November/December
2006 Children's Issues in the 2007-09 Budget RequestsThe state's biennial budget bill is by far the
most important piece of legislation taken up each session. A very significant
stage in the development of that bill comes in mid-September of even-numbered
years; that's when agencies submit their budget requests to the Department of
Administration (DOA), where they will be reviewed for possible inclusion in the
Governor's next biennial budget. Since these budget requests are open records,
they provide the first public window on the development of this critically important
spending plan. In this article we summarize the major children's
issues in the budget recommendations of four state agencies: the Departments of
Health and Family Services, Public Instruction, Workforce Development, and Corrections.
In total, those four agencies' requests represent a GPR increase of more than
$1.3 billion in the next biennium (relative to the base year doubled). The agency
proposals don't yet include their plans to reduce administrative spending, which
must be submitted to DOA by mid-November. Coming on top of the
current structural deficit, the spending requests would substantially exceed projected
increases in state revenue. As a result, many of the requests will have to be
rejected or pared back by the DOA Budget Office, or agencies will have to make
deep cuts in other portions of their budgets. Department of
Health and Family ServicesThe Department of Health and Family
Services (DHFS) seeks a total increase of $443 million GPR in the 2007-09 biennium.
About 77 percent of that amount, or $343 million, is simply for the cost of maintaining
the Medicaid, BadgerCare and SeniorCare programs. The DHFS budget can be found
online at: http://dhfs.wisconsin.gov/aboutdhfs/OSF/Budget/DHFS07-09Budget.pdf. Maintaining
Health Care Safety Net Programs DHFS requested an increase of $305
million GPR to maintain the Medicaid program, plus $16.6 million more for BadgerCare
and a $21.3 million GPR increase for SeniorCare. The $343 million total increase,
which is simply the "cost to continue" estimate for those three programs, is an
eye-popping number, but it's actually relatively good news. A July 2006 analysis
by the Legislative Fiscal Bureau (LFB) of the magnitude of the state's fiscal
challenges in 2007-09 projected that maintaining Medicaid, BadgerCare and SeniorCare
would have a total price tag of $434 million! A little less
than a third of the Medicaid spending increase results from anticipated caseload
growth. The DHFS request assumes that MA caseloads will expand by 4.3 percent
in FY 08 and 3.2 percent in FY 09, causing a two-year spending increase of about
$93 million GPR. The proposed DHFS budget also assumes that the federal government
will renew Wisconsin's waiver for the SeniorCare program, though that is by no
means assured. BadgerCare Plus The DHFS budget
request marked the unveiling of the details for the proposed BadgerCare Plus plan,
which is the Governor's initiative to make health insurance available to almost
all children in Wisconsin. The proposal would expand coverage to a number of groups: All
children regardless of income (except unqualified immigrants). Pregnant
women between 185 and 300 percent of the poverty level. Farm
families and other self-employed parents with incomes up to 200 percent of poverty
(who were previously excluded by adding depreciation deductions back to their
income). Youths aging out of foster care. Parents
with children in foster care and caretaker relatives with income less than 200
percent of poverty.
The proposal also contains other improvements,
including: - replacing the current employer verification requirements
with a less burdensome process for verifying income and health insurance status;
- establishing
presumptive eligibility for children; and
- elimination of premiums for
kids in families below 200 percent of poverty.
There are also a few
respects in which coverage could be restricted. These include the elimination
of certain deductions from income when determining eligibility, and elimination
of something called the family fiscal unit, which helps make more people eligible.
DHFS anticipates that BadgerCare Plus would yield net biennial savings
of about $6.6 million GPR and $15.9 million in total funding, and the department
proposes reinvesting those savings in a number of ways to improve access to health
care. The largest chunk of the reinvested funding, $8.8 million (all funds), would
be used for initiatives to improve access to dental care. Other ways in
which the anticipated savings would be reinvested include: - $3.5 million
(all funds) to promote healthy living behaviors;
- $2 million for HMO expansion
incentives;
- $500,000 for marketing/outreach; and
- $200,000 for
benefit counselors/navigators.
Family Care and Other Health
Care Requests In addition to the amounts discussed above, the DHFS
budget seeks funds to expand the Family Care program to most of the state. Family
Care is a community-based alternative for long-term care, currently operating
in five pilot counties. The department seeks a Family Care increase of $85.7 million
over the next two years, including $21.9 million in state GPR funds. Additional
information about Family Care and its expansion can be found on the DHFS website
at: http://dhfs.wisconsin.gov/managedltc/generalinfo/index.htm
Other health care spending increases include: - an additional
$754,000 per year (all funds) for Medicaid administration to fund costs
incurred by counties and tribal income maintenance agencies to implement the new
federal citizenship and identity documentation requirements; and
- an
increase of $720,000 GPR (mostly in the second year) for the disease aids program,
which makes payments to providers for disease-related services for individuals
with chronic renal disease, adult cystic fibrosis and hemophilia.
Child
Welfare The DHFS budget includes a number of spending increases relating
to child welfare, including: - $2.2 million (all funds, including $1.7
million GPR) over the next two years for foster care rate increases of
5 percent in January 2008 and another 5 percent in 2009;
- a $103,100 per
year GPR increase in Community Aids to compensate counties for their share
of the 5 percent increase in foster care funding that took effect in 2006. Aside
from that slight increase, Community Aids would essentially remain frozen, as
it has been for many years.
- a boost of $11.1 million (all funds) for
foster care and adoption assistance payments, resulting from the growing
number of children in the adoption assistance program;
- an increase of
$11.2 million GPR for the Bureau of Milwaukee Child Welfare. Much of that
would be used to make up for a cut in federal funds, resulting from new restrictions
approved by Congress and the President regarding the types of child welfare costs
that are federally reimbursable. The GPR increase also stems in part from an increase
in the proportion of complex and special needs children who need to be placed
in higher cost settings, and from funding to continue case manager recruitment,
retention and training efforts.
- about $12.6 million GPR for the increased
costs of the State SSI Supplement, which provides a cash benefit to low
income elderly and disabled children;
- a net increase of $306,000 from
the TANF block grant for the Caretaker Supplement program, which provides
a cash benefit to SSI recipients who have dependent children. Although the caseload
is expected to decrease, the requested TANF funding would be used to replace one-time
funding that was used for administrative costs of the program in the current biennium.
Department of Public InstructionEqualization Aid and
Spending Levels The Department of Public Instruction's budget proposal
seeks an increase of $662 million in 2007-09, and almost all of that would come
from state GPR funding. About $422 million, or 64 percent, of the total increase
would be used for general equalization aid and would help meet the target of providing
state funds for two-thirds of school costs. Although the two-thirds standard is
no longer a statutory requirement, Governor Doyle and Superintendent Burmaster
have pledged to meet that goal in the next biennium. You can find the DPI budget
at: http://dpi.wi.gov/sprntdnt/pdf/bcm06_gap.pdf. Notwithstanding
the magnitude of the total equalization aid increase, it amounts to just a 3.2
percent increase in those aids in FY 2008 and 2.5 percent in FY 2009. Those figures
reflect the fact that the budget proposal does not make a broad change in school
revenue caps. The smaller amount in the second year also stems from a significant
increase that year in categorical aid, which reduces the amount of equalization
aid needed to reach the two-thirds target for state support. Although the
DPI budget does not contain any across-the-board changes in school revenue caps,
it does recommend a couple of changes that would provide relief from those caps
for some of the hardest-hit districts. Many declining enrollment districts would
be helped by a proposal to allow them to again use their prior year's base revenue
limit if falling enrollment would otherwise cause the cap to fall below the previous
level. In addition, DPI proposes raising the per pupil "low revenue ceiling" by
$300 annually, which would allow about 100 of the lowest spending districts to
narrow the current disparities with the highest spending districts. Early
Education The DPI budget proposes a coordinated program over the biennium
to support quality learning opportunities throughout the state. The proposal includes
a financial incentive in the school funding formula for school districts to use
community-based approaches for Four-Year-Old Kindergarten (4K). It also funds
an additional position responsible for overseeing the review and approval of higher
education programs in early childhood education and licensing of early childhood
education professionals. Categorical Aid Increases Roughly
a third of the increased spending proposed by DPI is for categorical aid. These
increases in aid offer two potential advantages: They do not count against a district's
revenue cap; and they can be targeted to accomplish specific objectives (such
as promoting school breakfast programs or relieving the fiscal pressure on special
educations programs). Among the many proposed increases in categorical aid are
the following: - $75 million more for special education aid.
- About
$26.5 million in FY 2009 to create a new aid program for small, rural districts.
- An increase of over $21 million for the SAGE program, which helps
schools hold down class sizes in grades one through three. The increase would
primarily be used to raise the aid per low-income student to $2,250, from the
current $2,000.
- An additional $17 million in segregated funds (from the
Common School Fund) for school library aids.
- A new appropriation
of $5 million in FY 2009 for before and after school programs.
- $3.1
million more to maintain the current 12 percent reimbursement level for the bilingual-bicultural
aid program.
- $6.2 million in FY 2009 to create a new bilingual-bicultural
aid program that would help districts that don't qualify for the current program.
- About $2.7 million to increase the school breakfast reimbursement
rate form 10 cents to 15 cents per meal.
- $2.2 million to eliminate
the reduced-price school breakfast fee.
- A new appropriation of $1
million per year to improve student access to school nurses. The grants
will provide approximately 15 FTE school nurse positions, or may be used to provide
additional nursing services to schools statewide.
The DPI budget
also contains a few other increases in earmarked funding that are not technically
part of categorical aids. These include: - an additional $26.9 million
for the Milwaukee Parental Choice Program, reflecting both a higher cost-to-continue
estimate and a proposal to raise the state's share of the cost (while decreasing
the portion that is redistributed from public schools);
- about $15.4 million
more for the state share of the Milwaukee/Racine Charter School Program;
and
- $20 million more for public library systems, to bring the
reimbursement level to the statutory standard of 13 percent.
Department
of Workforce DevelopmentThe state continues to face a significant TANF
and child care deficit as it heads into the next biennium. DWD estimates this
deficit for the 2007-09 biennium on a cost-to-continue basis to be over $35 million.
This "structural deficit" could mean serious challenges for a range of programs,
including the Wisconsin Shares child care subsidy program, Wisconsin Works (W-2),
the Earned Income Tax Credit, the SSI Caretaker Supplement program (in DHFS),
and Kinship Care. Because TANF block grant funds are used for programs
in several departments, DWD chose not to make the significant decisions that will
be necessary to balance the TANF budget as a whole. Those difficult decisions
will have to be made by DOA and the Governor office. The following, however, are
some key issues and initiatives included in DWD's 2007-09 budget request: Implementation
of a transitional jobs program DWD proposes a pilot project titled
"Real Work Real Pay," which would be tested in Milwaukee and two other counties
over two years. It would move approximately 500 W-2 participants (400 this biennium,
100 in the next) into trial jobs in which the employer receives a subsidy for
paying real wages to the employee, who remains eligible for case management and
other W-2 services. Especially important is that the "real" earnings would make
participants eligible for federal and state Earned Income Tax Credits, which is
not the case for the cash benefits from other W-2 work placements. Child
Support deficit A deficit of over $30 million is projected in the child
support program, due primarily to recent federal law changes, but also because
of reduced state funding over the last few biennia and the implementation of a
debit-card system. The loss of federal funds is largely a result of cutbacks in
the FY 2006 federal budget, including the prohibition by Congress of the practice
of using performance incentive dollars as a source of matching funds. W-2
cash benefit for women with no kids and in at-risk pregnancies Currently
such women are only eligible for case management services, even though federal
regulations allow such a cash benefit to be part of a state's TANF work programs. Department
of CorrectionsThe Department of Corrections requested an increase of $247
million GPR (13 percent) to meet current operations and commitments, including
the addition of 311 positions by the end of the biennium. The Division
of Juvenile Corrections (DJC) has not proposed any new initiatives in their budget
proposal. Previously, DJC was budgeted for 660 kids over the past two biennia,
and had an actual average daily population of 596 kids in the last full fiscal
year. In this budget request, the cost-to-continue estimates for the juvenile
correctional facilities are based on an average daily population of 575 kids,
including 29 at the Mendota Juvenile Treatment Center. Falling populations
create significant challenges for DJC because they have to cover various fixed
costs with less rate revenue from the counties. As a result, population reductions
often lead to rate increases; however, DOC has not proposed any increase to the
daily rate charged for youth in juvenile correctional facilities in 2007-2009.
There is an outstanding requirement that the Department develop a plan to lower
the daily rate of juvenile corrections to the counties, which must be submitted
to the Governor and Legislature by January of 2007. In light of this requirement,
the budgeting process for DJC will have a significant overlay with whatever initiatives
may be developed as a result of the January daily rate proposal. ConclusionThe
budget proposals contain a number of positive initiatives for children. Among
these are: - The BadgerCare Plus plan, which would make health insurance
available to almost all children in the state, while also improving coverage for
farmers, caretaker relatives and pregnant women.
- Increases of 5 percent
per year in foster care rates.
- Continuation of the state's two-thirds
funding commitment for schools.
- A financial incentive in the school funding
formula for districts to use community-based approaches for Four-Year-Old Kindergarten.
- Significant increases in funding for special education aid.
- A
new $5 million appropriation for before and after school programs.
- Funding
to encourage more schools to implement breakfast programs.
- Implementation
of a W-2 pilot project titled "Real Work Real Pay."
- A new $1 million
per year appropriation to improve student access to school nurses.
There
are also a number of worrisome aspects of the budget. These include potential
shortfalls in the area of W-2 and child care spending (where recommendations for
the funding levels have yet to be made), the continuation of flat funding for
Community Aids, and continued spending constraints for schools and other local
government bodies. Of course, this is still a very early stage of the budget
process, and not all of these agency proposals will make it into the Governor's
budget bill or through the Legislature. In addition, the shape of the budget will
be heavily influenced by the outcome of the gubernatorial election. Anytime a
new governor is elected, substantial changes are made in the budget bill. That
would be particularly true for the 2007-09 budget, in light of the commitment
that candidate Green has made to impose TABOR-like spending constraints on the
next budget bill if he is elected. WCCF will continue to provide updates
on the status of children's issues at each stage of the budget process. |