2002 Yellow Book
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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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