In
November 2012 there will be many changes in our state government.
We will be electing a new Governor as well as people in many other positions, both in Congress and here in our state. They want to hear from you as they form their campaign platforms. You need to hear from them so that you can be informed when you vote!
The Arc
of Washington State has added information on our web site to help you
as you decide who best represents your voice. We are distributing a questionnaire to the candidates asking for their perspective and plan of action, if elected, on issues that are important to people with intellectual and developmental disabilities. We will post their responses with their name and contact information on our site as we receive their replies. Be sure to check back often!
To view
information on statewide offices including Governor, Lt. Governor,
Secretary of State, State Treasurer, State Auditor, Attorney General, Commissioner of Public Lands, Superintendent of Public Instruction, Insurance Commissioner as well as open Congressional seats go to:
For
information on candidates for the Washington State Legislature (by district)
go to:
If you
have questions, please feel free to contact me.
Remember,
Change is made by those who show up!
Diana Stadden
Policy
and Advocacy Coordinator
The Arc
of Washington State
Toll-free:
(888) 754-8798
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The Parent/Family Coalition is a membership-driven organization made up of families and Self Advocates. The Coalition’s efforts are directed toward providing families with community based resources and supports, advocating for adequate funding for programs and services, forming a strong advocacy base and connecting with policy makers through legislative advocacy.
Monday, June 18, 2012
Who will represent YOUR voice
Thursday, September 1, 2011
Governor's Committee on Disability & Employment
Please help spread the word.
Friday, April 15, 2011
Updated Side by Side Budget Comparison
Tuesday, April 12, 2011
Governor/House side by side budget
Wednesday, January 26, 2011
Bills of Interest/ Supplemental Budget Comparison
Wednesday, December 15, 2010
Preliminary budget summary for DD
Click HERE for Governor's Letter
Click Here for Preliminary Budget summary for DD
This morning the Governor’s staff held a meeting to share the Health and Human Services cuts that 3were in the Governor’s 2011-13 biennial budget proposal. Although her 2010 supplemental budget will not be released until Friday, some of its content was shared as well.
Carol Holland led the team of staff and had to choke back tears as she talked about having to take cuts they never thought they would have to take. Here are the highlights from the meeting:
· Elimination of the Basic Health Plan
· Medical Purchasing Authority will be moved from DSHS to the Health care Authority
· Physical therapy, occupational therapy, speech therapy for adults will be maintained (no cut)
· Pharmacy benefits for adults will be maintained (no cut)
· Dental services will continue for adults who have a disability
· Adult vision and hearing hardware is suspended in the supplemental budget but is restored in the biennial budget
· Podiatry reimbursements for physicians are eliminated
· Medicare Part D co-pays are eliminated effective January 1, 2011
· Medicaid Personal Care hours will continue the current cuts (average of 10%)
· Close Frances Haddon Morgan Center in 2011
· Close Yakima Valley by January 2012
· Propose NTIB (Necessary To Implement the Budget) bill to allow RHC placement only for adults 21 and older
· Propose bill to take the RHC names out of statute
· Individual and Family services (IFS) is suspended in the supplemental budget but is restored, but with a $1 million reduction in the biennial budget (the program was a total of $12.3 million, it is not clear how this cut will be taken)
· Children’s Intensive In-home Behavior Supports program (CIIBS) reduction is continued in the supplemental, but is fully restored in the biennial budget
· 12% reduction to employment/day services rates to counties
· Employment/day services are provided to 2011-13 graduates on a waiver
· State-only employment/day services are eliminated
· 58 new community residential spots for children from foster care, juvenile rehab, etc.
· Community residential rates will continue to be reduced (getting additional clarification)
· The utility tax will not be pursued
· Reduce agency provider health benefits
· Delay mandatory training for long-term care workers
Thursday, October 14, 2010
Message from the Governor
You likely remember the headlines from a few weeks ago that announced the recession was over. Mathematically that may be accurate, but we know we still have a long way to go to rebuild our economy.
In the wake of reduced spending and hiring, there is still more to be done to balance our state budget. I want to take a moment to explain the need for across-the-board cuts, and what will happen next.
As the economy continues to sag and spending remains at a low level, state revenue continues to decline. At the same time, caseloads are increasing for public education and health care services. It is a cycle that is devastating to the people who rely on state services and difficult for state workers to endure. The supplemental budget passed this year left a $453 million ending fund balance, or surplus, in the state budget. However, the two revenue forecasts since May have been well below expectations. The state lost $203 million in the June forecast and $770 million in September. These reductions turned our $453 million surplus into a $520 million shortfall.
When a shortfall is projected, the law requires that I take action to balance the budget — either through spending reductions referred to as “across-the-board cuts,” or by calling a special session of the Legislature. Legislative leaders could not reach consensus on a special session. Thus, I had to direct agencies to reduce spending by 6.3% starting October 1. Agencies have submitted their reduction plans, which you can view at http://www.ofm.wa.gov/reductions/default.asp.
By law, across-the-board reductions leave no discretion to a governor. They apply to all branches of state government and to all agencies headed by elected officials that receive appropriations from the General Fund.
Though across-the-board cuts do not allow us to pick and choose the reductions we must make, we can use the supplemental budget to address some of the most compelling concerns these cuts raise, but the same level of cuts must be made. That supplemental budget will be presented to the Legislature, and legislators have the opportunity to take swift action when they return to Olympia.
Let me be clear: 1) cuts at this level in a fiscal year are a real challenge, and 2) balancing the budget through across-the-board reductions is difficult. The services we have to reduce are often the very ones we want to protect. These are hard times, and they are hard for me and for the state family I have known for the past 30 years of my career.
For me and my administration, this presents an unprecedented challenge in historic times. We have to do what we could never have imagined.
Simply put, we will emerge from this recession a much different state than when we started. We will still focus on the things we are proud of: protecting our most vulnerable citizens, keeping the public safe, stewarding our natural resources, educating our children, and creating the jobs of the future (lots of them!). But the way state government delivers on our promise will, by necessity, change. We are in that transformation now and I know it has created uncertainty and unfamiliarity.
When the Legislature returns, it will need to pass the supplemental budget and the added challenge of an operating budget that addresses a projected nearly $4.5 billion shortfall for the 2011–13 biennium. We all have a very tough job ahead of us. I welcome ideas from you, and citizens across the state, to transform our budget, prepare for the future and live up to our values.
Even in these hard times, I see hope. This is a time for us to work together and to support one another as we handle these difficult times. As partners, we will make our state an even better place to live and work.
Sincerely, Chris
Friday, September 3, 2010
Gov. Gregoire responds to budget ideas posted on website
For Immediate Release: August 26, 2010
OLYMPIA – Gov. Chris Gregoire today began posting video responses to the most popular budget suggestions offered recently on her budget ideas web site.
“As I said when we unveiled this web site, I want staff at the Office of Financial Management as well as members of the executive budget panel to review each and every idea,” Gregoire said. “I’ve been taking a look at them as well, and want those who have participated to know that we’re taking those ideas seriously.”
Visitors of the website submitted nearly 2,000 ideas, posted nearly 5,600 comments and cast 137,000 votes to weigh in on the suggestions.
Gregoire’s responses can be found on the state’s YouTube channel at http://www.youtube.com/user/washingtongovernment, as well as on the governor’s Facebook page at http://www.facebook.com/govgregoire. Responses will be posted periodically, with the first response posted this morning.
OFM will also begin providing written comments to many of the suggestions receiving the most votes. The feedback will be shared on the governor’s budget webpage at http://governor.wa.gov/priorities/budget/default.asp.
Facing a $3 billion deficit for the 2011-2013 biennium, Gregoire has initiated a process to transform Washington’s budget – which included soliciting ideas from Washingtonians. Along with the interactive website, more than 1,200 citizens attended a series of public hearings around the state to learn more about the budget process and share input and individual strategies.
Although the interactive website is now closed, the public can still share their ideas for transforming the budget through the governor’s website at http://governor.wa.gov/contact/default.asp.
Friday, August 13, 2010
Gov. Gregoire announces next steps for state budget
For Immediate Release: August 12, 2010
OLYMPIA – Gov. Chris Gregoire today announced steps to address a potential shortfall in the current state budget and directed agencies to prepare for the expected budget gap in the 2011-13 biennium.
“Thanks to the incredible hard work of Washington state’s delegation, especially Sen. Murray, we dodged a bullet and have avoided across the board cuts for now,” said Gregoire. “But our state budget remains under stress. To be fiscally responsible, we must transform the way we provide services and take action now to prepare for potential shortfalls.”
Due to legislation passed by Congress this week to send emergency state aid to states, including Washington, the need for any drastic cuts to be taken immediately was narrowly averted. In addition, agency and department savings from across all of state government implemented last year has yielded $89 million in savings to the state budget. Over the last three years, the state has cut $5.1 billion in state spending. This has come in the form of service reductions, facility closures and the laying off of thousands of public employees.
Over the last two months however, revenue collections have been $125 million below expected amounts and the state today has an ending fund balance of $72 million for the 2009-11 biennium. If the upcoming September forecast or a later revenue report comes in less than expected, the state could be faced with a shortfall that eliminates the ending fund balance, which would necessitate further action, likely across the board cuts.
The state is also currently projected to face a $3 billion deficit for the next two year budget.
To prepare for the upcoming two-year budget and be ready for any immediate action that needs to be taken to correct the current budget, Gregoire today announced that she would direct state agencies to:
• Prepare reductions of 4-7 percent for the possibility of across the board cuts starting October 1st if the next forecast or revenue receipts are lower than expected.
• Prepare budget reductions for a supplemental budget for the last six months of the current biennium equal to $500 million statewide to be passed in January.
• Draft 2011-2013 budgets to prepare for the expected $3 billion shortfall which will require a 10 percent reduction in the expected general fund budget.
“By necessity, government must be smaller. We must make a dramatic shift in what can be expected of state government,” said Gregoire. “Essential services for those most in need must continue, but it must be done as efficiently as possible. As we put together a budget that reflects our values, we will demand performance out of every program. The recovery will be long and bumpy, but we will survive this crisis and we will emerge stronger.”
For more information on the Governor’s budget process, please visit http://governor.wa.gov/priorities/budget/default.asp.
Tuesday, August 3, 2010
Special session ruled out: Gregoire faces across-the-board cuts
BRAD SHANNON; Staff writer | • Published August 03, 2010
The U.S. Senate again delayed a key vote on giving $25 billion more medical- and school-funding aid to the states Monday. Meanwhile, Democratic leaders in Washington state ruled out holding a special legislative session to fix budget holes related to the lack of federal aid.
Gov. Chris Gregoire had set a noon Monday deadline for Democratic leaders in the state House and Senate to say whether they could bring their caucuses to town for a short special session. Without the federal help that the U.S. Senate might give, she fears a $300 million deficit that requires immediate cutting of spending.
Even so, her spokeswoman Karina Shagren said Gregoire hasn’t announced a decision on how to bridge the looming budget gap.
“We’ll see what Wednesday brings,” Shagren said. “The governor is working with other governors to see that a vote gets taken Wednesday and it gets pushed through.’’
The alternative to a special session is having Gregoire, a Democrat, order cuts of up to 4 percent that fall across the board – nicking prisons, health care, higher education and other programs equally.
The Republican minority in the statehouse says across-the-board cuts are a terrible way to cut the budget, but majority Democrats say it is quicker and politically easier than bringing lawmakers to town in an election season when agreements are harder to reach.
“My personal view is we should continue to do the across-the-board cuts – cuts that could only last from now until we go back into session in January,” House Ways and Means chairwoman Kelli Linville, D-Bellingham, said Monday by telephone. “I think going into special session, there is no guarantee there will be any agreements.”
“We believe that the governor should first take across-the-board cuts and not call a special session. To methodically go through and do selective cuts would require time. And somehow in the middle of the campaign session I’m not sure that’s the best reason,’’ added state Sen. Ed Murray, the Senate Democratic Caucus chairman from Seattle. “I think it would be a completely politicized situation” in a special session.
Indeed, House and Senate Democrats run the risk of aiming for a special session of a few days, then watching their caucuses blow apart in disagreements that drag out for the full 30 days that the state constitution allows for a special session. That’s pretty much what happened in April after majority Democrats failed to complete a revenue package and budget during their 60-day regular session. Hopes for a quick deal disappeared as lawmakers battled for 30 days to find agreement, and aides to Gov. Gregoire say she doesn’t want to see that again.
But Republicans say across-the-board cuts hit worthy programs just as hard as those that can afford reductions – with Sens. Mike Hewitt and Joe Zarelli saying in a letter to Gregoire last week that cuts would hit the developmentally disabled, for instance, at the same rate as they hit tourism programs.
“The lawmakers who have led us into this deficit should have the guts to step up and solve it, not pass off their responsibility to someone else,” House Republican Leader Richard DeBolt of Chehalis said in a statement he released Thursday after talking with Gregoire and other legislative leaders. “Budget writers should develop a plan for balancing the budget and then hold a one-day special session to put us on a course of responsible and sustainable state spending.”
Republican Rep. Gary Alexander of Thurston County said he’s willing to lay out some specific ideas for cuts – including dropping the eligibility limit for the Basic Health Plan, perhaps reducing the so-called Disability Lifeline help, and considering cuts to such programs as all-day kindergarten and coaching for math. Alexander said he also would consider allowing state payments to family members that care for their ailing relatives instead of paying extra to home-health workers.
“It’s not correct to assume Republicans are going to vote no on anything they come up with. I know Sen. Zarelli and I have said if we can participate in the process, then it’s very likely we’ll be looking for some support” for budget-cutting legislation, Alexander said. “I know the Democrats aren’t going to like some of the suggestions we put on the table.’’
The budget dispute would be averted if Congress acts. The U.S. Senate is considering an extension of federal medical assistance funding for the states that totals about $16.1 billion, or two-thirds what an earlier bill would have provided, and another $10 billion in aid for schools to avert teacher layoffs.
The Senate action, which was delayed to Wednesday from Monday, would in effect rescue roughly 30 other states – which, like Washington, counted on the aid in their budgets – from having to make new cuts.
U.S. Sen. Patty Murray, D-Wash., said she has met national Republicans’ objections about the extra spending by offering an amendment that pays for it using unspent money already allocated to the federal government. But Sen. Mitch McConnell, the U.S. Senate minority leader from Kentucky, complained in a floor speech Monday that the spending on teachers would create “a permanent need for future state bailouts.”
McConnell called the aid a “brazen attempt” to push more money to public employee unions and set up massive tax hikes at the end of the year.
Even if the Senate approves H.R. 1586, which previously passed the U.S. House, it goes back to the other chamber for final approval.
Under the proposal, Washington state receives about $528 million including about $320 million in medical aid and $208 million in school aid, according to Murray spokesman Matt McAlvanah. He said the school aid could spare up to 3,000 jobs in public schools.
Read more: http://www.theolympian.com/2010/08/03/1323850/no-quick-fix-for-state-budget.html#ixzz0vYpFWOQ7
Tuesday, July 20, 2010
Gov. Gregoire unveils new budget ideas website
OLYMPIA – Gov. Chris Gregoire today announced the launch of an interactive website that allows citizens to share, comment and vote on budget ideas. The most highly rated ideas by viewers will rise to the top of the list and be considered by budget writers.
The website is one tool the governor is using to develop the state’s 2011–13 spending plan in the process she calls “Transforming Washington’s Budget.”
“Closing our state’s budget gap requires innovative thinking as well as making some tough decisions,” Gregoire said. “This interactive website gives people an opportunity to share ideas and engage in a discussion about what ideas might work best for us. I’m eager to hear what people have to tell us.”
Ideas will be posted between 8 a.m. and 5 p.m. Monday through Friday. The site will be moderated so that profane or vulgar postings will not be accepted.
Earlier this summer, the governor announced her plan for “Transforming Washington’s Budget” through a number of steps, including the formation of a committee of leaders from across the state to serve as an advisory and sounding board. In addition, she is layering a series of eight questions on top of the budget system known as Priorities of Government, or POG, to identify the most essential state services, whether they are being delivered in the most effective and cost-efficient way, and whether the state or another entity should provide the service.
The public is invited to share ideas at transformwabudget.ideascale.com.
For more information about transforming Washington’s budget and public budget hearings, visit http://www.governor.wa.gov/priorities/budget/default.asp.
Diana Stadden
The Arc of Washington State
Policy and Advocacy Coordinator
Cell (Call-Text-Email): 253.576.6351
Fax: 360.357.3279 attn: Diana
Email: Diana@arcwa.org
Monday, July 19, 2010
Budget Hearings
http://governor.wa.gov/priorities/budget/transformbudget.pdf
Executive Budget Hearings July 2010
July 19 – Tacoma, 7-9 PM, (UWT-William W. Phillip Hall, Milgard Assembly Room, 1900 Commerce Street)
July 21 – Everett, 7-9 PM, (Everett Community College, Parks Building, Multi Purpose Room, 2000 Tower Street)
July 27—Vancouver, 7-9 PM, (WSU-Vancouver, Administration Building Room 110, 14204 NE Salmon Creek Avenue, Vancouver)
July 29—Spokane, Time TBA, (Spokane City Hall, City Council Chambers, 808 W. Spokane Falls Boulevard)
Thursday, May 6, 2010
Gov. Gregoire signs supplemental budget
Gov. Gregoire signs supplemental budget
For Immediate Release: May 4, 2010
OLYMPIA – Gov Chris Gregoire today signed a supplemental budget that funds critical state programs while implementing new reform measures to streamline and reduce state government.
“This budget is a fair mix of cuts and revenue that ensures our most vulnerable receive the services they need, our young learners get the education required to be successful and productive, and our communities remain safe and protected,” Gregoire said. “Despite our difficult economic times – we managed to protect many core services that Washingtonians value, and at the same time reduce and streamline state government. That’s something to be proud of.”
Despite a $2.8 billion dollar deficit, Gregoire applauded state lawmakers for developing a budget that maintains several critical state programs, including the state’s Basic Health and State Need Grant programs. The budget also addresses several of the governor’s priorities, including job creation and reform.
“This budget includes significant strategies to put people back to work,” Gregoire said. “We have the potential to create more than 70,000 jobs over the next five years with this budget through tax incentives, green building enhancements and rural construction projects. Additionally – this budget goes a long way to reforming the way state government works – and I applaud the Legislature for that. They had the courage to reduce state spending by eliminating nearly 70 boards and commissions, close institutions and consolidate programs and agencies to increase efficiency.”
Gregoire vetoed some sections of the budget – including the provisions that would have put the Insurance Commissioner in the red and stripped the Life Sciences Discovery Fund of funding. Gregoire also vetoed 26 of the 52 reports assigned through legislation to the Executive Branch. Combined with vetoes to the Legislature’s revenue package -- the state’s ending fund balance is now expected to be approximately $453 million.
Overall, the state’s $2.8 billion deficit was filled by a combination of $747 million in cuts, $618 million in federal funding and $757 million in new revenue. This is on top of actions the state took to solve the $9 billion shortfall the state faced last year, which included $4.4 billion in cuts.
http://www.governor.wa.gov/news/news-view.asp?pressRelease=1488&newsType=1
Sections vetoed by the Governor:
Section 129, page 35, lines 19-20, Office of Financial Management, Change to Fiscal Year 2011 General Fund-State Appropriation
The reduction to the Fiscal Year 2011 appropriation is vetoed in order to retain sufficient funds to conduct two critical budget-related studies: an independent assessment of placements in residential habilitation centers in Section 129(6) and an analysis and strategic business plan for the Consolidated State Data Center and Office in Section 129(7). Insufficient funds were provided to prepare a valuable study, and no new funds were provided for the Data Center study. The agency will still implement all administrative reductions assumed in the budget as passed, and the additional spending authority will be used to accomplish the new work assigned to the agency. For these reasons, I have vetoed Section 129, lines 19-20.
Section 129(6), page 38, Office of Financial Management
The $200,000 appropriation for this study is divided between two fiscal years so the Office of Financial Management will not be able to use half of the money, making it impossible to satisfactorily complete the review as envisioned. Therefore, I am vetoing section 129(6). In order to assess the status of people who currently live in residential habilitation centers, I am directing the Department of Social and Health Services to conduct assessments in a similar manner as is done for people in community residential programs. The assessments shall include interviews with all residential habilitation center residents or guardians of residents to determine the optimum setting for these individuals and shall include the option and choice to remain in a residential habilitation center. The Office of Financial Management shall contract with an independent consultant to review the assessments and determine whether there are funded options available in the community for residential habilitation center residents who indicate an interest in moving to a community placement and whether appropriate services and resources in the community exist or can be developed to provide adequate care for people with developmental disabilities. The consultant shall provide a report to me and the Legislature by December 1, 2010. For these reasons, I have vetoed Section 129(6).
Section 205(1)(m), page 88, Department of Social and Health Services, County Employment Funding
This proviso prohibits the Department of Social and Health Services from reducing expenditures for contracts with counties for employment assistance for people with developmental disabilities. This restriction limits the Department’s ability to manage necessary budget reductions. Therefore, I have vetoed Section 205(1)(m).
Section 205(1)(n), page 88, Department of Social and Health Services Developmental Disabilities Program, Agency Provider Savings and Hourly Rates
The Department of Social and Health Services is directed to report on the fiscal impact of Chapter 571, Laws of 2009 (Substitute House Bill 2361) and the relative hourly costs of agency providers and individual providers. However, no funding is provided for this purpose. Therefore, I have vetoed Section 205(1)(n).
Section 205(1)(o), pages 88-89, Department of Social and Health Services Developmental Disabilities Program, Workgroup on Administrative Burdens for the Homecare Industry
The Department of Social and Health Services is directed to convene a new work group to address administrative burdens on the homecare industry and to report on its findings. However, no funding is provided. Therefore, I have vetoed Section 205(1)(o).
Section 205(1)(p), page 89, Department of Social and Health Services, Report on Placements for Residential Clients
This proviso requires a quarterly report on all placements for residential clients in the community protection and expanded community programs in the Division of Developmental Disabilities. Because of the cost involved, I have vetoed Section 205(1)(p) and am directing the Department of Social and Health Services to continue providing the quarterly reports, which cover only new residential clients added to the programs in the current biennium.
Section 205(1)(r), page 89, Department of Social and Health Services, Self-Advocate Support
This proviso directs the Department of Social and Health Services to spend an additional $100,000 to provide instruction in self-advocacy to families of individuals with developmental disabilities. In these difficult economic times, it is not prudent to expand services. For this reason, I have vetoed Section 205(1)(r).
Section 205(1)(s), pages 89-90, Department of Social and Health Services, Community Support
The Department of Social and Health Services is directed to spend an additional $100,000 for parent-to-parent networks and community support groups for people with developmental disabilities. In a time when we are reducing other valuable core services of state government, we cannot afford to expand these services. For this reason, I have vetoed Section 205(1)(s).
Section 206(20), page 97, Department of Social and Health Services Aging and Adult Services Program, Agency Provider Savings and Hourly Rates
The Department of Social and Health Services is directed to report on the fiscal impact of Chapter 571, Laws of 2009 (Substitute House Bill 2361) and the relative hourly costs of agency providers and individual providers. However, no funding is provided. Therefore, I have vetoed Section 206(20).
Section 212(7), pages 121-122, Department of Social and Health Services, Autism Health Coverage Study
The Department of Social and Health Services is directed to report, in collaboration with the Health Care Authority, on the fiscal impact of state-purchased health care to cover autism spectrum disorder diagnosis and treatment for individuals younger than 21 years. This is not the time to engage in new studies to assess the expansion of state-paid services, no matter how worthy. Therefore, I have vetoed Section 212(7).
http://www.governor.wa.gov/billaction/2010/veto/6444.pdf
Sunday, March 28, 2010
Respectful Language Bill HB 2490
NEW SECTION. Sec. 1. The purpose of this act is to move toward
11 fulfillment of the goals stated in RCW 44.04.280, to remove demeaning
12 language from the Revised Code of Washington and to use respectful
13 language when referring to individuals with disabilities.
View complete Bill HERE
Sunday, February 28, 2010
Side by side budget comparison
Friday, January 22, 2010
News release from Gov. Gregoire's office
CHRISTINE O. GREGOIRE
Governor
STATE OF WASHINGTON
OFFICE OF THE GOVERNOR
P.O. Box 40002 • Olympia, Washington 98504-0002 • (360) 902-4111
Gov. Gregoire proposes legislation to reform state health care programs Plan would transfer Medicaid program to Health Care Authority to decrease costs, improve service
OLYMPIA – Gov. Chris Gregoire today is asking state lawmakers to approve her legislation through which state leaders will take a critical look at how the state purchases health care services, from physician care to prescription drugs.
“The need for national health care reform is urgent. Now is the time for Congress to pass effective and affordable reform. This legislation I’m introducing readies Washington state for that reform,” Gregoire said. “Even during these tough times, I know it’s possible to provide thousands more Washingtonians with the health care coverage they need and deserve. By streamlining our purchasing practices, we have the ability to decrease costs while providing services to more people who need them.”
Gregoire proposes transferring administration of the state’s Medicaid program now managed by the Department of Social and Health Services to the Health Care Authority. In this new partnership, the two would provide new leadership, focus, efficiency and consistency to drive higher quality care at lower costs.
The medical assistance programs at DSHS, the Basic Health Plan and the employee benefit programs represent the largest of the state’s health-care operations. Health-related spending by state government agencies exceeds $9 billion for the 2009–11 biennium, or nearly one-third of the entire state budget.
“We cannot gain control of health care costs with a ‘business as usual’ approach,” said Steve Hill, Health Care Authority administrator. “The Governor’s plan to consolidate health care purchasing will get us all pointed in the same direction as we work to improve service and hold down costs.”
“This is a smart move that will allow maximum leverage of Washington state’s health care buying power,” said DSHS Secretary Susan Dreyfus. “It will position us well to impact the quality and value of the health care we purchase.”
By gaining firmer control of health-care purchasing, Gregoire expects the state will have a stronger ability to preserve Basic Health Plan coverage, the General Assistance-Unemployable program and other state-only coverage threatened by spending reductions made necessary by the national recession.
“For national health-care reform to be successful, we will need to implement significant strategies for cost containment,” said Assistant DSHS Secretary and State Medicaid Director Doug Porter. “Washington state has made a strong start in this area in recent years, and the new alignment proposed by the Governor offers an historic opportunity to bend the medical cost inflation curve.”
For more information, please visit
Wednesday, January 20, 2010
Governor's buy back budget
January 12, 2010
Honorable Members of the Washington State Legislature:
Last session we worked together to produce a balanced budget that addressed the revenue shortfalls created by the national and international economic downturn. By the time I signed the budget into law in May, we had solved a shortfall that had grown to $9 billion.
We ordered state agencies to curtail hiring, travel, personal service contracts and other services where immediate savings were possible. The freeze on salary increases remains in effect. We then crafted a three-part solution that included cuts to services, use of one-time federal American Recovery and Reinvestment Act money, and fund transfers (including the Rainy Day Fund) to fill the gap.
Unfortunately, our revenue continued to decline while the demand for state services rose. A combination of these and other factors have created another $2.6 billion shortfall.
In December, I submitted a state financial plan for the remainder of our two-year budget period that addressed this shortfall. I was legally required to submit a budget that is balanced to current revenues, and that is what I did. But I did so with the greatest reluctance. That budget is not true to the values I believe in and which have guided me through my public service. It is not a budget I can live with nor is it one I believe Washingtonians can live with.
In the face of a $2.6 billion shortfall, this financial plan reduces many vital services, some to the bone. In other cases, programs are suspended that are crucial to many of our citizens and our quality of life.
The decisions that produced this budget were very troubling to me. They do not represent sound public policy for our state, nor do they serve our citizens well. We cannot ride out this recession and come out ready to rebuild our economy on top of this budget.
Therefore, today I am submitting a new budget that I believe better reflects Washington values and principles. This budget more adequately funds our public schools, pays for the basic safety net for our most needy, helps more of our students achieve the higher education they need, and sets the stage for a more prosperous future.
I have enclosed a document (*see below) that outlines the restorations in my budget. I am proposing funding for essential programs such as:
• The state’s Basic Health and Apple Health plans.
• Our general assistance program for the most needy.
• Levy equalization funds for our public schools.
• State financial aid to allow more students to attend higher education.
• Early childhood education and kindergarten.
• Adult medical, dental, vision and hospice programs.
• Developmental disability and long-term care services.
To be clear, my new budget does not avoid many harmful reductions to (and even elimination of) some vital services. It contains more cuts than revenue to address our $2.6 billion problem.
As the legislative session progresses, I pledge to work with you to secure the additional revenues needed to restore the programs that a no-new-revenue budget could not accommodate. I will be submitting proposals to introduce greater tax fairness by closing loopholes that have either outlived their usefulness or are no longer equitable in today’s tough economy. I expect that Washington state will receive additional resources through the Federal Medicaid Assistance Percentage (FMAP), Fiscal Stabilization Funds and possibly waivers for Basic Health Plan provisions. However, we do not yet know what these amounts will be.
Any revenue enhancements that I will propose will not hamstring our families and businesses as they recover from the recession. I look forward to continuing a dialogue with you as we work together on behalf of the people of our state to identify fair and strategic solutions to our budget shortfall.
The task that awaits us is significant. It can be conquered only by putting aside partisan politics and working together to craft a solution that protects some vital services needed by our state’s citizens while helping us emerge stronger from the economic downturn.
I look forward to working with you to accomplish these important priorities.
Sincerely,
Christine O. Gregoire
Governor
GFS Dollars in Millions
K-12 Levy Equalization Increases
165.012
Basic Health Plan
160.575
Higher Education State Need Grant
146.435
Redesigned General Assistance - Unemployable Program
84.472
K-12 All-day Kindergarten, Gifted Program and Reading Corps
42.011
*
Working Connections Child Care Option
39.500
Maternity Support Services
28.050
Optional Medicaid Services
21.091
Developmental Disabilities/Long Term Care − Housekeeping and Offsite Laundry Services
18.339
Long Term Care/Developmental Disabilities − Homecare Agency Provider Services
14.095
Early Childhood Education Program (ECEAP) for 3-Year-Olds
10.500
Senior Citizens Services Act
6.967
Adult Hospice Care
6.161
Outpatient Drug Treatment and Detox Services
5.393
HIV/AIDS Client Services and AIDSNET Grants
4.859
Foster Care Rates
4.144
Outpatient Community Mental Health Services
4.137
Children's Apple Health Insurance
4.112
Mental Health - Inpatient Hospital
2.889
Developmental Disabilities Individual and Family Services
2.000
Middle School Career and Technical Education program
1.943
Volunteer Chore Services
1.877
Crime Victims Compensation Program
1.545
Jail Services Funding for Mentally Ill Offenders
1.145
Children's Public Health Nurses
0.712
Aging Family Caregiver Support and Respite Care
0.628
Regional Law Enforcement Training
0.280
Grand Total
778.9
* Includes $33.567 million in Education Legacy Funds, reflected in fund transfers
Governor Chris Gregoire January 2010
RESTORATIONS TO THE GOVERNOR’S 2010 SUPPLEMENTAL BUDGET: $779 MILLION TOTAL
K-12 Levy Equalization – $165,012,000
Restores the levy equalization program, which provides state financial support to districts with a lower than average property tax base. In addition, for the school districts requiring the highest rate of state match, the program is enhanced to provide additional state support during the three-year period when the maximum levy rate for all districts is increased.
Basic Health Plan – $160,575,000
Restores funding for the Basic Health Program, which will continue to offer health insurance for more than 60,000 Washingtonians.
Higher Education State Need Grant − $146,435,000
Restores the State Need Grant program. Eligibility is once again capped at 70 percent of the state’s median family income, which will serve an additional 12,300 students. Grant awards are also restored to the levels in the enacted 2009–11 budget.
Redesigned General Assistance-Unemployable Program − $84,472,000
Redesigns the General Assistance-Unemployable program. Effective September 1, 2010, individuals will be able to access benefits for up to a maximum of six months per lifetime. Cash grants provided to individuals will be reduced to $250 per month.
K-12 All-day Kindergarten, Gifted Program and Reading Corps − $42,011,000
■ Restores funding for students from the 20 percent of school districts with the highest poverty levels who are served through all-day kindergarten programs.
■ Restores funding for nearly 23,000 students who participate in gifted programs across the state.
■ Restores funding for the Reading Corps program, which provides tutors and other specialists to students struggling to read. The benefits of this state investment are multiplied because the program uses volunteers in the classroom and leverages federal funds.
Working Connections Child Care Option − $39,500,000
Partially restores the Working Connections Child Care program, which provides payments for child care services to Temporary Assistance for Needy Families (TANF) clients and low-income, non-TANF parents who are working or participating in certain employment and training activities. Child care for families with seasonal employment, as well as homeless and teen parent populations, is also partially subsidized.
Maternity Support Services – $28,050,000
Restores the Maternity Support program, which provides services to more than 50,000 pregnant women at high risk of experiencing poor birth outcomes.
Optional Medicaid Services – $21,091,000
Restores services in the state Medicaid program that are considered optional by the federal government: dental, vision and podiatry services, as well as physical, speech and occupational therapies for adults.
Governor Chris Gregoire January 2010
RESTORATIONS TO THE GOVERNOR’S 2010 SUPPLEMENTAL BUDGET (PAGE 2)
Developmental Disabilities/Long-Term Care Housekeeping and Offsite Laundry Services – $18,339,000
Restores housekeeping and off-site laundry services for 42,000 elderly clients and persons with developmentally disabilities. Services average six hours per month to help people remain in their homes rather than in a setting with more assistance, such as a nursing home or Residential Habilitation Center.
Long-Term Care/Developmental Disabilities Homecare Agency Provider Services – $14,095,000
Restores homecare agency parity in wages and benefits with individual providers. Health benefits for agency providers will also be maintained at current levels.
Early Childhood Education and Assistance Program (ECEAP) for 3-Year-Olds – $10,500,000
Restores funding for more than 1,500 low-income, 3-year-old children in ECEAP programs across the state. This continues the historic expansion in ECEAP begun by the Governor in the 2007–09 budget.
Senior Citizens Services Act – $6,967,000
Restores funding for the Senior Citizens Services Act, which helps local Area Agencies on Aging provide meal assistance, transportation, in-home services and counseling.
Adult Hospice Care – $6,161,000
Restores this state Medicaid program, which provides end-of-life services for more than 2,600 adult clients.
Outpatient Drug Treatment and Detoxification Services – $5,393,000
Restores funding for chemical dependency and detoxification services for 12,800 clients.
HIV/AIDS Client Services and AIDSNET Grants – $4,859,000
Partially restores client services, which will receive a 20 percent reduction in funding (from the 44 percent reduction), while AIDSNET grants will receive a 25 percent reduction.
Foster Care Rates – $4,144,000
Restores funding for foster parents, who are paid for the basic care of a foster child, including room, board, clothing and personal incidental expenses.
Outpatient Community Mental Health Services – $4,137,000
Restores funding for outpatient services provided to Regional Support Networks for services and individuals not eligible for the federal Medicaid program. These networks provide outpatient services such as individual and family counseling, case management, day treatment, medication management, employment services, consultation and education, and other behavioral health care.
Children’s Apple Health Insurance – $4,112,000
Restores the Apple Health program for Washington children, which will maintain eligibility levels at 300 percent of the federal poverty level. Because of the state’s exceptional leadership in providing health care to children, Washington recently was awarded a bonus of $7,641,000 from the federal State Children’s Health Insurance Program. This additional federal revenue, combined with $4,112,000 in state funding, will allow 16,000 children to continue receiving health insurance through Apple Health.
Governor Chris Gregoire January 2010
RESTORATIONS TO THE GOVERNOR’S 2010 SUPPLEMENTAL BUDGET (PAGE 3)
Mental Health - Inpatient Hospital – $2,889,000
Restores services for approximately 531 low-income and General Assistance-Unemployable individuals who are eligible for inpatient services through the Mental Health Division of the Department of Social and Health Services. These services include voluntary inpatient care in non-institutional hospitals.
Developmental Disabilities Individual and Family Services – $2,000,000
Partially restores the Individual and Family Support program for families of a person with a developmental disability, which will be restructured to include means testing. However, the funding will allow more families to continue to receive services. The program will still be frozen to new entries, but the annual benefit level will remain at $3,000 rather than be reduced to $2,250. The limit for annual family income will be $42,000 rather than $30,000.
Middle School Career and Technical Education Program – $1,943,000
Restores funding for the middle school career and technical education program, which will ensure students receive hands-on science and math-related learning opportunities that encourage interest in technical fields and help prepare students for more advanced study.
Volunteer Chore Services – $1,877,000
Restores the Volunteer Chore Services program, which coordinates 288,000 hours of volunteer services to allow elderly people to continue living at home.
Crime Victims Compensation − $1,545,000
Partially restores this program, including fee reimbursements in full to doctors and clinics that perform sexual assault forensic exams. Permanent partial disability awards are capped at $7,000; travel reimbursements are partially restored for clients who travel over 10 miles to a provider; and home and vehicle modifications are fully restored, which will benefit approximately 3,700 individuals.
Jail Services for Mentally Ill Offenders − $1,145,000
Restores funding for jail services for mentally ill offenders who are confined in a county or city jail. This also facilitates access to programs that offer mental health services to offenders upon release from confinement.
Children’s Public Health Nurses – $712,000
Restores contracts with local public health departments to provide nurses for early intervention support services to address developmental and health care needs of 875 children.
Aging Family Caregiver Support and Respite Care – $628,000
Restores the Family Caregiver Support program, which provides mainly respite assistance to family members who care for a relative at home. This program has been shown to delay placement in a nursing home.
Regional Law Enforcement Training − $280,000
Restores funding for the Criminal Justice Training Commission, which will maintain training capacity for local law enforcement.
