COVID-19

For the latest COVID-19 health guidance, statistics and resources, visit: Coronavirus.wa.gov

You are here

Home » Budget » State budgets » 2021-23 Gov. Inslee's proposed budgets » Agency recommendation summaries » Agency recommendation summaries » Department of Social and Health Services - Mental Health

Department of Social and Health Services - Mental Health

  Annual FTEs General Fund State Other Funds Total Funds
  (Dollars in Thousands)
Estimated Expenditures 2,113.9 875,494 180,510 1,056,004
2021-23 Maintenance Level 2,262.4 964,563 99,203 1,063,766
Difference from 2019-21 148.5 89,069 (81,307) 7,762
% Change from 2019-21 7.0% 10.2% (45.0%) 0.74%

2021-23 Policy Other Changes

Reduce Contracted Services 0.0 (10,942) 0 (10,942)
Supporting Children's Mental Health 4.0 577 555 1,132
Civil Ward Reductions (497.4) (99,379) (9,536) (108,915)
Direct Care and Essential Staff 20.5 3,355 912 4,267
DSH Delay Adjustment 0.0 (51,389) 51,389 0
Implement Trueblood Phase 2 14.7 8,447 0 8,447
CSTC: Cottage LSA Operating Costs 1.0 210 0 210
Contract Rate Increases 0.0 1,115 0 1,115
Leased PCs During COVID 0.0 316 0 316
WSH: Forensic Ward Expansion 99.1 27,419 0 27,419
Continue Safety Initiatives at WSH 15.0 3,672 0 3,672
Network Risk Mitigation 0.0 1,005 219 1,224
Citrix and VPN Charges 0.0 46 4 50
Personal Protective Equipment 0.0 4,748 606 5,354
2021-23 Policy Other Changes Total (343.1) (110,800) 44,149 (66,651)

2021-23 Policy Comp Changes

Pension Adjustments, nonrate 0.0 518 64 582
State Employee Benefits 0.0 (138) (17) (155)
WFSE General Government 0.0 (6,256) (745) (7,001)
Temporary Layoffs and Other Savings 0.0 (4,249) (531) (4,780)
Juneteenth State Holiday 0.0 1,582 202 1,784
Rep Employee Health Benefits 0.0 (1,270) (159) (1,429)
Coalition of Unions 0.0 (2,177) (278) (2,455)
Non-Rep General Wage Increase 0.0 (2,356) (162) (2,518)
SEIU 1199 General Government 0.0 (235) (30) (265)
2021-23 Policy Comp Changes Total 0.0 (14,581) (1,656) (16,237)
Total Policy Changes (343.1) (125,381) 42,493 (82,888)
2021-23 Policy Level 1,919.3 839,182 141,696 980,878
Difference from 2019-21 (194.6) (36,312) (38,814) (75,126)
% Change from 2019-21 (9.2%) (4.1%) (21.5%) (7.1%)

Policy Changes

Reduce Contracted Services

Funding is reduced for contracted services that are no longer necessary and have been terminated. (General Fund - State)

Supporting Children's Mental Health

Funding is provided for greater supervision of direct care and psychology staff and to expand the substance use disorder counseling capacity at the Child Study and Treatment Center. (General Fund - Local, General Fund - State, General Fund - Private/Local, other funds)

Civil Ward Reductions

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 is reduced to reflect the closure of 11 civil wards at Eastern State Hospital and Western State Hospital. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - Cash, other funds)

Direct Care and Essential Staff

Funding is provided for direct care and essential support positions needed to operate two new 25-bed forensic competency restoration wards at Eastern State Hospital that opened in the 2019-21 biennium. (General Fund - State, General Fund - Local, General Fund - Private/Local, other funds)

DSH Delay Adjustment

Under current law, there is a scheduled reduction in the funding expected through the Medicaid Disproportionate Share Hospital (DSH) grant program. This reduction was originally scheduled to go into effect several years ago and has been delayed several times. It is assumed that the reduction will continue to be delayed by the federal government, reducing the need for state funds for the operation of Eastern State Hospital. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - Cash, other funds)

Implement Trueblood Phase 2

A settlement agreement has been approved in the Trueblood et. al. v. DSHS lawsuit. Implementation of the agreement will occur in phases in different regions of the state. The first phase, funded in the 2019-21 biennial budget, included Pierce and Spokane counties and the southwest region. The second phase will include King County. The agreement outlines five key areas of investments: competency evaluations, competency restoration, crisis diversion and supports, education and training, and workforce development. (General Fund - State)

CSTC: Cottage LSA Operating Costs

FTEs and funding are provided for operating costs for the new low stimulation area (LSA) being added to Ketron Cottage at the Child Study and Treatment Center (CSTC). The LSA is anticipated to open in February 2023. (General Fund - Medicaid Federal, General Fund - Cash, General Fund - State, other funds)

Contract Rate Increases

Funding is provided for rate increases for contracted essential services for Behavioral Health Administration facilities. (General Fund - State)

Leased PCs During COVID

Funds are 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)

WSH: Forensic Ward Expansion

The 2019-21 biennial budget included capital funding for two new 29-bed forensic competency restoration wards at Western State Hospital (WSH). Funding is provided to open these wards in fiscal year 2022. (General Fund - State)

Continue Safety Initiatives at WSH

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

Network Risk Mitigation

Funding is provided to replace obsolete and failing switching equipment at facilities. (General Fund - State, General Fund - Medicaid Federal, General Fund - Cash, other funds)

Citrix and VPN Charges

Funding is provided to reflect the increased costs incurred by the Department of Social and Health Services for Citrix and virtual private network (VPN) charges due to the rise in the number of staff working remotely as a result of the COVID-19 pandemic. (General Fund - State, General Fund - Federal, General Fund - Family Support/Child Welfare, other funds)

Personal Protective Equipment

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

Pension Adjustments, nonrate

This funds the potential impact of Department of Retirement Systems request legislation on pension service credit and benefit calculation. It will prevent budget reductions such as temporary layoffs from negatively affecting employee retirement benefits. (General Fund - State, General Fund - Medicaid Federal, General Fund - Federal, other funds)

State Employee Benefits

Health insurance funding is provided for state employees who are not represented by a union, who are covered by a bargaining agreement that is not subject to financial feasibility determination, or who are not part of the coalition of unions for health benefits. The insurance funding rate is $988 per employee per month for fiscal year 2022 and $1,018 per employee per month for fiscal year 2023. (General Fund - Cash, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)

WFSE General Government

This adjustment reflects the impact of the 2021-23 collective bargaining agreement. (General Fund - Cash, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)

Temporary Layoffs and Other Savings

This item reflects savings achieved from temporary layoffs or similar actions. (General Fund - Medicaid Federal, General Fund - Cash, General Fund - Local CRC Oregon, other funds)

Juneteenth State Holiday

This funding is necessary to implement a new state holiday of Juneteeth, based on the cost of backfilling positions that require coverage at all times. (General Fund - Cash, General Fund - State, General Fund - Medicaid Federal, other funds)

Rep Employee Health Benefits

This provides health insurance funding for the master agreement for employee benefits as part of a coalition of unions. The insurance funding rate is $988 per employee per month for fiscal year 2022 and $1,018 per employee per month for fiscal year 2023. (General Fund - Local CRC Oregon, General Fund - Medicaid Federal, General Fund - Cash, other funds)

Coalition of Unions

This adjustment reflects the impact of the 2021-23 collective bargaining agreement. (General Fund - Cash, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)

Non-Rep General Wage Increase

This reflects savings from the cancellation of the July 1, 2020 general wage increase for some non-represented, non-classified employees. (General Fund - Medicaid Federal, General Fund - Cash, General Fund - Local CRC Oregon, other funds)

SEIU 1199 General Government

This adjustment reflects the impact of the 2021-23 collective bargaining agreement. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - Cash, other funds)