Sifting Through the LePage FY 2016/2017 Proposed Budget: DHHS Meets With AFA, HHS
Maine Department of Health and Human Services (DHHS) Commissioner Mary Mayhew along with Alec Porteous and Stephanie Nadeau met with the 127th Legislature’s Appropriations and HHS Committees for three hours on January 22 to discuss the administration’s FY 2016/17 biennial budget as it pertains to the state’s largest agency (Governor Paul LePage’s 2016-2017 Biennial General Fund Budget Proposal can be found here). The entire meeting is below, recorded in five clips.
From a DHHS press release:
- “For years, DHHS has come to the budget committee with news of massive shortfalls that send lawmakers scrambling,” said Commissioner Mayhew. “This time, it’s different. Under Governor LePage’s leadership, we have stabilized spending in the Medicaid program and are no longer managing to a crisis. Instead, the budget proposal tackles some of the Governor’s biggest priorities: nursing home funding, waitlists, primary care, and much more.”
The DHHS budget proposal identifies significant savings to help fund important new initiatives, with a net request of just over $6 million for the FY 2016-2017 biennium-this out of a total Department General Fund budget of more than $2 billion.
Among those initiatives are $24 million in additional Medicaid reimbursement funding for nursing homes; $46 million to move elderly, disabled, and mentally ill patients off of waitlists for services; $28 million to improve access to primary care providers; and $14 million to fulfill Maine’s obligation to mental health under the Consent Decree.
Roughly $11 million in savings from a proposed reform to General Assistance reimbursement to municipalities will be directed specifically to fund services under Section 21 for disabled Mainers on waitlists.
A total of $20 million from the Fund for a Healthy Maine (FHM) will be repurposed away from third-party advocacy organizations and directed to fund increased access to primary care providers for Medicaid recipients.
After doubling in size, enrollment, and cost in the decade prior to Governor LePage’s first inauguration, Maine’s Medicaid program has since seen enrollment drop from a high of 354,000 in 2011 to 291,000 today. In 2011, 26 percent of Mainers were enrolled in Medicaid, compared to 18 percent of the national population. In 2014, Maine’s Medicaid enrollment matched the national average of 22 percent. “After years spent bailing out the sinking ship of Medicaid, we have finally charted a new course where spending on able-bodied adults is controlled and services for the elderly and disabled are prioritized,” added Commissioner Mayhew. “I am proud to be presenting this balanced budget to the Appropriations Committee on behalf of Governor LePage, whose tenacity and responsible priorities have gotten us where we are today.”
After the conclusion of the meeting, Daniel E. Wathen, Consent Decree Coordinator, met with the two committees to discuss multiple ongoing issues at Riverview Psychiatric Center and answer questions from legislators. The two clips of that meeting are below.