JAC Agency Hearings JAC Index 12-13-16 am1 Agenda: am 010 – Department of Agriculture 077 – Enterprise Technology Services 040 – Game and Fish 044 – Insurance Department 038 – Pari-Mutuel Commission 12/13/2016 8:04:13 AM Harshman: Roll Call; Quorum established. Welcomed committee. 12/13/2016 8:06:38 AM Miyamoto: budget reductions, Pg 13. Stubson: program moved. Driskill: Can the new program survive the cuts? Miyamoto: yes, it’ll survive with present accounting. Nicholas: How cuts were implemented? Miyamoto: Used outline for Ag budget for 2005 vs 2015; studied comparison and noted salary increases, grant increases, prioritization of programs, direct impact of businesses, statutory bound programs. Admin absorption of positions. Nicholas: would like to see budget sheet for 2005; cuts impacted this biennium. Miyamoto: 200 series cuts; operational expenses streamlined; PG 13, PG 16, Gov’r budget reduction; PG 18, Brucellosis Task force, reducing meeting frequency; information of status of disease-ongoing; PG 21, wildlife livestock disease fund; eliminated the program-non-sustainable; Stubson: Affect ongoing research? Miyamoto: no contracts cancelled. Connelly: grant program w/o employees and now eliminated? Miyamoto: Assigned add’l duties to an employee to oversee. Connelly: % of time it took to do oversight? Miyamoto: No specific time noted; Pg. 25 Livestock market reporting reduction; 50/50 split with barns for program; Pg. 29, consumer health services; streamlined operations; $24K cut. Driskill: Mandatory inspections vs voluntary? Miyamoto: Inspectors assigned tasks/commercial food places. Water quality standards being tested—redundant with DEQ? No. Nicholas: Maintain cuts? Miyamoto: General fund reductions. Nicholas: Vacancy count? Need to replace any or all? Miyamoto: Julie Cook Cook: admin manager for DOA. Reduction for insurance, housing allowance for Converse County cut. Positions open 4, 2 are a being filled, other 2 being advertised, Health food inspector, supervisor slot. Nicholas: vacancy for 26 months Miyamoto: Position assigned to WY Beef council, not DOA authority. Miyamoto: PG 34, Groundwater monitoring program, can absorb the reduction and continue program, technical services div, for pest mngt program, Sommers: Pest/weed mngt program, still have money in program for research? Miyamoto: yes, money left of research, PG 39, cut permanent going forward. Connelly: vacancy not tracked Cook: position removed as part of 8% reduction. Richards: refer to handout 38, current vacancies. Miyamoto: Pg. 43, seed lab; pg. 45 rabies grant; pg. 49, grain warehouse, pg. 54, ag producer research program eliminated, Natural resource svcs coordinator, no contract renewal, Stubson: explain program. Miyamoto: person to help with grazing plans, monitoring plans, technical assistance, can’t afford to carry on with, used in Big Horn Basin. 12/13/2016 8:42:54 AM Miyamoto: PG 55 cuts discussed. Sommers; conservation $ used for? Miyamoto: operations, conservation admin expenses, water quality projects,. Sommers: Natural resource division Miyamoto: important division but small office. No cuts. Moniz: grants awarded how? Miyamoto: submission of annual and long range plans; competitive grant process, pg 59 emergency insect mngt program. Driskill: % spent on grasshoppers vs mosquitoes? Miyamoto: most go to mosquitoes, match requirement for local agencies. Sommers: Mosquito program - when it came about? Miyamoto: 2003, west Nile virus focus, narrowed down through the state to focus efforts. Landen: grant program, were all used per biennium? Miyamoto: analyzed program, more apps than funding. More effective as efforts targeted through better tracking. New virus introduction can be tracked. Muniz: Does DOA have a program? Miyamoto: partner with county programs, Driskill: Health and safety affected due to outbreak, how handled? Miyamoto: can control mosquito born virus, case by case basis. Greear: admin accounting Cook: pg 60 covers admin costs no salary included. Cook: Salaries not included in program specific. Greear: confusion in dollar amount for program spent not clear Miyamoto: pg 63 cuts, pg 68 cuts, pg 72 cuts Driskill: predator mngt cut already? Miyamoto: cuts a year ago plus the 8% required, largest program w/i DOA, still effective program with money allocated. Driskill: penalized who had reserves? Miyamoto: Looked at all expenses and reserves, tracked balances. No penalties for saving money. No exact % of cuts to specific program. Driskill: State fair questions. Miyamoto; no exact amount to how much the fair makes vs contract dollars spent. Driskill: Cuts come from grants? Miyamoto: 10 year analysis, inspection realm bulk of dollars, no more cuts to remain effective. 3 positions cut. Sommers: Predator issue, if wolf delisted, managed through the air, where is money coming from? Miyamoto: emergency mode to get dollars to restore program. Connelly: interaction with G & F and DOA. Miyamoto: a lot of interaction for wolf management, Trophy game mngt vs predator mngt. Greear: recent look at overlap within agencies, redundancy identified? 12/13/2016 9:15:58 AM Miyamoto: some collaboration done, water specifically, predator mngt statute driven, relationship with USDA, re-analyze overlaps. Driskill; what sort of agreement do we have w/USDA? Miyamoto: yes, agreement in place. Driskill: requesting a list of programs and responsibilities with relationships. Landen: Cuts to weed and pest program in respective counties. Impact? Miyamoto: Several funds available, Landen: Conservation districts grants reduced? Miyamoto: yes, smaller amounts. BREAK 12/13/2016 9:46:50 AM Agency 077, Director Young Young, CIO, intro’d staff. Consolidation of single secure, e-mail system, ETS. Agency overview. General fund budget handout. Harshman: positions transferred or reduced? Young: 18 cuts, internal service funds, team approach Nicholas: 8% cuts or less? Young: 6% cuts already initiated, 8% submitted, gov’r accepted a less than 8% budget cut. Pg 3, total authorized employee # should be 247 with a cut of 30 vs 29 as shown. Pg 5, sec6 like UW’s with priorities vs programs. Greear: agencies reflect monies paid to ETS, direct billing to departments? Wilson: Supporting telehealth services? Young: DOH handles. Landen: Billing process? Young: not general funded positions are reimbursable. Connelly: ETS directed costs to agencies? Young: Advise agencies of items needed and lifespans to consider w/I budgets. Description of enhanced services. Sommers: education technology funding to ETS? Need breakdown of money spent. Young: PG 8, 5 vacated positions, Pg 9, 4 positions vacated. Nicholas: positions open for extended period – what impact? Young: not generally funded positions, school foundation positions. Bickell: special circumstances, held vacancies due to transition of directors. 8 positions under way for hire. Young: pg 13, 14,18- 14 positions reduced, pg 22- 4 positions permanently removed. In house IT techs vs consolidated with ETS. Nicholas: consolidation cost effective tally? Total $ on software and hardware. Young: Not sure, haven’t tracked. Will compile.. Harshman: Unified network from Casper and Cheyenne problems? BREAK 12/13/2016 10:45:46 AM Game and Fish Commission John Kennedy, Deputy; Scott Smith, Millissa Ramer, Dirk Miller, Jean Cole, Meredith Wood Commission $76M annual budget General Fund, $10.8M biennium 8% of entire budget General Fund 5 programs, vet, wildlife disease, aquatic invasive, wolf mgt, sensitive species No capital construction funding $12.1M prior. All cuts came from wolf management program, page 24. Smith: 2012 assumed mgt of wolf program, since returned to federal government. Now monitoring stock losses. Harshman: page 11, aquatic invasive species. Stickers sold for boats to finance Commission funds; set by G&F Commission. Miller: moved majority of inspection sites to state borders. Many neighboring states have aquatic invasive species; largest threats are from southwest portion of the US. 7 water crafts had attached dead mussels during past year. Harshman: Sage grouse Smith: page 18, 2/3 budget in grant payments in 600 series to fund 8 working groups statewide. Larsen: raven population as related to sage grouse? Ravens are protected, however, have destroyed nests in key sage grouse areas. Coordination with various trust groups? Extensive coordination with wildlife trust fund group. Kennedy: Commission Budget Overview, short version Wood: organization chart; funding sources; projected revenues; commission budget. Info on reduced fee licenses slide 54. Budget reserve accounts info, slide 55 capital construction. Dubois, regional office in Cody are high priority items. Trust funds. Wood: corpus about $28M, not invested in equities. No other statutory trust funds. Reserve accounts balances. Positions; why increase in contract employees? Mostly increase in aquatic species program. Bird farm program budget status? Pheasant program in the red. Not all programs pay their way, but are still popular. Fish hatcheries? Nicholas: Move out of general fund, increase fee licenses to cover all general fund programs? Burns: Fish hatchery and trades with other states. 12/13/2016 12:14:16 PM 044 Insurance Department Tom Glause, Commissioner Cheryl Fiechtner 4 divisions: admin, funded by 1130 insurance companies licensed in WY; agent licensing board; Wyoming health insurance pool; WY small employer health reinsurance program. Wyoming Health Insurance Pool, designed to be high risk pool. non disabled and disabled and under 65. Disenrolled many over 65. $6M budget cut to $4.448M Adequate budget to cover claims. Revenue generated $35M to FY16 to general fund. 12/13/2016 12:35:58 PM Lunch Break 12/13/2016 1:31:54 PM JAC Agency Hearings JAC Index 12-13-16 PM Agenda: PM 038 – Pari-mutuel Commission 048 – Department of Health 038 – Charles Moore, 3 positions needed. Pg 9 described admin expenses. $418K asked for. Nicholas: doubling it for biennium? Yes. Stubson: deleting contractor and hiring people would show as a decrease in next budget? Yes. Moore: pari-mutuel betting growing across state. Burns: handout discussion. Moore: off track betting, Harshman: $290Mil wagered across the state. Moore: Discussion of payouts. Breakdown of how the $290M is wagered. Connelly: Bank account balance, money to general fund? Moore: Industry money; potential for fraud. Nicholas: compared to other states? Recycled dollars? Moore: no info on recycling. Nicholas: provide info on other jurisdictions. Moore: consequences. Need people for more oversight of wagering sites. Statutes do not dictate $ return to public. Expertise in determining payout? Consulting contractors for “math” in payouts. 12/13/2016 2:10:30 PM 048 DOH Director Forslund: Intro’d staff. Agency Overview. Org chart. Budget reductions. Reduce impacts, minimize impacts on vulnerable programs. Minimizing loss of federal funds. Impacts per reductions, payments are to businesses vs individuals. Harder to track. Issues: Title 25 costs: Muniz: driving Title 25 costs? Forslund: Courts. Involuntary commitments. Three counties doing most referrals-Natrona, Sweetwater and Fremont. Connelly: Contingent appropriation. Reducing mental health and substance abuse programs. Forslund: Looked at where 89% of budget is and cut there. Nicholas: Psych units, disproportionate referrals. Forslund: Working with counties with gatekeeping initiative. Discussion ensued. Crisis beds. Law enforcement training to deal with individuals-happening? Title 7. Health care facilities task force. Richards: Funding explanation. Connelly: Bonding an option? Forslund: Vacancies w/ long term openings. Float to fund agencies as needed. Nicholas: how much float is there? 65 positions open. Forslund: Vacancies not refilled to generate money to pay bills. 12/13/2016 3:26:21 PM Forslund: creative funding and management. State hospital staffing—using contractor to provide needed services. Increase for nursing salaries for63 positions.. Ross: issue with hiring and retaining specialists. Salary or location? Forslund: salary, location, travel to do evaluations. Statute changes. Markup of budget. 12/13/2016 3:40:51 PM Forslund: Director’s Office. Rate holiday $3.2M agency savings Vital Statistics: rate holiday Page 21, health care financing, Medicaid. 3.3% rate reduction. Page 25, Health care administration, 5% reduction. Page 28, Children’s health insurance program (SCHIP). Funded through 2017, authorized until 2019 Page 31, prescription drug assistance program (PDAP). Page 34, Medicare crossovers. Reducing payments to Medicaid rate. Page 37, adult services. Few reductions as opposed to cancelling the programs. Page 43, children services. Few reductions as opposed to cancelling the programs Connolly: page 43, FMAP tribal services, overfunded Page 47, Out of home placements, children. 4.3% rate reduction Page 50, Nursing facility services. Run on close margins, cannot sustain large cuts. Area of concern. Landen: capacity? Varies by region and community if one home fails, is there room elsewhere? Paying nursing home and hospital if patient gets ill. No longer possible. Page 54, Optional services – adult. Medicaid billing system used and designated hospitals, prior to billing state hospital. Being paid in Cheyenne. Has resulted in reducing title 25 general fund costs. Page 58, Wyoming Life Resource Center. Page 62, Long term care waiver, reductions Larsen: Recalibration and reduced funding? Maintained. Page 65, Assisted living facility waiver service Nicholas: mechanism to study prior years’ costs compared to current costs? Has not been updated. Page 68, Comprehensive waiver for medical costs. Page 71, Supportive services waiver. No reductions. Managing wait lists. Medicaid match rate is 50/50 for WY. Takes 3 years of rolling average of income to reflect a better Medicaid payment rate. Green: has been as high as 62%, most times at 50%. Page 79, public health division. Rate holiday. Page 85, Rural and frontier health, ended end stage renal program. Landen: DD providers. Large providers provide overnight stays, at risk of closing due to compensation not adequate and new federal guidelines. Larsen: issue of adequate pay and provide benefits, including health insurance of the DD providers. Also spending down reserves and selling assets. Page 90, oral health. Total program cut. Page 94, immunization. Rate holiday Page 98, maternal and child services. Reductions Page 105, Womens, infants and children. Administrative cuts Page 111, public health nursing. 1 FTE, reduced funding to 2 positions via reclassifications. Page 116, cancer screening, administrative cuts Page 122, public health lab. Dental health cut also eliminated dentist. Less testing. Page 126, chronic disease epidemiology, rate holiday Page 131, chronic disease prevention, administrative cuts, conference cut for tobacco cessation Page infection disease, rate holiday Page 140 substance abuse and suicide prevention, reduction of PMO contract. Page 142, behavioral health. Page 145, behavioral health administration. FTE eliminated. Page 147, Recovery Supports, block grant to community mental health groups. 14% cut. Given flexibility in where cuts made. Page 149, Recovery Supports, 1 FTE eliminated. Page 152, drug courts. 14%. $3.4M in special reserve account. Could cover the cuts. Page 159, Wyoming State Hospital. Rate holiday Page 160, professional fees, $4.4 for title 25 resides. Page 165, outpatient mental health. Increase of $480,000 from general fund. Page 169, preschool services. Budget includes funding for 2 separate programs, 3-5years and birth-2 years. Change in external cost adjustment, child count, mandated funding model, External cost adjustment was -1%. Reduction; child count reduction, $320,000 budget reduction; required budget reduction which will not meet federal maintenance of effort. Hastert: CDC count and child count. Handout 051, requesting an additional $5.M per audit of Early Intervention and Education Program, EIEP. Page 183, Wyoming Life Resource Center, 20 vacant positions eliminated Page 189, administration. Various cuts. Page 193, senior care. Admin cuts as well as elimination of ARDC. Page 195, Page 197, foster grandparent program elimination Page 200, reduction to senior centers of $1M Page 203, administrative cuts Page 207, Pioneer Home rate holiday Page 216, $4M general fund reduction to Retirement Center due to rebasing, close to breaking even, so potentially use reserves. Loss of $90M of federal funds due to general fund cuts.