SB 826 – Budget Bill (DD section)

For a companion summary sheet describing the changes in this bill, please click here.

4300-001-0001—For support of State Department of Developmental Services
……………………
33,451,000
Schedule:
(1)
4140023-Community Services Division
……………………
29,924,000
(2)
4145028-Developmental Centers Policy, Management, and Oversight
……………………
17,338,000
(3)
4150-Department of Justice Legal Services Program
……………………
112,000
(4)
9900100-Administration
……………………
30,924,000
(5)
9900200-Administration—Distributed
……………………
−30,924,000
(6)
Reimbursements to 4140023-Community Services Division
……………………
−8,787,000
(7)
Reimbursements to 4145028-Developmental Centers Policy, Management, and Oversight
……………………
−5,136,000
(8)
Reimbursements to 9900100-Administration
……………………
−4,059,000
(9)
Reimbursements to 9900200-Administration—Distributed
……………………
4,059,000
Provisions:
1.
Upon order of the Department of Finance, the Controller shall transfer such funds as are necessary between this item and Item 4300-003-0001 in order to appropriately align General Fund and Medi-Cal reimbursements from the State Department of Health Care Services with budgeted activities. Within 10 working days after approval of a transfer as authorized by this provision, the Department of Finance shall
notify the chairpersons of the fiscal committees of each house of the Legislature and the Chairperson of the Joint Legislative Budget Committee of the transfer, including the amount transferred, how the amount was determined, and how the amount will be utilized.
2.
The General Fund shall make a loan available to the State Department of Developmental Services not to exceed a cumulative total of $3,000,000. The loan funds will be transferred to this item as needed to meet cashflow needs due to delays in collecting reimbursements from the Health Care Deposit Fund, and are subject to the repayment provisions in Section 16351 of the Government Code.
3.
The State
Department of Developmental Services may promulgate regulations specifically for implementing proposals to increase federal funding to the state. Notwithstanding any other provision of law, such regulations shall be deemed emergency regulations necessary for the immediate preservation of the public peace, health and safety, or general welfare for purposes of subdivision (b) of Section 11346.1 of the Government Code.
4.
Notwithstanding Section 26.00, the Department of Finance may authorize transfer of expenditure authority between Schedules (1) and (2) in order to accurately reflect expenditures in these programs.
5.
The Department of Finance may authorize a
transfer of up to $2,800,000 to this item from Item 4300-101-0001 in order to effectively administer the Self-Determination Program. The Director of Finance shall notify the Joint Legislative Budget Committee of the transfer, including the amount transferred, how the amount transferred was determined, and how the amount transferred will be utilized not less than 30 days before the effective date of the approval.
6. Of the funds appropriated in Schedule (1), $300,000 is appropriated for the State Department of Developmental Services to contract with an outside entity to assist in the development of a performance dashboard. These funds shall be available for expenditure
until June 30, 2019.
4300-001-0172—For support of Department of Developmental Services, payable from the Developmental Disabilities Program Development Fund
……………………
325,000
Schedule:
(1)
4140023-Community Services Division
……………………
325,000
Provisions:
1.
Notwithstanding any other provision of law, the Department of Finance may authorize expenditures for the State Department of Developmental Services in excess of the amount appropriated no sooner than 30 days after notification in writing is provided to the chairpersons of the fiscal committees in each house of the Legislature and the Chairperson of the Joint Legislative Budget Committee, or no sooner than such lesser time as the chairperson of the joint committee, or his or her designee, may in each instance determine.
4300-001-0890—For support of Department of Developmental Services, payable from the Federal Trust Fund
……………………
2,524,000
Schedule:
(1)
4140023-Community Services Division
……………………
2,524,000
Provisions:
1.
Upon order of the Department of Finance, the Controller shall transfer such funds as are necessary between this item and Item 4300-101-0890 in order to effectively administer the Early Intervention Program (Part C of the Individuals with Disabilities Education Act).
4300-001-3085—For support of Department of Developmental Services, payable from the Mental Health Services Fund
……………………
438,000
Schedule:
(1)
4140023-Community Services Division
……………………
438,000
4300-002-0001—For support of Department of Developmental Services, for rental payments on lease-revenue bonds
……………………
10,175,000
Schedule:
(1)
4145037-Rental Payments on

Lease
-Revenue Bonds
……………………

10,175,000
Provisions:
1.
The Controller shall transfer funds appropriated in this item for base rental, fees, and insurance as and when provided for in the schedule submitted by the State Public Works Board or the Department of Finance. Notwithstanding the payment dates in any related Facility Lease or Indenture, the schedule may provide for an earlier transfer of funds to ensure debt requirements are met and
base rental payments are paid in full when due.
2.
This item may contain adjustments pursuant to Section 4.30 that are not currently reflected. Any adjustments to this item shall be reported to the Joint Legislative Budget Committee pursuant to Section 4.30.
4300-003-0001—For support of State Department of Developmental Services, for Developmental Centers and Community Facility Services
……………………


296,390,000
291,390,000
Schedule:
(1)
4145046-Developmental Centers and Community Facility Services
……………………


513,934,000
476,534,000
(2)
Reimbursements to 4145046-Developmental Centers and Community Facility Services
……………………


−217,544,000
−185,144,000
Provisions:
1.
A loan shall be available from the General Fund to the State Department of Developmental Services not to exceed a cumulative total of $27,000,000. The loan funds shall be transferred to this item as needed to meet cashflow needs due to delays in collecting reimbursements from the Health Care Deposit Fund and are subject to the repayment provisions of Section 16351 of the Government Code.
2.
Upon order of the Department of Finance, the Controller shall transfer such funds as are necessary between this item and Item 4300-001-0001 in order to appropriately align General Fund and Medi-Cal reimbursements from the State
Department of Health Care Services with budgeted activities. Within 10 working days after approval of a transfer as authorized by this provision, the Department of Finance shall notify the chairpersons of the fiscal committees of each house of the Legislature and the Chairperson of the Joint Legislative Budget Committee of the transfer, including the amount transferred, how the amount was determined, and how the amount will be utilized.
3.
Upon order of the Department of Finance, the Controller shall transfer such funds as are necessary between this item and Item 4300-101-0001. Within 10 working days after approval of a transfer as authorized by this provision, the Department of Finance shall notify the chairpersons of the fiscal committees in each house of the Legislature and the Chairperson of the Joint Legislative Budget Committee
of the transfer, including the amount transferred, how the amount transferred was determined, and how the amount transferred will be utilized.
4.
The State Department of Developmental Services (DDS) shall notify the chairperson of each fiscal committee and policy committee of each house of the Legislature of specific outcomes resulting from citations and the results of annual surveys conducted by the State Department of Public Health, as well as findings of any other governmental agency authorized to conduct investigations or surveys of state developmental centers. The DDS shall forward the notifications, including a copy of the specific findings, to the chairpersons of the committees within 10 working days of its receipt of these findings. The DDS also shall forward these findings, within three working days of submission, to the
appropriate investigating agency. In addition, the DDS shall provide notification to the chairpersons of the committees, within three working days, of its receipt of information concerning any investigation initiated by the United States Department of Justice and the private nonprofit corporation designated by the Governor pursuant to Division 4.7 (commencing with Section 4900) of the Welfare and Institutions Code or concerning any findings or recommendations resulting from any of these investigations.
5.
The State Department of Developmental Services shall provide the Joint Legislative Budget Committee and the appropriate legislative budget and policy committees, within five days of receipt, a copy of any communication from the Centers for Medicare and Medicaid Services regarding federal Medicaid funding for any developmental center
relative to the eligibility status of developmental center residents or certification status of any housing unit. The notice shall include the amount of federal Medicaid funding that must be repaid as a result of decertification.
6. The funds appropriated in Item 9800-001-0001 for the State Department of Developmental Services to provide developmental center employees at the Sonoma, Fairview, and Porterville General Treatment Area with a retention stipend during the closure shall be available for encumbrance until June 30, 2021, and available for liquidation until December 31, 2021. The department shall report annually on the number of employees receiving payments and the amount of payments made from this appropriation.
7. Of the funds appropriated in Schedule (1), $1,900,00 $1,900,000 is available for the State Department of Developmental Services to contract with an outside entity for federal compliance monitoring services at the Fairview and Porterville Developmental Centers. The Director of Finance may authorize these expenditures upon completed negotiations with the federal Centers for Medicare and Medicaid Services to maintain eligibility for federal funds. The Department of Finance shall notify the Legislature within 10 days of authorizing these expenditures.
8. The Department of Finance may authorize the expenditure of up to $32,400,000 from the General Fund for the operation of Intermediate Care Facility units at the Sonoma Developmental Center. The Director of Finance shall notify the Joint Legislative Budget Committee of the transfer no less than 30 days before the effective date of the approval.
4300-003-0890—For support of Department of Developmental Services, payable from the Federal Trust Fund
……………………
285,000
Schedule:
(1)
4145046-Developmental Centers and Community Facility Services
……………………
285,000
Provisions:
1.
Upon order of the Department of Finance, the Controller shall transfer such funds as are necessary between this item and Item 4300-101-0890 in order to effectively administer the Foster Grandparent Program.
4300-004-0001—For support of State Department of Developmental Services (Proposition 98), for Developmental Centers
……………………
5,020,000
Schedule:
(1)
4145010-AB 1202 Contracts
……………………
642,000
(2)
4145019-Medi-Cal Eligible Services
……………………
5,177,000
(3)
Reimbursements to 4145019-Medi-Cal Eligible Services
……………………
−799,000
4300-017-0001—For support of Department of Developmental Services, for implementation of the Health Insurance Portability and Accountability Act
……………………
251,000
Schedule:
(1)
4145055-Implementation of Health Insurance Portability and Accountability Act
……………………
414,000
(2)
Reimbursements to 4145055-Implementation of Health Insurance Portability and Accountability Act
……………………
−163,000
4300-101-0001—For local assistance, State Department of Developmental Services, for Regional Centers
……………………


3,344,564,000
3,345,564,000
Schedule:
(1)
4140015-Operations
……………………
668,969,000
(2)
4140019-Purchase of Services
……………………


4,900,845,000
4,901,845,000
(3)
4140031-Early Start Family Resource Services
……………………
2,003,000
(4)
Reimbursements to
4140015-Operations
……………………
−204,211,000
(5)
Reimbursements to 4140019-Purchase of Services
……………………
−2,023,042,000
Provisions:
1.
Upon order of the Director of Finance, the Controller shall transfer such funds as are necessary between this item and Item
4300-003-0001. Within 10 working days after approval of a transfer as authorized by this provision, the Department of Finance shall notify the chairpersons of the fiscal committees in each house of the Legislature and the Chairperson of the Joint Legislative Budget Committee of the transfer, including the amount transferred, how the amount transferred was determined, and how the amount transferred will be utilized.
2.
A loan or loans shall be made available from the General Fund to the State Department of Developmental Services not to exceed a cumulative total of $395,000,000. The loan funds shall be transferred to this item as needed to meet cashflow needs due to delays in collecting reimbursements from the Health Care Deposit Fund. All moneys so transferred shall be repaid as soon as sufficient reimbursements have been collected to
meet immediate cash needs and in installments as reimbursements accumulate if the loan is outstanding for more than one year.
3.
Notwithstanding Section 26.00, the Department of Finance may authorize transfer of expenditure authority between Schedules (1) and (2) in order to more accurately reflect expenditures in the Early Intervention Program (Part C of the Individuals with Disabilities Education Act).
4.
Notwithstanding Section 26.00, the Department of Finance may authorize transfer of expenditure authority from Schedule (3) 4140031- Early Start Family Resource Services to Schedule (2) 4140019-Purchase of Services to more accurately reflect expenditures in
the Early Start Programs.
5.
Notwithstanding Section 26.00, the Department of Finance may authorize a transfer of up to $5,000,000 in expenditure authority from Schedule (1) 4140015-Operations to Schedule (2) 4140019-Purchase of Services to more accurately reflect yearend expenditures.
6.
The Department of Finance may authorize a transfer of up to $2,800,000 from this item to Item 4300-001-0001 in order to effectively administer the Self-Determination Program. The Director of Finance shall notify the Joint Legislative Budget Committee of the transfer, including the amount transferred, how the amount transferred was determined, and how the amount transferred
will be utilized not less than 30 days before the effective date of the approval.
7.
The Department of Finance may authorize the transfer of expenditure authority between Schedule (2) 4140019-Purchase of Services and Schedule (3) 3960022 Benefits 3960022-Benefits (Medical Care and Services) of Item 4260-101-0001 to support the transition of current Medi-Cal eligible regional center consumers receiving behavioral health treatment services pursuant to Section 14132.56 of the Welfare and Institutions Code, upon completion of the statewide transition plan.
The Director of Finance shall provide notification to the Joint Legislative Budget Committee of any transfer of expenditure authority approved under this provision not less than 30 days prior to the effective date of the approval. The 30-day notification shall include a description of the transfer, including the number of children per regional center affected, the average cost of behavioral health treatment services for a regional center consumer, the average cost of behavioral health treatment services for a Medi-Cal enrollee, and assumptions used in calculating the amount of expenditure authority to be transferred.
8.
Of the funds appropriated in Schedule (1), $17,000,000 is appropriated for the purpose of increasing client program coordinator staff above the level currently employed as determined by the State Department of Developmental Services. Regional centers shall report annually to the department the number of staff hired with the additional funds and the effectiveness of these funds in reducing average caseload ratios. Additionally, regional centers shall provide justification, in a manner to be determined by the department, for the use of any funds to hire Program Coordinators who do not serve clients receiving services under the Home and Community-Based Services waiver.
9.
Of the funds appropriated in Schedule (2), $46,000,000 is appropriated for the State Department of Developmental Services to establish new Alternative Residential Model rates based on a four-bed model. These rates, as established by the department, shall be adjusted upon application
to the regional center. Regional centers shall report annually to the department the number of facilities receiving these rates.
10.
Of the funds appropriated in Schedule (2), $15,000,000 is appropriated for the State Department of Developmental Services to allocate to providers based on demonstrated need to comply with the new Home and Community-Based Services regulations requirements that must be implemented by March 17, 2019. The funds will be allocated based upon application to the regional center and approval of both the regional center and the department. Regional centers shall report annually to the department the number of providers receiving these funds.
4300-101-0172—For local assistance, State Department of Developmental Services, payable from the Developmental Disabilities Program Development Fund
……………………
2,537,000
Schedule:
(1)
4140019-Purchase of Services
……………………
2,537,000
Provisions:
1.
Notwithstanding any other provision of law, the Department of Finance may authorize expenditures for the State Department of Developmental Services in excess of the amount appropriated no sooner than 30 days after notification in writing of the necessity therefor is provided to the chairpersons of the fiscal committees in each house of the Legislature and the Chairperson of the Joint Legislative Budget Committee, or no sooner than such lesser time after that notification as the chairperson of the joint committee, or his or her designee, may in each instance determine.
4300-101-0496—For local assistance, Department of Developmental Services, payable from the Developmental Disabilities Services Account
……………………
150,000
Schedule:
(1)
4140015-Operations
……………………
150,000
4300-101-0890—For local assistance, State Department of Developmental Services, for Regional Centers, payable from the Federal Trust Fund
……………………
51,354,000
Schedule:
(1)
4140015-Operations
……………………
812,000
(2)
4140019-Purchase of Services
……………………
31,433,000
(3)
4140027-Early Intervention Program
……………………
19,109,000
Provisions:
1.
Upon order of the Department of Finance, the Controller shall transfer such funds as are necessary between this item and Item 4300-001-0890 in order to effectively administer the Early Intervention federal grant program (Part C of the Individuals with Disabilities Education Act).
2.
Upon order of the Department of Finance, the Controller shall transfer such funds as are necessary between this item and Item 4300-003-0890 in order to effectively administer the Foster Grandparent Program.
3.
Notwithstanding
Section 26.00, the Department of Finance may authorize transfer of expenditure authority between Programs 4140015-Operations and 4140019-Purchase of Services in order to more accurately reflect expenditures in the Early Intervention federal grant program (Part C of the Individuals with Disabilities Education Act).
4300-101-3085—For local assistance, Department of Developmental Services, for Regional Centers, payable from the Mental Health Services Fund
……………………
740,000
Schedule:
(1)
4140015-Operations
……………………
740,000
4300-117-0001—For local assistance, Department of Developmental Services, for implementation of the Health Insurance Portability and Accountability Act
……………………
637,000
Schedule:
(1)
4140015-Operations
……………………
1,275,000
(2)
Reimbursements to 4140015-Operations
……………………
−638,000
4300-301-0001—For capital outlay, Department of Developmental Services
……………………
6,512,000
Schedule:
(1)
0000716-Porterville: Upgrade Fire Alarm System—Construction
……………………
6,512,000