HEALTH SERVICES PERMIT AGENCY

Transcription

1 HELTH SERVICES PERMIT GENCY Enabling Laws ct 4 of 2 rkansas Code nnotated 2-8- et seq. Developmental Disabilities ssistance and Bill of Rights ct of 2 (Public Law -42) History and Organization Health Services Permit gency rkansas Code nnotated 2-8- et seq. authorizes the Health Services Permit gency as an independent agency under the supervision and control of the Governor. With direction from a nine (9) member Health Services Permit Commission, the gency is responsible for implementing the State s Health Services Program which includes a Permit of pproval (PO) process. The current PO process evolved from federal initiatives in the sixties resulting in passage of an rkansas Certificate of Need (CON) law in 97. Legislation in 987 abolished the CON program and established the existing program. rkansas ct 93 of 987, as amended, created the Health Services Permit Commission (Commission) and the Health Services Permit gency (gency) to implement the State s long term care planning and review program. ct 8 of 2 added one member to represent the Hospice ssociation to the Commission, which is composed of the following membership appointed by the Governor and confirmed by the Senate: - member from the rkansas Hospital ssociation, member from the rkansas Health Care ssociation, member from the rkansas Chapter, merican ssociation of Retired Persons, member from the rkansas Home Care ssociation of rkansas, member from the rkansas Residential ssisted Living ssociation, representative of the Department of Health & Human Services, consumer knowledgeable in business health insurance, practicing physician, and representative from the rkansas Hospice ssociation. Mission Statement: The Commission/gency mission is to ensure appropriate distribution of health care providers through the regulation of new services, protection of quality care and negotiation of competing interests so that community needs are appropriately met without unnecessary duplication and expense. HELTH SERVICES PERMIT GENCY - Page 294

2 Developmental Disabilities Council Vision: We envision a world where everyone has an equal and real opportunity to lead a meaningful life. Mission Statement: The rkansas Governor s Developmental Disabilities Council supports people with developmental disabilities in achieving independence, productivity, integration and inclusion into the community through advocating and promoting service systems that enhance their lives. The Council believes society gains from the full participation of a wide variety of people. The Council believes in the right of individuals to live, work, play, learn, worship and experience life as they choose. The Council believes independence entails economic self-sufficiency, equal opportunity, a right to make choices, a right to dignity and respect, dignity of risk and the opportunity to maximize one s potential and to achieve individual goals. The Council supports individuals with developmental disabilities in achieving independence, productivity, integration and inclusion into the community. The purpose of the Council is to engage in advocacy, capacity building and systemic change activities that contribute to a comprehensive system of community services. The Developmental Disabilities Council includes twenty-six members, appointed by the Governor, and includes individuals with developmental disabilities, parents and/or guardians, state agency representatives, and other interested individuals. The purpose of the Council is to bring the perspective of the individual with a disability and his or her family to policymakers in order to make needed improvements to the service system to improve and/or enhance the quality of services provided. The Council plays a major role as a system's advocate and a resource to provide information on needed changes. Council funding is available for demonstration projects and activities that build the infrastructure and capacity of the State to meet the needs of individuals and their families. Sub-grantee recipients include non-profit organizations, state agencies, and other groups that demonstrate, through an approved application, their ability to accomplish activities identified and requested by the Council. HELTH SERVICES PERMIT GENCY - Page 29

3 gency Commentary The gency is requesting on all appropriations and funding for the 2-23 biennium. This level will allow continuation of the gency's mission. HELTH SERVICES PERMIT GENCY - Page 29

4 udit Findings DIVISION OF LEGISLTIVE UDIT UDIT OF : HELTH SERVICES PERMIT GENCY FOR THE YER ENDED JUNE 3, 28 Findings Recommendations None None Employment Summary Male Female White Employees Black Employees Other Racial Minorities Minorities Employees Publications.C Required for Name Statutory uthorization Governor General ssembly rkansas Permit of pproval Rulebook.C N N HELTH SERVICES PERMIT GENCY - # of Copies Reason(s) for Continued Publication and Distribution 4 Distributed by request and published on agency web site to keep the public informed of the Rules and Regulations regarding Permits of pproval, and of the changes to those rules. Page 297

5 .C Required for Name Statutory uthorization Governor General ssembly Health Care Facilities and Services Need.C N Health Services Permit gency nnual Report.C Y HELTH SERVICES PERMIT GENCY - # of Copies Reason(s) for Continued Publication and Distribution N 4 Distributed by request and published on aqency web site to keep the public informed of the need for health services in the State. Y 3 Distributed by request, to keep the public, Governor, and General ssembly informed of activities of agency. Page 298

6 Department ppropriation Summary Historical Data 29-2 ppropriation ctual gency Request and Recommendation 2-2 Budget gency gency 844 Health Serv Permit gency-state 3,48 4 4,787 42, 44,4 44,4 44,4 44,4 44,4 44,4 84 Dev Disabilities Plng Council-State 34,774 3, 3,9 84 Dev Disabilities Plng Council-Fed 93,22 3,399,972,38,8,387,4,387,4,387,4,387,4,387,4,387,4,33,48 8,837,82,84,782,827,77,827,77,827,77,827,77,827,77,827,77 Funding Sources Fund Balance 4 3, ,44.7 3, 7.3 3, 7.3 3, , , ,92 2. General Revenue 4 28, , , , , , , , Federal Revenue 42 93,22 9.,399, ,387,4 74.,387,4 74.,387,4 74.,387,4 78.,387,4 78.,387,4 78. Permit of pproval Fees , ,. 3,.9 3,.9 3,.9 3, 2. 3, 2. 3, 2.,34,92.,973,87.,87,7.,87,7.,87,7.,779,74.,779,74.,779,74. Funds Excess ppropriation/(funding) (23,44) (3,) (43,92) (43,92) (43,92) 48,2 48,2 48,2 Grand,33,48,837,82,827,77,827,77,827,77,827,77,827,77,827,77 Budgeted numbers of positions exceed the authorized number due to cost sharing and the flexibility inherent in the authorization of all positions through one salary section in the appropriation act. The FY Budget amount in Developmental Disabilities Planning Council-Federal (84) exceeds the authorized amount due to salary adjustments during the 29-2 biennium. HELTH SERVICES PERMIT GENCY - Page 299

7 gency ition Usage Report FY28-29 FY29-2 Budgeted Unbudgeted of Budgeted in in Filled Unfilled Filled Unfilled ct Unused ct 7 4 HELTH SERVICES PERMIT GENCY FY2-2 Unbudgeted of Budgeted Unbudgeted of in Filled Unfilled Unused ct Unused Page 3

8 nalysis of Budget Request ppropriation: Health Serv Permit gency-state Funding Sources: HU - General Revenue/Fees The gency uses this appropriation to review all applications for permits of approval, for nursing homes, residential care facilities, etc., addressing such issues as need, staffing, and economic feasibility. The State Operations appropriation is funded from general revenue and fees from certificate of need applications as authorized by rkansas Code nnotated salaries and matching do not include appropriation for a Cost of Living djustment or Career Service Payments. The salary of the unclassified position reflects the FY line item maximum. The gency Request is for. The Recommendation provides for the gency Request. HELTH SERVICES PERMIT GENCY - Page 3

9 ppropriation Summary ppropriation: Health Serv Permit gency-state Funding Sources: HU - General Revenue/Fees Historical Data Commitment Item Regular Salaries 29-2 ctual 2-2 Budget gency Request and Recommendation gency gency 22,24 24, 249, , , , , , ,4 72,4 72,4 72,4 72,4,27 #itions 248,732 Personal Services Matching 3 7,487 72,9 79,7 72,4 Operating Expenses 22 4,3,27,27,27,27,27,27,27 Conference & Travel Expenses 9 3,492,274,274,274,274,274,274,274,274 Professional Fees,82 7,27 7,27 7,27 7,27 7,27 7,27 7,27 7,27 Data Processing 92 Capital Outlay 2 3,48 4,787 42, 44,4 44,4 44,4 44,4 44,4 44,4 Funding Sources Fund Balance 4 3,8 23,44 3, 3, 3, 43,92 43,92 43,92 General Revenue 4 24, , ,49 277,49 277,49 277,49 277,49 277,49 Permit of pproval Fees 437 Funding Excess ppropriation/(funding) Grand 39,88 32, 3, 3, 3, 3, 3, 3, 8,92 37, ,47 448,47 448,47 3,344 3,344 3,344 (23,44) (3,) (43,92) (43,92) (43,92) 48,2 48,2 48,2 3,48 4,787 44,4 44,4 44,4 44,4 44,4 44,4 HELTH SERVICES PERMIT GENCY - Page 32

10 CRRY FORWRD OF NY REMINING FUND BLNCES FROM FISCL YER 2 TO FISCL YER 2 gency: Health Services Permit gency Program: Health Serv Permit gency-state ct #: 4 Section(s) #: Estimated Carry Forward mount $ 23,38. 2, 3 & Funding Source: Miscellaneous gencies ccounting Information: Business rea: Funds Center: 844 Fund: HU Functional rea: HHS Current law requires a written statement be submitted to the DF Office of Budget stating the reason(s) to carry forward funding for a program or a specific line item within a program remaining on June 3th of a fiscal year. Justification for carry forward of fund balance: The funds are necessary to support the operations of the gency. Funds generated by fees and fines (.C et. seq.) are deposited into the Miscellaneous gencies Fund ccount and are intended to be carried forward. ctual Funding Carry Forward mount $ 23,44.4 Current status of carry forward funding: The funds are being used to support FY operations of the agency. Note from DF Office of Budget: The portion of Special Language that requires this report is no longer necessary. Deborah Frazier Director Date Page 33

11 nalysis of Budget Request ppropriation: 84 - Dev Disabilities Plng Council-State Funding Sources: HU - General Revenue The purpose of the program is to provide advocacy, capacity building, and systemic change activities that support the development and improvement of a consumer and family centered system of community services for individuals with developmental disabilities. The Developmental Disabilities Planning Council (DDPC) - State appropriation is funded from general revenue and is used to match the federal grant, from the U.S. Department of Health and Human Services - dministration for Children and Families, that funds the DDPC - Federal appropriation. salaries and matching do not include appropriation for a Cost of Living djustment or Career Service Payments. The gency Request is for. The Recommendation provides for the gency Request. HELTH SERVICES PERMIT GENCY - Page 34

12 ppropriation Summary ppropriation: 84 - Dev Disabilities Plng Council-State Funding Sources: HU - General Revenue Historical Data Commitment Item Regular Salaries 29-2 ctual #itions Personal Services Matching 3 Grants and id Budget gency Request and Recommendation gency gency 23,83 27,94 37,7 27,48 27,48 27,48 27,48 27,48 8,37,837 8,339 8,339 8,339,843 8,339 8,339 8,339 27,48 4,348 4,348 34,774 3, 3,9 34,774 3, 34,774 3, 34,774 3, Funding Sources General Revenue 4 Funding Excess ppropriation/(funding) Grand HELTH SERVICES PERMIT GENCY - Page 3

13 nalysis of Budget Request ppropriation: 84 - Dev Disabilities Plng Council-Fed Funding Sources: FKM - Federal The purpose of the program is to provide advocacy, capacity building, and systemic change activities that support the development and improvement of a consumer and family centered system of community services for individuals with developmental disabilities. The Developmental Disabilities Planning Council (DDPC) - Federal appropriation is funded from a federal grant, from the U.S. Department of Health and Human Services - dministration for Children and Families, that is matched with general revenue funds from the DDPC - State appropriation. salaries and matching do not include appropriation for a Cost of Living djustment or Career Service Payments. The gency Request is for. The Recommendation provides for the gency Request. HELTH SERVICES PERMIT GENCY - Page 3

14 ppropriation Summary ppropriation: 84 - Dev Disabilities Plng Council-Fed Funding Sources: FKM - Federal Historical Data Commitment Item Regular Salaries 29-2 ctual 2-2 Budget gency Request and Recommendation gency gency 72,42 249, , , , , , , ,27 73,27 73,27 73,27 73,27 29,2 #itions 233,334 Personal Services Matching 3 8,74 9,238 7,24 73,27 Operating Expenses 22 24,73 29,2 29,2 29,2 29,2 29,2 29,2 29,2 Conference & Travel Expenses 9 9,9,843,843,843,843,843,843,843,843 Professional Fees,987 2, 2, 2, 2, 2, 2, 2, 2, Data Processing 92 Grants and id 4 44,3 9,929 9,929 9,929 9,929 9,929 9,929 9,929 9,929 Capital Outlay 2 93,22,399,972,38,8,387,4,387,4,387,4,387,4,387,4,387,4 93,22,399,972,387,4,387,4,387,4,387,4,387,4,387,4 93,22,399,972,387,4,387,4,387,4,387,4,387,4,387,4 93,22,399,972,387,4,387,4,387,4,387,4,387,4,387,4 Funding Sources Federal Revenue Funding 42 Excess ppropriation/(funding) Grand The FY Budget amount in Regular Salaries exceeds the authorized amount due to salary adjustments during the 29-2 biennium. Budgeted numbers of positions exceed the authorized number due to flexibility inherent in the authorization of all positions through one salary section in the appropriation act. HELTH SERVICES PERMIT GENCY - Page 37