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Steve Sisolak
Governor
Richard Whitley
Director
State of Nevada
Department of Health and Human Services
FY 2020-21 Budget Presentation
DHHS Director’s Office
Richard Whitley
February 08, 2019
Helping People. It’s who we are and what we do.
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Helping People. It’s who we are and what we do.
Mission
• The DHHS Director’s Office promotes the health and well-being of Nevadans through the delivery or facilitation of essential services to:• Strengthen families,
• Protect public health, and
• Help individuals achieve their highest level of self-sufficiency.
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Helping People. It’s who we are and what we do.
DHHS Organizational Chart
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Richard WhitleyDirector
State Public DefenderKarin Kreizenbeck
Julia PeekDeputy Director -
Programs
Stacey JohnsonDeputy Director –
Fiscal
Deborah HassettDeputy Director –Admin. Services
Aging and Disability Services
Dena Schmidt
CChihild ald annd d FFamamiliyly SSeerrvviceicess
RRososss A Arrmmssttrrongong
PPublublic ic and and BBeehavhavioralioral HHeealaltthh
JulJulieie K Kototchechevvarar
WeWelflfare are anand d SSupporupporttivivee S Seerrvviceicess
SStteevvee F Fisisheherr
HHealealtth h CCare Fiare Finanancincing ng and and PPololicyicy
CSodyuzanne Phinne Bieyr,m Aancting
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Helping People. It’s who we are and what we do.
Director’s Office Budgeted Funding Sources, 2018-19 and 2020-21 Biennium
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Legislative Approved 2018-2019 Biennium
Federal, $45,148,114 ,
27%
General Fund, $7,633,289 ,
5%Other,
$114,782,842 , 68%
$167,564,245
Governor Recommends 2020-2021 Biennium
Federal, $45,591,749,
27%
General Fund, $8,117,854 ,
5% Other, $117,377,147,
68%
$171,086,750
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Helping People. It’s who we are and what we do.
Summary by Budget Account
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Governor Recommends Budget (G01) Fiscal Year 2020 Fiscal Year 2021
400 Director's Office General Fund Federal Funds Other Total General Fund Federal Funds Other Total
1499 Public Defender 1,937,861 36,176 1,369,069 3,343,106 1,938,319 36,176 1,369,680 3,344,175
3150 Administration 1,460,751 - 420,328 1,881,079 1,474,494 - 428,028 1,902,522
3154 Developmental Disabilities 181,440 555,197 - 736,637 186,453 555,196 - 741,649
3195 Grants Management Unit 37,042 18,080,699 7,481,679 25,599,420 37,523 18,080,699 7,483,579 25,601,801
3199 Grief Support Trust Account - - 22,000 22,000 - 22,000 22,000
3200 Problem Gambling - - - - - - - -
3201 Children's Trust Account - - - - - - - -
3204 Consumer Health Assistance 402,596 - 1,298,578 1,701,174 461,375 - 1,335,872 1,797,247
3244 Indigent Hospital Account - - 34,289,829 34,289,829 - - 34,289,829 34,289,829
3260 UPL Holding - - 13,753,351 13,753,351 - - 13,813,325 13,813,325
3276 IDEA Part C - 4,123,803 - 4,123,803 - 4,123,803 - 4,123,803
Director's Office Total 4,019,690 22,795,875 58,634,834 85,450,399 4,098,164 22,795,874 58,742,313 85,636,351
Biennial Total 8,117,854 45,591,749 117,377,147 171,086,750
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BA 3150 DHHS DO Administration
OverviewThe Department of Health and Human Services (DHHS), authorized under NRS 232.300, is responsible for coordinating all departmental programs, overseeing the department’s budgets and providing technical assistance to the various divisions within the department. In addition to the Administration budget, the Director’s Office administers the following budgets: Grants Management Unit; Children’s Trust Account; Problem Gambling; Indigent Hospital Care; Upper Payment Limit (UPL) Holding Account; Consumer Health Assistance, Developmental Disabilities, Office of the State Public Defender and IDEA Part-C.
Helping People. It’s who we are and what we do. 6
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BA 3150 DHHS DO AdministrationBudget Information/Changes
• Budget is cost allocated to internal programs and through the Statewide Cost Allocation Plan (SWCAP)
• Enhancements• E226 – Eliminates an Accounting Assistant due to an
increase in operational efficiency within the fiscal unit.• SFY20 Total Cost – ($52,675) State General Fund – ($6,192)
• SFY21 Total Cost – ($54,788) State General Fund – ($6,440)
• E805 – Reclassify an Administrative Assistant to a Management Analyst to improve Director’s Office auditing/grants management.• SFY20 Total Cost – $24,171 State General Fund – $2,841
• SFY21 Total Cost – $25,475 State General Fund – $2,995
Helping People. It’s who we are and what we do. 7
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BA 3150 DHHS DO Administration
Budget Information/Changes
• Transfers• E903 – Transfers a Social Services Program Specialist
position from the Grants Management Unit to Administration to improve department-wide auditing and grants management.
Helping People. It’s who we are and what we do. 8
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BA 3195 Grants Management Unit
OverviewThe Grants Management Unit (GMU) administers, monitors and audits the following grant programs: Title XX Social Services Block Grant, Community Services Block Grant, Community-Based Child Abuse Prevention Grant, Children’s Trust Account, Problem Gambling grants, and Fund for a Healthy Nevada (tobacco settlement) grants. The budget also includes the Office of Food Security and the Nevada 2-1-1 System. The GMU is authorized pursuant to NRS 232.330 and the Grants Management Advisory Committee is established pursuant to NRS 232.383.
Helping People. It’s who we are and what we do. 9
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BA 3195 Grants Management UnitBudget Information/Changes
• Budget cost allocated based on time and effort
• Enhancements/Transfers• E807/E903 – Reclassify a Social Services Program Specialist
to a Management Analyst and transfer to Administration to improve department-wide auditing/grants management.• SFY20 Total Cost – $0 State General Fund – $0
• SFY21 Total Cost – $0 State General Fund – $0
Helping People. It’s who we are and what we do. 10
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BA 3195 Grants Management UnitBudget Information/Changes
• E909 – Transfer Problem Gambling to DPBH• This request transfers the Problem Gambling Program
from the DHHS Director’s Office Grants Management Unit to the Behavioral Health Prevention & Treatment budget account at Public & Behavioral Health.
• E900 – Transfer Food Security to DPBH• This request transfers the Food Security Program from
the DHHS Director’s Office Grants Management Unit to the Chronic Disease budget account at Public & Behavioral Health.
Helping People. It’s who we are and what we do. 11
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BA 3195 Grants Management UnitBudget Information/Changes
• E901– Transfer Child Abuse Prevention to DCFS• This request transfers the Child Abuse Prevention
activities from the DHHS Director’s Office Grants Management Unit to the Children, Youth and Family Administration budget account at Child & Family Services. Also, includes the transfer of the Children’s Trust Account, BA 3201.
• E902 – Transfer Differential Response to DCFS• This request transfers the Differential Response
activities to the Children, Youth and Family Administration budget account at Child & Family Services.
Helping People. It’s who we are and what we do. 12
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Helping People. It’s who we are and what we do.
Healthy Nevada Funds (Tobacco)
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Disability RX, $961,800 , 2%
Legislative Approved 2018-19 Biennium
Disability RX, $961,800 , 2%
Treasurer's Administration, $139,316 , 0%
Seniors, $4,767,000 , 10%
Senior Independent
Living, $11,487,000 ,
25%
Assisted Living, $400,000 , 1%
Cessation, $1,900,000 , 4%
Disability Services,
$7,224,000 , 16%
Wellness, $19,518,032 ,
42%
$46,397,148
Governor Recommends 2020-21 BienniumTreasurer's
Administration, $135,880 , 0% Seniors,
$2,100,000 , 4%
Senior Independent
Living, $11,487,000 , 21%
Assisted Living, $400,000 , 1%
Cessation, $1,900,000 , 4%
Disability Services, $10,191,000 , 19%
Wellness, $26,336,167 , 49%
$53,511,847
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Helping People. It’s who we are and what we do.
Healthy Nevada Funds (Tobacco)
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Use Category 2018-19 Biennium 2020-21 Biennium Change
Senior Rx $ 4,240,000 $ 2,000,000 $ (2,240,000)
Disability Rx $ 816,000 $ 916,000 $ 100,000
Senior Independent Living $ 10,940,000 $ 10,940,000 $ -
Assisted Living $ 400,000 $ 400,000 $ -
Cessation $ 1,900,000 $ 1,900,000 $ -
Wellness $ -
Office of Minority Health-Minority Health Coalition $ 266,000 $ 277,528 $ 11,528
Federally Qualified Health Center Incubator Project $ 1,000,000 $ 1,400,000 $ 400,000
Suicide Prevention $ 760,000 $ 778,980 $ 18,980
Hunger $ 3,836,039 $ 4,200,000 $ 363,961
SafeVoice Program $ 773,307 $ 1,218,692 $ 445,385
Immunization $ 300,000 $ 300,000 $ -
2-1-1 Support $ 962,000 $ 1,187,020 $ 225,020
Wellness for Family Services $ - $ 2,000,000 $ 2,000,000
Differential Response $ 2,700,000 $ 2,700,000 $ -
Family Resource Centers $ 2,730,000 $ 3,400,000 $ 670,000
Consumer Health Assistance $ 310,000 $ 467,161 $ 157,161
So NV MOST Program $ 500,000 $ 800,000 $ 300,000
No NV MOST Program $ - $ 300,000 $ 300,000
Public Health Preparedness $ 173,571 $ 369,056 $ 195,485
No NV Mobile Crisis Unit $ 1,436,746 $ 1,436,746 $ -
So NV Mobile Crisis Unit $ 3,168,756 $ 3,168,756 $ -
Rural NV Mobile Crisis Unit $ - $ 1,415,662 $ 1,415,662
Disability Services $ -
Respite $ 1,280,000 $ 1,280,000 $ -
Positive Behavior Support $ 640,000 $ 640,000 $ -
Independent Living Grants $ 1,100,000 $ 1,100,000 $ -
NEW Nevada 2-1-1 $ 260,000 $ 400,000 $ 140,000
Autism $ 3,200,000 $ 5,740,000 $ 2,540,000
Family Preservation $ 400,000 $ 400,000 $ -
Personal Assistance Services $ 320,000 $ - $ (320,000)
COPE Purchase of Services $ 80,000 $ - $ (80,000)
Aging & Disability Services Administration $ 1,163,800 $ 1,323,800 $ 160,000
Director's Office Administration $ 605,176 $ 916,566 $ 311,390
Treasurer's Office Administration $ 135,753 $ 135,880 $ 127
TOTAL $ 46,397,148 $ 53,511,847 $ 7,114,699
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BA 3200 Prevention of Problem Gambling
OverviewThe Revolving Account for the Prevention and Treatment of Problem Gambling was created by the 2005 Legislature (NRS 458A) to provide for programs that expand and improve the treatment and prevention of problem gambling through workforce development, research and evaluation and increasing the number of treatment facilities and providers in Nevada. Pursuant to NRS 463.320, the program is funded through a transfer of an amount equal to $2 for each slot machine subject to the quarterly slot machine license fee. The administrative expenditures for this program are funded through the DHHS Director’s Office Grant Management Unit (GMU).
Helping People. It’s who we are and what we do. 15
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BA 3200 Prevention of Problem GamblingBudget Information/Changes
• Advisory Committee on Problem Gambling reviews grant applications and makes recommendations for awards.
• 3195/E909 Transfer Problem Gambling to DPBH• This request transfers the Problem Gambling Program
from the DHHS Director’s Office Grants Management Unit to the Behavioral Health Prevention & Treatment budget account at Public & Behavioral Health.
• E225 Changes the funding for Problem Gambling• This request replaces the current quarterly slot tax
funding with a tax on gaming percentage fees.• SFY20 Total Cost – $3,359,815 State General Fund – $0
• SFY21 Total Cost – $3,448,524 State General Fund – $0
Helping People. It’s who we are and what we do. 16
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BA 3204 Office of Consumer Health Assistance (OCHA)
OverviewThe Office of Consumer Health (OCHA) assists Nevada consumers to understand and navigate the health care system by understanding patient rights and responsibilities under various health care plans, including industrial insurance, Medicaid and the Silver State Health Insurance Exchange. The OCHA also provides educational outreach regarding access to health care; responds to and investigates complaints regarding health care plans and policies; and assists in billing disputes between patients and hospitals. The mission of the Nevada Office of Minority Health is to improve the quality of health care services for minorities. The OCHA has offices in Las Vegas and Elko.
Helping People. It’s who we are and what we do. 17
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Helping People. It’s who we are and what we do.
Office of Consumer Health Assistance
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General Fund, $410,966 , 14%
Bureau of Hospital Patients,
$367,706 , 12%
Medicaid, $505,077 , 17%
Industrial Relations,
$323,839 , 11%
Legislative Approved 2018-19 Biennium Governor Recommends 2020-21 Biennium
Tobacco, $546,000 , 19%
Health Care Quality &
Compliance, $228,119 , 8%
Silver State Health Insurance Exchange,
$358,651 , 12%
Substance Abuse ,
$201,594 , 7%
$2,941,952
General Fund, $863,971 , 25%
Bureau of Hospital Patients,
$378,822 , 11%
Medicaid, $593,165 , 17%
Tobacco, $744,689 , 21%
Health Care Quality &
Compliance, $185,707 , 5%
Silver State Health Insurance
Exchange, $252,000 , 7%
Substance Abuse , $172,541 , 5%
Industrial Relations,
$307,526 , 9%
$3,498,421
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Helping People. It’s who we are and what we do. 19
BA 3204 Office of Consumer Health Protection
Budget Information/Changes
• E225 Consumer Health Protection Bureau• Request funding for a Consumer Health Protection Bureau,
within the Office of Consumer Health Assistance, to provide mediation services for disputed billing for out of network service charges incurred during emergency visits.• SFY20 Total Cost – $234,243 State General Fund – $234,243
• SFY21 Total Cost – $276,168 State General Fund – $276,168
• The Office of Minority Health was established by the 2005 Legislature pursuant to NRS 232.474.• Office of Minority Health and the Nevada Minority Health
Coalition work together on common initiatives.
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BA 1499 Public Defender
OverviewThe Office of the State Public Defender (Office), authorized under NRS 180.010, represents adult and juvenile indigent, criminal defendants when a court appoints the Office as counsel. The Office currently provides services for two counties: Carson and Storey. The 15 remaining counties provide their own public defender services through a county public defender or private contract attorneys. The Office is also responsible for appeals for state prison inmates whose habeas corpus post-conviction petitions have been denied. The State Public Defender is located in Carson City.
Helping People. It’s who we are and what we do. 20
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BA 1499 Public Defender
Budget Information/Changes
• Budget split 76% Counties and 24% General Funds
• Enhancements• E806 – Reclassifies an AA I to a Legal Secretary 2
commensurate with the duties of the position.• SFY20 Total Cost - $11,287 State General Fund - $2,709
• SFY21 Total Cost - $11,932 State General Fund - $2,864
• E712 – Requests replacement office furniture for the Public Defender’s Office.• SFY20 Total Cost - $14,298 State General Fund - $3,432
• SFY21 Total Cost - $0 State General Fund - $0
Helping People. It’s who we are and what we do. 21
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Helping People. It’s who we are and what we do.
Acronyms
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• ADSD: Aging and Disability Services Division
• ACPG: Advisory Committee on Problem Gambling
• BA: Budget Account
• BDR: Bill Draft Request
• COPE: Community Service Options Program for the Elderly
• DCFS: Division of Child and Family Services
• DHCFP: Division of Health Care Financing and Policy (Medicaid)
• DHHS: Department of Health and Human Services
• DO: Director’s Office
• DPBH: Division of Public and Behavioral Health
• DWSS: Division of Welfare and Supportive Services
• FTE: Full-time Equivalent
• FY: Fiscal Year
• G01: Governor Recommends Budget
• GMU: Grants Management Unit
• IDEA Part C: Individuals with Disabilities Education Act, Early Intervention Services office
• MOST Program: Mobile Outreach Safety Team
• NEW NV 2-1-1: A phone number to connect with human and social services in your area
• NRS: Nevada Revised Statute
• OCHA: Office of Consumer Health Assistance
• Rx: Prescription
• SWCAP: Statewide Cost Allocation Plan
• UPL: Upper Payment Limit
Structure BookmarksSteve SisolakGovernorFigureRichard WhitleyDirectorState of Nevada Department of Health and Human ServicesFY 2020-21 Budget PresentationDHHS Director’s OfficeRichard WhitleyFebruary 08, 2019FigureHelping People. It’s who we are and what we do.Mission•The DHHS Director’s Office promotes the health and well-being of Nevadans through the delivery or facilitation of essential services to:•Strengthen families,•Protect public health, and •Help individuals achieve their highest level of self-sufficiency.DHHS Organizational ChartRichard WhitleyDirectorState Public DefenderKarin KreizenbeckJulia PeekDeputy Director -ProgramsStacey JohnsonDeputy Director –FiscalDeborah HassettDeputy Director –Admin. ServicesAging and Disability ServicesDena SchmidtCChihild ald annd d FFamamiliyly SSeerrvviceicessRRososss A ArrmmssttrrongongPPublublic ic and and BBeehavhavioralioral HHeealaltthhJulJulieie K KototchechevvararWeWelflfare are anand d SSupporupporttivivee S SeerrvviceicessSStteevvee F FisisheherrHHealealtth h CCare Fiare Finanancincing ng and and PPololicyicyCSodyuzanne Phinne Bieyr,m AanctingDirector’s Office Budgeted Funding Sources, 2018-19 and 2020-21 BienniumLegislative Approved 2018-2019 BienniumFederal, $45,148,114 , 27%General Fund, $7,633,289 , 5%Other, $114,782,842 , 68%$167,564,245Governor Recommends 2020-2021 BienniumFederal, $45,591,749, 27%General Fund, $8,117,854 , 5%Other, $117,377,147, 68%$171,086,750Summary by Budget AccountGovernor Governor Governor Governor Recommends Budget (G01)Fiscal Year 2020Fiscal Year 2021
400400Director's OfficeGeneral FundFederal FundsOtherTotalGeneral FundFederal FundsOtherTotal
14991499Public Defender1,937,861 36,176 1,369,069 3,343,106 1,938,319 36,176 1,369,680 3,344,175
31503150Administration1,460,751 -420,328 1,881,079 1,474,494 -428,028 1,902,522
31543154Developmental Disabilities181,440 555,197 -736,637 186,453 555,196 -741,649
31953195Grants Management Unit37,042 18,080,699 7,481,679 25,599,420 37,523 18,080,699 7,483,579 25,601,801
31993199Grief Support Trust Account--22,000 22,000 -22,000 22,000
32003200Problem Gambling--------
32013201Children's Trust Account--------
32043204Consumer Health Assistance402,596 -1,298,578 1,701,174 461,375 -1,335,872 1,797,247
32443244Indigent Hospital Account--34,289,829 34,289,829 --34,289,829 34,289,829
32603260UPL Holding--13,753,351 13,753,351 --13,813,325 13,813,325
32763276IDEA Part C-4,123,803 -4,123,803 -4,123,803 -4,123,803
Director's Office Director's Office Total4,019,690 22,795,875 58,634,834 85,450,399 4,098,164 22,795,874 58,742,313 85,636,351
TRBiennial Total
8,117,854 8,117,854 45,591,749 117,377,147 171,086,750
BA 3150 DHHS DO AdministrationOverviewThe Department of Health and Human Services (DHHS), authorized under NRS 232.300, is responsible for coordinating all departmental programs, overseeing the department’s budgets and providing technical assistance to the various divisions within the department. In addition to the Administration budget, the Director’s Office administers the following budgets: Grants Management Unit; Children’s Trust Account; Problem Gambling; Indigent Hospital Care; Upper Payment Limit (UPL) Holding Account; Consumer HBA 3150 DHHS DO AdministrationBudget Information/Changes•Budget is cost allocated to internal programs and through the Statewide Cost Allocation Plan (SWCAP)•Enhancements•E226 –Eliminates an Accounting Assistant due to an increase in operational efficiency within the fiscal unit.•SFY20 Total Cost –($52,675)State General Fund –($6,192)•SFY21 Total Cost –($54,788)State General Fund –($6,440)•E805 –Reclassify an Administrative Assistant to a Management Analyst to improve Director’s Office auditing/grants management.•SFY20 Total Cost –$24,1BA 3150 DHHS DO AdministrationBudget Information/Changes•Transfers•E903 –Transfers a Social Services Program Specialist position from the Grants Management Unit to Administration to improve department-wide auditing and grants management.BA 3195 Grants Management UnitOverviewThe Grants Management Unit (GMU) administers, monitors and audits the following grant programs: Title XX Social Services Block Grant, Community Services Block Grant, Community-Based Child Abuse Prevention Grant, Children’s Trust Account, Problem Gambling grants, and Fund for a Healthy Nevada (tobacco settlement) grants. The budget also includes the Office of Food Security and the Nevada 2-1-1 System. The GMU is authorized pursuant to NRS 232.330 and the Grants Management Advisory Committee is establBA 3195 Grants Management UnitBudget Information/Changes•Budget cost allocated based on time and effort•Enhancements/Transfers•E807/E903 –Reclassify a Social Services Program Specialist to a Management Analyst and transfer to Administration to improve department-wide auditing/grants management.•SFY20 Total Cost –$0State General Fund –$0•SFY21 Total Cost –$0State General Fund –$0BA 3195 Grants Management UnitBudget Information/Changes•E909 –Transfer Problem Gambling to DPBH•This request transfers the Problem Gambling Program from the DHHS Director’s Office Grants Management Unit to the Behavioral Health Prevention & Treatment budget account at Public & Behavioral Health.•E900 –Transfer Food Security to DPBH•This request transfers the Food Security Program from the DHHS Director’s Office Grants Management Unit to the Chronic Disease budget account at Public & Behavioral Health.BA 3195 Grants Management UnitBudget Information/Changes•E901–Transfer Child Abuse Prevention to DCFS•This request transfers the Child Abuse Prevention activities from the DHHS Director’s Office Grants Management Unit to the Children, Youth and Family Administration budget account at Child & Family Services. Also, includes the transfer of the Children’s Trust Account, BA 3201.•E902 –Transfer Differential Response to DCFS•This request transfers the Differential Response activities to the Children, Youth and Family Administration budget Healthy Nevada Funds (Tobacco)Legislative Approved 2018-19 BienniumLegislative Approved 2018-19 Biennium
Disability RX, $961,800 , 2%
Treasurer's Administration, $139,316 , 0%Seniors, $4,767,000 , 10%Senior Independent Living, $11,487,000 , 25%Assisted Living, $400,000 , 1%Cessation, $1,900,000 , 4%Disability Services, $7,224,000 , 16%Wellness, $19,518,032 , 42%$46,397,148Governor Recommends 2020-21 BienniumTreasurer's Administration, $135,880 , 0%Seniors, $2,100,000 , 4%Senior Independent Living, $11,487,000 , 21%Assisted Living, $400,000 , 1%Cessation, $1,900,000 , 4%Disability Services, $10,191,000 , 19%Wellness, $26,336,167 , 49%$53,511,847Healthy Nevada Funds (Tobacco)Use Use Use Use Category2018-19 Biennium2020-21 BienniumChange
Senior Senior Rx$ 4,240,000 $ 2,000,000 $ (2,240,000)
Disability Disability Rx$ 816,000 $ 916,000 $ 100,000
Senior Senior Independent Living$ 10,940,000 $ 10,940,000 $ -
Assisted Assisted Living$ 400,000 $ 400,000 $ -
CessationCessation$ 1,900,000 $ 1,900,000 $ -
WellnessWellness$ -
Office Office of Minority Health-Minority Health Coalition$ 266,000 $ 277,528 $ 11,528
Federally Federally Qualified Health Center Incubator Project$ 1,000,000 $ 1,400,000 $ 400,000
Suicide Suicide Prevention$ 760,000 $ 778,980 $ 18,980
HungerHunger$ 3,836,039 $ 4,200,000 $ 363,961
SafeVoice SafeVoice Program$ 773,307 $ 1,218,692 $ 445,385
ImmunizationImmunization$ 300,000 $ 300,000 $ -
2-1-1 2-1-1 Support$ 962,000 $ 1,187,020 $ 225,020
Wellness for Wellness for Family Services$ -$ 2,000,000 $ 2,000,000
Differential ResponseDifferential Response$ 2,700,000 $ 2,700,000 $ -
Family Family Resource Centers$ 2,730,000 $ 3,400,000 $ 670,000
Consumer Consumer Health Assistance$ 310,000 $ 467,161 $ 157,161
So NV MOST So NV MOST Program$ 500,000 $ 800,000 $ 300,000
No NV No NV MOST Program$ -$ 300,000 $ 300,000
Public Health Public Health Preparedness$ 173,571 $ 369,056 $ 195,485
No NV No NV Mobile Crisis Unit$ 1,436,746 $ 1,436,746 $ -
So NV Mobile So NV Mobile Crisis Unit$ 3,168,756 $ 3,168,756 $ -
Rural NV Mobile Rural NV Mobile Crisis Unit$ -$ 1,415,662 $ 1,415,662
Disability Disability Services$ -
RespiteRespite$ 1,280,000 $ 1,280,000 $ -
Positive Behavior Positive Behavior Support$ 640,000 $ 640,000 $ -
Independent Living GrantsIndependent Living Grants$ 1,100,000 $ 1,100,000 $ -
NEW Nevada 2-1-1NEW Nevada 2-1-1$ 260,000 $ 400,000 $ 140,000
AutismAutism$ 3,200,000 $ 5,740,000 $ 2,540,000
Family Family Preservation$ 400,000 $ 400,000 $ -
Personal Assistance Personal Assistance Services$ 320,000 $ -$ (320,000)
COPE Purchase COPE Purchase of Services$ 80,000 $ -$ (80,000)
Aging Aging & Disability Services Administration$ 1,163,800 $ 1,323,800 $ 160,000
Director's Director's Office Administration$ 605,176 $ 916,566 $ 311,390
Treasurer's Treasurer's Office Administration$ 135,753 $ 135,880 $ 127
TOTALTOTAL$ 46,397,148 $ 53,511,847 $ 7,114,699
BA 3200 Prevention of Problem GamblingOverviewThe Revolving Account for the Prevention and Treatment of Problem Gambling was created by the 2005 Legislature (NRS 458A) to provide for programs that expand and improve the treatment and prevention of problem gambling through workforce development, research and evaluation and increasing the number of treatment facilities and providers in Nevada. Pursuant to NRS 463.320, the program is funded through a transfer of an amount equal to $2 for each slot machine subject to the quarterly slot machine liceBA 3200 Prevention of Problem GamblingBudget Information/Changes•Advisory Committee on Problem Gambling reviews grant applications and makes recommendations for awards.•3195/E909 Transfer Problem Gambling to DPBH•This request transfers the Problem Gambling Program from the DHHS Director’s Office Grants Management Unit to the Behavioral Health Prevention & Treatment budget account at Public & Behavioral Health.•E225 Changes the funding for Problem Gambling•This request replaces the current quarterly slot tax funding with a tax on gaming percentaBA 3204 Office of Consumer Health Assistance (OCHA)OverviewThe Office of Consumer Health (OCHA) assists Nevada consumers to understand and navigate the health care system by understanding patient rights and responsibilities under various health care plans, including industrial insurance, Medicaid and the Silver State Health Insurance Exchange. The OCHA also provides educational outreach regarding access to health care; responds to and investigates complaints regarding health care plans and policies; and assists in billing disputes between patients and hospiOffice of Consumer Health AssistanceGeneral Fund, $410,966 , 14%Bureau of Hospital Patients, $367,706 , 12%Medicaid, $505,077 , 17%Industrial Relations, $323,839 , 11%Legislative Approved 2018-19 Biennium
Governor Recommends 2020-21 BienniumTobacco, $546,000 , 19%Health Care Quality & Compliance, $228,119 , 8%Silver State Health Insurance Exchange, $358,651 , 12%Substance Abuse , $201,594 , 7%$2,941,952General Fund, $863,971 , 25%Bureau of Hospital Patients, $378,822 , 11%Medicaid, $593,165 , 17%Tobacco, $744,689 , 21%Health Care Quality & Compliance, $185,707 , 5%Silver State Health Insurance Exchange, $252,000 , 7%Substance Abuse , $172,541 , 5%Industrial Relations, $307,526 , 9%$3,498,421BA 3204 Office of Consumer Health ProtectionBudget Information/Changes•E225 Consumer Health Protection Bureau•Request funding for a Consumer Health Protection Bureau, within the Office of Consumer Health Assistance, to provide mediation services for disputed billing for out of network service charges incurred during emergency visits.•SFY20 Total Cost –$234,243State General Fund –$234,243•SFY21 Total Cost –$276,168State General Fund –$276,168•The Office of Minority Health was established by the 2005 Legislature pursuant to NRS 232.474.•Office of MinorBA 1499 Public DefenderOverviewThe Office of the State Public Defender (Office), authorized under NRS 180.010, represents adult and juvenile indigent, criminal defendants when a court appoints the Office as counsel. The Office currently provides services for two counties: Carson and Storey. The 15 remaining counties provide their own public defender services through a county public defender or private contract attorneys. The Office is also responsible for appeals for state prison inmates whose habeas corpus post-conviction petitiBA 1499 Public DefenderBudget Information/Changes•Budget split 76% Counties and 24% General Funds•Enhancements•E806 –Reclassifies an AA I to a Legal Secretary 2 commensurate with the duties of the position.•SFY20 Total Cost -$11,287State General Fund -$2,709•SFY21 Total Cost -$11,932State General Fund -$2,864•E712 –Requests replacement office furniture for the Public Defender’s Office.•SFY20 Total Cost -$14,298State General Fund -$3,432•SFY21 Total Cost -$0State General Fund -$0Acronyms•ADSD:Aging and Disability Services Division•ACPG: Advisory Committee on Problem Gambling•BA:Budget Account•BDR:Bill Draft Request•COPE:Community Service Options Program for the Elderly•DCFS:Division of Child and Family Services•DHCFP:Division of Health Care Financing and Policy (Medicaid)•DHHS:Department of Health and Human Services•DO:Director’s Office•DPBH:Division of Public and Behavioral Health•DWSS:Division of Welfare and Supportive Services•FTE:Full-time Equivalent•FY:Fiscal Year•G01:Governor Recomme
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