South Carolina General Assembly
115th Session, 2003-2004

H. 4925
General Appropriations Bill for fiscal year 2004-2005
As Passed by the Senate

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     SEC.   8-0001                                              SECTION   8                                                 PAGE 0084
                                                     DEPT OF HEALTH AND HUMAN SERVICES
                                          ---- 2003-2004 ----  ------------------- 2004-2005 ------------------
                                              APPROPRIATED           HOUSE BILL               SENATE 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     116,199      50,566
   4                                       (1.00)       (.40)      (1.00)       (.40)      (1.00)       (.40)
   5   CLASSIFIED POSITIONS             6,162,521   2,500,152   6,178,559   2,382,833   6,178,559   2,382,833
   6                                     (153.00)     (62.06)    (148.26)     (62.06)    (148.26)     (62.06)
   7   UNCLASSIFIED POSITIONS             451,258     180,954     416,956     146,652     416,956     146,652
   8                                       (6.00)      (2.41)      (6.00)      (2.41)      (6.00)      (2.41)
                                     ________________________________________________________________________________________________
   9  TOTAL PERSONAL SERVICE            6,729,978   2,731,672   6,711,714   2,580,051   6,711,714   2,580,051
  10                                     (160.00)     (64.87)    (155.26)     (64.87)    (155.26)     (64.87)
  11  OTHER OPERATING EXPENSES          8,260,172   3,102,922   8,104,794   2,947,544   8,104,794   2,947,544
  12                                 ================================================================================================
  13 TOTAL ADMINISTRATION              14,990,150   5,834,594  14,816,508   5,527,595  14,816,508   5,527,595
  14                                     (160.00)     (64.87)    (155.26)     (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  16,703,399   5,822,754
  22                                     (482.26)    (165.24)    (482.26)    (165.24)    (482.26)    (165.24)
  23      OTHER PERSONAL SERVICES       1,105,872     384,184   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  17,809,271   6,206,938
  25                                     (482.26)    (165.24)    (482.26)    (165.24)    (482.26)    (165.24)
  26     OTHER OPERATING EXPENSES       4,827,564   1,803,468   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  22,636,835   8,010,406
  29                                     (482.26)    (165.24)    (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  50,451,070   1,153,660
  34      NURSING HOME CONTRACTS        6,368,302   1,168,302   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   3,412,452     872,452
  36      CLTC CONTRACTS                3,216,449     741,449   3,216,449     741,449   3,216,449     741,449
  37      ELIGIBILITY CONTRACTS                                13,773,950     700,000  13,773,950     700,000
  38      MMIS                         31,329,243   7,229,243  43,787,243   7,229,243  43,787,243   7,229,243
                                     ________________________________________________________________________________________________
  39     TOTAL MEDICAL CONTRACTS       86,777,516  11,165,106 121,009,466  11,865,106 121,009,466  11,865,106
  40                                 ================================================================================================


SEC. 8-0002 SECTION 8 PAGE 0085 DEPT OF HEALTH AND HUMAN SERVICES ---- 2003-2004 ---- ------------------- 2004-2005 ------------------ APPROPRIATED HOUSE BILL SENATE 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 513,809,779 128,066,443 618,034,868 157,407,060 618,034,868 157,407,060 3 B. NURSING HOME SERVICES 308,910,744 88,211,354 368,448,679 105,554,683 368,448,679 105,554,683 4 C. DISPROPORTIONATE SHARE 397,400,371 14,000,000 397,400,371 14,000,000 397,400,371 14,000,000 5 D. PHARMACEUTICAL SVCS 377,549,304 74,019,292 568,378,340 115,647,464 591,920,176 122,738,265 6 E. PHYSICIAN SERVICES 185,516,507 50,470,187 247,412,589 65,569,518 247,412,589 65,569,518 7 F. DENTAL SERVICES 39,049,330 12,761,599 104,016,093 25,789,668 104,016,093 25,789,668 8 G. COMMUNITY LONG TERM 9 CARE 77,946,527 22,238,784 82,042,359 22,331,093 98,642,625 27,331,093 10 H. OTHER MEDICAID SRVCS 66,143,783 16,829,197 115,442,256 31,344,106 115,442,256 31,344,106 11 I. FAMILY PLANNING 15,939,759 1,616,173 26,853,929 2,472,376 26,853,929 2,472,376 12 J. SMI-REG-MEDICARE 77,988,646 21,017,683 89,493,528 22,457,910 72,893,262 17,457,910 13 K. SMI-MAO-MEDICARE 5,607,360 5,521,046 7,823,739 7,598,321 7,823,739 7,598,321 14 L. HOSPICE CARE PROGRAM 3,374,992 943,510 4,981,952 1,349,207 4,981,952 1,349,207 15 M. RESIDENTIAL CARE 16 FACILITIES 16,083,989 15,401,462 17,762,706 17,236,622 17,762,706 17,236,622 17 M1. ASSISTED LIVING 976,434 279,702 976,434 279,702 18 N. CLINICAL SERVICES 63,833,946 15,981,010 85,058,558 22,262,333 85,058,558 22,262,333 19 O. DURABLE MEDICAL 20 EQUIPMENT 43,719,818 11,617,257 44,208,680 11,950,769 44,208,680 11,950,769 21 P. MANAGED CARE (HMO) 36,575,948 10,314,915 62,997,327 16,893,160 62,997,327 16,893,160 ________________________________________________________________________________________________ 22 TOTAL CASE SRVC/PUB ASST 2229,450,803 489,009,912 2841,332,408 640,143,992 2864,874,244 647,234,793 ________________________________________________________________________________________________ 23 TOTAL MEDICAL ASSISTANCE 24 PAYMENT 2229,450,803 489,009,912 2841,332,408 640,143,992 2864,874,244 647,234,793 25 ================================================================================================ 26 4. ASSISTANCE 27 PAYMENTS-STATE AGENCIES 28 a. MENTAL HEALTH 202,000,000 221,723,921 221,723,921 29 b. DISAB. & SPEC. NEED 553,000,000 469,128,718 469,128,718 30 c. DHEC 37,000,000 44,008,516 44,008,516 31 d. MUSC 20,000,000 31,625,541 31,625,541 32 e. USC 3,000,000 6,377,842 6,377,842 33 f. DAODAS 25,000,000 13,454,399 13,454,399 34 g. CONTINUUM OF CARE 12,000,000 11,737,068 11,737,068 35 h. SCHL FOR DEAF & BLIND 2,000,000 2,327,945 2,327,945 36 I. SOCIAL SERVICES 63,000,000 59,301,139 59,301,139 37 j. JUVENILE JUSTICE 21,000,000 26,817,141 26,817,141 38 K. EDUCATION 21,000,000 79,509,754 79,509,754


SEC. 8-0003 SECTION 8 PAGE 0086 DEPT OF HEALTH AND HUMAN SERVICES ---- 2003-2004 ---- ------------------- 2004-2005 ------------------ APPROPRIATED HOUSE BILL SENATE 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 28,924 ________________________________________________________________________________________________ 3 TOTAL CASE SRVC/PUB ASST 959,036,000 966,040,908 966,040,908 ________________________________________________________________________________________________ 4 TOTAL ASSISTANCE PAYMENTS - 5 STATE AGENCIES 959,036,000 966,040,908 966,040,908 6 ================================================================================================ 7 CASE SERVICES/PUBLIC 8 ASSISTANCE 9 CASE SERVICES 51,990,786 52,456,839 52,456,839 ________________________________________________________________________________________________ 10 TOTAL CASE SRVC/PUB ASST 51,990,786 52,456,839 52,456,839 ________________________________________________________________________________________________ 11 TOTAL EMOTIONALLY DISTURBED 12 CHILDREN 51,990,786 52,456,839 52,456,839 13 ================================================================================================ 14 OTHER ENTITIES ASSISTANCE 15 PAYMENTS 16 PALMETTO SENIOR CARE 12,000,000 11,968,127 11,968,127 17 MUSC - MAXILLOFACIAL 18 PROSTHODONTICS 250,000 250,000 250,000 250,000 250,000 250,000 19 PALMETTO HEALTH ACCESS 150,000 75,000 20 SILVER CARD 77,230,360 23,200,000 77,025,232 23,200,000 77,025,232 23,200,000 21 OTHER ENTITIES FUNDS 72,292,776 7,292,776 89,039,761 7,292,776 89,039,761 7,292,776 ________________________________________________________________________________________________ 22 TOTAL CASE SRVC/PUB ASST 161,773,136 30,742,776 178,283,120 30,742,776 178,433,120 30,817,776 ________________________________________________________________________________________________ 23 TOTAL OTHER ENTITIES 24 ASSISTANCE PAYMENTS 161,773,136 30,742,776 178,283,120 30,742,776 178,433,120 30,817,776 25 ================================================================================================ 26 7. MEDICAID ELIGIBILITY 27 PERSONAL SERVICE 28 CLASSIFIED POSITIONS 11,990,836 4,485,361 11,990,836 4,485,361 12,583,856 4,781,871 29 (506.00) (193.30) (506.00) (193.30) (506.00) (193.30) 30 OTHER PERSONAL SERVICES 2,578,298 282,283 2,494,609 198,594 2,494,609 198,594 ________________________________________________________________________________________________ 31 TOTAL PERSONAL SERVICE 14,569,134 4,767,644 14,485,445 4,683,955 15,078,465 4,980,465 32 (506.00) (193.30) (506.00) (193.30) (506.00) (193.30) 33 OTHER OPERATING EXPENSES 14,562,700 1,821,767 4,788,750 1,121,767 4,788,750 1,121,767 ________________________________________________________________________________________________ 34 TOTAL MEDICAID ELIGIBILITY 29,131,834 6,589,411 19,274,195 5,805,722 19,867,215 6,102,232 35 (506.00) (193.30) (506.00) (193.30) (506.00) (193.30) 36 ================================================================================================ 37 TOTAL HEALTH SERVICES 3540,975,577 545,696,2784201,033,771 696,568,0024225,318,627 704,030,313 38 (988.26) (358.54) (988.26) (358.54) (988.26) (358.54) 39 ================================================================================================


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


SEC. 8-0005 SECTION 8 PAGE 0088 DEPT OF HEALTH AND HUMAN SERVICES ---- 2003-2004 ---- ------------------- 2004-2005 ------------------ APPROPRIATED HOUSE BILL SENATE BILL TOTAL STATE TOTAL STATE TOTAL STATE FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS (1) (2) (3) (4) (5) (6) ________________________________________________________________________________________________ 1 TOTAL SOCIAL SERVICES 2 ADMINISTRATION 1,141,333 156,000 6,000 156,000 6,000 3 (3.83) 4 ================================================================================================ 5 2. SOCIAL SERVICE PAYMENTS 6 A. SOCIAL SERVICE CONTRACTS 7 OTHER OPERATING EXPENSES 25,163,789 50,000 44,000 44,000 44,000 44,000 8 B. SOCIAL SERVICE PAYMENT 9 DISTRIBUTIONS TO 10 SUBDIVISIONS: 11 ALLOC MUN-RESTRICTED 1,050,000 12 ALLOC OTHER ENTITIES 4,000,000 ________________________________________________________________________________________________ 13 TOTAL DIST SUBDIVISIONS 5,050,000 14 SPECIAL ITEMS 15 A CHILD'S HAVEN & 16 BOWERS-ROGERS HOME 100,000 100,000 17 PHILLIS WHEATLEY 18 COMMUNITY CENTER 150,000 75,000 ________________________________________________________________________________________________ 19 TOTAL SPECIAL ITEMS 250,000 175,000 ________________________________________________________________________________________________ 20 TOTAL SOCIAL SERVICES 21 PAYMENT 30,463,789 225,000 44,000 44,000 44,000 44,000 22 ================================================================================================ 23 TOTAL SOCIAL SERVICES 31,605,122 225,000 200,000 50,000 200,000 50,000 24 (3.83) 25 ================================================================================================ 26 E. OFFICE ON AGING 27 1. SENIOR SERVICES 28 ADMINISTRATION 29 PERSONAL SERVICE 30 CLASSIFIED POSITIONS 924,445 387,929 1,151,176 614,660 31 (21.48) (8.66) (21.48) (8.66) 32 OTHER PERSONAL SERVICES 271,435 22,764 295,598 46,927 ________________________________________________________________________________________________ 33 TOTAL PERSONAL SERVICE 1,195,880 410,693 1,446,774 661,587 34 (21.48) (8.66) (21.48) (8.66) 35 OTHER OPERATING EXPENSES 456,964 211,964 685,819 211,964 ________________________________________________________________________________________________ 36 TOTAL SENIOR SERVICES 1,652,844 622,657 2,132,593 873,551 37 (21.48) (8.66) (21.48) (8.66) 38 ================================================================================================


SEC. 8-0006 SECTION 8 PAGE 0089 DEPT OF HEALTH AND HUMAN SERVICES ---- 2003-2004 ---- ------------------- 2004-2005 ------------------ APPROPRIATED HOUSE BILL SENATE BILL TOTAL STATE TOTAL STATE TOTAL STATE FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS (1) (2) (3) (4) (5) (6) 1 2. OFFICE ON AGING SPECIAL 2 ITEMS 3 SPECIAL ITEMS 4 A. MCCORMICK 5 INTERGENERATIONAL 8,841 8,841 8,841 8,841 6 B. LOCAL PROVIDER SALARY 7 SUPP 729,411 729,411 729,411 729,411 8 C. ALZHEIMERS 300,000 150,000 300,000 150,000 ________________________________________________________________________________________________ 9 TOTAL SPECIAL ITEMS 1,038,252 888,252 1,038,252 888,252 10 AID TO SUBDIVISIONS 11 ALLOC OTHER ENTITIES 23,834,707 1,034,707 23,834,707 1,034,707 ________________________________________________________________________________________________ 12 TOTAL DIST SUBDIVISIONS 23,834,707 1,034,707 23,834,707 1,034,707 ________________________________________________________________________________________________ 13 TOTAL OFFICE ON AGING 14 ASSISTANCE 24,872,959 1,922,959 24,872,959 1,922,959 15 ================================================================================================ 16 TOTAL OFFICE ON AGING 26,525,803 2,545,616 27,005,552 2,796,510 17 (21.48) (8.66) (21.48) (8.66) 18 ================================================================================================ 19 TOTAL PROGRAM AND SERVICES 3675,090,078 552,874,8574228,239,323 699,414,5124225,518,627 704,080,313 20 (1084.00) (367.20) (1009.74) (367.20) (988.26) (358.54) 21 ================================================================================================ 22 III. EMPLOYEE BENEFITS 23 C. STATE EMPLOYER CONTRIBUTIONS 24 EMPLOYER CONTRIBUTIONS 12,074,271 4,002,772 11,620,489 4,165,855 11,620,489 4,165,855 ________________________________________________________________________________________________ 25 TOTAL FRINGE BENEFITS 12,074,271 4,002,772 11,620,489 4,165,855 11,620,489 4,165,855 26 ================================================================================================ 27 TOTAL EMPLOYEE BENEFITS 12,074,271 4,002,772 11,620,489 4,165,855 11,620,489 4,165,855 28 ================================================================================================ 29 IV. NON-RECURRING 30 MEDICAID 7,769,503 7,769,503 31 FEDERAL RELIEF MONEY - MEDICAID 127,437,026 ________________________________________________________________________________________________ 32 TOTAL NON-RECURRING APPRO. 135,206,529 7,769,503 33 ================================================================================================ 34 TOTAL NON-RECURRING 135,206,529 7,769,503 35 ================================================================================================ 36 DEPT OF HEALTH AND HUMAN 37 SERVICES 38 TOTAL RECURRING BASE 3702,154,499 562,712,223 4254,676,320 709,107,962 4251,955,624 713,773,763 39


SEC. 8-0007 SECTION 8 PAGE 0090 DEPT OF HEALTH AND HUMAN SERVICES ---- 2003-2004 ---- ------------------- 2004-2005 ------------------ APPROPRIATED HOUSE BILL SENATE BILL TOTAL STATE TOTAL STATE TOTAL STATE FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS (1) (2) (3) (4) (5) (6) 1 TOTAL FUNDS AVAILABLE 3837,361,028 570,481,726 4254,676,320 709,107,962 4251,955,624 713,773,763 2 TOTAL AUTHORIZED FTE POSITIONS (1244.00) (432.07) (1165.00) (432.07) (1143.52) (423.41) 3 ================================================================================================


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