Florida Department of Corrections Budget Overview

Transcription

1 Florida Department of Corrections Budget Overview The Florida Department of Corrections budget requires significant funding adjustments, as a result of reduced appropriations and an increased cost for inmate health services and pharmaceuticals. FY Funding Shortfalls Constitutionally Mandated Health Care Health Services Contract $28 Million (Projected Additional Need) The current contract expires June 30, Over the course of two years, FDC conducted competitive procurements to continue these services (medical, dental, mental health and the operation of the hospital, Reception and Medical Center). The budget provided additional health services funds, however it did not provide sufficient funding to secure a medical vendor to provide constitutionally mandated health care. Pharmaceuticals $4.6 Million (carried over from FY 17-18), $22.2 Million (Projected Additional Need) Budget Reductions $24.9 Million Salary and Benefits for 24,101 Employees ($15.5M) Expenses, Vehicles, Inmate/Food and Clothing, Electronic Monitoring, etc. reduction ($9.4M) FY Budget Adjustments to Fund Health Services Deficit Institutions (estimated savings $17.8M) Reduce in prison substance abuse treatment ($7.6M) Eliminate therapeutic beds at contracted facilities and increase more cost-effective work release beds ($6M) Reduce Basic Education Re-Entry Centers ($2.3M) Reduce and restructure transitional training for inmates ($1.4M) Reduce OPS chaplains and librarians in the field ($500K) Community Corrections (estimated savings $10.7M) A 40% reduction of substance abuse and mental health treatment for offenders in community ($9.1M) Post-Release Transitional Housing ($1.6M) Expenses (estimated savings $1M) Decreased inmate educational and programmatic supplies ($1M)

2 FAQ Why can t FDC close a prison to save money? Moving inmates from one location to another does not generate savings, as the Department would still be responsible for providing security, food, clothing, shelter and medical care for the same number of inmates regardless of which facility they occupy. Florida law requires the Department to maintain and staff the appropriate number of beds needed to adequately house the inmate population in its custody. These laws and rules exist in order to ensure that prison overcrowding does not occur. The only savings associated with closing a prison, would require that inmates be released, not just moved from one building to another. Why would FDC choose to reduce programming and treatment for inmates and offenders? FDC has a constitutional mandate to provide health care to all inmates. In addition, the Department is required to ensure that humane conditions exist within the prison as well as maintaining proper levels of security. To maintain humane conditions and provide adequate security, the Department must continue to pay for basic needs such as food, clothing, shelter and sufficient security staff. Due to the rising cost of providing medical care, the fixed costs for basic conditions, the cost of security staff and the fixed appropriated budget, making adjustments to programming and treatment has been taken as a last, but necessary resort. (Please see charts showing the Department s budget.) How does moving inmates from a community bed to a bed behind the fence save money? The average cost of a therapeutic bed in the community is $53 per day. To move these inmates to an established secure facility, it will cost $15.81 per day. The per diem is lower than the average per diem, because it is the variable rate. This rate is used when relocating less than 500 inmates. Vendors received a letter from FDC soliciting reductions. Why was the letter sent if your intention was to eliminate our contract? FDC sent a letter to all contractors looking for reductions and reviewed responses from each vendor. All cost savings were considered. Why couldn t FDC cut administrative staff or overhead in Tallahassee instead of programs? Corrections and probation officers make up 81% of FDC s overall staffing and are absolutely necessary to supervise the current inmate and offender population. Other staff support these functions in the field, with less than 3% providing management and administrative support at headquarters. While the Department is making modifications to spending and looking at additional efficiencies in Tallahassee, these small gains are grossly insufficient to fill the existing budget shortfall. (Please see charts showing the Department s budget.)

3

4 Background Information Due to an increase in the rising cost of inmate health services and pharmaceuticals, and a reduction in operational Department funding, FDC has made the difficult decision to reduce or eliminate some of our current contracts. It is the Department s hope that these measures will be temporary and a positive working partnership with our community partners can continue. The Florida Department of Corrections has a constitutional mandate to provide health care for all inmates incarcerated in Florida s prisons. This includes preventative health services, dental, mental health treatment, hospital care, and treatment of chronic disease for 86,000 inmates. Health care costs have continued to increase nationwide, and the Department s health care needs have mirrored national trends. FDC is committed to ensuring inmates receive appropriate medical and behavioral health care that is in line with evolving standards of care nationally. Health Services: The Department s current contract to provide health services to more than 86,000 inmates expires June 30, The current contract is for $321 million. For the last two years, the Department has conducted competitive procurements (ITNs) to continue these services (medical, dental, mental health and operation of the Department s hospital, the Reception and Medical Center) in order to obtain competitive respondents. Centurion was the only respondent for medical services and the operation of the Department s Reception and Medical Center (RMC) and was the winning respondent for Mental Health and Dental services. The allocated budget provided additional health services funds, however, current funding was not sufficient to secure a medical vendor to provide constitutionally mandated health care. HCV: Evolving standards of care for the treatment of inmates with HCV requires this investment in the Department s pharmaceutical budget. Currently the Department is under a Federal court order to treat inmates with HCV. FDC estimates this treatment will cost $26.3 in FY , and $27.5 in FY Pharmaceuticals: The Department s pharmaceutical budget has remained static over the last 11 years. The increased number of patients on medications due to changes in standards of care, as well as the rising cost of pharmaceuticals, have resulted in a budget deficit.

5 Governor s Recommendations Governor s Recommended Budget Included: Final Legislature Approved Mental Health Services Statewide $68,059,607 $46,816,505 Residential Mental Health Program $10,000,000 $10,000,000 at the Wakulla Correctional Institution Annex Ensure Facilities are ADA Compliant $6,408,870 $6,408,870 Facility Maintenance and Repair $20,670,000 $0 Million for Enhanced Workforce Education Training $4,012,983 $0 Contraband Interdiction $2,055,215 $0 Reductions $0 ($25,299,258) **In addition to the Governor s Recommendations and the agency s Legislative Budget Request, the Department communicated with members of the Legislature regarding the open procurement for comprehensive inmate health services Governor s Recommended Budget Included: Final Legislature Approved Correctional Officer and Correctional Probationer $46,098,943 $43,700,941 Officer Pay Plan Residential Mental Health Program $16,374,409 $14,374,409 at the Wakulla Correctional Institution Annex Facility Maintenance and Repair $34,982,922 $6,543,073 Vehicles $4,235,499 $1,000,00 Reductions $0 ($19,427,152) Governor s Recommended Budget Included: Final Legislature Approved Facility Maintenance and Repair $35,960,438 $16,950,000 Additional Staff $27,948,149 $12,212,021 Vehicles $4,008,565 $3,275,000 Mental Health Care and Other Health Services $14,000,000 $15,000, Governor s Recommended Budget Included: Final Legislature Approved 163 FTE to Increase Security and Supervision $17,464,117 $16,464,117 Mental Health Programming $2,500,000 $625,000 Facility Maintenance and Repair $15,000,000 $10,000,000

6 Health Services Budget Implementation Plan Contractor Name (if applicable) Intended Actions Contract / PO# (if applicable) Estimated Savings 1 Better Way of Miami, Inc. Reduce by 10 beds C2907 $ 246,740 Cancel Contract C2912 $ 487,160 Cancel 84 beds C2876 $ 537,864 Cancel 165 beds C2789 $ 2,203,031 2 Bridges of America Reduce by 21 beds C2906 $ 38,602 Contract Expiring C2875 $ 247,316 Reduce by 25 Beds C2905 $ 641,057 3 City Rescue Mission Reduce by 18 beds C2893 $ 337,990 4 DACCO Behavioral Health, Inc. Reduce by 29 beds C2908 $ 626,202 5 Drug Abuse Foundation of Palm Beach County, Inc. Reduced by 14 beds C2877 $ 248,858 6 First Step of Sarasota, Inc. Reduce by 4 beds C2659 $ 77,438 Reduce by 20 beds C2894 $ 372,300

7 Health Services Budget Implementation Plan Contractor Name (if applicable) Intended Actions Contract / PO# (if applicable) Estimated Savings 7 Florida Crown Workforce Board Cancel Contract C2665 (B1C83D) $ 43,060 8 Fresh Start Ministries of Central Florida, Inc Terminated 8/13/2017 C2673 $ 9,820 9 Gateway Foundation, Inc. Execute new Contract C2925 $ (2,694,795) Contract Expires 6/30/18 C2331 $ 1,352,185 Cancel Contract C2334 $ 1,009, GEO Reentry Services, LLC Cancel PO B163B1 $ 92,796 Amend Contract Reduce Services - eliminate C2832 $ 1,656,907 education 11 Good News Outreach, Inc Cancel Contract C2664 (B1CC03) $ 41,306 Contract terminated by 12 Goodwill Industries-Suncoast, Inc. Vendor 11/30/17 C2410 $ 505,014 Add 35 beds C2495 $ (331,000) 13 Harbor House Group, Inc - Circ 1. Cancel Contract PO (B1C60D) $ 15, Harvest Tabernacle of Sarasota Cancel Contract C2677 (B1CF7A) $ 93, House of Hope, Inc. Reduce by 27 beds C2815 $ 516,688 Reduce by 11 beds C2653 $ 221, Jesus and You Outreach Ministries Cancel Contract C2676 (B1CF0E) $ 29, Meridian Behavioral Healthcare, Inc. Canceling Contract effective June 30, 2018 C2861 (B15F0D) 18 Neighborhood Center of West Volusia Cancel Contract C2684 (B1F33F) $ 25,940

8 Health Services Budget Implementation Plan Contractor Name (if applicable) Intended Actions Contract / PO# (if applicable) Estimated Savings 19 Noah Community Outreach, Inc. Cancel Contract C2675 (B1CEC4) $ 181,228 Reduce by 21 beds C2692 $ 355, Non-Secure Programs, Inc. Reduce by 16 beds C2786 $ 295,814 Reduce by 22 beds C2655 $ 391, Phoenix Houses of Florida, Inc. Reduce by 66 beds C2658 $ 1,344,463 Not Executed-reduce by 12 C2904 $ 247, Prisoners of Christ Cancel Contract C2666 (B1E2B3) (B1C83B) $ 101,938 Cancel Contract C2685 (B1CF89) $ 32,780 C2683 (B1CF8F) Cancel Contract $ 117,673 (B1D329) 23 Salvation Army Reduce by 13 beds C2787 $ 252,255 Cancelled Contract effective May 2018 C2689 $ 457, Sanctuary Missions Cancel Contract C2670 (B1CC04) $ 31, SCORE - Second Chance Outreach Cancel Contract B1BACF (PO ) $ 177,630 Cancel 60 Beds C2788 $ 815, SMA Behavioral Health Services, Inc. Cancel 85 Beds C2604 $ 953,697 Cancel Contract C2417 $ 474,975

9 Health Services Budget Implementation Plan Contractor Name (if applicable) Intended Actions Contract / PO# (if applicable) Estimated Savings 27 South Florida Jail Ministries (Agape Network) Cancel Contract C2892 $ 625, Susan B. Anthony Center, Inc. Reduce by 7 beds C2519 $ 121, Tallahassee Community College Reduce Contract B13ECC $ 1,400,000 Cancel Contract C2672 (B1CF91) $ 54, The Transition House Cancel 85 beds C2830 $ 1,073,812 Cancel Contract C2560 $ 663,303 Cancel Contract C2752 $ 3,073,225 Cancel Contract C2856 $ 199,997 Cancel Contract C2857 $ 199,997 Cancel Contract C2330 $ 1,375, The Unlimited Path of Central Fla., Inc. Cancel Contract C2332 $ 1,370,842 Cancel Contract C2847 $ 688,584 Cancel Contract C2911 $ 307,304 Cancel PO B1579C $ 236,944 Cancel PO B16333 $ 430,927 Amend Contract Reduce Services - eliminate education C2797 $ 2,100,327

10 Health Services Budget Implementation Plan Contractor Name (if applicable) Intended Actions Amend Contract Reduce Services - eliminate education Contract / PO# (if applicable) Estimated Savings C2833 $ 2,100,327 Execute new Contract C2924 $ (3,256,823) 32 The Village South, Inc. Vendor cancelled contract effective May C2546 $ 214,708 Reduce by 32 beds C2494 $ 554, WestCare GulfCoast - Florida, Inc. Cancel Contract C2910 $ 149,796 Reduce by 42 beds C2654 $ 780,297