File name: JAC Budget hearings 2013_20121212_123436.dcr Folder: C:\Documents and Settings\happropriations\Desktop\JAC Hearings 2013 0 ~ 12/12/2012 12:56:49 PM ~ Nichalos Information session. Discussion for entire legislatue. How to reduce information to a couple of sheets. Pro's and Con's on a couple sheets 0 ~ 12/12/2012 12:56:49 PM ~ Start Recording 3 ~ 12/12/2012 12:56:52 PM ~ Forslund Untimate budget proposal. Gov req if WDH could live with flat funding, other than medicade. Leg consern 28% of state budget. Concept; WDH can live with flat funding with caviats provided WDH can manage budget. Continue to live with existing system; Relook at spending with largest ; ECB Start budget cuts in 14 or 15. WDH can manage to that number. 5:26 ~ 12/12/2012 1:02:15 PM ~ Nicholas Spread sheet for next biennium. Do alt budget proposal with expansion and without expansion 6:49 ~ 12/12/2012 1:03:39 PM ~ Forslund will look at it 7:05 ~ 12/12/2012 1:03:54 PM ~ Nicholas Gov budget message; Want to see two tier approach; need alternatives; 8:10 ~ 12/12/2012 1:04:59 PM ~ Forslund Let us manage to a number. 8:34 ~ 12/12/2012 1:05:23 PM ~ Nicholas Joint meeting during session; lot of decisions to be made; Questions 9:07 ~ 12/12/2012 1:05:56 PM ~ Wallis Clarify prts Psy residental treatment service; child sent to a particular facility is termed by Feds as inc 10:50 ~ 12/12/2012 1:07:39 PM ~ Bebout moving forward; what do you have in mind 11:25 ~ 12/12/2012 1:08:14 PM ~ Nicholas supercommittee to answer questions; Management Council effort; Labor committee rejection 12:38 ~ 12/12/2012 1:09:27 PM ~ Bebout 12:47 ~ 12/12/2012 1:09:36 PM ~ Dockstadler Labor committee meeting tomorrow 13:08 ~ 12/12/2012 1:09:57 PM ~ Nicholas is there a bill out there to take some of these issues on; broad concept; go to budget 14:29 ~ 12/12/2012 1:11:19 PM ~ Forslund Budget divided into 2 fiscal years; sheet shows reallocation of deductions; No more action needed. money is gone; WDH has already taken budget cuts. Bottom additional cuts shown; 3m to reduce waiting list for brain injury people. Funding issue in 2014. Governor recommendatio shown. Embargo of funds; net zero; 18:57 ~ 12/12/2012 1:15:46 PM ~ Nicholas 2 points. JAC implementor of budgets past. Agency follow what is passed by Leg. Budget comprimise- one year 4%; Expanding program; JAC consulted on decision; Executive branch to implement budget; Budget issue-blue sheet. page 4 of budget; Blue sheet vs budget; 24:31 ~ 12/12/2012 1:21:20 PM ~ jones discussed disconect 24:56 ~ 12/12/2012 1:21:45 PM ~ Nicholas discussed figures; Starting out - lets move through budget and supplemental request column 5&6. 26:15 ~ 12/12/2012 1:23:04 PM ~ Bebout wlrc subtracted 26:59 ~ 12/12/2012 1:23:48 PM ~ Fosslund not a cut to their operations 27:27 ~ 12/12/2012 1:24:16 PM ~ Nicholas embargo and not used. Start with Gov's recommendations; 28:16 ~ 12/12/2012 1:25:05 PM ~ Richards asked for additional information to prepare an amendment; 29:00 ~ 12/12/2012 1:25:49 PM ~ Nicholas expense spreadsheet 29:23 ~ 12/12/2012 1:26:12 PM ~ Richards about 100 pages 29:35 ~ 12/12/2012 1:26:24 PM ~ Nicholas Gov rec's starting point. Can work of page 4; supplemental request; 31:42 ~ 12/12/2012 1:28:31 PM ~ Forslund Page 7 wordwork effect; required dollar amount; Medicade management system; Request for new eligability system. MMIS system to pay vendors. 3m cost. New MMIS system 75 to 100 million; Proposal for federal govt. 34:29 ~ 12/12/2012 1:31:18 PM ~ Harshmann considered one time costs 34:44 ~ 12/12/2012 1:31:33 PM ~ Forslune system cost one time, operational costs ongoing. Increased GF cost for foster care; Request to implement upon approval. Joing Labor looking at it. WHD just writes the checks; Gov rec. denial; Authority to raise fees. Vacine costs may drop vacines; ARDC help to fing; DDAU waiting list - 2nd year of funding; External cost adjustment. 40:27 ~ 12/12/2012 1:37:16 PM ~ Nicholas Bret - communicate to Gov. Let us know Gov's answer. 41:13 ~ 12/12/2012 1:38:02 PM ~ Forslund completed discussion of supplemental budget 41:36 ~ 12/12/2012 1:38:25 PM ~ Nicholas Governor's GF recommendation. Blue sheet 42:43 ~ 12/12/2012 1:39:32 PM ~ Jones reminder Gov fiscal profile list, fiscal profile; Prep of Gov letter underway. 1.5 m in 13 approp. Expensive system. Don't need same level of funding. Dump existing waivers - go to two tier system. Small number needing extensive care. Customized system will take time. Need CMS approval; Min. calendar year 2015; Need money to lower waiting list. 44:17 ~ 12/12/2012 1:41:06 PM ~ Nicholas modified spreedsheet; Spreadsheet to be developed. 45:53 ~ 12/12/2012 1:42:43 PM ~ Richards vote on IT transfer 46:10 ~ 12/12/2012 1:42:59 PM ~ Nicholas flag pages, open up and make motions 46:49 ~ 12/12/2012 1:43:38 PM ~ Vonflatern question 47:24 ~ 12/12/2012 1:44:13 PM ~ Nicholas need to reflect federal dollars. 47:56 ~ 12/12/2012 1:44:45 PM ~ Jones bottom of page 7 Gov recommendation 48:20 ~ 12/12/2012 1:45:09 PM ~ Nicholas wrap up questions 49:02 ~ 12/12/2012 1:45:51 PM ~ Hastert early childhood development 49:33 ~ 12/12/2012 1:46:22 PM ~ Forslund each preschool taken 4% reduction. Looking at operation of preschools. Significant difference in regions regarding treatment. Discussions ongoing. Funding for preschool - count and how much state pays.Perchild dollar amount also cut. 52:51 ~ 12/12/2012 1:49:40 PM ~ Wallis Nov 1 kid count does not give an accurate count 53:24 ~ 12/12/2012 1:50:13 PM ~ Forslund Program should have a comprehensive review. Minor speech theropy vs serious needs paid same. Program needs to be looked at. Identified issues but not well received. 55:07 ~ 12/12/2012 1:51:56 PM ~ Steward DD waiting list. Federal component; this year request,can you live up to expectations? 56:15 ~ 12/12/2012 1:53:04 PM ~ Forslund Timing issue. If Leg wants list reduced, need to appropriate money. 1:00:00 ~ 12/12/2012 1:56:49 PM ~ Nicholas; List 1:00:12 ~ 12/12/2012 1:57:01 PM ~ Esquibel medicate increasing bar chart to 2008 showing medicate births, out of state care. 1:01:15 ~ 12/12/2012 1:58:05 PM ~ Forslund information comes out of MMIS system 1:01:39 ~ 12/12/2012 1:58:28 PM ~ Esquibel medicade birth - how many received pre-natal care. Healthy baby initiative 1:02:28 ~ 12/12/2012 1:59:17 PM ~ Nicholas; Late for management council. list of items for data base. Director Forslund reading list. Information night during session - before markup; Callback date; 1:04:15 ~ 12/12/2012 2:01:04 PM ~ Forslund staff coordination 1:04:36 ~ 12/12/2012 2:01:25 PM ~ Nicholas call back, spreadsheet for final vote. Prepare for markup. Thank you 1:05:23 ~ 12/12/2012 2:02:12 PM ~ 1:06:08 ~ 12/12/2012 2:02:58 PM ~ Stop Recording