Committee on Appropriations A/V — 2018

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Roll00:00:06
Program Evaluation Sub-Committee Announcement00:02:10
Chief Justice David Gilbertson, Unified Judicial System, (UJS) made opening remarks and made FY19 Budget Request as recommended by the Governor.00:02:35
Chief Justice Gilbertson said the Unified Judicial System has two budget requests. They are for a Veterans Court and a Mental Health Court in Pennington County.00:03:00
Veterans Court - Pennington County - 25% of all Veterans that were sent the penitentiary last year came from Pennington County. Most cases were drug and alcohol related. The (UJS) requested $109,947 annually to fund this new Veteran's court. Chief Justice Gilbertson indicated if the Veterans Court was operating in FY18 and had 20 to 25 clients, the savings to the state would have amounted to $200,000.00:03:42
Mental Health Court - Pilot Project - Pennington County - This would be the first in the State of South Dakota and this program has been successful in other parts of the country.00:05:18
Chief Justice Gilbertson said many crimes are committed by the mentally ill because the mentally ill are off their medications and this new mental health court would operate like a drug court.00:06:20
Veterans qualify for benefits and might be eligible for Veterans Administration benefits that include inpatient treatment.00:08:00
Senator Haverly - question will Veteran's Court in Pennington County need 12 volunteer mentors00:08:36
Representative Hunhoff - question what is the process for someone to enter the Mental Health Court system00:09:15
Representative Hunhoff - question will mental health initial assessments be available in Pennington County00:10:49
Senator Cronin - question - how are the Drug Courts helping the homeless and is there an inpatient treatment option00:11:16
Senator Cronin - question - how will the Mental Health Court help the homeless receive inpatient treatment and what are the costs00:14:10
Chief Justice Gilbertson said it was cheaper to give inpatient treatment than placing patients in the penitentiary.00:14:55
Senator Nesiba - question will the mental health task force come up with a plan00:15:48
Senator Tidemann - question where would mental health services be given to Veterans - Sturgis or Rapid City 00:16:07
Ms. Ariel Hammerquist, Budget Analyst, Legislative Research Council, presented FY19 Budget Brief to the Joint Committee - Page 100:17:25
Ms. Hammerquist indicated the (UJS) agency requested in FY19 $44,550,844 in general funds, $817,996 in federal funds, and $9,821,218 in other funds for a total of $55,190,058 and includes 581.4 FTE- Page 300:18:51
State Bar Association - Informational Budget - FY19 Budget Request $575,721 in other funds - Page 600:19:10
Unified Judicial System Budget Unit - FY19 Budget Request - $44,550,844 in general funds, $817,996 in federal funds, and $9,245,497 in other funds totaling $54,614,337 - Page 800:19:30
Supreme Court and Judicial Qualification Commission Budget Centers have no changes from FY18 - Pages 11-1600:20:20
Court Administrator's Office - Budget Center - The FY19 Budget Request is $1,970,929 in general funds, $298,107 in federal fund expenditure authority, and $146,439 in other fund expenditure authority totaling $2,415,475 and includes 21.0 FTE - Page 1700:20:41
A. Change in Employee Compensation - The agency requests an increase of $434,510 in general funds for a classification and compensation package based on the results of a 2016 salary survey of surrounding state court systems. The Governor does not recommend this increase. - Page 1900:20:50
Mr. Greg Sattizahn, State Court Administrator, Unified Judicial System commented on (UJS) struggles to employ staff and provide adequate compensation. The agency has documented employee compensation needs.00:21:30
1. Postage - The agency requests an increase of $40,000 in general funds for postage due to the increased number of notices sent through the collections process.00:22:47
A. Budget Alignment - Judicial Training - The Governor recommends an increase of $2,499 in other fund expenditure authority and a $2,500 decrease in other fund expenditure authority for a net $1 decrease to align the budget with actual expenditures.00:23:19
Circuit Courts Operation - Budget Center - The FY19 Budget Request is $14,535,156 in general funds, $20,000 in federal funds, and $1,547,032 in other funds for a total of $16,102,188 and includes 137.2 FTE.- Page 2300:23:20
A. Operating Expense Inflation - The agency requests an increase of $8,834 in other fund expenditure authority due to printer and copier maintenance inflation - Page 2400:23:45
Clerks of Court Operations - Budget Center - The FY19 Budget Request is $10,768,036 in general funds, $0 in federal funds, and $743,805 in other funds totaling $11,511,841 and includes 194.3 FTE. - Page 2600:23:59
Clerks of Court Operations Budget Center- A. Operating Expense Inflation - The agency requests an increase of $3,000 in other funds due to increased costs for state-issued cell phones and $3,426 in other fund expenditure authority to cover printer and copier maintenance inflation. - Page 2800:24:05
B. Budget Alignment - The agency requests an increase of $1,124 in general funds and a decrease of $1,124 in general funds for a net $0 increase to align the clerks of court budget with actual expenditures. The Governor did not recommend this request.00:24:40
1. Chief Court Clerk 1st Circuit - The agency requests and increase of 1.0 FTE and $76,273 in general funds for personal services for a Chief Court Clerk in the 1st Circuit and $5,000 in general funds for operating expenses related to this FTE. The Governor does not recommend this request.00:24:50
2. Deputy Court Clerk 6th Circuit - The agency requests an increase of 0.3 FTE and $17,022 in general funds to bring a quarter-time on-call Deputy Court Clerk in the 6th Circuit up to half-time status due to increase workload in Bennet County.00:25:00
3. Court Clerk Magistrate 6th Circuit - The agency requests and increase of 0.3 FTE and $12,190 in general funds to bring a part-time benefited Court Clerk Magistrate in the 6th Circuit up to full-time status due increasing workload in Lyman County. The Governor does not recommend this request.00:25:15
Representative Howard - question why isn't the Governor's Office recommending the Clerk of Courts Budget Alignment on Page 28 of the Budget Brief00:25:27
Court Services Operations - Budget Unit - The FY19 budget request is $13,850,861 in general funds, $499,889 in federal funds, and $335,872 in other funds totaling $14,686,622 and includes 175.9 FTE. - Page 3000:26:08
A. Operating Expense Inflation - The agency requests and $28,863 increase in other funds for state-issued cell phones and $3,200 to cover printer and copier maintenance. - Page 3200:26:32
B. Payments to State Agencies - The agency requests an increase of $3,900 in other fund expenditure authority to cover increased cost of urinary analysis tests being sent to the state lab. - Page 3200:26:56
1. Deputy Chief Court Services Officer 4th Circuit - The agency requests an increase of 1.0 FTE and $70,183 in general funds for personal services for a Deputy Chief Court Services Officer in the 4th Circuit and $3,100 in general funds for FTE operating expenses. The position is requested to meet the demand of growing number of offenders under supervision in the community. The Governor does not recommend this request. - Page 3200:27:50
Court Services Operations - Budget Center - Agency Requests - 2. Deputy Chief Court Services Officer 6th Circuit - The agency requests an increase of 1.0 FTE and $70,183 in general funds for personal services for a Deputy Chief Court Services Officer in the 6th circuit and $3,147 in general funds for operating expenses related to this FTE. The Governor does not Recommend this request. - Page 3300:28:04
3. Court Services Officer 3rd Circuit - The agency requests an increase of 1.0 FTE and $63,683 in general funds for the personal services for a Court Services Officer in the 3rd Circuit and $1,750 in general funds for operating expenses related to this FTE. The Governor does not recommend this request. - Page 3300:28:05
4. Court Services Officer 5th Circuit - The agency requests and increase of 1.0 FTE and $63,683 in general funds for personal services for a Court Services Officer in the 5th Circuit and $1,969 in general funds for FTE operating expenses. The Governor does not recommend this request. - Page 3300:28:06
5. Court Services Officer 6th Circuit - The agency requests an increase of 0.3FTE and $13,566 in general funds to bring a part-time benefited Court Services Officer in Hughes County to full-time status. The Governor does not recommend this request. - Page 33 00:28:07
6. Court Services Secretary - The agency requests and increase of 0.5 FTE and $16,447 in general funds to bring two part-time benefited Court Services Secretaries in the 6th Circuit up to full-time status in Hughes and Tripp County. The Governor does not recommend this request. - Page 3400:28:08
Senator Peters - question - have you done an analysis on what the circuit court personnel are and requested additional information00:28:13
7. Mental Health Court - The agency requests an increase of 1.0 FTE and $109,947 in general funds for a new mental health court in Pennington County. The Governor recommends this request. - Page 3400:29:28
8. Veterans Court - The agency requests and increase of 1.0 FTE and $109,947 in general funds for a Veterans Court in Pennington County. - The Governor does not recommend this request. Page 3400:29:55
Senator Peters- question - give us a background for the need of the Veterans Court, how many people can you serve, and how quickly could (UJS) implement a plan00:30:12
Representative Hunhoff - question - what are the mental health coordinator's job duties 00:30:47
Representative Hunhoff - question - what type of university degree does a Court Services Officer need to qualify for entry position00:31:57
Drug Testing Kits and Discretionary Provider Inflation - Page 3500:32:08
9. Drug Testing Kits - The agency requests an increase of $37,000 in general funds for drug testing kits due to the increased number of urinary analysis tests being conducted under court services probation. The Governor does not recommend this request.00:32:25
10. Discretionary Provider Inflation - The agency requests an increase of $2,132 in general funds and $817 in federal fund expenditure authority for a 1.8% inflationary increase to provider rates. The Governor does not recommend this request.00:32:35
Representative Howard - question - why is the agency (UJS) requesting more general funds for urinary analysis tests00:32:40
Senator Tidemann - question - is the budget request for the court services officer for the mental health court include salaries and benefits 00:33:36
Senator Tidemann - question - are the counties able to pay court services secretaries higher wages than (UJS) and what are the challenges of Unified Judicial System to retain personnel00:33:46
Community Based Services Center - The FY19 Budget Request is $915,286 in general funds. 00:34:59
1. Discretionary Provider Inflation - The agency requests an increase of $12,258 in general funds for a 1.8% inflationary increase to provider rates. The Governor does not recommend this request.00:35:05
Information & Technology Budget Center - In FY19 the Information & Technology fund request is $0 general funds, $0 federal funds, and $5,488,432 in other funds. - Page 3900:35:41
A. Operating Expense Inflation - The agency requests an increase of $32,250 in other fund expenditure authority due to printer and copier maintenance inflation.00:35:45
B. Replacement Items - The agency requests a reduction of ($56,000) in other fund expenditure authority for a one-time capital outlay adjustment relating to computer hardware and software.00:35:46
C. Budget Alignment - The agency requests a decrease of ($9,900) in other fund expenditure authority to align the I.T. budget with actual expenses.00:36:23
1. Software Expenses - The agency requests and increase of $210,582 in other fund expenditure authority for Odyssey, Windows, and Office365 software. - Page 4100:36:30
Senator Peters - question - please give an Odyssey system and software overview 00:36:50
Mr. Sattizahn gave an update what (UJS) is doing to provide online access to court records for abstractors, attorneys, media, and the public. 00:38:15
Chief Justice Gilbertson indicated the problems with court cases having private information such as social security information.00:40:55
Representative Anderson - question - how far back does (UJS) go to remove private information such as social security numbers off court documents00:41:40
Court Automation Fund Condition Statement - Revenue and Expenditures - Page 5000:42:40
Representative Lake - question - are there any new special appropriation requests for (UJS) in FY1900:43:05
Representative Hunhoff - question - what is Drug Court recidivism rate 00:43:42
Mr. Sattizahn said 18% is the recidivism rate for the past three years and would provide additional information.00:45:07
Representative Lake - question - if the agency doesn't receive funding for better drug testing kits how will the agency address this issue00:45:50
Representative Hunhoff- question - are any other agencies using the same drug kits as Unified Judicial System00:46:50
Representative Hunhoff - question - would the agency check into group pricing to save money for drug kits00:47:35
Ms. Gloria Pearson, Secretary, Department of Human Services, gave agency overview and presented FY19 Budget Request as recommended by the Governor. 00:48:40
Secretary Pearson said the Department of Human Services had a reorganization to move the Department of Adult Services and Aging from the Department of Social Services to the Department of Human Services. The Department of Human Services oversees all long term disabilitiy services. It is estimated, thirty-three thousand people will need long term services in the Year 2030. 00:49:55
In FY19, the Department of Human Services will provide services to 36,331 people and all people who receive services have disabilities.00:50:45
Less than 40% of all people who have disabilities receive (DHS) support through programs and waivers. Most rely on their families. The (DHS) provides respite care, small residential settings, and more opportunities for self-direction to help keep families together. 00:52:08
The Division of Long Term Services and Supports received an Administration or a Life Span Award Grant for respite services.00:53:22
The agency is promoting their Dakota At Home call center for aging adults.00:54:12
Secretary Pearson indicated on December 19, 2017, the Redfield City Council, plans to buy 127 acres from the Redfield Developmental Center and will remove unnecessary buildings and save the State of South Dakota $1,000,000.00:55:12
The State of South Dakota has 96.4% of people with visual disabilities that graduate from high school versus 76.8% nationwide. The State of South Dakota has 48.8% of visually impaired that are employed full time versus 28% nationwide. 00:56:20
According to a 2016 survey, South Dakota ranked 2nd in the nation that employed people with disabilities.00:56:55
Secretary Pearson reported the results of a summer study addressing provider rates in a consensus document how to review provider reimbursement rates. The steering committee listed priorities and criteria. A five-year plan is on page six of the report.00:58:00
Ms. Yvette Thomas, Long Term Services and Supports Director, (DHS) and Denice Houlette, Budget and Finance Director (DHS) gave an update on work with Senate Bill 147. Sixteen-member committee met including standalone in-home service providers, hospital providers, independent living centers, and representation from Avera and Sanford hospitals. A copy of the report was given to the committee.01:00:28
Ms. Denice Houlette, Budget and Finance Director (DHS) reviewed In-Home Services Home Rate Methodology - Page 16 - Chart01:02:30
Provider Reimbursement Rate Adjustment Chart - Department of Human Services Handout01:08:55
Senator Peters - question - what years were used to determine Nursing and Homemaker and Personal Care salary rates and how did you determine these rates01:09:47
Senator Peters - question - how do you determine cost report and use 65% billable time, what year was study done to determine billable rates, how did you determine the sum of cost factor information and requested historical information from the agency and Bureau of Finance and Management01:10:15
Representative Hunhoff - question - why are 15-minute billable increments used and requested historical information 01:12:29
Senator Peters - question - what is the billable time for travel for the Department of Human services in rural areas01:13:50
Senator Peters - question - why aren't providers able to bill for travel time and why was it discounted out since the goal is to have people stay at home longer and expressed concern01:15:00
Representative Anderson - question - is there a point when in-home services become too expensive and it's time to put someone in a facility01:17:00
Representative Howard - question - why are base billing rates compared to the median rate and are these rates inflated01:17:44
Representative Anderson - question - are billing rates based on an average for all employees01:19:00
Representative Hunhoff - question - why can't the agency reimburse mileage and is this a federal requirement and are Registered Nurses allowed to bill Medicaid for travel01:19:34
Representative Hunhoff - question - could the agency bill state general funds for travel01:20:36
Senator Peters - question - would the agency provide federal rules and regulations for travel time billing restrictions. Requested additional information.01:20:59
Representative Peterson - question - can you attract and retain staff in state facilities01:22:14
Representative Peterson - question - what is the agency doing to retain and attract staff for the Developmental Center and what are the starting wages in Redfield01:24:51
Representative Bartels - question - would the study group look at ways to provide alternative services and take qualifying clients out of the nursing home and return them home and would the work group divide the state by region to determine provider rates01:25:40
Secretary Pearson said the agency is gathering data and looking at different options.01:28:29
Representative Ahlers - question - has inflation been factored when determining provider rates and requested additional information01:30:03
Representative Ahlers- question - is the goal to reimburse providers at a 100% and is inflation factored in this rate01:31:15
Representative Hunhoff- question - is there a limited dollar amount the agency can spend on an individual client and requested that dollar amount. Additional information was requested.01:32:55
Senator Tidemann - question - is there a way to work with other states and request a waiver from the federal government to cover travel expenses for in-home services01:34:41
Senator Peters - question - how do rural communities provide shared living space for a few people01:38:38
Senator Peters- question - has there been a pilot program to address the need for shared living space in rural areas and who is in-charge of this program.01:38:51
Secretary Pearson said they are applying for a change to the HOPE waiver.01:39:20
Secretary Pearson said they expect HOPE waiver results from the Federal Government within 90 days and will implement changes this summer.01:41:00
Mr. Jason Simmons, Principal Fiscal Analyst, Legislative Research Council, presented FY19 Budget Request as recommended by the Governor.01:42:10
The FY19 Budget Request includes $161,375,730 in general funds, $226,467,118 in federal funds, and $11,321,402 totaling $399,164,250 and includes 626.4 FTE. - Page 301:42:45
In FY17, the Department of Human Services, reverted $6,173,834 in general funds, $3,402,899 in federal funds, and $1,414,681 in other funds totaling $10,991,414 and includes 39.8 unutilized FTE.01:43:50
Budget Request - Administration, Secretary of Human Services - FY19 Budget Request is $1,112,996 in general funds, $986,015 in federal funds, and $1,430 in other funds for a total of $2,100,441 and includes 23.0 FTE. - Page 601:44:40
Representative Anderson - question - why did the Department of Human Services revert 39.8 FTE and now the agency is requesting 2.0 FTE01:45:45
Prior Base Transfer - Base transfer of $37,274 in general funds, $37,274 in federal fund expenditure authority, and 1.0 FTE from South Dakota Developmental Center, Redfield, to Secretary to identify and eliminate gaps within the continuum of care systems that are preventing individuals with disabilities from community placements. - Page 701:46:50
Representative Anderson - question - why is there 1.5 unutilized FTE in Administration - Page 701:47:15
A. Transfer Between Programs: Audit Manager: The department requests an increase of $38,035 in general funds, an increase of $38,035 in federal fund expenditure authority, and an increase of 1.0 FTE for the transfer of the Audit Manager position that is currently budgeted in the South Dakota Developmental Center (SDDC) budget to the division of the Secretary. - Page 801:48:10
1. Management Analyst - The department requests an increase of $29,803 in general funds, an increase of $29,803 in federal fund expenditure authority, and an increase of 1.0 FTE for a Management Analyst position to complete intergovernmental transfers as mandated by the Federal Centers for Medicare and Medicaid Services (CMS). - Page 801:48:45
Representative Hunhoff - question - what are the audit manager duties at the Developmental Center in Redfield01:49:08
Senator Peters - question - how many auditors does the agency have and what are their duties01:50:02
Senator Peters - question - do the agency auditors comply with state and federal agencies01:50:51
Senator Peters - question - how do you determine which audits will be conducted and what is the criteria to determine audits- desk audits versus field audits01:51:20
Representative Hunhoff - question will you explain the one-time transfer from the division of Developmental Disabilities Children Services to the Division of Rehabilitation Services.01:52:13
Division of Developmental Disabilities - Budget Unit- FY19 $59,572,228 in General Funds, $82,124,601 in federal fund expenditure authority, and $5,481,945 in other fund expenditure authority totaling $147,178,774 and includes 20.5 FTE - Page 1001:52:16
Prior Year One Time Transfers - One-time transfer of $2,225,000 in federal fund expenditure authority and $675,000 in other fund expenditure authority from Developmental Disabilities Children Services was transferred to Rehabilitation Services. - Page 1101:54:00
Representative Hunhoff - question - why is Children's Disability Services funding decreasing01:55:45
Representative Peterson - question - how does the Developmental Disabilities fund decrease01:56:20
Representative Hunhoff - question - why is there such a large fund federal fund authority transfer and was there an overreach in previous years01:56:45
B. Eligibles and Utilization - Medicaid Eligibles and Utilization - The department requests an increase of $271,759 in general funds and an increase of $351,113 in federal fund expenditure authority for growth in Adult Title XIX (Medicaid) Home and Community Based Services (HCBS). - Page 12 - The Governor's recommendation does not include the agency's recommended 1.8% inflation adjustment.01:57:57
A. FMAP - Decrease of $1,404,303 in general funds, increase of $1,546,284 in federal fund expenditure authority, and a decrease of $141,981 in other fund expenditure authority due to the change in the FMAP. - Page 1201:58:22
Department of Human Services Inflation Calculations - Page 1301:59:55
CHOICES Waiver Program - Mr. Darryl Millner, Department of Human Services, Developmental Disabilities Director, explained Chart - 3 year to 10 year average of Discharges, Admissions, and Net Growth Analysis - Division of Developmental Disabilities - Chart - Page 8 - (DHS) Handout02:01:14
Representative Hunhoff - question - what do the 2017 acronyms represent on the chart and what do the blue and pink colors represent02:04:59
Representative Ahlers - question - are there people trying to get in the South Dakota Developmental Center (SDDC) and are we limiting services due to lack of funding 02:07:30
Representative Ahlers - question - do all South Dakota citizens who have a need have access to disability services02:10:10
1. Discretionary Provider Inflation - The department requests an increase of $1,043,444 in general funds, an increase of $1,439,016 in federal fund expenditure authority, and an increase of $98,674 in other fund expenditure authority for a 1.8% inflationary increase to provider rates as directed by the Bureau of Finance and Management. The Governor does not recommend this request. - Page 1402:11:45
South Dakota Development Center - Budget Unit - Redfield - FY19 Request is $10,872,498 in general funds, $13,918,976 in federal funds expenditure authority, and $857,224 in other funds expenditure authority totaling $25,648,698 and includes 352.6 in FTE. - Page 1602:12:40
Representative Hunhoff - question - what is the job function of the FTE that was transferred from the South Dakota Development Center to Secretary02:13:05
Prior Year Base Transfer - Redfield - Base transfer of $37,274 in general funds, $37,274 in federal fund expenditure authority, and 1.0 FTE from South Dakota Developmental Center to Secretary. - Page 1702:14:27
Prior Year One Time Transfer - One-time transfer and conversion of $109,853 in other fund expenditure authority from the Bureau of Finance and Management to federal fund expenditure authority in the South Dakota Developmental Center to be used for Workforce Management System implementation. - Page 1702:14:30
Representative Hunhoff - question - please explain where the transfers went in common terms and what is the job description of the program specialist 02:14:55
Senator Peters - question - how many people coordinate services at the Developmental Center02:16:59
Senator Peters - question - why is there an increase in food service costs when less people are using food services at the Redfield Developmental Center02:17:50
A. Operating Expense Inflation - Utilities: The Department requests a decrease of $1,789 in general funds and a decrease of $2,311 in federal fund expenditure authority for utilities costs at the South Dakota Developmental Center based on projections. - Page 1802:18:04
Food Service Costs: The department requests an inflationary increase of $7,790 in general funds and an increase of $10,064 in federal fund expenditure authority for food service cost at the South Dakota Developmental Center per BFM guidance on the current food service contract.02:18:05
Senator Peters - question - are food service contracts renewed annually02:18:25
B. FMAP - Decrease of $282,133 in general funds and a corresponding increase of $282,133 in federal fund expenditure authority due to the changes in the FMAP. - Page 1802:19:05
C. Eligibles and Utilization - Food Service: The department requests an increase of $10,199 in general funds and an increase of $13,177 in federal fund expenditure authority based on average daily census estimates, supplemental costs, and extra plate costs. - Page 1902:19:22
Senator Peters - question - why are food costs increasing when the number of clients has decreased at the South Dakota Developmental Center02:19:40
D. Fund Shift (Swap) - School Breakfast/Lunch Program: The department requests an increase of $61,560 in general funds, a decrease of $124,060 in federal funds, and an increase of $62,500 in other fund expenditure authority. Page 1902:20:45
Representative Howard - question- what is the source of other fund expenditure authority for the School Breakfast and Lunch Program02:21:20
Senator Peters - question - which specific account was used to spend $62,500 in other fund expenditure authority02:22:00
Ms. Houlette indicated it was listed on Page 232 of the GOAC Blue Book. Ms. Houlette also stated it was listed under Company 3046 on Page 39 of the Legislative Research Council Budget Brief.02:22:40
Senator Peters - question - requested additional information by activity for the miscellaneous account and requested a profit and loss statement from Company 304602:23:15
Representative Howard - question - what is the long-term plan to replace declining federal funds02:25:13
Senator Peters - question - why do you use other funds to fund School Breakfast and Lunch Program and why can't we use other funds to reimburse community support providers for this program and requested additional information02:26:47
Senator Peters - question - how many people are impacted by the school and lunch program at the South Dakota Developmental Center and why is this program a priority 02:26:53
1. South Dakota Developmental Center Right Sizing - The department requests a decrease of $264,147 in general funds, a decrease of $312,044 in federal fund expenditure authority, and a decrease of 12.0 FTE to align staffing levels with the South Dakota Developmental Center, (SDDC), right sizing initiative. - Page 1902:28:39
Ms. Barb Abeln, South Dakota Developmental Center Director, Redfield, presented Admission and Discharges update at developmental center- FY13-FY17 - Page 202:29:17
Ms. Abeln reported in the FY02, 189 people were served at the South Dakota Developmental Center and as of January 19, 2018, 117 people are at the center. 02:31:10
South Dakota Developmental Center, FTE - FY12 to FY17 Chart, and South Dakota Developmental Center Overtime Chart - FY16 and FY17 - Page 302:31:25
Representative Peterson - question - what are the starting wages at the South Dakota Developmental Center and what is your vacancy rate02:32:20
Representative Peterson - question - what is the South Dakota Developmental Center doing to attract a workforce02:33:15
Ms. Abeln, said recruiting and retaining staff continues to be a challenge and the facility has 19 vacancies. The (SDDC) has made efforts to promote sufficient training, leadership skills, and transparency for their workforce.02:33:44
(SDDC) Age Group Chart and (SDDC) Gender and Race Pie Chart - Page 302:35:06
Workers Compensation - Staff Injuries - FY12 to FY17 - Graph - Page 402:36:12
(SDDC) Admission Status Chart- Current Population Chart - Legal Conditions Pie Chart- Page 502:36:35
Workers Compensation - Staff Injuries - Year 2012 to Year 2017 - Graph - Page 602:38:22
Severity of Injury - Minor, Moderate, and Severe - FY12 to FY17 - Chart - Page 702:40:10
Long Term Services and Supports - Budget Unit - FY19 Budget request is $84,043,032 in general funds, $107,983,208 in federal fund expenditure authority, and $839,880 in other fund expenditure authority and totaling $192,886,120 and includes 99.0 FTE. - Page 2202:42:00
Senator Peters - question - what how many people are in nursing homes and can you give a report by region02:42:56
A. FMAP - Decrease of $1,871,648 in general funds and a corresponding increase of $1,871,648 in federal fund expenditure authority due to the change in the FMAP. - Page 2302:43:12
B. Mandatory Provider Inflation - The department requests and increase of $26,283 in general funds for mandatory provider inflation of 1.8% for assisted living facility grants to individuals. - Page 2302:43:22
C. Eligibles and Utilization - Medicaid Eligibles and Utilization: The department requests a decrease of $2,081,604 in general funds and a decrease of $434,070 in federal fund expenditure authority due to projected lower utilization of nursing home services.- Page 2302:43:38
Rehabilitation Services - Page 26 - FY19 Budget Request $4,804,479 in General Funds, $18,784,150 in Federal Funds, and $2,351,015 in other funds and includes FTE.02:43:52
1. Discretionary Provider Inflation - The department requests an increase of $1,827,630 in general funds and an increase of $2,059,748 in federal fund expenditure authority for a 1.8% inflationary increase to provider rates as directed by the Bureau of Finance and Management. The Governor does not recommend this request. - Page 2302:44:03
2. Cost Report Provider Inflation - Providers to 90% of Methodology Costs: The Governor recommends an increase of $1,350,438 in general funds and an increase of $1,744,767 in federal fund expenditure authority to move reimbursement of assisted living and in-home providers to 90% of allowable costs. - Page 2402:44:35
Senator Peters - requested a report which includes how many are in the nursing home by category, age, severity of condition, and by region02:45:14
Rehabilitation Services - Budget Unit - FY19 Budget Request is $4,804,479 in general funds, $18,784,150 in federal fund expenditure authority, and $2,351,015 in other funds expenditure authority and totaling $25,939,644 and includes 102.1 FTE.02:46:12
Ms. Houlette indicated an interim transfer will be made in FY1802:47:02
Prior Year One Time Transfer - One-time transfer of $2,350,000 in federal fund expenditure authority and $600,000 in other fund expenditure authority from Developmental Disabilities Children Services to Rehabilitation Services. - Page 2702:47:15
A. FMAP - Decrease of $51,091 in general funds and a corresponding increase of $51,091 in federal fund expenditure authority due to the change in the FMAP. - Page 2802:47:28
B. Eligibles and Utilization - The department requests an increase of $1,051,178 in federal fund expenditure authority and an increase of $800,000 in other fund expenditure authority due to projected changes in eligibles and utilization. - Page 2802:47:40
1. Discretionary Provider Inflation - The department requests and increase of $51,694 in general funds an increase of $45,720 in federal fund expenditure authority for a 1.8% inflationary increase to provider rates as directed by the Bureau of Finance and Management. - The Governor does not recommend this request. - Page 2902:47:50
2. Cost Report Provider Inflation - Providers to 90% of Methodology Costs: The Governor recommends an increase of $154,521 in general funds and an increase of $199,641 in federal fund expenditure authority to increase reimbursement rates of in-home services provided through Assistive Daily Living Services (ADLS) waiver to 90% of allowable costs. - Page 2902:48:05
Telecommunication Devices for the Deaf - Budget Unit- FY19 Budget Request is $0 in general funds, $0 in federal fund expenditure authority, and $1,301,680 in other fund expenditure authority totaling $1,301,680 and includes 0.0 FTE - Page 34 02:50:06
Service to the Blind and Visually Impaired - Budget Unit - FY19 Budget Request is $970,497 in general funds, $2,670,168 in federal fund expenditure authority, and $488,228 in other fund expenditure authority totaling $4,128,893 and includes 29.2 FTE - Page 3402:50:28
A. Eligibles and Utilization - The department requests an increase of $100,000 in other fund expenditure authority to meet revenues from program income from Social Security Ticket to Work and cost reimbursement payments. - Page 3602:51:15
Secretary Pearson, (DHS), indicated that the agency has been successful in finding employment for the Blind and Visually impaired and has a federal expenditure authority reward from the federal government.02:51:50
Representative Peterson - question - developmental disabilities and Senate Bill 147 - how does the agency prioritize provider reimbursement rates02:52:20
Representative Peterson - question - what is the criteria used to determine provider rates for this year and are they prospective 02:52:40
Representative Peterson - question - what is the Department of Developmental Disabilities provider reimbursement rates and requested dollar amounts and also requested the agency to provide a list of starting salaries at the Developmental Center02:54:45
Representative Peterson - question - what is the difference between starting salaries at the South Dakota Developmental Center in Redfield and the starting salary pay from Community Support Providers (CSP) and requested additional information02:57:10
Representative Carson - question - what is your labor source for the South Dakota Developmental Facility in Redfield02:58:14
Senator Peters - question - are state run facilities able to provide needed services for people who live in rural areas02:58:46
Senator Peters - question - do we have a systematic approach when enrolling clients in Redfield and Yankton and other facilities03:01:40
Representative Hunhoff - question - when out-of-state citizens are admitted to Yankton do they have private or out-of-state funding03:03:30
Representative Ahlers - comment - thanked the agency for their work and expressed frustration that providers are being reimbursed minimally. Representative Ahlers said the demand for services is increasing and wanted more information to determine need. Additional information was requested.03:04:50
Minutes 03:08:45
Adjourn Carson/White03:09:00