Committee on Appropriations A/V — 2019

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Representative Karr made a motion and Representative Hunhoff second the motion to refer HJR 1003 from Joint Committee on Appropriations to House Committee on Appropriations. Passed on voice vote.00:01:55
Ms. Kim Malsam-Rysdon, Secretary, Department of Health, made introductions and made FY20 budget request as recommended by the Governor.00:05:05
Ms. Joan Adam, Division of Administration, Department of Health, gave division overview. - Page 2 00:05:55
Ms. Colleen Winter, Division of Family & Community Health, Department of Health, gave division overview. - Page 200:08:02
Mr. Tom Martinec, Division of Health Systems Development and Regulation, Department of Health, gave division overview. - Page 200:11:18
The Department of Health works with 13 different Profession and Occupational Boards. - Page 200:13:10
In FY18 turnover rate is 13.1% for the Department of Health and only 1 FTE was unutilized.00:14:10
Strategic Plan - 5 Goals - Page 300:15:00
Strategic Plan - Objective and Strategies, Key Performance Indicators, and Performance Dashboards - Page 400:15:20
Representative Howard - question - what is the trend for tobacco use and why isn't opioid or methamphetamine use on your key indicator and trend information.00:17:30
Senator Partridge - question - what is the cost of vaping to the State of South Dakota and why isn't it included in your key performance indicators with smoking.00:19:31
Senator Sutton - question - how much are you spending on each of your key performance indicators (referring to page 4) example: suicide prevention versus infant mortality and requested additional information.00:20:45
Representative Hunhoff - question - what is the State of South Dakota doing about the resurgence of measles in the region and has the state been affected.00:22:24
Department of Health - FY20 Funding Sources as recommended by the Governor - Pie Chart - FY20 Funding Sources - Page 500:23:25
Representative Gross - question - what is the source of $47,636,005 in other fund expenditure authority and did this other fund expenditure authority originate as general funds in other agencies.00:24:00
Department of Health - FY20 Governor's Budget Recommendation - Page 600:24:55
Governor Noem's budget change is $735,000 for Opioid Crisis Cooperative Grant.00:26:00
Representative Howard - question - when will the federal government Opioid Crisis Cooperative Grant expire and will the State of South Dakota have to appropriate general funds to fight opioid epidemic.00:27:00
All Divisions - Various Programs - Opioid Overdose Crisis Cooperative Agreement, $65,183 Federal Fund Authority and 1.0 FTE in Family & Community Health, and $2,448,900 Federal Fund Expenditure Authority for laboratory drug testing and Naloxone Distribution and following grant requirements. - Page 700:28:55
Representative Post - question - is there any crossover from the Opioid crisis with methamphetamine.00:33:00
Representative Hunhoff - question - is the $2,448,900 new federal funding and requested additional information how current grants are working and what funding is left.00:34:00
Representative Hunhoff - question - who has been trained to administer and distribute Narcan.00:34:43
Health Systems Development & Regulation Rural Residency Program - Expansion request for year 2 of the residency track, $27,331 general funds, and $46,669 federal fund expenditure authority. - Page 800:36:10
Health Systems Development & Regulation Rural Residency Program - Page 900:38:41
Representative Howard - question - why do family practice residency programs have limited funding and requested additional information how residency slots are funded.00:39:00
Representative Saba - question - are you concentrating on South Dakota residents for rural medical residency program and are foreign residents allowed to obtain citizenship in return to work in rural medical residency program.00:41:10
Representative Hunhoff - question - how is funding received and allocated for residency programs.00:43:15
Representative Howard - question - how much are resident medical students getting paid and requested additional information.00:44:45
Representative Howard - question - how much does the rural residency program coordinator make and what are their job duties and requested more detailed information.00:46:35
Representative Hunhoff - question - are nurse practitioners committed to work for 3 years and are they reimbursed for schooling through state programs.00:47:50
Family & Community Health - Child & Family Services - Page 1000:48:50
Correctional Health - FY20 Governor's Recommended Budget Summary - Page 1100:49:30
Special Appropriation - An act to make an appropriation to reimburse certain health care professional who have complied with the requirements for certain health care recruitment assistance programs. - Appropriate $659,849 to reimburse health care professionals and FY20 $320,000 to reimburse 53 eligible healthcare professionals who complied with Rural Healthcare Facility Recruitment Assistance Program- Page 1200:49:45
Representative Gross - question - who does food inspections for the Department of Health.00:51:51
Introduction of Pages 00:53:13
Ms. Joan Adam, Department of Health, gave overview of Correctional Health and made FY20 budget request as recommended by the Governor.00:55:00
Department of Health, Department of Social Services, and Department of Corrections - Correctional Health - Joint Appropriations - Page 100:55:08
Correctional Health - Department of Health - Organizational Chart - Page 200:55:30
Correctional Health - Provide of Full Continuum of Health Care Services and Payer of Health Care Services - Page 300:56:33
Since eCARE has implemented since April 2013 and Correctional Health has been able to manage 50% of care without using the emergency room.01:01:22
Representative Koth - question - how much money is saved through eCARE system and requested additional information.01:01:40
Representative Saba - question - what is cost of correctional health for each inmate in the State of South Dakota and how has telehealth cut costs, made comment, and requested additional information.01:03:24
Representative Howard - question - does Avera provide eCARE service and has any other health care provider competed for this business.01:08:50
Representative Howard - question - how is the eCARE contract negotiated with Avera and requested additional information.01:09:30
Representative Gross - question - how do you measure correctional health needs internally.01:10:50
Senator Wiik - question - what are workforce issues at the Correctional Health Facility and has that affected eCARE.01:11:35
Correctional Health - FY18 Total Expenditures - $23,888,341 - Pie Chart - Page 401:13:44
Representative Hunhoff - question - where is telehealth services included in the Department of Health budget and what is the breakdown of outsource services and requested additional information.01:14:39
Correctional Health Cost - Top 25 History - Chart - FY10 to FY19 - Page 501:15:40
Top 25 Inmates - Cost Areas - Pie Chart - FY17 - 32% of cost is Hepatitis C - Page 601:17:25
Top 25 Inmates - Cost Areas - Pie Chart - FY18 - 22% of cost is Gastrointestinal - Page 701:18:37
Correctional Health Care Number of Patients - FY16 to FY20 estimated - Chart - Page 801:19:15
Senator Maher - question - what is the Department of Correction's responsibility to provide healthcare and made level of care comment.01:19:30
Representative Hunhoff - question - is there hospice care at the Department of Corrections.01:20:45
Representative Saba - question - can the Department of Health help control costs by negotiating contracts for health issues and are inmates eligible for Medicaid or Medicare.01:21:15
Representative Sutton - question - what is the cost of treating cancer versus Hepatitis C and requested additional information.01:22:50
Representative Howard -question - is Correctional Health able to file for private health insurance and is the State of South Dakota allowed to bill for health care and requested additional information.01:23:15
Representative Koth - question - are inmates required to fill out a medical Power of Attorney legal document and does the State of South Dakota manage life threatening issues.01:24:55
Representative Saba - question - what does the number mean on top of the chart.01:29:24
Representative Saba - question - how does the Pew Charitable Trust calculate patient figures and how does this compare with cost per inmate served.01:31:15
Correctional Health - 2.0 FTE and $(191,946) other fund reduction for medical providers and transition contracts to FTE and 2.0 FTE and $219,858 other fund expansion for nurses, additional demand for services, and continued focus on providing care with state employed nurses - Page 901:31:50
Representative Howard - question - why does the State of South Dakota not contract services and why would medical providers switch to being employees of the State of South Dakota. 01:32:58
Representative Hunhoff - question - would you provide list of Correctional medical staff and services provided.01:33:50
Representative Hunhoff - question - what are the qualifications needed for nurses to work at Correctional Health.01:35:15
Correctional Health - FY20 Governor's Recommended Budget Summary - $25,492,441 - and is FY20 Recommended Other Fund Increase $843,993 - Page 1001:36:50
Representative Gross - question - why is the average daily count increasing when Correctional Health Patient count is constant.01:40:45
Representative Hunhoff - question - what are the top 10 costs at the Women's Prison and requested additional information.01:41:45
Inmate Health Care Total Expenditures - Department of Social Services - (light color) and Department of Health (dark color chart) - Page 1101:42:20
FY20 Correctional Healthcare Recommended Budget - Page 1201:42:45
Representative Saba - question - how many ethnic clients are in the Department of Corrections and does the federal government pay for Native American Correctional Health at the State of South Dakota.01:43:17
Representative Partridge - question - does the Department of Health let legislators know the impact on their budget when legislation is passed.01:44:20
Introduction of Pages 01:46:00
Ms. Laurie Freiler, Deputy Secretary, Department of Corrections, presented agenda, introduced staff and made FY20 Budget as recommended by the Governor.01:47:24
Department of Corrections - Budget Hearing - February 5, 2019 - Page 101:47:30
South Dakota Department of Corrections - Staff Present - Page 201:50:08
Mission Statement - Department of Corrections - Page 301:52:44
Department of Corrections - Facilities and Locations - State Map - Juvenile and Adult Offices - Page 401:54:28
FY20 Governor's Recommended Budget - $114,611,357 - Juvenile, Administration, and Adult Budget - This does not include Governor Noem's recommendations. - Page 501:56:31
Ms. Candy Snyder, Director of Operations, Department of Corrections presented FY20 Budget Changes Recommended by Governor Noem - Page 601:58:15
Department of Corrections - FY20 Major Budget Overview - Page 701:59:30
Department of Corrections - One-Time Costs - Page 802:03:20
Department of Corrections - FTE Utilization - Department of Corrections FTE Utilization and Department of Corrections Turnover Charts - Page 902:04:03
Senator Sutton - question - does the federal government mandate food service and why is there a budget cost increase.02:05:15
Representative Saba - question - does the federal government have the obligation to provide Medicaid coverage for juveniles.02:07:12
Representative Hunhoff - question - what is vacancy rate for Yankton, Sioux Falls, two work release programs, and Women's Prison System and requested additional information.02:08:18
Department of Corrections Administration - Administration and Juvenile Justice and Delinquency Prevention - Page 1002:09:45
Ms. Freiler made some corrections to the Department of Corrections Legislative Research Council Budget Briefing - FY18 Average Daily Inmate Count is 3,909 with 31 federal prisoners. FY18 Parole Count is 2,723. FY19 Average Daily Inmate Count 3,995 inmates and 20 federal inmates. FY19 Parole Count is 2,886.02:10:33
Ms. Freiler said the Department of Corrections are doing interventions to prevent inmate population growth. The Department of Corrections have done three things. Intermediate Correctional Program in Rapid City, Community Based Transition Program, and Earned Discharge Credits for Program Completion.02:11:32
Average Daily Population of Adult Inmates - FY06 to FY20 - Chart - There are four different custody areas: 1) Minimum Offenders 2) Low-Medium Offenders 3) High-Medium Offenders 4) Maximum Offenders - Page 1202:11:59
Representative Koth - question - has the State of South Dakota seen cost savings from the community transition program.02:14:03
Representative Gross - question - what happened since FY16 to promote an explosion in the male inmate population.02:15:00
Representative Koth - question - how do intervention programs result in cost savings and what is the savings.02:16:09
Senator Sutton - question - would you provide recidivism rate information and how long are former inmates employed and requested additional information.02:18:18
Senator Greenfield - question - what was the source of FY16 to FY17 male inmate growth.02:19:22
Department of Corrections Public Safety Improvement Plan Oversite Report - Page 8 - 02:20:31
Male Inmate Average Daily Count by Fiscal Year - FY12-FY19 to Date - Chart - Page 1302:22:25
Representative Koth - question - would you provide crime listing and requested additional information. 02:23:30
Senator Partridge - question - would you repeat statistics how many inmates were caught with possession by ingestion.02:24:20
Ms. Freiler, Deputy Secretary, Department of Corrections, indicated 56% of all male inmates are Caucasian, 31% are Native American, and 9% are African American, and the rest are a mix. Forty-eight percent of men have committed violent crimes versus 13% of women. Sixty-four percent of women are incarcerated for drug use and most are not distributing.02:24:50
Female Inmate Average Daily Count by Fiscal Year - FY12 - FY19 to date - Chart - Page 1402:25:21
Senator Partridge - question - why is Correctional Health not in the Department of Corrections.02:27:02
Mike Durfee State Prison Springfield - Page 1502:28:43
Mr. Darin Young, Director of Prison Operations, Department of Corrections, talked about different prison facilities across the state.02:28:55
Senator Partridge - question - how many Governor's homes have been requested and what is the backlog and requested additional information.02:30:10
Senator Wiik - question - will the Department of Corrections be able to build Governor's duplex homes.02:30:57
Representative Hunhoff - question - would you explain why counter band has been getting into the prison facilities.02:31:50
Representative Hunhoff - question - are there pro-active steps being taken by the Department of Corrections to prevent counter band entering prisons.02:33:05
Mike Durfee State Prison & Minimums Average Daily Count FY06 - FY20 Graph - Page 1602:34:44
Mike Durfee State Prison FY20 Budget Changes - General Funds, Federal Fund Expenditure Authority, and Other Fund Expenditure Authority FY19 and FY20 - Page 1702:35:09
South Dakota State Penitentiary G. Norton Jameson Annex Sioux Falls - Page 1802:36:05
South Dakota State Penitentiary Campus - Average Daily Count - FY06-20 - Graph - Page 1902:37:19
Senator Sutton -question - what year was the state penitentiary built and what are current maintenance costs and requested additional information.02:37:28
South Dakota State Penitentiary FY20 Budget Changes - General, Federal Fund Expenditure Authority, and Other Fund Expenditure Authority - FY19 and FY20 - Page 2002:39:37
Senator White - question - what is the staff to inmate recommended ratio and how do we compare to surrounding states.02:42:00
Representative Howard - question - has the 1 staff to 7.99 inmate ratio always been at this level.02:43:35
Representative Karr - question - if underutilized FTE were filled, that would the staff to inmate ratio be.02:44:30
Representative Koth - question - these statistics are assuming every FTE is utilized.02:46:30
Mr. Young indicated there has been success in the Native American Inmate Mentor Program in Restrictive Housing and the Department of Corrections would like to continue program.02:47:10
Representative Saba - question - how many Native American male inmates are currently in custody.02:48:15
Representative Saba - question - how do you know the Native American Inmate Mentor Program is working and what measures are you using to document success and requested additional information.02:49:20
Representative Howard - question - is funding for the federal program being switched over to state funding and has the State of South Dakota done anything to help incarcerated Native Americans prior to the Native American Inmate Mentor Program.02:52:05
Representative Howard - question - are there mentoring programs for non-natives.02:54:20
Jameson Prison Annex (JPA) Health Services Building - $7,392,235 in general funds to construct a health services building adjacent to prison. - Page 2102:56:05
Senator Maher - question - how many square feet will this new building be and requested additional information.02:58:15
Representative Hunhoff - question - is there a cost of living increase for food services.02:58:50
Representative Saba - question - would electronic means for medical care reduce the cost of the proposed Jameson Prison Annex.02:59:22
Representative Saba - question - is tele-medicine taken into consideration when designing the Jameson Prison Annex Health Services Building.03:00:09
Senator White - question - would you provide more details how the food services contract is negotiated and how often inflation is factored. 03:01:25
South Dakota Women's Prison - Pierre, South Dakota - Page 2203:02:52
Senator Nesiba - question - how many women prisoners have dependents and what happens when someone gives birth while in prison.03:04:02
South Dakota Women's Prison FY20 Budget Changes - General, Federal Fund Expenditure Authority, Other Fund Expenditure Authority FY19 and FY20 - Page 2403:06:21
Pheasantland Industries Shops - Page 2503:06:40
Pheasantland Industries - Traditional Shops and Private Sector - List - Page 2603:06:50
Inmate Services - Correctional Health, Classification, Transfers, and Scheduling, Sex Offender Management, Community Services, and Risk Reduction - Page 2703:07:55
Inmate Services FY20 Budget Changes - General, Federal Fund Expenditure Authority, and Other Fund Expenditure Authority - FY19 and FY20 - Page 2803:08:25
Representative Howard - question - what is the cause of the increased Corrections Specialist workload.03:12:19
Senator Greenfield - question - how many people have been considered for Compassionate Parole.03:13:00
Senator Greenfield - question - what is the cost savings for money $59,769 appropriated for additional Corrections Specialist.03:14:02
Representative Saba - question - would you describe $264,625 for 16 CTP beds and is this standard for cost.03:16:25
Senator Partridge - question - has the Department of Corrections implemented the Lean Program and where are they are in the process.03:17:51
Parole Services - Department of Corrections - Page 2903:18:30
Parole Services - Average End of Month Count - FY05 - FY20 - Chart - age 3003:19:12
Senator Partridge - question - is the per diem increase to pay qualified expertise to serve on the Parole Board. 03:21:05
Parole Services - FY20 Budget Changes - Page 3103:21:14
Representative Howard - question - will the FTE request result in a decrease of FTE in the juvenile program.03:22:40
Ms. Kristi Bunkers, Juvenile Services, Department of Corrections, gave overview of juvenile corrections.03:23:22
Average Daily Population of Juveniles in Placement and Aftercare - FY04 to FY20 - Chart - Page 3303:23:25
Juvenile Community Corrections - FY19 and FY 20 Budget Request, General, Federal Fund Expenditure Authority, and Other Fund Expenditure Authority - Page 3403:25:10
Juvenile Community Corrections - FY20 Budget Changes - List - Page 3503:26:45
Representative Hunhoff - question - do foster care providers receive inflationary increases.03:28:49
Senator Greenfield - question - would you explain how the Sequel Transition Academy and West Farm programs operate and how is this program supported by the Department of Social Services.03:29:50
Representative Karr - question - would you explain why there is so many unfilled Department of Corrections FTE's, how successful is recruitment, and are employees suffering from demanding work.03:32:35
Mission Statement - Department of Corrections - Page 3603:32:54
Adjourn Bartels/Gross03:38:10

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