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.