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March 22, 2006

Budget Update: Today the mental hygiene committees in the Senate and Assembly reached agreement on how they are to spend the $20 million in additional funding for mental hygiene.

Late this afternoon, the mental hygiene committees’ additions were approved by the Assembly and Senate leadership. Barring any unforeseen circumstances (which is always possible in Albany), this will be this year final additions to the mental hygiene budget. As a brief editorial comments, although I think the Assembly and Senate did a very good job in putting together additions for many significant programs (including recognition of some of our priorities)—it is a shame that we are fighting over a total pool of $20 million dollars for all of mental hygiene including less than $13 million for mental health. In a year where the budget is the best it has been in several years, it continues to frustrate all of us that we are fighting for an incredibly small piece of the pie. After the legislative session ends, both Michael and I will be spending a great deal of time increasing our grassroots efforts around the state. Only through a strong grassroots network and voter empowerment effort, will we be able to dramatically increase our ‘piece of the pie’ in the future.

The highlights in mental health include:

  • $12,825,000 Million (Total)

  • $4,365,000 million for consumer oriented and childrens’ programs. This was the focus of our advocacy along with our colleagues in the Campaign for Mental Health Recovery to bump up the funding for these non-Medicaid programs. We are still waiting to see the specific language surrounding these additions.

  • $1 million for Family Support Programs

  • $2 million to equalize rates for COPS and non-COPS providers

  • $850,000 for a supported housing increase for upstate providers

  • $810,000 for scattered site housing for adult home residents — This is an important recognition of the needs of those adult home residents who would like to move to more independent housing in the community.

  • $650,000 for Alternative Rate Methodology

  • $500,000 for Transitional Housing Task Force — This is for funding that will help responds to the housing needs of 18-25 year olds. Responding to the transitional needs of this population has clearly become a MHANYS priority

  • $500,000 for Nathan Kline Institute

  • $500,000 for Psychiatric Institute

  • $300,000 for eating disorders (not specified)

Other Highlights

  • The Assembly and Senate mental hygiene committees agreed to the two and a half percent COLA. Their language indicated that it would largely be focused on direct care staff and for critical non personnel related expenses. We will provide more detail as we get specific language

  • The Mental Hygiene Committees in the Senate and Assembly have asked that the leadership in their houses address the $130 million in funding for Camp Pharsalia. The $30 million in funding for new beds for sexual offenders will remain in the budget. These are targeted to an empty building on the grounds of St. Lawrence Psychiatric Center, Central New York Psychiatric Center (a forensic facility) and Rochester. We will continue to advocate that there be no co-mingling of psychiatric patients with sexual offenders. We will also continue our advocacy on this issue especially as it pertains to discrete resources for sexual offenders not as part of the mental hygiene budget and funding for preventative services.

  • In the Health Table, we will continue our fight to insure that physician prevails language remain in the Preferred Drug List and that there is a permanent wrap around for dual eligible individuals on Medicare Part D.