Future Generations Hearing (HB 872) from Kyle WatermanJudi Funk
From:
Kyle Waterman <kyle4kalispell@gmail.com>
Sent:
Monday, May 20, 2024 6:23 PM
To:
Kalispell Meetings Public Comment
Subject:
EXTERNAL Future Generations Hearing (HB 872)
Attachments:
Future Generations Budget Report_052024.pptx
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Dear City Council,
Not every homeless issue is a behavioral health issue but these issues are sometimes highlyvisible. I think it is
very important to address these behavioral health and/or addiction crisis for all our neighbors if they are facing
housing insecurity or not. As you know, the State of Montana is an important partner in this work here in the
Flathead.
I have received some questions recently regarding the State of Montana funding for Behavioral Health. As
President of the Board of Western Montana Behavioral Health Center (WMBHC), I have been watching the interim
hearings for House Bill 872 and there was another hearing today. These issues are broad and complex and I have
appreciated that the diligence the Department has taken to not only understand issues but to advance short term
initiatives.
Attached are some slides from today's updates explaining how the Behavioral Health System for Future
Generations Commission that help explain how the funding is rolling out in near term and one time investments.
Western has been applying for these grants as the roll out for the Flathead and the other Counties we provide
services in. We look forward to the Commissions final recommendations and seeing how the remaining $94M is
allocated.
There are some other funding decisions what will be announced soon that could help expand our outreach and
intervention services. Happy to share more about these future opportunities as they roll out for the Flathead.
I'd also be happy to come provide an update to the City Council if you are interested.
Thankyou foryour public service.
Kyle
Kyle Waterman
406.871.4885
Budget Summary I Cost Categories and Development
Cost estimates in the draft report are broken into three categories to differentiate the types of investments that 1) can be made by BHSFG
in the near future and 2) are likely ongoing costs that will need to be included in the state's regular biennial budget.
Initial cost estimates are broken down into the following categories:
BHSFG Fund One -Time Only (OTO) BHSFG funded grants, contract RFPs, or other initial investments required to stand up and
launch a recommendation.
BHSFG Fund Operational BHSFG funding to finance the initial ongoing operational needs for a recommendation prior
to inclusion in the state biennial budget (i.e., the "base budget").
Biennial Budget Recurring Operational Costs included in the "base budget" to fund a recommendation on an ongoing annual basis
through a blend of Medicaid, Federal grants, the General Fund, or other sources.
These cost estimates were developed using the following methodology which largely mirrors the
standard fiscal note development process:
1. Estimate cost build ups for each discrete recommendation, using available Montana data or data from comparable states / programs.
2. Categorize these costs as appropriate (e.g., capital, OTO, operational, etc.).
3. Evaluate the basic level of complexity involved in launching each recommendation (i.e., RFP versus rate adjustments and/or waiver approval).
4. Develop a high-level timeframe for launching each recommendation.
5. Identify what costs are long-term and thus require inclusion in Montana's regular biennial budget.
DEPARTMENT OF
PUBLIC HEALTH &
HUMAN SERVICES
Budget Summary I Cost Build Up Summary
$75M
Capital Projects
"Discretionary" projected expenditures
I
$40M
$47M
$17M
$27M
Approved NTlis One -Time Only (OTO)
Proposed NTls Operational
$206M
Proposed BHSFG Total
$94M
Remaining Balance
$300M
Total BHSFG Fund
Disclaimer: the cost estimates provided are preliminary and subject to change; OTO and Operational figures are based on assumptions outlined in the recommendations in
the draft report and are supported by availabie data. Actual expenditures are subject to approval from the Governor's Office and appropriation by the 1_egisfature.
DEPARTMENT OF
PUBLIC HEALTH &
HUMAN SERVICES
Budget Summary I Cost Estimates by Recommendation (1 of 2)
BHSFG Funding Only
1. Refine and Reconfigure Waiver Services Rates
DD
$1.7M
$300K
2. Expand Access to Waivered Services Through a Supports Waiver
DD
$500K
$66K
3. Expand Service options for People with Complex Needs
DD
$1.9M
$17.6M
4. Redefine and Reopen Evaluation and Diagnostic Clinics
DD
$50K
$2M
5. Identify Improvements to the Waitlist Management Process
DD
$750K
$100K
6. Enhance the Targeted Case Management Program
BH
$71 OK
$2.2M
7. Develop a Targeted Case Management Training Program
BH
$1M
$10K
S. Implement a Care Transitions Program
BH
$250K
$2M
9. Enhance Information Technology
BH
$4.1 M
$7.3M
10. Expand Mobile Crisis Response to Additional Regions
BH
$2.6M
$4M
11. Introduce New Crisis Stabilization and Receiving Center Services
BH
$14M
$1.3M
Disclaimer: the cost estimates provided are preliminary and subject to change; OTO and Operational figures are based on assumptions outlined in the recommendations in
the draft report and are supported by available data. Actual expenditures are subject to approval from the Governor's Office and appropriation by the Legislature.
DEPARTMENT OF
PUBLIC HEALTH &
HUMAN SERVICES
Budget Summary I Cost Estimates by Recommendation (2 of 2)
12. Expand Scope of the Certified Adult Peer Support Program
13. Increase Support for People with SMI and/or SUD Experiencing Homelessness
14. Launch a Media Campaign to Raise Awareness and Reduce Stigma
15. Reduce Transportation -Related Barriers to Care
16. Expand the Family Peer Support Program
17. Redesign Rates to Improve In -State Youth Residential Services
18. Invest in School -Based Behavioral Health Initiatives
19. Incentivize Providers to Join the Behavioral Health Workforce
20. Expand Training Content Available to Behavioral Health Workers
21. Enhance Behavioral Health Integration
BH
BH
BH
BH
BH
BH
BH
BH
BH
BH
21 Recommendations Total:
BHSFG Funding Only
r r r. :
$300K
$1.1 M $1.5M
$1M
$500K
$150K
$2.6M
$7.1 M
$2M
$3.9m
$47M
Disclaimer: the cost estimates provided are preliminary and subject to change; OTO and Operational figures are based on assumptions outlined in the recommendations in
the draft report and are supported by available data. Actual expenditures are subject to approval from the Governor's Office and appropriation by the Legislature.
$1.7M
$R40M
DEPARTMENT OF
PUBLIC HEALTH &
HUMAN SERVICES