Joint Committee on Appropriations — 2019
RSSPodcast
| Time | Description |
|---|---|
| Dr. M. Gregory DeSautel, Secretary, Department of Social Services made introductions and gave the presentation. General Fund - $412,792,249, Federal Fund Expenditure Authority $623,626,921, Other Funds Expenditure Authority - $9,422,746 with 1,561.3 FTE's. | |
| Department Missions - Page 6 | |
| FY19 Budget Compared to FY20 - Page 8 | |
| Title XIX History of FMAP - Page 10 | |
| CHIP Program, Enhanced Blended Rates - Page 11 | |
| Major General Fund Impacts - Page 12 | |
| Senator Nesiba - keeping track of eligibles | |
| Senator Nesiba - any change in eligibility criteria | |
| Office of the Secretary - Page 13 | |
| Laurie Mikkonen - Finance Officer - Page 15 | |
| Representative Howard - percentage of population on SNAP, increasing or decreasing | |
| Representative Howard - historically what we've been seeing in programs | |
| Senator Cronin - percentage of how many times a person goes on and off per year | |
| Representative Bartels - do you have FY19 numbers, provide to staff | |
| Division of Economic Assistance - Page 16 | |
| Representative Howard - provider inflationary increases | |
| Division of Medical Services, Bill Snyder and Brenda Tidball Zeltinger - Page 18 | |
| Eligibles - Page 19 | |
| Medicaid Average Monthly Eligible Totals - Page 20 | |
| Representative Howard - had a decline, why now projecting increase | |
| Senator Nesiba - what is the process to make the estimate | |
| Senator Nesiba - what approach do you use to forecast numbers | |
| Senator White - what happens if eligibles exceed the budget | |
| Senator White - if we exceed, do we come back to special session | |
| Senator White - format so we are comfortable with the margin | |
| Representative Hunhoff - do any tracking with growth in elderly and disabled | |
| Representative Koth - where does this forecast fall on that scale | |
| Actual Expenditures - Page 21 | |
| Representative Gross - prescription drug changes | |
| Representative Hunhoff - seeing reverse, what is contributing to that | |
| Senator Partridge - in-patient and out-patient care difference | |
| Representative Howard - charges on co-pays, provide to staff | |
| Senator Sutton - correlation to recipients, provide to staff | |
| Representative Bartels - FY19 numbers, provide to staff | |
| Annual average cost per eligible - Page 22 | |
| FY20 Medical services - Page 24 | |
| Major Budget Increases and Decreases - Page 25 | |
| Senator Sutton - breakdown on page 24 | |
| Senator Nesiba - data on eligibles on spreadsheet, provide to staff | |
| Senator Cronin - prescription drug numbers on 21, 22 24, please explain | |
| Senator Cronin - annual average cost per eligible, provide to staff | |
| Representative Post - not factoring rebates, cannot budget for them | |
| Senator Partridge - FY20 numbers, what is the increase based on | |
| Senator Partridge - incentives to reduce the cost per eligible | |
| Medical Services Budget - Page 26 | |
| Representative Howard - expand on medical services administration non-direct services | |
| Representative Howard - health information, more of a onetime cost, why still ongoing | |
| Representative Karr - eligibility requirements on CHIP program | |
| Representative Karr - what factors are you looking at for the 209% | |
| Senator Nesiba - reverting funds as a result of block grant | |
| Senator Nesiba - waiver granted or not to impose additional work requirement | |
| Senator Nesiba - how would that impact upcoming budget | |
| Representative Howard - what would happen if we based eligibility | |
| Federal Policy Implementation - Care Coordination - Page 27 | |
| Medical Services FY19 to FY20 Budget - Page 28 | |
| Supplemental presentation - IHS and 100% FMAP, Brenda Tidball Zeltinger - Page 1 | |
| Representative Saba - referred services paid by IHS | |
| Representative Saba - one example of savings | |
| Representative Howard - looking at shared savings, smaller providers need more | |
| Senator Partridge - amended out of federal or general funding and transferred where | |
| Representative Koth - adding more hospitals, how many more might there be, what kind of plan | |
| Representative Koth - could we mandate they sign up | |
| Senator White - critical access hospitals | |
| Representative Peterson - look at increased incentives | |
| Senator Partridge - areas to provide more services | |
| Senator Partridge - is this an expansion of Medicaid | |
| Senator Partridge - what do you think the return might be | |
| Representative Karr - application for grant, criteria for eligibility | |
| Representative Gross - how do we differentiate to the next level | |
| Senator Partridge - special onetime appropriation for 2019 | |
| Senator Partridge - project out to FY20, amending for next year | |
| Senator Partridge - conservative model when looking to future | |
| Representative Peterson - Medicaid claim process, average turnaround time | |
| Representative Peterson - received some complaints from constituents, process that other departments use | |
| Representative Gross - referred care, what's the incentive to go thru IHS | |
| Representative Gross - if IHS is brought into services | |
| Division of Child Support - Virgena Wieseler, Brenda Tidball Zeltinger - Page 33 | |
| Chart - Page 34 | |
| Services - Page 36 | |
| Chart - Page 37 | |
| Representative Howard - Child Safety Seat Program history | |
| Representative Howard - cost per seat, provide to staff | |
| Representative Hunhoff - contract for after school services | |
| Representative Hunhoff - training, enhance activities, provide summary to staff | |
| Child Protection Services - Virgena Wieseler | |
| Services Provided - Page 39 | |
| Chart - Page 40 | |
| Senator Sutton - keep track from year to year on number of visits, provide to staff | |
| Representative Howard - foster care providers | |
| Representative Howard - dollars per individual | |
| Representative Howard - breakdown and provide to staff | |
| Average Monthly Paid Placements - Page 42 | |
| Additional Staff Resources are necessary - Page 43 | |
| Senator Sutton - foster care environment, do you look for relatives | |
| Senator Maher - Indian Child Welfare Act | |
| Senator Maher - Can state intervene | |
| Representative Howard - do they reimburse state for services | |
| Representative Howard - are we allowed by law to charge | |
| Representative Post - requirements of providing visits to parents | |
| Representative Post - take cost in to the equation | |
| Representative Gross - trigger point for meth situations to take away parental rights | |
| Representative Post - comment on foster kids | |
| Safety of children is the most important outcome - Page 44 | |
| Behavioral Health - Ken Cole, Human Services Center in Yankton - Page 47 | |
| Representative Hunhoff - involuntary admissions | |
| Representative Hunhoff - part of those who had to stay | |
| Representative Hunhoff - how many 5-day admissions are discharged within 5 days, provide to staff | |
| HSC Staffing - Page 48 | |
| Budget request - Page 49 | |
| Representative Hunhoff - are all psychiatric positions filled | |
| Representative Hunhoff - are all advanced practice staff positions filled | |
| Representative Gross - inflation adjustment | |
| Representative Bartels - Wings shut down, total beds | |
| Tiffany Wolfgang, Director, Behavioral Health - Page 51 | |
| Representative Bartels - need more help to open other wings | |
| Budget - Page 52 | |
| Representative Hunhoff - programs for pregnant women, in or out patient, what is the follow up post delivery | |
| Representative Hunhoff - has there been a referral transpired | |
| Representative Hunhoff - voluntary or mandatory | |
| Representative Hunhoff - what are the two programs for intensive meth treatment | |
| Representative Hunhoff - how many programs apply, criteria for programs | |
| Representative Hunhoff - faith based program | |
| Community Behavior Health - Page 53 | |
| Senator Partridge - evidence based curriculum development and deployment | |
| Representative Bartels - metrics or goals you can provide that we can compare, provide to staff | |
| Representative Hunhoff - in addition to what you have had for criminal justice | |
| Representative Hunhoff - how much has department received, need to justify the dollars | |
| Representative Howard - federal opioid response grant dollars, why no request before | |
| Representative Howard - taking federal money because it's available | |
| Representative Howard - no opioid crisis now, why take the dollars | |
| Representative Howard - on suicide prevention plan, is there a plan to replace funds | |
| Representative Hunhoff - who are partners in suicide prevention that are providing financial resources | |
| Representative Hunhoff - we are footing the bill, but no partners providing financially | |
| Representative Hunhoff - working with department of education with their $5 million dollar-grant | |
| Representative Hunhoff - different schools or are there multiple schools and the coordinators will go through different schools | |
| Correctional Behavioral Health - Page 55 | |
| FY19 budget - Page 56 | |
| FY19 General Bill Amendments - Page 57 | |
| Informational - Page 59 | |
| Representative Hunhoff - have we had dollars in meth prevention media campaign or is this new | |
| Representative Hunhoff - how did you evaluate that campaign | |
| Representative Hunhoff - from that did you pick up youth that had the habit and got into rehab | |
| Representative Howard - we are a conservative state, what is your approach to welfare programs | |
| Adjourn, Partridge/Gross | |
| Motion to approve the minutes of January 30, Department of Transportation. Kolbeck/Bartels | |
| Motion to approve the minutes from January 28, Board of Regents, School of Deaf, Blind and Visually Impaired - White/Gross | |
| Motion to approve the minutes of January 17, Governor's Office of Economic Development, State Investment Council, South Dakota Retirement System - Howard/Bartels | |
| Motion to approve the minutes of January 22, Unified Judicial System, Office of the Attorney General, Criminal Justice Initiatives - Partridge/Bartels | |
| DSS Management Team Introductions | |
| Department of Social Services departments | |
| 2019 Calendar Year Federal Poverty Guidelines - Page 7 | |
| Major General Fund Impacts to DSS Budget - Page 9 | |
| FY19 Revised - Annual Average cost per eligible - Page 23 | |
| IHS and 100% FMAP - Page 2 | |
| Care for American Indians - Page 3 | |
| Federal Policy Change - Page 4 | |
| Federal Policy Implementation - Page 5 & 6 | |
| Status of Implementation - Page 8 | |
| Federal Policy Implementation - SFY19 - Page 9 | |
| Strategy - Page 10 | |
| SFY20 - Page 11 | |
| SFY20 - Page 12 | |
| Strategy - Page 13 | |
| FY20 Targeted Providers - Inflation and Rates - Page 14 | |
| Special Appropriation - SB173 - Page 15 | |
| FTE Request - Page 41 & 42 | |
| Additional Staff Resources are Necessary - Page 43 | |
| FY19 General Bill Amendments - Page 54 |
