|
August
20, 2008
Impact
of Budget Cuts
The
Senate and Assembly passed the updated budget and just left town
(The Assembly finished last night and the Senate finished a few
hours ago).
The
legislature decided to agree to the Governor’s proposal to
cut local assistance across the board by 6%. Unfortunately, local
assistance helps fund many community based mental health programs.
This funding has been lifeblood for many individuals with psychiatric
disabilities in the community.
The
actual impact of the cuts to mental health are not yet known. The
cuts are not based on spending for the entire year but on money
that has not yet been spent this year (so called ‘undispursed’
amounts). We hope to soon get clarification on exact budget impact.
We will be advocating with the Executive and OMH to try to minimize
any cuts. Untouched in the budget was the continued funding for
the COLA and for clinic rate restructuring.
New
initiative in the budget were cut by half (they were already cut
by half in the first round of cuts) so there is much less funding
available then originally proposed in January.
There
was some good news in the framework of the budget cuts. Member items
were only cut by 6%. There are several mental health member items
that we were fearful would be dramatically cut including ones for
individual mental health programs and for health care enhancements
and veterans trainings.
The
legislature also did not take anti-depressants out of the carve
out for mental health medications recognizing the importance of
medication accessibility for mental health medications for all individuals
in the public mental health system.
The
legislature also did not agree to the cuts to adult home advocacy.
The people we work with at the Coalition for the Institutionalized
and Aged Disabled (CIAD) who receive much of the advocacy funding
have had a major impact in helping to empower adult home residents
and reform the system.
Strategy:
There
is great frustration that many of us have in regard to cuts to local
assistance which funds many of the programs run by the MHA’s
and other community organizations. A few months ago we absorbed
a two percent cut and that had an immediate effect on services.
Now an additional cut will be occurring shortly which will undoubtedly
impact services.
Frankly,
we (and all of human services) seem to be cut more then other areas
in the budget. We have good folks in government who try to help
but the bottom line is that our folks are not a priority population
for several reasons---A) We do not vote in large numbers with a
solid voting block B) We do not have a great deal of money, C) We
have to do a better job of building coalitions) We have to provide
numbers to better make our case.
Yesterday,
I saw something I had not seen in years. Through the work of ADAPT
and the Independent Living Centers, there was a rally inside the
Capitol. I witnessed over two hundred people in wheel chairs protesting
the cuts. After several hours of protest and increasing frustration,
they made there way right outside the door to the Second Floor side
of the Capitol where the Governor’s Office is located. Eventually,
because of their activism, several of the folks were able to meet
with the Governor. Our colleague Harvey Rosenthal was one of the
folks who participated in the meeting with the Governor.
Whether
you agree or disagree with the tactics, you can’t argue that
they were a very impressive coalition. They were able to meet with
the Governor because they made noise but also because they worked
together as a coalition in coordinating and sticking to their message.
(I
am unable to access the blog in yesterday’s Albany Times Union
about the rally but it is at www.timesunion.com--well worth seeing)
Voting
Whenever
long time advocate and MHANYS Vice-Chair Sylvia Lask speaks at an
event, the first question she asks is if you are registered to vote?
Surprisingly, there are many people who are not registered. We lose
power when we don’t vote. We have to continue to mobilize
voter through our Mental Health Voter Empowerment Project (for information
on this check our web site at www.mhanys.org)
We
are also working to create public forums for legislatures in the
Albany area to talk about mental health issues. Please contact us
if you are interested in our help doing this in other areas of the
state as well.
Coalition
Building
Regarding
coalition building, we have participated in successful coalitions
on every thing from Timothy’s Law, Reinvestment, The SHU Bill,
more funding for housing, geriatric mental health, adult home reform
and many others. Think of how powerful we would be if we all worked
together to pursue a common goal of creating a coalition that would
work together to prevent future cuts to mental health funding.
Given
the tough budget year, there will be an expectation of more cuts.
We have to work together to let policy makers know first hand that
there should be no more expectation of cuts to the mental health
community. As history has proven, when we work together, we have
an incredible amount of power.
Providing
Numbers
Our
colleagues at ACL do a wonderful job of using numbers as a way to
show the impact of cutting funding to housing programs. We should
as a group do the same thing with community services. In lean times,
there is nothing more eye opening to policy makers then showing
how you can save money and still have great outcomes (which the
community does on a daily basis). We need to quantify those numbers
and present them to policy makers in a way that shows direct savings
to taxpayers.
In
the coming weeks, we will be discussing how best to implement these
strategies. Your feedback is greatly appreciated.
Attached
is a brief media statement we put together on the budget cuts, the
Governor’s press release and some budget articles.
Press
Release
Date:
August 20, 2008
Contact,
Glenn Liebman at (518) 434—0439, ext. 220 or 788-1405
Mental
Health Advocates Decry Funding Cuts
The
6% cut to local assistance in the budget will adversely impact the
mental health community.
According
to Glenn Liebman, CEO of the Mental Health Association in New York
State, ‘The six percent cuts will make it increasingly more
difficult for thousands of New Yorkers with mental illness to get
the services they desperately need. People with psychiatric disabilities
do recover and live productive lives in the community. The community
based mental health system has been lifeblood for many individuals.
Cutting these programs will only end up being more costly for New
Yorkers as an increased number of people could well end up in emergency
room and jails and prisons.
In
addition, as more and more people seek mental health services because
of the weak economy, services should be enhanced and not cut. Cuts
to the mental health system during bad economic times create a perfect
storm that impacts thousands of New York’s most vulnerable
individuals.
As
the Governor and the Legislature continue to talk about future cuts
to the state budget, we urge them to put a moratorium on any future
cuts to the mental health budget. The bleeding must stop.”
State of NewYork | Executive Chamber
David A. Paterson | Governor
For
Immediate Release: August 20, 2008
Contact: Errol Cockfield | errol.cockfield@chamber.state.ny.us |
212.681.4640 | 518.474.8418
GOVERNOR PATERSON ANNOUNCES AGREEMENT WITH LEGISLATURE TO
ENACT AN OVER $1 BILLION, TWO-YEAR SAVINGS PLAN AT SPECIAL ECONOMIC
SESSION
Over
$400 million in Current Year Savings Will Guard Against Further
Declines in Revenue;
Combined with over $600 million in 2009-10 Savings, Actions Will
Substantially Reduce Next Year’s Deficit
Governor
David A. Paterson today announced an agreement with the Legislature
to enact an over $1 billion, two-year savings plan that does not
include any tax or fee increases and reduces spending in the current
year so that growth is held to the rate of inflation. These actions
will achieve savings of over $400 million in 2008-09 and over $600
million in 2009-10, guard against further declines in revenue during
the current fiscal year, and reduce next year’s state budget
deficit from $6.4 billion to $5.4 billion.
“Too
often in the past, our State's failure to respond quickly to fiscal
crises has only made our budget problems worse and the solutions
we’ve had to implement more painful,” said Governor
Paterson. “Today, we are taking a different approach. Rather
than simply hoping that our struggling economy improves, all sides
worked together in the spirit of cooperation and took action to
reduce spending. I want to thank my partners in the Legislature
for working productively with me during this special session.”
On
July 30, Governor Paterson called for a special emergency economic
session of the Legislature and asked the Assembly and the Senate
to make additional spending reductions in the 2008-09 fiscal year.
At the same time, he also administratively imposed a hard hiring
freeze and cut current-year state agency spending by $630 million
– on top of the $500 million (3.35 percent) agency spending
reduction that he proposed in his first days as governor and implemented
in the Enacted Budget. In total, since taking office, Governor Paterson
has worked with the legislature to achieve 2008-09 savings of $1.5
billion (over $400 million in legislative actions, $1.1 billion
in administrative reductions to state agencies).
Governor
Paterson continued: “While today’s agreement represents
a positive step forward for fiscal responsibility in state government,
the looming deficit we face next year will demand even more difficult
choices. And given the significant, continued uncertainty within
the economy, there are no guarantees that we can avoid additional
current-year spending reductions if revenues plummet even further.
I will continue to monitor our state’s finances carefully
and will seek additional action if necessary.”
Senate
Majority Leader Dean G. Skelos said: “The extraordinary session
of the State Legislature – called by the Governor to address
the fiscal challenges facing New York – has been a success
because we have worked together to achieve significant savings in
this year’s budget without raising taxes or negatively impacting
vital services that New Yorkers rely on. I applaud the Governor
for his leadership in focusing New Yorkers on this issue, and thank
the Assembly for their partnership.”
Assembly
Speaker Sheldon Silver said: “In this important emergency
legislative session, the Assembly collaborated with Governor Paterson
and the Senate to take strong action to address New York’s
current economic downturn. The Assembly’s priority was to
make necessary cuts and diminish future deficits, while still preserving
the quality of health care in New York. We look forward to partnering
with Governor Paterson and the Senate to provide property tax relief
for New Yorkers while meeting our education commitments and providing
home heating assistance for those in most need this coming winter.”
After
today’s agreement, 2008-09 All Funds spending will now total
$120.9 billion, an increase of 4.2 percent, which is equal to the
projected inflation rate for that fiscal year. On July 30, when
the Division of the Budget issued its last state financial plan
update, 2008-09 All Funds spending was expected to total $121.3
billion.
Major
highlights of the savings plan include the following:
Reducing
Local Assistance Spending (Savings: $97 million
in 2008-09, $160 million in 2009-10):
A
six percent reduction will be taken against all unspent local
assistance funding except for school aid, welfare, Medicaid,
child welfare, youth detention, the Aid and Incentives to Municipalities
(AIM) program, aid to community colleges, aid to local governments
for mandated programs, appropriations of under $500,000, and
special education.
Reducing
New and Enhanced 2008-09 Executive Programs by 50 Percent, and
New and Enhanced Legislative Programs by Six Percent
(Savings: $34 million in 2008-09, $21 million in 2009-10):
This
reduction will apply to new and enhanced programs or initiatives
in the 2008-09 Enacted Budget proposed by either the Executive
Branch (50 percent) or the Legislature (six percent). The six
percent reduction in legislative initiatives is equal to those
included as a part of the local assistance savings actions.
Executive programs exempted from the 50 percent reduction include
Medicaid coverage for foster children, housing and family support
services, AIM, veterans tuition assistance, and 21st Century
Community Learning Centers (CLCs).
General
Fund Transfers (Savings: $50 million in 2008-09,
$20 million in 2009-10):
The
agreement contains additional General Fund transfers of over
$50 million, including $40 million from the Statewide Wireless
Network project related to slower than anticipated spending
on that initiative. This action does not reflect any decision
regarding the future of the Statewide Wireless Network project,
which will be made at a later date.
Reducing
Executive and Legislative Member Item Funding by $50 million
(Savings: $50 million in 2008-09):
Today’s
agreement reduces member item funding by $50 million.
Reducing
Support to the City University of New York (CUNY) to Achieve Parity
with SUNY Reduction (Savings: $51 million in 2008-09, $51
million in 2009-10):
Under
Governor Paterson’s July 30 administrative savings proposal,
the State University of New York (SUNY) must implement a seven
percent General Fund spending reduction. Because CUNY is funded
through local assistance rather than state operations, it was
not impacted by the Governor's proposal. Today’s agreement
will reduce state support to CUNY by $26 million. Additionally,
CUNY will transfer $25 million in reserves to the state. Together,
the impact of these actions totals $51 million, which is equal
to seven percent of state support for CUNY, therefore achieving
parity with SUNY. Neither institution will face a reduction
from its tuition or other non-General Fund revenues.
Medicaid/Health
Savings (Savings: $127 million in 2008-09, $374
million in 2009-10):
Today’s
agreement implements over $500 million in Medicaid and health
care savings over a two year period. The specific actions enacted
today, along with their savings value in 2008-09, are listed
below. They include:
-
Revising
Medicaid trend factor methodologies for calendar years 2008
and 2009 ($18.0 million);
-
Taking
advantage of discounts on diabetic supplies ($1.9 million);
-
Reducing
the Medicaid Managed Care and Family Health Plus state premiums
paid to insurers by 1.45 percent. Additionally, managed long-term
care premiums paid to insurers will be reduced by 1.0 percent
($41 million);
-
Eliminating
the cost-of-living-adjustment for early intervention providers
who deliver non-Medicaid services ($16.7 million);
-
Eliminating supplemental grants to public nursing homes that
are no longer necessary because of increased federal and state
reimbursements from alternative funding sources ($25.0 million);
-
Increasing the state’s Medicaid fraud recovery and cost-avoidance
projection by three percent from $675 million to $695 million
in 2008-09 ($20.0 million);
-
Achieving savings associated with a three month delay in the
implementation of the Medicaid enrollment center ($4.0 million).
###
Day
Of State Cuts Falls Short - Senate
Resumes Work To Close Gap Today; Assembly Was Set To Work All
Night
Albany Times Union, August 20, 2008
By Rick Karlin
ALBANY
-- When it comes to trimming government spending in New York,
one very long day wasn't quite enough to get the job done. Gov.
David Paterson and members of the state Senate will return today
to finalize efforts to cut 6 percent from this year's state budget.
While Assembly members at press time said they planned to work
through the night to pass budget reductions, the Republican-controlled
Senate was continuing to negotiate details of cuts to hospitals
and nursing homes….
Tuesday's
marathon session resulted in broad agreements on across- the-board
cuts to myriad programs ranging from homeless shelters and greenway
protection to criminal justice, libraries and more.
The
state faces a $6.4 billion budget deficit next year, which the
governor said could grow to $26.2 billion over the next three
years due to a weakening economy and deep problems on Wall Street.
Overall,
lawmakers will end up cutting between $411 million and $412 million,
said Assembly Majority Leader Ron Canestrari, D-Cohoes.
Over
the next two years, the cuts should amount to $1 billion…
Since
spring, Paterson has been warning that a sour economy and a sharp
downturn on Wall Street -- a major generator of income tax revenue
-- is pushing the state into the red. He's already started a hiring
freeze at state agencies and instituted other cuts worth $630
million on his own. Then he put out a ``menu'' of $1 billion in
possible cuts and urged lawmakers to find at least $600 million.
Those reductions, because they were previously agreed upon in
the budget, needed legislative approval.
Paterson
got lawmakers, who are all up for re-election, to go along in
part by using a political good cop-bad cop approach.
On
the one hand, there is Paterson's personal bonhomie, and his willingness
to talk with almost all comers. On Tuesday, Paterson met with
a group of disabled advocates after they put on a raucous demonstration
against the cuts and essentially blocked the entrance to the governor's
chambers loudly chanting ``We want Paterson! We want Paterson!''
``He
was very gracious,'' said Harvey Rosenthal of the state Association
of Psychiatric Rehabilitation Services. But Rosenthal added that
Paterson flatly stated that ``he felt to compelled to across-the-board
cuts.''
The
bad cop part is a bit more subtle, and is based on polls that
show voters clearly agree with Paterson's get-tough approach.
------------
State
Officials Working On $500 Million In Budget Cuts; Tax Cap Dead
By Tom Precious
Buffalo News August 19, 2008
State
officials today were closing in on a deal to erase up to $500
million in state spending this year, providing a cushion for the
government's worsening fiscal condition.
The
tentative deal calls for about $1 billion in reductions in the
rate of the budget's growth this year and next, officials say….
A
document provided by a state official in early evening showed
the sides, so far, agreeing on $411 million in cuts.
Dead
for now, though, is any move to provide relief to rising property
taxes. Paterson and Senate Republicans wanted a cap on the growth
in annual property tax levies. Assembly Democrats want relief
for only lower-income and some middle income residents. The stalemate
produced no agreement.
The
governor, who had asked lawmakers to return for a special session
Tuesday to reduce state spending by $600 million, signaled a new
method to reach the cuts he wants.
"If
they gave me $600 million next year and $400 million this year,
I'd be happy, because it's the same money. It reduces the same
debt. If I got that jump on the 2009-2010 deficit, that translates
in the end to almost 33 percent (of the looming deficit). It puts
us in pretty good shape," he said.
A
copy of a list of the cuts, obtained by The Buffalo News, include
6 percent across-the-board reductions for several programs provided
on the local level, often by not-for-profit agencies. Virtually
every area takes a hit, from less money for anti-trafficking efforts
and money for witness protection programs to less money for transit
agencies, such as the Niagara Frontier Transportation Authority.
The
cuts will hit local groups that provide suicide prevention and
other mental health services, school lunch programs, library aid,
money for public television and radio stations, economic development
funds to help spur the upstate economy, homeless prevention efforts,
programs designed to keep elderly people in their homes instead
of nursing homes, tobacco control initiatives, and programs for
homeless veterans.
Held
harmless were cuts to operating aid of public schools, which Paterson
last week said he was not putting on the cut table, a move heartily
embraced by the election-bound Legislature.
The
deficit now stands at $630 million; he is closing that through
a variety of state agency cuts and a hiring freeze. The additional
$600 million he wanted lawmakers to trim is needed, he said, to
provide a cushion against what he believes will be a worsening
deficit before the fiscal year ends next March 31….
The
Capitol's halls were packed with lobbyists and groups seeking
to save their programs from cuts. A loud group of demonstrators
protesting planned cuts to disability programs temporarily blocked
access to the governor's suite, a move which bolstered State Police
presence around the building. Representatives of the group were
later ushered in to meet with administration officials; it was
not immediately clear if Paterson attended the meeting….
---------
Paterson,
Legislative Leaders agree to $500M cuts
BY JAMES T. MADORE AND MELISSA MANSFIELD
August 20, 2008
ALBANY
- Gov. David A. Paterson and legislative leaders reached agreement
last night on about $500 million in cuts to this year's budget
with less pain to hospitals, local governments and social services
than originally prescribed by the governor.
Details
of the deficit-reduction plan, which doesn't include a tax hike,
were trickling out last night. But lawmakers said new programs,
legislative grants and money for colleges had been cut, hit by
a 6 percent across-the-board trim that spared few areas except
direct aid to schools.
The
reductions, estimated to shave $1 billion off next year's budget,
included controversial limits on the growth of Medicaid payments
to hospitals, nursing homes and home health care.
"It's
done ... [and] health care came out much better than what the
governor had proposed," said state Sen. Thomas Libous (R-Binghamton),
referring to Paterson's proposed $506 million in Medicaid trims.
Assemb.
Ron Canestrari (D-Albany), the majority leader, agreed, saying
efforts to spread belt-tightening among groups reliant on state
assistance had worked. "They will feel it, but hopefully
they can adjust."
The
Assembly adopted the bills 2:30 a.m., while the Senate will vote
on them later today.
Lawmakers'
willingness to cut the $122-billion budget they adopted April
9 was seen as a victory for Paterson, who became governor on March
17 after Eliot Spitzer resigned. The last time that the legislature
reopened a budget was 1990, and taxes and college tuition were
raised then.
Paterson
ordered yesterday's special session after seeing revenue plummet
because of the recession. He projected a $6.4-billion deficit
for 2009-10.
"I'm
asking [lawmakers] to do something that's unprecedented: go into
an existing budget and cut it without using taxes, and cut it
to some proportion higher than it has been," he said.
Senate
Majority Leader Dean Skelos added, "What we are potentially
doing today will translate into a billion [dollars] or more off
next year's deficit. That's a significant start. I believe this
is historic."
However,
the Rockville Centre Republican and Democrat Paterson rejected
a property tax relief bill adopted earlier by the Assembly, 118-24.
The measure would tie tax bills to the homeowner's ability to
pay through a "circuit breaker." Households with incomes
of $250,000 or less would receive an income tax credit paid for
by hiking the tax on millionaires' income.
Skelos
said, "We're not going to do it." And Paterson added,
"We have to have a [tax] cap so that we can create efficiencies
... in the school districts."
His
proposed 4 percent cap on yearly increases in school taxes, adopted
by the Senate, was criticized on the Assembly floor.
Assemb.
Patricia Eddington (WF-Medford) said the cap only would slow tax
growth. "Our constituents who are property-taxed out of their
minds, they need immediate relief."
|