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SUMMARY OF THE GOVERNOR'S PROPOSED
2004-2005 BUDGET
Prepared by the staff of The Business Council
January 23, 2004
Overview
Governor Pataki proposes 2004-05 budget.
Plan would help manufacturers, raise some taxes, while
restraining Medicaid, other spending.
Governor Pataki proposed a 2004-05 Executive Budget that would phase
in a corporate tax reduction for manufacturers whose operations are concentrated
in New York, while raising the minimum tax for some corporations and eliminating
some Medicaid services to reduce costs.
Legislation accompanying the Executive Budget would base New York's corporate
tax for manufacturers entirely on the proportion of a company's sales
in the state. Replacing current law which bases the tax partly on employment
and capital investment in New York, the change would encourage manufacturing
employment in the state. The change, strongly supported by The Business
Council, would be phased in over five years.
An increase in the state's minimum tax on corporations would take effect
immediately, generating $40 million in the coming fiscal year. Businesses
that generate no profit would pay on a sliding scale, up to $10,000 for
a firm with payroll of $25 million or more.
Other tax increases include $183 million in higher assessments on hospitals,
which could be reflected in employers' health-insurance costs.
The budget would create or increase numerous fees, including charges
on banks, retail food stores, establishments with air-emission permits,
and transporters with divisible-load permits.
The $99.8 billion Executive Budget would increase spending from taxes
and other non-federal revenue by 2.2 percent. Adjusted for accounting
changes over the past year, the spending increase is 5.5 percent. The
Governor's Budget Division estimates inflation for calendar 2004 at 1.8
percent.
The Governor proposed restrictions on state-funded purchases of prescription
drugs, including a "preferred" list of approved pharmaceuticals. Other
cost-cutting changes to Medicaid would eliminate dental and some other
treatments for adults. The state and local governments would each save
hundreds of millions of dollars under the proposals.
The state government would take over localities' share of nursing-home
and other long-term care costs under Medicaid. The Executive Budget would
make that change contingent on measures to reduce costs, including an
increase in the tax on nursing homes and steps to encourage family financial
support for long-term care.
Governor Pataki proposed several steps to restrain school property-tax
increases. Districts would be required to report three-year comparisons
of spending and inflation. The Governor renewed his call for a statutory
cap on school spending increases.
The budget would provide $10 million to extend Power for Jobs contracts
through March 31, 2005, for businesses whose benefits would expire in
the coming fiscal year.
The Governor proposed several measures to relieve costly mandates on
localities, including repealing the Wicks Law and reforming binding-arbitration
requirements on municipalities.
The Governor's budget address is at www.state.ny.us/budgetaddress04/budgetaddress04_html.html.
His press release and Executive Budget documents are available at www.budget.state.ny.us
Following are the specific budget summaries by issue area:
Taxation
Alcoholic Beverage Taxes
- Authorize the direct shipment of wine to individual customers in
New York, effective 6/1/4.
Bank Tax
- Extend Article 32 for one additional year.
- Extend the Gramm-Leach-Bliley Act transitional provisions for two
additional years.
- Extend the Metropolitan Commuter Transportation District (MCTD) surcharge
for four years until 2009 (set to expire on 12/31/05).
Cigarette and Tobacco Taxes
- Postpone enforcement of regulations governing collection of taxes
from wholesale distributors shipping product to Native American lands.
- Authorize State government to execute agreements with Native American
nations on product prizes and taxes.
Corporation and Utility Taxes
- Extend the Metropolitan Commuter Transportation District (MCTD) surcharge
for four years until 2009.
Corporation Franchise Tax
- Increase the fixed dollar minimum tax for firms with a gross payroll
amount of $25 million and above from $1,500 to $10,000.
- Increase the fixed dollar minimum tax for firms with a gross payroll
amount between $6.25 million and $25 million from $1,500 to $5,000.
- Decrease the fixed dollar minimum tax for firms with a gross payroll
amount between $250,000 and $500,000 from $225 to $100.
- Increase the weight of the receipts (sales) factor used in apportionment
of income to New York taxation from 50% to 60% in 2005, to 70% in 2006,
to 80% in 2007, to 90% in 2008, and to 100% after 2008 for manufacturers
(defined as those taxpayers receiving more than half of their receipts
from activities which are eligible activities for the manufacturing
and research & development Investment Tax Credit.)
- Allow biotech firms to sell -- at no less than 90 cents on the dollar
-- their net operating losses (NOLs) to other taxpayers. (The value
of the NOLs is the biotech firm's NOL carryforward times its New York
apportionment factor times the New York tax rate in effect.)
- Extend the Empire Zones Program five years to 7/31/9.
- Reduce the Empire Zones Program business tax benefit period from 15
years to 10 years for businesses receiving their EZ certification after
3/31/4.
- Enhance the Low Income Housing Tax Credit Program by providing an
additional $2 million in annual tax credits in each year of the Program's
10-year period.
Insurance Tax
- Extend the Metropolitan Commuter Transportation District (MCTD) surcharge
for four years until 2009.
Motor Fuel Tax
- Postpone enforcement of regulations governing collection of taxes
from wholesale distributors shipping product to Native American lands.
- Authorize State government to execute agreements with Native American
nations on product prizes and taxes.
Personal Income Tax
- Create a State STAR credit designed to protect the STAR benefit from
the effects of inflation.
- Clarify prepayment hearing availability for a taxpayer issued an original
notice and demand.
- Include in New York source income gains from sales of cooperative
apartment stock for non-residents.
- Extend the alternative fuels vehicle tax credit program.
- Ease filing requirements for low-income taxpayers.
- Exempt Federal military pay for New York Guard members activated and
deployed full-time in the New York War on Terror.
Petroleum Business Tax
- Postpone enforcement of regulations governing collection of taxes
from wholesale distributors shipping product to Native American lands.
- Authorize State government to execute agreements with Native American
nations on product prizes and taxes.
Sales and Use Tax
- Permanently levy the State's 4% tax on clothing under $110 (such clothing
is not taxed by New York, however, it temporarily -- until 6/1/4 --
is subject to a 4.25% tax). This tax increase will raise $400 million
during the period of 6/1/4 through 3/31/5 after deducting the value
of the clothing under $500 tax exemption weeks described below.
- Create a clothing under $500 exemption from the State's 4% tax from
7/10/4 through 7/16/4 and from 8/31/4 through 9/6/4 and starting in
2005 annually thereafter each period beginning on the last Monday in
January and ending on the following Sunday, beginning on the first Saturday
in April and ending on the following Friday, beginning on the second
Saturday in July and ending on the following Friday, and beginning on
the Tuesday ere Labor Day and ending on Labor Day.
- Permanently prohibit local governments from exempting clothing under
$110 from their local Sales and Use Tax.
- Permitting local governments to match the State's seven-day exemption
periods for clothing under $500.
- Extend the exemption for alternative fuel vehicles by one year.
- Levy a 3% surcharge on the sale of protective and detective services.
- Levy a 4% surcharge on certain admission charges.
Lottery
- Allow a VLT licensing program for up to eight new facilities in New
York.
- Permanently extend the Quick Draw game (at present Quick Draw is scheduled
to expire 5/31/4.
Education
- Proposes an overall net increase in education aid of $147 million
which would bring state aid to education up to $14.6 billion. $100 million
of this amount is allocated to New York City as a matching grant.
- Proposes to reserve $325 million of expected revenues from Video
Lottery Terminals in anticipation of reforms related to the State Court
of Appeals ruling requiring the state to ensure (for New York City)
that every child has the opportunity to receive a sound basic education.
- Subsequent funds (expected to grow to $2 billion over the next five
years) from an expansion of Video Lottery Terminals will be used to
provide a "sound basic education" to students with the greatest needs.
- The following seven aid categories are combined (at their base-year
funding levels) to be called Flex Aid:
- Comprehensive Operating Aid
- Extraordinary Needs Aid
- Educationally Related Support Services Aid
- Limited English Proficiency Aid
- Summer School Aid
- Tax Limitation Aid
- Public Excess Cost Aid
- Continues the following grant programs at their previous year's funding
levels:
- Prekindergarten
- Class Size reduction
- Minor Maintenance
- Eliminates BOCES Aid for routine administrative services.
- Require BOCES contracts for telecommunications and other services
to demonstrate savings compared to existing state contract prices available
through the Office of General Services.
- Building Aid Reforms: Recommends that the existing building aid program
be replaced with a priority-based system which will apply to all projects
approved by the State Education Department after February 1, 2004. Also
recommends a temporary moratorium on state aid for new construction
until a new priority-based system is implemented.
- Continues funding the Charter School Stimulus Fund at $6 million.
- Recommends restoring the Advantage Schools (after school programs)
to $20.2 million.
- School Mandate Relief:
- Recommends school construction be exempted from the Wicks Law
- Recommends require the Board of Regents to obtain the review and
approval of the Governor's Office of Regulatory Reform for new regulations
that would have substantial costs for schools, the state or local
governments.
- Recommends legislation that caps school budget increases. A school
district's annual spending could not exceed 4 percent or 120 percent
of the increase in the Consumer Price Index for the prior year, which
ever is less. Expenditures driven by factors beyond the control of school
districts such as enrollment increases, certiorari costs are exempt
from the cap. Local taxpayers could approve spending increases above
the spending cap with a two-thirds majority vote.
- Recommends expanding the School Property Tax Report Card to require
school districts to include information displaying the three year change
in the school tax levy compared to the change in the consumer price
index thereby allowing local taxpayers to review school spending trends.
- Recommends a new Star credit, paid to homeowners as an income tax
credit in school districts that keep their spending within the proposed
spending cap.
Higher Education
- Recommends restructuring the Tuition Assistance Program (TAP) to
provide $604.2 million in awards in two components:
- eligible students would receive a base award equaling two thirds
of what they would currently receive, and;
- a "performance" award equaling the remaining third to be provided
(with interest if a student had to take out a loan) upon completion
of their degree.
- Creates a Tuition Assistance Loan Program of $11.5 million for students
who have exhausted their federal loan eligibility and need additional
assistance to finance their TAP performance award prior to graduation.
- Governor's budget will not require any increase in tuition for in-state
undergraduate students at SUNY or CUNY.
- Recommends a new SUNY capital plan that will invest $1.8 billion and
a new capital plan for CUNY that will invest $1.1 billion for academic
facilities, and infrastructure needs at both universities.
- A new, $350 million matching grants program for capital projects at
both public and private universities. 3 to 1 match required.
- Recommended funding for SUNY community colleges of $358.7 million
reflects a net decrease of $6 million in funding for SUNY Community
Colleges. Reduces operating aid from the current per student rate of
$2,300 to $2,185.
- Recommended funding for CUNY community colleges of $144.9 million
reflects a net increase of $6 million, however operating aid is reduces
from the current per student rate of $2,300 to $2,185.
- Contract courses for workforce development continue to be funded at
$1 million.
Economic Development
Staff Contact: Ken Pokalsky
Single Sales Factor Allocation for Manufacturers: The
budget proposes to require manufacturers subject to the Article 9-A corporate
franchise tax to allocate their New York taxable income based on their
percentage of sales within the state. The "single sales factor" approach
would be phased in over five years, with sales accounting for 60 percent
of the allocation formula in 2005, rising by 10 percent each year, to
100 percent for 2009. The budget proposes to use the definition of manufacturers
currently set forth in Section 210.12(b)(i)(A) and (C), which includes
the production of tangible goods R&D activities, and agriculture.
This is projected to reduce net tax collections by $40 million annually,
once fully implemented.
Power for Jobs: The New York Power Authority is authorized
to finance the cost of the current Power for Jobs program during Fiscal
'05. In addition, NYPA is authorized to finance a new "electricity savings
rebate" program that will, in effect, extend Power for Jobs savings for
those phase four and five program participants whose PfJ contracts will
expire prior to March 31, 2005. Eligibility criteria for these "rebates"will
be the same as those under the PfJ program, and only current PfJ recipients
are eligible to apply. Costs for FY '05 are projected at $100 million
for Power for Jobs contracts, and another $10 million for the rebate program.
Empire Zones: The Executive Budget proposes significant
changes the Empire Zone Program, including:
- The Empire Zone program is extended by five years, to July 31, 2009.
- The benefit period for Qualified Empire Zone Enterprizes (QEZEs)
certified after April 1, 2004 will be reduced from fifteen to ten years.
- The employment test for QEZE qualification, and the calculation of
real property tax credits, are modified for all entities entering the
program after April 1, 2004, and for "new companies" and utilities that
qualified as QEZEs prior to that date. QEZEs certified prior to April
1, 2004 can apply for permission to calculate its status and real property
tax credits based on pre-existing statute.
- Zones designated pursuant to statewide census tract criteria must
be designated within a four-mile "superboundary" drawn around eligible
census tracts; the distribution of zone acreage can be in up to three
non-contiguous areas.
- Local zones based on county-level criteria are required to have at
least 60 percent of their acreage within no more than six "targeted
areas," defined as census tracts with high unemployment and poverty
rates.
- the Department of Economic Development is authorized to annually designate
up to one square mile of non-contiguous areas as state-level Empire
Zones, for projects outside the MTA service area that will create 300
or more new jobs, or projects located within distressed census tracts
that create at least 100 new jobs.
- More specific requirements are imposed for local zone development
plans;
- Authorization for Zone Capital Corporations is repealed. Tax credits
for capital corporation investments and donations will only apply for
ZCCs established prior to July 31, 2004, and will not be available for
tax years beginning after January 1, 2005.
Regional Economic Growth Program: The budget proposes
a new $250 million program to fund economic development projects statewide,
with a focus on projects that would produce significant regional development
benefits. The program would be supported by UDC bonds.
JOBS NOW/EDF: The JOBS NOW and the Empire Development
Fund, the state's two general development funds, will be fully funded
at $32 million each. This funding was not approved as part of the FY '04
budget.
Biotech Tax Benefit Transfer Program: The budget proposes
that "qualified biotechnology companies" be allowed to sell their unusable
net operating loss carry forwards to other business income taxpayers (Articles
9, 9-A, 32 and 33). Qualified firms must have its principle operations
in state; and have less than 225 employees, with at least 75 percent of
them in-state. The program is authorized for up to 10 years, with a $10
million per year cap on allowable transfers.
Small Business
- Delay in the implementation of sales tax collection with respect
to cigarettes, motor fuel, and alcoholic beverages on Native American
lands until March 1, 2005.
Environment
Fees
The Executive Budget contains several, relatively minor fee proposals
Air Permits: For non-Title V facilities
- a new, fixed fee of $1,250 for state facility air emission permits.
Currently, facilities are charged a fee for each individual emission
point, ranging from $100 to $11,000.
- a new $200 fee for air emission source registrations. Currently, registered
sources pay no annual state fees.
- a $100 fee for state facility permits and source registrations by
municipalities and not-for-profits.
For Title V air emission fees, the current $45 per ton cap remains, but
a new minimum fee of $1,250 is imposed on all Title V permits holders.
These changes are expected to generate $1.8 million in additional revenues.
Stormwater Management: Stormwater permits for construction
activities would increase from a flat $50 per permit, to $50 per acre
of land disturbed by the construction project, plus $300 for each "future
impervious acre" that will result from the construction project. Annual
revenue increase: $7 million
PBS Registration fees: Provisions of law requiring the
deposit of petroleum bulk storage facility registration fees into the
state Oil Spill Account would be made permanent. While the fee language
itself is permanent, the statutory language directing these revenues to
the Oil Spill Fund is set to expire on April 1, 2004. The fee remains
at between $100 to $500 per five year registration cycle, depending on
the capacity of the storage facility.
Tires: Last year's $2.50 fee on the sale of new motor
vehicle tires is being extended to apply to motorcycles and ATVs as well.
Net increases of $300,000.
Spending
State Operations: The operational budget for the Department
of Environmental Conservation is proposed at $420 million, an increase
of nearly $14 million from the current year. Most of the increase is due
to new spending in the environmental remediation program. Net DEC staff
positions will increase slightly, to 3,345, with an additional 70 staff
positions in DEC and other state agencies related to brownfield program
implementation.
Superfund/Brownfields: $135 million is appropriated
to finance state superfund and brownfield programs and related agency
expenditures.
Environmental Protection Fund: $125 million is appropriated
from the Environmental Protection Fund. The EPF receives revenues from
the state real property transfer tax, and is used for a wide range of
projects including state land purchases, local solid waste management
projects, historic preservation projects, and others. The budget is proposing
to broaden the category of eligible uses to include Hudson River natural
resource damage assessments, "environmental justice" projects, and others.
Waste Tire Fund: $18 million is appropriated for the
abatement of illegal waste tire piles, and the development of markets
for waste tires.
Energy
Power for Jobs Rebate Program: The Budget will provide
$10 million for a rebate program to extend contracts through March 31,
2005 for businesses whose benefits will expire in State fiscal year 2004-05.
Funding provided through the New York Power Authority (NYPA).
Increased Nuclear Power Fees: Increase fees paid by
operators of nuclear power reactors to fund enhanced State and local emergency
preparedness. This bill increases the fee paid by nuclear electric generating
facility operators to support local and State radiological emergency preparedness
activities. This bill increases the fee paid by nuclear electric generating
facility operators from $550,000 to $950,0000.
Transportation
General Funding Levels: $1.65 billion of new highway
construction projects. Represents the same level of Department of Transportation
(DOT) construction contracts as in 2003-04, although it does represent
a technical reduction of $100 million in appropriation authority due to
the expiration of a one-time, unfunded legislative addition made in 2003-04.
Transit systems will receive $1.7 billion of operating aid in 2004-05.
Preserves the appropriation levels of State aid provided in 2003-04. More
than $1.5 billion of that amount would be appropriated to the MTA, exceeding
last year's level by $46 million.
CHIPs and Marchiselli local transportation programs. Authorizes the 2004-05
CHIPs and Marchiselli local capital highway assistance programs. The authorization
continues capital funding for $23.9 million of CHIPs aid that was shifted
from operating aid to capital aid in 2002-03.
Divisible Load Permits: The budget includes a proposal
to add more divisible load permits. This has been a top priority for The
Business Council's Transportation Committee and is a key issue for the
trucking, shipping, dairy/farming, forest product, petroleum and construction
industries. The shipping, trucking and construction industries have created
greater demand for overweight truck permits than the current statutory
limit of 17,000 permits. This bill increases the annual divisible load
permit authorization to 21,000 effective immediately, with graduated increases
up to 25,000 beginning January 1, 2006 through January 1, 2009. Also,
the bill amends subdivision 15 of section 385 of the Vehicle and Traffic
Law to add a new permit fee for seven axle vehicles; increases the number
of annual divisible load permits authorized by the Department of Transportation;
requires new safety equipment and axle configurations; and modifies restrictions
on crossing weight-posted bridges. Enactment of this legislation equates
to $2.25 million of revenues associated with increased permit issuances
and fine levels.
Delay implementation of the State Hazmat Fingerprinting Program
to address Federal requirements: This bill changes the effective
date for requiring criminal history background checks on commercial drivers
that transport hazardous materials (the State Hazmat Fingerprinting Program)
to ensure that the State Program is in compliance with the Federal Transportation
Security Administration's impending regulations on hazmat background checks
(the Federal Hazmat Program). The bill also clarifies that any conflicting
or duplicative provisions of the State Program will be superseded by the
Federal regulations. This bill revises the implementation date of the
State Hazmat Fingerprinting Program to avoid conflict with, or duplication
of, Federal regulations that are expected by November 2004.
Allow localities to assess a fee up to $5 on vehicle insurance
policies: This bill allows localities to impose a fee of up to
$5 on vehicle insurance policies to fund local public safety needs.Currently,
New York State imposes a $5 fee on each insured vehicle to fund the State
Police Motor Vehicle Law Enforcement Account and the Motor Vehicle Theft
and Insurance Fraud Prevention Fund.
Authorize the Division of Criminal Justice Services (DCJS) to
implement automated photo-monitoring at work zones: This
bill authorizes the DCJS to establish a program for photo-monitoring
enforcement of speeding in work zones. This bill adds a new section
to the Vehicle and Traffic Law (VTL) authorizing the DCJS to implement
a program utilizing remote control photo-monitoring equipment for
the purpose of imposing a $100 fine on the registered owners of vehicles
which speed in work zones. Adjudication of documented infractions
will be conducted in a manner similar to parking violations. Also,
amends the VTL to permit the Department of Motor Vehicles to deny
renewal and/or suspend the registration of owners who repeatedly
violate the speed limit in a work zone or refuse to pay the fine.
Alternative
Fuels Vehicle Tax Credit: Extend the Alternative
Fuels Vehicle Program for one year. This bill: (a) extends, for one year,
existing income and corporation tax credits and sales tax exemptions
for alternative fuel vehicles; (b) clarifies that "qualified hybrid
vehicles"
do not qualify for the "clean-fuel vehicle" or "clean-fuel vehicle refueling
property" credits; and simplifies the sales tax exemption provided for
"qualified hybrid vehicles" by fixing the "incremental cost" for such
vehicles at $3,000. Provides $10 million in tax benefits.
Construction
Education Aid and Construction: The existing open-ended
building aid program would be replaced with a priority-based system, applied
to all projects approved by the State Education Department after February
1, 2004; The building aid formula would be modified to include a simplified
reimbursement method that provides realistic allowances for construction
costs and student-based space needs; and Centralized technical expertise
and assistance would be available to school districts from the Dormitory
Authority of the State of New York (DASNY), to provide advisory services
on efficient construction practices and designs.
Wicks Law exemptions: Repeal of multiple bidding requirements
for the State, municipalities, school districts and public authorities
(Wicks Law). Exemption from Wicks law's mandated use of multiple contractors
in new school construction under sections 2 through 72 and sections 91
through 93 of the Public Protection and General Government Article VII
bill. CUNY Wick's exemption is in Education and Labor Article VII bill.
This will give local governments the option of bidding separate contracts
or awarding a single contract to a general contractor.
Increase various worker protection and labor standards fees:
This bill increases various worker protection and labor standards
fees to generate $1.6 million in additional revenue needed to maintain
Department of Labor worker protection and labor standards programs at
current levels. (asbestos, boilers, certain inspections, day of rest requirements,
etc.).
Telecommunications
- Increase in the state penalty for violations of the Do Not Call Registry
from $5,000 to $11,000, to conform with the federal penalty level.
Labor & Human Resources
Staff Contact: Tom Minnick
The state Labor Department has almost 85% of its workforce financed by
federal grants. There are three unemployment Insurance Telephone Claim
Centers and eight employment service regional offices that oversee employment
services staff at 103 locations throughout the State. Overall employment
levels will remain at 4,138 full time equivalent positions in 2004-05.
The all funds appropriation will be reduced from $6,150,502,000 to $5,774,487,000,
a reduction of $376,015,000.
The Division of Human Rights, charged with investigating and resolving
complaints of illegal discrimination, promoting human rights awareness
through education and acting as a resource in the prevention and elimination
of discrimination, will see a decrease of $355,000 in their all funds
appropriations in 2004-05. It will take them from $18,224,000 to $17,869,000.
In 2004-05, the Office of Temporary and Disability Assistance will assume
partial responsibility for basic administrative functions of the Division
such as personnel and finance, saving an estimated $280,000. Full time
equivalent positions will be reduced from 205 to 203.
The Office for Advocate for Persons with Disabilities will reduce its
full time equivalent positions from16 to 15. APD will utilize $2.6 million
in new federal funds to create a revolving loan fund to assist persons
with disabilities to purchase equipment that will enable them to telework
from home. This will increase the all funds appropriation from $1,593,000
to $4,275,000. The Office for Advocate promotes the inclusion of persons
with disabilities in all aspects of community life.
Health
Staff Contact: Mark
Amodeo
Medicaid
The Executive Budget recommendations related to Medicaid will save the
State $801 million in 2004-05. Other cost containment and reform measures
will, upon full implementation, reduce the annual cost of the Elderly
Pharmaceutical Insurance Coverage (EPIC) and Early Intervention (EI) programs
by $100 million and $75 million, respectively. These Medicaid and other
measures will also produce $234 million in savings for New York City and
the counties next year.
State to takeover local government's long-term care costs:
The budget advances initiatives to reform and restructure the long-term
care system. These reforms will permit the State to assume the full cost
of long-term care over a ten-year period, providing fiscal relief to New
York City and county governments. When combined with proposed Medicaid
cost containment initiatives, the cumulative five-year savings to local
governments will be approximately $3.2 billion. Upon full implementation,
the annual savings to local governments from the State takeover will exceed
$1.8 billion. The proposed State takeover is contingent upon the enactment
of a series of measures recommended in the Budget to achieve long-term
care savings, including closing eligibility loopholes, increasing revenue
from non-State sources and implementing other targeted initiatives.
Closes existing eligibility loopholes: Legislation is
proposed to close existing Medicaid loopholes that allow individuals to
refuse to contribute any of their income and assets towards the cost of
health care for a spouse. Other rules regarding eligibility will also
be tightened.
More long-term care insurance options: To reduce the
reliance on Medicaid financing, the budget expands long-term care insurance
options. New York's Partnership Program, a public/private mechanism to
stimulate the investment of private insurance dollars in the long-term
care system, will be modified to offer more flexible benefit packages.
In addition, a State-funded reinsurance mechanism is recommended to make
long-term care coverage more affordable. Finally, a public education campaign
will be undertaken to inform "baby boomers" about both private and public
long term care insurance options.
Promotes access to appropriate and cost-efficient services:
The Budget proposes legislation to authorize the Commissioner of Health
to conduct demonstration projects that promote the delivery of cost-effective
and high quality long-term care services through the use of technology
and innovative approaches for service delivery.
Updates nursing home rates: Currently, the nursing home
reimbursement rates use 1993 data for labor costs, which account for approximately
80 percent of a nursing home's costs. The budget proposes to update these
costs to reflect 2001 data, which will provide a financial benefit to
more than 280 facilities. At the same time, a "hold harmless" provision
will ensure that no facility loses money. This update will be contingent
upon savings achieved through the elimination of two nursing home rate
adjustments that are no longer appropriate.
Recommends financing changes: The Budget re-establishes
a 0.7 percent non-reimbursable assessment on hospital and home care revenues
and also increases the assessment on nursing home receipts from 5 percent
to 6 percent.
Preferred drug program: The 2004-05 Executive Budget
would establish a Preferred Drug Program for prescription drugs in Medicaid.
Certain drugs, such as anti-retrovirals, atypical anti-psychotics, anti-depressants
and anti-rejection drugs, would be "carved-out" by the Preferred Drug
Program. The Department of Health's Pharmacy and Therapeutics Committee,
which includes clinicians, practitioners and pharmacists, will recommend
the list of preferred drugs. A similar program would be implemented for
EPIC in 2006-07.
New medicare discount drug card: In the wake of new
Federal funding for prescription drugs, the State's EPIC recipients will
be provided with incentives to access the new Medicare Discount Drug Card.
Under this initiative, EPIC fees would be waived for those low-income
individuals who qualify for the annual $600 Discount Card subsidy. This
would both reduce costs for seniors and produce savings for EPIC.
The Budget also recommends modest increases in co-payments for Medicaid
participants. Co-payments -- unchanged since 1995 -- will be increased
by 50 cents for generic drugs and $1 for brand name drugs. Individuals
in managed care would be required to make the same increased co-payments.
Family Health Plus: Building on the Senate Medicaid
Task Force's recommendations, the Family Health Plus (FHP) program will
be restructured to: require co-payments on pharmaceuticals, doctor visits
and hospital stays; eliminate vision and dental services; and close eligibility
loopholes to prevent the inappropriate use of the program. As a result,
FHP costs will be controlled and the program will more closely resemble
the health insurance benefit that is provided by private sector health
plans.
Child Health Plus: Consistent with the Senate Medicaid
Task Force's recommendation, children ages 6 to 19 in families with incomes
between 100 and 133 percent of the Federal Poverty Level (FPL) will be
transferred from Medicaid to Child Health Plus (CHP). Not only is CHP
less costly to the State, it is generally the preferred choice of coverage
for families.
Other Medicaid changes: A utilization and case management
system will be established, in conjunction with the counties, for high-cost
Medicaid recipients who access substance abuse, mental health and developmental
disability services.
- Dually-eligible Medicaid recipients -- those who are eligible for
both Medicare and Medicaid -- will be enrolled in Medicare Part A, which
covers hospital and other selected services. This will generate savings
as Part A premiums are less expensive than paying for the services through
Medicaid.
- Dually-eligible Medicaid recipients and individuals who receive Supplemental
Security Income (SSI) benefits will be encouraged to participate in
Medicaid Managed Care.
- Several optional Medicaid services for adults will be eliminated.
These include podiatry services and services provided by private practicing
dentists and other practitioners, including nurses, audiologists and
psychologists.
- Medicaid cycle provider payments will be modified by delaying the
last payment in 2004-05 by two days.
- The Council on Graduate Medical Education will study the current investment
of resources in graduate medical education in New York State.
Restructuring the early intervention program: Since
its inception in 1992, the Early Intervention Program (EI) has provided
services, such as speech and physical therapy, to hundreds of thousands
of infants and children with developmental delays and disabilities, at
no cost to their families regardless of their incomes.
The exploding growth in State EI costs -- projected to reach $277 million
in 2004-05 -- threatens the ability of the State and counties to maintain
services to the children who need them most.
New York State and local governments spend an average of $10,000 per
child participating in EI -- compared to an average of less than $5,000
per child spent in other states.
To address the escalating cost of this program, the 2004-05 Executive
Budget recommends a series of reform measures to ensure that the EI program
is affordable, effective and accountable. Collectively, these measures
will save the State and counties $75 million each when fully implemented:
Measures to increase the health insurance reimbursement of medical services
provided through EI are proposed. Currently, private health insurance
plans reimburse approximately one percent of EI costs.
Consumer
- Increases the penalty for violations of New York State's No Telemarketing
Sales Call Law from $5,000 to $11,000 to conform with the Federal penalty.
- Increases most new filing fees for alcoholic beverage licenses and
permits to reflect State administration costs.
- Authorizes the Consumer Protection Board to recover costs incurrred
while investigating complaints pertaining to the Motor Fuel Practices
Act.
- Allows the direct shipment of wine into New York State from out of
state wineries.
- Provides for the State to enter into price parity agreements with
Native American nations with respect to cigarettes, motor fuel and alcoholic
beverages and exempt such Native American nations from current regulations
to collect the respective taxes.
- Increase the maximum civil penalty for unfair and deceptive business
practices and false advertising to $5,000 per violation.
Workers' Compensation
- Eliminates the requirement for a stenographer's transcript of every
Workers' Compensation Board (WCB) legal proceeding.
- Establishes a medical payment cap and catastrophic allowance for crime
victim claims. This bill amends the Executive Law to institute a $25,000
cap on medical payments to crime victims ($60,000 for catastrophic injuries).
Currently, New York is the only state in the nation that does not limit
crime victim medical benefits. The proposed medical payment cap provides
adequate monetary assistance to victims while also ensuring that funding
remains available to accommodate the increasing volume of crime victim
claims received annually. Establishment of a $25,000 cap, along with
an allowance for $60,000 in catastrophic cases, provides reasonable
assurance that a victim will receive sufficient monetary assistance
in the aftermath of the crime. This cap is comparable to medical caps
in crime victim programs offered in other states.
Financial Services
- Extends the bank tax for one year and the Federal Gramm-Leach-Bliley
Act provisions for two years to preserve current revenues. Extends the
sunset date of certain provisions of the Tax Law and the Administrative
Code of the City of New York relating to the taxation of banking corporations
and the applicability of the transitional provisions concerning the
enactment and implementation of the Gramm-Leach-Bliley Act.
- Authorizes the Superintendent of Banks to establish various assessments,
fees and penalties by regulation. It clarifies the authority of the
Banking Superintendent to assess all persons and entities overseen by
the Banking Department for the expenses of operating the Banking Department
and expenses related to examinations and investigations. It further
authorizes the Superintendent to prescribe, by regulation, the amount
of any fee or non-criminal penalty authorized pursuant to the Banking
Law.
Insurance
- Allow localities to assess a fee up to $5 on vehicle insurance policies
to fund local public safety needs. Currently, New York State imposes
a $5 fee on each insured vehicle to fund the State Police Motor Vehicle
Law Enforcement Account and the Motor Vehicle Theft and Insurance Fraud
Prevention Fund. This bill amends the Insurance Law to allow counties
and New York City to impose an additional fee of up to $5 on each insured
motor vehicle.
- Authorizes the use of owner-controlled insurance by State agencies,
public authorities, and municipalities. This would amend section 2504
of the Insurance Law to permit State agencies and public authorities
to use owner controlled ("wrap-up") insurance on single public construction
projects exceeding $50 million, and multiple construction projects exceeding
$100 million, generating savings on the insurance component of such
large capital construction projects.
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