2003 Green Book
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DEPARTMENT OF HEALTH
Adjusted
Appropriation
2002-03 		Executive
Request
2003-04 		Legislative
Appropriation
2003-04 		Change

STATE OPERATIONS
General Fund 211,254,000 168,891,600 165,891,600 (3,000,000)
Special Revenue-Other 393,991,000 414,664,000 416,664,000 2,000,000
Special Revenue-Federal 3,901,679,000 3,961,720,000 3,961,720,000 0
Fiduciary 4,225,000 4,675,000 4,675,000 0
Enterprise 10,000 10,000 10,000 0
Total for STATE OPERATIONS 4,511,159,000 4,549,960,600 4,548,960,600 (1,000,000)

AID TO LOCALITIES
General Fund 6,598,064,768 6,063,507,000 6,736,928,500 673,421,500
Special Revenue-Other 3,709,264,000 4,420,464,000 4,255,664,000 (164,800,000)
Special Revenue-Federal 19,069,313,000 23,235,401,000 23,704,913,000 469,512,000
Total for Agency 29,376,641,768 33,719,372,000 34,697,505,500 978,133,500
Total Contingency 950,000,000 1,230,000,000 1,230,000,000 0
Total for AID TO LOCALITIES 30,326,641,768 34,949,372,000 35,927,505,500 978,133,500

CAPITAL PROJECTS
Capital Projects Fund 156,800,000 76,600,000 76,600,000 0
Total for CAPITAL PROJECTS 156,800,000 76,600,000 76,600,000 0
LEGISLATIVE ACTION

The Legislature provides $39,323,066,100 for the Department of Health (DOH) on an All Funds basis, a net increase of $978,133,500 over the Executive budget submission. This net increase reflects restorations to the State’s Medical Assistance Program (Medicaid), as well as restorations to various general public health programs that were either reduced or eliminated by the Executive.

Legislative Reductions

The Legislature reduces the Executive’s proposed budget:

  • $281,200,000 (Special Revenue Other/Aid to Localities) in the Medical Assistance Program by denying the re-establishment of a 0.7 percent assessment on hospitals for inpatient and outpatient services, denying the 0.6 percent assessment on home care providers, and reducing the assessment on nursing homes from six percent to five percent;
  • $254,000,000 (General Fund/Aid to Localities) in the Medical Assistance Program through new revenue actions used to offset General Fund Medicaid spending. Such actions include: directing any monies from the Bayer AG and GlaxoSmithKline settlement to offset State share Medicaid expenditures, $7,000,000; authorizing additional maximization of the coordination of benefits for persons dually eligible in the Medicare and Medicaid programs, $20,000,000; generating enhanced rebates from implementation of a Preferred Drug List, $10,000,000; requiring nursing homes to refinance their mortgages, $10,000,000; authorizing the Commissioner of Health to participate in a demonstration program with the federal Centers for Medicare and Medicaid Services (CMS) to maximize the coordination of benefits for home care services, $25,000,000; authorizing the Commissioner of Health to issue a directive requiring social services districts to inform and to encourage veterans and, when appropriate, their dependents, that they must investigate and pursue all available veterans benefits, $12,000,000; and authorizing a one day delay for Medicaid payments, $170,000,000.
  • $3,000,000 (General Fund/State Operations) in the Medicaid Management Information System (MMIS) Program to reflect a re-estimation of program needs;
  • $12,000,000 (Special Revenue Other/Aid to Localities) in the Elderly Pharmaceutical Insurance Coverage (EPIC) program by authorizing the commissioner to maximize the coordination of benefits for persons dually eligible for the Medicare and EPIC Programs; and
  • $600,000 (General Fund/Aid to Localities) by denying a new initiative proposed by the Executive related to public health education and awareness activities.
Legislative Changes

The Legislature provides for a gross restoration of $1,057,950,000 to the Medical Assistance (Medicaid) Program, various public health programs, and the Health Care Reform Act (HCRA) in State Fiscal Year (SFY) 2003-04. Of this amount, the Legislature restores approximately $889,400,000 to the Medical Assistance (Medicaid) Program, $40,100,000 to public health programs within the Department of Health (DOH), and $128,400,000 to various programs in the Health Care Reform Act (HCRA). These restorations are offset by approximately $266,000,000, in new revenue actions for a total net restoration of $792,000,000 in SFY 2003-04.

Medical Assistance (Medicaid) Program

In the State Fiscal Year (SFY) 2003-04 budget, the Legislature restores approximately $889,400,000 State Share to the Medical Assistance Program. This restoration is offset by new revenue actions totaling $254,000,000.

Pharmacy Restorations: The Legislature provides restorations to the pharmacy sector, totaling $38,600,000 State Share in SFY 2003-04. Included in this amount is $24,500,000 for the partial restoration of a proposed 5 percent reduced in pharmacy reimbursement, bringing the reimbursement rate to Average Wholesale Price minus 12 percent instead of Average Wholesale Price minus 15 percent as proposed by the Executive. Also included is $11,700,000 related to the Legislature’s denial of increased co-payments for Medicaid and Medicaid Managed Care recipients, and $2,400,000 related to denial of the Executive’s Forge Proof Prescription Proposal.

Hospital Restorations: The Legislature provides restorations to the hospital sector, totaling $281,600,000 State Share in SFY 2003-04, by denying actions that would have: imposed a 0.7 percent assessment on inpatient and outpatient services; eliminated the SFY 2003-04 trend factor in the reimbursement rate; restructured Graduate Medical Education (GME); limited case payments to the group average reimbursement; eliminated the length of stay adjustment; decreased the per-diem rates by 5 percent with the exception of AIDS services; and placed a freeze on specialty-clinic rates with the exception of AIDS services.

Nursing Home Restorations: The Legislature provides restorations to the nursing home sector, totaling $202,600,000 State Share in SFY 2003-04, by denying actions that would have: established a regional average reimbursement methodology; eliminated the SFY 2003-04 trend factor in the reimbursement rate; implemented a Medicaid-only case mix adjustment; and eliminated return on equity incentive for proprietary nursing homes. The Legislature also takes action to reduce the current 6 percent assessment to 5 percent, effective April 1, 2003, and provides for Article VII legislation which further reduces the assessment from 5 percent to 2.5 percent in State Fiscal Year (SFY) 2004-05, and eliminates such assessment on and after April 1, 2005.

Home Care Restorations: The Legislature provides restorations to the home care sector, totaling $32,400,000 State Share in SFY 2003-04, denying reductions that would have: eliminated the SFY 2003-04 trend factor in the reimbursement rate, and imposed a 0.6 percent assessment on providers.

The Legislature provides restorations to other areas, totaling $334,312,000 State Share in SFY 2003-04.

Medicaid Share Realignment (SWAP)

The Legislature restores $227,000,000 and denies the Executive’s proposal to realign State and local shares of certain Medicaid costs. Under the proposal the State would have assumed the entire non-Federal share of pharmaceutical costs while shifting to localities a greater financial responsibility for hospital inpatient and outpatient costs and clinic services. Under the Executive’s proposal, local districts would have been responsible for 37 percent of expenditures for these services, as opposed to the current 25 percent share, while the State would have assumed a lower 13 percent share. The SWAP would have cost New York City $271,000,000 in SFY 2003-04. It would have cost Dutchess, Nassau, Orange, Putnam, Rockland, Suffolk, Sullivan and Westchester counties a combined total of $23,000,000. The remaining upstate counties would have saved $35,000,000 before any hospital restorations were made.

Medicare Crossover

The Legislature provides $10,800,000 as partial restoration of a reduction in reimbursement for services provided to individuals dually eligible for Medicare and Medicaid. The Legislature provides for full restoration for transportation and psychology services, and provides a 20 percent restoration for physician, chiropractor, podiatrist, eye care, rehabilitation therapy, pharmacy, laboratory, durable medical equipment (DME) and hearing aids, referred ambulatory, and nurse practitioner services.

Local Overburden Aid

The Legislature restores $25,000,000 of a $44,500,000 reduction to localities related to the Executive’s proposal to cap Overburden Aid at the 2002 level and eliminates language imposing the cap.

Loss of Additional Upper Payment Limit (UPL) Savings

The Legislature provides $69,000,000 to the Medicaid Program resulting from the loss of $69,000,000 in Federal Funds related to Upper Payment Limit (UPL) savings that had to be foregone due to the rejection of new hospital and nursing home reductions.

Clinic Transition Funding

The Legislature further restores $2,456,000 (State Share) in clinic transition funding and $56,000 (State Share) in dental clinic transition funding, to be fully matched by Federal Funds, to assist such clinics in the acquisition and upgrading of information technology (IT) systems.

Other Medicaid Actions

The Legislature accepts a total of $93,300,000 State share in Medicaid reductions proposed by the Executive that would:

  • Require pharmacies to bill Medicare, when allowable, for dually eligible recipients ($1,500,000);
  • Achieve enhanced rebates from the Preferred Drug List (PDL) Program ($2,400,000);
  • Add select pharmaceuticals to the prior authorization list but only after enactment of specific legislation ($5,500,000);
  • Eliminate various part-time clinics administratively ($10,000,000);
  • Establish utilization review (UR) for Certified Home Health Agencies ($6,700,000);
  • Accelerate recovery of overpayments and audits from providers ($22,000,000);
  • Eliminate the fourth year increase in Dental Settlement payment administratively ($12,000,000);
  • Hold the rate of increase in premiums for Family Health Plus (FHP) to no more than 3 percent through negotiation ($19,200,000);
  • Hold the rate of increase in premiums for Medicaid Managed Care to no more than 3 percent through negotiation ($8,000,000);
  • Eliminate Medicaid provider grants administratively ($1,000,000);
  • Lower the utilization review threshold for certain services ($2,000,000); and
  • Enhance utilization review and transportation audits in New York City ($3,000,000).
Health Care Reform Act (HCRA) Related Restorations

Denies Family Health Plus (FHP) Rollback

The Legislature provides $20,000,000 (State Share) and denies the Executive Budget proposal to decrease Family Health (FHP) eligibility levels for adults with children from 150 percent and 133 percent of the Federal Poverty Level (FPL).

Denies Shifting kids from Medicaid to Child Health Plus

The Legislature provides $26,400,000 million as full restoration related to the rejection of the Executive’s proposal to shift children in families with incomes between 100 to 133 percent of the Federal Poverty Level (FPL) from Medicaid to the Child Health Plus (CHP) program.

Elderly Pharmaceutical Insurance Coverage (EPIC) Program

The Legislature provides:

  • $20,400,000 to restore 3 percent of the proposed 5 percent reduction in pharmacy reimbursement, bringing the rate of reimbursement to Average Wholesale Price minus 12 percent; and
  • $4,000,000 to deny a proposed 10 percent increase in fees and deductibles paid by program participants.
AIDS Institute

The Legislature restores $5,575,500 in AIDS-related programs, including:

  • $1,062,600 for Community Service Programs (CSPs);
  • $1,062,600 for Multi-Service Agencies (MSAs);
  • $2,100,000 for Communities of Color;
  • $437,500 for Specialty Contracts;
  • $393,750 for Permanency Planning;
  • $393,750 for Treatment Adherence and Compliance; and
  • $125,300 for Homeless Housing.
Center for Community Health

The Legislature restores a total of $34,500,000 and allocates $600,000 for public health programs reduced or eliminated by the Executive, including:

  • $32,300,000 to the General Public Health Works (Article 6) Program, which provides State reimbursement to counties for public health programs;
  • $252,000 for rape crisis centers;
  • $350,000 for family planning services;
  • $37,800 for Alzheimer’s Disease Assistance Centers (ADACs);
  • $35,700 for Alzheimer’s Community Assistance Programs (AlzCAP);
  • $156,100 for breast cancer, education and outreach;
  • $126,000 for maternity and early childhood;
  • $700,000 for health and social services sexuality-related programs;
  • $309,400 for migrant health
  • $267,000 for the office of rural health;
  • $254,000 for the hypertension program;
  • $41,100 for the sudden infant death syndrome (SIDS) program;
  • $148,900 for the diabetes program;
  • $54,000 for the children’s asthma program;
  • $66,000 for the osteoporosis program; and
  • $36,000 for the childhood cancer awareness program.
Adult Homes

The Legislature provides $8,000,000 for adult home initiatives. Of this amount, $6,000,000 is provided for the Adult Care Facility Quality Incentive Payment Program (QUIP), which the Legislature amends to achieve various reforms to the program to assure quality of care, and $2,000,000 is provided to support an adult care facility quality service and advocacy initiative to be accomplished through a competitive bid, request-for-proposal process.

Health Care Reform Act

The Legislature extends for an additional two years, through June 30, 2005, the Health Care Reform Act (HCRA).

The Legislature also extends the Medicaid Managed Care Program through March 31, 2006, and rejects the Executive’s proposal to repeal the Managed Care Advisory Panel. In addition, the Legislature extends the Child Health Plus Program for an additional two years, through July 1, 2005.

The Legislature allocates $34,600,000 to restore various HCRA programs that were reduced by the Executive, including the:

  • Rural Health Care Initiatives Program, $1,550,000 annually;
  • Poison Control Program, $500,000 annually;
  • Emergency Medical Services (EMS) Program, $1,850,000 annually;
  • Cancer Initiatives, $1,450,000 annually;
  • Worker Retraining, $15,750,000 annually;
  • Catastrophic Health Insurance Program, $4,000,000 annually;
  • Individual Subsidy Program (Bronx Health), $1,600,000 annually;
  • Nursing Home Financially Distressed program, $750,000 annually;
  • Infertility Grant Program, $275,000 annually;
  • Anti-Tobacco Program, $3,950,000 annually; and
  • Roswell Park Cancer Institute, $2,750,000 annually.
The Legislature also preserves a $1,600,000 annual allocation for Area Health Education Centers (AHEC) from Graduate Medical Education funding.

The Legislature accepts the Executive’s proposal to allocate new revenues to HCRA, including:

  • Additional revenues related to the conversion of Empire Blue Cross/Blue Shield to a for-profit corporation, for an additional $683,000,000 above initially expected revenues;
  • An increase to the surcharge on patient bills covered by third party payers from 8.18 percent to 8.85 percent, which would generate an additional $121,000,000 over two years;
  • An increase in the annual amount of the covered lives assessment, an assessment on health insurers based on the number of individuals they cover, from $690,000,000 to $725,000,000. This action will generate an additional $61,000,000 in revenues over 2 years;
  • The dedication of federal relief funds related to World Trade Center disaster, estimated at $330,000,000 over two years;
  • New Community Health Care Conversion Demonstration Project (CHCCDP) funds, estimated at $350,000,000 over two years; and
  • The implementation of a Surcharge and Assessment Amnesty Program for third party payors, which is expected to generate $45,000,000 over two years.
The Legislature denies the Executive’s proposal to allow other not-for-profit insurers to convert to for profit status. This action was expected to generate $200,000,000 which would have been dedicated to HCRA in SFY 2005-06.

The Legislature, accepts with modifications, the Executive’s proposal to securitize tobacco settlement payments. This action results in a loss of revenue to HCRA, totaling $847,000,000 over two years. In order to ensure that HCRA is protected, the Legislature requires the director of the Division of the Budget (DOB) to prepare a fiscal plan in SFY 2004-05 and SFY 2005-06 for HCRA, including quarterly estimates of receipts to and disbursements from the HCRA pools throughout the year, to make certain that pledged receipts are sufficient to cover HCRA expenditures. If DOB determines that the pledged receipts are insufficient to cover HCRA expenditures, General Fund revenues of an amount limited to the annual receipts from the Tobacco Settlement Agreement that are securitized, will be transferred to HCRA to cover any shortfalls.

Article VII

The Legislature authorizes Article VII legislation to:

Part V2: Public Health Programs

  • Delay the implementation date, to April 1, 2004, for various public health programs that the Executive proposed to repeal;
Part W2: Vital Records

  • Accept the Executive’s proposal to increase fees for copies of birth, death, marriage certificates and other vital records;
Part X2: Office of Professional Medical Conduct (OPMC)

  • Authorize the Office of Professional Medical Conduct (OPMC) to fund the Physician Profiling Act (Patient Health Information and Quality Improvement Act of 2000) for 1 year, expiring on March 31, 2004;
Part Y2: Elderly Pharmaceutical Insurance Coverage (EPIC) Program

  • Restore 3 percent of the proposed 5 percent reduction in pharmacy reimbursement, bringing the rate of reimbursement to Average Wholesale Price minus 12 percent in the EPIC program;
  • Deny the Executive’s proposal to increase fees and deductibles paid by program participants by 10 percent;
  • Allow EPIC to reimburse for a drug not covered by a rebate agreement if the drug offers effective therapy or substantially improves treatment of a disease, and the drug is recommended for coverage by the EPIC panel and approved by the Commissioner of Health; and
  • Authorize the Commissioner of Health to maximize the coordination of benefits for persons dually eligible for Medicare and the EPIC Program.
Part Z2: Medical Assistance (Medicaid) Program

  • Restore 3 percent of the 5 percent reduction in pharmacy reimbursement, bringing the rate of reimbursement to Average Wholesale Price minus 12 percent in the Medicaid Program, consistent with the EPIC Program;
  • Require the Commissioner of Health to maximize the coordination of benefits for persons dually eligible in the Medicare and Medicaid program;
  • Require that all funds forthcoming to the State as a result of a settlement with Bayer AG and GlaxoSmithKline be used to support the State share of expenditures for the Medical Assistance Program;
  • Authorize that a prior authorization (PA) program, for the Medicaid Program, whether or not in operation at the time this section becomes law, shall not be expanded or applied to cover any prescription drug that is not already subject to such prior authorization at the time this act becomes law, except pursuant to legislation enacted after this section becomes law;
  • Provide for a partial restoration in reimbursement for services for recipients who are dually eligible under the Medicaid and Medicare programs (Medicare Crossover);
  • Provide $25,000,000 for a partial restoration of the proposed reduction in Overburden Aid to Localities;
  • Authorize additional hospital and nursing home Upper Payment Limit (UPL) savings;
  • Extend prior year Medicaid cost containment actions for an additional two years, through March 31, 2005;
  • Extend the priority restoration pool at $48,000,000 annually;
  • Reduce the nursing home assessment from 6 percent to 5 percent in SFY 2003-04 and provide for the phase out of the assessment by further decreasing such assessment from 5 percent to 2.5 percent in SFY 2004-05 and eliminating such assessment on and after April 1, 2005;
  • Mandate the Commissioner of Health to issue a directive requiring social services districts to inform and encourage veterans and, when appropriate, their dependents, that they should investigate and pursue all available veterans benefits;
  • Authorize the Commissioner of Health to participate in a demonstration program with the Federal Centers for Medicare and Medicaid Services (CMS) to maximize the coordination of benefits for home care services;
  • Authorize the Commissioner of Health to delay, for one day, the Medicaid payment to providers;
  • Authorize the Commissioner of Health to develop and to implement a nursing home mortgage refinancing program; and
  • Extend the Medicaid Managed Care Program for an additional three years, until March 31, 2006;
Part A3: Health Care Reform Act

  • Extend for an additional two years, until July 1, 2005, the Health Care Reform Act;
  • Increase the surcharge on patient bills covered by third party payers from 8.18 percent to 8.85 percent;
  • Increase the annual amount of the covered lives assessment from $690,000,000 to $725,000,000;
  • Authorize allocations from Health Care Initiatives (HCI) Pool;
  • Authorize allocations from Tobacco Control and Insurance Initiatives Pool;
  • Extend the Child Health Plus (CHP) Program for an additional two years, to July 1, 2005;
  • Establish certain reporting requirements to provide for HCRA accountability; and
  • Provide for an amnesty program for providers and payers to submit overdue surcharges and assessments without being subject to interest and penalties.
The Legislature also includes language to require local Industrial Development Agencies (IDAs) to submit a copy of audited financial statements to the Legislature in instances when such entities have engaged in health care related financing.

Legislative Additions

The Legislature provides funding for the following:




PROGRAM APPROPRIATION VETO #

MEDICAID: INCREASED FEDERAL SHARE RELATED TO RESTORATIONS $420,512,000
MEDICAID: REJECT PHARMACY SWAP $227,000,000
MEDICAID: REJECT IMPOSITION OF 0.7% HOSPITAL ASSESSMENT $190,200,000
HCRA FUNDS TRANSFER: ADDITIONAL FUNDS RELATED TO MEDICAID RESTORATIONS $77,600,000
MEDICAID: RESTORATION OF LOST FEDERAL MAXIMIZATION SAVINGS $69,000,000
MEDICAID: REJECT NURSING HOME REGIONAL AVG. REIMBURSEMENT METHODOLOGY $59,900,000
CHILD HEALTH PLUS (CHP): REJECT MOVING MEDICAID KIDS TO CHP $49,000,000
MEDICAID: REJECT ELIMINATION OF NURSING HOME INFLATIONARY TREND FACTOR $46,700,000
MEDICAID: REJECT IMPLEMENTATION OF NURSING HOME--CASE MIX ADJUSTMENT $46,000,000
MEDICAID: PARTIAL RESTORATION OF NURSING HOME ASSESSMENT (6% TO 5%) $45,000,000
ARTICLE 6: STATE REIMBURSEMENT TO COUNTIES $32,300,000
MEDICAID: REJECT RESTRUCTURING OF HOSPITAL GME $30,200,000
MEDICAID: REJECT ELIMINATION OF HOSPITAL INFLATIONARY TREND FACTOR $27,700,000
CHILD HEALTH PLUS (CHP): REJECT MOVING KIDS TO CHP --STATE SHARE $26,400,000
MEDICAID: RESTORE DOH OVERBURDEN AID TO LOCALITIES $25,000,000
MEDICAID: REJECT 3% OF PROPOSED 5% CUT IN PHARMACY REIMBURSEMENT $24,420,000
EPIC: REJECT 3% OF PROPOSED 5% PHARMACY REIMBURSEMENT CUT(AWP-15% TO $20,400,000
AWP-12%)
MEDICAID: REJECT IMPOSITION OF 0.6% HOME CARE ASSESSMENT $17,000,000
MEDICAID: REJECT ELIMINATION OF HOME CARE INFLATIONARY TREND FACTOR $15,400,000
MEDICAID: REJECT LIMITING HOSPITAL REIMBURSEMENT TO GROUP AVERAGE $15,000,000
MEDICAID: REJECT NEW AND ADDITIONAL PHARMACY CO-PAYMENTS $11,700,000
MEDICAID: PARTIAL RESTORATION OF MEDICAL CROSSOVER FOR DUALLY ELIGIBLES $10,805,300
MEDICAID: REJECT ELIMINATION OF HOSPITAL LENGTH OF STAY ADJUSTMENT $8,900,000
MEDICAID: REJECT 5% CUT IN PER DIEM HOSPITAL RATES $7,700,000
MEDICAID: REJECT ELIMINATION OF NURSING HOME RETURN ON EQUITY $5,000,000
ADULT HOMES: QUIP $4,000,000 88
EPIC: REJECT IMPOSITION OF HIGHER FEES AND DEDUCTIBLES ON PROGRAM $4,000,000
PARTICIPANTS
MEDICAID: CLINIC TRANSITION FUNDING $2,456,000 87
AIDS: COMMUNITIES OF COLOR INITIATIVE $2,100,000 74
REJECT SWEEP OF TRIPLICATE PRESCRIPTION FORMS ACCOUNT TO GENERAL FUND $2,000,000
MEDICAID: REJECT FREEZE ON SPECIALTY CLINIC RATE $1,900,000
AIDS: HIV/AIDS-COMMUNITY SERVICE PROGRAM (CSP) $1,062,600 73
AIDS: HIV/AIDS-MULTI SERVICE AGENCIES (MSA) $1,062,600 72
HEALTH AND SOCIAL SERVICES SEXUALITY RELATED PROGRAMS $700,000 85
AIDS - SPECIALTY SERVICES $437,500 75
MEDICAID: REJECT FORGE-PROOF PRESCRIPTIONS $400,000
AIDS - PERMANENCY PLANNING PROGRAM $393,750 76
AIDS: TREATMENT AND COMPLIANCE $393,750 77
FAMILY PLANNING SERVICES $350,000 80
MIGRANT WORKER HEALTH CLINICS $309,400 86
OFFICE OF RURAL HEALTH $267,000 71
HYPERTENSION PREVENTION, SCREENING AND TREATMENT PROGRAM $254,000
RAPE CRISIS SERVICES $252,000 79
BREAST CANCER - SUPPORT AND EDUCATION SERVICES $156,100 83
DIABETES PROGRAM $148,900
MATERNITY AND EARLY CHILDHOOD FOUNDATION $126,000 84
AIDS: HOMELESS HOUSING ASSISTANCE PROGRAM - OPERATING SUPPORT $125,300 78
OSTEOPOROSIS PREVENTION $66,000
ACADEMIC DENTAL CLINICS $56,000 87
ASTHMA MANAGEMENT PROGRAMS $54,000
SUDDEN INFANT DEATH SYNDROME CENTERS $41,100
ALZHEIMER'S DISEASE ASSISTANCE CENTERS (ADAC) $37,800 81
CHILDHOOD CANCER AWARENESS $36,000
ALZHEIMER'S COMMUNITY ASSISTANCE PROGRAM $35,700 82

*All program appropriations vetoed by the Executive, as indicated by a veto message number, were subsequently overridden by the Legislature.


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