3. To establish and maintain demonstration projects in im-
proved public health methods in one or more counties in
the promotion of better public health service throughout
the State.
4. To encourage and promote local participation in finan-
cial support of the county health departments.
5. To meet emergency situations which may arise in local
areas.
6. To fit funds available to amounts budgeted when small
differences occur.
The provisions of this proviso shall not supersede or sus-
pend the provisions of Section 13-7-30 of the 1976 Code.
39.2. Counties may continue to fund special projects in
conjunction with the County Health Departments. Salaries
for county special project employees, including merit in-
creases and fringe benefits, shall be totally funded by the
county(s) involved. County special project employees shall
not be under the state merit system or state compensation
plan and they shall receive their compensation directly from
the county(s).
39.3. The Department of Health and Environmental Control
shall be authorized to continue treatment of those persons
with Cystic Fibrosis who have reached the age of 18 years
and continue such treatment for the life of the patient.
The state funds appropriated in this section for such treat-
ment will be used solely for Cystic Fibrosis patients of any
age.
39.4. Federal funds made available to the Department of
Health and Environmental Control for the allocation to the
counties of the State for operation of county health units
be allotted on a basis approved by the Board of the Depart-
ment of Health and Environmental Control and the amount of
State funds appropriated herein for "Public Health Dis-
tricts, Community Health Services", except for salary in-
creases, shall be allocated on a basis such that no county
shall receive less than the amount received in Fiscal Year
1988-89.
39.5. Private donations or contributions for capital im-
provements at Camp Burnt Gin shall be deposited in a re-
stricted account and carried forward until sufficient
amounts are available for such improvements. Any expendi-
tures from the account must first be approved by the Budget
and Control Board and the Joint Bond Review Committee.
39.6. The Children's Rehabilitative Services shall be re-
quired to utilize any available financial resources includ-
ing insurance benefits and/or governmental assistance
programs, to which the child may otherwise be entitled in
providing and/or arranging for medical care and related ser-
vices to physically handicapped children eligible for such
services, as a prerequisite to the child receiving such ser-
vices.
39.7. Notwithstanding any other provisions of this act,
the funds appropriated herein for "Cancer" and "Hemophilia
Assistance" shall not be transferred to other programs
within the agency and when instructed by the Budget and Con-
trol Board or the General Assembly to reduce funds within
the department by a certain percentage, the Department may
not act unilaterally to reduce the funds for any "Cancer"
and "Hemophilia Assistance" program provided for herein
greater than such stipulated percentage.
39.8. The Department of Health and Environmental Control
shall utilize so much of the funds appropriated in this sec-
tion as may be necessary to continue the Speech and Hearing
programs. Any reductions in the Children's Rehabilitative
Services shall be prorated among the various subprograms.
39.9. Any unexpended balance on June 30, 1989, of the
amount appropriated in this Section under Program II F, 2
for Community Health Services shall be carried forward in FY
1989-90 to meet the intent and purpose of Section 122 (Aid
to Subdivisions). Payment shall be made to each County
Treasurer in one annual payment which shall be made as soon
after the close of the previous fiscal year as practical,
but no later than August 31, 1989. The portion of the carry
forward that is not derived from income tax adjustments
shall be credited to the General Fund, no later than August
31, 1989.
39.10. The Department of Health and Environmental Control
is authorized to budget and expend monies resulting from in-
surance refunds for prior year operations for case services
in the following programs: Children's Rehabilitative Ser-
vices, Maternal and Child Health, Family Planning,
Hemophilia, Sickle Cell, Cancer and Tuberculosis Control.
39.11. No county shall supplement the salary of any DHEC
employee during Fiscal Year 1989-90 except for those DHEC
employees which received a salary supplement during Fiscal
Year 1988-89.
39.12. Funds appropriated herein for Emergency Medical
Services, shall be allocated to the Counties for the purpose
of improving or upgrading the system, and shall be allocated
to the EMS-Regional Councils for administration of training
programs and technical assistance to the local EMS units and
the funds shall be allocated by a ratio of 45 percent to the
counties and 55 percent to the EMS Regional Councils. The
Department of Health and Environmental Control shall develop
guidelines and administer the system to make allocations
within each region based on demonstrated need and local
match. Funds appropriated to Emergency Medical Services
shall not be transferred to other programs within the De-
partment's budget. In addition, when instructed by the
Budget and Control Board or the General Assembly to reduce
funds by a certain percentage, the Department may not reduce
the funds appropriated for EMS Regional Councils or Aid to
Counties greater than such stipulated percentage.
39.13. Of the amounts appropriated in Rural Health-Case
Services, $443,524 shall be used for rape crisis centers
around the state.
39.14. $16,000 appropriated in the Sickle Cell Program
for Blood Sample Analysis shall be used by the Department to
analyze blood samples submitted by the four existing re-
gional programs - Region I, Barksdale Sickle Cell Anemia
Foundation in Spartanburg; Region II, Clark Sickle Cell
Anemia Foundation in Columbia; Region III, Committee on Bet-
ter Racial Assurance Hemoglobinopathy Program in Charleston;
and the Orangeburg Area Sickle Cell Anemia Foundation.
39.15. Of the amounts appropriated for CASE SERVICES
(Sickle Cell) $60,000 must be divided equally among the ex-
isting community based sickle cell programs located in
Spartanburg and Columbia for providing preventative programs
of education, testing, and counseling. $65,375 is for the
community based program in Charleston.
39.16. No funds appropriated for ongoing or newly estab-
lished sickle cell programs and services may be diverted to
other budget categories within the DHEC budget.
39.17. The sum of $300,000 appearing under the Maternal
and Child Health Section of this Act shall be appropriated
to and administered by the Department of Health and Environ-
mental Control for the purpose of providing appropriate ge-
netic services to medically needy and underserved persons.
Such funds shall be used by the Department to administer the
program and to contract with appropriate providers of ge-
netic services. Such services will include genetic screen-
ing, laboratory testing, counseling, and other services as
may be deemed beneficial by the Department, and these funds
shall be divided equally among the three Regional Genetic
Centers of South Carolina, composed of units from the Med-
ical University of South Carolina, the University of South
Carolina School of Medicine, and the Greenwood Genetic Cen-
ter.
39.18. The Department of Health and Environmental Control
shall assign a full-time health inspector to serve at com-
mercial hazardous waste treatment, storage, and disposal fa-
cilities located in South Carolina for the purpose of
assuring the protection of the health and safety of the pub-
lic by monitoring the receipt and handling of hazardous
waste at these sites. The Department shall implement a fee
schedule to cover the costs of implementing this inspection
program to be collected from such inspected facilities.
39.19. The Department of Health & Environmental Control
is hereby authorized to collect, expend and carry forward
revenues in the following programs: Sale of Goods (confis-
cated goods, arm patches, etc.), sale of meals at Camp Burnt
Gin, sale of publications, brochures, photo copies and cer-
tificate forms, including but not limited to, pet rabies
vaccination certificate books, sale of listings and labels,
sale of State Code and Supplements, sale of films and
slides, sale of maps, sale of items to be recycled, includ-
ing used motor oil and batteries, etc., and collection of
registration fees for non-DHEC employees.
39.20. The $10,000 appropriation to the Southeast Waste
Exchange as contained in this section must be used as a con-
tribution to this Exchange which is a nonprofit organization
based in Charlotte, North Carolina, which serves both North
and South Carolina.
39.21. The Department of Health and Environmental Control
shall be exempted from the requirements of Section 40-43-370
of the 1976 Code of Laws, as amended, as it relates to the
requirement that a pharmacist employed by the Department may
supervise no more than two adjacent districts. The Depart-
ment of Health and Environmental Control shall not be exempt
from any other provisions of Section 40-43-370.
39.22. That the Department is hereby authorized to sell
surplus real property in Florence County and use the pro-
ceeds of such sale, less the expenses required for the sale,
to provide necessary physical plant and facilities for the
county and district Health Department as well as other
health services agencies located in Florence County.
39.23. The Department shall implement an annual fee
schedule for the inspection of public swimming pools not to
exceed the cost of operating the Recreational Water Program
in Fiscal Year 1989-90. All revenue collected in this pro-
gram shall be deposited to the General Fund.
Type of Facility Fee Type Fee ($)
Wading, kiddie, Construction Permit $200 plus
spraying, swimming, $0.20 per
diving, treatment, square ft.
therapeutic, spa, of surface
hot tub pools area
Sliding, floating, Construction Permit $500 per
rafting pools flume
Wading, kiddie, Operating Permit $90 first
spraying, swimming, pool plus
diving, treatment, $50 each
therapeutic, spa, add'l pool*
hot tub pools
Sliding, floating Operating Permit $50 per
rafting pools flume
* The $90 base fee for first pool must be applied to each
property unless such property is contiguous or separated
only by a street, alleyway, walk-way, highway or other pub-
lic right of way.
39.24. The Department of Health and Environmental Control
is hereby granted authority to charge annually for environ-
mental permits, licenses, or certificates required by the
Department under the Pollution Control Act, the Safe Drink-
ing Water Act, the Hazardous Waste Management Act, the Oil
and Gas Act or Department regulations.
Type of Facility Permit Fee ($)
WASTEWATER TREATMENT
--Major Facility $800
(Flow greater than 2,000,000 gal/day)
--Major Facility 600
(Flow 1,000,000 - 2,000,000 gal/day)
--Minor Facility 500
(Flow 500,000 - 999,999 gal/day)
--Minor Facility 400
(Flow 100,000 - 499,999 gal/day)
--Minor Facility 300
(Flow 50,000 - 99,999 gal/day)
--Minor Facility 200
(Flow 0 - 49,999 gal/day)
Multiple Discharge Permits 600 Plus
300/Discharge
(Greater than 5 Discharge Points) Over 5
WATER SUPPLY OPERATING PERMIT
--Major Facility 800
(Serving more than 10,000 people)
--Major Facility 600
(Serving 5,000 - 10,000 people)
--Minor Facility 150
(Serving 1,000 - 4,999 people)
--Minor Facility 50
(Serving less than 1,000 people)
AIR QUALITY PERMITS
--Major Facility 800
(Greater than 1,000 tons/year)
--Major Facility 600
(250 - 1,000 tons/year)
--Minor Facility 400
(100 - 249 tons/year)
--Minor Facility 300
(50 - 99 tons/year)
--Minor Facility 100
(Less than 50 tons/year)
Fees charged to Cotton Gins shall be prorated on the basis
of time of operation per fiscal year.
Fees charged to Grain Storage Elevators shall be prorated on
the basis of time of operation per fiscal year.
Hazardous Waste Units 600
Fees and Expenses collected by this process shall be depos-
ited in the General Fund.
39.25. The Department of Health and Environmental Control
may charge and collect fees to cover the cost of operating
the certificate of need program. The fee for review of cer-
tificate of need projects is $500 plus .25 percent of the
total project cost, not to exceed $7,500, except as provided
below. The fee is payable by the applicant upon submission
of a complete application and all the fees must be deposited
to the credit of the general fund of the state. For an ap-
plicant whose application fee would exceed $7,500 except for
the cap, an additional fee of $7,500 is imposed if the ap-
plicant is awarded a certificate of need, to be paid at the
time of the award.
39.26. Provided that the Department of Health and Envi-
ronmental Control shall not be required to undertake any
treatment, medical management or health care follow-up for
any person with sickle cell disease identified through any
neonatal testing program, beyond the level of services sup-
ported by funds now or subsequently appropriated for such
services.
39.27. Appropriations in this section in the amount of
$2,303,991 are predicated on revenue collections from fees
in the Certificate of Need program, recreational water pro-
gram, safe water drinking program, and the environmental
quality control program. The department is directed to co-
operate with the Budget Division of the Budget and Control
Board to monitor revenue collections and, if indicated, to
reduce budget authorization by an amount proportionate to
any expected shortfall. All revenue collected shall be de-
posited in the General Fund on a monthly basis, not later
than the fifteenth day of each month.
39.28. The Department of Health and Environmental Control
is authorized to charge each public water system requesting
the Department's assistance an annual user fee for chemical
monitoring and reporting requirements as prescribed in the
1986 Safe Drinking Water Act Amendments in accordance with
the following schedule. A public water system which con-
ducts its own monitoring is not subject to the annual user
fee.
Population Served Annual User Fee
150,001 - 250,000 $4,000
100,001 - 150,000 3,500
50,001 - 100,000 3,250
25,001 - 50,000 3,000
10,001 - 25,000 2,750
3,301 - 10,000 2,500
1,001 - 3,300 1,500
501 - 1,000 1,000
101 - 500 500
51 - 100 300
25 - 50 200
39.29. Pursuant to Section 44-7-84(A) of the 1976 Code,
the maximum number of Medicaid patient days for which the
Department of Health and Environmental Control is authorized
to issue Medicaid nursing home permits is 3,112,465.
39.30. The Department of Health and Environmental Control
shall assign full-time health inspectors to serve at commer-
cial incinerators which dispose of infectious waste for the
purpose of assuring the protection of the health and safety
of the public by monitoring the receipt, handling and dis-
posal of infectious waste at these sites. The Department
shall implement a fee of up to $5.00 per ton of infectious
waste to cover the costs of implementing this inspection
program, not to exceed $150,000, to be collected quarterly
from such inspected facilities to be deposited in the Gen-
eral Fund.
39.31. The Department shall revise fees for vital records
to supplant the reduction of State funds appropriated for
the operation of the Vital Records Office. The fee for a
birth certificate search will not exceed $6. The revision
of fees may provide for such increases in personal services
and employer contributions as may be necessary by the Appro-
priation Act but other operating funds may not exceed the
level of expenditure of FY 1988-89. All funds in excess of
the above must be remitted to the General Fund.
39.32. The Department shall revise drug control registra-
tion fees to supplant the reduction of State funds appropri-
ated for the operation of the Drug Control Program. The fee
charged for drug control registration will not exceed $75.
Such revision of Drug Control registration fees shall not
exceed $80,000 and all funds generated by the revision that
do exceed $80,000 shall be remitted to the General Fund.
39.33. Every county in South Carolina may have at least
eighty-eight long term care beds in the county. The South
Carolina Department of Health and Environmental Control is
authorized to allocate to each county, the Medical Facili-
ties Plan notwithstanding, the number of beds required to
assure a minimum of eighty-eight nursing care beds including
existing beds and beds approved under the Certificate of
Need program.
39.34. Of the funds appropriated for the Bureau of Health
Facilities Regulations, the Department must add two public
health analysts to increase the frequency of inspections for
residential care facilities.
DEPARTMENT OF MENTAL HEALTH
TOTAL FUNDS GENERAL FUNDS
--------------------------
I. GENERAL ADMINISTRATION
PERSONAL SERVICE:
COMMISSIONER/S 96,897 96,897
(1.00) (1.00)
CLASSIFIED POSITIONS 5,911,581 5,742,417
(235.00) (230.00)
UNCLASSIFIED POSITIONS 392,544 392,544
(7.00) (7.00)
OTHER PERSONAL SERVICES:
TEMPORARY POSITIONS 35,000 35,000
PER DIEM 8,500 8,500
O.T. & SHIFT DIFFER. 5,002 5,000
SPECIAL CONTRACT EMPLOYEE 30,000 30,000
TOTAL PERSONAL SERVICE 6,479,524 6,310,358
OTHER OPERATING EXPENSES
CONTRACTUAL SERVICES 713,000 688,000
SUPPLIES AND MATERIALS 272,775 250,275
FIXED CHGS. & CONTRIB. 221,067 127,425
TRAVEL 117,171 110,171
EQUIPMENT 183,374 183,374
LIB BOOKS, MAPS & FILMS 11,400 11,400
TOTAL OTHER OPERATING EXPENSES 1,518,787 1,370,645
EMPLOYER CONTRIBUTIONS 1,271,866 1,238,032
TOTAL GENERAL ADMINISTRATION 9,270,177 8,919,035
============================
II. COMMUNITY MENTAL HEALTH
PERSONAL SERVICE:
CLASSIFIED POSITIONS 27,667,594 15,103,299
(1541.70) (751.38)
NEW POSITIONS:
PSYCHOLOGIST II 56,372 56,372
(3.00) (3.00)
COMMUNITY HEALTH NURSE 260,570 260,570
(15.00) (15.00)
MENTAL HEALTH COUNSELOR II 250,530 250,530
(15.00) (15.00)
MENTAL HEALTH COUNSELOR I 233,898 233,898
(15.00) (15.00)
OTHER PERSONAL SERVICES:
TEMPORARY POSITIONS 121,405 6,205
PER DIEM 43,340 23,340
O.T. & SHIFT DIFFER. 384,994 208,994
SPECIAL CONTRACT EMPLOYEE 42,000 42,000
TOTAL PERSONAL SERVICE 29,060,703 16,185,208
DEPARTMENT OF MENTAL HEALTH
TOTAL FUNDS GENERAL FUNDS
--------------------------
OTHER OPERATING EXPENSES
CONTRACTUAL SERVICES 10,499,508 3,002,172
SUPPLIES AND MATERIALS 2,842,682 629,682
FIXED CHGS. & CONTRIB. 2,547,229 806,935
TRAVEL 635,004 98,421
EQUIPMENT 1,518,086 240,591
LIB BOOKS, MAPS & FILMS 114,950 7,450
LIGHT/POWER/HEAT 557,684 107,684
TRANSPORTATION 82,913 28,913
TOTAL OTHER OPERATING EXPENSES 18,798,056 4,921,848
SPECIAL ITEM
GATEWAY HOUSE 100,000 100,000
PALMETTO PATHWAYS 50,000
PROJECT STRIDE 48,000 48,000
TOTAL SPECIAL ITEMS 198,000 148,000
PUBLIC ASSISTANCE PAYMENTS
CASE SERVICES 2,262,595 401,595
TOTAL PUBLIC ASSISTANCE
PAYMENTS 2,262,595 401,595
EMPLOYER CONTRIBUTIONS 5,762,315 3,437,893
TOTAL COMMUNITY MENTAL HEALTH 56,081,669 25,094,544
============================
III. COMMUNITY SERVICES TO
CHILDREN
PERSONAL SERVICE:
CLASSIFIED POSITIONS 1,403,333 735,000
(87.00) (40.00)
NEW POSITIONS:
MENTAL HEALTH COUNSELOR I 147,000 147,000
(6.00) (6.00)
OTHER PERSONAL SERVICES:
TEMPORARY POSITIONS 20,000 20,000
O.T. & SHIFT DIFFER. 25,000 10,000
TOTAL PERSONAL SERVICE 1,595,333 912,000
OTHER OPERATING EXPENSES
CONTRACTUAL SERVICES 2,149,070 2,149,070
SUPPLIES AND MATERIALS 40,000 40,000
FIXED CHGS. & CONTRIB. 25,000 25,000
TRAVEL 40,000 40,000
EQUIPMENT 10,000 10,000
LIB BOOKS, MAPS & FILMS 1,000 1,000
LIGHT/POWER/HEAT 5,000 5,000
TOTAL OTHER OPERATING EXPENSES 2,270,070 2,270,070
PUBLIC ASSISTANCE PAYMENTS
DEPARTMENT OF MENTAL HEALTH
TOTAL FUNDS GENERAL FUNDS
--------------------------
CASE SERVICES 550,000 550,000
TOTAL PUBLIC ASSISTANCE
PAYMENTS 550,000 550,000
EMPLOYER CONTRIBUTIONS 235,890 114,400
TOTAL COMMUNITY SERVICES TO
CHILDREN 4,651,293 3,846,470
============================
IV. INPATIENT PSYCHIATRIC
PERSONAL SERVICE:
CLASSIFIED POSITIONS 64,129,166 62,220,671
(3093.66) (3035.42)
NEW POSITIONS:
PSYCHOLOGIST 40,334 40,334
(2.00) (2.00)
STAFF PSYCHIATRIST 653,400 653,400
(9.00) (9.00)
CLINICAL SOCIAL WORKER 83,048 83,048
(4.00) (4.00)
DIR. PROF. SERVICES 82,083 82,083
(1.00) (1.00)
REGISTERED NURSE 263,388 263,388
(11.00) (11.00)
ACTIVITY THERAPIST 83,850 83,850
(6.00) (6.00)
CHILD PSYCHIATRIST 140,000 140,000
(2.00) (2.00)
SOCIAL WORKER 45,098 45,098
(2.00) (2.00)
UNCLASSIFIED POSITIONS 3,508,570 3,468,570
(87.00) (84.00)
OTHER PERSONAL SERVICES:
TEMPORARY POSITIONS 994,223 531,583
O.T. & SHIFT DIFFER. 2,520,392 1,363,506
PATIENT EARNINGS 88,402 63,402
INMATE EARNINGS 27,381 7,381
OFFICER OF DAY AND NIGHT 881,083 781,083
SPECIAL CONTRACT EMPLOYEE 25,000
TOTAL PERSONAL SERVICE 73,565,418 69,827,397
OTHER OPERATING EXPENSES
CONTRACTUAL SERVICES 9,486,785 6,661,785
SUPPLIES AND MATERIALS 8,351,496 5,846,496
FIXED CHGS. & CONTRIB. 2,331,579 780,979
TRAVEL 199,748 99,748
EQUIPMENT 901,335 551,335
DEPARTMENT OF MENTAL HEALTH
TOTAL FUNDS GENERAL FUNDS
--------------------------
LIB BOOKS, MAPS & FILMS 96,338 61,338
PURCHASE FOR RESALE 450,000
LIGHT/POWER/HEAT 3,353,631 2,903,631
TRANSPORTATION 222,740 122,740
TOTAL OTHER OPERATING EXPENSES 25,393,652 17,028,052
PUBLIC ASISTANCE PAYMENTS
CASE SERVICES 1,890,907 1,840,907
TOTAL PUBLIC ASSISTANCE
PAYMENTS 1,890,907 1,840,907
EMPLOYER CONTRIBUTIONS 15,958,645 15,583,645
TOTAL INPATIENT PSYCHIATRIC 116,808,622 104,280,001
============================
V. ICF/SKILLED NURSING CARE
PERSONAL SERVICE:
CLASSIFIED POSITIONS 12,136,247 7,477,335
(898.85) (446.65)
UNCLASSIFIED POSITIONS 132,757 132,757
(2.00) (2.00)
OTHER PERSONAL SERVICES
TEMPORARY POSITIONS 92,678 43,678
O.T. & SHIFT DIFFER. 843,332 333,332
OFFICER OF DAY AND NIGHT 193,500 118,500
TOTAL PERSONAL SERVICE 13,398,514 8,105,602
OTHER OPERATING EXPENSES
CONTRACTUAL SERVICES 7,799,439 3,653,439
SUPPLIES AND MATERIALS 2,821,387 814,387
FIXED CHGS. & CONTRIB. 1,487,776 87,930
TRAVEL 19,294 8,794
EQUIPMENT 133,807 42,593
LIB BOOKS, MAPS & FILMS 5,696 3,196
PROPERTY TAXES 195,000 95,000
LIGHT/POWER/HEAT 629,189 319,304
TRANSPORTATION 11,680 11,680
TOTAL OTHER OPERATING EXPENSES 13,103,268 5,036,323
DEBT SERVICE
PRINCIPAL 33,000 33,000
INTEREST 22,000 22,000
TOTAL DEBT SERVICE 55,000 55,000
PUBLIC ASSISTANCE PAYMENTS
CASE SERVICES 93,000 7,500
TOTAL PUBLIC ASSISTANCE
PAYMENTS 93,000 7,500
EMPLOYER CONTRIBUTIONS 2,859,262 1,888,068
TOTAL ICF/SKILLED NURSING CARE 29,509,044 15,092,493
============================
DEPARTMENT OF MENTAL HEALTH
TOTAL FUNDS GENERAL FUNDS
--------------------------
VI. ALCOHOL & DRUG
PERSONAL SERVICE:
CLASSIFIED POSITIONS 5,726,783 4,711,857
(286.25) (238.00)
UNCLASSIFIED POSITIONS 52,183 52,183
(1.00) (1.00)
OTHER PERSONAL SERVICES:
TEMPORARY POSITIONS 46,305 46,305
O.T. & SHIFT DIFFER. 79,917 77,416
PATIENT EARNINGS 34,322 34,322
OFFICER OF DAY AND NIGHT 22,167 22,167
TOTAL PERSONAL SERVICE 5,961,677 4,944,250
OTHER OPERATING EXPENSES
CONTRACTUAL SERVICES 1,160,847 1,095,247
SUPPLIES AND MATERIALS 367,523 333,223
FIXED CHGS. & CONTRIB. 83,848 29,936
TRAVEL 4,079 3,254
EQUIPMENT 37,113 35,913
LIB BOOKS, MAPS & FILMS 6,574 5,074
PURCHASE FOR RESALE 75,000
LIGHT/POWER/HEAT 196,864 166,502
TRANSPORTATION 4,380 4,380
TOTAL OTHER OPERATING EXPENSES 1,936,228 1,673,529
PUBLIC ASSISTANCE PAYMENTS
CASE SERVICES 36,440 36,440
TOTAL PUBLIC ASSISTANCE
PAYMENTS 36,440 36,440
EMPLOYER CONTRIBUTIONS 1,151,445 951,566
TOTAL ALCOHOL & DRUG 9,085,790 7,605,785
============================
VII. DEVELOPMENTALLY DISABLED
PERSONAL SERVICE:
CLASSIFIED POSITIONS 4,725,972 3,421,772
(266.00) (207.00)
NEW POSITIONS
OCCUPATIONAL TRAIN. COOR.
(6.00) (6.00)
CLINICAL COUNSELORS
(7.00) (7.00)
OTHER PERSONAL SERVICES:
TEMPORARY POSITIONS 146,878 137,878
O.T. & SHIFT DIFFER. 181,786 151,986
OFFICER OF DAY AND NIGHT 30,000 30,000
TOTAL PERSONAL SERVICE 5,084,636 3,741,636
DEPARTMENT OF MENTAL HEALTH
TOTAL FUNDS GENERAL FUNDS
--------------------------
OTHER OPERATING EXPENSES
CONTRACTUAL SERVICES 536,439 516,439
SUPPLIES AND MATERIALS 424,314 409,314
FIXED CHGS. & CONTRIB. 99,233 99,233
TRAVEL 44,514 24,514
EQUIPMENT 84,995 74,995
LIB BOOKS, MAPS & FILMS 773 773
LIGHT/POWER/HEAT 54,815 27,815
TRANSPORTATION 7,368 7,368
TOTAL OTHER OPERATING EXPENSES 1,252,451 1,160,451
PUBLIC ASSISTANCE PAYMENTS
CASE SERVICES 4,000 4,000
TOTAL PUBLIC ASSISTANCE
PAYMENTS 4,000 4,000
EMPLOYER CONTRIBUTIONS 999,453 802,483
TOTAL DEVELOPMENTALLY DISABLED 7,340,540 5,708,570
============================
VIII. CONTINUUM OF CARE
PERSONAL SERVICE:
CLASSIFIED POSITIONS 1,530,042 309,822
(88.00) (10.00)
UNCLASSIFIED POSITIONS 54,571 54,571
(1.00) (1.00)
OTHER PERSONAL SERVICES:
TEMPORARY POSITIONS 62,000
O.T. & SHIFT DIFFER. 4 3
TOTAL PERSONAL SERVICE 1,646,617 364,396
OTHER OPERATING EXPENSES
CONTRACTUAL SERVICES 117,425 92,625
SUPPLIES AND MATERIALS 33,950 31,450
FIXED CHGS. & CONTRIB. 223,050 223,050
TRAVEL 86,700 37,260
EQUIPMENT 22,200 22,200
LIB BOOKS, MAPS & FILMS 2,800 2,800
TRANSPORTATION 7,000 2,500
TOTAL OTHER OPERATING EXPENSES 493,125 411,885
PUBLIC ASSISTANCE PAYMENTS
CASE SERVICES 4,390,294 1,590,466
TOTAL PUBLIC ASSISTANCE
PAYMENTS 4,390,294 1,590,466
EMPLOYER CONTRIBUTIONS 306,523 69,812
TOTAL CONTINUUM OF CARE 6,836,559 2,436,559
============================
TOTAL DEPT. OF MENTAL HEALTH 239,583,694 172,983,457
============================
TOTAL AUTHORIZED FTE POSITIONS (6699.46) (5158.45)
============================
40.1. All Federal Funds received by the Department of
Mental Health from patients' Medicare benefits shall be con-
sidered as patient fees under the provision of Act No. 1276
of the 1970 Acts (provision for the issuance of bonds to be
repaid from patient fees) except that the Department shall
remit to the General Fund of the State $290,963 from such
funds to support the appropriation for administrative costs
of the collection of Medicare benefits. The Department
shall retain and expend up to $3 million of all Medicare Re-
venue earned prior to July 1, 1988, but received in FY
1989-90 from cost recovery efforts, all additional prior
earnings shall be remitted to the General Fund, except that
the cost and fees of identifying and collecting such addi-
tional Medicare Revenue to which the Department is entitled
may be paid from funds actually collected from such efforts.
40.2. Notwithstanding any other provision of law and in
addition to other payments provided in Part I of this act,
the Department of Mental Health is hereby directed during
Fiscal Year 1989-90 to remit to the General Fund of the
State the amount of $3,800,000 to be paid from the surplus
funds in the paying patient account which has been previ-
ously designated for capital improvements and debt service
under the provisions of Act 1276 of 1970.
40.3. Notwithstanding any other provisions of law and in
addition to other payments provided in Part I of this act,
the Department of Mental Health is hereby authorized during
the Fiscal Year 1989-90, to provide the funds budgeted
herein for $5,214,911 for Departmental operations, $400,000
for the Continuum of Care, $50,000 for Palmetto Pathways, up
to $1 million for budget deficiencies and up to $3.5 million
for the Justice physical plant improvements, which include
Fire and Life Safety from the Patient Fee Account which has
been previously designated for capital improvements and debt
service under provisions of Act 1276 of 1970.
40.4. It is the intent of the General Assembly that in
the event the Department of Mental Health must implement a
reduction-in-force plan, that the Department shall make ev-
ery effort to avoid any reduction in personal services at
Community Health Centers.
40.5. All Community Mental Health Centers receiving funds
from the State shall, as a priority, provide services for
children, the chronic mentally ill and the elderly mentally
ill.
40.6. The Department of Mental Health may carry forward
the money appropriated herein to continue services within
the Continuum of Care Program; these funds shall not be ex-
pended for any other purposes within the Department.
40.7. Notwithstanding any other provisions of law and in
addition to other payments provided in this section, the De-
partment of Mental Health is authorized to utilize up to
$1,530,520 of the funds collected from paying patients hos-
pitalized in the acute care units of the William S. Hall
Psychiatric Institute to defray the cost of training mental
health personnel and psychiatric research at that facility
pursuant to Section 44-11-10(2), Code of Laws of South
Carolina, 1976; these being a part of the funds previously
designated for capital improvements and debt service under
the provisions of Act 1276 of 1970.
40.8. The Department shall allocate all general increases
for Community Mental Health Centers and Clinics according to
the funding formula developed by the Department for distrib-
ution of block grant funds.
40.9. The Department of Mental Health is authorized to
retain and expend institution generated funds which are
budgeted.
40.10. The Budget and Control Board shall authorize the
Department of Mental Health to carry-forward any remaining
funds allocated for Harris Psychiatric Hospital in FY
1988-89 to assure full-funding of Harris Psychiatric Hospi-
tal in FY 1989-90. The Department is authorized to utilize
these funds to provide for community screening and service
for potential admission to Harris Psychiatric Hospital.
40.11. The Department shall contract with the Department
of Social Services to ensure that payments of General As-
sistance made to mentally disabled individuals who would not
be eligible for income supplement under the general proviso
for General Assistance are reimbursed by the Department to
the Department of Social Services.
40.12. Notwithstanding any other provisions of law and in
addition to other payments provided in Part I of this act,
the Department of Mental Health is authorized to utilize up
to $500,000 Patient Fee Funds to cover expenditures initi-
ated as a result of the transfer of appropriate patients
from the Department of Mental Health to the Department of
Mental Retardation, these funds having been previously set
aside for the renovation of Dowdy-Gardner for additional
Intermediate Care-MR beds.
40.13. Prior to the referral of a child by the court to
the Continuum of Care for Emotionally Disturbed Children,
the Continuum of Care must be given the opportunity to eval-
uate the child and to make a recommendation to the court re-
garding (1) the child's suitability for placement with the
Continuum under the criteria set out by law; (2) the agen-
cies which offer services most appropriate to meet the
child's needs, and the proportionate share of the costs
among the agencies to meet those needs; and (3) the neces-
sity of obtaining other services for the child in the event
that such services are not available through the existing
service delivery system.
40.14. It is the responsibility of all agencies, depart-
ments, and institutions of state government, to provide at
no cost and as part of the regular services of the agency,
department, or institution such services as are necessary to
carry out the provisions of Chapter 83 of Title 44
(Continuum of Care), as amended, upon request of the
Continuum of Care and/or the appropriate court.
40.15. Recognizing that the Department of Mental Health
has been cited in its recent Management Letter for a liabil-
ity of $806,142 owed to its own Patient Fee Account, this
amount being expended for general operations by the agency
in prior fiscal years, and that resources are no longer
available to repay this account other than by requesting ad-
ditional General Fund dollars, the General Assembly hereby
authorizes that the agency not repay this liability to the
Patient Fee Account. The Department shall insure that the
necessary financial controls are in place to prevent future
audit exceptions in this area. Provided, further, that the
Department of Mental Health is hereby exempted from the pro-
vision of indirect cost for an amount not to exceed $517,068
as incurred in Fiscal Year 1984-85.
40.16. Prior to any transfer of funds from the current
budget for Harris Hospital, the Department shall notify the
Chairmen of the Joint Appropriations Review Committee, the
House Ways and Means Committee and the Senate Finance Com-
mittee.
40.17. The Department shall submit monthly revenue and
expenditure reports to the Budget and Control Board, the
Ways and Means Committee and the Senate Finance Committee.
40.18. Of the new funds appropriated herein for Community
Mental Health, the Department of Mental Health is directed
to expend $260,000 of the FY 89-90 appropriations to provide
for the expansion of Autistic services in the community.
DEPARTMENT OF MENTAL RETARDATION
TOTAL FUNDS GENERAL FUNDS
--------------------------
I. ADMINISTRATION:
PERSONAL SERVICE:
COMMISSIONER/S 75,504 75,504
(1.00) (1.00)
CLASSIFIED POSITIONS 5,106,307 3,183,142
(238.00) (157.00)
UNCLASSIFIED POSITIONS 451,481 451,481
(7.00) (7.00)
OTHER PERSONAL SERVICE:
TEMPORARY POSITIONS 40,755 6,255
PER DIEM 7,500 7,500
O.T. & SHIFT DIFFER. 11,397 2,198
TOTAL PERSONAL SERVICE 5,692,944 3,726,080
OTHER OPERATING EXPENSES:
CONTRACTUAL SERVICES 703,895 127,450
SUPPLIES AND MATERIALS 244,299 19,860
FIXED CHGS. & CONTRIB. 198,468 3,775
TRAVEL 54,485 4,618
EQUIPMENT 407,700
LIB BOOKS, MAPS & FILMS 13,719 791
LIGHT/POWER/HEAT 95,000
TRANSPORTATION 6,370 624
TOTAL OTHER OPERATING EXPENSES 1,723,936 157,118
TOTAL ADMINISTRATION 7,416,880 3,883,198
============================
II. SERVICES SUPPORT:
PERSONAL SERVICE:
CLASSIFIED POSITIONS 10,303,207 7,710,830
(736.00) (562.00)
OTHER PERSONAL SERVICE:
TEMPORARY POSITIONS 209,572 84,572
O.T. & SHIFT DIFFER. 62,863 30,000
TOTAL PERSONAL SERVICE 10,575,642 7,825,402
OTHER OPERATING EXPENSES:
CONTRACTUAL SERVICES 2,464,832 922,484
SUPPLIES AND MATERIALS 4,392,521 1,875,603
FIXED CHGS. & CONTRIB. 1,059,742 90,417
TRAVEL 23,330 1,150
EQUIPMENT 900,160 246,537
LIB BOOKS, MAPS & FILMS 3,166
LIGHT/POWER/HEAT 2,293,510 1,431,967
TRANSPORTATION 162,689 19,600
TOTAL OTHER OPERATING EXPENSES 11,299,950 4,587,758
PUBLIC ASSISTANCE PAYMENTS:
DEPARTMENT OF MENTAL RETARDATION
TOTAL FUNDS GENERAL FUNDS
--------------------------
CASE SERVICES 820 720
TOTAL PUBLIC ASSISTANCE
PAYMENTS 820 720
TOTAL SERVICES SUPPORT 21,876,412 12,413,880
============================
III. DEVELOPMENTAL:
PERSONAL SERVICE:
CLASSIFIED POSITIONS 9,864,876 4,253,947
(556.00) (253.00)
OTHER PERSONAL SERVICE:
TEMPORARY POSITIONS 69,028 35,000
O.T. & SHIFT DIFFER. 2,050 1,750
PATIENT EARNINGS 311,471 215,771
TOTAL PERSONAL SERVICE 10,247,425 4,506,468
OTHER OPERATING EXPENSES:
CONTRACTUAL SERVICES 57,432 21,058
SUPPLIES AND MATERIALS 259,248 98,452
FIXED CHGS. & CONTRIB. 7,779 1,035
TRAVEL 12,154 7,254
EQUIPMENT 41,242 9,300
LIB BOOKS, MAPS & FILMS 12,949 8,739
PURCHASE FOR RESALE 37,500
LIGHT/POWER/HEAT 50,000
TRANSPORTATION 1,275
TOTAL OTHER OPERATING EXPENSES 479,579 145,838
PUBLIC ASSISTANCE PAYMENTS:
CASE SERVICES 3,880
TOTAL PUBLIC ASSISTANCE
PAYMENTS 3,880
TOTAL DEVELOPMENTAL 10,730,884 4,652,306
============================
IV. HEALTH:
PERSONAL SERVICE:
CLASSIFIED POSITIONS 8,599,271 4,177,604
(444.51) (232.68)
OTHER PERSONAL SERVICE
TEMPORARY POSITIONS 64,362 42,362
O.T. & SHIFT DIFFER. 185,000 68,000
TOTAL PERSONAL SERVICE 8,848,633 4,287,966
OTHER OPERATING EXPENSES:
CONTRACTUAL SERVICES 793,284 478,396
SUPPLIES AND MATERIALS 829,074 665,972
FIXED CHGS. & CONTRIB. 8,344 144
TRAVEL 4,202 1,527
DEPARTMENT OF MENTAL RETARDATION
TOTAL FUNDS GENERAL FUNDS
--------------------------
EQUIPMENT 47,864 4,054
LIB BOOKS, MAPS & FILMS 3,676 446
LIGHT/POWER/HEAT 9,000
TOTAL OTHER OPERATING EXPENSES 1,695,444 1,150,539
PUBLIC ASSISTANCE PAYMENTS:
CASE SERVICES 403,052 30,000
TOTAL PUBLIC ASSISTANCE
PAYMENTS 403,052 30,000
TOTAL HEALTH 10,947,129 5,468,505
============================
V. COMMUNITY:
PERSONAL SERVICE:
CLASSIFIED POSITIONS 2,632,035 1,662,483
(122.00) (81.00)
OTHER PERSONAL SERVICE:
TEMPORARY POSITIONS 28,444 16,908
O.T. & SHIFT DIFFER. 26,248 15,971
TOTAL PERSONAL SERVICE 2,686,727 1,695,362
OTHER OPERATING EXPENSES:
CONTRACTUAL SERVICES 62,912,479 16,393,824
SUPPLIES AND MATERIALS 78,244 44,731
FIXED CHGS. & CONTRIB. 66,859 33,650
TRAVEL 77,409 62,054
EQUIPMENT 26,910 6,400
LIB BOOKS, MAPS & FILMS 2,167 1,167
LIGHT/POWER/HEAT 22,798 3,798
TRANSPORTATION 5,936 3,936
TOTAL OTHER OPERATING EXPENSES 63,192,802 16,549,560
SPECIAL ITEMS:
SPECIAL OLYMPICS 25,000 25,000
LOCAL COST OF LIVING INCREASE 1,517,700 1,517,700
TOTAL SPECIAL ITEMS 1,542,700 1,542,700
PUBLIC ASSISTANCE PAYMENTS:
CASE SERVICES 200,000
TOTAL PUBLIC ASSISTANCE
PAYMENTS 200,000
TOTAL COMMUNITY 67,622,229 19,787,622
============================
VI. RESIDENTIAL:
PERSONAL SERVICE:
CLASSIFIED POSITIONS 32,022,766 19,993,058
(2372.00) (1518.00)
OTHER PERSONAL SERVICE:
TEMPORARY POSITIONS 214,775 74,792
DEPARTMENT OF MENTAL RETARDATION
TOTAL FUNDS GENERAL FUNDS
--------------------------
O.T. & SHIFT DIFFER. 566,167 293,190
TOTAL PERSONAL SERVICE 32,803,708 20,361,040
OTHER OPERATING EXPENSES:
CONTRACTUAL SERVICES 530,687 69,205
SUPPLIES AND MATERIALS 1,331,882 396,589
FIXED CHGS. & CONTRIB. 49,308 1,308
TRAVEL 6,093 3,213
EQUIPMENT 179,049 22,260
LIB BOOKS, MAPS & FILMS 1,534 1,534
LIGHT/POWER/HEAT 200,000
TRANSPORTATION 1,000
TOTAL OTHER OPERATING EXPENSES 2,299,553 494,109
PUBLIC ASSISTANCE PAYMENTS:
CASE SERVICES 97,275 1,000
TOTAL PUBLIC ASSISTANCE
PAYMENTS 97,275 1,000
TOTAL RESIDENTIAL 35,200,536 20,856,149
============================