South Carolina General Assembly
115th Session, 2003-2004

H. 4925
General Appropriations Bill for fiscal year 2004-2005
As Introduced by the House Ways and Means Committee

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     SEC.   8-0001                                              SECTION   8                                                 PAGE 0084
                                                     DEPT OF HEALTH AND HUMAN SERVICES
                                          ---- 2003-2004 ----  ------------------- 2004-2005 ------------------
                                              APPROPRIATED        WAYS & MEANS BILL           HOUSE BILL
                                            TOTAL      STATE      TOTAL       STATE        TOTAL       STATE
                                            FUNDS      FUNDS      FUNDS       FUNDS        FUNDS       FUNDS
                                             (1)        (2)        (3)         (4)          (5)         (6)

   1 I. ADMINISTRATION
   2  PERSONAL SERVICE
   3   EXECUTIVE DIRECTOR                 116,199      50,566     116,199      50,566
   4                                       (1.00)       (.40)      (1.00)       (.40)
   5   CLASSIFIED POSITIONS             6,162,521   2,500,152   6,178,559   2,382,833
   6                                     (153.00)     (62.06)    (148.26)     (62.06)
   7   UNCLASSIFIED POSITIONS             451,258     180,954     416,956     146,652
   8                                       (6.00)      (2.41)      (6.00)      (2.41)
                                     ________________________________________________________________________________________________
   9  TOTAL PERSONAL SERVICE            6,729,978   2,731,672   6,711,714   2,580,051
  10                                     (160.00)     (64.87)    (155.26)     (64.87)
  11  OTHER OPERATING EXPENSES          8,260,172   3,102,922   8,104,794   2,947,544
  12                                 ================================================================================================
  13 TOTAL ADMINISTRATION              14,990,150   5,834,594  14,816,508   5,527,595
  14                                     (160.00)     (64.87)    (155.26)     (64.87)
  15                                 ================================================================================================
  16 II. PROGRAM AND SERVICES
  17  A. HEALTH SERVICES
  18   1. HEALTH SERVICES MANAGEMENT
  19    a.  MEDICAL ADMINISTRATION
  20     PERSONAL SERVICE
  21      CLASSIFIED POSITIONS         16,882,066   6,001,421  16,703,399   5,822,754
  22                                     (482.26)    (165.24)    (482.26)    (165.24)
  23      OTHER PERSONAL SERVICES       1,105,872     384,184   1,105,872     384,184
                                     ________________________________________________________________________________________________
  24     TOTAL PERSONAL SERVICE        17,987,938   6,385,605  17,809,271   6,206,938
  25                                     (482.26)    (165.24)    (482.26)    (165.24)
  26     OTHER OPERATING EXPENSES       4,827,564   1,803,468   4,827,564   1,803,468
                                     ________________________________________________________________________________________________
  27    TOTAL HEALTH SERVICES
  28     MANAGEMENT                    22,815,502   8,189,073  22,636,835   8,010,406
  29                                     (482.26)    (165.24)    (482.26)    (165.24)
  30                                 ================================================================================================
  31    2. MEDICAL CONTRACTS
  32     OTHER OPERATING EXPENSES
  33      PROVIDER SUPPORT             42,251,070     953,660  50,451,070   1,153,660
  34      NURSING HOME CONTRACTS        6,368,302   1,168,302   6,368,302   1,168,302
  35      EPSDT                         3,612,452   1,072,452   3,412,452     872,452
  36      CLTC CONTRACTS                3,216,449     741,449   3,216,449     741,449
  37      ELIGIBILITY CONTRACTS                                13,773,950     700,000
  38      MMIS                         31,329,243   7,229,243  43,787,243   7,229,243
                                     ________________________________________________________________________________________________
  39     TOTAL MEDICAL CONTRACTS       86,777,516  11,165,106 121,009,466  11,865,106
  40                                 ================================================================================================


SEC. 8-0002 SECTION 8 PAGE 0085 DEPT OF HEALTH AND HUMAN SERVICES ---- 2003-2004 ---- ------------------- 2004-2005 ------------------ APPROPRIATED WAYS & MEANS BILL HOUSE BILL TOTAL STATE TOTAL STATE TOTAL STATE FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS (1) (2) (3) (4) (5) (6) 1 3. MEDICAL ASSISTANCE 2 A. HOSPITAL SERVICES 513,809,779 128,066,443 621,499,493 158,450,605 3 B. NURSING HOME SERVICES 308,910,744 88,211,354 368,448,679 105,554,683 4 C. DISPROPORTIONATE SHARE 397,400,371 14,000,000 397,400,371 14,000,000 5 D. PHARMACEUTICAL SVCS 377,549,304 74,019,292 574,583,921 117,516,585 6 E. PHYSICIAN SERVICES 185,516,507 50,470,187 249,922,692 66,325,561 7 F. DENTAL SERVICES 39,049,330 12,761,599 105,464,948 26,226,063 8 G. COMMUNITY LONG TERM 9 CARE 77,946,527 22,238,784 82,716,303 22,534,085 10 H. OTHER MEDICAID SRVCS 66,143,783 16,829,197 116,637,279 31,704,047 11 I. FAMILY PLANNING 15,939,759 1,616,173 27,320,569 2,519,040 12 J. SMI-REG-MEDICARE 77,988,646 21,017,683 90,357,655 22,718,185 13 K. SMI-MAO-MEDICARE 5,607,360 5,521,046 7,923,365 7,697,947 14 L. HOSPICE CARE PROGRAM 3,374,992 943,510 5,050,843 1,369,957 15 M. RESIDENTIAL CARE 16 FACILITIES 16,083,989 15,401,462 17,971,319 17,445,235 17 M1. ASSISTED LIVING 997,633 286,087 18 N. CLINICAL SERVICES 63,833,946 15,981,010 86,001,300 22,546,287 19 O. DURABLE MEDICAL 20 EQUIPMENT 43,719,818 11,617,257 44,624,075 12,075,886 21 P. MANAGED CARE (HMO) 36,575,948 10,314,915 63,519,561 17,050,457 ________________________________________________________________________________________________ 22 TOTAL CASE SRVC/PUB ASST 2229,450,803 489,009,912 2860,440,006 646,020,710 ________________________________________________________________________________________________ 23 TOTAL MEDICAL ASSISTANCE 24 PAYMENT 2229,450,803 489,009,912 2860,440,006 646,020,710 25 ================================================================================================ 26 4. ASSISTANCE 27 PAYMENTS-STATE AGENCIES 28 a. MENTAL HEALTH 202,000,000 221,723,921 29 b. DISAB. & SPEC. NEED 553,000,000 469,128,718 30 c. DHEC 37,000,000 44,008,516 31 d. MUSC 20,000,000 31,625,541 32 e. USC 3,000,000 6,377,842 33 f. DAODAS 25,000,000 13,454,399 34 g. CONTINUUM OF CARE 12,000,000 11,737,068 35 h. SCHL FOR DEAF & BLIND 2,000,000 2,327,945 36 I. SOCIAL SERVICES 63,000,000 59,301,139 37 j. JUVENILE JUSTICE 21,000,000 26,817,141 38 K. EDUCATION 21,000,000 79,509,754


SEC. 8-0003 SECTION 8 PAGE 0086 DEPT OF HEALTH AND HUMAN SERVICES ---- 2003-2004 ---- ------------------- 2004-2005 ------------------ APPROPRIATED WAYS & MEANS BILL HOUSE BILL TOTAL STATE TOTAL STATE TOTAL STATE FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS (1) (2) (3) (4) (5) (6) 1 L. COMMISSION FOR THE 2 BLIND 36,000 28,924 ________________________________________________________________________________________________ 3 TOTAL CASE SRVC/PUB ASST 959,036,000 966,040,908 ________________________________________________________________________________________________ 4 TOTAL ASSISTANCE PAYMENTS - 5 STATE AGENCIES 959,036,000 966,040,908 6 ================================================================================================ 7 CASE SERVICES/PUBLIC 8 ASSISTANCE 9 CASE SERVICES 51,990,786 52,456,839 ________________________________________________________________________________________________ 10 TOTAL CASE SRVC/PUB ASST 51,990,786 52,456,839 ________________________________________________________________________________________________ 11 TOTAL EMOTIONALLY DISTURBED 12 CHILDREN 51,990,786 52,456,839 13 ================================================================================================ 14 OTHER ENTITIES ASSISTANCE 15 PAYMENTS 16 PALMETTO SENIOR CARE 12,000,000 11,968,127 17 MUSC - MAXILLOFACIAL 18 PROSTHODONTICS 250,000 250,000 250,000 250,000 19 SILVER CARD 77,230,360 23,200,000 77,025,232 23,200,000 20 OTHER ENTITIES FUNDS 72,292,776 7,292,776 89,039,761 7,292,776 ________________________________________________________________________________________________ 21 TOTAL CASE SRVC/PUB ASST 161,773,136 30,742,776 178,283,120 30,742,776 ________________________________________________________________________________________________ 22 TOTAL OTHER ENTITIES 23 ASSISTANCE PAYMENTS 161,773,136 30,742,776 178,283,120 30,742,776 24 ================================================================================================ 25 7. MEDICAID ELIGIBILITY 26 PERSONAL SERVICE 27 CLASSIFIED POSITIONS 11,990,836 4,485,361 11,990,836 4,485,361 28 (506.00) (193.30) (506.00) (193.30) 29 OTHER PERSONAL SERVICES 2,578,298 282,283 2,494,609 198,594 ________________________________________________________________________________________________ 30 TOTAL PERSONAL SERVICE 14,569,134 4,767,644 14,485,445 4,683,955 31 (506.00) (193.30) (506.00) (193.30) 32 OTHER OPERATING EXPENSES 14,562,700 1,821,767 4,788,750 1,121,767 ________________________________________________________________________________________________ 33 TOTAL MEDICAID ELIGIBILITY 29,131,834 6,589,411 19,274,195 5,805,722 34 (506.00) (193.30) (506.00) (193.30) 35 ================================================================================================ 36 TOTAL HEALTH SERVICES 3540,975,577 545,696,278 4220,141,369 702,444,720 37 (988.26) (358.54) (988.26) (358.54) 38 ================================================================================================ 39 B. CHILD CARE


SEC. 8-0004 SECTION 8 PAGE 0087 DEPT OF HEALTH AND HUMAN SERVICES ---- 2003-2004 ---- ------------------- 2004-2005 ------------------ APPROPRIATED WAYS & MEANS BILL HOUSE BILL TOTAL STATE TOTAL STATE TOTAL STATE FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS (1) (2) (3) (4) (5) (6) 1 1. CHILD CARE ADMINISTRATION 2 PERSONAL SERVICE 3 CLASSIFIED POSITIONS 2,107,411 4 (70.43) 5 OTHER PERSONAL SERVICES 285,602 ________________________________________________________________________________________________ 6 TOTAL PERSONAL SERVICE 2,393,013 7 (70.43) 8 OTHER OPERATING EXPENSES 1,070,000 ________________________________________________________________________________________________ 9 TOTAL CHILD CARE ADMINISTRATION 3,463,013 10 (70.43) 11 ================================================================================================ 12 2. CHILD CARE PAYMENTS 13 A. CHILD CARE CONTRACTS 14 OTHER OPERATING EXPENSES 10,000,000 15 B. CHILD CARE PAYMENTS 16 CASE SRVC/PUB ASST 17 ASSISTANCE PAYMENTS 59,520,563 4,407,963 ________________________________________________________________________________________________ 18 TOTAL CASE SRVC/PUB ASST 59,520,563 4,407,963 19 DISTRIBUTIONS TO 20 SUBDIVISIONS: 21 ALLOC-PRIVATE SECTOR 3,000,000 ________________________________________________________________________________________________ 22 TOTAL DIST SUBDIVISIONS 3,000,000 ________________________________________________________________________________________________ 23 TOTAL CHILD CARE PAYMENTS 72,520,563 4,407,963 24 ================================================================================================ 25 TOTAL CHILD CARE 75,983,576 4,407,963 26 (70.43) 27 ================================================================================================ 28 C. SOCIAL SERVICES 29 1. SOCIAL SERVICES 30 ADMINISTRATIO 31 PERSONAL SERVICE 32 CLASSIFIED POSITIONS 181,016 33 (3.83) 34 OTHER PERSONAL SERVICES 65,423 ________________________________________________________________________________________________ 35 TOTAL PERSONAL SERVICE 246,439 36 (3.83) 37 OTHER OPERATING EXPENSES 894,894 156,000 6,000 ________________________________________________________________________________________________ 38 TOTAL SOCIAL SERVICES 39 ADMINISTRATION 1,141,333 156,000 6,000 40 (3.83) 41 ================================================================================================


SEC. 8-0005 SECTION 8 PAGE 0088 DEPT OF HEALTH AND HUMAN SERVICES ---- 2003-2004 ---- ------------------- 2004-2005 ------------------ APPROPRIATED WAYS & MEANS BILL HOUSE BILL TOTAL STATE TOTAL STATE TOTAL STATE FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS (1) (2) (3) (4) (5) (6) 1 2. SOCIAL SERVICE PAYMENTS 2 A. SOCIAL SERVICE CONTRACTS 3 OTHER OPERATING EXPENSES 25,163,789 50,000 44,000 44,000 4 B. SOCIAL SERVICE PAYMENT 5 DISTRIBUTIONS TO 6 SUBDIVISIONS: 7 ALLOC MUN-RESTRICTED 1,050,000 8 ALLOC OTHER ENTITIES 4,000,000 ________________________________________________________________________________________________ 9 TOTAL DIST SUBDIVISIONS 5,050,000 10 SPECIAL ITEMS 11 A CHILD'S HAVEN & 12 BOWERS-ROGERS HOME 100,000 100,000 13 PHILLIS WHEATLEY 14 COMMUNITY CENTER 150,000 75,000 ________________________________________________________________________________________________ 15 TOTAL SPECIAL ITEMS 250,000 175,000 ________________________________________________________________________________________________ 16 TOTAL SOCIAL SERVICES 17 PAYMENT 30,463,789 225,000 44,000 44,000 18 ================================================================================================ 19 TOTAL SOCIAL SERVICES 31,605,122 225,000 200,000 50,000 20 (3.83) 21 ================================================================================================ 22 E. OFFICE ON AGING 23 1. SENIOR SERVICES 24 ADMINISTRATION 25 PERSONAL SERVICE 26 CLASSIFIED POSITIONS 924,445 387,929 1,151,176 614,660 27 (21.48) (8.66) (21.48) (8.66) 28 OTHER PERSONAL SERVICES 271,435 22,764 295,598 46,927 ________________________________________________________________________________________________ 29 TOTAL PERSONAL SERVICE 1,195,880 410,693 1,446,774 661,587 30 (21.48) (8.66) (21.48) (8.66) 31 OTHER OPERATING EXPENSES 456,964 211,964 685,819 211,964 ________________________________________________________________________________________________ 32 TOTAL SENIOR SERVICES 1,652,844 622,657 2,132,593 873,551 33 (21.48) (8.66) (21.48) (8.66) 34 ================================================================================================ 35 2. OFFICE ON AGING SPECIAL 36 ITEMS 37 SPECIAL ITEMS 38 A. MCCORMICK 39 INTERGENERATIONAL 8,841 8,841 8,841 8,841


SEC. 8-0006 SECTION 8 PAGE 0089 DEPT OF HEALTH AND HUMAN SERVICES ---- 2003-2004 ---- ------------------- 2004-2005 ------------------ APPROPRIATED WAYS & MEANS BILL HOUSE BILL TOTAL STATE TOTAL STATE TOTAL STATE FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS (1) (2) (3) (4) (5) (6) 1 B. LOCAL PROVIDER SALARY 2 SUPP 729,411 729,411 729,411 729,411 3 C. ALZHEIMERS 300,000 150,000 300,000 150,000 ________________________________________________________________________________________________ 4 TOTAL SPECIAL ITEMS 1,038,252 888,252 1,038,252 888,252 5 AID TO SUBDIVISIONS 6 ALLOC OTHER ENTITIES 23,834,707 1,034,707 23,834,707 1,034,707 ________________________________________________________________________________________________ 7 TOTAL DIST SUBDIVISIONS 23,834,707 1,034,707 23,834,707 1,034,707 ________________________________________________________________________________________________ 8 TOTAL OFFICE ON AGING 9 ASSISTANCE 24,872,959 1,922,959 24,872,959 1,922,959 10 ================================================================================================ 11 TOTAL OFFICE ON AGING 26,525,803 2,545,616 27,005,552 2,796,510 12 (21.48) (8.66) (21.48) (8.66) 13 ================================================================================================ 14 TOTAL PROGRAM AND SERVICES 3675,090,078 552,874,857 4247,346,921 705,291,230 15 (1084.00) (367.20) (1009.74) (367.20) 16 ================================================================================================ 17 III. EMPLOYEE BENEFITS 18 C. STATE EMPLOYER CONTRIBUTIONS 19 EMPLOYER CONTRIBUTIONS 12,074,271 4,002,772 11,620,489 4,165,855 ________________________________________________________________________________________________ 20 TOTAL FRINGE BENEFITS 12,074,271 4,002,772 11,620,489 4,165,855 21 ================================================================================================ 22 TOTAL EMPLOYEE BENEFITS 12,074,271 4,002,772 11,620,489 4,165,855 23 ================================================================================================ 24 IV. NON-RECURRING 25 MEDICAID 7,769,503 7,769,503 26 FEDERAL RELIEF MONEY - MEDICAID 127,437,026 ________________________________________________________________________________________________ 27 TOTAL NON-RECURRING APPRO. 135,206,529 7,769,503 28 ================================================================================================ 29 TOTAL NON-RECURRING 135,206,529 7,769,503 30 ================================================================================================ 31 DEPT OF HEALTH AND HUMAN 32 SERVICES 33 TOTAL RECURRING BASE 3702,154,499 562,712,223 4273,783,918 714,984,680 34 35 TOTAL FUNDS AVAILABLE 3837,361,028 570,481,726 4273,783,918 714,984,680 36 TOTAL AUTHORIZED FTE POSITIONS (1244.00) (432.07) (1165.00) (432.07) 37 ================================================================================================


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