South Carolina General Assembly
118th Session, 2009-2010

H. 3560
General Appropriations Bill for fiscal year 2009-2010
As Reported by the Senate Finance Committee

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     SEC.  21-0001                                              SECTION  21                                                 PAGE 0086
                                                     DEPT OF HEALTH AND HUMAN SERVICES
                                          ---- 2008-2009 ----  ------------------------------ 2009-2010 -----------------------------
                                              APPROPRIATED        WAYS & MEANS BILL           HOUSE BILL            SENATE FINANCE
                                            TOTAL      STATE      TOTAL       STATE        TOTAL       STATE      TOTAL       STATE
                                            FUNDS      FUNDS      FUNDS       FUNDS        FUNDS       FUNDS      FUNDS       FUNDS
                                             (1)        (2)        (3)         (4)          (5)         (6)        (7)         (8)

   1 I. ADMINISTRATION
   2  PERSONAL SERVICE
   3   EXECUTIVE DIRECTOR                 144,746      57,898     144,746      57,898     144,746      57,898     144,746      57,898
   4                                       (1.00)       (.40)      (1.00)       (.40)      (1.00)       (.40)      (1.00)       (.40)
   5   CLASSIFIED POSITIONS             7,185,651   2,924,248   7,232,259   2,822,475   7,232,259   2,822,475   7,232,259   2,822,475
   6                                     (135.00)     (55.16)    (135.00)     (55.16)    (135.00)     (55.16)    (135.00)     (55.16)
   7   UNCLASSIFIED POSITIONS             344,130     146,652     344,130     146,652     344,130     146,652     344,130     146,652
   8                                       (5.00)      (1.84)      (5.00)      (1.84)      (5.00)      (1.84)      (5.00)      (1.84)
                                     ________________________________________________________________________________________________
   9  TOTAL PERSONAL SERVICE            7,674,527   3,128,798   7,721,135   3,027,025   7,721,135   3,027,025   7,721,135   3,027,025
  10                                     (141.00)     (57.40)    (141.00)     (57.40)    (141.00)     (57.40)    (141.00)     (57.40)
  11  OTHER OPERATING EXPENSES          6,818,840   2,749,182   9,808,010   2,662,893   9,808,010   2,662,893   9,901,381   2,756,264
  12                                 ================================================================================================
  13 TOTAL ADMINISTRATION              14,493,367   5,877,980  17,529,145   5,689,918  17,529,145   5,689,918  17,622,516   5,783,289
  14                                     (141.00)     (57.40)    (141.00)     (57.40)    (141.00)     (57.40)    (141.00)     (57.40)
  15                                 ================================================================================================
  16 II. PROGRAM AND SERVICES
  17  A. HEALTH SERVICES
  18   1. MEDICAL ADMINISTRATION
  19    PERSONAL SERVICE
  20     CLASSIFIED POSITIONS          20,045,028   6,875,931  19,851,926   6,605,306  19,851,926   6,605,306  19,851,926   6,605,306
  21                                     (557.00)    (186.88)    (557.00)    (186.88)    (557.00)    (186.88)    (557.00)    (186.88)
  22     OTHER PERSONAL SERVICES        1,159,274     384,184   1,159,274     384,184   1,159,274     384,184   1,159,274     384,184
                                     ________________________________________________________________________________________________
  23    TOTAL PERSONAL SERVICE         21,204,302   7,260,115  21,011,200   6,989,490  21,011,200   6,989,490  21,011,200   6,989,490
  24                                     (557.00)    (186.88)    (557.00)    (186.88)    (557.00)    (186.88)    (557.00)    (186.88)
  25    OTHER OPERATING EXPENSES        6,907,350   2,046,005   6,189,308   1,377,963   6,189,308   1,377,963   6,095,937   1,284,592
                                     ________________________________________________________________________________________________
  26   TOTAL MEDICAL ADMINISTRATION    28,111,652   9,306,120  27,200,508   8,367,453  27,200,508   8,367,453  27,107,137   8,274,082
  27                                     (557.00)    (186.88)    (557.00)    (186.88)    (557.00)    (186.88)    (557.00)    (186.88)
  28                                 ================================================================================================
  29   2. MEDICAL CONTRACTS
  30    A. PROVIDER SUPPORT            70,413,629   2,319,660  91,437,578   2,487,976  91,437,578   2,487,976  90,637,578   1,687,976
  31    B. NURSING HOME CONTRACTS       8,353,710   1,168,302   7,483,910     298,502   7,483,910     298,502   7,483,910     298,502
  32    C. CLTC CONTRACTS               1,564,157     241,449   2,779,959     343,910   2,779,959     343,910   2,779,959     343,910
  33    D. ELIGIBILITY CONTRACTS       21,676,745   3,200,000  19,885,728     640,000  19,885,728     640,000  19,885,728     640,000
  34    E. MMIS - MEDICAL MGMT INFO    32,269,085   3,315,790  41,577,290   4,538,920  41,577,290   4,538,920  41,577,290   4,538,920
                                     ________________________________________________________________________________________________
  35   TOTAL MEDICAL CONTRACTS        134,277,326  10,245,201 163,164,465   8,309,308 163,164,465   8,309,308 162,364,465   7,509,308
  36                                 ================================================================================================
  37   3. MEDICAL ASSISTANCE PAYMENT
  38       A. HOSPITAL SERVICES      1096,195,081 175,262,166 992,715,951 150,989,393 992,715,951 150,989,393 988,922,808 147,196,250
  39       B. NURSING HOME SERVICES   505,221,386 136,599,600 485,088,736 128,571,218 485,088,736 128,571,218 483,181,164 126,663,646


SEC. 21-0002 SECTION 21 PAGE 0087 DEPT OF HEALTH AND HUMAN SERVICES ---- 2008-2009 ---- ------------------------------ 2009-2010 ----------------------------- APPROPRIATED WAYS & MEANS BILL HOUSE BILL SENATE FINANCE TOTAL STATE TOTAL STATE TOTAL STATE TOTAL STATE FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS (1) (2) (3) (4) (5) (6) (7) (8) 1 D. PHARMACEUTICAL SERVICES 419,459,725 32,489,647 357,770,475 24,562,931 357,770,475 24,562,931 356,590,395 23,382,851 2 E. PHYSICIAN SERVICES 366,190,454 96,743,063 336,107,538 86,462,474 336,107,538 86,462,474 335,022,814 85,377,750 3 F. DENTAL SERVICES 102,677,143 25,151,643 98,089,566 20,564,066 98,089,566 20,564,066 97,649,546 20,124,046 4 G. CLTC-COMMUNITY 5 LONG-TERM CARE 116,148,791 30,781,583 113,053,459 27,686,251 113,053,459 27,686,251 123,598,421 29,425,467 6 I. HOME HEALTH SERVICES 12,197,934 3,644,517 11,854,116 2,215,124 11,854,116 2,215,124 11,807,455 2,168,463 7 J. EPSDT SERVICES 17,910,558 5,348,948 18,028,136 5,348,948 18,028,136 5,348,948 17,961,165 5,281,977 8 K. MEDICAL PROFESSIONAL 9 SERVICES 35,897,999 10,423,450 32,264,617 6,790,068 32,264,617 6,790,068 32,063,601 6,589,052 10 L. TRANSPORTATION SERVICES 61,228,700 17,937,227 60,509,104 17,217,631 60,509,104 17,217,631 60,266,615 16,975,142 11 M. LAB & X-RAY SERVICES 42,401,850 12,389,439 41,212,504 11,200,093 41,212,504 11,200,093 41,064,581 11,052,170 12 N. FAMILY PLANNING 23,931,249 2,332,005 23,931,249 2,332,005 23,931,249 2,332,005 23,829,952 2,230,708 13 O. PREMIUMS MATCHED 156,254,023 42,004,814 157,268,969 39,412,701 157,268,969 39,412,701 156,697,464 38,841,196 14 P. PREMIUMS 100% STATE 17,000,000 17,000,000 15,000,000 15,000,000 15,000,000 15,000,000 14,945,039 14,945,039 15 Q. HOSPICE 34,733,439 9,661,205 10,704,473 2,546,001 10,704,473 2,546,001 15,972,720 3,602,804 16 R. OPTIONAL STATE 17 SUPPLEMENT 19,767,907 19,767,907 19,767,907 19,767,907 19,767,907 19,767,907 19,697,015 19,697,015 18 S. INTEGRATED PERSONAL 19 CARE 2,213,058 645,338 2,213,058 645,338 2,213,058 645,338 2,196,193 628,473 20 T. CLINICAL SERVICES 91,911,693 26,937,765 91,192,097 26,218,169 91,192,097 26,218,169 90,883,992 25,910,064 21 U. DURABLE MEDICAL 22 EQUIPMENT 61,756,508 17,934,791 47,160,683 13,249,119 47,160,683 13,249,119 46,983,418 13,071,854 23 V. COORDINATED CARE 307,633,656 70,810,195 247,878,201 58,925,049 247,878,201 58,925,049 244,874,584 55,921,432 24 W. PACE 13,046,860 3,914,058 12,354,990 3,222,188 12,354,990 3,222,188 12,304,444 3,171,642 25 X. ARRA - FMAP - 26 INCREASE (NR) 335,761,187 335,761,187 426,193,429 27 Y. MMA PHASED DOWN 28 CONTRIBUTIONS 29,832,378 29,832,378 68,828,503 68,828,503 68,828,503 68,828,503 68,539,061 68,539,061 29 Z. CHILDREN'S HEALTH 30 INSURANCE PROGRAM 100,612,563 21,279,557 96,007,261 21,279,557 96,007,261 21,279,557 96,007,261 21,279,557 ________________________________________________________________________________________________ 31 TOTAL CASE SRVC/PUB ASST 3634,222,955 808,891,296 3674,762,780 753,034,734 3674,762,780 753,034,734 3767,253,137 742,075,659 ________________________________________________________________________________________________ 32 TOTAL MEDICAL ASSISTANCE 33 PAYMENT 3634,222,955 808,891,296 3674,762,780 753,034,734 3674,762,780 753,034,734 3767,253,137 742,075,659 34 ================================================================================================ 35 4. ASSISTANCE PAYMENTS - 36 STATE AGENCIES 37 A. MENTAL HEALTH 181,067,486 188,747,246 188,747,246 188,747,246 38 B. DISABILITIES & SPECIAL 39 NEEDS 461,445,134 481,016,772 481,016,772 481,016,772


SEC. 21-0003 SECTION 21 PAGE 0088 DEPT OF HEALTH AND HUMAN SERVICES ---- 2008-2009 ---- ------------------------------ 2009-2010 ----------------------------- APPROPRIATED WAYS & MEANS BILL HOUSE BILL SENATE FINANCE TOTAL STATE TOTAL STATE TOTAL STATE TOTAL STATE FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS (1) (2) (3) (4) (5) (6) (7) (8) 1 C. DHEC 40,760,516 57,444,774 57,444,774 57,444,774 2 D. MUSC 60,449,646 60,449,646 60,449,646 60,449,646 3 E. USC 11,751,439 12,249,862 12,249,862 12,249,862 4 F. DAODAS 15,922,200 16,597,521 16,597,521 16,597,521 5 G. CONTINUUM OF CARE 10,441,690 10,884,562 10,884,562 10,884,562 6 H. SCHL FOR DEAF & BLIND 4,861,234 5,067,417 5,067,417 5,067,417 7 I. SOCIAL SERVICES 37,704,367 39,303,552 39,303,552 39,303,552 8 J. JUVENILE JUSTICE 43,979,881 45,845,234 45,845,234 45,845,234 9 K. DEPT. OF EDUCATION 62,968,148 65,638,866 65,638,866 65,638,866 10 L. COMMISSION FOR THE BLIND 314,598 327,941 327,941 327,941 11 M. WIL LOU GRAY 12 OPPORTUNITY SCHOOL 110,827 115,528 115,528 115,528 13 N. DEPT. OF CORRECTIONS 2,126,728 2,216,931 2,216,931 2,216,931 14 O. JOHN DE LA HOWE 542,772 565,598 565,598 565,598 15 P. SC STATE HOUSING 16 AUTHORITY 704,863 734,759 734,759 734,759 ________________________________________________________________________________________________ 17 TOTAL CASE SRVC/PUB ASST 935,151,529 987,206,209 987,206,209 987,206,209 ________________________________________________________________________________________________ 18 TOTAL ASSISTANCE PAYMENTS - 19 STATE AGENCIES 935,151,529 987,206,209 987,206,209 987,206,209 20 ================================================================================================ 21 5. EMOTIONALLY DISTURBED 22 CHILDREN 23 CASE SERVICES 72,775,388 74,148,972 74,148,972 74,148,972 ________________________________________________________________________________________________ 24 TOTAL CASE SRVC/PUB ASST 72,775,388 74,148,972 74,148,972 74,148,972 25 INSTITUTE FOR MENTAL DISEASE 26,000,000 26,000,000 ________________________________________________________________________________________________ 26 TOTAL SPECIAL ITEMS 26,000,000 26,000,000 ________________________________________________________________________________________________ 27 TOTAL EMOTIONALLY DISTURBED 28 CHILDREN 72,775,388 74,148,972 74,148,972 100,148,972 26,000,000 29 ================================================================================================ 30 6. OTHER ENTITIES ASSISTANCE 31 PAYMENTS 32 B. MUSC-MAXILLOFACIAL 33 PROSTHODONTICS 250,000 250,000 250,000 250,000 250,000 250,000 248,649 248,649 34 C. OTHER ENTITIES FUNDING 25,350,893 25,848,753 25,848,753 25,848,753 35 D. GAPS ASSIST PROGRAM 5,000,000 5,000,000 3,000,000 3,000,000 3,000,000 3,000,000 2,968,497 2,968,497 36 F. DISPROPORTIONATE SHARE 593,812,714 21,292,776 725,428,659 21,292,776 725,428,659 21,292,776 723,578,621 19,442,738 37 O. HEALTH OPPORTUNITY ACCOUNT 2,500,000 2,500,000 2,500,000 2,500,000 ________________________________________________________________________________________________ 38 TOTAL CASE SRVC/PUB ASST 626,913,607 26,542,776 757,027,412 24,542,776 757,027,412 24,542,776 755,144,520 22,659,884


SEC. 21-0004 SECTION 21 PAGE 0089 DEPT OF HEALTH AND HUMAN SERVICES ---- 2008-2009 ---- ------------------------------ 2009-2010 ----------------------------- APPROPRIATED WAYS & MEANS BILL HOUSE BILL SENATE FINANCE TOTAL STATE TOTAL STATE TOTAL STATE TOTAL STATE FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS (1) (2) (3) (4) (5) (6) (7) (8) ________________________________________________________________________________________________ 1 TOTAL OTHER ENTITIES 2 ASSISTANCE PAYMENTS 626,913,607 26,542,776 757,027,412 24,542,776 757,027,412 24,542,776 755,144,520 22,659,884 3 ================================================================================================ 4 7. MEDICAID ELIGIBILITY 5 PERSONAL SERVICE 6 CLASSIFIED POSITIONS 15,882,445 6,035,903 15,798,055 5,800,702 15,798,055 5,800,702 15,798,055 5,800,702 7 (498.00) (188.51) (498.00) (188.51) (498.00) (188.51) (498.00) (188.51) 8 OTHER PERSONAL SERVICES 2,604,893 198,594 2,700,296 198,594 2,700,296 198,594 2,700,296 198,594 ________________________________________________________________________________________________ 9 TOTAL PERSONAL SERVICE 18,487,338 6,234,497 18,498,351 5,999,296 18,498,351 5,999,296 18,498,351 5,999,296 10 (498.00) (188.51) (498.00) (188.51) (498.00) (188.51) (498.00) (188.51) 11 OTHER OPERATING EXPENSES 4,347,049 1,121,767 3,708,383 1,057,101 3,708,383 1,057,101 3,708,383 1,057,101 ________________________________________________________________________________________________ 12 TOTAL MEDICAID ELIGIBILITY 22,834,387 7,356,264 22,206,734 7,056,397 22,206,734 7,056,397 22,206,734 7,056,397 13 (498.00) (188.51) (498.00) (188.51) (498.00) (188.51) (498.00) (188.51) 14 ================================================================================================ 15 TOTAL HEALTH SERVICES 5454,286,844 862,341,657 5705,717,080 801,310,668 5705,717,080 801,310,668 5821,431,174 813,575,330 16 (1055.00) (375.39) (1055.00) (375.39) (1055.00) (375.39) (1055.00) (375.39) 17 ================================================================================================ 18 TOTAL PROGRAM AND SERVICES 5454,286,844 862,341,657 5705,717,080 801,310,668 5705,717,080 801,310,668 5821,431,174 813,575,330 19 (1055.00) (375.39) (1055.00) (375.39) (1055.00) (375.39) (1055.00) (375.39) 20 ================================================================================================ 21 III. EMPLOYEE BENEFITS 22 C. STATE EMPLOYER CONTRIBUTIONS 23 EMPLOYER CONTRIBUTIONS 15,193,659 5,004,370 15,269,781 5,004,370 15,269,781 5,004,370 15,269,781 5,004,370 ________________________________________________________________________________________________ 24 TOTAL FRINGE BENEFITS 15,193,659 5,004,370 15,269,781 5,004,370 15,269,781 5,004,370 15,269,781 5,004,370 25 ================================================================================================ 26 TOTAL EMPLOYEE BENEFITS 15,193,659 5,004,370 15,269,781 5,004,370 15,269,781 5,004,370 15,269,781 5,004,370 27 ================================================================================================ 28 IV. NON-RECURRING APPROPRIATIONS 29 MEDICAID MAINTENANCE OF EFFORT 29,000,000 30 INSTITUTES FOR MENTAL DISEASE 31 TRANSITION 13,000,000 32 300 SLOTS FOR COMMUNITY 33 CHOICES WAIVER 1,250,000 34 PERSONAL CARE III & ATTENDANT 35 II RATE INCREA 500,000 36 RURAL HOSPITAL GRANTS 3,000,000 37 FEDERALLY QUALIFIED COMMUNITY 38 HEALTH CENTERS 700,000


SEC. 21-0005 SECTION 21 PAGE 0090 DEPT OF HEALTH AND HUMAN SERVICES ---- 2008-2009 ---- ------------------------------ 2009-2010 ----------------------------- APPROPRIATED WAYS & MEANS BILL HOUSE BILL SENATE FINANCE TOTAL STATE TOTAL STATE TOTAL STATE TOTAL STATE FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS (1) (2) (3) (4) (5) (6) (7) (8) 1 HHS CARRYFORWARD - STATE 2 MATCH DENTAL SERVIC 1,283,965 3 MUSC DISPROPORTIONATE SHARE 7,000,000 ________________________________________________________________________________________________ 4 TOTAL NON-RECURRING APPRO. 55,733,965 5 ================================================================================================ 6 TOTAL NON-RECURRING 55,733,965 7 ================================================================================================ 8 DEPT OF HEALTH AND HUMAN 9 SERVICES 10 TOTAL RECURRING BASE 5483,973,870 873,224,007 5738,516,006 812,004,956 5738,516,006 812,004,956 5854,323,471 824,362,989 11 12 TOTAL FUNDS AVAILABLE 5539,707,835 873,224,007 5738,516,006 812,004,956 5738,516,006 812,004,956 5854,323,471 824,362,989 13 TOTAL AUTHORIZED FTE POSITIONS (1196.00) (432.79) (1196.00) (432.79) (1196.00) (432.79) (1196.00) (432.79) 14 ================================================================================================

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