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Department of Social and Health Services - Mental Health

  Average Annual FTEs Near General Fund State Other Funds Total Funds
  (Dollars in Thousands)
Current Budget 2,144.3 884,019 164,437 1,048,456
2021-23 Maintenance Level 2,145.2 907,532 159,886 1,067,418
Difference from 2021-23 Original 0.90 23,513 (4,551) 18,962
% Change from 2021-23 Original 0.04% 2.7% (2.8%) 1.8%

2022 Policy Other Changes

Clark County Treatment Facility 0.20 194 0 194
Cloud Migration Feasibility Study 0.70 735 0 735
Equipment Maintenance and Software 0.0 182 0 182
COVID-19 Response 30.5 193 5,961 6,154
CRF Savings 0.0 (26,161) 0 (26,161)
Network Risk Mitigation 0.0 1,095 131 1,226
Personal Protective Equipment 0.0 0 3,260 3,260
DCYF Reimbursement Gap 0.0 501 62 563
San Juan Cottage Resources 3.0 231 322 553
CSTC - CMS & Joint Commission 1.9 327 216 543
Vancouver Treatment Facility 0.0 (1,036) (1,036) (2,072)
State Hospital Direct Care Staffing 74.9 15,658 157 15,815
Design & Planning Team New Hospital 6.4 5,250 0 5,250
Critical IT Pharmacy Resources 3.5 1,587 0 1,587
2022 Policy Other Changes Total 121.1 (1,244) 9,073 7,829

2022 Policy Comp Changes

State Employee Benefits 0.0 9 1 10
WFSE General Government 0.0 12,625 1,583 14,208
Rep Employee Health Benefits 0.0 84 10 94
Coalition of Unions 0.0 775 99 874
Non-Rep General Wage Increase 0.0 1,680 210 1,890
SEIU 1199 General Government 0.0 4,247 542 4,789
PERS & TRS Plan 1 Benefit Increase 0.0 344 43 387
2022 Policy Comp Changes Total 0.0 19,764 2,488 22,252
Total Policy Changes 121.1 18,520 11,561 30,081
2022 Policy Level 2,266.3 926,052 171,447 1,097,499
Difference from 2021-23 Original 122.0 42,033 7,010 49,043
% Change from 2021-23 Original 5.7% 4.8% 4.3% 4.7%

Policy Changes

Equipment Maintenance and Software

Funding is provided for cost increases for software essential for operation of Behavioral Health Administration sites. (General Fund - State)

WFSE General Government

The collective bargaining agreement includes a general wage increase of 3.25% for fiscal year 2023 and a lump sum payment for employees who were employed continuously starting on or before July 1, 2021 through June 30, 2022. (General Fund - Federal, General Fund - Medicaid Federal, General Fund - State, other funds)

Coalition of Unions

The collective bargaining agreement includes a general wage increase of 3.25% for fiscal year 2023 and a lump sum payment for all employees hired before July 1, 2022. (General Fund - Medicaid Federal, General Fund - State, General Fund - Local CRC Oregon, other funds)

SEIU 1199 General Government

The collective bargaining agreement includes a general wage increase of 3.25% for fiscal year 2023 and a retention bonus payable in two equal installments. (General Fund - Medicaid Federal, General Fund - State, General Fund - Federal, other funds)

Clark County Treatment Facility

This funding will provide for a facility manager to maintain and oversee the new 48-bed residential treatment facility underway in Vancouver and ensure that the workspace is safe and functional for staff, clients, and others. (General Fund - State)

Cloud Migration Feasibility Study

In consultation with the Office of the Chief Information Officer (OCIO), the DSHS Behavioral Health Administration will prepare a readiness assessment, feasibility study, and other necessary planning activities to support a successful transition of information technology operations and applications to a cloud computing environment. (General Fund - State)

COVID-19 Response

Funds are provided for non-pharmacological strategies, including screening stations, to prevent and control the transmission of COVID-19 to keep patients and staff healthy and safe. (Coronavirus St Fiscal Recovery Fund - Federal, General Fund - State)

CRF Savings

The agency received an allocation of federal Coronavirus Response Funds, which are scheduled to expire on December 31, 2021. Already incurred costs to operate the state hospitals and other state institutions are assumed to be eligible uses of this fund source. This item restores General Fund-State funds to reflect the savings achieved through the use of CRF funds. (General Fund - State)

Network Risk Mitigation

Funds are provided to replace aging hardware and bring network assets up to current security best practices in order to reduce the risk of service interruption. (General Fund - State, General Fund - Cash, General Fund - Medicaid Federal, other funds)

Personal Protective Equipment

Personal protective equipment helps contain the spread of COVID-19 and reduce infection rates. Funding is provided to purchase, store, and distribute PPE to DSHS employees. This assumes that Federal Emergency Management Agency (FEMA) funding expires in March 2022. (General Fund - Medicaid Federal, General Fund - Cash, Coronavirus St Fiscal Recovery Fund - Federal, other funds)

DCYF Reimbursement Gap

Funds are provided to maintain current information technology (IT) service levels as the Department of Children, Youth, and Families moves to an internally managed network from a DSHS-managed network. (General Fund - Medicaid Federal, General Fund - State, General Fund - Local CRC Oregon, other funds)

San Juan Cottage Resources

Funding is provided for essential positions necessary to increase managerial and support supports necessary due to the recent expansion of the Child Study and Treatment Center (CSTC). (General Fund - Local CRC Oregon, General Fund - State, General Fund - Medicaid Federal, other funds)

CSTC - CMS & Joint Commission

To maintain the Child Study and Treatment Center's (CSTC) accreditation and certification from The Joint Commission and Centers for Medicare and Medicaid Services, funding is provided for critical staff necessary to promote a safe environment for patients and staff. The CSTC was recently expanded to add 18 additional beds. (General Fund - Local CRC Oregon, General Fund - State, General Fund - Medicaid Federal, other funds)

Vancouver Treatment Facility

Funding is adjusted to account for a delay in the construction of the Vancouver regional treatment facility. (General Fund - Cash, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)

State Hospital Direct Care Staffing

To enhance patient care and promote a safe environment for staff and patients at the state hospitals, funding is provided to implement an acuity-based staffing model at the state hospitals. (General Fund - State, General Fund - Cash, General Fund - Medicaid Federal, other funds)

Design & Planning Team New Hospital

Funding is provided for design and planning activities necessary for the construction of the new forensic hospital located on the grounds of Western State Hospital that was appropriated in the 2021-23 capital budget. (General Fund - State)

Critical IT Pharmacy Resources

To implement a critical upgrade to the pharmacy systems at the state hospitals, funding is provided for staffing and system costs. (General Fund - State)

State Employee Benefits

Health insurance funding is provided for state employees who are not covered by the healthcare coalition. The insurance funding rate is $936 per employee per month for fiscal year 2022 and $1,130 per employee per month for fiscal year 2023. (General Fund - Federal, General Fund - Medicaid Federal, General Fund - State, other funds)

Rep Employee Health Benefits

Health insurance funding is provided as part of the master agreements for employees who bargain for health benefits as part of a coalition of unions. The insurance funding rate is $936 per employee per month for fiscal year 2022 and $1,130 per employee per month for fiscal year 2023. (General Fund - Federal, General Fund - Medicaid Federal, General Fund - State, other funds)

Non-Rep General Wage Increase

A general wage increase of 3.25%, effective July 1, 2022, is provided for state employees who are not represented by a union or who are covered by a bargaining agreement that is not subject to financial feasibility determination. (General Fund - Federal, General Fund - Medicaid Federal, General Fund - State, other funds)

PERS & TRS Plan 1 Benefit Increase

For eligible Public Employees' and Teachers' Retirement Systems Plan 1 members, this item provides an increase of 3%, up to a maximum of $110 per month. (General Fund - Medicaid Federal, General Fund - State, General Fund - Federal, other funds)