2002 Yellow Book |
Backward Forward Cover Overview Table of Contents |
OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES |
Adjusted Executive Appropriation Request Percent 2001-02 2002-03 Change Change AGENCY SUMMARY General Fund 298,713,000 298,572,000 (141,000) -0.05% Special Rev.-Fed. 137,430,000 140,679,000 3,249,000 2.36% Special Rev.-Other 25,828,000 32,741,000 6,913,000 26.77% Capital Projects Fund 7,890,000 6,770,000 (1,120,000) -14.20% Mental Hygiene Capital Improvement Fund-389 24,250,000 24,250,000 0 0.00% Total for AGENCY SUMMARY: 494,111,000 503,012,000 8,901,000 1.80% STATE OPERATIONS General Fund 45,734,000 49,290,000 3,556,000 7.78% Special Rev.-Fed. 5,663,000 5,675,000 12,000 0.21% Special Rev.-Other 17,828,000 19,041,000 1,213,000 6.80% Total for STATE OPERATIONS: 69,225,000 74,006,000 4,781,000 6.91% Executive Direction General Fund 20,128,000 20,359,000 231,000 1.15% Special Rev.-Fed. 5,663,000 5,675,000 12,000 0.21% Special Rev.-Other 8,828,000 8,911,000 83,000 0.94% Total for Program: 34,619,000 34,945,000 326,000 0.94% Institutional Services General Fund 25,606,000 28,931,000 3,325,000 12.99% Special Rev.-Other 9,000,000 10,130,000 1,130,000 12.56% Total for Program: 34,606,000 39,061,000 4,455,000 12.87% AID TO LOCALITIES General Fund 252,979,000 249,282,000 (3,697,000) -1.46% Special Rev.-Fed. 131,767,000 135,004,000 3,237,000 2.46% Special Rev.-Other 8,000,000 13,700,000 5,700,000 71.25% Total for AID TO LOCALITIES: 392,746,000 397,986,000 5,240,000 1.33% Community Treatment Services Program General Fund 202,860,000 199,683,000 (3,177,000) -1.57% Special Rev.-Fed. 88,993,000 91,552,000 2,559,000 2.88% Special Rev.-Other 0 5,700,000 5,700,000 -- Total for Program: 291,853,000 296,935,000 5,082,000 1.74% Prevention and Program Support General Fund 50,119,000 49,599,000 (520,000) -1.04% Special Rev.-Fed. 42,774,000 43,452,000 678,000 1.59% Special Rev.-Other 8,000,000 8,000,000 0 0.00% Total for Program: 100,893,000 101,051,000 158,000 0.16% CAPITAL PROJECTS Capital Projects Fund 7,890,000 6,770,000 (1,120,000) -14.20% Mental Hygiene Capital Improvement Fund-389 24,250,000 24,250,000 0 0.00% Total for CAPITAL PROJECTS: 32,140,000 31,020,000 (1,120,000) -3.48% Design and Construction Supervision Capital Projects Fund 1,250,000 1,250,000 0 0.00% Mental Hygiene Capital Improvement Fund-389 2,250,000 2,250,000 0 0.00% Total for Program: 3,500,000 3,500,000 0 0.00% Administration Capital Projects Fund 902,000 982,000 80,000 8.87% Total for Program: 902,000 982,000 80,000 8.87% Non-Bondable Projects Capital Projects Fund 750,000 750,000 0 0.00% Total for Program: 750,000 750,000 0 0.00% Community Alcoholism and Substance Abuse Facilities Capital Projects Fund 4,488,000 3,288,000 (1,200,000) -26.74% Mental Hygiene Capital Improvement Fund-389 20,000,000 20,000,000 0 0.00% Total for Program: 24,488,000 23,288,000 (1,200,000) -4.90% Institutional Services Program Capital Projects Fund 500,000 500,000 0 0.00% Mental Hygiene Capital Improvement Fund-389 2,000,000 2,000,000 0 0.00% Total for Program: 2,500,000 2,500,000 0 0.00% ALL FUNDS PERSONNEL BUDGETED FILL LEVELS Current Requested Program 2001-02 2002-03 Change Capital Administration 8 8 0 Executive Direction 427 414 (13) Institutional Services 551 547 (4) Prevention and Program Support 10 10 0 Total General Fund : 891 874 (17) Total All Other Funds : 105 105 0 TOTAL: 996 979 (17) BUDGET HIGHLIGHTS (Executive Budget: pp. 141-144) The Office of Alcoholism and Substance Abuse Services (OASAS) administers a statewide system of chemical abuse prevention, early intervention and treatment services provided in a variety of settings. Each day, approximately 114,000 persons receive chemical abuse treatment services from over 1,300 agencies across the State, licensed and regulated by OASAS. The ongoing process over the past two years to forge a single, consolidated and coordinated chemical dependence system out of two separate alcohol and substance abuse treatment and prevention systems is nearly complete. The new chemical dependence provider license is being phased-in to replace the alcohol and substance abuse licenses that have been in effect. Regulations to implement this statutory change have been promulgated by OASAS. Moreover, negotiations with the Department of Health (DOH) have been completed to establish new, consolidated Medicaid rates. OASAS plans to implement the new rates by April 1, 2002. The agency also proposes instituting new regulations that will permit certain licensed treatment providers to provide detoxification services in non-hospital based settings. Treatment providers believe that patient linkages to post-detoxification treatment services will thereby be facilitated. For State Fiscal Year (SFY) 2002-03, the Executive requests funding to support 979 Full-Time Equivalent (FTE) staff for the agency who provide direct services in Addiction Treatment Centers (ATC) and oversight of community based service providers. OASAS operates 13 ATC which provide inpatient services to approximately 7,000 persons annually. The staff provide intermediate-term care to patients, usually as follow-up to a more intensive acute care phase provided in community hospitals. Staffing levels at the ATCs are projected to decrease by four FTE positions to 547 for SFY 2002-03. This agency is included in the Health, Mental Hygiene and Environmental Conservation appropriation bill. State Operations The Executive proposes an All Funds appropriation of $74,006,000, a net increase of $4,781,000, or 6.9 percent. This increase derives from negotiated salary increases and inflationary increases for pharmaceutical and other critical supplies offset by savings from attrition of 22 FTE positions. Five of the positions became vacant during SFY 2001-02 and the remaining 17 FTE positions are expected to become vacant during SFY 2002-03. Aid to Localities The Executive proposes an All Funds appropriation of $397,986,000, a net increase of $5,240,000, or 1.3 percent. The net increase results from a number of actions. General Fund savings are derived from: the maximization of Federal Disproportionate Share Medicaid payments, $4,000,000; an increase in Federal support through Substance Abuse Prevention and Treatment grants, $2,600,000; and new chemical dependence outpatient fees that generate State Aid savings, $452,000. These savings are offset by: a new $5,700,000 appropriation to fund a two-year transition plan to ease the financial stress on certain providers, that result from the newly consolidated Medicaid rates for chemical dependency; the operational costs of opening 68 new community treatment beds, $1,888,000; an increase in voluntary agency debt service payments, $1,467,000; and increases in certain federal grant awards, $3,237,000. Capital Projects The Executive proposes an All Funds capital appropriation of $31,020,000, a net decrease of $1,120,000, or 3.5 percent. The decrease reflects the lack of new appropriations for community treatment bed development. Projects already in the pipeline are funded from re-appropriations. |
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