Please contact your legislators in both the House and Senate

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Posted on 6th March 2012 by savecdtreatment in AAPWA | Budget

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Dear Friend of the Field:

 

Well, what a difference a day makes.  As I am sure you are aware the Legislative Session became unusually complex this year when on Friday the Senate Republicans were able to pass their own budget creating two different Senate budgets in addition to the House budget and the Governors budget.  The one passed by the Republicans cuts treatment for chemical dependency by $25 million (including deep cuts in residential treatment and county services) while the budget development by Sen. Murray and the Democrats has only a $188,000 cut to limit individuals to no more than 2 assessments a year.    

 

Please contact your legislators in both the House and Senate urging them to support Sen. Murray’s budget  because it preserves critical chemical dependency treatment services and chemical dependency treatment reduces many other state costs.  

The Legislative Hotline is 1-800-562-6000 and the link for emailing both Senate and House legislators is at http://apps.leg.wa.gov/rosters/Members.aspx or you can send a single message to all 3 of your legislators at http://apps.leg.wa.gov/DistrictFinder/Default.aspx

 

If you wish more info on the different budgets for your own clarification,  a comparison is below:

 

COMPARISON OF PRIMARY CUTS TO CHEMICAL DEPENDENCY TREATMENT IN LEGISLATIVE BUDGETS

As of 3/5/12

 

 

 

Cut Item

 

GOVERNOR

Proposal Presented

 

HOUSE BUDGET

(Passed 2/29/12)

SENATE DEMOCRATS

(Passed Ways & Means)

SENATE REPUBLICANS (Passed 3/2/12)

Use CJTA reserve ($2.0 mill.) 

Adopted in 1st supplemental 12/11

NA—already enacted NA—already enacted NA—already enacted
         
Eliminate Disability Lifeline & ADATSA medical for 15,00 DL/GAU clients  

($30.3 mill.)

 

0 – Does not cut

 

0 – Does not cut

 

($19.84 mill)

Note that full Disability Lifeline/ADATSA cut is $85 mill,,)

Eliminate Long-term Residential and Recovery House funding  

($2.7 mill.)

($2.12 mill.)

+$0.24 mill. for IMD pilots

 

0 – Does not cut

 

($2.72mill) same as Gov

Close Pioneer Center East ($2.1 mill.) 0 – Does not close PCE 0 – Does not cut ($2.05 mill) same as Gov
Cut County Grants (adult outpt & detox) ($5.9 mill.)

included block granting

($5.1 mill.)

no block grants

 

0 – Does not cut

($5.1 mill. in DL/ADATSA  above is County?)
Limit CD Assessments to 2/yr ($0.18mill.) ($0.18 mill.) ($0.18 mill.)  
         
TOTAL NEW BUDGET CUTS TO ALCOHOL & SUBSTANCE ABUSE SERVICES ($44.8 mill. total)

 

($29.4 mill. State GF)

($9.7 mill.total)

 

($9.1 State NGF+OpPth)

 

($0.188 mill.)

 

($0.188 mill. State NGF-P)

($24.796 mill.)

 

($10.058 mill. NGF+OpPth)

 

Overall % of reduction total budget/in State funding -14.2% overall/-19.4% State GF -8.1% State NGF+OpPth -2.1% State NGF-P Not calculated
Cuts in FTEs at DBHR - 25.5 FTEs / – 33.4% -7.4 FTEs/ -9.7% -3 FTEs/ -3.9% unknown

 

 

 

 

Scott Munson

President, AAP

Urgent News on New Senate Budget and CD Services

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Posted on 5th March 2012 by savecdtreatment in AAPWA | Budget

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URGENT NEWS ON NEW SENATE BUDGET AND CD SERVICES

On March 2nd the GOP-controlled Senate passed Sen. Zarelli’s version of the operating budget on the floor by a 25-24 margin. The CD services are back to near elimination again  ($24.7 million in cuts) under the Zarelli budget, compared to $188,000 in cuts in the original Senate budget).  Agency Detail report the easiest to review and comprehend. Each line item is numbered for a corresponding footnote at the end that provides a little more detail on the matter.   Here are the links.  You will want to see the Agency Detail, pages 33 and 34 for CD cuts.

http://leap.leg.wa.gov/leap/budget/detail/2012/so2012p.asp

 Zarelli Overview/Summary

 Zarelli Agency Detail

Some programs, like mental health, has some positives over the other budgets, but chemical dependency was decimated (-$24.7M cutting Pioneer Center East, all residential and all DL and ADATSA) and Disability Lifeline Medical eliminated (-$85M) and housing nearly eliminated (75% cut or -$36.5M).  In addition $13M in food assistance is eliminated.  TANF and Child Care apparently also took large cuts.  Three Democrats voted with Senate Republicans to pass this budget:  Kastama (Pierce Co/Puyallup area), Sheldon (Thurston/Mason Counties) and Tom (Bellevue/Redmond).

It is especially important that programs represented by Republican Senators and Sens. Kastama, Sheldon and Tom voice your concern for what this budget does to chemically dependent young people.  It is not clear that they realize what this budget does to chemical dependency treatment, and it appears they played off Gov. Gregoire’s budget.

The Legislative Hotline is 1-800-562-6000 and the link for emailing both Senate and House legislators is at http://apps.leg.wa.gov/rosters/Members.aspx.

Register your concern for the Zarelli budget ASAP!  The regular session ends March 8, but this Senate action is likely to make the process go longer now.

 Linda Grant

 

 

Below is a summary of the Zarelli budget in total – but use the link above to see specifics on the CD budget.

 ###

SPECIAL EDITION: BIPARTISAN SENATE BUDGET
March 1, 2012

The bipartisan Senate budget accomplishes what no other budget proposal would.

It responds the state’s fiscal situation in a sustainable way, free of gimmicks or tricks or tax increases. Not only does it close the $1.1 billion gap, it would be projected to be in balance for 2013-15.

Further, it prioritizes spending in two key areas:

  • Education – Appropriates more for K-12 & Higher Education combined than any other budget proposal.  Less than 1/10th of cuts are to education.
  • Most Vulnerable – Programs for elderly, disabled, and mentally ill are reduced less than any other budget proposal.

And it preserves reforms enacted last session that have already yielded fruit, plus assumes enactment of four more critical measures to help ensure long-term sustainability:

● 4 year balanced budget requirement (Senate Joint Resolution 8222) ● Pension reform (Senate Bill 6378)

● Modifying non-basic education mandates (SB 6618) ● Debt-service constitutional amendment (SJR 8221)

  

Key Sustainability Reforms

 

 Four Year Balanced Budget Constitutional Amendment (SJR 8222) – Requires budgets at time of passage be projected to be balanced for current biennium and following biennium.  Exemption

 

from requirement in years in which const. rainy day fund is tapped.  Historic reform would ensure budgets be sustainable at time of adoption

 

.

 Pension Reform (SB 6378) – Brings stability, predictability, and reduced costs to pension system by requiring new public employees enroll in hybrid pension plan (½ defined benefit & ½ defined contribution) and closing door to existing early-retirement option. Enormous savings over long run.

 Modifying Non-Basic Education Mandates & Requiring Plan to Finance Basic Education (SB 6618) – Eliminates non-basic education funding mandates of I-728 and I-732.  Requires select workgroup of legislators, comprised of each caucus’ budget and K-12 policy leaders, to develop a basic education financing plan in response to the McCleary state Supreme Court decision in time for the next legislative session.   

 Debt Service Constitutional Amendment (SJR 8221) – Reduces amount of allowable debt, freeing up in the long run hundreds of millions of dollars a biennium in the operating budget for higher priority uses. 

  

Revenues Permanently Redirected

 

  • Permanently Redirects Liquor Revenue to General Fund ($71 M)

 Liquor Profit Sharing — $42 M of new liquor profits under I-1183, above and beyond $10 M guaranteed in initiative, is redirected from local governments to the state general fund.

  • Liquor Excise Taxes – Permanently redirects portion of liquor excise taxes going to local governments to the general fund ($29 M). 

 Solid Waste Tax to General Fund ($71 M) — Redirects solid waste tax from public works assistance account to the general fund. 

 

 

 

Policy Reductions

(Dollars in Millions)

 

 

Policy

Compensation

$183

K-12

$44

Higher Ed

$30

Health Care

$85

Elderly/Dev. Disabled/Mentally Ill

$7

Corrections

$24

Other Human Services (Temporary Assistance to Needy Families/Econ. Services)

$311

Natural Resources

$86

Early Learning

$5

All Other

$1

Total Budget Bill

$773

 

 

Compensation

  • Pension Reform ($133 million savings) – Tied to SB 6378, the immediate savings are attributable to skipping the plan 1 unfunded liability payment for 2013fiscal year. 
  • State Employee Health Benefits ($33 million savings)
  • Reduces monthly funding rate from $850 to $800, recognizing lower than expected costs thus far. Does not require reopening collective bargaining agreements.
  • Funds state-actuary recommended LEOFF 2 rate ($17 million savings) – LEOFF 2 board (which oversees Law Enforcement Officers’ and Fire Fighters’ pension plan 2) had recommended higher funding rate. 

 

  • Selected enhancement: Provides $12 million in funding from Public Employees Benefits Board balance for start-up costs associated with consolidating K-12 health purchasing at state level, tied to SB 6442.

 

K-12

  • National Board Bonuses ($18 million savings) – Reduces bonuses for teachers at regular schools to $2,500 per year (from $5,000) and limits awards to five years.  Maintains $5,000 additional bonus for teaching at challenging schools and keeps award length for that bonus at 10 years.
  • Running Start ($8 million savings) – Reduces state funding level for Running Start students from 1.2 full-time equivalent to regular 1.0 FTE.
  • Office of the Superintendent of Public Instruction & Other Non-School District Reductions ($24 million)
  • Selected enhancement: $6 million enhancement for teacher-evaluation bill (Senate Bill 5895).

 

Higher Ed

  • Reduces tuition waiver authority by 10% — Institutions waive several hundred million of otherwise-collectible tuition per biennium.  Budget saves $30 million by reducing general-fund appropriations in recognition of an equivalent amount of tuition being collected from students with waivers.
  • Non-resident tuition – University of Washington and Washington State University raised tuition on non-resident students in excess of anticipated budgeted increases.  Budget saves $8 million by recognizing these unanticipated tuition funds.
  • Selected enhancement:  $7.6 million for engineering degrees at UW/WSU

 

Health Care

  • Fully Funds Basic Health Plan (no cuts)
  • Eliminates Disability Lifeline Medical ($41 million savings) – Washington is in minority of states that have a program.
  • Modify Hospital Payments ($13 million savings) – Eliminates small and non-rural disproportionate share hospital payments.
  • Blue Ribbon Public Health ($5 million savings) – Reduces by half a recent enhancement to public health funding.  Retains in full the core $24 million a year state appropriation for public health.
  • Family Planning ($6 million savings) – Reduces state grants by that amount.
  • Assorted ($20 million savings) – Includes savings from Medicaid false-claims act (Senate Bill 5978), underspending at health care authority, and state grants to assist with charity care at Harborview/UW Medical Center.

 

Elderly/Developmentally Disabled/Mentally Ill

  • Does NOT enhance Nursing Home Bed Tax, unlike other budget proposals

 

  • Smallest reductions of any budget proposal in this category ($7 million net):

 

  • Ward Closures ($2 million savings) – Two ward closures, as residents with dementia who are deemed federally ineligible for psychiatric care are transferred to community settings. 
  • Boarding home rates ($2 million savings) – Reduces rates by 2%.
  • Family caregiver support ($2 million savings) – Additional state investments in family caregiver support are expected to divert people from Medicaid caseload, saving $2 M.
  • Developmentally Disabled accrued savings ($17 million)Recognition of agency underspending to date.  Not a program elimination or reduction affecting services.

 

  • Selected enhancements:
  • Medicaid Personal Care Restructure ($1.5 million) – Transformative proposal that would shift from an hour-funding model to a per-client individualized budget in which the client would be put in control of funds to select care that best meets their needs.  Bipartisan support. 
  • Funds Initiative 1163 Homecare Training ($14 million)

 

Corrections

  • Community Corrections ($15 million savings) – Recognizes savings from Senate Bill 6204, dealing with parole violator penalties.  Portion of total savings invested in additional treatment.
  • Administration – Takes $7.2 M hit.

 

Other Human Services

  • Temporary Assistance to Needy Families (TANF)/Welfare-Related Items:
  • TANF Caseload (Savings: $124 million) – Recognizes savings from TANF caseload reduction, largely driven by policy reforms enacted last session. House and Senate Democrat budgets unwind these reforms.
  • 48-month lifetime TANF limit ($15 million) – Instead of 60-month limit.  Also proposed by Governor Gregoire.
  • Child care reduction ($42 million) – Attrits down working connections child care caseload by 4,000.  Also proposed by Governor Gregoire.  
  • TANF grant reduction ($6 million) – Reduces grant by 2%.  Also proposed by Governor Gregoire. 

 

  • Essential/Housing Needs ($53 million) – Leaves $9 million allowance for program.  This is the program that replaced the General Assistance-Unemployable/Disability Lifeline cash benefit last session for eligible clients.

 

  • Eliminate State-Only Food Assistance Program ($14 million) – Funds go to legal immigrants who are ineligible for federal food assistance due to not being in United States for requisite time.

  

  • Children’s Reductions ($18 million)
  • Reduces contracted services ($6.7 million). 
  • Increases caseload ratios ($6.5 million).
  • Other ($5 million)

 

  • Non-Disability Lifeline Alcohol/Substance Abuse ($5 million savings)

 

Natural Resources

  • Model Toxics Control Act — $67 million in MTCA revenue (existing tax on hazardous substances, including oil) is used in operating budget for MTCA-related purposes, thus replacing general fund state dollars being spent in programs.  Tied to long-term reform.

 

  • Assorted agency reductions/funding shifts:
  • Department of Fish and Wildlife — $9 million
  • Department of Ecology — $4 million
  • Department of Natural Resources — $4 million
  • Preserves state fair funding

 

Early Learning

 

  • $5 million in savings, largely administrative; no caseload impact

 

All Other

 

  • Central Service Billing ($8 million savings) – Assumes efficiencies and lower costs in central service agency billings, such as Department of Enterprise Services, Office of the Attorney General, and Office of Financial Management.
  • State library ($4 million savings) – Funding shift from General Fund to Heritage Center filing-fee revenue.

   

Remaining Components of Solution

Fund Transfers & Budget Driven Revenue  ($60 million)

 

  • Outside of transfer to balance Education Legacy Account, no other transfer exceeds $4 million.
  • $29 million in budget-driven revenue, primarily by redirecting unclaimed lottery-prize money to the general fund and from sale of the liquor distribution center

 

Assume Appropriations Go Unspent ($70 million)

 

  • Budget assumes portion of 2012 fiscal year appropriations to agencies will go unspent.

 

Lower Reserves ($88 million)

 

  • Budget leaves $502 million in reserves.   In characterizing budget problem as $1.1 billion, the assumption anticipates leaving a $600 million reserve.  Consequently, $98 million of the ‘solution’ is leaving a reserve that much less than $600 million.

 

# # #

Senate Budget for Alcohol and Substance Abuse

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Posted on 1st March 2012 by savecdtreatment in AAPWA | Budget

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Dear Friends of the Field:

 

It seems like a longtime since we met in November facing the elimination of all adult CD services in the state, since then much has happened.  Those of you who have been following the process know that the original 70 million dollar proposed cut was follow up with a proposed cut of 30 million by Governor Gregoire. 

 

Last week the house budget passed out of committee that included the elimination of funding for long term residential and recovery house beds ($2.1 million), a $5 million reduction in funding for outpatient and detox services, and a limit of 2 chemical dependency assessments per year ($188,000). 

 

Today the Senate released its version of the Alcohol and Substance Abuse budget with only the reduction a limit of 2 Chemical Dependency assessments per year with a total reduction of ($188,000).

 

From a 70 million cut to $188,000 now that is progress!

 

Below is the list of Senators on the Senate Ways & Means committee.  Please contact them now to thank them for The Proposed Senate 2012 Supplemental Operating Budget and encourage its passage as drafted. 

 

You should also contact your Senator and Representatives and ask them to support the Senate Budget for Alcohol and Substance Abuse.  If you don’t know how to contact your Senator and Representatives you can find them by going to:   http://apps.leg.wa.gov/DistrictFinder/Default.aspx

 

Thank you again for your support.

 

Scott Munson,

President, AAP

 

Senate Ways & Means


Legislative Hotline: 1-800-562-6000
Committee Members

For additional contact and background information click on the legislator’s name below:

 

Senator District Phone Email  
Murray, Ed (D) Chair 43 (360) 786-7628 Edward.murray@leg.wa.gov
Kilmer, Derek (D) Vice Chair, Capital Budget Chair 26 (360) 786-7650 Derek.kilmer@leg.wa.gov
Zarelli, Joseph (R) * 18 (360) 786-7634 Joseph.zarelli@leg.wa.gov
Parlette, Linda Evans (R) Ranking Minority Member Capital 12 (360) 786-7622 Lindaevans.parlette@leg.wa.gov
Baumgartner, Michael (R) 06 (360) 786-7610 Michael.baumgartner@leg.wa.gov
Brown, Lisa (D) 03 (360) 786-7604 Lisa.brown@leg.wa.gov
Conway, Steve (D) 29 (360) 786-7656 Steve.conway@leg.wa.gov
Fraser, Karen (D) 22 (360) 786-7642 Karen.fraser@leg.wa.gov
Harper, Nick (D) 38 (360) 786-7674 Nick.harper@leg.wa.gov
Hatfield, Brian (D) 19 (360) 786-7636 Brian.hatfield@leg.wa.gov
Hewitt, Mike (R) 16 (360) 786-7630 Mike.hewitt@leg.wa.gov
Holmquist Newbry, Janéa (R) 13 (360) 786-7624 Janéa.newbry@leg.wa.gov
Honeyford, Jim (R) 15 (360) 786-7684 Jim.honeyford@leg.wa.gov
Kastama, Jim (D) 25 (360) 786-7648 Jim.kastama@leg.wa.gov
Keiser, Karen (D) 33 (360) 786-7664 Karen.keiser@leg.wa.gov
Kohl-Welles, Jeanne (D) 36 (360) 786-7670 Jeanne.kohl-welles@leg.wa.gov
Padden, Mike (R) 04 (360) 786-7606 Padden.mike@leg.wa.gov
Pflug, Cheryl (R) 05 (360) 786-7608 Cheryl.pflug@leg.wa.gov
Pridemore, Craig (D) 49 (360) 786-7696 Craig.pridemore@leg.wa.gov
Regala, Debbie (D) 27 (360) 786-7652 Debbie.regala@leg.wa.gov
Schoesler, Mark (R) 09 (360) 786-7620 Mark.schoesler@leg.wa.gov
Tom, Rodney (D) 48 (360) 786-7694 Rodney.tom@leg.wa.gov

*Ranking Minority Member

ADATSA and HEN (Housing and Essential Needs)

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Posted on 7th February 2012 by savecdtreatment in AAPWA

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With the loss of the ADATSA stipend which helped provide housing for the majority of ADATSA clients, this very successful program is beginning to fail.  In 2011, Region 4 admitted 941 clients to the ADATSA program.  The majority of those clients enter treatment after burning bridges with family and friends.  Most of the 629 ADATSA clients RCKC treated in 2011 needed the support of clean and sober housing after treatment.  This basic survival need must be covered for them to focus on their continuing outpatient care and sober support meetings.  With the Disability Lifeline legislation in 2011, the ADATSA stipend was lost.  Only those clients on GAU/DL were included in the pool of those eligible for the new shelter assistance program, HEN.

This exclusion of ADATSA in the HEN program may have been an oversight.  There is a growing belief that the majority of the clients we serve have co-occurring disorders, which would have made them eligible for HEN.  The majority of the ADATSA clients we see do not have co-occurring disorders or medical problems, which would make them eligible.  As you know clients sometimes exhibit co-occurring symptoms when entering treatment, but those often diminish as the brain heals.  Most ASAM-certified physicians will verify that a recovering alcoholic or addict needs at least 6 months of abstinence before they should be diagnosed with a mental disorder other than their chemical dependency.  ADATSA clients still need support (a minimum of 90 days in clean and sober housing) after the intensive phase of treatment in order to be successful.

The ADATSA population, who is most likely to recover, are unlikely to return to work and lives of recovery without help.  They will be focused on shelter and survival after leaving inpatient treatment, and not on attending their continuing care or attending self-help support meetings.  We’re now seeing that they are returning to their pre-recovery living situations, with using friends or significant others.  This population which has been so successful since the ADATSA legislation was passed in 1987, are now becoming the new “homeless” in Seattle and in other cities and towns across the state.

Please help educate your legislators and let them know that this situation must be corrected.  ADATSA clients should be included in HEN.

Submitted by Pat Knox, CEO, Recovery Centers of King County

Cuts to drug treatment programs impact everyone

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Posted on 6th January 2012 by savecdtreatment in Budget

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Please read the following article available here:

http://seattletimes.nwsource.com/html/northwestvoices/2016966422_druglet08.html

Counselors, clients put little trust in proposed cuts to chemical dependency treatment

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Posted on 6th January 2012 by savecdtreatment in Budget

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Please read the following article available here:

http://www.realchangenews.org/index.php/site/archives/6147/

Links to the Governor’s proposed 2012 supplemental budget

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Posted on 21st November 2011 by savecdtreatment in Budget

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Links to the Governor’s proposed 2012 supplemental budget:

Governor’s announcement: http://www.ofm.wa.gov/default.asp

Budget details for social services: http://www.ofm.wa.gov/budget12/highlights/8_SocialServices.pdf

Please contact your legislators and let them know that chemical dependency treatment cuts are out of proportion to other social service cuts.  Chemical dependency treatment saves dollars and lives.  Share your stories of recovery!

Criminal Justice and Health Impact of Cuts – RDA Reports from David Mancuso, Ph.D

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Posted on 28th October 2011 by savecdtreatment in Budget

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To view the reports, please click on the  following links below:

Impact of Chemical Dependency Service Reductions on Criminal Justice Costs

Impact of Chemcial Dependency Service Reductions on Medical and Long-term Care Costs

Proposed Budget Plan – Chemical Dependency Cuts

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Posted on 27th October 2011 by savecdtreatment in Budget

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Below is a link to to Gov. Gregoire’s proposed budget plan. (See “Social and Human Services” for Chemical Dependency cuts):

 

http://www.ofm.wa.gov/reductions/alternatives/

 

Please contact your legislators with your concerns about the impact of these cuts.

2011-2013 DSHS Budget – PowerPoint from October 21, 2011

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Posted on 25th October 2011 by savecdtreatment in AAPWA | Budget

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Attached is a PDF version of a PowerPoint presentation from October 21, 2011 regarding the DSHS budget for 2011-2013.

You may download/view the file by clicking on the link below:

2011-2013 DSHS Budget

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