State, federal, and local appropriations are adjusted to reflect variation in expected federal and local revenues. Revenue projections of inpatient contributions and Medicaid earnings are based on a 12-month average.

Funding is provided for increasing utility costs for the state hospitals and the Office of Forensic Mental Health Services (OFMHS).

Federal funding is adjusted to reflect planned expenditures and to reduce federal funds the department will not be able to spend in fiscal year 2021.

The department will shift FTE staff and funding to align them with the programs where the costs are incurred for Fiscal Year 2021. The net impact is zero.

Funding is provided for medical treatment for state hospital patients who have Hepatitis C (Hep C).

Funding is provided for increased rates for personal computers leased through the Department of Enterprise Services.

Payments made to states under the Disproportionate Share Hospital grant program are intended to offset the costs of uncompensated care for Medicaid and uninsured patients. State and federal appropriations are adjusted to reflect changes in federal DSH revenue.

Funding is provided to reflect the increased costs incurred by the Department of Social and Health Service's for Citrix and Virtual-Private-Network (VPN) due to the rise in the number of staff working remotely as a result of the COVID-19 pandemic.

Adjustments are made to align FTEs and funding with anticipated expenditures throughout the agency.

As part of the Governor's plan to transform behavioral health and to move care for individuals on long-term inpatient commitments to community settings, the future civil census at the two state psychiatric hospitals will decrease. Funding in fiscal year 2021 is reduced to reflect the closure of one civil ward at Eastern State Hospital. (General Fund - Medicaid Federal, General Fund - Cash, General Fund - Local CRC Oregon, other funds)

The 2017-19 biennial budget included capital funding for a new 18-bed children's long term inpatient program cottage at the Child Study and Treatment Center. Current law assumed that the staff for the San Juan Cottage would be hired in January 2021 and patients admitted in April 2021. Delays in the capital construction project mean that the new cottage will be ready for occupancy in May 2021. Funding is adjusted to reflect the savings resulting from the delay in occupancy. (General Fund - Cash, General Fund - Medicaid Federal, General Fund - Local CRC Oregon, other funds)

A settlement agreement was reached between the parties of the Trueblood, et al. v. DSHS lawsuit in August 2018 which proposes the suspension of fines beginning in December 2018, provided the state maintains substantial compliance with the terms laid out in the settlement agreement approved by the U.S. District Court (Western District) on December 11, 2018. However, the federal court did not suspend outpatient contempt fines and DSHS is liable for plaintiff attorney fees and court monitor expenses. Funding is provided for outpatient contempt fines, plaintiff attorney fees and court monitor costs related to the Trueblood lawsuit. (General Fund - State)

These funds will provide rate increases for contracted essential services for Behavioral Health Administration facilities. (General Fund - State)

Funding is provided for increased costs for personal computers leased through the Department of Enterprise Services resulting from the increased need for telework capabilities due to COVID-19. These new PCs will take the place of outdated work stations at such time that individuals return to in-person work. (General Fund - State)

Funding is provided for COVID-19 staffing and visitor screening stations for Behavioral Health Administration facilities. (General Fund - State)

To increase safety at Western State Hospital, funding is provided for a permanent recruitment and hiring team. This team is necessary to fill vacant funded and essential direct care and support positions to operate the hospital at a safe level for both patients and staff. (General Fund - State)

Funding is provided to reflect the increased costs incurred for personal protective equipment (PPE) as a result of the COVID-19 pandemic. (General Fund - Cash, General Fund - State, General Fund - Medicaid Federal, other funds)

Agency savings were achieved by implementing the governor's directive to furlough staff. (Veteran Estate Management Account - Federal, General Fund - Local, General Fund - Private/Local, other funds)

Agency savings were achieved by implementing the governor's directive to withhold the general wage increase scheduled for July 1, 2020. (Veteran Estate Management Account - Federal, General Fund - Local, General Fund - Private/Local, other funds)