Summary of Senate & Assembly Aid to Localities (ATL)

One House Budget Bills

March 14, 2021

Below is a summary of the additional funding included in the Senate & Assembly Aid to Localities (ATL) one-house budget bills for OMH and OASAS, as compared to the Executive Budget proposal.  
 NOTES: 

  • Unfortunately we do not see any additional “dry approps” per the federal relief package passed last week.
  • While the Senate did a more elaborate proposal re: Opioid Settlement Funds to include creation of a Advisory Group that would determine how decisions would be made re: use of funds coming into the state now and in the future, the Assembly one house proposal seems to only deal with the $32M coming to NYS via McKinsey Settlement as announced on 2/4/2021, and creates a Trust Fund for these funds.   

More to follow.
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SENATE:
Senate ATL S2503A OMHAll Funds Increase: $47.5 millionAdult Services Program Increase: $47.5 million/ No change in funding amount for Children and Youth Services Program from what Executive proposed
Of note, Senate additions to the Executive Budget as follows:

  • $400,000 for period of 4/1/21 to 3/31/22 for OMH to recover from community residential and family-based treatment providers, for period of 1/1/03-12/31/09 and 1/1/11-6/30/19 for programs located outside NYC, in an amount equal to 50% of the income received by such providers which exceed the fixed amount of annual Medicaid revenue limitations, as established by OMH.
  • $15 million to restore 1% COLA under OMH for 4/1/21-3/31/22
  • $17.15 million for additional services and expenses of various community mental health non-residential programs, pursuant to article 41 of the mental hygiene law, including sections 41.13, 41.18, and 41.47 (restoration of 5% permanent withhold proposal for MH Programs and Services other than residential)
  • $4.5 million in funding for services and expenses of the Joseph P. Dwyer Veteran Peer to Peer Services Program as lined out in bill
  • $10.5 million in funding for services and expenses for contracts for mental health organizations allocated pursuant to a plan by the Senate and DOB listing grantees

Senate ATL S2503A OASASAll Funds Increase: $19.78 millionCommunity Treatment Services Program Increase: Over $15 millionPrevention and Program Support Program Increase: Over $4.7 million
Of note, Senate additions to the Executive Budget as follows:

  • $3.2 million for additional state share Medicaid payments for outpatients services
  • $1.729 million for additional services and expenses related to problem gambling, chemical dependence outpatient, and treatment support services
  • $4.3 million for 1% COLA under OASAS beginning 4/1/21 through 3/31/22
  • $1.875 million restored for services and expenses of jail-based substance use disorder treatment and transition services
  • $450,000 for services and expenses of the addiction recovery supportive transportation services demonstration program
  • $3.525 million for services and expenses for addiction service and support organizations allocated pursuant to a plan by the Senate and DOB listing grantees
  • $4.7 million for additional services and expenses related to prevention and program support

ASSEMBLYAssembly ATL A3003A OMHAll Funds Increase: $37.4 millionAdult Services Program Increase: $37.4 million No change in funding amount for Children and Youth Services Program from what Executive proposed

Of note, Assembly additions to the Executive Budget as follows:

  • $17.15 million for additional services and expenses of various community mental health non-residential programs, pursuant to article 41 of the mental hygiene law, including sections 41.13, 41.18, and 41.47 and other specified purposes (restoration of 5% permanent withhold proposal)
  • $1 million for services and expenses related to suicide prevention efforts for high-risk populations
  • $4.5 million in funding for services and expenses of the Joseph P. Dwyer Veteran Peer to Peer Services Program as lined out in bill
  • $1.5 million in additional funding for services and expenses of the Joseph P. Dwyer Veteran Peer to Peer Services Program pursuant to a plan by the Assembly and DOB for grantees
  • $300,000 for training for the provision of supportive services targeting individuals and families managing or recovering from SUD or a mental health disorder transitioning to a different setting
  • $10 million for the expansion of statewide crisis intervention services and programs
  • $3 million for community mental hygiene services and/or expenses of contracts with municipalities, educational institutions and/or non profit agencies

Assembly ATL A3003A OASAS
All Funds Increase: Over $44.6 millionCommunity Treatment Services Program Increase: Over $105 millionPrevention and Program Support Program Increase: Over $40.7 million
Of note, Assembly additions to the Executive Budget as follows:

  • $1.875 million restored for services and expenses of jail-based substance use disorder treatment and transition services
  • $2 million included for additional services and expenses of NYC Department of Education related to the hiring of additional substance abuse prevention and intervention specialists
  • $8.7 million for services for problem gambling and chemical dependence prevention, treatment and recovery services
  • $32 million from a new NYS Opioid Remediation Fund Opioid Settlement Proceeds Trust Fund (see embedded language below):

Special Revenue Funds – Other
New York State Opioid Remediation Fund
Opioid Settlement Proceeds Trust Fund Account
31  For allocations as  follows:  In  accordance
32    with  a  plan  developed  by  the attorney
33    general to  provide  compensation  to  the
34    state  of New York and its communities for
35    harms purportedly caused by the  allegedly
36    unlawful  conduct  of  McKinsey  & Company
37    Inc., for  purposes  intended  to  provide
38    remediation  to  New York and its citizens
39    for the harm caused by the opioid  epidem-
40    ic,  to  ameliorate  the  effects  of  the
41    opioid crisis. Such  permissible  purposes
42    for  allocation  of the funds include, but
43    are not limited to, providing funding  for
44    services  and  expenses  related to crisis
45    services,   problem   gambling,   chemical
46    dependence    outpatient   and   treatment
47    support services and for any other purpose

1    consistent with the terms of  the  Settle-
2    ment  Agreement  dated  February  4,  2021
between  McKinsey  &  Company Inc. and the
people of the state of New York …………. 32,000,000
                                          ————–
  Program account subtotal ……………… 32,000,000