Revision: March 27, 2014, midnight
SB 235 – AS AMENDED BY THE SENATE
1/30/14 0150s
2014 SESSION
01/05
SENATE BILL 235
AN ACT relative to the patients’ trust fund.
SPONSORS: Sen. Reagan, Dist 17
COMMITTEE: Health, Education and Human Services
This bill allows the department of health and human services to utilize certain capital project funding for New Hampshire hospital psychiatric crisis beds and makes an adjustment to the operating budget to establish certain positions.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
1/30/14 0150s
14-2654
01/05
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Fourteen
AN ACT relative to the patients’ trust fund.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Patients’ Trust Fund. Amend RSA 151:24, III to read as follows:
III. A written receipt shall be given to a patient or a personal representative of the patient when personal funds and possessions are received by a facility [and]. The facility shall furnish the patient or a personal representative of the patient with a quarterly statement of the funds and possessions; except that the New Hampshire hospital shall furnish a quarterly statement only upon request made by the patient or the personal representative of the patient. The statement shall contain the items and amounts received, the sources, the disposition, and the date of each transaction. Upon the discharge of a patient, the facility shall furnish the patient or a personal representative with a final statement and return all personal funds and possessions not later than 10 days after discharge. Upon the death of a patient, the facility shall furnish the executor, administrator, or voluntary administrator, upon proof of appointment, all personal funds and possessions of the deceased patient.
2 Operating Budget; 2013; Acute Psychiatric Services Amended. Amend 2013, 143:1, accounting unit 05,95, 94, 940010, 8750, to read as follows:
05 HEALTH AND SOCIAL SERVICES
95 HEALTH AND HUMAN SVCS DEPT OF
94 HHS: NEW HAMPSHIRE HOSPITAL
940010 NEW HAMPSHIRE HOSPITAL
8750 ACUTE PSYCHIATRIC SERVICES
010 Personal Services-Perm. Classi 19,652,368 [19,921,527] 20,081,477
012 Personal Services-Unclassified 21,630,039 1,636,014
017 FT Employees Special Payments 341,986 341,987
018 Overtime 544,459 555,348
019 Holiday Pay 448,564 457,535
020 Current Expenses 90,000 91,800
022 Rents-Leases Other than State 0 8,811
030 Equipment 0 50,000
041 Audit Fund Set Aside 5,101 5,203
042 Additional Fringe Benefits 611,504 623,734
050 Personal Service-Temp/Appointe 621,090 633,511
060 Benefits 11,559,176 [12,181,370] 12,371,420
066 Employee training 25,000 25,000
100 Prescription Drug Expenses * 1,500,534 1,540,675
101 Medical Payments to Providers 722,270 741,575
102 Contracts for program services 7,972,545 8,220,074
501 Payments To Clients 59,400 61,182
523 Client Benefits 1,745 1,832
TOTAL 45,785,781 [47,038,367] 47,447,178
ESTIMATED SOURCE OF FUNDS FOR
ACUTE PSYCHIATRIC SERVICES
009 Agency Income 19,510,633 [19,993,973] 20,165,050
FEDERAL FUNDS 14,169,735 [14,560,205] 14,708,625
GENERAL FUND 12,105,413 [12,484,189] 12,573,502
TOTAL SOURCE OF FUNDS 45,785,781 [47,038,367] 47,447,178
3 Department of Health and Human Services; Establishing Acute Psychiatric Services Classified Positions. Established within the department of health and human services shall be the following classified positions:
Classification No. of Positions Labor Grade
Ward Clerk 2 10
Nurse Specialist 2 25
Registered Nurse III 9 23
Mental Health Worker II 16 11
Psychiatric Social Worker 1 23
Health Facility Cleaner II 2 08
4 Effective Date. This act shall take effect July 1, 2014.
LBAO
14-2654
Amended 02/25/14
SB 235 FISCAL NOTE
AN ACT relative to the patients’ trust fund.
FISCAL IMPACT:
The Department of Health and Human Services states this bill, as amended by the Senate (Amendment #2014-0150s), will increase state general fund expenditures by $305,614 in FY 2015, $633,484 in FY 2016, $652,099 in FY 2017, and $671,273 in FY 2018. State restricted expenditures (federal funds and agency income) will increase by $1,757,024 in FY 2016, $1,808,654 in FY 2017, and $1,861,829 in FY 2018. There will be no fiscal impact on county or local revenue and expenditures.
This bill appropriates $89,813 for the fiscal year ending June 30, 2015 from the state general fund to the Department of Health and Human Services for the purpose of this act.
METHODOLOGY:
The Department of Health and Human Services states this bill would provide the operating costs in FY 2015 necessary to open a 10-bed psychiatric crisis unit in New Hampshire Hospital by July 1, 2015 (FY 2016). The Department states the hospital will need to have the appropriate staffing in place by July 1, 2015 in order to comply with Joint Commission standards and CMS regulations. The Department indicates the costs include 32 new full-time positions, initial furnishings and fixtures, including an automated medication dispenser. Based on the Hospital’s experience, recruitment of qualified clinical personnel such as registered nurses and nurse specialists requires a lead time of up to nine months. The Department assumes nine registered Nurse III positions and two Nurse Specialists will need to be hired by March 1, 2015 in order to complete training on the Hospital’s policies and operating procedures. To accomplish this, the Department states it must commence recruitment no later than November 1, 2014. In addition, the Department states 16 Mental Health Worker II’s, two Ward Clerk II’s, two Health Facility Cleaner III’s, and a Psychiatric Social Worker will need to be hired no later than May 1, 2015 in order to complete the orientation period. The Department estimated the following operating costs based on current patient care unit costs and assuming the unit will be fully operational including a 3% inflation rate in future years. The Department assumes initial operating costs in FY 2015 such as startup medical and office supplies will be covered by existing appropriations. There will be no federal revenue or agency income until FY 2016 since it is anticipated that the unit will open July 1, 2015.
FY 2015 |
FY 2016 |
FY 2017 |
FY 2018 | |
Salaries: 2 Ward Clerks, 2 Nurse Specialists, 9 Registered Nurse III, 16 Mental Health Worker II, 1 Psychiatric Social Worker, and 2 Health Facility Cleaners: |
$159,950 |
$1,205,616 |
$1,241,785 |
$1,279,038 |
Overtime Pay : |
0 |
$24,544 |
$25,280 |
$26,038 |
Holiday Pay: |
0 |
$20,081 |
$20,684 |
$21,304 |
Current Expense: |
0 |
$7,550 |
$7,777 |
$8,010 |
Rents- Leases: |
$8,811 |
$35,244 |
$35,244 |
$35,244 |
Equipment: |
$50,000 |
$5,000 |
$5,000 |
$5,000 |
Benefits: |
$86,853 |
$663,485 |
$683,125 |
$703,354 |
Prescription Drug Expenses: |
0 |
$127,500 |
$131,325 |
$135,265 |
Medical Payments to Providers: |
0 |
$66,938 |
$68,946 |
$71,015 |
Contracts for Program Services: |
0 |
$234,550 |
$241,587 |
$248,834 |
Total Costs: |
$305,614 |
$2,390,508 |
$2,460,753 |
$2,533,102 |
Source of Funds |
||||
Federal Funds |
0 |
$738,667 |
$760,373 |
$782,728 |
Agency Income |
0 |
$1,018,357 |
$1,048,281 |
$1,079,101 |
General Fund: |
$305,614 |
$633,484 |
$652,099 |
$671,273 |
Totals Source of Funds: |
$305,614 |
$2,390,508 |
$2,460,753 |
$2,533,102 |