Bill Text - SB235 (2014)

(New Title) relative to the patientsÂ’ trust fund.


Revision: March 27, 2014, midnight

SB 235 – AS AMENDED BY THE SENATE

1/30/14 0150s

2014 SESSION

14-2654

01/05

SENATE BILL 235

AN ACT relative to the patients’ trust fund.

SPONSORS: Sen. Reagan, Dist 17

COMMITTEE: Health, Education and Human Services

AMENDED ANALYSIS

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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.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