Section 41.55. Community mental health support and workforce reinvestment program  


Latest version.
  • (a) Community mental health support and workforce  reinvestment  funds
      shall be annually allocated by the commissioner based upon the following
      criteria:
        (1)  the efficiency and effectiveness of the use of funding within the
      local governmental unit for the delivery of  services  to  persons  with
      serious  mental  illness  in  order  to  assure  that resources are made
      available to fund mental health services to persons discharged into  the
      community; and
        (2)  other  relevant  factors that require the maintenance of existing
      mental  health  services  and  the  development  of  new  mental  health
      services.
        (b)  Amounts  provided  pursuant to this section shall only be used to
      fund mental health workforce related activities,  including  recruitment
      and  retention  initiatives  and  training  programs,  and other general
      programmatic activities to help ensure a stable  mental  health  system.
      Such  grants  and  other  funds  shall  not  be  used  for capital costs
      associated with the development of community mental health  support  and
      workforce reinvestment services.
        (c)  Prior  to  entering  into contracts for the provision of services
      funded pursuant to subdivision (b) of this section, the office of mental
      health and any  local  governmental  unit  receiving  such  funds  shall
      consider the following:
        (1)  the  service  needs  of  persons  with  serious  mental  illness,
      including children and adolescents with serious emotional  disturbances,
      in  the  geographical  area in which the community mental health support
      and workforce reinvestment program operates;
        (2) the capacity of the program to meet identified service  needs  and
      specified  performance standards related to access, admission, referral,
      and service coordination and delivery;
        (3) the extent to which community mental health support and  workforce
      reinvestment  services  authorized  by  the  contract are consistent and
      integrated with the plan prepared and approved pursuant to section 41.16
      of this article and other applicable provisions of this article; and
        (4) the reliability and capability  of  the  provider,  including  its
      expertise,   prior   experience,  financial  responsibility,  record  of
      adherence to law, record of providing quality  care  and  services,  and
      ability   to  deliver  appropriate  services  in  a  cost-effective  and
      efficient  manner  to  persons  with   serious   mental   illness.   The
      commissioner  is  authorized  to  promulgate  regulations  to  establish
      minimum contractual obligations in accordance  with  the  provisions  of
      this subdivision.
        (d)  The  commissioner is authorized and empowered to make inspections
      and examine records of a local governmental  unit  receiving  state  aid
      under  this  section  or  a  provider  of  services  funded  pursuant to
      subdivision (b) of this section.  Such  examination  shall  include  all
      medical,   service   and  financial  records,  receipts,  disbursements,
      contracts, loans and other moneys relating to the financial operation of
      the provider.
        (e) The amount  of  community  mental  health  support  and  workforce
      reinvestment  funds  for the office of mental health shall be determined
      in the annual budget and  shall  include  the  amount  of  actual  state
      operations  general  fund  appropriation  reductions, including personal
      service  savings  and  other  than  personal  service  savings  directly
      attributed  to each child and adult non-geriatric inpatient bed closure.
      For the purposes of this section a bed shall be considered to be  closed
      upon  the  elimination of funding for such beds in the executive budget.
    
      The appropriation reductions as a result of inpatient bed closures shall
      be no less than seventy thousand dollars per bed on a full annual basis,
      as annually recommended by the commissioner, subject to the approval  of
      the director of the budget, in the executive budget request prior to the
      fiscal  year  for  which  the  executive  budget is being submitted. The
      commissioner shall report to the governor, the  temporary  president  of
      the  senate and the speaker of the assembly no later than October first,
      two thousand three, and annually thereafter, with an explanation of  the
      methodologies  used  to  calculate  the  per  bed  closure  savings. The
      methodologies shall be developed by the commissioner and the director of
      the budget. In no event shall the full annual value of community  mental
      health  support and workforce reinvestment programs attributable to beds
      closed as a result of net inpatient census  decline  exceed  the  twelve
      month value of the office of mental health state operations general fund
      reductions  resulting from such census decline. Such reinvestment amount
      shall be made available in the same proportion by which  the  office  of
      mental health's state operations general fund appropriations are reduced
      each  year  as  a  result of child and adult non-geriatric inpatient bed
      closures due to census decline.
        (f) Additional  reinvestment  amounts  shall  be  made  available  for
      appropriation in the executive budget based upon state operation general
      fund appropriations directly attributed to the co-location or closure of
      psychiatric  centers  made  pursuant  to  law. Such amount shall be made
      available at the same proportion by which the office  of  mental  health
      state  operations general fund appropriations are reduced each year as a
      result of facility co-locations and closures.
        (g)  The  annual  community  mental  health  support   and   workforce
      reinvestment  appropriation shall reflect the amount of state operations
      general fund appropriation reductions resulting  from  subdivisions  (e)
      and  (f)  of  this  section.  Within any fiscal year where appropriation
      increases are recommended for the community mental  health  support  and
      workforce  reinvestment  program,  insofar as projected inpatient census
      decline or facility co-locations or closures do not occur as  estimated,
      and  state  operations  general  fund  savings  do  not result, then the
      reinvestment appropriations shall be  made  available,  as  needed,  for
      transfer from the office of mental health general fund-aid to localities
      account  to  the  office  of  mental  health general fund-state purposes
      account to pay for any necessary inpatient expenses. The total community
      mental health support and workforce reinvestment appropriation also  may
      include  such  additional  appropriations,  as shall be determined to be
      needed and approved by the legislature, to fund all  the  provisions  of
      this section.
        (h)  The  commissioner  shall  report  to  the governor, the temporary
      president of the senate and the speaker of the assembly, no  later  than
      October  first,  two thousand four, and annually thereafter, with a long
      term capital plan for  the  future  uses  of  all  state  mental  health
      facilities,  and  shall include recommendations of the state interagency
      council on mental hygiene property utilization and local  facility  task
      forces  on  future  uses  of  local state-operated hospital property, as
      established  pursuant   to   sections   twenty-two   and   twenty-three,
      respectively,  of  chapter  seven  hundred  twenty-three  of the laws of
      nineteen hundred ninety-three. Such  plan  shall,  consistent  with  the
      provisions  of  section 5.07 of this chapter, include any proposed state
      mental health facility closures or consolidations.  Further,  such  plan
      shall  include  the  amount  of  actual  state  operation  general  fund
      appropriation reductions anticipated to  be  directly  related  to  each
      proposed facility closure or consolidation approved by the legislature.
    
        (i)  Amounts made available to the community mental health support and
      workforce reinvestment program of the office of mental health  shall  be
      subject  to annual appropriations therefor. Up to fifteen percent of the
      amounts so appropriated shall be made available for  staffing  at  state
      mental  health  facilities  and  at least seven percent of the remaining
      funds may be allocated for state operated community services pursuant to
      this section.
        (j) For purposes of this section, the term "state  operations  general
      fund"  shall  mean  the office of mental health state operations general
      fund  appropriations  before  any  offset  from  the   special   revenue
      funds-other miscellaneous special revenue fund or mental hygiene patient
      income account.
        (k)  No  provision in this section shall create or be deemed to create
      any right, interest or entitlement to services or  funds  that  are  the
      subject  of  this  act,  or  to  any other services or funds, whether to
      individuals,  localities,   providers   or   others,   individually   or
      collectively.
        (l)  The  commissioner  of mental health shall report to the governor,
      the temporary president of the senate and the speaker of  the  assembly,
      no later than October first, two thousand four, and annually thereafter,
      with  a  long-term plan for state employee utilization and their role in
      the provision of an integrated and comprehensive system of treatment and
      rehabilitation for persons with mental illness.
        (m)  All  appropriations  for  community  mental  health  support  and
      workforce  reinvestment  services  shall  be  adjusted  in the following
      fiscal year to reflect the variance  between  the  initial  and  revised
      estimates of census decline.
        * NB Repealed March 31, 2010