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Missouri Budget Update March 2011 Missouri Division of Budget and Planning

Missouri Budget Update March 2011 Missouri Division of Budget and Planning. Economic Data. State revenue update. State spending update. What’s ahead for FY 2012. MISSOURI BUDGET UPDATE February 2011. Personal Income growth dropped off sharply in 2009, but slow growth has returned.

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Missouri Budget Update March 2011 Missouri Division of Budget and Planning

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  1. Missouri Budget Update March 2011 Missouri Division of Budget and Planning

  2. Economic Data. • State revenue update. • State spending update. • What’s ahead for FY 2012. MISSOURI BUDGET UPDATEFebruary 2011

  3. Personal Income growth dropped off sharply in 2009, but slow growth has returned. • Salaries and wages declined every quarter of 2009. The decline abated in 2010, and a slow recovery has started

  4. FY 2010 NET GENERAL REVENUE COLLECTIONS ($ in millions) Total $6,774.3

  5. NET GENERAL REVENUE COLLECTIONS($s in millions)

  6. FY 2011 General Revenue Available Spending Includes Federal Stabilization Funds ($ in millions) Total $7,856 Elementary & Secondary Education $2,834 36% All Other $961 12% Human Services $2,289 29% Higher Education $863 11% Corrections & Public Safety $634 8% Judiciary, Elected Officials, & General Assembly $275 4%

  7. FY 2009-2012 OPERATING BUDGET($s in millions)

  8. Phase out of Federal Stabilization Funds -- $680 million reduction. • Increasing revenue (4%), but increasing health care costs. FY 2012 BUDGETWHAT’S AHEAD?

  9. Saved some federal stabilization dollars for FY 2012. • More focused use of tax credits. • Improved collections of existing taxes. - Improving enforcement – legislative and reallocating resources. • Reduced spending. • More people working in good jobs! FY 2012 BUDGETHOW DO WE MAKE IT WORK?

  10. Missouri Department of Health & Senior Services Margaret Donnelly Director

  11. Improving the public health, safety, and well being of all Missourians. • Preparing for and responding to health-related emergencies. • Providing in-home and community-based programs for Missouri’s seniors and adults with disabilities allowing them to remain in their homes and communities. • Preventing and controlling communicable and genetic diseases. • Preventing and reducing the burden of chronic disease. • Protecting Missourians through regulation and inspection of facilities, including hospitals, nursing homes, and child and adult day care programs. • Promoting health equity through education and outreach, and enhancing awareness of inequities in the health care delivery system. • Participating in efforts to create a system that provides all Missourians with access to health care. • Protecting Missouri seniors and adults with disabilities through the investigation of hotline reports alleging abuse, neglect, or financial exploitation. • Protecting Missourians through background screenings of those who care for children, seniors, and persons with disabilities. • Promoting the exchange of health information electronically, including public health data. Department Responsibilities

  12. 71.6% of all DHSS funding comes from federal funds—Medicaid, Maternal Child and Health, Women, Infants and Children (WIC), etc. • Only 26.5% of DHSS funding comes from General Revenue. • Approximately 87% of all DHSS General Revenue funding is used as match for DHSS services, so most General Revenue cuts result in the loss of federal funds. • Federal funding received by DHSS is designated for specific, programmatic purposes, so General Revenue reductions cannot be covered through use of federal funds. • Of DHSS’ General Revenue funding, 77.4% is for the Medicaid Home and Community Based program. DHSS Budget Facts

  13. DHSS operates a toll-free number for reporting allegations of abuse/neglect/exploitation of seniors and persons with disabilities. Each report must be investigated by DHSS staff. The number of hotline reports has increased from 16,815 to 26,069 since FY 2006, a 55 percent increase. • DHSS administers the Family Care Safety Registry to protect children, the elderly, and persons with disabilities by providing background information on potential caregivers. Family Care Safety Registry background screenings increased from 184,890 in FY 2006 to 277,557 in FY 2010, a 50 percent increase. • DHSS provides technical assistance/consultation to local public health agencies and/or healthcare providers on the control and prevention of communicable diseases.  The number of requests received increased from 25,852 to 32,111, a 24 percent increase from CY 2008 to CY 2009. • DHSS is required to be notified and must inspect all lead abatement projects in Missouri.  The number of lead abatement inspections increased from 424 to 694, a 64 percent increase from CY 2008 to CY 2009. • DHSS is required by statute to track reportable cases of disease including Hepatitis B, C and E, sexually transmitted diseases, and tuberculosis.  The number of reportable disease cases received increased from 43,390 to 46,776, an 8 percent increase from CY 2008 to CY 2009. • DHSS inspectors investigate complaints to ensure standards of care and treatment are being met. Health services complaints regarding hospitals, ambulatory surgical centers, labs, etc., increased from 404 in FY 2006 to 798 in FY 2010, a 98 percent increase. Increased Demand for DHSS Services

  14. Summary of ARRA Grants Awarded

  15. Affordable Care Act Grants

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