2016-2017

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HUMAN SERVICES AND HEALTH human infrastructure should be as high a priority as the need to invest in our physical infrastructure. Fig. 19 Child Poverty Rates in Many Upstate Cities Top 35 percent and Two Top 50% PERCENT OF CHILDREN LIVING BELOW THE FEDERAL POVERTY LINE Source: FPI analysis of American Community Survey 2010-2014 five-year data. Other Human Service Programs Face Cuts or Minimal Increases • The Executive Budget eliminates funding for 15 programs that were supported with OTDAadministered TANF initiative funds, totaling over $19 million in FY 2016. These include the Advanced Technology Training and Information Network (ATTAIN), the Emergency Homeless Program and Career Pathways. 44 | Fiscal Policy Institute
HUMAN SERVICES AND HEALTH • Funding for the Summer Youth Employment Program (SYEP) would increase by $1 million to account for the proposed increase in the state minimum wage. This level of funding may not be sufficient to serve the same number of youth as in previous years. • The Youth Development and Delinquency program is flat funded at $14.1 million from current funding of $15.4 million. • Funding for Hunger Prevention and Nutrition Assistance Program (HPNAP), would remain at the FY 2016 level of to $34.5million. • The budget provides $1.4 million for cost-of-living adjustments for non-profit human services providers to fund the 0.2 percent increase provided in statute. This increase along with the two percent increases provided over the last two years are overdue but are far from sufficient to offset five years of freezes. Medicaid The Executive Budget includes several Medicaid-related proposals that should be carefully considered for their impact on eligible individuals and their families. Key questions prompted by these proposals include: • Changing the eligibility standard for Managed Long Term Care (MLTC) from needing 120 days or more of home-based and community-based services to needing a nursing home level of care: Do all local districts have the capacity to administer long-term care services to a greater number of individuals? • Removing transportation as an MLTC benefit: Will beneficiaries be assisted in accessing transportation services? • Adding six new children’s mental health services to the Medicaid benefit package: Is sufficient funding being provided to ensure that these services are fully realized for beneficiaries? • Elimination of spousal/parental refusal: Given the likely adverse impact on spouses and families, how can this be justified given the insignificant savings involved? • The Essential Plan (formerly the Basic Health Plan) is a huge step forward in making health insurance much more affordable: Why shouldn’t the state allocate the $10 million needed to extend this option to the small number of immigrants permanently residing under color of law (PRUCOL) who are excluded under federal rules? The state has provided billions of dollars to the hospital industry in recent years to foster Medicaid systems transformation. Commensurate support is needed by community-based safetynet providers to allow them to participate in a transformed payment and delivery system. New York State Economic and Fiscal Outlook 2016-2017 | 45
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Page 7 and 8: Executive Summary Vice President Jo
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2016-2017

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