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1 1 BEFORE THE NEW YORK STATE SENATE FINANCE AND ASSEMBLY WAYS AND MEANS COMMITTEES 2 ----------------------------------------------------- 3 JOINT LEGISLATIVE HEARING 4 In the Matter of the 2016-2017 EXECUTIVE BUDGET ON 5 MENTAL HYGIENE 6 ----------------------------------------------------- 7 8 Hearing Room B Legislative Office Building 9 Albany, New York 10 February 3, 2016 9:43 a.m. 11 12 PRESIDING: 13 Senator Catharine M. Young Chair, Senate Finance Committee 14 Assemblyman Herman D. Farrell, Jr. 15 Chair, Assembly Ways & Means Committee 16 PRESENT: 17 Senator Liz Krueger Senate Finance Committee (RM) 18 Assemblyman Robert Oaks 19 Assembly Ways & Means Committee (RM) 20 Senator Robert G. Ortt Chair, Senate Committee on Mental Health 21 and Developmental Disabilities 22 Assemblywoman Aileen Gunther Chair, Assembly Committee on Mental Health 23 24 2 1 2016-2017 Executive Budget Mental Hygiene 2 2-3-16 3 PRESENT: (Continued) 4 Assemblywoman Linda B. Rosenthal Chair, Assembly Committee on Alcoholism 5 and Drug Abuse 6 Senator George A. Amedore, Jr. Chair, Senate Committee on Alcoholism 7 and Drug Abuse 8 Assemblywoman Ellen C. Jaffee 9 Senator Diane Savino 10 Assemblywoman Rodneyse Bichotte 11 Senator Gustavo Rivera 12 Assemblyman Clifford Crouch 13 Assemblyman Daniel O'Donnell 14 Assemblywoman Didi Barrett 15 Senator Frederick J. Akshar II 16 Assemblywoman Nicole Malliotakis 17 Assemblyman David I. Weprin 18 Senator Timothy Kennedy 19 Assemblyman Jeffrion L. Aubry 20 Senator Kathleen A. Marchione 21 Assemblyman John T. McDonald, III 22 Assemblyman Thomas Abinanti 23 Senator Jack Martins 24 Assemblyman Felix Ortiz 3 1 2016-2017 Executive Budget Mental Hygiene 2 2-3-16 3 PRESENT: (Continued) 4 Senator Terrence P. Murphy 5 Assemblyman Harry B. Bronson 6 Senator John J. Bonacic 7 Assemblywoman Vivian E. Cook 8 Senator Phil M. Boyle 9 Assemblyman J. Gary Pretlow 10 Senator Velmanette Montgomery 11 Assemblywoman Shelley Mayer 12 Senator Leroy Comrie 13 14 15 LIST OF SPEAKERS 16 STATEMENT QUESTIONS 17 Ann Marie T. Sullivan, M.D. Commissioner 18 NYS Office of Mental Health 9 15 19 Kerry Delaney Acting Commissioner 20 NYS Office for People With Developmental Disabilities 116 122 21 Arlene González-Sánchez 22 Commissioner NYS Office of Alcoholism 23 and Substance Abuse Services 222 227 24 4 1 2016-2017 Executive Budget Mental Hygiene 2 2-3-16 3 LIST OF SPEAKERS 4 STATEMENT QUESTIONS 5 Michael Seereiter President and CEO 6 New York State Rehabilitation Association 7 -and- Ann M. Hardiman 8 Executive Director NYS Association of Community 9 & Residential Agencies 285 290 10 Harvey Rosenthal Executive Director 11 NY Association of Psychiatric Rehabilitation Services 293 299 12 Steven Kroll 13 Executive Director NYSARC 303 310 14 Glenn Liebman 15 CEO Mental Health Association 16 in New York State 321 328 17 Wendy Burch Executive Director 18 National Alliance on Mental Illness of New York State 331 19 John J. Coppola 20 Executive Director NY Association of Alcoholism 21 & Substance Abuse Providers 337 345 22 Stephanie McLean-Beathley OPWDD Transition Coordinator 23 Save Our Western New York Children's Psychiatric Center 353 24 5 1 2016-2017 Executive Budget Mental Hygiene 2 2-3-16 3 LIST OF SPEAKERS 4 STATEMENT QUESTIONS 5 Barbara Crosier VP, Government Relations 6 Cerebral Palsy Associations of New York State 7 -and- Winifred Schiff 8 Associate Executive Director for Legislative Affairs 9 Interagency Council of Developmental Disabilities 10 Agencies, Inc. -for- 11 Coalition of Provider Associations (COPA) 357 363 12 Andrea Smyth 13 Executive Director New York State Coalition for 14 Children's Behavioral Health 364 368 15 Ed Snow Statewide PEF/OPWDD Labor 16 Mgt. Committee Labor Chair -and- 17 Virginia Davey Statewide PEF/OMH Labor 18 Mgt. Committee Cochair Public Employees Federation 369 376 19 Antonia Lasicki 20 Executive Director Association for Community 21 Living 400 409 22 Shaun D. Francois I President 23 Local 372-NYC Board of Education Employees 24 District Council 37 415 423 6 1 2016-2017 Executive Budget Mental Hygiene 2 2-3-16 3 LIST OF SPEAKERS 4 STATEMENT QUESTIONS 5 Kelly A. Hansen Executive Director 6 NYS Conference of Local Mental Hygiene Directors 425 432 7 Robert J. Lindsey 8 Chief Executive Officer Friends of Recovery New York 435 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 7 1 CHAIRMAN FARRELL: Good morning. 2 Today we begin the ninth in a series 3 of hearings conducted by the joint fiscal 4 committees of the Legislature regarding the 5 Governor's proposed budget for the fiscal 6 year 2016-2017. The hearings are conducted 7 pursuant to Article 7, Section 3 of the 8 Constitution and Article 2, Sections 31 and 9 32A of the Legislative Law. 10 Today the Assembly Ways and Means 11 Committee and the Senate Finance Committee 12 will hear testimony concerning the budget 13 proposal for mental hygiene. 14 I will now introduce members from the 15 Assembly, and Senator Young, chair of the 16 Senate Finance Committee, will introduce 17 members from the Senate. 18 I have been joined by Assemblywoman 19 Aileen Gunther, Assemblywoman Jaffee, 20 Assemblyman McDonald, Assemblywoman 21 Malliotakis -- okay, I chewed in up again -- 22 Assemblywoman Rosenthal, Assemblyman Weprin. 23 And Assemblyman Oaks. 24 ASSEMBLYMAN OAKS: You got 8 1 Ms. Malliotakis. 2 CHAIRMAN FARRELL: No, get it so it 3 will be right. 4 And Assemblywoman Didi Barrett. 5 ASSEMBLYMAN OAKS: Yes. And 6 Assemblywoman Malliotakis is here, yes. 7 CHAIRWOMAN YOUNG: Good morning. I'm 8 Senator Catharine Young, and I've been joined 9 by my colleague Senator Liz Krueger, who is 10 ranking member on the Senate Finance 11 Committee. We're also joined by Senator 12 Robert Ortt, who is chair of the Mental 13 Health and Developmental Disabilities 14 Committee; Senator Fred Akshar, Senator 15 Gustavo Rivera, Senator Terrence Murphy, and 16 Senator John Bonacic. 17 CHAIRMAN FARRELL: Thank you, Senator. 18 And also Assemblyman Jeff Aubry is 19 with us. 20 Before introduction, though, of the 21 first witness, I would like to remind all of 22 the witnesses testifying today to keep your 23 statements within your allotted time limit so 24 that everyone can be afforded the opportunity 9 1 to speak. 2 And we're going to put in a special 3 rule today. Each commissioner will do one 4 hour, after they have made their 5 presentation, with members talking. So to 6 the members, I would ask them to please stay 7 to your five minutes. Chairpeople have the 8 responsibility of 10 minutes. 9 I would also remind the people who are 10 listening to us in their rooms upstairs, 11 don't wait for the last minute to come down 12 and get on line. We will have closed you out 13 by that time. 14 So to begin with, Ann Marie T. 15 Sullivan, M.D., commissioner of the New York 16 State Office of Mental Health. 17 COMMISSIONER SULLIVAN: Thank you. 18 Good morning, Senator Young, 19 Assemblyman Farrell, and members of the 20 committee. Thank you for this opportunity to 21 discuss the State Office of Mental Health 22 Executive Budget proposal. 23 The 2016-2017 Executive Budget 24 continues to take significant steps to 10 1 address the needs of people with mental 2 illness in New York. The main areas of focus 3 of the Executive Budget proposals for OMH 4 will focus on the transition to integrated 5 Medicaid managed care for adult and child 6 behavioral health services, the Office of 7 Mental Health Transformation Plan for our 8 state and community-operated service systems, 9 and our continuing commitment to the 10 development of housing for individuals with 11 mental illness. 12 Funding for the Children's State Plan 13 Amendment services. The 2016-2017 Executive 14 Budget includes $7.5 million, annualizing to 15 $30 million, to support an array of new 16 Medicaid State Plan Amendment services to 17 expand the behavioral health services for 18 individuals under 21 years of age, including 19 crisis intervention; community psychiatric 20 support and treatment; psychosocial rehab 21 services; family peer support services; youth 22 peer support services; and other licensed 23 practitioner services. 24 The funding of these state plan 11 1 options will now allow New York State to fill 2 the gaps across the current children's system 3 of care, and will produce better long-term 4 outcomes for children and their families. 5 This children's system redesign will truly be 6 a game-changer, by recognizing the broad 7 range of supports required to prevent, 8 intervene, and treat children with or at risk 9 for serious emotional disturbance. 10 Managed Care Transition Funding. For 11 both adults and children, the 2016-2017 12 Medicaid budget also continues funding to 13 support the transition of providers into a 14 managed-care environment by supporting 15 extensive technical assistance, including 16 development of infrastructure and capacity 17 for the integration of children's services 18 into mainstream plans; collaborative care to 19 integrate behavioral and physical health; 20 establishment of Health Home Plus for 21 high-need populations; targeted Vital Access 22 Provider funds to preserve critical access; 23 and expansion of cost-effective home and 24 community-based services. 12 1 We are well into the second quarter of 2 adult integrated managed care and HARP 3 implementation in New York City. These 4 investments have been critical in preparing 5 our consumers, providers, and managed plans 6 for transition, especially as we roll out the 7 managed care expansion and HARPs roll out in 8 the rest of the state in July 2016, and for 9 children in January 2017.
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