Today, Governor Perdue released his Budget proposals for FY 2010 Amended and FY 2011.  A few highlights from the Department of Community Health and Department of Behavioral Health and Developmental Disabilities are included below.  To access complete information on the Budgets, you may access the Office of Planning and Budget's website for these documents:

http://www.opb.state.ga.us/budget-information/budget-publications/govenor's-budget-recommendations.aspx

FY 2010 Amended

Department of Community Health

The CMO fees are eliminated; there is a total in current FY 2010 Budget of more than $42.5 million from these.  In the Aged, Blind and Disabled Medicaid program, the Governor is proposing using ARRA dollars of more than $355.2 million to fund this program alone and a total of ARRA dollars for Medicaid in the amount of $659.8 million (along with the current $6.6 million).

Indigent Care Trust Fund

He has proposed providing the $8.6 million state matching dollars for private hospitals which are "deemed" by federal standards for the DSH program.

Public Health Formula Grants to Counties

He has proposed reducing general grant-in-aid funds to County Boards of Health by more than $5.9 million.

State Health Benefit Plan

He has proposed a 10% increase in employee premiums and spousal and tobacco surcharge increases ($10 and $20) for the Plan Year 2010 (it will generate $24.175 million).

Trauma

It took just a very small cut -- only about $207,000 for the amended budget with a little more than $100,000 cut from "operating expenses".

Department of Behavioral Health and Developmental Disabilities

He has increased Adult Addictive Disease Services by more than $3.7 million, bringing a total of $94.3 million for this area.

Adult Forensic Services were increased by a little more than $3 million, bringing that to total funding of $48.1 million.

Adult Mental Health was reduced by more than $17.5 million, for a total funding now of $231 million.

Child and Adolescent Addictive Services took a small reduction of $116,918, bringing its funding to roughly $13.9 million.

Child and Adolescent Forensic Services was also reduced by a small amount of $87,195, bringing that funding to $2,995,135.

Child and Adolescent Mental Health Services was reduced by more than $6 million, now with a total funding of $79.6 million.

Direct Care Support Services was increased by $14.3 million, bringing its funding to $163.2 million.

FY 2011

This Big Budget for FY 2011 is where the major changes begin.  Managed Care Provider Fees are proposed to generate more than $97.1 million.  Hospital Provider Fees are to bring in $247.7 million; and the CMO fees presently collected would no longer exist.  In total, they are looking at a budget of $12.5 billion in funds; total state funds would be $2.233 billion (a reduction of more than $55 million from FY 2010 current Budget).

Department of Community Health

As mentioned above, the "fees" are the biggest news.  CMO fees are discontinued in the amount of $37 million State funds; instead a managed care fee in the amount of $85 million and hospital provider fees of $127 million are to replace these one-time tobacco funds.

Aged, Blind and Disabled

Note that he also proposes to amend the FMAP, moving the rate from 64.95% to 65.27%.  In the Aged, Blind and Disabled Program, that FMAP change would be a reduction of $11.2 million.  It also has a 1.98% reduction in Medicaid reimbursement proposed for all fee-for-service and non-emergency transportation providers, exclusive of home and community based services and inpatient and outpatient hospital services (this is a reduction of more than $12.9 million).

He has proposed using hospital provider fee funds to adjust the inpatient and outpatient hospital reimbursement rates to maintain level of service - this would be an addition of $26.3 million in State funds or a total of $105.8 million with federal dollars included.

Trauma

He has proposed a $23 million transfer of fees for the Georgia Trauma Care Network Commission - this is a creation of an attached agency program.

Low-Income Medicaid

Again, he makes changes reflecting the Medicaid FMAP rate from 64.95% to 65.27% or a reduction of $10.8 million.  The 1.98% reduction in Medicaid reimbursement for all fee-for-service, care management organization, and non-emergency transportation provides, exclusive of home and community-based services and inpatient and outpatient hospital services is made for a reduction of $11.8 million.  It also removes the Medicaid CMO exemption from 2.25% Department of Insurance Premium Tax which is expected to generate $17.9 million in State funds or a total of $72 million with federal money.

Tobacco Settlement Funds are proposed to be eliminated and replaced with managed care and hospital-provider fees in the amount of $212 million State dollars or a total of $852.6 million.

PeachCare

The FMAP is also changed, reflecting participation rate moving from 75.46 to 75.69%.  Revised enrollment reflects a reduction of $18 million in State funds; like the other Medicaid programs, it also removes the Medicaid CMO exemption so that the 2.25% premium tax may be applied for generating $1.8 million State funds.  Hospital Provider Fees would also be used to adjust inpatient and outpatient hospital reimbursement rates using a total of $1.7 million in State funds.

State Health Benefit Plan

Also, there are proposed 10% increases in employee premiums and spousal and tobacco surcharge increases for the Plan Year 2010; there is also an increase of 10% for employee premiums for Plan Year 2011.

Department of Behavioral Health and Developmental Disabilities

Governor Perdue has proposed an addition of more than $63.7 million in State dollars for this Department's work.  That would bring its State funds, prior to any matching dollars, to $754.1 million.  Note that for FY 2010, Child and Adolescent Mental Health is funded with almost $85.7 million; in FY 2011 it falls to just slightly over $80 million.

Adult Developmental Disabilities Services

He has proposed more than $6.3 million to enhance operations and quality of care.  He has also added new "DD" slots (150) at a cost of $3.3 million and annualized the cost of the FY 2010 slots for a total of $4.6 million.

Adult Forensic Services

Again, he has proposed $7.6 million for enhancing hospital operations and quality of care.

Adult Mental Health Services

He has placed $5.3 million for enhancing hospital operations and quality of care in this program.

Direct Care Support Services

More than $21.3 million is added here to enhance hospital operations and quality of care.

Additionally, Speaker Ralston announced his Committee Leadership and Committee assignments for 2010.  Below are some of the changes in leadership of various committees:

Appropriations

          Ben Harbin remains Chairman

          Vice Chairman:

                   Mickey Channell (R-Greensboro)

                   Earl Ehrhart (R-Powder Springs)

                   Terry England (R-Auburn)

                   Calvin Hill (R-Canton)

                   Penny Houston (R-Nashville)

                   Chuck Martin (R-Alpharetta)

                   Butch Parrish (R-Swainsboro)

                   Carl Rogers (R-Gainesville)

          Doug Collins is the new Secretary

 Budget and Fiscal Affairs Oversight

          Richard Smith (R-Columbus) becomes the new Chairman

Children and Youth

          Buddy Harden (R-Cordele) becomes the new Secretar

Economic Development and Tourism

          Jay Neal (R-LaFayette) becomes the new Secretary

Governmental Affairs

          Mark Hamilton (R-Cumming) becomes the new Chairman

          Tim Bearden (R-Villa Rica) becomes the new Vice Chairman

Game, Fish and Parks

          Mark Williams (R-Jesup) becomes the new Vice Chairman

          Cecily Hill (R-Kingsland) becomes the new Secretary

Health and Human Services

          Doug Holt (R-Social Circle) becomes the new Secretary

Higher Education

          Len Walker (R-Loganville) becomes the new Chairman

          Katie Dempsey (R-Rome) becomes the new Vice Chairman

          Amy Carter (D-Valdosta) becomes the new Secretary

Human Relations and Aging

          Clay Cox (R-Lawrenceville) becomes the new Chairman

Insurance

          John Meadows (R-Calhoun) becomes the new Chairman

Industrial Relations

          Terry England (R-Auburn) becomes new Vice Chairman

          Billy Horne (R-Newnan) becomes new Secretary

Judiciary

          Mike Jacobs (R-Atlanta) becomes new Vice Chairman

          Stephen Allison (R-Blairsville) becomes new Secretary

Judiciary Non-Civil

          Kevin Levitas (D-Atlanta) becomes new Secretary

Retirement

          Tommy Benton (R-Jefferson) becomes Vice Chairman

          Tom Weldon (R-Ringgold) becomes Secretary

Regulated Industries

          Jay Shaw (D-Lakeland) becomes Secretary

Rules

          Bill Hembree (R-Winston) becomes Chairman

          Wendell Willard (R-Sandy Springs) becomes Vice Chairman

Science and Technology

          Mike Keown (R-Coolidge) becomes Vice Chairman

Special Committee on Small Business Development

          John Lunsford (R-McDonough) becomes Chairman

          Billy Horne (R-Newnan) becomes Vice Chairman

          Bob Smith (R-Watkinsville) becomes Secretary

Transportation

          Jay Roberts (R-Ocilla) becomes Chairman