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PA State Budget: Final Numbers
Final Budget Numbers for FY 2009-10 (as of 10/20/09)
We are still working to get further clarification and updates on funding, numbers slots and other policy changes. These will be provided as departments coordinate with the budget office. There will also be a PA SILC Legislative Watch that will note other disability programs not noted below before end of October. Here's what we know at this point:
Funding for State CILs- remained at $2.176 million. This was a cut from last year's FY 2008-09 amount, but kept at the same level after the 97 K cut during last year. This also does not include the 50 K in Federal Stimulus money for each CIL in PA.
Home Modications (DCED Accessible Housing)- cut to $1.11 million, a $1.85 million decrease. While CILs and the disability community held the line on many items, this was a large cut from FY 2008-09 amounts of $3 million and later $2.961 million after a cut during the year. Home modifications empower people with disabilities and seniors to remain in their home: a vital and relatively inexpensive part of balancing long term care.
Attendant Care: Attendant Care Waiver and Act 150 -The final number in $126,124,000 which is $6M more than the Governor's request. At this point, there is not a breakout how much is in the Attendant Care Waiver and how much will go to Act 150 (same line item). The Governor requested $120,023,000 which SB 850 cut to 97,544,000 which prompted a freeze on Act 150. It is still not clear on: 1) whether Act 150 will unfrozen and 2) amount of folks who have accumulated in the last 2 months on the waiting list.
Services to Persons with Physical Disabilities (CSPPPD) - The final number is $122,138,000 which is $11M more than the Governor requested. The Governor requested $111,025,000 which SB 850 cut to $101,756,000. This sizeable increase allows for the escalating cost per person in these programs plus expansion. It is not clear when the OBRA Waiver will be re-opened yet, as there are issues to be worked out on controlling costs and particular populations. Breakdown with OBRA, Commcare and Independence Waivers TBA.
Aging Waiver- Part of the Long Term Care Line item which is broken out between Aging Waiver and Nursing Homes. The line item was increased to $672, 597,000, up from $630,632,000 in SB 850, an increase of $41,955,000. Breakout of lines is not clear at this point. This was a line item in SB 850 (bridge budget) where the Governor 'blue-lined' $42.459 million. The Penn Care line item that include those aging out of Attendant Care (now age 60) is funded at $245,900,000. The final budget also uses $130,923,000 in Tobacco Settlement Funds.
Michael Dallas Waiver, LIFE programs --details TBA
Family Caregiver Program-- Funded at $12.103 million.
Assistive Technology-- The final budget funded Assistive Technology at $750,000, a cut of $539 K. This was proposed in February at $1.289 million, same as last year. SB 850 (original version) would have zeroed out the program. A large number of individuals with disabilities utilize this program to get low interest loans for communication and mobility devices so they can live the community.
IM4Q (Independent Monitoring For Quality- Mental Retardation system, some CILs and others)- Funding TBA
BHSI (Behavioral Health) --- The final amount is $55,331,000, which represents a major victory for the MH/MR Coalition. The Governor originally requested $56,120,000, which SB 850 cut to $42,594,000 (no replacement of lost IGT federal funding).
Mental Health Services --- The final amount is $728,830,000, which is very close to the Governor's revised number. Deputy Secretary Joan Erney has pledged that the State Mental Hospital system will absorb this reduction, with no impact on the community mental health system. This will be largely accomplished by the Closure of Allentown State Hospitals (MH) and appears to be merely shifting many individuals to existing state hospitals (not a traditional transition of individuals into the community).The Governor originally requested $744,380,000, which SB 850 cut to $729,800,000, which reflected a cut recommended by the Governor in May or June.
Community MR Waiver (Consolidated) --- The final number of $802,629,000 represents another significant victory for the Coalition's budget advocacy efforts. The Governor originally requested $800,072,000, which SB 850 cut to $778,784,000.
Community MR Waiver (Persons Family Directed Services-PFDS)-- The final figure of $158,832,000 is a cut of about $15.5 million. DPW officials have been saying informally that they hope to identify carryover funds to offset this cut this year, but next year may be extremely problematic for our community system. The Governor originally requested $174,173,000, which was reduced in SB 850 to $161,057, reflecting a cut recommended by the Governor.
Autism Services (Autism Waiver, ACAP and other autism services) --- The final number of $22,902 should be more than sufficient to fund this year's very slow phase-in of both the ACAP and the Autism Waiver at the levels recommended by the Governor. The Governor originally requested $27 million, which was reduced to $19,125,000 in SB 850.
Elwyn Waiver-- Due in part to some issues with CMS, this Wavier was not funded or renewed. This Waiver covers individuals who are deaf and /or deaf and blind over age 40 in Delaware County. The individuals are to be absorbed into existing waivers and other service systems as appropriate.
Early Intervention (Education) --- The final number is $127,938,000, which hopefully will be sufficient to fully fund these services for this fiscal year. The Governor originally requested $134,821,000, which SB 850 reduced to $120,852,000.
Special Education—Level Funded at $1.026.815 billion
OVR Funding Operations-- $43.383 million- OVR was funded in SB 850 at 43.083 million; this represents an increase of $300K.
Vocational Rehabilitation Services (OVR) -- No additional funding; SB 850 had it at $2.188 million; Governor blue-lined $1.925 million and left $263K.
Supported Employment (OVR)--$487,000 (Same as SB 850)
ICAN Program (Entrepreneur Program- Labor & Industry)-- Zeroed out
PA Charter School for the Deaf: Received $36.801 million
Scranton School for the Deaf: While the school received no funds to continue current operations due to closure, $5.497 million was included transition individuals away from the school to other placements.
Policy / Legislation:
The merger of some DPW programs (physical disabilities under age 60) and Aging /OLTL is still on hold, as both HB 1152 and SB 927 remain in the Senate Aging & Youth CMTE.
It was noted above that Allentown State Hospital (Mental Health) will be closing soon. DPW has not been forthcoming with information at this time. Secretary Richman did not bring up this issue at PA SILC board MTG. During a traditional closure of an institution, individuals would be transitioned into the community with supports through the community system and local partnerships.
Statewide Housing Trust Fund- Both HB 60 and SB 599 remain their respective House and Senate Appropriations CMTES. It is expected that there will be money in from Federal Housing Trust Fund to support this, but the US Congress and President have not agreed on a final Federal budget. At this point, $1 billion is supported by President Obama and the Congress; this could mean $35-40 million for PA to start their own housing trust fund. 37 states plus the District of Columbia have a Housing Trust Fund.
Adult Protective Services for Ages 18-59 still remains with out support. SB 699 remains in Senate Aging & Youth CMTE while HB 1319 remains in House Aging & Older Adult Services CMTE. Secretary Richman noted that DPW support and would like to see this passed; she suggested getting it passed and then finding funding for it thereafter at last week's board MTG. PA is one of 5 states NOT to have this law and program.
Where is your money at? Consequences?
There are efforts to get funds out ASAP. PA Treasurer's office has set up a web site for school districts, human service providers and other agencies that receive funds from the state to check on their payments. It's at http://www.patreasury.org/payments.html. It is rumored that the state is also looking into what can be done about repaying some or all of the interest charges which agencies accrued by borrowing money while waiting for their state funds. Various non-profits have had to lay off staff and close doors due in part to this prolonged budget debate. Some organizations will not recover while others take longer. Layoffs cause organizations to lose valuable knowledge and experience of important key staff let get; this is both a loss of human capital and 'institutional' knowledge in certain areas. Needless to say, individuals and their families needing help, have either been denied help or had to wait which has caused prolonged anguish.
Other efforts include: Resolutions were put forth before the budget was signed in the House and Senate for prompt payment. This along with other efforts by groups such as PANO (PA Assoc. of Non-profit Organizations) -PA SILC and PCIL are both members - work to bring coalitions together to address various issues, including prompt payment.
Future Budget Delays?
PANO is working on efforts to ensure that similar delays do not take place in the future. FY 2010-11 is expected to be as tough or more challenging due to prolonged economic recovery, high unemployment and foreclosures, loss or reduction of Federal Stimulus monies and questions on both current and proposed revenue sources.
The most recent budget drained all of the $755 million 'Rainy Day Fund' plus $800 million plus the M-Care Fund. There are proposals being discussed by PANO, Common Cause and others on budget reform and plans to address this through the PA Charitable Nonprofit Caucus. Some proposals include proposing target budget dates for the PA Legislature and the Governor. Next year, the incumbent Governor is not running again, but all 203 House members and 25 of 50 Senators will be up. There are candidates in both parties in what are expected to be contested primaries for Governor as well as US Senate and House.