsw
ithin
the
Safe
Drink
ingW
ater
Prog
ram
with
inth
eOf
fice
ofPu
blic
Healt
h(O
PH).
The
annu
alco
stof
asa
nitar
ianpo
sition
isap
prox
imat
ely$9
6,00
0($
65,0
00av
erag
esa
lary
plus
$31,
000
relat
edbe
nefits
).In
addit
ion,O
PHwi
lltra
nsfe
r $50
0,00
0 to
the
LA R
ural
Wat
er A
ssoc
iation
as r
equir
ed b
y a p
rovis
ion o
f HB
995.
$00
326
09-
Publi
c Hea
lthHe
alth
&Ho
spita
ls$1
3,46
1,60
0
Addit
ional
SGF
forO
ffice
ofBe
havio
ralH
ealth
(OBH
)com
pare
dto
the
FY16
EOB
(2.3
%inc
reas
e).T
heLF
O ha
s req
ueste
d inf
orm
ation
from
the
OBH
rega
rding
the
impa
ct on
serv
ices.
$2,4
81,1
9733
009
-Be
havio
ral
Healt
hHe
alth
&Ho
spita
ls$2
,481
,197
Fund
ingfo
rser
vice
need
asse
ssm
ents
ofind
ividu
alson
the
Requ
estf
orSe
rvice
sReg
istry
(wait
inglis
t)fo
rth
eNO
Wwa
ivert
ode
term
inea
prior
itizat
ionfo
racc
ess.
Asof
12/3
1/20
15,t
here
were
13,6
05ind
ividu
alson
the
NOW
waitin
glis
t.OC
DDwi
llco
ntra
ctwi
thex
isting
prov
ider
agen
cies
tope
rform
thes
eas
sess
men
ts,wh
ichis
estim
ated
tobe
com
plete
dbe
fore
the
end
ofFY
17.
OCDD
willp
rovid
eth
esta
tem
atch
and
the
allow
able
Fede
rals
hare
tosu
ppor
tthis
func
tion
will
com
efro
mth
eM
edica
idPr
ogra
m($
2,92
9,07
0 SG
F an
d $1
,563
,522
Title
19
Med
icaid
IAT)
.
$2,9
29,0
700
340
09-
OCDD
Healt
h &
Hosp
itals
$4,4
92,5
92
Incr
ease
sTi
tle19
Med
icaid
IAT
fund
ingfo
r30
Resid
entia
lSup
port
Spec
ialist
posit
ions
atPi
necr
est
Supp
orts
&Se
rvice
sCe
nter
(SSC
),wh
ichis
the
lasts
tate
-ope
rate
dSS
C.Th
ead
dition
alpo
sition
sar
ene
eded
tom
eett
here
quire
dsta
ffto
resid
entr
atio
of1:
3.2
atPi
necr
est.
This
willr
esult
inan
incre
ase
of$7
91,3
44 in
salar
ies a
nd $
636,
888
in re
lated
ben
efits
.
$030
340
09-
OCDD
Healt
h &
Hosp
itals
$1,4
28,2
32
Addit
ional
SGF
forI
mpe
rialC
alcas
ieuHu
man
Serv
ices
Auth
ority
(ICHS
A)co
mpa
red
toth
eFY
16EO
B(2
.8%
incr
ease
). Th
e LF
O ha
s req
ueste
d inf
orm
ation
rega
rding
the
impa
ct to
serv
ices.
$224
,434
375
09-
Impe
rial
Calca
sieu
Hum
an S
ervic
esAu
thor
ity
Healt
h &
Hosp
itals
$224
,434
$446
,164
,757
30M
ajor
Incr
ease
s or
Enh
ance
men
ts fo
r Hea
lth &
Hos
pita
ls$3
,107
,343
,636
Major Enhancements and Increases 30 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
186/
2/16
12:0
1 PM
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on 2
016
Sess
ion
Thu,
6/2
/16
12:0
0 PM
Repla
ces
$30,
859,
962
ofIA
TTi
tle19
Med
icaid
budg
eted
forT
arge
ted
Case
Man
agem
ent(
TCM
)with
$13.
2M
ofSG
Fan
d$2
7.4
Mof
Fede
ralT
itleIV
-Efu
nding
.In
FY15
,the
depa
rtmen
tant
icipa
ted
using
TCM
asa
mea
nsof
finan
cing
child
welfa
re.
Unde
rTC
M,t
hede
partm
enta
ntici
pate
dus
ingTi
tle19
Med
icaid
fund
sto
prov
ideeli
gible
child
welfa
rese
rvice
s.Th
efe
dera
lCen
ters
forM
edica
re&
Med
icaid
(CM
S)ha
sno
tapp
rove
dth
eTC
M;t
here
fore
,all
antic
ipate
dTi
tle19
Med
icaid
fund
sar
ere
mov
edan
dre
place
dwi
thSG
Fan
dfe
dera
lTitle
IV-E
tosu
ppor
tchil
dwe
lfare
serv
ices.
Inth
eFY
16bu
dget
,the
$30.
8M
ofTi
tle19
Med
icaid
repr
esen
tspa
rtial
fund
ingof
TCM
.In
the
FY17
budg
et,t
he$4
0.6
Mof
SGF
and
Fede
ral fu
nding
repr
esen
ts to
tal fu
nding
nee
d to
cont
inue
child
welf
are
serv
ices.
SGF
$13
,200
,000
IAT
(DHH
- M
edica
id)
($3
0,85
9,96
2)Fe
dera
l (Ti
tle IV
-E)
$27
,400
,000
Tota
l
$
9,74
0,03
8
$13,
200,
000
036
010
-Ch
ildre
n &
Fam
ily S
ervic
esCh
ildre
n &
Fam
ilySe
rvice
s$9
,740
,038
Incr
ease
sfu
nding
for
2em
erge
ncy
shelt
ers
(Wes
tPa
rkan
dM
adiso
n)an
don
eva
cant
posit
ion($
1,06
2,00
8);f
undin
gfo
r22
vaca
ntpo
sition
sin
the
Child
Welf
are
Prog
ram
($75
2,23
8);a
ndfu
nding
for6
6va
cant
pos
itions
in th
e Su
pplem
enta
l Nut
rition
Ass
istan
ce P
rogr
am, S
NAP
($2,
185,
754)
.$4
,000
,000
036
010
-Ch
ildre
n &
Fam
ily S
ervic
esCh
ildre
n &
Fam
ilySe
rvice
s$4
,000
,000
$17,
200,
000
0M
ajor
Incr
ease
s or
Enh
ance
men
ts fo
r Chi
ldre
n &
Fam
ily S
ervi
ces
$13,
740,
038
Prov
ides
addit
ional
budg
etau
thor
ityfro
mth
esta
tuto
rilyde
dicat
edCo
asta
lRes
ourc
eTr
ust
Fund
for
bene
ficial
use
relat
edex
pend
iture
s.M
onies
inth
isfu
ndar
ede
posit
edby
oblig
ated
entiti
esan
dus
edto
fund
addit
ional
coas
talr
esto
ratio
nef
forts
inor
dert
obu
ildco
asta
lwet
lands
toof
fseti
mpa
ctsas
socia
ted
with
the
perm
itting
of d
redg
ing a
ctivit
ies w
here
the
mat
erial
s wer
e un
able
to b
e ut
ilized
ben
efici
ally.
$00
435
11-
Coas
tal
Man
agem
ent
Natu
ral
Reso
urce
s$1
,027
,205
$00
Maj
or In
crea
ses
or E
nhan
cem
ents
for N
atur
al R
esou
rces
$1,0
27,2
05
Major Enhancements and Increases 31 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
cem
ents
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
196/
2/16
12:0
1 PM
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on 2
016
Sess
ion
Thu,
6/2
/16
12:0
0 PM
Hous
eam
endm
enti
ncre
ases
SGF
budg
etau
thor
itywh
ichre
pres
ents
are
stora
tion
offu
nding
due
tota
xinc
reas
esfro
mth
e20
16Fi
rst
Extra
ordin
ary
Sess
ionof
$25.
3M
and
anad
dition
al$5
Mto
cove
ran
ticipa
ted
expe
nditu
res
inan
envir
onm
ento
fdec
lining
SGR
fort
heag
ency
.The
depa
rtmen
thas
not
requ
ired
SGF
until
FY16
,in
which
$20
Mha
sbe
enap
prop
riate
din
the
fund
sbil
l,wh
ichis
esse
ntial
lyth
eam
ount
ofSG
Fse
edth
eag
ency
has
noty
etre
paid.
The
agen
cy’s
SGR
isin
decli
nedu
eto
the
rece
nt3-
year
amne
stywh
ichda
mpe
ned
pena
ltyco
llecti
ons
aswe
llas
recu
rring
fund
swee
psth
ateli
mina
ted
any
carry
forw
ard
fund
ingth
atha
dbe
enus
edin
the
past
toall
eviat
eth
ene
edfo
rge
nera
lfu
nd.
The
depa
rtmen
talb
udge
tnow
tota
ls$4
7.2
Min
SGF,
$47
Min
SGR
and
$0.9
Min
Stat
utor
yDe
dicat
ions
and
IAT
fund
ingfo
rato
talb
udge
tof$
95.1
M.A
ctual
expe
nditu
resi
nFY
15we
re$1
02.5
M,in
cludin
gco
stsfo
rad
mini
sterin
g th
e am
nesty
pro
gram
.
$30,
320,
451
044
012
-Of
fice
ofRe
venu
eRe
venu
e$3
0,32
0,45
1
Hous
eam
endm
enti
ncre
ases
SGR
appr
opria
tion
tofu
ndde
partm
enta
lpar
ticipa
tion
inan
yM
ulti-s
tate
Tax
Com
miss
ionth
atth
eSe
cret
aryd
eter
mine
swill
help
incre
ase
taxc
ollec
tions
thro
ugh
inter
state
coop
erat
ionon
arm
’s len
gth
trans
actio
ns.
$00
440
12-
Offic
e of
Reve
nue
Reve
nue
$150
,000
$30,
320,
451
0M
ajor
Incr
ease
s or
Enh
ance
men
ts fo
r Rev
enue
$30,
470,
451
Incr
ease
sfu
nding
from
the
statu
torily
dedic
ated
Envir
onm
enta
lTru
stFu
ndwi
thin
the
Man
agem
ent&
Fina
nce
Prog
ram
.The
incre
ase
isfo
rIAT
expe
nditu
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rrent
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ms.
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irm
onito
ring,
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mup
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eU.
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viron
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talP
rote
ction
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cy,n
ewco
mpu
ters
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ters
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ts,IT
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ract
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r qua
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ports
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ss d
evelo
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onm
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nviro
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Tota
lT.
O.
Dept
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ency
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#
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or In
crea
ses
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nhan
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206/
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al O
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al H
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on 2
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ion
Thu,
6/2
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0 PM
Incr
ease
sfu
nding
from
the
statu
torily
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ated
Offic
eof
Wor
kers
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pens
ation
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inistr
ative
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ploym
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ation
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ort
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ation
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474
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mini
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nding
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the
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rce
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miss
ionto
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entC
ente
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ram
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for
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aybe
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distri
ctsba
sed
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mbe
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rant
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nsan
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ailab
lefu
nding
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nding
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ls$2
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.Ad
dition
alfu
nding
for a
dmini
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ion a
nd g
rant
s and
finan
ce m
anag
emen
t is b
udge
ted
in St
ate
Activ
ities.
$00
681
19-
Subg
rant
eeAs
sista
nce
Educ
ation
$2,5
00,0
00
Incr
ease
sfe
dera
lfun
ding
for
the
RSD-
Cons
tructi
onpr
ogra
mas
socia
ted
with
agr
ant
from
the
U.S.
Depa
rtmen
tofH
ealth
&Hu
man
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icesf
ora
Scho
olBa
sed
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hCe
nter
atBo
oker
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ashin
gton
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ol in
New
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ns.
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682
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Reco
very
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ol Di
strict
(RSD
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ucat
ion$5
00,0
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ides
fund
ingfo
rfee
sas
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edby
the
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eof
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nolog
ySe
rvice
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rsup
port
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ices
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ided
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stat
e ag
encie
s.$6
43,9
760
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very
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ol Di
strict
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)Ed
ucat
ion$6
43,9
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ease
sfu
nding
base
don
the
10/1
/201
5an
des
timat
ed2/
1/20
15stu
dent
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unts
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ting
ane
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eof
2,29
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dent
s.Th
eFY
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tha
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ntstu
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is$3
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eFY
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dent
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693,
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Prov
ides
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ices
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16.
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ecial
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ool
Distr
icts
Educ
ation
$227
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Major Enhancements and Increases 33 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or In
crea
ses
or E
nhan
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ents
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e FY
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et C
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red
to th
e FY
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et
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anat
ion
216/
2/16
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slat
ive
Fisc
al O
ffice
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al H
ighl
ight
s 20
16 S
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on 2
016
Sess
ion
Thu,
6/2
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12:0
0 PM
$15,
676,
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ajor
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ance
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ts fo
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gory
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ansit
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gram
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cal H
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cal H
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her
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ents
$2,2
79,6
42
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eam
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ncre
ases
fund
ingfro
mth
esta
tuto
rilyde
dicat
edLa
four
che
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tion
for
Reta
rded
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ens
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ining
&De
velop
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tFun
d.Te
stim
ony
indica
ted
the
fund
swi
llbe
used
fora
capit
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oject.
Annu
alne
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venu
ede
posit
edint
oth
efu
ndis
roug
hly$4
00,0
00,
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iscu
rrent
lyap
prop
riate
d. T
his a
men
dmen
t will
bring
the
tota
l FY
17 a
ppro
priat
ion fr
om th
e fu
nd to
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e Sa
les T
axDe
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ions
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quire
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ts$4
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ides a
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ents
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arily
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ed to
tran
sfers
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atut
ory d
edica
tions
in th
e am
ount
s of:
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he L
A Pu
blic D
efen
der F
und
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Publi
c Def
ende
r Boa
rd)
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000)
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he In
noce
nce
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pens
ation
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d (L
A Co
mm
ission
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rcem
ent)
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for t
he L
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ana
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genc
y Res
pons
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twor
k Fun
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erge
ncy R
espo
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ork)
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0 fo
r the
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-Insu
ranc
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nd (O
ffice
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isk M
anag
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13,2
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XXX
20-
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sOt
her
Requ
irem
ents
$1,8
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45
$3,0
11,7
140
Maj
or In
crea
ses
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nhan
cem
ents
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ther
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uire
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ts$5
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or In
crea
ses
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nhan
cem
ents
of F
Y 20
17$5
30,1
59,1
0672
$3,2
79,8
85,1
17
Major Enhancements and Increases 34 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or R
educ
tions
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
16/
2/16
12:0
1 PM
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on 2
016
Sess
ion
Thu,
6/2
/16
12:0
1 PM
The
Exec
utive
Offic
ere
ports
that
the
prop
osed
redu
ction
ofSG
Fsu
ppor
twill
limitt
heop
erat
ional
capa
city
ofth
eGo
vern
or’s
Offic
e.Th
eag
ency
repo
rtsitw
ould
likely
have
todo
wnsiz
eby
elim
inatin
gap
prox
imat
ely15
to20
ofits
74au
thor
ized
posit
ions,
evalu
ating
each
posit
ionin
anef
fort
tom
ainta
inth
eca
pabil
ityto
perfo
rmth
eco
nstitu
tiona
ldut
iesof
the
gove
rnor
.Th
eag
ency
repo
rtsth
atth
eGo
vern
or’s
Offic
eof
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mun
ityPr
ogra
ms
(OCP
)will
bead
vers
elyim
pacte
dth
roug
hth
ere
ducti
onof
fede
ralm
atch
,with
anac
com
pany
ingne
gativ
eim
pact
toits
abilit
yto
coor
dinat
eef
fecti
vean
def
ficien
tser
vices
toth
ecit
izens
ofth
esta
te.
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over
sees
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coor
dinat
esth
ewo
rkof
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fairs
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irs,S
tate
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pend
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iving
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et,I
nter
agen
cyCo
ordin
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AYo
uth
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oard
and
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rd.
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ese
rves
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imar
ypo
intof
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actb
etwe
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rofits
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rities
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rche
san
dfa
ith-b
ased
initia
tives
acro
ssth
esta
teto
assis
tin
conn
ectin
gcit
izens
with
reso
urce
sin
their
area
tohe
lp ad
dres
s nee
ds.
-$1,
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010
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ecut
ive O
ffice
Exec
utive
-$1,
041,
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Redu
ces
fund
ingfro
mth
esta
tuto
rilyde
dicat
edAv
oyell
esPa
rish
Loca
lGam
ingM
itigat
ionFu
ndby
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15M
)to
refle
ctth
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venu
eEs
timat
ingCo
nfer
ence
fore
cast
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ted
on2/
10/2
016.
The
new
estim
ated
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nues
fort
hisfu
ndar
eap
prox
imat
ely$1
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00an
dro
ughly
in-lin
ewi
thac
tual
colle
ction
sove
rthe
past
2 fis
cal y
ears
.Th
eGo
vern
or’s
Offic
eof
India
nAf
fairs
awar
dssc
holar
ships
toNa
tive
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ican
stude
nts
and
acts
asa
pass
thro
ugh
agen
tto
distri
bute
fund
ingto
vario
usloc
algo
vern
men
tent
ities
inAv
oyell
esPa
rish
from
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a-Bi
loxi C
asino
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e us
ed fo
r inf
rastr
uctu
re p
rojec
ts.
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101
01-
India
n Af
fairs
Exec
utive
-$1,
146,
525
Redu
ces
exce
ssbu
dget
auth
ority
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.6M
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and
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65M
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ral)
asso
ciate
dwi
thCD
GBgr
ants
tied
tohu
rrica
nes
Katri
na,R
ita,G
usta
v,Ike
and
Isaac
asa
resu
ltof
the
cont
inuing
com
pletio
nan
dclo
seou
tofp
rogr
amac
tivitie
s.Th
isad
justm
entw
illpr
oper
lyali
gnap
prop
riatio
nau
thor
itywi
thpr
ojecte
dex
pend
iture
san
ticipa
ted
inFY
17.
The
table
below
deta
ilsth
eap
prox
imat
ecu
rrent
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alloc
ation
,ex
pend
iture
sto
date
and
balan
ces
asso
ciate
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thth
eCD
BGgr
ants
asso
ciate
dwi
thth
e5
nam
edhu
rrica
ne e
vent
s:
Tot
al A
lloca
tions
Ex
pend
iture
s
Rem
aini
ngEv
ent
as
of 1
/201
6
T
hrou
gh 1
/201
6
B
alan
ceKa
trina
/Rita
$
13,4
09,9
54,0
48
$1
2,98
0,38
8,03
4
$429
,566
,014
Gusta
v/Ike
$1,
093,
212,
571
$
803,
789,
431
$2
89,4
23,1
40
Isaac
$64,
379,
084
$10
,667
,584
$53
,711
,500
$00
107
01-
Divis
ion o
fAd
mini
strat
ionEx
ecut
ive-$
88,2
78,3
94
Major Reductions 35 LFO 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or R
educ
tions
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
26/
2/16
12:0
1 PM
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on 2
016
Sess
ion
Thu,
6/2
/16
12:0
1 PM
The
Divis
ionof
Adm
inistr
ation
(DOA
)rep
orts
that
the
prop
osed
SGF
redu
ction
willr
esult
inth
eeli
mina
tion
of12
fund
edT.
O.va
cant
posit
ions
and
asso
ciate
dpe
rson
alse
rvice
sex
pend
iture
sag
ency
wide
toef
fectu
ate
ato
tals
aving
sof
$1,4
79,3
61.T
here
ducti
onin
T.O.
includ
esth
eOf
fice
ofFi
nanc
e&
Supp
ort
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ices
–2
T.O.
,Offic
eof
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ewide
Repo
rting
&Ac
coun
ting
Polic
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2T.
O.,I
nter
nalA
udit
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,Of
fice
ofGe
nera
lCou
nsel
–2
T.O.
,Sta
teBu
ilding
s&
Grou
nds
–3
T.O.
and
elim
inatio
nof
the
Fede
ral
Fund
s Offic
e an
d 2
asso
ciate
d T.
O.).
DOA
addit
ionall
yre
ports
that
itwi
llallo
cate
the
expe
nditu
rere
ducti
onas
follo
ws:D
elay
imple
men
tatio
nof
the
state
wide
Stra
tegic
Reso
urce
Man
agem
ent
budg
eting
and
finan
cial
man
agem
ent
mod
ules
($4,
815,
699)
;elim
inate
fund
stra
nsfe
rred
from
the
Com
miss
ioner
’sOf
fice
toth
eGo
vern
or’s
Offic
ean
dAt
torn
eyGe
nera
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-$7,
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.Th
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-$20
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genc
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with
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genc
yBe
rmPr
oject.
The
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etam
ount
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e$4
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heBa
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asa
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nstru
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ingfu
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tto
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ll are
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613
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es.
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109
01-
Coas
tal
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ectio
n &
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ratio
nAu
thor
ity
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utive
-$5,
038,
717
Major Reductions 36 LFO 6/3/2016
SGF
Tota
lT.
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Dept
.Ag
ency
Sch.
#
Maj
or R
educ
tions
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e FY
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et C
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et
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anat
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36/
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slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
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16 S
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ion
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and
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tyBr
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from
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pro
vide
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$00
111
01-
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yPr
ep
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utive
-$5,
158,
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ces
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inden
.The
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ipate
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hepr
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ticipa
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plete
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ring
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terw
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-$6,
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ease
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ingfo
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t($
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arm
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ound
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ate
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hede
crea
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ete
rmfo
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ten
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ajor
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uctio
ns fo
r Exe
cutiv
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143,
004,
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Major Reductions 37 LFO 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
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Sch.
#
Maj
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Budg
et C
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et
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anat
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46/
2/16
12:0
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Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
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s 20
16 S
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016
Sess
ion
Thu,
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Decr
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-$2,
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ate
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2,67
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ducti
onwi
llaf
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useu
ms
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.Pro
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icim
pacts
includ
elim
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mus
eum
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ingda
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dsa
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mus
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sto
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e ex
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SGF
app
ropr
iation
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Y 16
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he M
useu
ms P
rogr
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roxim
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$3.
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.-$
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a-Se
cret
ary o
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ate
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590,
569
-$3,
263,
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ajor
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r Sta
te-$
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9
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asta
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tecti
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thor
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he fu
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ollow
s:
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ting
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$64
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ther
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over
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tran
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$6,7
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50
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xper
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ess c
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$7,0
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00
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al
$00
141
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),Of
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ill be
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.-$
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141
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-$6,
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ajor
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uctio
ns fo
r Jus
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-$13
,000
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Major Reductions 38 LFO 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
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Sch.
#
Maj
or R
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Budg
et C
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56/
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Legi
slat
ive
Fisc
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Fisc
al H
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in th
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-$2,
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ajor
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4
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ingin
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ms
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).Ac
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ltin
aco
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eof
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)Mad
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leans
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.D.W
hite
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useu
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atte
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-$26
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30
263
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Stat
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crea
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urism
-$26
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3
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eof
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indica
tes
the
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and
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tena
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proje
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ingsy
stem
that
includ
esalm
ost4
3,00
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res,
211
cabin
s,26
grou
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lodge
s,1,
748
cam
psite
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illion
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ainta
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sas
are
sult
ofth
isre
ducti
on.T
hisre
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ayals
ore
sult
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indet
erm
inable
num
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f par
k clos
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r mor
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arks
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rks:
Hod
ges G
arde
ns, L
ake
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neau
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Bern
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min-
A-Ha
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nd L
ake
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Histo
ric S
ites:
Reb
el, M
ansfi
eld, F
ort J
esup
, Cen
tena
ry, M
arks
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uem
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inter
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-$4,
702,
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026
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crea
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-$4,
702,
396
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asso
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thde
ferre
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ainte
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struc
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nova
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sPl
anth
atto
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$92.
5M
.This
plan
focu
ses
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rastr
uctu
rere
pair
and
main
tena
nce
ofsy
stem
s,inc
luding
sewe
r,ro
ofs,
road
s,ele
ctrica
l,bu
ilding
repla
cem
ent,
flood
cont
rol,
seali
ngof
build
ingex
terio
rs,
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syste
ms,
back
flow
prev
entio
n, a
nd e
rosio
n co
rrecti
on.
-$2,
480,
440
026
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ate
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sCu
lture
,Re
crea
tion
&To
urism
-$2,
480,
440
The
Offic
eof
Cultu
ralD
evelo
pmen
tind
icate
sth
efo
llowi
ngim
pacts
toth
eag
ency
asa
resu
ltof
the
redu
ction
:1)
Pote
ntial
elim
inatio
nof
the
Pove
rtyPo
intSt
ation
Arch
aeolo
gyPr
ogra
m.T
hism
ayre
sult
inPo
verty
Point
losing
itsW
orld
Herit
age
desig
natio
n;2)
Pote
ntial
elim
inatio
nth
eM
ainSt
reet
com
mun
itygr
ants
prog
ram
;3)R
educ
tion
inCO
DOFI
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holar
ships
;and
4)Si
gnific
antr
educ
tion
inall
state
wide
arts
gran
ts an
d de
cent
raliz
ed a
rts g
rant
s to
all 6
4 pa
rishe
s.
-$32
8,65
90
265
06-
Cultu
ral
Deve
lopm
ent
Cultu
re,
Recr
eatio
n &
Tour
ism-$
328,
659
Major Reductions 39 LFO 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or R
educ
tions
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
66/
2/16
12:0
1 PM
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on 2
016
Sess
ion
Thu,
6/2
/16
12:0
1 PM
Redu
ction
inSG
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dget
auth
ority
toali
gnwi
thth
eRE
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ojecti
ons.
The
expe
nditu
res
will
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duce
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m m
arke
ting
and
adve
rtisin
g co
ntra
cts p
rom
oting
LA.
$00
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ismCu
lture
,Re
crea
tion
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urism
-$4,
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-$7,
777,
848
0M
ajor
Red
uctio
ns fo
r Cul
ture
, Rec
reat
ion
& To
uris
m-$
12,6
44,1
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Redu
ces
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asso
ciate
dwi
thpr
isone
rhe
althc
are
costs
pote
ntial
lyof
fset
byM
edica
idex
pans
ion.
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ntly
the
DPSC
Corre
ction
sSer
vices
main
tains
hosp
italiz
ation
cont
racts
and
serv
iceag
reem
ents
with
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teho
spita
lsto
prov
idene
eded
critic
alse
rvice
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inmat
es.
Whe
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inmat
eis
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itted
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ital,
the
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erall
ypa
ysa
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tiate
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teeq
ualt
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eM
edica
idra
tefo
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sese
rvice
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Fm
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.Af
tere
xpan
sion,
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icaid
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eimbu
rse
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esfo
rinm
ates
that
are
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itted
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italiz
ation
and
reta
ined
forg
reat
erth
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s.Th
ede
partm
ente
stim
ates
that
the
aver
age
cost
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rvice
sfor
this
popu
lation
iscu
rrent
lyap
prox
imat
ely$3
.5M
.Af
terM
edica
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pans
ion,p
rivat
eho
spita
lswi
llbill
DHH
forM
edica
idre
imbu
rsem
entr
athe
rtha
nbil
ling
Corre
ction
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vices
forc
erta
inse
rvice
s.Th
einc
reas
ed co
st of
Med
icaid
expe
nses
is b
uilt in
to th
e DH
H M
edica
id Ve
ndor
Pay
men
t mod
el fo
r FY
17.
-$3,
500,
000
040
008
A-Ad
mini
strat
ionDP
SCCo
rrecti
ons
Serv
ices
-$3,
500,
000
DPSC
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ction
sSer
vices
repo
rtsth
atth
epr
opos
edSG
Fre
ducti
onwi
llcre
ate
prog
ram
mat
icim
pacts
for
the
depa
rtmen
t. F
or a
dditio
nal in
form
ation
see
“Cor
recti
on S
ervic
es R
educ
tions
Impa
ct” is
sue
write
-up.
-$3,
771,
004
040
008
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mini
strat
ionDP
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rrecti
ons
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ices
-$3,
771,
004
DPSC
Corre
ction
sSer
vices
repo
rtsth
atth
epr
opos
edSG
Fre
ducti
onwi
llcre
ate
prog
ram
mat
icim
pacts
for
the
depa
rtmen
t. F
or a
dditio
nal in
form
ation
see
“Cor
recti
on S
ervic
es R
educ
tions
Impa
ct” is
sue
write
-up.
-$3,
243,
096
040
208
A-LA
Sta
tePe
niten
tiary
DPSC
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ction
sSe
rvice
s-$
3,24
3,09
6
DPSC
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ction
sSer
vices
repo
rtsth
atth
epr
opos
edSG
Fre
ducti
onwi
llcre
ate
prog
ram
mat
icim
pacts
for
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depa
rtmen
t. F
or a
dditio
nal in
form
ation
see
“Cor
recti
on S
ervic
es R
educ
tions
Impa
ct” is
sue
write
-up.
-$3,
442,
279
040
708
A-W
innCo
rrecti
onal
Cent
erDP
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rrecti
ons
Serv
ices
-$3,
442,
279
DPSC
Corre
ction
sSer
vices
repo
rtsth
atth
epr
opos
edSG
Fre
ducti
onwi
llcre
ate
prog
ram
mat
icim
pacts
for
the
depa
rtmen
t. F
or a
dditio
nal in
form
ation
see
“Cor
recti
on S
ervic
es R
educ
tions
Impa
ct” is
sue
write
-up.
-$3,
451,
185
040
808
A-Al
lenCo
rrecti
onal
Cent
erDP
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rrecti
ons
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ices
-$3,
451,
185
DPSC
Corre
ction
sSer
vices
repo
rtsth
atth
epr
opos
edSG
Fre
ducti
onwi
llcre
ate
prog
ram
mat
icim
pacts
for
the
depa
rtmen
t. F
or a
dditio
nal in
form
ation
see
“Cor
recti
on S
ervic
es R
educ
tions
Impa
ct” is
sue
write
-up.
-$1,
121,
681
040
908
A-Di
xon
Corre
ction
alCe
nter
DPSC
Corre
ction
sSe
rvice
s-$
1,12
1,68
1
Major Reductions 40 LFO 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or R
educ
tions
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
76/
2/16
12:0
1 PM
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on 2
016
Sess
ion
Thu,
6/2
/16
12:0
1 PM
DPSC
Corre
ction
sSer
vices
repo
rtsth
atth
epr
opos
edSG
Fre
ducti
onwi
llcre
ate
prog
ram
mat
icim
pacts
for
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depa
rtmen
t. F
or a
dditio
nal in
form
ation
see
“Cor
recti
on S
ervic
es R
educ
tions
Impa
ct” is
sue
write
-up.
-$1,
119,
681
041
308
A-El
ayn
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ction
alCe
nter
DPSC
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ction
sSe
rvice
s-$
1,11
9,68
1
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ction
sSer
vices
repo
rtsth
atth
epr
opos
edSG
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ducti
onwi
llcre
ate
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ram
mat
icim
pacts
for
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rtmen
t. F
or a
dditio
nal in
form
ation
see
“Cor
recti
on S
ervic
es R
educ
tions
Impa
ct” is
sue
write
-up.
-$1,
353,
119
041
508
A-Ad
ult P
roba
tion
& Pa
role
DPSC
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ction
sSe
rvice
s-$
1,35
3,11
9
-$21
,002
,045
0M
ajor
Red
uctio
ns fo
r DPS
C Co
rrect
ions
Ser
vice
s-$
21,0
02,0
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TRAF
FIC
-Red
uctio
nof
mon
iesfro
mth
esta
tuto
rilyde
dicat
edOi
lSpil
lCon
tinge
ncy
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asso
ciate
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thliti
gatio
nre
lated
toth
eDe
epwa
ter
Horiz
onoil
spill.
Prev
iously
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LAOi
lSpil
lCoo
rdina
tor’s
Offic
e(L
OSCO
)wa
sth
elea
dag
ency
for
Deep
wate
rHo
rizon
relat
edm
atte
rs,b
utdu
ring
FY16
the
Coas
tal
Prot
ectio
n &
Resto
ratio
n Au
thor
ity (C
PRA)
bec
ame
the
lead
agen
cy.
$00
419
08B-
Stat
e Po
lice
DPSC
Pub
licSa
fety
Serv
ices
-$16
,589
,273
$00
Maj
or R
educ
tions
for D
PSC
Publ
ic S
afet
y Se
rvic
es-$
16,5
89,2
73
The
Offic
e of
Juve
nile
Justi
ce (O
JJ) w
ill all
ocat
e th
e re
ducti
ons a
s foll
ows:
Redu
ceSe
cure
Care
(Fac
ilitie
s)by
$16.
1M
-Aca
diana
Cent
erfo
rYou
thwi
llno
tope
nas
plann
edin
Augu
st20
16($
14.2
M);
Bridg
eCi
tyCe
nter
for
Yout
hwi
llre
duce
the
num
ber
ofyo
uth
serv
edby
24,
leavin
ga
max
imum
facil
ityca
pacit
yof1
08.T
hiswi
llreq
uire
the
closu
reof
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dorm
and
the
elim
inatio
nof
appr
oxim
ately
14va
cant
posit
ions
($0.
9M
);an
dSw
anso
nCe
nter
forY
outh
will
redu
ceth
enu
mbe
rof
yout
hse
rved
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ving
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axim
umfa
cility
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city
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iswi
llreq
uire
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reof
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and
the
elim
inatio
n of
app
roxim
ately
14
vaca
nt p
ositio
ns ($
0.9
M).
Redu
cePr
obat
ion
&Pa
role
by$1
.9M
-OJJ
repo
rtsit
willc
lose
one
offic
ean
deli
mina
tefu
nding
for2
8va
cant
Pro
batio
n &
Paro
le po
sition
s in
all 3
regio
ns.
Cent
ralO
ffice
Staf
fRed
uctio
nby
$0.1
M-T
heCe
ntra
lOffic
ewi
lleli
mina
tefu
nding
for2
unsp
ecifie
dpo
sition
s.
-$19
,364
,740
040
308
-Ju
venil
e Ju
stice
DPSC
You
thSe
rvice
s-$
19,3
64,7
40
-$19
,364
,740
0M
ajor
Red
uctio
ns fo
r DPS
C Yo
uth
Serv
ices
-$19
,364
,740
Major Reductions 41 LFO 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or R
educ
tions
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
86/
2/16
12:0
1 PM
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on 2
016
Sess
ion
Thu,
6/2
/16
12:0
1 PM
Redu
ces
SGF
forJ
effe
rson
Paris
hHu
man
Serv
ices
Auth
ority
com
pare
dto
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EOB.
The
LFO
has
requ
este
d inf
orm
ation
rega
rding
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impa
ct to
serv
ices.
-$13
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50
300
09-
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rson
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ishHu
man
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vices
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ority
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h &
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-$13
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cesS
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rCap
italA
rea
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anSe
rvice
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rictc
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red
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sreq
ueste
dinf
orm
ation
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rding
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ct to
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ices.
-$46
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40
302
09-
Capit
al Ar
eaHu
man
Ser
vices
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ictHe
alth
&Ho
spita
ls-$
466,
394
Decr
ease
sfun
ding
forc
ontra
ctswi
thth
e9
regio
nalF
amilie
sHelp
ingFa
milie
sres
ourc
ece
nter
s,on
eof
the
majo
rinit
iative
sof
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LADe
velop
men
talD
isabil
ities
Coun
cil(L
ADDC
).Th
ere
sour
cece
nter
spr
ovide
infor
mat
ionon
serv
ices,
good
s,te
chno
logies
,and
activ
ities
that
impr
ove
the
quali
tyof
lifeto
peop
lewi
thde
velop
men
tald
isabil
ities;
and
help
indivi
duals
with
deve
lopm
enta
ldisa
bilitie
sun
ders
tand
their
right
san
dho
wto
advo
cate
fort
hem
selve
s.In
FY17
,con
tracts
with
the
9re
giona
lFam
ilies
Helpi
ngFa
milie
sto
tals
$323
,325
that
repr
esen
ts a
decr
ease
of $
172,
114
from
FY
16.
FY 1
4 - $
328,
961
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,551
per
reso
urce
cent
er)
FY 1
5 - $
499,
036
($55
,448
per
reso
urce
cent
er)
FY 1
6 - $
495,
439
($55
,049
per
reso
urce
cent
er)
FY 1
7 - $
323,
325
($35
,925
per
reso
urce
cent
er)
-$17
2,11
40
303
09-
Deve
lopm
enta
lDi
sabil
ities
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cilHe
alth
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spita
ls-$
172,
114
Redu
cesS
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rMet
ropo
litan
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anSe
rvice
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rictc
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toFY
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ueste
dinf
orm
ation
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rding
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impa
ct to
serv
ices.
-$87
9,45
20
304
09-
Met
ropo
litan
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an S
ervic
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strict
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h &
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itals
-$87
9,45
2
Decr
ease
sDi
spro
porti
onat
eSh
are
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ital(
DSH)
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ingto
the
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cPr
ivate
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ersh
ipHo
spita
ls.Th
eso
urce
offe
dera
lfun
ds($
302,
907,
905)
isTi
tle19
fede
ralf
inanc
ialpa
rticip
ation
.Th
ere
ducti
onis
the
resu
ltof
proje
cted
unco
mpe
nsat
edca
reco
stsa
vings
relat
edto
the
expa
nsion
ofM
edica
idto
certa
inind
ividu
alsup
to13
8%of
the
fede
ralp
over
tylev
el,an
dth
ere
finan
cing
ofDS
Hpa
ymen
tsto
supp
lemen
tal
med
icaid
paym
ents.
-$18
3,46
0,71
40
306
09-
Med
ical V
endo
rPa
ymen
tsHe
alth
&Ho
spita
ls-$
486,
368,
619
Redu
ces
SGF
forN
orth
east
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anSe
rvice
sAu
thor
ityco
mpa
red
toFY
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B.Th
eLF
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sre
ques
ted
infor
mat
ion re
gard
ing th
e im
pact
to se
rvice
s.-$
216,
785
031
009
-No
rthea
st De
ltaHu
man
Ser
vices
Auth
ority
Healt
h &
Hosp
itals
-$21
6,78
5
Major Reductions 42 LFO 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or R
educ
tions
in th
e FY
17
Budg
et C
ompa
red
to th
e FY
16
Budg
et
Expl
anat
ion
96/
2/16
12:0
1 PM
Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
ight
s 20
16 S
essi
on 2
016
Sess
ion
Thu,
6/2
/16
12:0
1 PM
The
Offic
eof
Aging
&Ad
ultSe
rvice
sha
side
ntifie
dth
eim
pact
ofth
ere
ducti
ons
ina
preli
mina
rypla
nas
follo
ws:e
limina
ting
the
Stat
ePe
rson
alAs
sista
nce
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ices
(SPA
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ogra
m($
476,
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that
serv
es45
indivi
duals
and
elim
inatin
gTr
aum
atic
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inalC
ord
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m($
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hats
erve
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sa
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glis
tof
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ting
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sition
s($
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7)an
dop
erat
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rvice
s ass
ociat
ed w
ith th
ose
posit
ions (
$22,
286)
.
-$4,
054,
224
032
009
-Ag
ing &
Adu
ltSe
rvice
sHe
alth
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spita
ls-$
4,05
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4
Decr
ease
sIA
Tfu
nding
from
the
DOA
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eof
Com
mun
ityDe
velop
men
tBloc
kGr
ant(
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)in
the
Adm
inistr
ation
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ectio
n&
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ortP
rogr
amfo
rthe
Perm
anen
tSup
porti
veHo
using
(PSH
)Pro
gram
.Th
ePS
HPr
ogra
mlin
ksaf
ford
able
rent
alho
using
tope
ople
with
seve
rean
dco
mple
xdis
abilit
ies,e
nabli
ngth
emto
live
succ
essfu
llyin
the
com
mun
ity.D
HHco
nsoli
date
dth
ePS
Hpr
ogra
ms
and
trans
itione
deli
gible
recip
ients
inth
ePS
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ogra
mfro
mCD
BGto
fund
ingun
der
Med
icaid
1915
(c)
waive
rsan
d19
15(i)
prog
ram
s,wh
ichis
am
ore
susta
inable
fund
ingso
urce
.In
FY17
,tot
alfu
nding
forP
SHis
$3,7
46,7
92.
Sinc
ePS
His
an“a
sne
eded
”pr
ogra
m,
OAAS
will
serv
eind
ividu
alsun
tilall
fund
sar
eex
pend
ed.
Pres
ently
, OAA
S is
serv
ing 4
,116
indiv
iduals
. OA
AS a
ntici
pate
s ser
ving
less i
ndivi
duals
in F
Y 17
.
$00
320
09-
Aging
& A
dult
Serv
ices
Healt
h &
Hosp
itals
-$4,
194,
708
Non-
recu
ron
e-tim
efu
nding
from
the
statu
torily
dedic
ated
LAEm
erge
ncy
Resp
onse
Netw
ork
(LER
N)Fu
ndfo
rthe
deve
lopm
ento
fLev
elIII
and
Leve
lIV
Trau
ma
Cent
ers.
In20
04,a
state
wide
traum
asy
stem
tohe
lpsa
veliv
esan
dre
duce
the
burd
enof
traum
awa
ses
tabli
shed
.The
state
wide
traum
asy
stem
isvo
lunta
ryan
dall
hosp
itals
are
invite
dto
parti
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torily
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.LAT
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ting.
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-$25
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-$45
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458
Major Reductions 43 LFO 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or R
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tions
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e FY
17
Budg
et C
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106/
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Fisc
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Redu
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North
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ss F
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al bu
dget
aut
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o se
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s are
impa
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$00
360
10-
Child
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mily
Ser
vices
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ren
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mily
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ices
-$29
,076
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or R
educ
tions
for C
hild
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& Fa
mily
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s-$
29,0
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budg
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dby
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tura
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rtsth
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edre
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onwi
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ities
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the
elim
inatio
nof
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plora
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rgro
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rol,
inspe
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enfo
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prod
uctio
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dit.
-$50
0,00
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432
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ral
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s-$
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onof
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ajor
Red
uctio
ns fo
r Nat
ural
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ourc
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4,09
1,96
9
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SGF
Tota
lT.
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Dept
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Sch.
#
Maj
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17
Budg
et C
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116/
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Legi
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Fisc
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16 S
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Decr
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-$1,
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form
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.Th
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-$1,
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-$83
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119
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-$83
,659
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Major Reductions 45 LFO 6/3/2016
SGF
Tota
lT.
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Dept
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Sch.
#
Maj
or R
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tions
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Budg
et C
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126/
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Legi
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Fisc
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16 S
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eW
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oduc
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man
dfie
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den
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and
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with
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rWIS
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non
lybe
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for“
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aliza
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53pa
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cane
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ward
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appr
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of$1
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uldbe
com
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expe
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inav
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orFY
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$00
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19A-
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-$13
,439
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-$21
8,76
8,50
70
Maj
or R
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for H
ighe
r Edu
catio
n-$
232,
208,
381
Major Reductions 46 LFO 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or R
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tions
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e FY
17
Budg
et C
ompa
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136/
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Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
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16 S
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on 2
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Thu,
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Redu
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sonn
else
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and
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buth
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Redu
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sis
relat
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long
term
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have
now
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nds
could
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rwise
have
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nanc
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pairs
which
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17.
Redu
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sto
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lexp
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are
relat
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fsta
teem
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e tra
vel o
nly a
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re n
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pact
stude
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avel
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thlet
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ther
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-$55
8,36
80
653
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choo
ls fo
rth
e De
af &
Visu
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ired
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ial S
choo
ls &
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m.
-$55
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8
Redu
ces
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rpe
rson
nel
serv
ices
asso
ciate
dwi
thth
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chnic
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llbe
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atth
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aybe
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ent a
dditio
nal r
even
ues b
ecom
e av
ailab
le.
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5,33
50
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choo
l for
Mat
h, S
cienc
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ial S
choo
ls &
Com
m.
-$26
5,33
5
Redu
ces
fund
ingfo
rper
sonn
else
rvice
sas
socia
ted
with
four
vaca
ntpo
sition
s.Th
epo
sition
sha
veno
tbe
en e
limina
ted
but w
ill be
reta
ined
in th
e ev
ent a
dditio
nal r
even
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ecom
e av
ailab
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282,
605
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219
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Edu
catio
nal
Telev
ision
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ority
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ial S
choo
ls &
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m.
-$28
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5
Redu
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rBES
Ewh
ichpr
ovide
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ivesu
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tand
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iniste
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swh
ichar
edis
tribu
ted
to lo
cal s
choo
l dist
ricts;
elim
inate
s fun
ding
for o
ne va
cant
pos
ition.
-$60
,908
066
619
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ard
ofEl
emen
tary
&Se
cond
ary
Educ
ation
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ial S
choo
ls &
Com
m.
-$60
,908
Redu
ces
fund
ingfo
rope
ratin
gex
pens
esas
follo
ws:
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gotia
ted
lease
forc
lassr
oom
spac
e($
169,
478)
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cont
ract
savin
gs($
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00),
piano
tunin
g($
8,00
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uppli
esfo
rthe
culin
ary
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ram
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,000
),an
dde
ferre
dm
ainte
nanc
e($
60,0
00).
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efu
llam
ount
ofth
ere
ducti
onis
notr
ealiz
edth
roug
hth
ese
initia
tives
,th
ere
may
be
a sm
all a
cros
s the
boa
rd sa
lary r
educ
tion
for a
ll fac
ulty a
nd st
aff.
-$29
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90
673
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. Cen
ter f
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tsSp
ecial
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ools
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479
-$1,
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695
0M
ajor
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uctio
ns fo
r Spe
cial
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ools
& C
omm
.-$
1,46
0,69
5
Major Reductions 47 LFO 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or R
educ
tions
in th
e FY
17
Budg
et C
ompa
red
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e FY
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et
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anat
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146/
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12:0
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Legi
slat
ive
Fisc
al O
ffice
Fisc
al H
ighl
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essi
on 2
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ion
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6/2
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12:0
1 PM
Redu
ces
fund
ingfo
rper
sonn
else
rvice
sas
socia
ted
with
2po
sition
sin
Adm
inistr
ation
($51
0,33
2)an
d9
posit
ionsi
nDi
strict
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ort(
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posit
ionsw
hich
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otbe
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edha
veno
tbee
nide
ntifie
dby
the
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rtmen
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ppor
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vices
and
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llbe
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llbe
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ced
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pplie
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ll be
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ced.
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ever
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artm
ent h
as n
ot id
entifi
ed th
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se re
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-$2,
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-$2,
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ities:
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ips
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ovide
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ents
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ols.
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state
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ay$8
.3M
mor
eto
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lsth
anit
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inth
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rrent
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ntpa
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ailab
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of20
%(th
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tude
ntsw
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epr
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ombin
edwi
thth
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at32
(26%
)oft
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ecial
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ation
and
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agem
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ichwa
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luded
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);an
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pplem
enta
lCou
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dan
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rvice
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urge
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ques
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undin
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rFY
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arch
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pora
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adjus
tmen
tint
oth
efo
rmula
.Th
isre
pres
ente
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ndsti
llfun
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heM
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Howe
ver,
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htof
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sth
eM
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solut
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CR44
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nate
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mitte
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opos
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dget
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his su
pplem
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-$44
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-M
inim
umFo
unda
tion
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ram
(MFP
)Ed
ucat
ion-$
44,2
24,4
46
Major Reductions 48 LFO 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or R
educ
tions
in th
e FY
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Budg
et C
ompa
red
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156/
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Redu
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reim
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rvice
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edby
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hool
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28
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fice
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are
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5
Major Reductions 49 LFO 6/3/2016
SGF
Tota
lT.
O.
Dept
.Ag
ency
Sch.
#
Maj
or R
educ
tions
in th
e FY
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Budg
et C
ompa
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to th
e FY
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et
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166/
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Fisc
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Fisc
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or a
dditio
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educ
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-$15
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0M
ajor
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rem
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-$25
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Maj
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of F
Y 20
17-$
571,
914,
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0-$
1,09
8,94
2,48
6
Major Reductions 50 LFO 6/3/2016
FY 17 Major Budget Issues
Budget Issues LFO 6/3/2016
51
DEPT/AGY: Executive / LA Public Defender Board (LPDB) ISSUE: Restoration of LA Public Defender Board Funding in HB 1 The LPDB has received a full restoration of funds reduced in HB 1 Original as a result of increased SGF revenues raised during the First Extraordinary Session of 2016. The restoration increases the LPDB’s budget by approximately $20.97 M, from $12.84 M to $33.81 M. A majority of this restoration ($20.31 M) is derived from the statutorily dedicated LA Public Defender Fund, which receives revenues via direct SGF deposits, raising the fund’s balance from $12.33 M to $32.64 M. The LA Public Defender Fund primarily provides monies for the LPDB’s annual operating expenses. In discussions with LPDB staff, the board has indicated that between 62.5% and 65% of the LA Public Defender Fund, or between $20.4 M and $21.22 M, will be disbursed to the 42 district defender offices. This allocation would represent a disbursement of approximately $485,700 to $505,200 being sent to the district defender offices on average. The board indicates that this allocation to the district offices is greater than in past years, and is an effort to restore full services in district defender offices that have enacted restriction of services (ROS) plans in the current fiscal year. Furthermore, the board indicates that the remainder of the funds would be allocated for the board’s statewide programs and administrative costs. The LPDB has reported that it intends to reduce its administrative expenses by approximately $600,000, from $2.6 M to $2 M, resulting in a balance between $9.42 and $10.24 M to fund statewide programs. Presently, the LPDB carries out statewide indigent capital defense services, statewide indigent appellate services associated with non-capital cases, and juvenile delinquency representation services in Orleans Parish. DEPT/AGY: Culture, Recreation & Tourism (CRT) ISSUE: LA Tourism Promotion District (LTPD)
Historical Pass-throughs Act 1038 of 1990 created the LTPD as a special statewide taxing district and political subdivision of the state which levies three one hundredths of 1 cent of the sales and use tax for the purpose of assisting the state for out-of-state advertising and promoting tourism in LA. Historically this fund generates approximately $20 M in revenue for CRT annually. The following pass-throughs were funded within CRT’s base budget during FY 16: Audubon Golf Trail $93,000 Scenic Byways and the Atchafalaya National Heritage Area $265,110 Total $358,110 Additionally, funding for the following initiatives were part of the department’s base budget during FY 16 and were transferred to other agencies within the department via IAT, the Lieutenant Governor and LTPD Direct: Lt. Governor, Administrative – ENCORE! (Retire LA) $329,083 Lt. Governor, Grants – Volunteer LA $50,000 Office of Secretary (Administrative Program) $1,000 Office of the Secretary (Operating Costs & OMF) $995,186 Office of the State Library (Book Festival) $25,000 Office of the State Library (Operating Cost) $405,363 Office of State Museum (LA Sports Hall of Fame Museum) $552,786 Office of State Museum (Operating Cost) $670,763 Office of State Parks (Kent House) $56,683 Office of Cultural Development (Arts Grants) $1,500,000 Office of Cultural Development (Cultural Economy Initiative) $254,500 Office of Cultural Development (Operating Cost) $190,442 Total $5,030,806 Total Pass-throughs and Programs $5,388,916 Note: The Lieutenant Governor and CRT indicate changing expenditure priorities may impact decisions to fund these in the same manner or amounts as previous years. The department indicates funding of these pass-throughs will be at the discretion of the Lieutenant Governor and the Secretary of the CRT. DEPT/AGY: Transportation & Development (DOTD) ISSUE: DOTD State Transportation Funding State Gas Tax: The 16-cent per gallon state gasoline and special fuels (gas) tax is a flat, non-indexed tax. The state gas tax has a current day buying power of approximately 7 cents.
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Historically, gas tax revenues have grown approximately 2.5% per year since 1992 but the rate has slowed substantially over the past decade. Construction and operating inflation substantially exceed the growth rate of the gas tax. (Note: The rate was increased from 8 cents to 16 cents in 1984.) In 1984 the average price per gallon was $0.94 and individuals paid approximately 17% per gallon for road infrastructure with the 16-cent state gas tax. The average price per gallon for regular gasoline in LA as of 2/26/2016 was $1.56. Due to the tax being flat, and not indexed to inflation, the current tax equates to individuals paying approximately 10.3% per gallon for road infrastructure (an increase of approximately 3% over the year as gasoline prices have fallen). Federal Highway Trust Fund (Federal Gas Tax): The federal program is funded by the Fixing America's Surface Transportation Act (FAST Act). FAST Act is the first federal law in over 10 years to provide long-term funding certainty for surface transportation, authorizing monies over fiscal years 2016 through 2020 for the Department's highway, highway and motor vehicle safety, public transportation, motor carrier safety, hazardous materials safety, rail, research, technology and statistics programs. The federal Highway Trust Fund (HTF) is funded with an 18.4-cent per gallon federal gasoline tax and 24.4-cent per gallon federal diesel tax. Like the state gas tax, it has lost ground to inflation since its last increase in 1993. TIMED Program Bond Debt Service Payments - $143.2 M for FY 17: The TIMED Program was established by Act 16 of the 1989 1st Extraordinary Session and designated 16 specific road/bridge projects. The original plan called for a designated funding stream in the form of a 4-cent per gallon gas tax on top of the existing 16-cent per gallon state gas tax, providing for a pay-as-you-go construction program. By utilizing a pay-as-you-go-program, the projected completion date for the program was 2031. In 2002, the DOTD set out to accelerate the program by bonding the remainder of the program in an effort to complete construction of all projects around FY 13. Due to rising construction costs and inaccurate cost estimates at the outset of the program, the program will only have sufficient funding to complete 14 of the original 16 road and bridge projects. 13 of the 14 funded projects are now complete. The 14th project, a final segment-widening on US 165 (Fort Buhlow Bridge), is 96% complete. The projected FY 16 4-cent per gallon gas tax collections for the TIMED Program are not sufficient to cover the debt service payments of the 13 completed projects and the 1 currently under construction. Approximately $18.4 M of the 16-cent per gallon gas tax revenues will be needed to pay TIMED Program debt service payments in FY 16, the 7th consecutive year in which the state gas tax will be used to make the TIMED debt service schedule whole. The portion of the 16-cent gas tax necessary in future years to fund TIMED debt service payments will continue escalating. Based upon estimates by DOTD, the department will use approximately 2.1 cents of the 16-cent per gallon state gas tax at its peak usage in FY 43, which equates to $77.9 M, or approximately 15.6% of the current 16-cent per gallon tax receipts. The growing use of TTF - Regular funds to pay TIMED debt service may impact DOTD’s ability to match federal transportation funds (generally required at 10-20%) in the capital outlay budget and will result in decreased funds available for the department’s operating budget. Currently, the total projected TIMED Program costs are $5.24 B (includes LA 3241 and Florida Avenue Bridge projects), while total revenues for the program will be $4.65 B by the pay-off date of the debt in FY 45. DOTD is in the process of determining the best financing mechanism for completing the final 2 constitutionally required road/bridge projects. DEPT/AGY: Public Safety & Corrections (DPSC)/Corrections Services ISSUE: Reductions Impact DPSC Corrections Services reports that the department remains underfunded by $18.8 M. The potential shortfall is in large part due to unfunded supplemental needs identified by DPSC of $14.5 M in FY 16 that will impact FY 17 operations. Note: To resolve the FY 16 supplemental needs, DPSC moved monies between budget units in the Supplemental Appropriations Bill (HB 1047) to cover these expenditures utilizing existing resources. The department presents the plan detailed below to address the projected shortfall.
• Per Diem Reduction at Winn and Allen Correctional Centers from $31.95 to $22.39 ($9 M).
• Equipment Purchases ($4.6 M) - This funding provides for deferred maintenance. The agency has not been funded for acquisitions and major repairs over the last 7 years. Table 1 on the next page provides the savings allocated by institution/program.
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Table 1
Agency Name FY 17 LA State Penitentiary $672,135 Avoyelles Correctional Center $711,294 LA Correctional Institute for Women $572,745 Dixon Correctional Institute $603,600 Hunt Correctional Center $654,276 David Wade Correctional Center $179,220 Rayburn Correctional Center $630,635 Adult Probation & Parole $607,650
Total $4,631,555
• Pharmaceutical Supplies ($2.9 M) - The department has experienced increased demand as well as an increased cost for specialty drugs, specifically cancer and hepatitis. The current level of funding is $5.1 M.
• Utility Rate Increase Funding ($1.1 M) - Funding that provided for the utility rate
increase is eliminated. The department projects an increased use in technology (electronic monitoring/technical security) for equipment (includes shaker fencing, cameras and lighting).
• Human Capital Management ($1 M) - Funding to provide for a statewide adjustment.
Human Capital Management is the current human resources entity for the department and cabinet agencies.
• Dialysis Contract – Total Savings ($0.3 M) - An offender dialysis program operated at
one of the state institutions has experienced an increase in the number of offenders requiring dialysis. This funding increase is eliminated.
Local Housing of Adult Offenders (LHOA) DPSC – Corrections reports that the current funding recommendation for the LHOA in HB 1 will result in an estimated FY 17 funding shortfall of $15.3 M SGF. The impact of this shortfall will result in the following:
• Closure of All Reentry Centers ($5.9 M)
• Per Diem Reduction ($9.4 M) – DPSC Corrections proposes per diem reductions as follows: reduction from $24.39 to $22.39 for local housing of adult state offenders, and from $12.39 to $8.25 for Transitional Work Programs.
DEPT/AGY: Health & Hospitals (DHH)/Medical Vendor Payments (MVP) ISSUE: Medicaid Disallowance – Hospital Partner Advanced Lease Payments LA Medicaid received a letter from Centers for Medicare & Medicaid (CMS) on 12/23/2014 indicating a disallowance in the amount of $311,576,411 as a result of non-allowable provider related donations related to advanced lease payments. The federal portion reimbursed by the federal government to LA Medicaid tied to this disallowance total ($311.5 M) is $189,999,295, and represents the amount the state is responsible to re-pay the federal government. The letter indicates that the disallowance is “related to the cooperative endeavor agreements (CEA’s) that required substantial advanced lease payments by the participating hospitals that were linked to increased Medicaid payments to the same privately owned hospitals.” There are certain restrictions related to provider related donations from private entities that are then used as a state match source for the purposes of federal match. CMS determined that increased Medicaid payments to partner hospitals were conditioned on the advanced lease payments, and considered a non bona fide provider related donation. CMS further indicates these advanced lease payments were not a usual or customary industry payment arrangement. Note: The letter indicates that base lease payments built into the CEA’s appear to comport with normal business practice (are not a component of the disallowance). Note: Information provided by the DHH indicates the state filed an appeal in February of 2015 to the federal Departmental Appeals Board, and awaits a final administrative appeals decision. The estimated timeline for such decision is not indicated. DHH indicates CMS has requested multiple extensions to respond to the department’s appeal. DHH’s further action and level of state liability will ultimately depend on CMS’s formal response, or negotiations to settle the case.
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DEPT/AGY: Health & Hospitals (DHH)/Medical Vendors Payments (MVP) ISSUE: Medicaid Outlook The FY 17 Medicaid budget contains approximately $34.5 M in replacement revenues used as a state match source. These sources of revenue likely will need to be replaced with SGF or an alternate revenue source in FY 18. FY 18 Replacement Revenues The FY 17 Medicaid budget contains approximately $34.5 M in replacement revenues, down from approximately $189 M (Amnesty revenues and Overcollections Fund revenues) used in the FY 16 Budget. These FY 17 sources of revenue include monies from the Medicaid Trust Fund for the Elderly and the Health Trust Fund revenues. These fund sources are appropriated in Payments to Private Providers Program, and collectively will draw $56.8 M in federal match for a total of $91.3 M in Medicaid claims payments. DEPT/AGY: Health & Hospitals (DHH)/Medical Vendor Payments (MVP) ISSUE: Medicaid Overview HB 1 provides an additional $552.7 M in SGF ($2.2 B total increase in funding) for Medicaid in FY 17. Total Medicaid funding for FY 17 represents a 27.6% increase from the FY 16 Existing Operating Budget (29.5% increase in SGF). In addition, HB 1 reflects approximately $160 M in SGF savings associated with the implementation of Medicaid expansion for certain individuals up to 138% of the Federal Poverty Level (FPL). Projected SGF savings are largely based on a $249 M reduction in Disproportionate Share Hospital (DSH) payments related to uncompensated care costs. Senate amendments provided significant changes to various House amendments. Specifically, eliminated $24.8 M in additional funding for rural hospitals added with House Floor (HF) amendments, and eliminated a HF amendment that authorized the DHH to implement co payment requirements (to the extent authorized under federal law) for individuals receiving certain Medicaid services. In addition, Senate amendments moved $161 M total funding ($60.8 M SGF) in supplementary budget recommendations to the body of the HB 1. Information provided by the DHH indicates the $161 M in funding moved from the supplementary section of the HB 1 will allow for full funding of all existing waiver slots, and prevent significant cuts to Pediatric Day Healthcare Services. Although these items were not itemized as a cut in the Executive Budget, DHH itemized these services as areas of reduction based on the level of funding provided for at Reengrossed (after House action). In addition, Senate amendments eliminated the line item appropriation for the public private partner hospitals, and reduced the level of supplemental payments and DSH payments by approximately $98.5 M ($60.4 M SGF). Additionally, SGR used as a state match source increased by $18.6 M for the hospital partnership in Houma. See Public Private Partnership explanation below. The Medicaid budget contains certain significant increases/enhancements in FY 17, including funding projected growth in Bayou Health, funding for an FY 16 Bayou Health payment obligation pushed into FY 17 (1 additional Bayou Health checkwrite added in FY 17), MCO payments for Medicaid expansion for individuals to 138% of the FPL, annualized costs of certain home and community based waivers, increases in projected pharmacy costs and provider rate increases, and funding the backfill of revenues reduced in FY 16 as part of the FY 16 mid-year deficit elimination plan. Significant FY 17 SGF increases are reflected below:
$195.3 M - Bayou Health managed care capitation rate payments $167.0 M - Swap non-recurring one-time revenues for SGF $109.2 M - FY 16 pushed checkwrite (June 2016) into FY 17 * $24.3 M - Fee for Service increases (including Pharmacy, PACE, and LT-PCS) $21.3 M - Rate increases (FQHC’s, RHC’s, Hospice, Buy-in, Rural H’s, Nursing F’s)
* The $109.2 M enhancement reflected above does not include $17 M in SGF required state match to make the projected 13 th managed care payment as a result of this amount only being available for expenditure when the Department of Revenue prevails in any suit appeal, or petition associated with an amount paid under protest and held in escrow in accordance with R.S. 47:1576 and transfers such monies to the SGF to be utilized to fund the 13th managed care payment. The total SGF need is $126.2 M to draw down $208.2 M in federal funding for $334.4 M in total payments. Public Private Partnerships (PPP) Funding HB 1 provides total funding of $983.3 M for Public Private Partnerships in FY 17. This represents a $221 M reduction (18%) compared to the FY 16 EOB as of 12/01/2015. Information provided by DHH indicates an original expenditure projection of approximately $1.3 B. This
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original expenditure projection is assumed to change as DHH assumes and will apply a 25% ($249,541,305) reduction in DSH payments to partner hospitals due to anticipated decreases in uncompensated care costs as a result of Medicaid expansion in FY 17 (not including Lallie Kemp). However, the Commissioner of Administration has stated that the DOA, LSU, and partner hospitals are under negotiations to refinance the partnership agreements, and to further review the 25% DSH reduction estimates. HB 1 does not directly appropriate funding in the Medicaid program for the individual partner hospitals. Partner hospital reimbursements are paid from the Medicaid Private Providers and Uncompensated Care Costs programs. Therefore, the exact budget by hospital is not known. In addition, the majority of the partnership agreements provide for a finance formula that requires payments to reimburse the hospital providers at 100% of allowable UCC costs The Cooperative Endeavor Agreements (CEAs) for each of the partnerships have specific stipulations in regard to termination of these partnerships. For 6 of these partnerships, the CEAs include a clause that allows the private partner to terminate the contract without cause provided they give LA 60 days notice of their intent. The private partners that have this option include Children Hospital (New Orleans), Biomedical Research Foundation (Shreveport/Monroe), Southwest LA Hospital Association (Lake Charles), Lafayette General Hospital System (Lafayette), Our Lady of Angels (Bogalusa), and Our Lady of the Lake (Baton Rouge). CHRISTUS and Rapides Healthcare System (Alexandria) and Southern Regional Medical Corporation (Houma) CEAs do not have specific language in the CEA that allows the private partner to terminate the contract without cause. However, there are several stipulations that allow either of these 2 partners to terminate the contract provided they give advanced notice. The CEAs for CHRISTUS and Southern Regional have a stipulation that if “inadequate” funding is received by the private partner from the state, the CEA can be terminated after the private partner has given the state 90-180 days notice (see Chart 1 below).
Chart 1
These CEAs stipulate the payment methodology and specific amounts that are required based on the agreed upon Medicaid/Medicare Cost Report and the cost analysis worksheet that the partner submits to the state. Based on conversations with entities involved with these CEAs, the Legislative Fiscal Office has been informed that since these private partners are expecting to be reimbursed for all costs associated with their service (as required by the CEA), any funding below this level could be interpreted as “inadequate.”
Overview of Private Public Partnerships Options to Terminate Without Cause
Private Partner LSU Hospital Termination Without Cause Option
# Days Needed to Exit CEA without Cause
LA Children's Medical Center and University Medical Center Management Corporation (UMCMC)
Medical Center in New Orleans Yes 60 Days
Biomedical Research Foundation of Northwest LA and BRF hospital Holdings, L.L.C.
HSC Shreveport and EA Conway Medical Center
Yes 60 Days
Southwest LA Hospital Association (SLHA) dba Lake Charles Memorial Hospital (LCMH)
W.O. Moss Regional Medical Center
Yes 60 Days
Lafayette General Hospital System and University Hospital and Clinics
University Medical Center (UMC)
Yes 60 Days
Our Lady of Angels and Franciscan Missionaries of Our Lady Health System ("FMOLHS")
Washington St. Tammany Medical Center ("Bogalusa")
Yes 60 Days
Our Lady of the Lake (OLOL) Earl K. Long (Baton Rouge)
Clinical Services – Yes; CEA can terminate from inadequate funding
Clinical Services (w/out cause) - 90 days CEA from inadequate funding - 180 days
CHRISTUS Health Central LA and Rapides Healthcare System Huey P. Long
No, but can terminate from inadequate funding from the state
No without cause option, but 180 days for inadequate funding
Southern Regional Medical Corporation and Hospital Service District #1 of Terrebonne Parish
Leonard J Chabert Medical Center
No, but can terminate from inadequate funding from the state
No without cause option, but 90 days for inadequate funding (after 3 years, 60 days)
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In the event a private partner seeks to terminate the contract, the CEA dictates both parties are involved in a “wind-down” period where both parties begin the transition of operations while ensuring services will be provided to the public. If negotiations between LSU and private partners are not successful, LSU and the state will have 60-180 days to 1) contract operations to an outside private entity to assume operations with the State providing operating capital for operations, 2) hire new public employees and assume operations within the 60 days with the State providing operating capital for operations, and 3) LSU would seek approval from the Legislature to close facility. The CEA between BRF and LSU requires a committee of 6 (LSU, BRF, & DOA: 2 members each) to over see the transition and requires LSU to name successor corporation and members of the Board. Private Partner Lease Payments The state receives lease payments from the private partners to use state hospital facilities. This includes Children’s Hospital, Our Lady of the Lake, Biomedical Research Foundation, University Hospitals and Clinics, Southwest LA Hospital Association, and Our Lady of Angels. In the event a partnership is terminated, the lease payments from the partner would cease and as a result the state funding would be lowered. The adopted Revenue Estimating Conference forecast includes $190 M of lease payments for the current year and $160 M for FY 17 (Table 2 below). Based on testimony provided by the private partners, the state would be expected to reimburse these partners for any prepaid rental payments (advanced lease payments), equipment acquisitions made by the private partner, and/or any capital expenditures made by the private partners. University Medical Center CEO, Greg Feirn, has stated in committee that there is nearly $385 M worth of prepaid rental and capital improvements made by Children’s Hospital at the new UMC Hospital that the state would be obligated to reimburse to Children’s Hospital.
Table 2
Overview of Lease Payments Deposited into the State Treasury
2012-13 Actual
2013-14 Actual
2014-15 Actual
2015-16 Appropriated
Total Lease Payments Received* $283,379,817 $132,852,741 $135,560,763 $190 M**
* Source: Treasurer’s reports ** Revenue Estimating Conference Adopted Forecast DEPT/AGY: Health & Hospitals (DHH)/Aging & Adult Services (OAAS) ISSUE: Community-Based Waivers & Other Community Services The Community Choices Waiver (replaced the Elderly & Disabled Adult - EDA Waiver) allows for services to be provided in a home or community-based setting for a qualifying person who would otherwise require care in a nursing facility. In addition to personal care services, the waiver provides a variety of other services that assist people to remain in their homes and communities. Due to the increased demand for these services, there is a Request for Services Registry (waiting list).
FY 17 Funded Slots: 5,303 (200 slots for Pitts vs. Greenstein settlement) FY 16 Funded Slots: 5,303 Slots Filled as of 12/31/2015: 4,463 Slots Funded but not Filled: 840 Registry and/or Waiting List: * 33,278 Average Cost/Capped Cost: $26,533 ($41,799 cap) FY 16 EOB Expenditures: $109,608,993 FY 17 Budget: $118,505,013 Population Served: Ages 21 +, Medicaid eligibility, and meet nursing facility level of care
criteria
The Adult Day Health Care (ADHC) Waiver provides certain services for 5 or more hours per day in a licensed and Medicaid enrolled ADHC facility. Services offered include assistance with activities of daily living, health and nutrition counseling, social services, and exercise programs. There is an ADHC Request for Services Registry that lists the people who requested these services along with the request date.
FY 17 Funded Slots: 825 FY 16 Funded Slots: 825 Slots Filled as of 12/31/2015: 661 Slots Funded but not Filled: 164 Registry and/or Waiting List: * 3,989 Average Cost/Capped Cost: $24,438 ($42,223 cap) FY 16 EOB Expenditures: $10,589,073 FY 17 Budget: $12,091,881 Population Served: Ages 22 +, Medicaid eligibility, and meet nursing facility level of care
criteria
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The Long Term Personal Care Services (LT-PCS) Program** provides help with activities of daily living for people who qualify for assistance under the program guidelines. The program also provides personal care workers to help people in their homes. Care provided includes help with bathing, toileting and grooming activities; eating and food preparation; performance of incidental household chores; assistance getting to medical appointments; and grocery shopping.
Slots Filled as of 12/31/2015: 11,408 Average Cost/Capped Cost: $13,968 ($19,035 cap) FY 16 EOB Expenditures: $193,237,593 FY 17 Budget: $199,236,894 Population Served: Ages 21 + who receive Medicaid benefits, nursing facility level of care
and imminent risk criteria of nursing home admission Program for All Inclusive Care for the Elderly (PACE) Program** coordinates and provides all needed preventive, primary, acute and long-term care services so that older people can continue living in the community. The emphasis is on enabling senior citizens to remain in their communities while enhancing their quality of life.
Slots Filled as of 12/31/2015: 365 Average Cost/Capped Cost: $33,079 ($54,288 cap) FY 16 EOB Expenditures: $13,039,775 FY 17 Budget: $17,543,456 Population Served: Ages 55 +, live in PACE provider service area, nursing facility level of
care, and meet Medicaid financial eligibility The State Personal Assistance Services (SPAS) Program** provides personal assistance services to people with significant disabilities to assist them with activities of daily living. The primary service provided with SPAS funding is Personal Assistance Services. The Office of Aging & Adult Services has contracted with the ARC of Louisiana to administer both the Community & Family Support program and the State Personal Assistance Services Program for a total of $633,229.
Slots Filled as of 12/31/2015: 49 Registry and/or Waiting List: * 111 Average Cost/Capped Cost: $17,152 FY 16 EOB Expenditures: $840,452 FY 17 Budget: $840,452 Population Served: Ages 18 - 60, a significant disability, capable of hiring, firing, and
supervising the persons who provide personal assistance services The LA's Traumatic Head & Spinal Cord Injury (TH/SCI) Trust Fund Program** provides services in a flexible, individualized manner to LA citizens with traumatic head or spinal cord injuries. The program enables individuals to return to a reasonable level of functioning and independent living in their communities. Services are provided on a first-come, first-served basis. Expenditures shall not exceed $15,000 for any 12-month period or $50,000 in total lifetime expenditures per individual.
Slots Filled as of 12/31/2015: 702 Registry and/or Waiting List: * 275 Average Cost/Capped Cost: $8,500 ($15,000 cap) FY 16 EOB Expenditures: $2,895,812 FY 17 Budget: $2,895,812 Population Served: An individual must meet the definition of traumatic head injury or
spinal cord injury. *Registry and/or Waiting List as of 12/31/2015 **Programs without designated slots, the reported data represent the number of participants. DEPT/AGY: Health & Hospitals (DHH)/ Citizens with Developmental Disabilities ISSUE: Community-Based Waivers for the Developmentally Disabled The New Opportunities Waiver (NOW) is offered on a first-come, first-served basis. There is a Developmental Disability Request for Services Registry (RFSR) that lists individuals who meet the LA definition for developmental disability and their request date.
FY 17 Funded Slots: 9,032 FY 16 Funded Slots: 9,032 Slots Filled as of 12/31/2015: 8,676 Slots Funded but not Filled as of 12/31/2015: 156 Registry and/or Waiting List:* 13,605 Average Cost/Capped Cost (Actual): $52,320 Expenditures Forecast (12/31/2015): $449,163,213 Population Served: Ages 3 + who have a developmental disability that manifested
prior to age 22 The Children’s Choice Waiver offers supplemental support to children with developmental disabilities who currently live at home with their families, or who will leave an institution to return home. Children’s Choice is an option offered to children on the Request for Services Registry (RFSR) for the New Opportunities Waiver (NOW) as funding permits. Families choose to either apply for Children’s Choice, or remain on the RFSR for the NOW.
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FY 17 Funded Slots: 1,475 FY 16 Funded Slots: 1,475 Slots Filled as of 12/31/2015: 1,212 Slots Funded but not Filled as of 12/31/2015: 237 Registry and/or Waiting List:* 7,346 Average Cost/Capped Cost (Actual): $10,389 ($16,410 waiver cap only) Expenditures Forecast (12/31/2015): $12,501,666 Population Served: Ages Birth - 18 who meet the federal definition for a
developmental disability *Also subset of individuals under 19 from the NOW waiver and the number is included in the NOW registry. The Support Services Waiver has reserved capacity for individuals who were receiving state general funded vocational and rehabilitation services as of 3/31/2006 or who were listed as waiting for those services prior to 5/31/2006. The Supports Waiver is intended to provide specific, activity focused services rather than continuous custodial care.
FY 17 Funded Slots: 2,050 FY 16 Funded Slots: 2,050 Slots Filled as of 12/31/2015: 1,683 Slots Funded but not Filled as of 12/31/2015: 367 Registry and/or Waiting List:* 1,363 Average Cost/Capped Cost (Actual): $7,752 Expenditures Forecast (12/31/2015): $12,560,155 Population Served: Ages 18 +
The Residential Options Waiver (ROW) offers services designed to support individuals to move from ICFs/DD and nursing facilities to community-based settings, and to serve as an alternative to being institutionalized. ROW was approved by CMS on 10/1/2009.
FY 17 Funded Slots: 210 FY 16 Funded Slots: 210 Slots Filled as of 12/31/2015: 28 Slots Funded but not Filled as of 12/31/2015: 182 Registry and/or Waiting List:* 0 Average Cost/Capped Cost (Actual): $26,983 Expenditures Forecast (12/31/2015): $1,222,809 Population Served: Ages Birth to end of life who have a developmental disability
which manifested prior to the age of 22 *Registry and/or Waiting List as of 12/31/2015
DEPT/AGY: Higher Education ISSUE: Higher Education Funding Overview The EOB as of 12/1/2015 (without OSFA) totals $2.28 B (including $418.9 M SGF and $350 M SAVE). HB 1 with Senate amendments recommends a total budget of $2.23 B, reflecting a net reduction of $48 M; a $93.7 M reduction in SGF, a $15.5 M decrease in IAT and Statutory Dedications, and a $61.2 M increase in SGR from fees associated with Act 377 of 2015.
Table 3
Institution/SystemFY 16 Existing
Operating Budget (EOB)
HB 1 Reengrossed w/ Senate Amendments
% Change FY16 EOB to HB 1 Reengrossed w/ Senate
Amendments
Higher Education - State General Fund Equivalent Summary by Institution and System (FY 16 Existing Budget to HB 1 Reengrossed with Senate Amendments)
based on potential Formula Funding by Regents
LSU System Total $371,709,494 $318,395,775 -14%
SU System Total $44,474,795 $36,585,441 -18%
UL System Total $217,495,183 $196,018,587 -10%
LCTCS System Total $115,508,742 $106,833,790 -8%
LOSFA Administration $3,261,171 $3,013,161 -8% Scholarships* $29,842,486 $29,582,900 -1% TOPS $200,091,126 $81,229,202 -59%LOSFA Total $233,194,783 $113,825,263 -51%
Board of Regents $15,213,434 $13,001,521 -15%
LUMCON 2,283,493 $2,109,835 -8%Statewide Total $999,879,924 $786,770,212 -21%*Maintains static funding of $26.4 M for GO Grants as mentioned in the Executive Budget.
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The first column in Table 3 on Page 58 shows the FY 16 SGF equivalent (SGF + Higher Education Initiatives Fund) budget by budget unit and system. The second column entitled “HB 1 Reengrossed” shows the $786.8 M SGF allocation to higher education including $81.2 M for TOPS. However, the amounts that the LSU System, Southern System, University of LA System, and LA Community & Technical College System will receive are unknown at this time. Based on the pro-rata distribution of SGF available, a total of $657. 3 M (including the $9 M for Ag Centers and Pennington) will be utilized to fund the systems. The distribution of SGF is as follows: Board of Regents (BOR) - $13 M; LA Universities Marine Consortium - $2.1 M, Office of Student Financial Assistance (admin) - $32.6 M, TOPS - $81.2 M and the 4 management boards - $657.3 M. The final amounts appropriated to the management boards will be determined when the Board of Regents distributes funds based on the formula funding process. HB 1 does not allocate specific amounts of SGF to individual institutions. Instead, the bill assigns all SGF to the BOR for allocation by the Board after passage of the appropriations bill. The table assumes the SGF requirements related to the GO Grant Scholarship Program within the LOSFA will be fully funded at $26.4 M. The table serves to illustrate the potential impacts of the SGF reductions or enhancements to systems. The allocation by institution will be determined by the BOR once the board receives the appropriated amount for FY 17 and determines the allocation based on the funding formula. Act 462 of 2014 required the BOR to develop an outcomes based funding formula for implementation beginning in FY 17. The proposed formula allocates SGF for each institution/system based on a 70% pro-rata share (base funding), 15% cost calculation share and a 15% outcomes share. The pro-rata calculation is based on the 7/1/2015 appropriation levels and provides safeguards to prevent sudden, dramatic changes in the funding level of any postsecondary institution as required in Act 462. The cost calculation is based on weighted factors including SREB peer group salary data, course offerings, enrollment of Pell grant students, research, degree level, space utilization, and support services. The outcomes metrics are based on completer degree levels, transfers, completers in high demand fields (4 & 5 star jobs), time-to-award, and completion of students receiving the Pell grant. Senate amendments removed $6.1 M in equity formula funding for LCTCS, $300,000 for Baton Rouge Community College; and provided $4 M for Pennington Biomedical Research Center, $4 M for the LSU Ag Center, and $1 M for the Southern Ag Center. The amendments further deleted the $500,000 in SGF for a tier 1 university transportation center grant for LSU A&M to study transportation infrastructure in hot climates including extreme weather conditions in the event the institution is awarded the grant. Table 3 is intended to GENERALLY illustrate the potential SGF allocation by budget units and systems in the proposed budget. Taylor Opportunity Program for Students (TOPS) The FY 16 funding totals for TOPS is $265.2 M ($200.1 M SGF and $65.1 M Statutory Dedications). HB 1 has a budget amount for TOPS of $141.4 M ($81.2 M SGF and $60.2 Statutory Dedications). FY 17 projected need for TOPS is $297.1 M. The Executive Budget proposal only included $60.2 M from the TOPS Fund. HAC amendments restored $236.8 M in SGF to fully fund the Taylor Opportunity Program for Students (TOPS). House Floor amendment reduced SGF by $71,930,619. SFC amendments further reduced TOPS by $83,659,300. As a result of this reduction, TOPS is funded at approximately 48% of the total program cost. SB 470 Enrolled is currently awaiting the signature of the governor. The bill would change the mechanism for the distribution of awards in the event insufficient funds are available. The bill requires that all students that receive an award are allocated an equitably reduced award amount. The projected average award amount for FY 17 is $5,718 for 51,194 students. Based on the current TOPS funding level of $141.5 M, the average award amount would be $2,733 (48% of fully funded award amount), a decrease of $2,986 per student per award. DEPT/AGY: Higher Education/ LSU System ISSUE: LSU Health Sciences Center – Shreveport (HSC-S) Structural Funding Issue For FY 17 the continued financial viability of the medical school is uncertain. Historically, LSU HSC-S has struggled with a structural operating deficit. The FY 16 Mid-Year Deficit Reduction Plan 2 did not contain a SGF reduction to the medical school, but did contain a $4.1 M reduction to the partner, the Biomedical Research Foundation of Northwest LA (BRF). Additionally, HB 1 further reduces state support and includes other adjustments that impact the school’s revenue generating capacity.
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Fiscal Year 2016 The FY 16 total budget for LSU HSC-S is $117.4 M. The medical school did not receive a direct mid-year reduction. However, the medical school still has a projected $3.1 M operating shortfall. In addition to state support for operations, the medical school receives self-generated revenue (SGR) from the Biomedical Research Foundation of Northwest LA (BRF) for providing services to the hospital. On average, the medical school receives $6.7 M per month from BRF. The services provided include physicians’ services, resident support, police, allied health services and shared services. BRF receives payments from the Department of Health & Hospitals (DHH) for the operation of the hospital and then sends payment to LSU HSC-S for the services provided. As a result of this operating arrangement and payment structure, the medical school will receive a reduction in provider payments of $4.1 M. The mid-year provider payment reduction further reduces the available fund balance ($48.6 M). To the extent the operating deficit of $3.1 M for FY 16 is static, LSU HSC-S would end FY 16 with $41.4 M available in restricted fund balance ($48.6 M current balance - $3.1 M operating deficit - $4.1 M mid-year reduction). Fiscal Year 2017 State support for LSU HSC-S is projected to decrease by $36.8 M or 42% in FY 17. This reduction includes non-recurring payments of $32.7 M for operating expenses ($31 M) and reduced legacy costs ($1.7 M) and a pro-rata SGF cut of $4.1 M based on the $94.8 M SGF equivalent reduction to all Higher Education (excluding TOPS). Legacy costs are projected to be $18 M in FY 17 and based on the pro-rata SGF reduction of $4.1 M, would be 77% funded. Furthermore, even if the medical school begins FY 17 with the restricted fund balance of $41.4 M (after the operating shortfall & FY 16 mid-year partnership reductions) it will likely exhaust this balance within the first quarter of the new fiscal year. HB 1 funding related to the public/private partnerships within the DHH is not appropriated by hospital, so the exact funding level to the LSU HSC-S partner hospitals is unknown at this time. It is possible the medical school would have to reduce physicians and medical residents to the extent the partnerships are not fully funded. In February 2016, the potential cuts based on the worst case scenario regarding FY 16 and FY 17 budgets anticipated a reduction of faculty physicians by 161 from 304 to 143 (53%) and medical residents by 352 from 550 to 198 (64%). The medical school would maintain operation of the 6 core departments required for accreditation (Psychiatry, Surgery, Pediatric, Obstetrics & Gynecology, Family Medicine and Internal Medicine). The faculty and resident layoffs would come from specialty departments such as neurology, radiology, and anesthesiology among others. The impact to the instruction of medical students and supervision of residents would ultimately depend on the number of faculty that leave, allocation of the partner reductions to the school and the available fund balance at the end of FY 16. As a result the faculty, resident and program reductions mentioned above may take place sometime in FY 17. The exact impact is indeterminable at this time since the FY 17 reductions will depend on budget adjustments to HB 1 as it moves through the legislative process. Accreditation The Southern Association of Colleges & Schools Commission on Colleges (SACSCOC) is the regional body for the accreditation of degree-granting higher education institutions in the Southern states and reaffirms a school’s accreditation every 10 years. LSU HSC-S was affirmed in December 2014, however SACSCOC raised concerns that the school could not meet the financial stability requirements. The structural operating deficit and declining fund balance have serious implications for the accreditation of the medical school and SACSCOC began monitoring the school in 2015. In FY 16 LSU HSC-S received $51 M in additional state resources for legacy costs ($20 M) and operating expenses ($31 M). This state support seemed to provide assurances and in December 2015, SACSCOC took no action on the medical school. However, the school could be monitored again after SACS meets in December 2016 depending on the funding situation. LSU estimates that reserves of approximately $50 to $55 M are required in order to meet SACSCOC guidelines which the school currently does not have. As part of accreditation standards, the institution is required to finish teaching all students in the program. There are currently 471 medical students with an average of 118 students in each year of medical school. The reductions to the institution and partner in FY 17 affect the school’s ability to provide instruction and may impact SACSCOC accreditation.
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DEPT/AGY: Education (DOE) ISSUE: Elementary & Secondary Education Funding Reduction Impacts FY 17 recommended funding for the Department of Education (DOE) (not including the MFP) totals $1,632 M ($147.9 M SGF, $290.3 M IAT, $57.4 M SGR, $14.8 M Statutory Dedications, and $1,121 M Federal) for a net reduction of $68.3 M. The DOE has not identified the allocation of all the reductions. A brief description of the budget unit, the amount of the reduction allocated, as well as potential impacted activities are as follows: State Activities ($2.3 M) provides for state assessments and school accountability as well as support for local school districts and professional development activities. Funding is reduced for 11 positions (2 in Administration and 9 in District Support). Support Services and Field Services will be reduced; contracts not associated with student assessments will be reduced or eliminated and funding for travel and supplies will be reduces. The DOE has not identified how these reductions will be allocated. Subgrantee Assistance ($9.4 M) provides flow through funds to local educational agencies and schools. The Student Scholarships for Educational Excellence Program (SSEEP) will be reduced $5.9 M- The SSEEP (voucher program) allows selected students to attend participating non public schools with tuition expenses paid by the state. Tuition is reimbursed at a rate that shall not exceed the combined state and local per pupil amount of the district in which the student resides. FY 16 funding is $42 M. There were 7,110 students enrolled in the first quarter as of 9/21/2015 for an annualized cost of $41.7 M. Reductions to this program would result in students returning to public schools which would subsequently increase the MFP costs but at a lower per pupil amount. As a result there would likely be a savings to the state since DOE is paying higher tuition costs for a significant portion of the voucher students. Based on actual 1st quarter expenditures it is estimated that the state will pay $8.3 M more to the voucher schools than it would have paid through the MFP in the current year. For further discussion of the program costs, see “Cost Analysis for SSEEP” issue write-up. The DOE has indicated it will reduce the tuition amount paid in order to retain the existing number of slots available. However, given the annual attrition rate of 20% (the number of students who leave the program each year) combined with the fact that 32 (26%) of the participating schools will not be accepting new students in the 2016-2017 school year, it is very possible that the number of participants in the program will remain sufficiently low enough to maintain the seats for remaining students at the current tuition rate. That information will not be available until the DOE has completed the application and enrollment process. Families received initial award letters at the beginning of April and have until the end of May to register with a second application and enrollment round ending at the end of June with registration by mid July. The Cecil J. Picard LA 4 Early Childhood Program is the primary preschool program in the state, serving approximately 16,300 children. It provides up to 10 hours of early childhood education and before and after activities daily to 4 year olds from disadvantaged families. The Nonpublic Schools Early Childhood Development Program (NCSED) provides low-income families the opportunity to attend state-approved private preschools and childcare centers and serves approximately 1,500 preschool children annually. Current funding is $4,580 per child. For FY 16, the LA 4 Program is funded at $76.9 M ($9.4 M SGF and $67.5 M IAT) and the NCSED is funded at $7.4 M (SGF) for total LA 4 Program funding of $84.3 M. The original source of the IAT is TANF funds from the Department of Children & Family Services (DCFS). FY 17 funding includes a MOF swap replacing TANF funds with $27.4 in SGF. Total funding remains at a standstill level, however the ratio of SGF has increased from 12% to 48% and TANF funding has been reduced from 88% to 52%. Special School District ($1.4 M) provides special education and related services to approximately 500 children with exceptionalities enrolled in state operated programs (Office of Children with Developmental Disabilities, Office of Behavioral Health, Dept. of Corrections, and the Office of Juvenile Justice). Reduces funding for 22 positions (14 filled and 8 vacant). The positions include 12 educator, paraeducator, and instructional coach positions as well as 2 administrative positions; also reduces funding for travel. The reduction will result in the elimination of services to private pay facilities; instead, local school districts will be required to provide these services.
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Special Schools & Commissions FY 17 recommended funding for Board of Elementary & Secondary Education (BESE) and the special schools is recommended at $91.3 M which represents a net reduction of $423 K. The most significant SGF impacts to the special schools and the 1,400 students they serve are listed on the next page. LA School for the Deaf & Visually Impaired ($558 K) provides educational services to approximately 488 students in residential and outreach programs. The reduction eliminates funding for 6 vacant positions, out of state travel and operating services. LA School for the Math Science & the Arts ($265 K) provides educational services to approximately 300 high achieving students in residential and online programs. The reduction eliminates funding for 5 positions. New Orleans Center for the Creative Arts ($293 K) provides specialized arts training to 625 students through a combination of MFP funds and direct state support. The reduction is associated with contracts and operating services. DEPT/AGY: Education ISSUE: Minimum Foundation Program (MFP) The Minimum Foundation Program (MFP) provides for an equitable distribution of state funds to local school districts. The MFP is the major source of state funding to local schools. For FY 16, the MFP is funded at $3.678 B; $3.391 B in SGF and $287.16 M in Statutory Dedications from the Support Education in LA First Fund ($109.7 M) and Lottery Proceeds Fund ($177.4 M). The FY 17 Executive Budget includes an adjustment of $14.8 M for an anticipated increase of 2,298 students. Additionally, there is a $3.7 M MOF swap replacing SGF with Lottery Proceeds funds ($3.7 M) and SELF funds ($0.05 M) based on the most recent Revenue Estimating Conference (REC) forecast. FY 17 recommended funding totals $3.64 B; $3.35 B SGF, $181.1 M Lottery Proceeds Fund and $109.7 M SELF Fund. The FY 16 MFP included $44.2 M, which was funded in a supplemental appropriation outside of the formula: a 1.375% inflation adjustment ($36.2 M); an increase for the Supplemental Course Allocation ($2.6 M); and an increase for the High Cost Services Allocation ($5.4 M). HR 231 of 2015 urged and requested BESE to incorporate the supplemental funding into the FY 17 resolution. As such, the proposed MFP for FY 17 approved by BESE on March 4 incorporated this adjustment into the formula. This represented standstill funding for the MFP. However, in light of the state’s fiscal status the MFP resolution (SCR 44) was rejected by the Senate Education Committee. Pursuant to the Constitution, the MFP will be funded in accordance with the last approved resolution (SCR 55 of 2014); accordingly, the proposed budget eliminates this supplemental MFP funding of $44.2 M. Level 1: Maintains the weights for Career and Technical Education units (6%), Special Education/Other Exceptionalities (150%) and Special Education/Gifted and Talented (60%), and Low Income/English Learner (22%). Maintains the calculation of local share necessary to maintain a state and local allocation ratio of 65% to 35%. Level 2: Maintains the provisions of incentives for local effort. Level 3: Continues the pay raises for certificated and support personnel initiated in 2001-2002 and 2006-2007 through 2008-2009; the 10-year phase out of the hold harmless funding; and a $100 per pupil funding amount for increasing mandated costs of health insurance, retirement and fuel. Level 4: Supplementary Allocations: These new funding initiatives were added in the FY 15 MFP. FY 17 proposed allocations are. 1) Career Development Allocation ($6.3 M) to support the development of technical courses
required for statewide credentials in city and parish school systems and other public schools in the amount of 6% of the base per pupil cost for each qualifying student course enrollment; a minimum amount of $25,000 will be provided for each city and parish school system and a minimum of $10,000 will be provided for other public schools with students enrolled in grades 9 through 12.
2) High Cost Services Allocation ($4 M) currently provides additional funds to public school
systems and schools which substantiate that the prior year cost of services for students with disabilities exceeds three times the most recent state average total expenditure per pupil amount; allocation amounts are limited by the amount budgeted for this initiative and are to be distributed equitably to school systems and other public schools proportional to the total of qualifying applications submitted.
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3) Supplemental Course Allocation ($7.8 M) to provide for the cost of secondary course choices
specifically approved by BESE. For each school system and other public schools funded through the formula, the allocation shall equal $35 for each student enrolled in grades 7-12 as of February 1st. Provides for the redistribution of uncommitted funds as of a date set by DOE.
Also Level 4 includes the Foreign Language Associate Program Salary & Stipends Allocation. The supplemental allocation is $21,000 per teacher. Of this, $20,000 shall be allocated to the school where the teacher is employed for support of the total cost of the teacher salary and $1,000 to be used for the costs of the VISA sponsorship incurred by CODOFIL, pursuant to BESE regulations. The cap of 300 teachers is retained. Allocations for Other Public Schools: Continues funding methodology for the LSU and Southern University Lab Schools, Type 2 Charter Schools, Office of Juvenile Justice Schools, the Recovery School District, NOCCA and LSMSA. Pay Raise Requirements: The FY 15 MFP revised language requiring schools to use at least 50% of any increased funding to supplement and enhance full time certificated staff salaries and retirement benefits for schools with an average teacher salary below the SREB average. New language required school systems to sustain 2013-2014 pay raises if there is a net increase in the Levels 1 and 2 cost allocation. If the school system had established plans to sustain or increase the pay raises prior to the development of this formula, the provision does not apply. DEPT/AGY: LSU Health Care Services Division ISSUE: Legacy Costs The HCSD’s legacy appropriation is $2.3 M below the projected level of legacy expense liability. See illustration below. Legacy Cost Expenditures $23,159,697 Legacy Appropriation after HAC $20,843,412 Legacy Cost Shortfall ($2,316,285)
However, these legacy costs are mandatory expenditures that will require HCSD to find available funds from other sources. HCSD has stated it will use the revenues generated from their contract with the private partners for administrative services and by reducing support services, using one-time funding, and attrition. Note: Prior to these private partnerships, these legacy expenditures were allowable expenses on the cost report to receive federal match funding. CMS has since ruled these expenses are unallowable since these hospitals are no longer associated with the system.
TO: The Honorable Taylor F. Barras, Speaker of the House of Representatives Honorable Members of the House of Representatives FROM: John D. Carpenter, Legislative Fiscal Officer Evan J. Brasseaux, LFO Staff Director DATE: June 3, 2016 SUBJECT: House Rule 7.19, HB 1 Reengrossed with Senate Amendments, FY 17 Financing Replacement Pursuant to House Rule 7.19, the Legislative Fiscal Office (LFO) is required to submit a report to the House of Representatives, which indicates whether the appropriation bill appropriates one-time money within the Reengrossed version of House Bill 1 (HB 1). The LFO is providing this information for HB 1 – Reengrossed with Senate Amendments and a discussion of the FY 18 financing decisions that will have to be made as a result of the current structure of the FY 17 proposed operating budget. If you have any questions about any of the information presented in this memo, please contact me by email at [email protected] or by phone at 225-342-7233. HR 7.19 One-Time Money List Pursuant to HR 7.19(C)(2), appropriations from one-time money for ordinary recurring expenses may not exceed the projected growth of the state general fund from the fiscal year for which the appropriation is proposed and the subsequent fiscal year according to the most recent official forecast. The threshold calculation is the difference between the official SGF revenue forecast adopted by the Revenue Estimating Conference on March 16, 2016, for FY 17 of $ 9,498.5 B and for FY 18 of $ 9,740.0 B, which equates to $241.5 M of SGF revenue growth. The amount of one-time funds, as defined by HR 7.19, allowed to be appropriated in HB 1 for FY 17 expenditure is approximately $241.5 M. There is no ($0) one-time money as defined in House Rule 7.19 in HB 1 Reengrossed with Senate Amendments after all adopted legislative amendments to HB 1 and HB 409 (Funds Bill - with regard to FY 17), FY 18 Replacement Financing Decision List Although HR 7.19 contains a definition of “one-time money,” the rule itself is not indicative of the financing decisions that will have to be made in FY 18 relative to the current structure of the FY 17 proposed operating budget. Due to this issue, the LFO is not only providing the HR 7.19 list to comply with the House Rule, we are also providing you with a detail of significant potential FY 18 financing replacements that will have to made as a result of the proposed FY 17 budget. See discussion of Medical Vendor Payments below regarding resources being utilized in FY 17 that will likely require another revenue source in FY 18. The $34.5 M of financing needs are in addition to any other continuation budget requirements not yet resolved in the FY 17 budget. These additional funding requirements will likely result in an FY 18 anticipated funding shortage that could exceed $34.5 M. The $34.5 M of potential financing replacement in FY 18 is a significant reduction compared to the amount of FY 17 financing replacement of approximately $826.4 M. Agency – Medical Vendor Payments The current budget recommendation as reflected in HB 1 Reengrossed with Senate Amendments includes an appropriation of $34.5 M drawn from fund balances of the Medicaid Trust Fund for the Elderly and the Health Trust Fund. These funds are expected to be essentially depleted after the draw down of monies in FY 17, resulting in a need to identify replacement revenues for FY 18.
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! STATE OF LOUISIANA Legislative Fiscal Office BATON ROUGE Post Office Box 44097 Capitol Station John D. Carpenter Baton Rouge, Louisiana 70804 Legislative Fiscal Officer Phone: 225.342.7233 Fax: 225.342.7243 !!
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