Department of Social and Health Services - Mental Health
| Average Annual FTEs | Near General Fund State | Other Funds | Total Funds | |
|---|---|---|---|---|
| (Dollars in Thousands) | ||||
| Current Budget | 4,947.4 | 1,289,764 | 159,220 | 1,448,984 |
| 2023-25 Maintenance Level | 4,946.6 | 1,393,162 | 81,505 | 1,474,667 |
| Difference from 2023-25 Original | (0.8) | 103,398 | (77,715) | 25,683 |
| % Change from 2023-25 Original | (0.0%) | 8.0% | (48.8%) | 1.8% |
2024 Policy Other Changes |
||||
| Maple Lane Phase 1 | 0.0 | 15,558 | 0 | 15,558 |
| TJC Response | 0.0 | 4,842 | 0 | 4,842 |
| Clinical Contracted Staffing | 0.0 | 36,346 | 0 | 36,346 |
| Olympic Heritage Behavioral Health | 437.1 | 140,924 | 0 | 140,924 |
| DSH Reduction Delay | 0.0 | (72,814) | 72,814 | 0 |
| Trueblood Case Judgment | 0.0 | 100,318 | 0 | 100,318 |
| Forensic Beds at WSH and ESH | 101.6 | 29,826 | 1,233 | 31,059 |
| Recruit & Retain Qualified Staff | 3.5 | 1,904 | 0 | 1,904 |
| Maple Lane Maintenance Transfer | 0.0 | 671 | 0 | 671 |
| Critical IT Pharmacy System | 0.0 | 1,188 | 0 | 1,188 |
| 2024 Policy Other Changes Total | 542.2 | 258,763 | 74,047 | 332,810 |
2024 Policy Comp Changes |
||||
| State Employee Benefits | 0.0 | 316 | 22 | 338 |
| Compression and Inversion | 0.0 | 114 | 8 | 122 |
| Pension Rate Month of Death Bill | 0.0 | 145 | 10 | 155 |
| Pension Rate PSERS Bill | 0.0 | 42 | 3 | 45 |
| 2024 Policy Comp Changes Total | 0.0 | 617 | 43 | 660 |
| Total Policy Changes | 542.2 | 259,380 | 74,090 | 333,470 |
| 2024 Policy Level | 5,488.8 | 1,652,542 | 155,595 | 1,808,137 |
| Difference from 2023-25 Original | 541.4 | 362,778 | (3,625) | 359,153 |
| % Change from 2023-25 Original | 10.9% | 28.1% | (2.3%) | 24.8% |
Policy Changes
Maple Lane Phase 1
The 2023-25 budget assumed that operations at Oak Cottage at Maple Lane would be eligible for Medicaid. After further review, it was determined that the facility is an Institution of Mental Diseases (IMD), and therefore, falls under the IMD exclusion in the 1965 Social Security Act. Funding is provided to backfill the federal funding assumed in the underlying budget. (General Fund - State)
TJC Response
Funding is provided for one-time facility improvements, equipment, and contracted staffing needed to mitigate an audit finding from The Joint Commission's (TJC) on-site visit to Eastern State Hospital. (General Fund - State)
Clinical Contracted Staffing
Funds are provided for the increased need for contracted nursing staff caused by extraordinary vacancy rates at the state's psychiatric hospitals. (General Fund - State)
Olympic Heritage Behavioral Health
Funding is provided for the operation of Olympic Heritage Behavioral Health (formerly Cascade Hospital) in Tukwila, adding 72 additional inpatient psychiatric beds for civil conversion patients currently residing at Western State Hospital in forensic beds. (General Fund - Medicaid Federal, General Fund - Local CRC Oregon, General Fund - State, other funds)
DSH Reduction Delay
This item adjusts funds for the continued delay in the expiration of Disproportionate Share Hospital (DSH) payments from the federal Medicaid program. (General Fund - Cash, General Fund - Local CRC Oregon, General Fund - Medicaid Federal, other funds)
Trueblood Case Judgment
Funding is provided to pay contempt fines ordered by the federal district court on July 7, 2023, related to the Trueblood, et. al. v. DSHS class action lawsuit. (General Fund - State)
Forensic Beds at WSH and ESH
Funding is provided to add 30 forensic beds at Western State Hospital and eight forensic beds at Eastern State Hospital. (General Fund - Medicaid Federal, General Fund - Cash, General Fund - State, other funds)
Recruit & Retain Qualified Staff
This item continues education reimbursement, provides clinical training to competency restoration staff, and hires nurse recruiters. In addition, sufficient funding is provided to create a postdoctoral program in psychology at Western State Hospital and to create a nursing residency program at Western State Hospital and Eastern State Hospital. (General Fund - State)
Maple Lane Maintenance Transfer
Funding is provided for DSHS to maintain the facility, property, and assets at Maple Lane that was previously maintained by the Department of Corrections. (General Fund - State)
Critical IT Pharmacy System
Funds are provided for licensing costs required for the new IT Pharmacy System utilized by Behavioral Health Administration facilities. (General Fund - State)
State Employee Benefits
Funding is provided to increase the retiree health insurance subsidy, adjusting the cap from $183 to $193 per month and raising the base subsidy percentage from 50 percent to 60 percent. The insurance funding rates are set at $1,145 per month for fiscal year 2024 and $1,158 per month for fiscal year 2025. (General Fund - State, General Fund - Medicaid Federal, General Fund - Federal, other funds)
Compression and Inversion
Funding is provided to address salary inversion and compression issues arising from recent recruitment and retention adjustments made in Chapter 475, Laws of 2023 (ESSB 5187). (General Fund - Medicaid Federal, General Fund - State, General Fund - Cash, other funds)
Pension Rate Month of Death Bill
Funding is provided for contribution rate impacts associated with proposed legislation that ensures the continuation of benefit payments through the end of the month in which a retiree or beneficiary dies. (General Fund - Medicaid Federal, General Fund - State, General Fund - Federal, other funds)
Pension Rate PSERS Bill
Funding is provided for contribution rate impacts associated with proposed legislation to include staff of residential treatment facilities and the Special Commitment Center in the Public Safety Employees’ Retirement System. (General Fund - Medicaid Federal, General Fund - State, General Fund - Local CRC Oregon, other funds)
