Laws of New York (Last Updated: November 21, 2014) |
MHY Mental Hygiene |
Title E. GENERAL PROVISIONS |
Article 41. LOCAL AND UNIFIED SERVICES |
Section 41.23. Unified services plan; financing
Latest version.
-
(a) With the exception of chemical dependence services, which are subject to article twenty-six of this chapter, aggregate costs incurred pursuant to an approved unified services plan shall be funded pursuant to the provisions of this section. For the purposes of this section, the term "aggregate costs" shall mean the sum of net operating costs, as defined in section 41.03, and the costs of services rendered by department facilities pursuant to a unified services plan. Costs of services rendered by department facilities shall be determined on the basis of rates established pursuant to article forty-three, less all income received from or on behalf of such patient, or otherwise provided by law. (b) Upon approval of a unified services plan, expenditures pursuant to such plan for the next local fiscal year shall be financed as follows: (1) Subject to the provisions of subdivision (c) of this section, aggregate costs shall be apportioned between the state and the local government on the basis of the population of each local government as determined by the last preceding federal census. The aggregate costs shall be determined for each local government and there shall be deducted therefrom a local population credit of ten dollars per capita for the first one hundred thousand of the population of the local government and five dollars per capita for the remaining population of such local government. If such aggregate costs are less than such local population credit, the aggregate costs shall be financed on the basis of one hundred percent state funds, up to the amount of such aggregate costs. If the amount of such aggregate costs exceeds such local population credit, the balance of such aggregate costs over the local population credit, up to thirteen dollars per capita, shall be financed on the basis of eighty percent state funds and twenty percent local contribution with all remaining aggregate costs financed on the basis of sixty-five percent state funds and thirty-five percent local contributions. Aggregate costs shall not include the cost of community support services provided under section 41.47 of this article or the cost of services given to any persons (i) who are patients in a state facility and not residents of the particular local government or (ii) who are patients in a state facility whose last date of admission or readmission to such facility was earlier than five years prior to the first day of April next succeeding the date on which the first unified services plan for such local government becomes effective or (iii) mentally retarded or developmentally disabled persons who were patients in a state facility for a continuous period of five or more years following the first day of January, nineteen hundred sixty-nine, and who were subsequently released or discharged from such facility, provided that the unified services plan contains a plan for the care and treatment of such prior admitted patients who are residents of the local government. The state shall pay one hundred percent of the net operating costs expended by the local government and by voluntary agencies pursuant to contract with such local government or by the state for services to such prior admitted patients, if rendered in accordance with an approved unified services plan. Such one hundred percent state aid for services to such persons shall also be provided to a voluntary agency pursuant to a direct contract between such agency and an office of the department whenever such services provided pursuant to such direct contract are rendered in accordance with an approved unified services plan for servicing such clients. For purposes of determining whether a person has been a patient in such a facility for a continuous period of five years or more, if a person who has been discharged or released from such a facility is thereafter returned to such a facility within ninety days of the discharge or release, the period of time between such discharge or release and such return shall not constitute an interruption of and shall be counted as part of the continuous period. Notwithstanding the foregoing, local governments shall be granted state aid of one hundred percent of the net operating costs expended by such localities and by voluntary agencies pursuant to contract with such local governments for approved demonstration projects, not to exceed three years, for the purpose of conducting alcoholism and alcohol abuse preventive, rehabilitative and treatment services; provided, however, that the commissioner of alcoholism and substance abuse services may extend the demonstration project for one additional year if it is determined that such extension is necessary and would serve the public interest. The commissioner shall file a written explanation for such action with the director of the division of the budget, the chairman of the senate finance committee and the chairman of the assembly ways and means committee. Such one hundred percent state aid for approved demonstration projects shall also be provided to a voluntary agency pursuant to a direct contract between such agency and the office of alcoholism and substance abuse services whenever such services provided pursuant to such direct contract are rendered in accordance with an approved unified services plan for alcoholism and alcohol abuse preventive, rehabilitative and treatment services. Upon completion of the approved demonstration project such program shall be eligible for transitional funding so that the percentage of local contribution of such project does not exceed twenty percent of the cost of such project during the first year of transition, thirty-five percent of such costs during the second year of transition, or fifty percent of such costs during the third year of transition. The term "local contribution" for the purposes of this section shall mean the sum of funds for net operating costs of services actually provided by (i) any local government acting under such plan and (ii) any voluntary agency providing services under such plan pursuant to a contract with the local governmental unit. Notwithstanding the foregoing, local governments and voluntary agencies shall be granted state aid of one hundred percent of the net operating costs expended by such localities and by voluntary agencies pursuant to contracts with such local governments or with the office of alcoholism and substance abuse services for alcohol crisis centers, chemical dependency programs for youth, residential services for recovering alcoholics and substance abusers and for alcoholism AIDS coordinators. Such state aid may also be granted to programs transferred from the task force on integrated projects for youth and chemical dependency. Such state aid shall also be granted for non-residential services determined to be necessary to serve the public interest by the commissioner of alcoholism and substance abuse services provided by local governments having a population of one hundred twenty-five thousand or less as determined by the last preceding federal census, or by voluntary agencies pursuant to contracts with such local governments. Such state aid may also be granted to programs transferred from the task force on integrated projects for youth and chemical dependency. The commissioner shall file a written explanation for such determination with the director of the division of the budget, chairman of the senate finance committee and chairman of the assembly ways and means committee. Such one hundred percent state aid shall also be provided to a voluntary agency pursuant to a direct contract between such agency and the office of alcoholism and substance abuse services whenever such services provided pursuant to such direct contract are rendered in accordance with an approved local services plan for alcoholism and alcohol abuse preventive, rehabilitative and treatment services. Notwithstanding the foregoing, local governments and voluntary agencies may be granted state aid of up to one hundred percent of the net operating costs expended by such localities and by voluntary agencies pursuant to contracts with the office of mental health for programs transferred from the task force on integrated projects for youth and chemical dependency established pursuant to chapter eight hundred twelve of the laws of nineteen hundred eighty-seven. Such aid may include funds transferred from such task force to the office of mental health. For purposes of this section, "residential chemical dependency program for youth" shall mean a voluntary drug free residential setting for persons between the ages of twelve and eighteen certified by the office of alcoholism and substance abuse services. (2) The state shall pay fifty percent of all capital costs after deducting from such costs all amounts received as federal aid which are incurred by a local government or voluntary agency and included in a unified services plan. In the event that construction by a voluntary agency has been included in a unified services plan, reimbursement for the capital costs thereof shall be made by the department directly to such voluntary agency. (3) The state shall pay one hundred percent of all capital costs incurred by the department for state facilities. (4) The liability of the state in any state fiscal year for state funding pursuant to this section shall be limited to the amounts appropriated for this purpose by the legislature for such state fiscal year. (5) With respect to a local government which has provided joint unified services and facilities through agreement with other local governments, expenditures subject to financing pursuant to this section shall mean the prorated expenditures of such agreement. (c) (1) As used in this subdivision: (i) "Aggregate costs" and "local contribution" shall have the meanings assigned thereto in paragraph (1) of subdivision (b) of this section. (ii) "Base year local contribution" shall mean that portion of the funds for net operating costs of local services actually provided by a local government and by any voluntary agency providing services pursuant to a contract with the local governmental unit under a local services plan during the year immediately preceding the first effective date of a unified services plan for such local government. (2) To reduce any adverse fiscal impact on local governments wherever the local contribution as calculated for the first local fiscal year under paragraph one of subdivision (b) of this section exceeds the base year local contribution, the local contribution shall be reduced by the amount of such difference in the first local fiscal year, eighty percent of the same amount in the second local fiscal year, sixty percent of the same amount in the third fiscal year, forty percent of the same amount in the fourth fiscal year and twenty percent of the same amount in the fifth fiscal year. Thereafter, the local contribution shall be determined pursuant to paragraph one of subdivision (b) of this section. (3) To reduce any adverse fiscal impact on the state wherever the local contribution as calculated for the first local fiscal year under paragraph one of subdivision (b) of this section is less than the base year local contribution, the local contribution shall be increased by eighty percent of the amount of such difference in the first local fiscal year, sixty percent of the same amount in the second local fiscal year, forty percent of the same amount in the third fiscal year and twenty percent of the same amount in the fourth fiscal year. Thereafter, the local contribution shall be determined pursuant to paragraph one of subdivision (b) of this section. (d) Nothing in subdivisions (b) or (c) of this section shall prevent a local government or local governments acting jointly from appropriating additional funds for unified services which increase the proportion of the local contribution of costs incurred under a unified services plan.