H. 3749
General Appropriations Bill for fiscal year 2003-2004
As Introduced by the House Ways and Means Committee
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SEC. 8-0002 SECTION 8 PAGE 0085
DEPT OF HEALTH AND HUMAN SERVICES
---- 2002-2003 ---- ------------------------------ 2003-2004 -----------------------------
APPROPRIATED GOVERNOR'S RECOM. WAYS & MEANS BILL HOUSE BILL
TOTAL STATE TOTAL STATE TOTAL STATE TOTAL STATE
FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS
(1) (2) (3) (4) (5) (6) (7) (8)
1 3. MEDICAL ASSISTANCE
2 A. HOSPITAL SERVICES 538,937,197 138,246,107 656,629,861 127,300,324 512,640,325 133,143,503
3 B. NURSING HOME SERVICES 325,764,337 94,599,182 361,212,000 88,704,400 300,408,306 88,211,354
4 C. DISPROPORTIONATE SHARE 388,440,052 21,292,776 397,400,371 14,000,000 397,400,371 14,000,000
5 D. PHARMACEUTICAL SVCS 379,175,311 75,363,282 452,324,022 69,481,327 369,586,489 75,019,292
6 E. PHYSICIAN SERVICES 186,708,207 50,619,588 238,596,209 47,514,189 181,341,792 50,470,187
7 F. DENTAL SERVICES 40,759,671 10,647,948 38,631,997 9,682,010 45,789,527 12,761,599
8 G. COMMUNITY LONG TERM
9 CARE 83,478,302 23,479,734 95,328,557 21,937,549 78,273,661 22,660,424
10 H. OTHER MEDICAID SRVCS 103,444,881 27,894,909 132,196,094 17,043,341 66,006,952 18,829,197
11 I. FAMILY PLANNING 16,281,294 1,553,121 20,759,120 1,482,530 16,661,730 1,616,173
12 J. SMI-REG-MEDICARE 73,014,042 19,930,556 89,681,757 19,963,106 77,275,887 21,017,683
13 K. SMI-MAO-MEDICARE 5,330,511 5,269,199 6,580,330 5,281,048 5,521,046 5,521,046
14 L. HOSPICE CARE PROGRAM 3,488,540 987,708 4,086,186 936,155 3,308,064 943,510
15 M. RESIDENTIAL CARE
16 FACILITIES 15,978,756 15,928,980 17,006,646 15,016,514 15,401,462 15,401,462
17 N. CLINICAL SERVICES 62,133,940 16,454,276 75,965,081 15,545,254 60,568,433 15,981,010
18 O. DURABLE MEDICAL
19 EQUIPMENT 42,156,550 11,865,369 50,840,201 11,235,624 41,336,522 11,617,257
20 P. MANAGED CARE (HMO) 58,824,870 9,168,083 37,661,913 10,314,915
________________________________________________________________________________________________
21 TOTAL CASE SRVC/PUB ASST 2265,091,591 514,132,735 2696,063,302 474,291,454 2209,182,480 497,508,612
________________________________________________________________________________________________
22 TOTAL MEDICAL ASSISTANCE
23 PAYMENT 2265,091,591 514,132,735 2696,063,302 474,291,454 2209,182,480 497,508,612
24 ================================================================================================
25 4. ASSISTANCE
26 PAYMENTS-STATE AGENCIES
27 a. MENTAL HEALTH 166,015,911 202,000,000 202,000,000
28 b. DISAB. & SPEC. NEED 435,263,026 553,000,000 553,000,000
29 c. DHEC 36,177,800 37,000,000 37,000,000
30 d. MUSC 15,923,797 20,000,000 20,000,000
31 e. USC 2,022,408 3,000,000 3,000,000
32 f. DAODAS 8,622,151 25,000,000 25,000,000
33 g. CONTINUUM OF CARE 7,281,162 12,000,000 12,000,000
34 h. SCHL FOR DEAF & BLIND 1,873,816 2,000,000 2,000,000
35 I. SOCIAL SERVICES 60,530,663 63,000,000 63,000,000
36 j. JUVENILE JUSTICE 20,836,116 21,000,000 21,000,000
37 K. EDUCATION 20,612,889 21,000,000 21,000,000
38 L. COMMISSION FOR THE
39 BLIND 35,649 36,000 36,000
SEC. 8-0003 SECTION 8 PAGE 0086
DEPT OF HEALTH AND HUMAN SERVICES
---- 2002-2003 ---- ------------------------------ 2003-2004 -----------------------------
APPROPRIATED GOVERNOR'S RECOM. WAYS & MEANS BILL HOUSE BILL
TOTAL STATE TOTAL STATE TOTAL STATE TOTAL STATE
FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS
(1) (2) (3) (4) (5) (6) (7) (8)
________________________________________________________________________________________________
1 TOTAL CASE SRVC/PUB ASST 775,195,388 959,036,000 959,036,000
________________________________________________________________________________________________
2 TOTAL ASSISTANCE PAYMENTS -
3 STATE AGENCIES 775,195,388 959,036,000 959,036,000
4 ================================================================================================
5 5. EMOTIONALLY DISTURBED
6 CHILDREN
7 CASE SERVICES/PUBLIC
8 ASSISTANCE
9 CASE SERVICES 51,990,786 51,990,786 51,990,786
________________________________________________________________________________________________
10 TOTAL CASE SRVC/PUB ASST 51,990,786 51,990,786 51,990,786
________________________________________________________________________________________________
11 TOTAL EMOTIONALLY DISTURBED
12 CHILDREN 51,990,786 51,990,786 51,990,786
13 ================================================================================================
14 6. OTHER ENTITIES ASSISTANCE
15 PAYMENTS
16 PALMETTO SENIOR CARE 12,000,000 12,000,000
17 MUSC - MAXILLOFACIAL
18 PROSTHODONTICS 250,000 250,000 250,000 250,000 250,000 250,000
19 SILVER CARD 76,542,395 23,200,000 77,230,360 23,200,000 77,230,360 23,200,000
20 OTHER ENTITIES FUNDS 6,581,112 72,292,776 7,292,776 72,292,776 7,292,776
________________________________________________________________________________________________
21 TOTAL CASE SRVC/PUB ASST 83,373,507 23,450,000 161,773,136 30,742,776 161,773,136 30,742,776
________________________________________________________________________________________________
22 TOTAL OTHER ENTITIES
23 ASSISTANCE PAYMENTS 83,373,507 23,450,000 161,773,136 30,742,776 161,773,136 30,742,776
24 ================================================================================================
25 7. HEALTH CARE TRUST FUND
26 SPECIAL ITEMS:
27 MEDICAID - ANNUALIZATION OF
28 NON-RECURRING 6,180,700
________________________________________________________________________________________________
29 TOTAL SPECIAL ITEMS 6,180,700
________________________________________________________________________________________________
30 TOTAL HEALTH CARE TRUST FUND 6,180,700
31 ================================================================================================
32 8. MEDICAID ELIGIBILITY
33 PERSONAL SERVICE
34 CLASSIFIED POSITIONS 10,733,742 4,137,714 11,990,836 4,485,361 11,990,836 4,485,361
35 (506.00) (193.30) (506.00) (193.30) (506.00) (193.30)
36 OTHER PERSONAL SERVICES 1,449,030 2,578,298 282,283 2,578,298 282,283
________________________________________________________________________________________________
37 TOTAL PERSONAL SERVICE 12,182,772 4,137,714 14,569,134 4,767,644 14,569,134 4,767,644
38 (506.00) (193.30) (506.00) (193.30) (506.00) (193.30)
39 OTHER OPERATING EXPENSES 10,492,700 821,767 14,562,700 1,821,767 14,562,700 1,821,767
SEC. 8-0004 SECTION 8 PAGE 0087
DEPT OF HEALTH AND HUMAN SERVICES
---- 2002-2003 ---- ------------------------------ 2003-2004 -----------------------------
APPROPRIATED GOVERNOR'S RECOM. WAYS & MEANS BILL HOUSE BILL
TOTAL STATE TOTAL STATE TOTAL STATE TOTAL STATE
FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS
(1) (2) (3) (4) (5) (6) (7) (8)
________________________________________________________________________________________________
1 TOTAL MEDICAID ELIGIBILITY 22,675,472 4,959,481 29,131,834 6,589,411 29,131,834 6,589,411
2 (506.00) (193.30) (506.00) (193.30) (506.00) (193.30)
3 ================================================================================================
4 TOTAL HEALTH SERVICES 3286,995,720 559,129,494 4007,588,076 530,977,820 3520,707,254 554,194,978
5 (987.26) (358.54) (987.26) (358.54) (987.26) (358.54)
6 ================================================================================================
7 B. CHILD CARE
8 1. CHILD CARE ADMINISTRATION
9 PERSONAL SERVICE
10 CLASSIFIED POSITIONS 1,992,319 2,107,411 2,107,411
11 (70.43) (70.43) (70.43)
12 OTHER PERSONAL SERVICE 285,602 285,602 285,602
________________________________________________________________________________________________
13 TOTAL PERSONAL SERVICE 2,277,921 2,393,013 2,393,013
14 (70.43) (70.43) (70.43)
15 OTHER OPERATING EXPENSES 1,070,000 1,070,000 1,070,000
________________________________________________________________________________________________
16 TOTAL CHILD CARE ADMINISTRATION 3,347,921 3,463,013 3,463,013
17 (70.43) (70.43) (70.43)
18 ================================================================================================
19 2. CHILD CARE PAYMENTS
20 A. CHILD CARE CONTRACTS
21 OTHER OPERATING EXPENSES 10,000,000 10,000,000 10,000,000
22 b. CHILD CARE PAYMENTS
23 CASE SRVC/PUB ASST
24 ASSISTANCE PAYMENTS 59,520,563 4,407,963 59,520,563 4,407,963 59,520,563 4,407,963
________________________________________________________________________________________________
25 TOTAL CASE SRVC/PUB ASST 59,520,563 4,407,963 59,520,563 4,407,963 59,520,563 4,407,963
26 DISTRIBUTIONS TO
27 SUBDIVISIONS:
28 ALLOC-PRIVATE SECTOR 3,000,000 3,000,000 3,000,000
________________________________________________________________________________________________
29 TOTAL DIST SUBDIVISIONS 3,000,000 3,000,000 3,000,000
________________________________________________________________________________________________
30 TOTAL CHILD CARE PAYMENTS 72,520,563 4,407,963 72,520,563 4,407,963 72,520,563 4,407,963
31 ================================================================================================
32 TOTAL CHILD CARE 75,868,484 4,407,963 75,983,576 4,407,963 75,983,576 4,407,963
33 (70.43) (70.43) (70.43)
34 ================================================================================================
35 C. SOCIAL SERVICES
36 1. SOCIAL SERVICES
37 ADMINISTRATIO
38 PERSONAL SERVICE
39 CLASSIFIED POSITIONS 600,000 181,016 181,016
40 (3.83) (3.83) (3.83)
SEC. 8-0005 SECTION 8 PAGE 0088
DEPT OF HEALTH AND HUMAN SERVICES
---- 2002-2003 ---- ------------------------------ 2003-2004 -----------------------------
APPROPRIATED GOVERNOR'S RECOM. WAYS & MEANS BILL HOUSE BILL
TOTAL STATE TOTAL STATE TOTAL STATE TOTAL STATE
FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS
(1) (2) (3) (4) (5) (6) (7) (8)
1 OTHER PERSONAL SERVICES 141,500 65,423 65,423
________________________________________________________________________________________________
2 TOTAL PERSONAL SERVICE 741,500 246,439 246,439
3 (3.83) (3.83) (3.83)
4 OTHER OPERATING EXPENSES 894,894 894,894 894,894
________________________________________________________________________________________________
5 TOTAL SOCIAL SERVICES
6 ADMINISTRATION 1,636,394 1,141,333 1,141,333
7 (3.83) (3.83) (3.83)
8 ================================================================================================
9 2. SOCIAL SERVICE PAYMENTS
10 A. SOCIAL SERVICES CONTRACTS
11 OTHER OPERATING EXPENSES 25,163,789 50,000 25,163,789 50,000 25,163,789 50,000
12 b. SOCIAL SERVICE PAYMENT
13 DISTRIBUTIONS TO
14 SUBDIVISIONS:
15 ALLOC MUN-RESTRICTED 1,050,000 1,050,000 1,050,000
16 ALLOC OTHER ENTITIES 4,000,000 4,000,000 4,000,000
________________________________________________________________________________________________
17 TOTAL DIST SUBDIVISIONS 5,050,000 5,050,000 5,050,000
18 SPECIAL ITEMS
19 A CHILD'S HAVEN &
20 BOWERS-ROGERS HOME 100,000 100,000 100,000 100,000 100,000 100,000
21 PHILLIS WHEATLEY
22 COMMUNITY CENTER 150,000 75,000 150,000 75,000 150,000 75,000
________________________________________________________________________________________________
23 TOTAL SPECIAL ITEMS 250,000 175,000 250,000 175,000 250,000 175,000
________________________________________________________________________________________________
24 TOTAL SOCIAL SERVICES
25 PAYMENT 30,463,789 225,000 30,463,789 225,000 30,463,789 225,000
26 ================================================================================================
27 TOTAL SOCIAL SERVICES 32,100,183 225,000 31,605,122 225,000 31,605,122 225,000
28 (3.83) (3.83) (3.83)
29 ================================================================================================
30 E. OFFICE ON AGING
31 1. SENIOR SERVICES
32 ADMINISTRATION
33 PERSONAL SERVICE
34 CLASSIFIED POSITIONS 1,014,114 402,114 924,445 387,929 924,445 387,929
35 (21.48) (8.66) (21.48) (8.66) (21.48) (8.66)
36 UNCLASSIFIED POSITIONS 109,812 109,812
37 TEMPORARY GRANTS EMPLOYEE 60,000
38 OTHER PERSONAL SERVICES 62,000 15,000 271,435 22,764 271,435 22,764
________________________________________________________________________________________________
39 TOTAL PERSONAL SERVICE 1,245,926 526,926 1,195,880 410,693 1,195,880 410,693
40 (21.48) (8.66) (21.48) (8.66) (21.48) (8.66)
SEC. 8-0006 SECTION 8 PAGE 0089
DEPT OF HEALTH AND HUMAN SERVICES
---- 2002-2003 ---- ------------------------------ 2003-2004 -----------------------------
APPROPRIATED GOVERNOR'S RECOM. WAYS & MEANS BILL HOUSE BILL
TOTAL STATE TOTAL STATE TOTAL STATE TOTAL STATE
FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS
(1) (2) (3) (4) (5) (6) (7) (8)
1 OTHER OPERATING EXPENSES 524,014 269,014 456,964 211,964 456,964 211,964
________________________________________________________________________________________________
2 TOTAL SENIOR SERVICES 1,769,940 795,940 1,652,844 622,657 1,652,844 622,657
3 (21.48) (8.66) (21.48) (8.66) (21.48) (8.66)
4 ================================================================================================
5 2. OFFICE ON AGING SPECIAL
6 ITEMS
7 SPECIAL ITEMS
8 A. MCCORMICK
9 INTERGENERATIONAL 8,841 8,841 8,841 8,841 8,841 8,841
10 B. LOCAL PROVIDER SALARY
11 SUPP 729,411 729,411 729,411 729,411 729,411 729,411
12 C. ALZHEIMERS 300,000 150,000 300,000 150,000 300,000 150,000
________________________________________________________________________________________________
13 TOTAL SPECIAL ITEMS 1,038,252 888,252 1,038,252 888,252 1,038,252 888,252
________________________________________________________________________________________________
14 TOTAL OFFICE OF AGING
15 SPECIAL ITEMS 1,038,252 888,252 1,038,252 888,252 1,038,252 888,252
16 ================================================================================================
17 3. OFFICE ON AGING
18 ALLOC OTHER ENTITIES 23,810,673 1,020,673 23,834,707 1,034,707 23,834,707 1,034,707
________________________________________________________________________________________________
19 TOTAL DIST SUBDIVISIONS 23,810,673 1,020,673 23,834,707 1,034,707 23,834,707 1,034,707
________________________________________________________________________________________________
20 TOTAL OFFICE ON AGING
21 ASSISTANCE 23,810,673 1,020,673 23,834,707 1,034,707 23,834,707 1,034,707
22 ================================================================================================
23 TOTAL OFFICE ON AGING 26,618,865 2,704,865 26,525,803 2,545,616 26,525,803 2,545,616
24 (21.48) (8.66) (21.48) (8.66) (21.48) (8.66)
25 ================================================================================================
26 TOTAL PROGRAM AND SERVICES 3421,583,252 566,467,322 4141,702,577 538,156,399 3654,821,755 561,373,557
27 (1083.00) (367.20) (1083.00) (367.20) (1083.00) (367.20)
28 ================================================================================================
29 III. EMPLOYEE BENEFITS
30 C. STATE EMPLOYER CONTRIBUTIONS
31 EMPLOYER CONTRIBUTIONS 9,470,597 3,508,078 12,074,271 4,002,772 12,074,271 4,002,772
________________________________________________________________________________________________
32 TOTAL FRINGE BENEFITS 9,470,597 3,508,078 12,074,271 4,002,772 12,074,271 4,002,772
33 ================================================================================================
34 TOTAL EMPLOYEE BENEFITS 9,470,597 3,508,078 12,074,271 4,002,772 12,074,271 4,002,772
35 ================================================================================================
36 IV. NON-RECURRING
37 MEDICAID ANNUALIZATION OF
38 NON-RECURRING 3,000,000 3,000,000
SEC. 8-0007 SECTION 8 PAGE 0090
DEPT OF HEALTH AND HUMAN SERVICES
---- 2002-2003 ---- ------------------------------ 2003-2004 -----------------------------
APPROPRIATED GOVERNOR'S RECOM. WAYS & MEANS BILL HOUSE BILL
TOTAL STATE TOTAL STATE TOTAL STATE TOTAL STATE
FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS
(1) (2) (3) (4) (5) (6) (7) (8)
1 DURABLE MEDICAL EQUIPMENT
2 REIMBURSEMENT RATE 113,963 113,963
3 MEDICAID 35,099,333 10,582,449
________________________________________________________________________________________________
4 TOTAL NON-RECURRING APPRO. 3,113,963 3,113,963 35,099,333 10,582,449
5 ================================================================================================
6 TOTAL NON-RECURRING 3,113,963 3,113,963 35,099,333 10,582,449
7 ================================================================================================
8 DEPT OF HEALTH AND HUMAN
9 SERVICES
10 TOTAL RECURRING BASE 3444,537,932 575,358,396 4168,766,998 547,993,765 3681,886,176 571,210,923
11
12 TOTAL FUNDS AVAILABLE 3447,651,895 578,472,359 4168,766,998 547,993,765 3716,985,509 581,793,372
13 TOTAL AUTHORIZED FTE POSITIONS (1243.00) (432.07) (1243.00) (432.07) (1243.00) (432.07)
14 ================================================================================================
SEC. 8-0001 SECTION 8 PAGE 0084
DEPT OF HEALTH AND HUMAN SERVICES
---- 2002-2003 ---- ------------------------------ 2003-2004 -----------------------------
APPROPRIATED GOVERNOR'S RECOM. WAYS & MEANS BILL HOUSE BILL
TOTAL STATE TOTAL STATE TOTAL STATE TOTAL STATE
FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS FUNDS
(1) (2) (3) (4) (5) (6) (7) (8)
1 I. ADMINISTRATION
2 PERSONAL SERVICE
3 EXECUTIVE DIRECTOR 116,199 50,566 116,199 50,566 116,199 50,566
4 (1.00) (.40) (1.00) (.40) (1.00) (.40)
5 CLASSIFIED POSITIONS 4,627,016 2,035,634 6,162,521 2,500,152 6,162,521 2,500,152
6 (153.00) (60.05) (153.00) (62.06) (153.00) (62.06)
7 UNCLASSIFIED POSITIONS 438,831 180,977 451,258 180,954 451,258 180,954
8 (6.00) (4.42) (6.00) (2.41) (6.00) (2.41)
9 OTHER PERSONAL SERVICES 41,865 12,897
________________________________________________________________________________________________
10 TOTAL PERSONAL SERVICE 5,223,911 2,280,074 6,729,978 2,731,672 6,729,978 2,731,672
11 (160.00) (64.87) (160.00) (64.87) (160.00) (64.87)
12 OTHER OPERATING EXPENSES 8,260,172 3,102,922 8,260,172 3,102,922 8,260,172 3,102,922
13 ================================================================================================
14 TOTAL ADMINISTRATION 13,484,083 5,382,996 14,990,150 5,834,594 14,990,150 5,834,594
15 (160.00) (64.87) (160.00) (64.87) (160.00) (64.87)
16 ================================================================================================
17 II. PROGRAM AND SERVICES
18 A. HEALTH SERVICES
19 1. HEALTH SERVICES MANAGEMENT
20 a. MEDICAL ADMINISTRATION
21 PERSONAL SERVICE
22 CLASSIFIED POSITIONS 16,830,216 6,038,562 16,882,066 6,001,421 16,882,066 6,001,421
23 (481.26) (165.24) (481.26) (165.24) (481.26) (165.24)
24 OTHER PERSONAL SERVICES 557,435 42,037 1,105,872 384,184 1,105,872 384,184
________________________________________________________________________________________________
25 TOTAL PERSONAL SERVICE 17,387,651 6,080,599 17,987,938 6,385,605 17,987,938 6,385,605
26 (481.26) (165.24) (481.26) (165.24) (481.26) (165.24)
27 OTHER OPERATING EXPENSES 4,827,564 1,803,468 4,827,564 1,803,468 4,827,564 1,803,468
________________________________________________________________________________________________
28 TOTAL HEALTH SERVICES
29 MANAGEMENT 22,215,215 7,884,067 22,815,502 8,189,073 22,815,502 8,189,073
30 (481.26) (165.24) (481.26) (165.24) (481.26) (165.24)
31 ================================================================================================
32 2. MEDICAL CONTRACTS
33 OTHER OPERATING EXPENSES
34 PROVIDER SUPPORT 31,801,564 1,700,660 42,251,070 953,660 42,251,070 953,660
35 NURSING HOME CONTRACTS 5,619,354 1,006,302 6,368,302 1,168,302 6,368,302 1,168,302
36 EPSDT 4,466,150 1,409,452 3,612,452 1,072,452 3,612,452 1,072,452
37 CLTC CONTRACTS 3,784,815 616,554 3,216,449 741,449 3,216,449 741,449
38 MMIS 14,601,178 3,970,243 31,329,243 7,229,243 31,329,243 7,229,243
________________________________________________________________________________________________
39 TOTAL MEDICAL CONTRACTS 60,273,061 8,703,211 86,777,516 11,165,106 86,777,516 11,165,106
40 ================================================================================================
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