May 28, 2022

Volume XII, Number 148

Advertisement
Advertisement

May 27, 2022

Subscribe to Latest Legal News and Analysis

May 26, 2022

Subscribe to Latest Legal News and Analysis

May 25, 2022

Subscribe to Latest Legal News and Analysis

Gold Dome Report — Legislative Day 4

Week one of the 2022 Legislative Session is in the books. The halls were relatively quiet on Friday as legislators filed in to receive copies of the budgets before sprinting home. The most action of the morning came in the form of members taking turns in the well to proclaim their disdain or support for President Biden and Vice President Harris's visit to the state earlier in the week.

Speaker Ralston wished all the members safety throughout the weekend and alluded to potential changes to the budget hearings schedule depending on the weather events. He icily concluded by saying the Department of Transportation is deploying all assets to prevent any situation that resembles the events in Virginia earlier this year.

The chambers adjourned in unison less than an hour after gaveling in. With not much else to report from the day’s convening, this edition of the #GoldDomeReport provides a deep dive on the Governor’s budget proposals published yesterday. Read on to follow the money.

In this Report:

  • IN DEPTH: Governor’s Budget Proposals

  • New Legislation

  • What’s Next


IN DEPTH: Governor’s Budget Proposals

After discussing key elements of his budget priorities during the Eggs & Issues breakfast and his fourth State of the State address, Governor Kemp released his complete budget proposals for Amended FY22 and FY23 on Thursday. These proposals, now introduced in the House as HB 910 and HB 914, reflect proposed spending increases of $2.64 billion in Amended FY22 over the original FY22 budget (+9.7%)  and $2.95 billion in FY23 over the original FY22 budget (+10.8%). These increases do not include the additional $1.6 billion in undesignated surplus funds that Governor Kemp proposes to refund to 2021 income tax filers later this spring at a rate of $250 for single filers, $375 for heads of household, and $500 for those married filing jointly.

Governor Kemp’s complete budget proposals are available online, but we have analyzed and excerpted key line items focused on health, education, and human services spending below. These excerpts are intended as highlights and are not inclusive of all budget changes proposed by Governor Kemp. They also do not include adjustments applied across all State agencies, like the proposed $5,000 salary increase for all State employees and retirement contribution adjustments, or formula-driven allocations based on demand, enrollment, or utilization, like Medicaid and QBE funding increases.

The House and Senate Appropriations Committees will meet next week to hear testimony from State agency leaders on their individual agency budget proposals. Those hearings will be livestreamed starting on Tuesday at 9AM

Amended FY22

 

 

 

Governor's Proposal

Community Health

 

 

Departmental Administration

 

 

 

Increase funds for Medicaid Management Information System (MMIS) contractual services to reflect enrollment growth.

$3,446,489

 

 

Increase funds for waiver advisory services.

$290,000

 

 

Increase funds to replace the Medicaid Management Information System (MMIS) with the Medicaid Enterprise System Transformation (MEST).

$6,735,410

 

 

Increase funds for the All-Payer Claims Database to enable analysis and public reporting of health care costs and utilization for medical, dental, and pharmaceutical services

$2,815,000

 

 

Increase funds for the Enterprise Analytics Solution for Everyone (EASE) data warehouse.

$424,535

 

Indigent Care Trust Fund

 

 

 

Increase funds to provide the state match for Disproportionate Share Hospital (DSH) payments for private deemed and non-deemed hospitals.

$2,714,137

 

Medicaid - Aged, Blind, and Disabled

 

 

 

Provide funds for the Medicaid reimbursement of clinical trials.

$1,040,534

 

Medicaid - Low-Income Medicaid

 

 

 

Provide funds for the Medicaid reimbursement of donor milk.

$447,465

 

 

Provide funds for the Medicaid reimbursement of clinical trials.

$3,580

 

 

 

 

Education

 

 

Agricultural Education

 

 

 

Increase funds to offset the austerity reduction for the Area Teacher Program, Extended Day/Year, Young Farmers, and Youth Camps.

$253,606

 

Preschool Disabilities Services

 

 

 

Increase funds to provide a one-time salary supplement of $2,000 to full-time employees and $1,000 to parttime employees, to include QBE-funded instructional staff, school support staff, school administration, and central administration.

$1,968,130

 

 

Increase funds to offset the austerity reduction for grants.

$1,682,204

 

Pupil Transportation

 

 

 

Provide funds to replace 1,747 buses statewide over three years at a base bus cost of $88,110 and provide funds for reimbursement of key safety features.

$188,001,658

 

 

Increase funds to provide a one-time salary supplement of $1,000 to all bus drivers.

$14,065,549

 

Quality Basic Education Program

 

 

 

Increase funds to provide a one-time salary supplement of $2,000 to full-time employees and $1,000 to parttime employees, to include QBE-funded instructional staff, school support staff, school administration, and central administration.

$315,900,085

 

 

Increase funds to provide a one-time salary supplement of $1,000 to all school nurses.

$2,070,595

 

 

Increase funds to offset the austerity reduction for K-12 education.

$382,696,501

 

Regional Education Service Agencies

 

 

 

Increase funds to offset the austerity reduction for grants to RESAs.

$593,006

 

Technology/Career Education

 

 

 

Increase funds to offset the austerity reduction for Extended Day/Year, Vocational Supervisors, Industry Certification, and Youth Apprenticeship programs.

$282,460

 

Testing

 

 

 

Increase funds to administer Georgia Milestones in accordance with Federal requirements.

$2,392,938

 

 

 

 

Human Services

 

 

Departmental Administration

 

 

 

Increase funds for the Integrated Eligibility System costs for the implementation of the Patients First Act (2019 Session).

$4,016,595

 

Georgia Vocational Rehabilitation Agency: Vocational Rehabilitation Program

 

 

Increase funds for upgrades to the case management system.

$100,000

 

 

 

 

Juvenile Justice

 

 

Community Service

 

 

 

Increase funds to reflect the loss of Title IV-E funds associated with the October 1, 2021 implementation of the Family First Prevention Services Act and the statewide transition to increased family-based placement settings.

$525,980

 

 

Increase funds for Room, Board, and Watchful Oversight to reflect the loss of Title IV-E federal funds.

$2,063,736

 

 

 

 

Public Health

 

 

Infectious Disease Control

 

 

 

Increase funds to address the state funds shortfall for the AIDS Drug Assistance Program (ADAP) per the state match requirement in the Ryan White Care Act Title II Award.

$9,900,884

 

Georgia Trauma Care Network Commission

 

 

 

Increase funds to reflect 2021 Super Speeder collections and reinstatement fees.

$7,391,635

 

 

Increase funds to reflect fireworks excise tax revenue collections.

$1,144,171

FY23

 

 

 

Governor's Proposal

Behavioral Health and Developmental Disabilities

 

 

Adult Addictive Disease Services

 

 

 

Provide funds for a 10% increase for core services for addictive diseases

$1,667,223

 

Adult Development Disabilities Services

 

 

 

Increase funds to annualize the cost of 100 New Options Waiver (NOW) and Comprehensive Supports Waiver Program (COMP) slots for individuals with intellectual and developmental disabilities.

$1,960,937

 

 

Increase funds for 100 additional slots for the New Options Waiver (NOW) and Comprehensive Supports Waiver Program (COMP) for individuals with intellectual and developmental disabilities.

$1,984,115

 

Adult Mental Health Services

 

 

 

Increase funds for the Georgia Housing Voucher Program to support the requirements of the Department of Justice (DOJ) Settlement Agreement.

$1,381,478

 

 

Increase funds to convert an existing 16-bed crisis stabilization unit in Augusta to a 24-bed and 16 temporary observation chair behavioral health crisis center.

$3,792,613

 

 

Increase funds for the operational costs of 13 additional crisis stabilization unit beds at The Bradley Center of St. Francis Hospital.

$2,383,911

 

 

Provide funds for a 10% increase for core services for mental health.

$6,139,890

 

 

Provide funds to allow for Medicaid reimbursement of psychiatric and behavioral health care management services

$1,154,101

 

 

Increase funds for three additional Assisted Outpatient Treatment (AOT) programs.

$4,500,000

 

 

 

 

Community Health

 

 

Indigent Care Trust Fund

 

 

 

Increase funds to provide the state match for Disproportionate Share Hospital (DSH) payments for private deemed and non-deemed hospitals.

$15,882,042

 

Medicaid - Aged, Blind, and Disabled

 

 

 

Provide funds for the Medicaid reimbursement of clinical trials.

$2,412,359

 

Medicaid - Low-Income Medicaid

 

 

 

Increase funds for the implementation of express lane enrollment pursuant to the passage of HB 163 (2021 Session).

$39,466,982

 

 

Provide funds to eliminate attestation and reimburse all providers at enhanced rates for all 108 procedure codes.

$85,403,385

 

 

Increase funds to provide one year of postpartum coverage effective upon Centers for Medicaid and Medicare Services approval.

$28,184,166

 

 

Provide funds for the Medicaid reimbursement of therapeutic services.

$11,258,121

 

 

Provide funds for the Medicaid reimbursement of psychiatric and behavioral health care management services.

$1,597,736

 

 

Provide funds for the Medicaid reimbursement of clinical trials.

$8,301

 

 

Provide funds for the Medicaid reimbursement of donor milk.

$469,138

 

Georgia Board of Health Care Workforce: Graduate Medical Education

 

 

 

Increase funds for 136 new residency slots in primary care medicine.

$2,534,985

 

 

Provide funds for a pilot program to perform echocardiograms of pregnant and postpartum women to address maternal mortality.

$680,000

 

Georgia Board of Health Care Workforce: Mercer School of Medicine Grant

 

 

Increase funds for the third year of the seven-year plan for Mercer School of Medicine's medical school campus in Columbus.

$1,073,231

 

 

 

 

Education

 

 

Agricultural Education

 

 

 

Increase funds to offset the austerity reduction for the Area Teacher Program, Extended Day/Year, Young Farmers, and Youth Camps.

$253,606

 

Non Quality Basic Education Formula Grants

 

 

 

Increase formula funds for Residential Treatment Facilities based on attendance.

$919,406

 

 

Increase funds to adjust the state base salary schedule to increase salaries for certified teachers and certified employees by $2,000 effective September 1, 2022, for Residential Treatment Facilities.

$268,285

 

Nutrition

 

 

 

Increase funds for a 5.4% salary increase.

$1,816,267

 

Preschool Disabilities Services

 

 

 

Increase funds to adjust the state base salary schedule to increase salaries for certified teachers and certified employees by $2,000 effective September 1, 2022.

$908,226

 

 

Increase funds to offset the austerity reduction for grants.

$1,682,204

 

Pupil Transportation

 

 

 

Increase funds for a 5.4% salary increase.

$4,412,227

 

Quality Basic Education Program

 

 

 

Increase funds to adjust the state base salary schedule to increase salaries for certified teachers and certified employees by $2,000 effective September 1, 2022.

$287,136,600

 

 

Increase funds to offset the austerity reduction for K-12 education.

$382,696,501

 

Regional Education Service Agencies

 

 

 

Increase funds to offset the austerity reduction for grants to RESAs.

$593,006

 

Technology/Career Education

 

 

 

Increase funds to offset the austerity reduction for Extended Day/Year, Vocational Supervisors, Industry Certification, and Youth Apprenticeship programs.

$282,460

 

 

 

 

 

BONDS

 

 

 

Capital Outlay Program - Low Wealth for local school construction, statewide.

$46,095,000

 

 

Capital Outlay Program - Additional Low Wealth for local school construction, statewide.

$42,305,000

 

 

Capital Outlay Program - Regular for local school construction, statewide.

$197,545,000

 

 

Capital Outlay Program - Regular Advance for local school construction, statewide.

$2,765,000

 

 

Purchase career, technical, and agricultural education equipment, statewide.

$2,270,000

 

 

Construction and improvements to FFA/FCCLA Center and Camp John Hope, Covington, Newton County.

$515,000

 

 

 

 

Human Services

 

 

Child Welfare Services

 

 

 

Provide funds for a community action team pilot program to address children who are in, or are at risk of entering, foster care.

$1,500,000

 

 

Provide funds for an autism recognition pilot program in Region 12.

$451,978

 

 

Provide funds for autism respite care.

$1,000,000

 

Out of Home Care

 

 

 

Provide funds for a 10% provider rate increase for Child Caring Institutions, Child Placing Agencies, foster parents, and relative caregivers. (Total Funds: $31,487,817)

$27,810,584

 

 

Utilize $6,700,000 in existing funds to improve the continuum of care including preventative and therapeutic services, in addition to addressing youth with complex needs.

Yes

 

Georgia Vocational Rehabilitation Agency: Vocational Rehabilitation Program

 

 

Provide funds for capital maintenance and repairs

$4,310,000

 

 

 

 

Juvenile Justice

 

 

Community Service

 

 

 

Increase funds to reflect the loss of Title IV-E funds associated with the October 1, 2021 implementation of the Family First Prevention Services Act and the statewide transition to increased family-based placement settings.

$701,307

 

 

Increase funds for Room, Board, and Watchful Oversight to reflect the loss of Title IV-E federal funds.

$3,375,088

 

 

 

 

Public Health

 

 

Adolescent and Adult Health Promotion

 

 

 

Provide funds for a comprehensive care management pilot for high-risk pregnancy populations

$500,000

 

Emergency Preparedness/Trauma System Improvement

 

 

 

Increase funds to expand the Georgia Regional Coordinating Center's efforts to coordinate emergency room capacity statewide.

$4,359,309

 

Infectious Disease Control

 

 

 

Increase funds to address the state funds shortfall for the AIDS Drug Assistance Program (ADAP) per the state match requirement in the Ryan White Care Act Title II Award.

$9,900,884

 

 

Increase funds for the third year of a three-year pilot for pre-exposure prophylaxis (PrEP) for individuals at risk of HIV pursuant to passage of HB 290 (2019 Session).

$45,709

 

Georgia Trauma Care Network Commission

 

 

 

Increase funds to reflect FY 2021 reinstatement fees.

$7,325,637

 

 

Dedicate $13,594,359 in state general funds as Trauma Care Network Trust Funds and increase funds to reflect FY 2021 Super Speeder collections pursuant to HB 511 (2021 Session).

Yes

New Legislation

The following legislation of interest has been introduced in the House:

H.B.901

Local government; prohibit deannexation of territory from an existing municipal corporation to incorporate a new municipal corporation

GA Rep. Shea Roberts (D-GA-052)

https://www.legis.ga.gov/legislation/61120

H.B.902

Insurance; reduce out-of-pocket costs for consumers requiring insulin

GA Rep. Kim Schofield (D-GA-060)

https://www.legis.ga.gov/legislation/61121

H.B.904

Education; use of corporal punishment by school personnel with any student in any public school; prohibit

GA Rep. Debra Bazemore (D-GA-063)

https://www.legis.ga.gov/legislation/61126

H.B.905

Crimes and offenses; limitations regarding use of electronic monitoring devices; provide

GA Rep. Ricky Williams (R-GA-145)

https://www.legis.ga.gov/legislation/61127

H.B.907

Elections; dates for special elections; question related to sales and use taxes for transportation; revise provisions

https://www.legis.ga.gov/legislation/61129

H.B.908

Elections; dates for special elections; question to the voters in even-numbered years; revise provisions

https://www.legis.ga.gov/legislation/61130

H.B.910

Supplemental appropriations; State Fiscal Year July 1, 2021 - June 30, 2022

GA Speaker David Ralston (R-GA-007)

https://www.legis.ga.gov/legislation/61135

H.B.914

General appropriations; State Fiscal Year July 1, 2022 - June 30, 2023

GA Speaker David Ralston (R-GA-007)

https://www.legis.ga.gov/legislation/61139

H.B.916

Superior and State Court Appellate Practice Act; enact

GA Rep. Rob Leverett (R-GA-033)

https://www.legis.ga.gov/legislation/61141

H.B.918

Georgia Rare Disease Advisory Council; provide establishment

GA Rep. Mike Cheokas (R-GA-138)

https://www.legis.ga.gov/legislation/61144

H.R.577

Health; increased awareness, education, and research regarding rare diseases; recognize

GA Rep. Kim Schofield (D-GA-060)

https://www.legis.ga.gov/legislation/61124

H.R.578

National Black Caucus of State Legislators; efforts to identify the critical need for increasing access to healthcare, food and credit; recognize

GA Rep. Kim Schofield (D-GA-060)

https://www.legis.ga.gov/legislation/61125

What’s Next

The General Assembly is in adjournment next week for Joint Appropriations Committee hearings on the Goverr’s AFY22 and FY23 budget proposals. The schedule for these hearings can be found here.

The General Assembly will reconvene for Legislative Day 5 on Monday, January 24, at 10 AM.

Representative Todd Jones (R-South Forsyth) and Representative Greg Kennard (D-Lawrenceville) announced the first Mental Health Caucus Meeting for Tuesday, January 25th.

Copyright ©2022 Nelson Mullins Riley & Scarborough LLPNational Law Review, Volume XII, Number 16
Advertisement
Advertisement
Advertisement
Advertisement
Advertisement
Advertisement

About this Author

Stanley S. Jones, Jr. Government Relations Attorney Nelson Mullins Atlanta
Partner

Stan practices in the areas of healthcare law, governmental relations and public policy, and administrative law.

404-322-6133
Helen L. Sloat Legislative Consultant Nelson Mullins Atlanta
Legislative Consultant

Helen is a legislative consultant and Georgia Registered Lobbyist. She is an advocate for various clients including healthcare providers, insurers, and child welfare providers. Helen tracks federal and state legislation, conducts research, drafts bills and amendments, and lobbies for legislative initiatives' introduction and passage. She has experience with Georgia's budgetary process.

404-322-6170
George S. Ray Government Relations Attorney Nelson Mullins Atlanta
Associate

George focuses his practice on Georgia government relations, state and local administrative law and regulatory proceedings, and business litigation. Representing education, healthcare, nonprofit, and other business entities before the Georgia General Assembly and State agencies, George works with clients to develop and implement strategies at each stage of the legislative and regulatory policy processes. He also helps clients resolve Georgia business, regulatory, and procurement disputes. 

404-322-6145
Advertisement
Advertisement
Advertisement