Agenda - 09-20-2007-2b - Laserfiche WebLink

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Message Page 4 of 7 share to 11.25 percent o States assumes 50 percent of county costs, beginning $271.2 million 2008-09 Jul 1, 2008, b reducin coun share to 7.5% • Study how best to expand health coverage to children between 200 $368k percent & 300 percent poverty $7 mil in 2008-09 • Ex and Medicaid to cover foster children 18-20 ear olds $216k • Increase Health choice fundin to cover ro'ected shortfall $7.5 million • Increase child-care subsid NCACC le islative oal • $8.4 million • Purchase 634k treatment courses for andemic influenza $8.3 million nr • Ex and Child Welfare Oversi ht of coun DSS CWS ro rams $132k • Provide state funding for health information system development • $5.1 million, most nr NCACC le islative oal • Increase recruitment of doctors and dentists in rural areas $349k • Fund community health-care competitive grants program for $5 million nr reventive care • Assist rural hos itals with o erations and infrastructure maintenance $2 million nr • Increase Area Agencies on Aging funds (NCACC legislative goal) • $536k for block grant • Set aside funding for senior center general purposes $300 k • $200k nr • Fund ilot for adult care home uali im rovement $264k nr Increase Smart Start local initiatives fundin $1.3 million • Increase health de artment fundin NCACC le islative oal $2 million • Establish Health Carolinians for local health de ts. • $1 million nr • Fund additional school nurse positions (NCACC legislative goal) • $2.7 million • 54 nurses • Increase state/county special assistance rate from $1,148 to $1,173 • $1.9 million (NCACC legislative goal to phase out county participation) • Coun cost = $1.9 million • Reduce Medicaid provider inflation increase ~ ($35.4 million) • Implement further Medicaid cost containment activities • ($25.2 million) • Coun $8.9 million • Increase Medicaid in-home services rate • $1.9 million • Increase CAP-MR/DD slots b 300 reali ned dollars $4.5 million • Mental Health realignment & funding increases • LME administrative cost model (most from realigned) $500k & $4.9 million in 2~d year • Regional purchase, local-host SA programs (realigned) • $6 million • Drug treatment court $2 million • Crisis services per LME 2007 crisis plans (realigned) $13.7 million • Supported employment (realigned) • . $2.5 million • Housing people with disabilities $7.5 million nr • Housing operating cost subsidy $3.5 million • Hospital utilization pilot (realigned) $2.5 million • TASC • $2 million • Earl autism intervention ilot reali ned $2 million nr A special provision calls for an inventory of state and local health department activities that address health promotion and disease prevention with an eye to combining these functions into a single funding stream allocation to local health departments (Sec. 10.25). Sec. 10.28 calls on DHHS to develop child support performance measures for state and county child support offices. Sec. 10.45 directs that families pay part of CAP-MR/DD services. A general special provision regarding mental health authorities clarifies terms and conditions of a LME director (Sec. 6.20). Other mental health programs and LME administration are covered in numerous special provisions- each looking to build community infrastructure (Sec. 10.49). Sec. 10.49 (d) allows a LME to use up to 1 percent of its substance abuse treatment funds to provide nominal incentives for consumers who achieve treatment benchmarks, while (f) requires LMEs to work with county health departments and sheriffs to provide medical 8/28/2007