JAC Agency Hearings/callbacks JAC Index 011717pm Tuesday January 17, 2017 Agenda: PM 048 Department of Health 045 Department of Transportation 029 Water Development 1/17/2017 12:29:07 PM Called to order for callbacks, Co Chairman Nicholas 048 Department of Health Tom Forslund, Director, shortfall involuntary hospitalization Nicholas: Gatekeeper initiative Forslund: Natrona county starting, Sweetwater and Laramie counties working gatekeepers Natrona County admits, divert folks away from Title 25 process, county leases property to hospitals, cost savings, DOH doesn’t control Title 25, divert patients to other than state hospital, can’t pay, meeting state law rules, budget absorption -$100M, community program cuts, local provider costs to reduce Title 25 costs, Medicaid Johansen: too soon to project savings, 4 – 8 % savings to state funds seem to be trend Sommers: cuts to personnel Forslund: cut 32 vacant positions, 75% of personnel are around the state in facilities Wilson: contingent appropriations Forslund: no dedicated personnel for Title 25 processing/oversight Larsen: vacant positions, recruiting issues, anticipated need, info-professional positions needed for new facilities, LRC, Basin Retirement Center, etc. , working with DD providers Forslund: WFS data, increase in wage for existing employees Newman: formula for each service for DD, appropriate wage for Wyoming workers, provider discussion on higher need client, partnership group, 11 providers provide service to 64% of 2300 patients, displacing clients, options will hold providers over, distribution, CMS by EOM Forslund: Gatekeeper implementation, LE, Hospitals, community mental health organizations, system itself, homeless clients, compact coordinators – use and costs Nicholas: exempt DOH with caveat DOH absorbs Title 25 costs 1/17/2017 1:33:57 PM Forslund: DD provider cuts Driskill: Shorten billing time? Divest Basin Pioneer Home savings, Laramie County contract w/CRMC Forslund: yes, 6 months, Net $284K annual Thermopolis, Basin $4.7M, no 1/17/2017 1:44:54 PM 045 Department of Transportation, Director Panos, impacts if reduced GF $’s, 3 areas, Aeronautics - stopped or delayed construction projects info requested, WYOLINK and some surface enhancements Burns: airport construction, federal dollars, match or not Panos: both, match ratios are 94/6, total $’s received – $45M federal funds Burns: Air administration Panos: inconsistent air travel Nicholas: $35M GF dollars plus federal dollars Larsen: $.10 fuel tax annually? Panos: $43M/year, $86M biennium Driskill: fuel tax, where else for money, federal funds go to airport, increase any federal matches Panos: registration and driver’s license fees, can tap into more federal dollars with match, background on all delays/construction projects needed for committee, strategies/ideas to be considered and available, air enhancement service Sheridan and Rock Springs, other state funds can be used flexibility in operational needs, user fees limited to highways and enforcement, annual $74M Nicholas: maximize dollars you have Panos: Planning and Programming solid information available Sommers: air transportation question Panos: revenue stream and uninterrupted service in AES Driskill: history of user fees 1/17/2017 2:23:10 PM Adjourned