2021 Session

Budget Amendments - HB1800 (Member Request)

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Chief Patron: Reid
Restore CSB LIPOS Funds & Adjust Amounts for Utilization

Item 322 #4h

Item 322 #4h

First Year - FY2021 Second Year - FY2022
Health and Human Resources
Grants to Localities FY2021 $0 FY2022 $8,774,784 GF

Page 402, line 8, strike "$554,715,057" and insert "$563,489,841".

Page 405, line 50 unstrike "$11,025,231" and strike "$2,250,447".

Page 405, after line 52, insert:

"Appropriations in fiscal year 2022 to the Community Services Boards' regional local inpatient purchase of services (LIPOS) programs will be equal to the expenditures incurred in fiscal year 2021 and adjusted to meet the fiscal year 2022 forecasted utilization need, with adjustments occurring annually thereafter.  Any year-end one-time balance that may occur will be awarded to one or more CSBs to develop community based psychiatric services necessary to decrease admissions to the state behavioral health hospital system."


(This amendment transfers $8.8 million general fund from the Central Office of the Department of Behavioral Health and Developmental Services in Item 321 to Grants to Localities which provides funding to Community Services Boards for local inpatient purchase of services (LIPOS). The introduced budget had transferred this funding from Grants to Localities to the DBHDS Central Office. Community Services Boards (CSBs) rely on LIPOS funding to purchase private behavioral health hospital bed days to divert individuals in their communities from state hospital admission. Transferring this funding to the DBHDS Central Office negatively impacts local public/private partnerships, clinical review of appropriateness of care and coordination of services through each locality's Emergency Service and Discharge Planning team. It will also likely increase administrative expenses, admissions and the length of stay resulting in additional costs. This amendment also adds language to adjust funding for LIPOS in fiscal year 2022 to meet anticipated utilization needs ane admissions in the state behavioral health hospital system.)d requires the annual adjustment of this funding to meet future utilization needs. Language provides for the year-end balance to be awarded to CSBs to decreas