NSC Nonprofit Budget Forum 2011

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Presentation made at the Nonprofit Services Center 2011 Missouri Budget Forum by Margaret Donnelly and Brian Kinkade

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  • NSC Nonprofit Budget Forum 2011

    1. 1. The following presentation was made at the An annual convening of the:
    2. 2. <ul><li>Missouri </li></ul><ul><li>Budget </li></ul><ul><li>Update </li></ul><ul><li>February 2011 </li></ul><ul><li>Missouri Division of Budget and Planning </li></ul>
    3. 3. MISSOURI BUDGET UPDATE February 2011 <ul><li>Economic Data. </li></ul><ul><li>State revenue update. </li></ul><ul><li>State spending update. </li></ul><ul><li>What’s ahead for FY 2012. </li></ul>
    4. 4. <ul><li>Personal Income growth dropped off sharply in 2009, but slow growth has returned. </li></ul><ul><li>Salaries and wages declined every quarter of 2009. The decline abated in 2010, and a slow recovery has started </li></ul>
    5. 5.
    6. 6. Total $6,774.3 FY 2010 NET GENERAL REVENUE COLLECTIONS ($ in millions)
    7. 7. NET GENERAL REVENUE COLLECTIONS ($s in millions)
    8. 8. FEDERAL STABILIZATION FUNDS ($s in millions) FY 09 FY 10 FY 11 FY 12 Total Resources Enhanced FMAP $432.1 $702.8 $605.8 $0.0 $1,740.7 Education $0.0 $753.2 $0.0 $0.0 $753.2 General Purpose $0.0 $167.6 $0.0 $0.0 $167.6 Education Jobs $0.0 $0.0 $189.7 $0.0 $189.7 Total $432.1 $1,623.6 $795.5 $0.0 $2,851.2 Estimated Expenditures Enhanced FMAP $255.8 $611.7 $595.9 $277.3 $1,740.7 Education $0.0 $530.0 $158.3 $64.9 $753.2 General Purpose $0.0 $88.5 $79.1 $0.0 $167.6 Education Jobs $0.0 $0.0 $189.7 $0.0 $189.7 Total $255.8 $1,230.2 $1,023.0 $342.2 $2,851.2
    9. 9. All Other $961 12% Higher Education $863 11% Judiciary, Elected Officials, & General Assembly $275 4% Elementary & Secondary Education $2,834 36% Corrections & Public Safety $634 8% Human Services $2,289 29% Total $7,856 FY 2011 General Revenue Available Spending Includes Federal Stabilization Funds ($ in millions)
    10. 10. FY 2009-2012 OPERATING BUDGET ($s in millions)
    11. 11. FY 2012 BUDGET WHAT’S AHEAD? <ul><li>Phase out of Federal Stabilization Funds -- $680 million reduction. </li></ul><ul><li>Increasing revenue (4%), but increasing health care costs. </li></ul>
    12. 12. FY 2012 BUDGET HOW DO WE MAKE IT WORK? <ul><li>Saved some federal stabilization dollars for FY 2012. </li></ul><ul><li>More focused use of tax credits. </li></ul><ul><li>Improved collections of existing taxes. </li></ul><ul><li> - Improving enforcement – legislative and reallocating resources. </li></ul><ul><li> </li></ul><ul><li>Reduced spending. </li></ul><ul><li>More people working in good jobs! </li></ul>
    13. 13. Missouri Department of Health & Senior Services Margaret Donnelly Director
    14. 14. Department Responsibilities <ul><li>Improving the public health, safety, and well being of all Missourians. </li></ul><ul><li>Preparing for and responding to health-related emergencies. </li></ul><ul><li>Providing in-home and community-based programs for Missouri’s seniors and adults with disabilities allowing them to remain in their homes and communities. </li></ul><ul><li>Preventing and controlling communicable and genetic diseases. </li></ul><ul><li>Preventing and reducing the burden of chronic disease. </li></ul><ul><li>Protecting Missourians through regulation and inspection of facilities, including hospitals, nursing homes, and child and adult day care programs. </li></ul><ul><li>Promoting health equity through education and outreach, and enhancing awareness of inequities in the health care delivery system. </li></ul><ul><li>Participating in efforts to create a system that provides all Missourians with access to health care. </li></ul><ul><li>Protecting Missouri seniors and adults with disabilities through the investigation of hotline reports alleging abuse, neglect, or financial exploitation. </li></ul><ul><li>Protecting Missourians through background screenings of those who care for children, seniors, and persons with disabilities. </li></ul>
    15. 15. DHSS Budget Facts <ul><li>70.7% of all DHSS funding comes from federal funds—Medicaid, Maternal Child and Health, Women, Infants and Children (WIC), etc. </li></ul><ul><li>Only 27.4% of DHSS funding comes from General Revenue. </li></ul><ul><li>Approximately 87% of all DHSS General Revenue funding is used as match for DHSS services, so most General Revenue cuts result in the loss of federal funds. </li></ul><ul><li>Federal funding received by DHSS is designated for specific, programmatic purposes, so General Revenue reductions cannot be covered through use of federal funds. </li></ul><ul><li>Of DHSS’ General Revenue funding, 78.4% is for the Medicaid Home and Community Based program. </li></ul>
    16. 16.
    17. 17. Increased Demand for DHSS Services <ul><li>DHSS operates a toll-free number for reporting allegations of abuse/neglect/exploitation of seniors and persons with disabilities. Each report must be investigated by DHSS staff. The number of hotline reports has increased from 16,815 to 26,069 since FY 2006, a 55 percent increase. </li></ul><ul><li>DHSS administers the Family Care Safety Registry to protect children, the elderly, and persons with disabilities by providing background information on potential caregivers. Family Care Safety Registry background screenings increased from 184,890 in FY 2006 to 277,557 in FY 2010, a 50 percent increase. </li></ul><ul><li>DHSS provides technical assistance/consultation to local public health agencies and/or healthcare providers on the control and prevention of communicable diseases.  The number of requests received increased from 25,852 to 32,111, a 24 percent increase from CY 2008 to CY 2009. </li></ul><ul><li>DHSS is required to be notified and must inspect all lead abatement projects in Missouri.  The number of lead abatement inspections increased from 424 to 694, a 64 percent increase from CY 2008 to CY 2009. </li></ul><ul><li>DHSS is required by statute to track reportable cases of disease including Hepatitis B, C and E, sexually transmitted diseases, and tuberculosis.  The number of reportable disease cases received increased from 43,390 to 46,776, an 8 percent increase from CY 2008 to CY 2009. </li></ul><ul><li>DHSS inspectors investigate complaints to ensure standards of care and treatment are being met. Health services complaints regarding hospitals, ambulatory surgical centers, labs, etc., increased from 404 in FY 2006 to 798 in FY 2010, a 98 percent increase. </li></ul>
    18. 18. Summary of ARRA Grants Awarded Grant-Program Name Amount WIC- Information Technology Systems Upgrade $1,630,769 WIC- Electronic Benefits $300,000 Immunizations $1,816,289 Healthcare Associated Infections $203,730 State Primary Care Office Initiative $51,310 State Loan Repayment Program $300,000 Senior Citizens- Congregate Meals $1,284,714 Senior Citizens- Home Delivered Meals $632,475 Senior Community Service Employment $586,706 Ambulatory Surgical Centers Healthcare- Associated Infection Prevention Initiative $239.103 Child Care Development Block Grant $3,813,778 Communities Putting Prevention to Work- Tobacco $1,015,150 Communities Putting Prevention to Work- Policy and Environmental $891,160 Chronic Disease Self Management $632, 864 ARRA BRFSS Supplemental-Component IV $225,004 TANF Summer Food $960,000 Total ARRA Grants Awarded $14,583,052
    19. 19. Affordable Care Act Grants Grant Amount Early Childhood Home Visiting Grant $1.5 million Teen Pregnancy Prevention $2 million (approx) Public Health Infrastructure $300,000 Money Follows the Person $400,000
    20. 20. BRIAN KINKADE DEPARTMENT DEPUTY DIRECTOR photos ©JUPITERIMAGES 2009 FEBRUARY 11, 2011
    21. 21. PROGRAMS & FUNCTIONS <ul><li>Family Support Division </li></ul><ul><li>Income Assistance Programs </li></ul><ul><li>Medicaid Eligibility </li></ul><ul><li>Child Support </li></ul><ul><li>Rehabilitative Services for the Blind </li></ul><ul><li>Division of Youth Services </li></ul><ul><li>Rehabilitative Treatment for Juvenile Offenders </li></ul><ul><li>Children’s Division </li></ul><ul><li>Child Abuse Investigation </li></ul><ul><li>Child Protective Services </li></ul><ul><li>Subsidized Child Care </li></ul><ul><li>Early Childhood </li></ul><ul><li>MO HealthNet Division </li></ul><ul><li>Medicaid </li></ul><ul><li>MORx </li></ul><ul><li>Financial and Legal Support Services </li></ul><ul><li>Tax Credit Administration </li></ul><ul><li>MO-HITECH </li></ul>
    22. 22. BUDGET SUMMARY
    23. 23. SFY-12 GOVERNOR’S RECOMMENDATIONS
    24. 24. SFY-12 GOVERNOR’S RECOMMENDATIONS (in millions)
    25. 25. 326 South 21 st Street, Suite 301 St. Louis, MO 63103 314.436.9580 phone | 866.433.9580 toll free www.nonprofitservices.org

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