NO. 122. AN act making appropriations for the support of government.
(H.768)
It is hereby enacted by the General Assembly of the State of Vermont:
Sec. 1. SHORT TITLE
(a) This bill may be referred to as the BIG BILL - Fiscal Year 2005 Appropriations Act.
Sec. 2. PURPOSE
(a) The purpose of this act is to provide appropriations for the operations of state government during fiscal year 2005. It is the express intent of the legislature that activities of the various agencies, departments, divisions, boards, and commissions be limited to those which can be supported by funds appropriated in this act or other acts passed prior to June 30, 2004. Agency and department heads are directed to implement staffing and service levels at the beginning of fiscal year 2005 so as to meet this condition unless otherwise directed by specific language in this act.
Sec. 3. APPROPRIATIONS
(a) The sums herein stated are appropriated for the purposes specified in the following sections of this act. When no time is expressly stated during which any of the appropriations are to continue, the appropriations are declared to be single-year appropriations and only for the purpose indicated. These appropriations shall be the only appropriations available notwithstanding any other acts or laws. If in this act there is an error in either addition or subtraction, the totals shall be adjusted accordingly. Apparent errors in referring to section numbers of statutory titles within this act may be disregarded by the commissioner of finance and management.
(b) Unless codified or otherwise specified, all narrative portions of this act apply only to the fiscal year ending June 30, 2005.
Sec. 4. TIME AVAILABLE
(a) The sums appropriated in this act, unless otherwise designated, shall be available only during the fiscal year ending June 30, 2005. The balance of any appropriations made in this act remaining unexpended and unencumbered at the end of the fiscal year shall revert to the appropriate fund balance unless otherwise specified in this act. Refunds of expenditures and reimbursements, except liability insurance premiums which have been paid from the appropriations of a prior year, shall be credited to the appropriate fund and not to appropriation accounts in the current fiscal year, unless those refunds or reimbursements were previously paid from federal grants-in-aid or from appropriations whose unexpended balances are reappropriated by law. Refunds of liability insurance premiums paid in prior fiscal years are hereby available to reduce subsequent liability insurance premiums. Nothing contained in this act shall limit the time within which an appropriation to be raised by the issue of bonds may be expended.
Sec. 5. DEFINITIONS
(a) For the purposes of this act:
(1) “Encumbrances” means a portion of an appropriation reserved for the subsequent payment of existing purchase orders or contracts. The commissioner of finance and management shall make final decisions on the appropriateness of encumbrances.
(2) “Grants” means subsidies, aid, or payments to local governments, to community and quasi-public agencies for providing local services, and to persons who are not wards of the state for services or supplies and cash or other direct assistance, including pension contributions.
(3) “Operating expenses” means supplies - food, medical, clothing, educational, fuel, highway materials and similar items; contractual services - postage, telephone, travel expenses, light, heat and power, rentals, insurance and other similar items; equipment articles of substantial value which have a long period of usefulness - desks, computers, typewriters, furniture, motor vehicles and similar items; and expenditures for the purchase of land, construction of new buildings and permanent improvements, highway construction and similar items.
(4) “Personal services” means wages and salaries, consulting services, personnel benefits, personal injury benefits under 21 V.S.A. § 636, and similar items.
Sec. 6. SOURCE OF FUNDS
(a) The appropriations made in this act are made for the fiscal year ending June 30, 2005 except as provided in this act and are to be paid from funds shown as the source of funds.
Sec. 7. Secretary of administration - secretary’s office
Personal services 385,524
Operating expenses 58,878
Total 444,402
Source of Funds
General fund 381,798
Transportation fund 49,704
Interdepartmental transfer 12,900
Total 444,402
Sec. 8. Information and innovation
Personal services 3,747,066
Operating expenses 811,915
Total 4,558,981
Source of Funds
Internal service funds 4,558,981
(a) The secretary of administration shall develop a process whereby the department of information and innovation shall be consulted and shall issue a written recommendation prior to any agency or department in the executive branch of state government’s action to: (1) expend or contract for the expenditure of an amount that is greater than an amount determined by the secretary of administration for information systems technology; or (2) hire additional information technology staff. Said recommendation shall be retained by the agency or department.
Sec. 9. Finance and management - financial operations
Personal services 2,033,673
Operating expenses 1,135,021
Total 3,168,694
Source of Funds
Internal service funds 3,168,694
(a) Pursuant to 32 V.S.A. § 307(e), financial management fund charges of $3,980,857.00 are hereby approved. Of this amount, $767,163.00 will be used to support the HRMS system that is operated by the department of personnel.
Sec. 10. 32 V.S.A. § 307(e) is amended to read:
(e) The budget shall also include any proposed
charges to be billed to departmental budgets for payment to the financial
management, workers’ compensation, and facilities operations internal
service funds where the total of such charges exceeds $1,000,000.00. The
rates of any such. Such charges shall be subject to legislative
approval. The departments of finance and management and buildings and
general services shall include with their annual budget submissions details of
any such charges to be made projected by department and the financial case for
the proposed changes in charges for the three internal services funds.
Sec. 11. Finance and management - budget and management
Personal services 870,222
Operating expenses 101,766
Total 971,988
Source of Funds
General fund 772,314
Transportation fund 110,428
Interdepartmental transfer 89,246
Total 971,988
(a) Notwithstanding 32 V.S.A § 588, the commissioner of finance and management is encouraged to minimize the number of special funds that are created in the statewide accounting system each fiscal year, to eliminate any redundancies with currently established special funds and to the extent possible, consolidate overlapping funds.
(b) The commissioner shall submit a report to the joint fiscal committee by December 1, 2004 on actions taken that do not require legislative approval and shall also include in the report recommendations to the general assembly for statutory amendments to simplify fund administration.
Sec. 12. Personnel - operations
Personal services 1,489,050
Operating expenses 296,200
Total 1,785,250
Source of Funds
General fund 1,113,729
Transportation fund 342,921
Interdepartmental transfer 328,600
Total 1,785,250
(a) The department of personnel shall include in its annual report historical information on position reclassifications throughout state government and shall submit with its fiscal year 2006 budget proposal a recommendation for creating a structured, predictable approach to dealing with the reclassification issue.
Sec. 13. Personnel - HR workforce planning & employment services
Personal services 754,361
Operating expenses 302,850
Total 1,057,211
Source of Funds
General fund 634,000
Transportation fund 200,211
Special funds 223,000
Total 1,057,211
Sec. 14. Personnel - employee benefits & wellness
Personal services 1,329,731
Operating expenses 237,870
Total 1,567,601
Source of Funds
Internal service funds 1,567,601
Sec. 15. Personnel - information technology
Personal services 486,683
Operating expenses 280,480
Total 767,163
Source of Funds
Internal service funds 767,163
Sec. 16. Libraries
Personal services 1,908,066
Operating expenses 1,479,087
Grants 45,000
Total 3,432,153
Source of Funds
General fund 2,331,998
Special funds 195,483
Federal funds 752,672
Interdepartmental transfer 152,000
Total 3,432,153
Sec. 17. Tax - administration/collection
Personal services 11,058,247
Operating expenses 2,559,467
Total 13,617,714
Source of Funds
General fund 12,651,812
Transportation fund 211,902
Special funds 574,000
Interdepartmental transfer 180,000
Total 13,617,714
Sec. 18. Buildings and general services - administration
Personal services 1,327,980
Operating expenses 127,665
Total 1,455,645
Source of Funds
Interdepartmental transfer 1,455,645
(a) The implementation of the buildings and general services fleet management program shall be done in a manner to avoid any negative fiscal impact to the department of corrections.
Sec. 18a. MUNICIPAL AND NONPROFIT ASSISTANCE PROGRAM
(a) There is created a municipal and nonprofit assistance program to provide competitive grants to municipalities and nonprofit organizations throughout the state. The program shall be funded through direct appropriations of the general assembly. The commissioner of buildings and general services is authorized to award grants at his or her discretion consistent with the provisions of this section. The department of buildings and general services shall administer the program and is hereby authorized to adopt rules that are necessary for implementation of the program and consistent with the provisions of this section, including a list of criteria by which applications will be evaluated.
Sec. 19. COMMUNITY ASSISTANCE PROGRAM
(a) There is created a community assistance program to provide grants to communities and nonprofit organizations throughout the state. The program shall be funded through direct appropriations of the general assembly. The commissioner of buildings and general services is authorized to award grants at his or her discretion consistent with the provisions of this section. The department of buildings and general services shall administer the program.
Sec. 20. Buildings and general services - engineering
Personal services 1,836,763
Operating expenses 403,666
Total 2,240,429
Source of Funds
General fund 2,013,413
Transportation fund 152,016
Interdepartmental transfer 75,000
Total 2,240,429
Sec. 21. Buildings and general services - information centers
Personal services 2,805,473
Operating expenses 1,141,005
Grants 350,000
Total 4,296,478
Source of Funds
General fund 197,186
Transportation fund 4,099,292
Total 4,296,478
Sec. 22. Buildings and general services - purchasing
Personal services 764,564
Operating expenses 259,591
Total 1,024,155
Source of Funds
General fund 762,555
Transportation fund 261,600
Total 1,024,155
Sec. 23. Buildings and general services - public records
Personal services 766,755
Operating expenses 460,809
Total 1,227,564
Source of Funds
General fund 961,726
Transportation fund 88,205
Special funds 177,633
Total 1,227,564
Sec. 24. Buildings and general services - postal services
Personal services 579,783
Operating expenses 141,803
Total 721,586
Source of Funds
General fund 39,135
Transportation fund 26,400
Internal service funds 656,051
Total 721,586
Sec. 25. Buildings and general services - copy center
Personal services 751,421
Operating expenses 457,602
Total 1,209,023
Source of Funds
Internal service funds 1,209,023
Sec. 26. Buildings and general services - supply center
Personal services 243,949
Operating expenses 196,641
Total 440,590
Source of Funds
Internal service funds 440,590
Sec. 27. Buildings and general services - federal surplus property
Personal services 60,254
Operating expenses 70,525
Total 130,779
Source of Funds
Enterprise funds 130,779
Sec. 28. Buildings and general services - state surplus property
Personal services 54,229
Operating expenses 67,342
Total 121,571
Source of Funds
Internal service funds 121,571
Sec. 29. Buildings and general services - property management
Personal services 928,056
Operating expenses 3,304,043
Total 4,232,099
Source of Funds
Internal service funds 4,232,099
Sec. 30. Buildings and general services - all other insurance
Personal services 58,529
Operating expenses 11,116
Total 69,645
Source of Funds
Internal service funds 69,645
Sec. 31. Buildings and general services - general liability insurance
Personal services 704,745
Operating expenses 31,986
Total 736,731
Source of Funds
Internal service funds 736,731
Sec. 32. Buildings and general services - workers’ compensation insurance
Personal services 950,903
Operating expenses 132,611
Total 1,083,514
Source of Funds
Internal service funds 1,083,514
(a) Pursuant to 32 V.S.A. § 307(e), workers’ compensation fund charges of $9,565,000.00 are hereby approved.
Sec. 33. 29 V.S.A. § 1408(d) is amended to read:
(d) In subsequent years, the commissioner shall
annually assess each program participant an amount to be deposited in the state
employees’ workers’ compensation fund. The commissioner may adjust the annual
assessment to assure that the debts and obligations of the program are
adequately funded. However, the annual assessment shall not be greater than
150 percent or less than 50 percent of the annual assessment for that program
participant for the preceding year.
Sec. 34. [Deleted]
Sec. 35. Buildings and general services - fee for space
Personal services 9,079,294
Operating expenses 9,018,740
Total 18,098,034
Source of Funds
Internal service funds 18,098,034
(a) Pursuant to 29 V.S.A. § 160a(b)(3), facilities operations fund charges of $18,445,000.00 are hereby approved.
Sec. 36. Sec. 35(a) of No. 66 of the Acts of 2003 is amended to read:
(a) Pursuant to 29 V.S.A. § 160a(b)(3), fee for space
charges of $16,934,155.00 are hereby approved. The commissioner of buildings
and general services shall cause any deficit in the fee for space internal
service fund at the end of fiscal year 2003 to be eliminated by the end of
fiscal year 2014 through the aggressive management of expenditures and a
surcharge on fees beginning in fiscal year 2005 2006.
Sec. 37. Geographic information system
Grants 376,992
Source of Funds
Special funds 376,992
Sec. 38. Auditor of accounts
Personal services 1,844,953
Operating expenses 109,150
Total 1,954,103
Source of Funds
General fund 453,732
Transportation fund 58,845
Special funds 52,746
Internal service funds 1,388,780
Total 1,954,103
Sec. 39. State treasurer
Personal services 2,380,971
Operating expenses 322,205
Grants 75,000
Total 2,778,176
Source of Funds
General fund 833,409
Transportation fund 103,208
Special funds 1,378,559
Pension trust fund 400,500
Private purpose trust fund 62,500
Total 2,778,176
(a) The above appropriation includes $50,000.00 in general funds, which shall be used for a grant to the firefighters survivors benefit expendable trust fund.
(b) Of the above general fund appropriation, $25,000.00 shall be deposited into the armed services scholarship fund established in H.258 of 2004.
Sec. 40. State treasurer - abandoned property
Personal services 262,922
Operating expenses 194,800
Total 457,722
Source of Funds
Private purpose trust fund 457,722
Sec. 41. Vermont state retirement system
Personal services 18,068,186
Operating expenses 699,809
Total 18,767,995
Source of Funds
Pension trust fund 18,767,995
Sec. 42. Municipal employees’ retirement system
Personal services 1,426,248
Operating expenses 206,527
Total 1,632,775
Source of Funds
Pension trust fund 1,632,775
Sec. 43. State labor relations board
Personal services 147,387
Operating expenses 34,740
Total 182,127
Source of Funds
General fund 171,697
Transportation fund 4,560
Special funds 5,870
Total 182,127
Sec. 44. REVERSION TO GENERAL FUND
(a) Notwithstanding any other provision of law, $20,000.00 in general funds appropriated in Sec. 42 of No. 66 of the Acts of 2003 to the state labor relations board shall revert to the general fund in fiscal year 2005.
Sec. 45. Executive office - Governor’s office
Personal services 1,123,181
Operating expenses 339,100
Total 1,462,281
Source of Funds
General fund 1,141,866
Transportation fund 156,230
Special funds 3,185
Interdepartmental transfer 161,000
Total 1,462,281
Sec. 46. Executive office - national and community service
Personal services 175,347
Operating expenses 118,501
Grants 1,443,340
Total 1,737,188
Source of Funds
General fund 56,528
Federal funds 1,680,660
Total 1,737,188
Sec. 47. VOSHA review board
Personal services 31,350
Operating expenses 8,844
Total 40,194
Source of Funds
General fund 20,097
Federal funds 20,097
Total 40,194
Sec. 48. Use tax reimbursement fund - municipal current use
Grants 6,199,670
Source of Funds
General fund 3,889,280
Transportation fund 2,310,390
Total 6,199,670
Sec. 49. Lieutenant governor
Personal services 125,062
Operating expenses 9,585
Total 134,647
Source of Funds
General fund 115,517
Transportation fund 19,130
Total 134,647
Sec. 50. [Deleted]
Sec. 51. Legislature
Personal services 2,665,198
Operating expenses 1,967,116
Total 4,632,314
Source of Funds
General fund 3,935,297
Transportation fund 697,017
Total 4,632,314
(a) Of the above appropriation, $15,000.00 shall be used for a grant to the national legislative association on prescription drug pricing. The payment of any additional funds to the association must be approved by the president pro tempore of the senate and the speaker of the house.
Sec. 51a. 2004 LEGISLATIVE SESSION; DAILY COMPENSATION
(a) In lieu of the weekly salary entitlement in sections 1051 and 1052 of Title 32, after May 15, 2004, a member of the house or senate is entitled to reimbursement for expenses and compensation for services at the daily rate provided in those sections for each day of attendance at a session of the 2004 adjourned session, and for attendance at a meeting of a committee of conference on any day on which the member’s chamber is not in session after May 15, 2004 through adjournment sine die of the 2004 adjourned session.
Sec. 52. Legislative council
Personal services 1,575,895
Operating expenses 116,222
Total 1,692,117
Source of Funds
General fund 1,460,193
Transportation fund 231,924
Total 1,692,117
Sec. 52a. Legislative information technology
Personal services 226,325
Operating expenses 287,959
Total 514,284
Source of Funds
General fund 514,284
(a) Funds appropriated in this section for legislative information technology shall be expended in fiscal year 2005 by the legislative council with the recommendation of the ad hoc joint legislative oversight committee on information technology and a staff oversight group consisting of the legislative counsel, the fiscal officer, the sergeant at arms, the clerk of the house, and the secretary of the senate. On or before January 15, 2005, the ad hoc joint committee and the staff oversight group shall present to the house and senate committees on appropriations and government operations a plan for the oversight, management, and expenditure of funds for information technology by the legislative branch for fiscal year 2006 and future fiscal years. As part of this process, the legislative and staff oversight group shall develop job descriptions for information technology employees, work plans, and specific strategies to address the recommendations contained in the NCSL assessment of the Vermont Legislative Information Technology System.
Sec. 53. Sergeant at arms
Personal services 449,154
Operating expenses 47,662
Total 496,816
Source of Funds
General fund 456,405
Transportation fund 40,411
Total 496,816
(a) The sergeant at arms office shall submit to the joint fiscal committee at its July 2004 meeting, a summary of the security coverage plan for fiscal year 2005. Minimizing the amount of overtime and duplicative coverage shall be a priority in development of the plan. The summary submitted shall include the hours and number of persons for the hours of coverage proposed.
Sec. 54. Joint fiscal committee
Personal services 898,960
Operating expenses 67,224
Total 966,184
Source of Funds
General fund 831,789
Transportation fund 134,395
Total 966,184
Sec. 55. Lottery commission
Personal services 1,253,912
Operating expenses 903,902
Total 2,157,814
Source of Funds
Enterprise funds 2,157,814
(a) The lottery commission shall not reduce funding for the responsible gambling program.
(b) The lottery commission shall transfer $90,000.00 to the department of health, office of alcohol and drug abuse programs to support the gambling addiction program.
Sec. 56. Payments in lieu of taxes
Grants 2,500,000
Source of Funds
General fund 800,000
Special funds 1,700,000
Total 2,500,000
(a) The above appropriation is for state payments in lieu of property taxes under 32 V.S.A. chapter 123, subchapter 4, and the payments shall be calculated in addition to, and without regard to, the appropriations for PILOT for Montpelier and correctional facilities elsewhere in this act.
Sec. 57. Payments in lieu of taxes - Montpelier
Grants 184,000
Source of Funds
General fund 184,000
Sec. 58. Payments in lieu of taxes - correctional facilities
Grants 40,000
Source of Funds
General fund 40,000
Sec. 59. Total general government 117,366,399
Source of Funds
General fund 36,763,760
Transportation fund 9,298,789
Special funds 4,687,468
Federal funds 2,453,429
Enterprise funds 2,288,593
Internal service funds 38,098,477
Pension trust funds 20,801,270
Private purpose trust funds 520,222
Interdepartmental transfer 2,454,391
Total 117,366,399
Sec. 60. Protection to persons and property - attorney general
Personal services 4,838,548
Operating expenses 898,080
Total 5,736,628
Source of Funds
General fund 2,550,429
Transportation fund 69,061
Special funds 1,014,901
Tobacco fund 290,000
Federal funds 573,500
Interdepartmental transfer 1,238,737
Total 5,736,628
Sec. 61. Vermont court diversion
Grants 1,470,071
Source of Funds
General fund 927,238
Transportation fund 142,833
Special funds 400,000
Total 1,470,071
Sec. 62. Center for crime victims services
Personal services 1,159,300
Operating expenses 353,286
Grants 7,246,000
Total 8,758,586
Source of Funds
General fund 963,878
Special funds 3,400,000
Federal funds 4,332,208
Interdepartmental transfer 62,500
Total 8,758,586
(a) The center shall convene a supervised visitation advisory board which will consist of a representative from the department of social and rehabilitation services, the agency of human services, the office of child support, the Vermont network against domestic violence and sexual assault, and the center for crime victims services. The advisory board will assist in the design of a program evaluation for all supervised visitation programs in Vermont prior to the allocation of fiscal year 2005 funding, make decisions regarding the allocation of fiscal year 2005 funding to supervised visitation programs in Vermont, and study and report to the general assembly on January 1, 2005 their recommendation as to the most appropriate state agency to provide oversight and administer state funding for supervised visitation programs in Vermont, and develop standards of service to ensure high quality services to families utilizing supervised visitation programs in Vermont. Of the above general fund appropriation, $10,000.00 shall be used for program evaluation of the supervised visitation programs in Vermont.
(b) Of the above general fund appropriation, $100,000.00 shall be used for grants to the supervised visitation programs pursuant to the recommendations of the advisory board.
(c) Of the above general fund appropriation, $75,000.00 shall be used for grants to the four existing child advocacy centers. These funds shall be distributed in accordance with a plan developed by the center for crime victims services in collaboration with the child advocacy centers. The center for crime victims services, the department of social and rehabilitation services, and the agency of human services shall work collaboratively to make recommendations for sustaining services provided by the four child advocacy centers.
Sec. 63. State’s attorneys
Personal services 7,600,224
Operating expenses 1,158,953
Total 8,759,177
Source of Funds
General fund 6,665,235
Transportation fund 366,373
Special funds 53,599
Federal funds 5,000
Interdepartmental transfer 1,668,970
Total 8,759,177
Sec. 64. Sheriffs
Personal services 2,540,882
Operating expenses 312,166
Total 2,853,048
Source of Funds
General fund 2,287,344
Transportation fund 565,704
Total 2,853,048
(a) Of the above appropriation, $15,000.00 shall be transferred to the state’s attorneys office as reimbursement for the cost of the executive director’s salary.
(b) The state’s attorneys, sheriffs, defender general, judiciary, and corrections departments shall implement the findings of the 2002 study of prisoner transport with a goal to managing transport within current appropriations. In the event that a department fails to cooperate or provide timely notification of changes in transportation needs, the costs shall be absorbed by the department. A report on the implementation of prisoner transport recommendations shall be submitted to the general assembly on January 15, 2005.
Sec. 65. Defender general - public defense
Personal services 5,361,146
Operating expenses 671,125
Total 6,032,271
Source of Funds
General fund 4,974,854
Transportation fund 489,388
Special funds 502,629
Federal funds 2,250
Interdepartmental transfer 63,150
Total 6,032,271
(a) The defender general is authorized to establish and fill four (4) positions to conduct activities related to prisoner rights services: two (2) new permanent exempt Attorneys, one (1) new permanent classified Investigator, and one (1) new permanent classified Support Secretary. These positions shall be transferred and converted from existing vacant positions in the executive branch of state government.
Sec. 66. Defender general - assigned counsel
Personal services 2,599,693
Operating expenses 51,675
Total 2,651,368
Source of Funds
General fund 2,312,130
Transportation fund 239,238
Special funds 100,000
Total 2,651,368
Sec. 67. Military - administration
Personal services 442,365
Operating expenses 199,963
Grants 143,683
Total 786,011
Source of Funds
General fund 786,011
(a) Of the above appropriation, $200,000.00 shall be transferred to the Vermont student assistance corporation for the national guard scholarship program, which comprises $170,694.00 of the above appropriation and $29,306.00 carry-forward fiscal year 2004 funds.
(b) Total grants under 16 V.S.A. chapter 87, subchapter 4A shall not exceed $200,000.00 in fiscal year 2005 nor shall commitments or obligations be made for expenditure amounts above $200,000.00 in fiscal year 2006.
Sec. 68. Military - air service contract
Personal services 3,731,755
Operating expenses 886,961
Total 4,618,716
Source of Funds
General fund 344,459
Federal funds 4,274,257
Total 4,618,716
Sec. 69. Military - army service contract
Personal services 2,565,304
Operating expenses 8,176,700
Total 10,742,004
Source of Funds
General fund 115,581
Federal funds 10,626,423
Total 10,742,004
Sec. 70. Military - building maintenance
Personal services 846,956
Operating expenses 415,444
Total 1,262,400
Source of Funds
General fund 1,262,400
Sec. 71. Military - veterans’ affairs
Personal services 206,015
Operating expenses 70,000
Grants 126,165
Total 402,180
Source of Funds
General fund 402,180
(a) Of the above appropriation, $15,000.00 shall be used for continuation of the Vermont Medal Program, $14,000.00 shall be used to increase the funding for the Needy Veterans’ Fund, $10,000.00 shall be used to provide assistance to the survivors of casualties in the War on Terrorism, $10,000.00 shall be used for the expenses of the Governor’s Veterans’ Advisory Council, and $15,000.00 shall be used for the Veterans’ Day Parade.
(b) Of the above appropriation, $5,000.00 shall be granted to the Vermont state council of the Vietnam Veterans of America to fund the service officer program. The council shall provide to the house and senate committees on appropriations a report on the expenditure of these funds by January 15, 2005.
(c) Of the above appropriation, $25,000.00 shall be used to fund one half‑time Veterans’ Service Officer to assist Vermont veterans who apply for state and federal veterans’ benefits.
Sec. 72. Sec. 72b of No. 66 of the Acts of 2003 as amended by Sec. 16 of H.585 of 2004 is further amended to read:
Sec. 72b. ONE-TIME APPROPRIATION; SURVIVORS OF CASUALTIES
OF WAR ON TERRORISM
(a) There is appropriated $13,500.00 in general funds
to the military department, division of veterans’ affairs, to be used to
support Vermont families related to military members killed who have
died or been wounded while serving in a combat theater of operations
or traveling to and from the combat theater. Combat theaters include but are
not limited to Iraq and Afghanistan. The military department and division of veterans’
affairs will develop additional program guidelines as necessary to meet the
intent of this appropriation. Any funds remaining at the end of fiscal year
2004 shall carry forward into fiscal year 2005 to be used as needed to continue
this program.
* * *
Sec. 73. Labor and industry
Personal services 5,618,018
Operating expenses 1,325,500
Grants 75,000
Total 7,018,518
Source of Funds
General fund 913,722
Special funds 4,975,015
Federal funds 1,080,648
Interdepartmental transfer 49,133
Total 7,018,518
Sec. 74. Criminal justice training council
Personal services 794,955
Operating expenses 730,204
Total 1,525,159
Source of Funds
General fund 647,358
Transportation fund 279,677
Special funds 464,724
Interdepartmental transfer 133,400
Total 1,525,159
Sec. 75. Liquor control - enforcement and licensing
Personal services 1,483,036
Operating expenses 195,633
Total 1,678,669
Source of Funds
Tobacco fund 290,000
Enterprise funds 1,388,669
Total 1,678,669
(a) The above tobacco fund appropriation shall be used for the sole purpose of education and enforcement with priority given to education. The department shall report on the use of these funds to the house and senate committees on appropriations by December 15, 2004. The department of liquor control shall continue its obligations under Act 58 of 1997 to conduct, or contract for, compliance tests to assure consistent statewide compliance with the prohibition on sales of tobacco products to minors of at least 90 percent for 17-year-old buyers.
(b) The department shall not implement a “shoulder tap” program without the consent of the general assembly or the joint fiscal committee when the general assembly is not in session.
Sec. 76. Liquor control - administration
Personal services 1,845,481
Operating expenses 529,830
Total 2,375,311
Source of Funds
Enterprise funds 2,375,311
(a) Beginning with fiscal year 2006, the administration shall submit the department of liquor control’s budget to the general assembly with the function of warehousing and distribution broken out as a separate appropriation section within the omnibus appropriations bill.
Sec. 76a. STUDY OF CONTRACTING FOR CERTAIN DEPARTMENT OF
LIQUOR CONTROL FUNCTIONS
(a) The secretary of administration shall determine whether contracting for the importation, transportation, warehousing, and wholesale distribution of liquor is projected to result in overall cost savings to the state.
(b) The secretary of administration may employ a consultant to conduct a study of the liquor importation, transportation, warehousing, and wholesale distribution functions of the department of liquor control.
(c) In order to conduct the study, the secretary of administration and any contractor conducting the study on behalf of the secretary shall receive the full cooperation of the department of liquor control and its personnel. All records of the department of liquor control the secretary deems necessary to complete the study shall be made available to the secretary and the contractor.
(d) Any contract entered into pursuant to the provisions of this section shall be paid for from the revenues of the department of liquor control.
(e) The secretary of administration shall report the results of this study to the general assembly by January 15, 2005.
Sec. 76b. REPORT ON THE EXPANSION OF THE VERMONT LIQUOR
CONTROL BOARD
(a) The commissioner of the department of liquor control shall establish a task force and host up to three meetings to determine the efficacy of expanding the Vermont liquor control board to include two licensees. The task force shall be chaired by the commissioner of the department of liquor control and will be made up of members of the liquor control board, a member of the house of representatives appointed by the speaker of the house and a member of the senate, appointed by the committee on committees, a 1st class licensee who is a representative of the Vermont lodging and restaurant association, and a 2nd class licensee who is a member of the Vermont grocers’ association. The task force shall make recommendations for expansion of the liquor control board to the house committee on general and military affairs and the senate committee on economic development, housing and general affairs on or before January 15, 2005.
Sec. 77. Vermont racing commission
Personal services 2,076
Operating expenses 2,924
Total 5,000
Source of Funds
General fund 5,000
Sec. 78. Secretary of state
Personal services 3,239,056
Operating expenses 2,126,149
Total 5,365,205
Source of Funds
General fund 928,352
Special funds 3,542,965
Federal funds 818,888
Interdepartmental transfer 75,000
Total 5,365,205
(a) The corporation division of the secretary of state’s office represents $438,903.00 of the above special fund appropriation, and these funds shall be from the securities regulation and supervision fund in accordance with 9 V.S.A. § 4230(b).
Sec. 78a 24 V.S.A. chapter 135 is added to read:
CHAPTER 135. VERMONT MUNICIPAL
LAND RECORDS COMMISSION
§ 5401. STATEMENT OF PURPOSE
Municipal land records are of vital importance to the economy and history of Vermont. This chapter establishes a municipal land records commission to address the significant long-term and systemic managerial issues associated with these documents, including a study to determine whether paper documents should be stored and available in an electronic format.
§ 5402. DEFINITIONS
As used in this chapter:
(1) “Commission” means the Vermont municipal land records commission created in section 5403 of this title.
(2) “Municipal” means a city, town, unorganized town, incorporated village, or gore.
(3) “Municipal land record” means a document required to establish marketable title and which is filed or recorded in the records of a municipality, including all documents filed or recorded pursuant to section 1154 of this title.
§ 5403. MUNICIPAL LAND RECORDS COMMISSION; CREATION AND
COMPOSITION
(a) There is created the Vermont municipal land records commission which shall be attached to the office of the secretary of state for administrative purposes and whose appointed members shall serve for three-year terms, except for initial terms as provided for in subsection (b) of this section.
(b) The commission shall consist of the state archivist, the commissioner of buildings and general services, and the commissioner of information and innovation, or their designees. In addition, the governor shall appoint three municipal clerks, with one representing municipalities with a population of greater than 10,000 residents for an initial term of two years, one representing municipalities with a population of greater than 3,000 residents but fewer than 10,000 residents for an initial term of three years, and one representing municipalities with a population of fewer than 3,000 residents for an initial term of four years; one licensed land surveyor to be recommended by the Vermont Society of Land Surveyors for an initial term of three years; two licensed attorneys to be recommended by the Vermont Bar Association, one of whom shall be familiar with real estate title practices for an initial term of two years and one of whom shall be a representative of the title insurance industry for an initial term of four years; one paralegal to be recommended by the Vermont Paralegal Organization for an initial term of three years; one municipal zoning administrator to be recommended by the Vermont League of Cities and Towns for an initial term of three years; one municipal legislator or chief municipal administrative officer to be recommended by the Vermont League of Cities and Towns for a term of two years; one banker jointly recommended by the Vermont Bankers Association and the Vermont Mortgage Bankers Association for an initial term of four years; one lister or assessor to be recommended by the Vermont Association of Listers and Assessors for an initial term of four years; and one licensed real estate broker to be recommended by the Vermont Association of Realtors for a term of two years.
(c) The designated organizations shall submit their recommendations for commission members to the governor on or before July 31, 2004, and the governor shall appoint the members of the commission by September 15, 2004. In appointing individuals to this commission, the governor shall seek geographic diversity.
(d) The state archivist shall convene the first commission meeting no later than November 1, 2004, at which meeting the commission shall designate a chair and vice chair. The governor shall designate a chair and vice chair if the commission has failed to so designate by the 30th day following its first meeting.
(e) The members of the commission who are not employees of the state of Vermont shall be entitled to per diem compensation as provided in section 1010 of Title 32.
Sec. 78b. 32 V.S.A. § 1010(a) is amended to read:
§ 1010. MEMBERS OF CERTAIN BOARDS
(a) Except for those members serving ex officio or otherwise regularly employed by the state, the compensation of the members of the following boards shall be $50.00 per diem:
* * *
(30) Community high school of Vermont board
(31) Municipal land records commission.
Sec. 78c. VERMONT MUNICIPAL LAND RECORDS COMMISSION;
REPORT
(a) On or before January 15, 2006, the Vermont municipal land records commission shall submit a report to the general assembly that:
(1) Proposes standards for formatting, filing, recording, and preserving municipal land records.
(2) Proposes a uniform system of indexing municipal land records which may include the use of numerical identifiers.
(3) Proposes continuing education requirements for municipal officials and corresponding compliance requirements for municipalities.
(4) Proposes incentives for municipal officials and municipalities to improve all aspects of managing and preserving municipal records.
(5) Proposes a system for financing all facets of municipal land records management on a sustainable basis.
(6) Analyzes the prerequisites for a municipality to digitalize its land records and examines the related administrative and public policy issues.
(7) Analyzes the need for any future oversight of the recommended uniform standards.
(8) Analyzes how to balance the conflicting public policy objectives of protecting personal privacy and providing public access to municipal land records.
(9) Analyzes any other administrative or public policy issues related to the uniformity and modernization of municipal land records which the commission may decide to address.
(b) In making its report on January 15, 2006, and in conducting its study thereafter, the commission shall take into consideration the results of the ongoing pilot project in the five municipalities that was authorized by H.767, the 2004 Capital Construction Bill.
Sec. 78d. AVAILABILITY OF FUNDS
(a) Any amount remaining at the end of fiscal year 2004 in the appropriation made to the study committee on municipal records in Sec. 49b(e) of No. 66 of the Acts of 2003 shall be transferred to the office of the secretary of state and made available for the use of the Vermont municipal land records commission during fiscal years 2005 and 2006.
Sec. 78e. APPROPRIATION
(a) Of the funds appropriated to the office of the secretary of state in Sec. 78 of this act, the amount of $30,000.00 in general funds shall be allocated to the Vermont municipal land records commission for administrative and research services, including the hiring of staff or consultants. Any funds remaining at the end of fiscal year 2005 shall carry forward into fiscal year 2006.
Sec. 78f. REPEAL
(a) Secs. 78a (24 V.S.A. chapter 135) and 78b (32 V.S.A. § 1010(a)(31)) of this act are repealed as of August 31, 2010.
Sec. 78g. 3 V.S.A. § 123(h) is added to read:
(h) Classified state employees who are employed as investigators by the secretary of state who have successfully met the standards of training for a full‑time law enforcement officer under chapter 151 of Title 20 shall have the same powers as sheriffs in criminal matters and the enforcement of the law and in serving criminal process, and shall have all the immunities and matters of defense now available or hereafter made available to sheriffs in a suit brought against them in consequence for acts done in the course of their employment.
Sec. 79. Banking, insurance, securities, and health care administration - banking
Personal services 1,113,087
Operating expenses 269,540
Total 1,382,627
Source of Funds
Special funds 1,382,627
(a) Notwithstanding 9 V.S.A. § 4230(b), in fiscal year 2005, the commissioner of banking, insurance, securities, and health care administration may transfer up to $200,000.00 from the securities regulation and supervision fund to the banking supervision fund established in 8 V.S.A. § 19(f).
Sec. 80. Banking, insurance, securities, and health care administration - insurance
Personal services 2,902,648
Operating expenses 599,500
Total 3,502,148
Source of Funds
Special funds 3,502,148
Sec. 81. Banking, insurance, securities, and health care administration - captive
Personal services 2,252,239
Operating expenses 384,850
Total 2,637,089
Source of Funds
Special funds 2,637,089
Sec. 82. Banking, insurance, securities, and health care administration - securities
Personal services 574,363
Operating expenses 131,110
Total 705,473
Source of Funds
Special funds 705,473
Sec. 83. Banking, insurance, securities, and health care administration - health care administration
Personal services 2,799,546
Operating expenses 402,402
Total 3,201,948
Source of Funds
General fund 466,993
Special funds 2,734,955
Total 3,201,948
(a) The department of banking, insurance, securities, and health care administration and the department of health shall report to the general assembly by January 15, 2005 on the consumer protections currently in place regarding privacy of medical records. The report shall specifically address the adequacy of these protections in the event of hospital outsourcing of medical records transcription to a contractor based in a foreign country and any recommendations for legislative action in this regard.
Sec. 84. Banking, insurance, securities, and health care administration - administration
Personal services 806,688
Operating expenses 49,700
Total 856,388
Source of Funds
Special funds 856,388
Sec. 85. Public safety - state police
Personal services 37,235,943
Operating expenses 8,247,122
Grants 4,701,100
Total 50,184,165
Source of Funds
General fund 17,115,749
Transportation fund 18,343,865
Special funds 3,653,090
Federal funds 10,422,548
Interdepartmental transfer 648,913
Total 50,184,165
(a) The department of public safety shall provide business manager services for the Vermont criminal justice training council and for the Vermont fire service training council.
(b) Of the above appropriation, $35,000.00 in special funds shall be available for snowmobile law enforcement activities and $35,000.00 in general funds shall be available to the southern Vermont wilderness search and rescue team, which comprises state police, the department of fish and wildlife, county sheriffs, and local law enforcement personnel in Bennington, Windham and Windsor counties for snowmobile enforcement.
(c) The department of public safety shall include with its annual budget materials program specific profiles. These profiles shall include revenues, expenditures for departmental activities, including but not limited to homeland security, the governor’s highway safety program, the crime lab, and department administration.
(d) Of the above appropriation, $75,000.00 shall be transferred to the criminal justice training council for the purposes of maintaining the canine program.
(e) Of the above appropriation, $50,000.00 shall be available for a grant to the Vermont center for justice research at Norwich University to carry out a study and report on racial and ethnic involvement in Vermont’s criminal justice system. The report shall be submitted to the general assembly, the house and senate committees on judiciary, and the court administrator by June 1, 2005.
Sec. 85a. COMMUNITY DRUG INVESTIGATION PROGRAM
(a) Of the $230,000.00 allocated for local heroin interdiction grants funded in Sec. 85 of this act, $190,000.00 shall be used by the Vermont drug task force to fund three (3) town task force officers. These town task force officers will be dedicated to heroin, heroin-related drugs, e.g. methadone and oxycontin, crack cocaine, and methamphetamine enforcement efforts. Any unexpended funds from prior fiscal years shall be carried forward.
(b) The remaining $40,000.00 shall remain as a “pool” of money available to local and county law enforcement to fund overtime costs associated with heroin, heroin-related drugs, e.g. methadone and oxycontin, crack cocaine, and methamphetamine investigations. Any unexpended funds from prior fiscal years shall be carried forward.
Sec. 85b. 21 V.S.A. § 1722(13) is amended to read:
(13) “Municipal employer” means a city, town, village, fire district, lighting district, consolidated water district, housing authority, union municipal district, or any of the political subdivisions of the state of Vermont which employs five or more employees as defined in this section.
Sec. 85c. 24 V.S.A. § 1936(a) is amended to read:
(a)
If the legislative body of a municipality does not establish a police
department or appoint a chief of police, temporary police officers appointed
pursuant to subsection (a) of section 1931 1931(a) of this title
shall serve under the direction and control of the constable of the
municipality of the legislative body.
Sec. 85d. 24 V.S.A. § 1938(a) is amended to read:
(a)
Municipalities as defined in section 2001 of this title Cities,
towns, incorporated villages, the University of Vermont, sheriffs, and state agencies may enter into
agreements to provide for intermunicipal police services. Intermunicipal
police services include general police services, emergency planning and
assistance, task forces, and other specialized investigative units
to provide police services within the boundaries of the participating
municipalities and counties. This section shall only be applicable to such
specialized investigative units or task forces and shall not apply to
arrangements for basic or general police services.
Sec. 85e. 24 V.S.A. § 1939 is added to read:
§ 1939. LAW ENFORCEMENT ADVISORY BOARD
(a) A law enforcement advisory board is created within the department of public safety to advise the commissioner of public safety, the governor, and the general assembly on issues involving the cooperation and coordination of all agencies which exercise law enforcement responsibilities. The board shall review any matter which affects more than one law enforcement agency. The board shall comprise the following members:
(1) the commissioner of the department of public safety;
(2) the director of the Vermont state police;
(3) the director of the Vermont criminal justice support division;
(4) a member of the Vermont association of chiefs of police appointed by the president of the association;
(5) a member of the Vermont sheriffs’ association appointed by the president of the association;
(6) a representative appointed by the Vermont league of cities and towns appointed by the executive director;
(7) a member of the Vermont police association appointed by the president of the association;
(8) the attorney general or his or her designee;
(9) a state’s attorney appointed by the executive director of the department of state’s attorneys and sheriffs;
(10) the U.S. attorney or his or her designee;
(11) the executive director of the Vermont criminal justice training council; and
(12) the defender general or his or her designee.
(b) The board shall elect a chair and a vice chair which shall rotate among the various member representatives. Each member shall serve a term of two years. The board shall meet at the call of the chair. A quorum shall consist of six members, and decisions of the board shall require the approval of a majority of those members present and voting.
(c) The board shall undertake an ongoing formal review process of law enforcement policies and practices with a goal of developing a comprehensive approach to providing the best services to Vermonters, given monies available. The board shall also provide educational resources to Vermonters about public safety challenges in the state.
(d) The board shall meet no fewer than six times a year to develop policies and recommendations for law enforcement priority needs, including retirement benefits, recruitment of officers, training needs, homeland security issues, dispatching, and comprehensive drug enforcement. The board shall present its findings and recommendations in brief summary to the general assembly and the governor annually by January 15.
Sec. 85f. 24 V.S.A. § 4802 is amended to read:
§ 4802. APPROVAL OF PLAN
(a)
Every agreement for a union municipal district or interlocal contract
under this chapter shall be submitted to the attorney general before being
presented to the voters for acceptance or rejection. The attorney general
shall determine whether the agreement is in proper form and compatible with the
laws of this state. In the event that the attorney general fails to notify the
joint survey committee provided for in subchapter 2 of this chapter of his or
her determination within thirty 30 days after receipt of a
copy of the agreement or contract, it shall be deemed to have
been approved.
(b)
In the event that an agreement for a union municipal district or interlocal
contract deals in whole or in part with services or facilities over which
an officer or agency of the state government has constitutional or statutory
powers of control, the agreement or contract shall be submitted to him or
her or it, at the time of its submission to the attorney general. The
officer or agency involved may file objections with the attorney general and
the central planning office.
(c)
No agreement or contract shall be submitted to the voters unless it has
been approved by the attorney general under subsection (a) of this section.
Sec. 85g. 24 V.S.A. § 4833 is amended to read:
§ 4833. OFFICERS
The
members of a joint municipal survey committee shall consist of three an
equal number of representatives from each municipality designated by the
legislative branch. If there is a local planning commission one of the
three members shall be a member of the commission and if the municipality is in
an area served by a regional planning commission, a member of that commission,
chosen by the commission, shall be an ex officio member of the joint survey
committee. Members of the legislative branch of a municipality may serve
as members of the committee. The committee shall elect from their its
own number a chairman chair and secretary and other necessary
officers to serve for such period as the members shall decide.
Sec. 85h. 24 V.S.A. § 4863 is amended to read:
§ 4863. APPROVAL OF AGREEMENT
(a) Any participating municipality may enter into the agreement for the formation of the union municipal district at any annual or special meeting of such municipality duly warned for such purpose.
(b)
At least one public hearing on the proposed agreement shall be held in each
municipality. The last public hearing for such purpose shall be held not less
than five, nor more than fifteen days prior to the date of the annual or
special meeting to consider the proposed agreement. Public notice shall be
given of the public hearing, by the publication of the date, place and purpose
of the hearing in a newspaper of general publication in the municipality and
the posting of a notice in one or more public places within the municipality
not less than fifteen days prior to the date of the public hearing. The notice
shall make reference to a place within the municipality where copies of the proposed
agreement may be examined.
(c)
The vote on the question of accepting the agreement shall be by printed ballot
substantially as follows:
(1)
Shall the – (name of municipality) – enter into an agreement for the formation
of a union municipal district to be known as “ ”.
(d)(c)
The polls shall remain open for at least eight consecutive hours and all
All elections in the separate municipalities shall be held on the same
day. The vote shall be by Australian ballot as provided for in subchapter 3
of chapter 55 of Title 17. Early or absentee voting, as provided by
sections 121 to 147 of Title 17, shall be permitted.
(e)(d)
Where three or more municipalities are concerned in the voting, and at least
two approve the agreement, rejection of the agreement by one or more shall not
defeat the creation of a district composed of the municipalities voting
affirmatively on the question, if the joint survey committee decides that it is
feasible or practical to continue the district as a geographic unit, unless the
agreement as proposed expressly provides that specific participating
municipalities or a minimum number of participating municipalities shall
approve the agreement. Members from municipalities rejecting the agreement may
take no part in the decision of the joint survey committee, or in any
subsequent matters relating to the agreement rejected by the municipalities
they represent.
(f)(e)
The governing body of the district may authorize the inclusion of additional
municipalities outside of the district. Any authorized municipality may take
action to enter into the district according to the approval procedures
contained herein.
(g)(f)
A municipality which is a member of a union municipal district may vote to
withdraw from the union municipal district if one year has elapsed since said
union municipal district has become a body politic and corporate as provided in
section 4865 of this title and if the union municipal district has not voted to
bond for construction and improvements as provided in section 4866 of this
title.
(h)(g)
When a majority of the voters of a member municipality present and voting at a
meeting of such municipality duly warned for that purpose shall vote to
withdraw from a union municipal district, the vote shall be certified by the
clerk of that municipality to the governing body of the union municipal
district. Thereafter, the governing body of the union municipal district shall
give notice to the remaining member municipalities of the vote to withdraw and
such body shall hold a meeting to determine whether it is in the best interests
of the district to continue to exist. Representatives of the member
municipalities shall be given an opportunity to be heard at such meeting
together with any other interested persons. After such meeting, the governing
body may declare the district dissolved immediately or as soon thereafter as
each member municipality’s financial obligations have been satisfied, or it may
declare that the district shall continue to exist despite the withdrawal of the
member municipality.
(i)(h)
A vote of withdrawal taken after a union municipal district has become a body
politic and corporate but less than one year after that date shall be null and
void. A vote of withdrawal taken after the union municipal district has voted
to bond itself for construction and improvements shall likewise be null and
void.
(j)(i)
The membership of the withdrawing municipality shall terminate as of one year
following the vote to withdraw or as soon after such one year period as the
financial obligations of said withdrawing municipality have been paid to the
union municipal district.
Sec. 85i. 24 V.S.A. § 4864 is added to read:
§ 4864. EMPLOYEE ORGANIZATIONS; POLICE EMPLOYEES; STATE
LABOR RELATIONS BOARD
If an employee organization is the exclusive bargaining representative of employees in one or more participating municipalities in a proposed agreement to create a union municipal district for the purpose of providing services currently provided by these employees, any questions of unit determination or representation involving these employees shall be resolved by the state labor relations board pursuant to chapter 22 of Title 21.
Sec. 85j. 24 V.S.A. § 4866 is amended to read:
§ 4866. POWERS AND DUTIES
A union municipal district may:
(1) Hire and fix the compensation of employees.
(2) Contract with consultants and other experts for services.
(3) Contract with the state of Vermont or the federal government, or any agency or department thereof, for services.
(4) Contract with any participating municipality for the services of any officers or employees of that municipality useful to it.
(5) Contract with a county sheriff to provide law enforcement services to the union district.
(6) Promote cooperative arrangements and coordinated action among its participating municipalities.
(6)(7)
Make recommendations for review and action to its participating municipalities
and other public agencies which perform functions within the region in which
its participating municipalities are located; and.
(7)(8)
Exercise any other powers which are exercised or are capable of exercise by any
of its participating municipalities, and necessary or desirable for dealing
with problems of mutual concern.
(8)(9)
Borrow money and issue evidence of indebtedness as provided by chapter 53 of
Title 24. Obligations incurred under such chapter shall be the joint and
several obligations of the district and of each member municipality but shall
not affect any limitation on indebtedness of a member municipality. The cost
of debt service shall be included in the annual budget of the district, and
shall be allocated among the member municipalities as provided in the agreement
for the allocation of the assessment for the ordinary expenses of the
district. Where voter approval is required pursuant to chapter 53 of Title 24,
the governing body of the district shall determine the number and location of
polling places, and when a majority of all the voters present and voting on the
question from all of the member municipalities at such meeting vote to
authorize the issuance of bonds, the district shall be authorized to issue the
bonds as provided in said chapter. The counting of ballots shall be conducted
by the governing board of the district together with the town or city clerk
from each member municipality or his or her designee.
Sec. 85k. 24 V.S.A. § 4901 is amended to read:
§ 4901. AUTHORIZATION
(a)
Any one or more municipalities may contract with any one or more other municipalities
to perform any governmental service, activity, or undertaking which each
municipality entering into the contract is authorized by law to perform,
provided that the contract is recommended by a joint survey committee,
approved by the attorney general as provided in section 4802 of this title, and
authorized by a majority of the voters in each participating municipality at an
annual or special meeting duly warned for that purpose legislative body
of each municipality approves the contract, and expenses for such governmental
service, activity, or undertaking are included in a municipal budget approved
under 17 V.S.A. § 2664 or comparable charter provision.
* * *
(c) A municipality may submit an interlocal contract to the attorney general prior to approval by its legislative body. If such a contract is submitted, the attorney general shall determine whether the contract is in proper form and compatible with the laws of this state and notify the legislative body of the municipality of his or her determination. In the event that the attorney general does not respond to the request within 30 days after receipt of a copy of the contract, the legislative body may approve the contract.
Sec. 85l. APPROPRIATION; LAW ENFORCEMENT RECRUITMENT
IMPLEMENTATION
(a) The amount of $50,000.00 in general funds is appropriated to the department of public safety for the purposes of implementing the recruitment recommendations of the law enforcement advisory board.
Sec. 86. Public safety - criminal justice services
Personal services 5,921,690
Operating expenses 2,677,050
Grants 2,543,500
Total 11,142,240
Source of Funds
General fund 95,000
Transportation fund 4,032,621
Special funds 1,241,307
Federal funds 5,196,212
Interdepartmental transfer 577,100
Total 11,142,240
(a) The commissioner of buildings and general services and the commissioner of public safety shall collaborate to provide a plan for completion of a new public safety forensics laboratory not later than fiscal year 2008. This plan is to be provided to the general assembly by January 15, 2005.
(b) The commissioner of public safety shall request additional funding when necessary to assure continued forensics laboratory accreditation pending completion of the proposed new laboratory facility.
Sec. 86a. 20 V.S.A. § 2055 is amended to read:
§ 2055. FILES
(a) The director of the Vermont crime information center shall maintain and disseminate such files as are necessary relating to the commission of crimes, arrests, convictions, disposition of criminal causes, probation, parole, fugitives from justice, missing persons, fingerprints, photographs, stolen property and such matters as the commissioner deems relevant.
(b) The director shall maintain criminal records pursuant to this chapter regardless of whether the record is fingerprint supported. Any “no print, no record” rule or policy of the center shall be void.
Sec. 87. Public safety - emergency management
Personal services 1,479,294
Operating expenses 701,700
Grants 799,487
Total 2,980,481
Source of Funds
Transportation fund 63,969
Special funds 1,192,211
Federal funds 1,721,800
Interdepartmental transfer 2,501
Total 2,980,481
(a) In fiscal year 2005, the division of emergency management in collaboration with the state agencies, the management of the nuclear power plant, the selectboards of the municipalities in the emergency planning zone, the Windham regional planning commission, and any other municipality defined by the state as required to support the plan shall develop the budget for expenditures from the radiological emergency response plan fund for fiscal year 2006 following the provisions of 20 V.S.A. § 38(a). From the fund, each town within the emergency planning zone shall receive an annual base payment of no less than $5,000.00 for radiological emergency response related expenditures. Additional expenditures by the municipalities in the emergency planning zone, the Windham regional planning commission, and any other municipality defined by the state as required to support the plan shall be determined during the budgeting process established by this section.
(b) Of the above special fund appropriation, up to $30,000.00 shall be granted to WTSA radio for the emergency alert system.
(c) Notwithstanding 20 V.S.A. § 38(a)(5), for that portion of the emergency response plan fund budget for fiscal year 2005 that is approved by the general assembly for support of local community emergency planning zone activities, the commissioner of public safety shall arrange for and receive payment from Entergy Nuclear Vermont Yankee, LLC of the full amount required from Entergy for fiscal year 2005 in the month of July 2004. Within 30 days of receipt thereof the commissioner shall remit directly to each of the municipalities in the emergency planning zone, the Windham regional planning commission, and any other municipality defined by the state as required to support the plan the full amount it is entitled to receive for expenditures as budgeted in subsection (a) of this section. These and all other authorized radiological emergency response plan budget expenditures will continue to be accounted for to the radiological emergency response plan fund manager and included in the annual report.
(d) The director of emergency management shall determine the feasibility of reducing the amount of state personal services and operating expenses needed to support the radiological emergency response plan by utilizing available personnel and material resources from within the emergency planning zone area.
(e) Of the total general fund appropriation for the department of public safety, personal services, $31,995.00 shall be used to fund the emergency management administrative assistant position.
Sec. 87a. MEDICAL RESERVE CORPS; RESPONSIBILITIES AND
PROTECTIONS
(a) Employing its best efforts, by August 1, 2004 or as soon as practicable thereafter, the department of public safety, or any division or office thereof, shall execute a memorandum of understanding with the medical reserve corps of southwestern Vermont, a Vermont organization applying to be qualified under Section 501(c)(3) of the federal Internal Revenue Code. The memorandum of understanding shall specify the relationships, responsibilities, and protections such as, but not restricted to, liability and workers’ compensation offered to members of the medical reserve corps of southwestern Vermont under current Vermont law while performing emergency duties and functions at the direction of the department of public safety or any division or office thereof.
(b) Upon the establishment of a similar medical reserve corps in any other area of the state, the department of public safety, or any division or office thereof, shall execute a similar memorandum of understanding within 60 days, or as soon as practicable thereafter, of receiving notification and documentation of the medical reserve corps’ formal organization.
(c) The provisions of this section shall not terminate on June 30, 2005.
Sec. 88. Agriculture, food and markets - administration
Personal services 783,330
Operating expenses 387,059
Grants 313,404
Total 1,483,793
Source of Funds
General fund 1,337,322
Special funds 65,316
Federal funds 24,542
Interdepartmental transfer 56,613
Total 1,483,793
Sec. 89. Agriculture, food and markets - food safety and consumer assurance
Personal services 1,989,605
Operating expenses 289,441
Grants 2,901,492
Total 5,180,538
Source of Funds
General fund 1,328,083
Transportation fund 38,553
Special funds 3,151,781
Federal funds 655,121
Interdepartmental transfer 7,000
Total 5,180,538
Sec. 90. Agriculture, food and markets - agriculture development
Personal services 626,627
Operating expenses 600,633
Grants 1,034,421
Total 2,261,681
Source of Funds
General fund 558,266
Special funds 1,507,415
Federal funds 196,000
Total 2,261,681
Sec. 91. Agriculture, food and markets - plant industry and labs
Personal services 2,401,202
Operating expenses 563,184
Grants 415,000
Total 3,379,386
Source of Funds
General fund 533,053
Special funds 2,045,138
Federal funds 564,651
Interdepartmental transfer 236,544
Total 3,379,386
(a) Notwithstanding 6 V.S.A. § 929, in fiscal year 2005, $500,000.00 of the special pesticide monitoring revolving fund is included in the above appropriation and may be used to fund fiscal year 2005 agency of agriculture, food and markets personal services and operating costs related to the clean and clear statewide action plan.
(b) Notwithstanding 6 V.S.A. § 364(e), in fiscal year 2005, $250,000.00 of the feeds, seeds, and fertilizer special fund is included in the above appropriation and may be used to fund fiscal year 2005 agency of agriculture, food and markets personal services and operating costs related to the clean and clear statewide action plan.
Sec. 92. Agriculture, food and markets - state stipend
Grants 175,000
Source of Funds
General fund 175,000
Sec. 93. STATE FAIR CAPITAL PROJECTS; ONE-TIME
APPROPRIATIONS
(a) The sum of $50,000.00 in general funds is appropriated to the agency of agriculture, food and markets and shall be used for a competitive grants program for state fair capital projects. No single entity shall be awarded more than ten percent of this appropriation.
Sec. 94. Agriculture, food and markets - mosquito control
Personal services 20,000
Operating expenses 70,000
Total 90,000
Source of Funds
Special funds 90,000
Sec. 95. Public service - regulation and energy
Personal services 4,514,560
Operating expenses 639,201
Grants 450,000
Total 5,603,761
Source of Funds
Special funds 4,598,761
Federal funds 980,000
Interdepartmental transfer 25,000
Total 5,603,761
Sec. 96. Public service - purchase and sale of power
Personal services 10,000
Operating expenses 2,215
Total 12,215
Source of Funds
Special funds 12,215
Sec. 97. Enhanced 9-1-1 Board
Personal services 1,960,337
Operating expenses 457,251
Total 2,417,588
Source of Funds
Special funds 2,417,588
Sec. 98. Public service board
Personal services 2,304,677
Operating expenses 320,000
Total 2,624,677
Source of Funds
Special funds 2,624,677
Sec. 99. Judiciary
Personal services 22,903,174
Operating expenses 5,924,728
Total 28,827,902
Source of Funds
General fund 22,953,570
Transportation fund 3,004,507
Special funds 470,118
Tobacco fund 40,000
Federal funds 305,458
Interdepartmental transfer 2,054,249
Total 28,827,902
(a) The court administrator is requested to propose further measures to reduce the felony case backlog. As part of this effort the court administrator shall propose “acceptable” standards for case backlogs. These proposals and requests for any additional resources are to be coordinated with the defender general and the state’s attorneys’ association to achieve this objective in a balanced and efficient manner. Requests for any additional resources needed by all affected agencies for this purpose are to be included in the fiscal year 2006 budget request.
(b) To the extent that the judiciary allocates additional resources to reduce the criminal case backlog, those resources shall first be directed at Windham and Bennington counties in fiscal year 2005.
(c) The judiciary shall examine and implement appropriate and effective procedures to review the bail of persons on weekends in an effort to reduce the number of persons incarcerated for lack of bail pending arraignment. The judiciary shall report to the joint corrections oversight committee in November 2004 on the implementation and effectiveness of this program during fiscal year 2005.
(d) The court administrator shall review the existing means of providing court security in Vermont and make recommendations for transition to a single security provider from among the following options: court sheriff, state employee, or commercial contract security service. The court administrator shall have the assistance of the commissioner of public safety and the sheriffs’ association in conducting this review. Recommendations are to be submitted in conjunction with the judiciary budget request for fiscal year 2006.
(e) The establishment of one (1) new exempt position – Drug Court Coordinator – is authorized in fiscal year 2005.
(f) Of the above appropriation, $25,000.00 shall be used to provide security at the Franklin county superior court. The court administrator shall not impact the allocation for jury trials as a result of the reallocation of these funds.
Sec. 99a. 4 V.S.A. § 25(c) is amended to read:
(c) The supreme court may allow supreme court justices, superior court judges, district court judges, environmental court judges, magistrates, hearing officers, probate court judges, superior court clerks, or any state compensated employees of the judicial branch not covered by a collective bargaining agreement to take an administrative leave of absence without pay or with pay if the person is called to active duty in support of an extended national or state military operation. These judicial officers and state employees shall be entitled to be compensated in the same manner as judicial branch employees covered by a collective bargaining agreement called to active duty. The court administrator, at the direction of the supreme court, shall include provisions in the personnel rules of the judiciary to administer these leaves of absence.
Sec. 100. 4 V.S.A. § 25(b) is amended to read:
(b) The supreme court is authorized to pay on an
hourly basis all persons whose compensation is established by 32 V.S.A. §§
1010, 1141, 1511, and 1551 and 1592 and 4 V.S.A. §§
23, 75, and 356. The supreme court shall pay all persons whose compensation is
established by 32 V.S.A. § 1141 on the basis of a half day minimum and
hourly thereafter.
Sec. 101. [Deleted]
Sec. 102. Human rights commission
Personal services 352,103
Operating expenses 75,350
Total 427,453
Source of Funds
General fund 273,225
Special funds 1
Federal funds 154,227
Total 427,453
Sec. 103. Fire service training council
Personal services 705,933
Operating expenses 504,768
Grants 48,000
Total 1,258,701
Source of Funds
General fund 464,860
Transportation fund 80,320
Special funds 438,521
Federal funds 105,000
Interdepartmental transfer 170,000
Total 1,258,701
(a) Of the above general fund appropriation, $48,000.00 shall be granted to the Vermont rural fire protection task force for the purpose of designing dry hydrants.
Sec. 104. Total protection to persons and property 202,475,576
Source of Funds
General fund 71,487,292
Transportation fund 27,716,109
Special funds 49,780,652
Tobacco fund 620,000
Federal funds 42,038,733
Enterprise funds 3,763,980
Interdepartmental transfer 7,068,810
Total 202,475,576
Sec. 105. Human services - agency of human services - secretary’s office
Personal services 3,082,913
Operating expenses 1,034,809
Grants 11,281,100
Total 15,398,822
Source of Funds
General fund 5,761,465
Tobacco fund 1,375,845
Federal funds 7,161,512
Interdepartmental transfer 1,100,000
Total 15,398,822
(a) Notwithstanding any other provisions of law, workers employed by persons who receive assistance from the agency of human services to procure attendant, personal care, or respite services or who utilize a qualified intermediary service organization providing services on behalf of the state shall not be considered state employees, except for purposes of 21 V.S.A. chapter 17.
(b) Notwithstanding any other provisions of law, the state may provide workers’ compensation coverage to workers employed by persons who receive assistance from the agency of human services to procure attendant, personal care, or respite services, and the state shall not be considered their employer. The state may also either permit a qualified intermediary service organization to purchase group insurance policies for persons served by their organization or deem such persons to be members of an association and eligible for self‑insurance under 21 V.S.A. § 687a for purposes of providing workers’ compensation. This provision is intended solely to reduce costs of providing workers’ compensation and shall not be considered for any other purpose.
(c) Notwithstanding 32 V.S.A. § 706, the secretary may transfer funds allocated for the “high risk pool” and costs related to juvenile justice as outlined in this section as well as the substance abuse related allocations in subsection (i) outlined in this section to the departments in the agency of human services designated to provide these services.
(d) Of the above tobacco fund appropriation, $49,000.00 shall be used to provide a grant to the project against violent encounters for a statewide program for substance abuse prevention and mentoring program for youth.
(e) Of the above tobacco fund appropriation, $100,000.00 shall be used for a grant to Lamoille County people in partnership for wrap-around services for at-risk youth.
(f) Of the above tobacco fund appropriation, $100,000.00 with any corresponding federal matching funds shall be for comprehensive treatment services and $15,000.00 for safe housing provisions for at-risk youth.
(g) Of the above general fund appropriation, $30,000.00 shall be granted to Prevent Child Abuse Vermont for a comprehensive health education and violence prevention curriculum for seventh and eighth grade students.
(h) Of the above general fund appropriation, $8,000.00 shall be granted to the Vermont council of girl scouts, of which $5,000.00 shall be used to support a girl scout special project to assist girls with incarcerated mothers and $3,000.00 shall be used to support a school vacation program.
(i) Of the above appropriation, a total of $3,823,097.00 consisting of $1,650,341.00 in general funds, $811,845.00 in tobacco funds, and $1,360,911.00 in federal funds shall be used for the comprehensive substance abuse prevention and treatment component of the drug education treatment enforcement and rehabilitation program (DETER).
(1) The amount of $1,440,660.00, of which $744,243.00 is from general and tobacco funds, shall be used to support the outpatient treatment, case management and drug court component of the plan. Of the general and tobacco funds, $144,367.00 shall be allocated to the Rutland county drug court and shall be reserved to provide appropriate drug testing, case management, and other outpatient and inpatient treatment consistent with the design of the Rutland county drug court. These are the state funds the agency of human services shall use as match for year two federal funds from the 2003 Department of Justice Drug Court Implementation Grant award.
(2) The amount of $352,866.00, of which $141,133.00 is from general funds and $141,120.00 is from tobacco funds, shall be used to fund student assistance counselors.
(3) The amount of $599,067.00, of which $517,101.00 is from general funds and $45,000.00 is from tobacco funds, shall be used for residential treatment programs, including transitional halfway house programs, including the Serenity House program.
(4) The amount of $250,000.00 from tobacco funds shall be used for recovery programs. These funds shall be used to provide grants of $35,000.00 each to the recovery programs in Springfield, St. Johnsbury, Rutland, Colchester, Bennington, and Barre; a grant of $20,000.00 to the program in White River Junction; and $20,000.00 shall be available for development, assistance, and evaluation grants to recovery centers.
(5) The amount of $1,180,504.00, of which $389,567.00 is from general funds and $234,022.00 is from tobacco funds, shall be used for opiate treatment programs, including buprenorphine and methadone and treatment for pregnant and postpartum women.
(j) It is the intent of the general assembly that the department of banking, insurance, securities, and health care administration and the department of prevention, assistance, transition, and health access work toward contributing to the support of the health care ombudsman office on an equal basis. This shared support shall not put at risk federal matching funds available to the department of prevention, assistance, transition, and health access.
(k) Of the above tobacco fund appropriation, $200,000.00 along with available matching federal funds shall be available services required for petitions filed by the agency under 33 V.S.A. § 5517(e).
Sec. 105a. 33 V.S.A. § 5517(e) is added to read:
(e) Notwithstanding laws to the contrary in this chapter, the agency of human services may file a petition pursuant to subsections (a) and (c) of this section alleging that a 16- to 17.5-year-old youth who is not in the custody of the state is a child in need of care or supervision under subdivision 5502(a)(12)(C) of this title when the child is at high risk of serious harm to himself or herself or others due to problems such as substance abuse, prostitution, or homelessness, and whose needs transcend any one department of the agency of human services and require complicated clinical interventions from multiple organizations. The report required by subsection (c) of this section shall set forth facts supporting the specific requirements of this section and that it is in the best interests of the child to be considered as a child in need of care or supervision. If the court finds all of the allegations set forth in the report have been established, it shall find the child is a child in need of care or supervision. All proceedings initiated pursuant to this section shall be conducted in accordance with the requirements of this chapter. Services to the child and his or her family shall be provided through a coordinated effort by the agency of human services, the department of education, and community‑based interagency teams.
Sec. 105b. 33 V.S.A. § 5562 is added to read:
§ 5562. JUVENILE JUSTICE DIRECTOR
(a) The governor shall appoint an exempt juvenile justice director, reporting directly to the secretary of the agency of human services, who shall have the responsibility and authority to monitor and coordinate all state and participating regional and local programs that deal with juvenile justice issues, including prevention, education, enforcement, adjudication, and rehabilitation.
(b) The juvenile justice director shall ensure that the following occur:
(1) Development of a comprehensive plan for a coordinated and sustained statewide program to reduce the number of juvenile offenders, involving state, regional, and local officials in the areas of health, education, prevention, law enforcement, corrections, teen activities, and community wellness.
(2) Cooperation among state, regional, and local officials, court personnel, service providers, and law enforcement agencies in the formulation and execution of a coordinated statewide juvenile justice program.
(3) Cooperation among appropriate departments, including the departments of education, corrections, social and rehabilitation services, employment and training, developmental and mental health services, and public safety, and the office of alcohol and drug abuse programs.
(4) A study of issues relating to juvenile justice and development of recommendations regarding changes in law and rules, as deemed advisable.
(5) Compilation of data on issues relating to juvenile justice and analysis, study, and organization of such data for use by educators, researchers, policy advocates, administrators, legislators, and the governor.
Sec. 106. 3 V.S.A. § 3002(a) is amended to read:
(a) An agency of human services is created consisting of the following:
(1) The department of corrections.
(2)
The department of prevention, assistance, transition, and health access for
children and families.
(3)
The department of health except certain environmental protection activities
transferred to the environmental conservation agency.
(4)
The department of social and rehabilitation services.
(5)
The department of developmental and mental health services.
(6)
The office of alcohol and drug abuse.
(7)
Office of economic opportunity.
(8)
A The department of aging and disabilities independent
living.
(9)(5)
The human services board.
(10)(6)
Office of child support Vermont health access.
Sec. 106a. 3 V.S.A. § 3051 is amended to read:
§ 3051. COMMISSIONERS; DEPUTY COMMISSIONERS;
- APPOINTMENT; TERM
(a) The secretary, with the approval of the governor, shall appoint a commissioner of each department, who shall be the chief executive and administrative officer and shall serve at the pleasure of the secretary.
(b) For the department of health, the secretary, with the approval of the governor, shall appoint deputy commissioners for the following divisions of the department:
(1) mental health;
(2) public health;
(3) substance abuse.
(c) For the department for children and families, the secretary, with the approval of the governor, shall appoint deputy commissioners for the following divisions of the department:
(1) field operations;
(2) economic services;
(3) child development;
(4) juvenile and child protection services.
(d) Deputy commissioners shall be exempt from the classified service. Their appointments shall be in writing and shall be filed in the office of the secretary of state.
Sec. 106b. 3 V.S.A. § 3082 is amended to read:
§ 3082. DEPARTMENT OF HEALTH
The
department of health is created within the agency of human services as the
successor to and the continuation of the department of health, and shall
have jurisdiction over all matters covered in chapter 7 of Title 33 and in
Title 18, except mental health provisions and certain environmental protection
activities transferred to the agency of natural resources and the
division of mental health services of the department of developmental and
mental health services. The department of health shall be responsible for the
operation of the Vermont state hospital.
Sec. 106c. 3 V.S.A. § 3084 is amended to read:
§
3084. DEPARTMENT OF SOCIAL AND REHABILITATION
SERVICES FOR CHILDREN AND FAMILIES
(a)
The department of social and rehabilitation services for children and
families is created within the agency of human services as the successor to
and the continuation of the division of social services of the department of
prevention, assistance, transition, and health access department of
social and rehabilitation services, the department of prevention, assistance,
transition, and health access, excluding the office of Vermont health access,
the office of economic opportunity, and the office of child support. The
department shall also include a division of child development programs.
(b) An investigations unit is created within the department for children and families as the successor to and continuation of the investigation functions of the social services division of the department of social and rehabilitation services under chapter 49 of Title 33.
Sec. 106d. 3 V.S.A. § 3085a is amended to read:
§ 3085a. DEPARTMENT OF AGING AND DISABILITIES
INDEPENDENT LIVING
The
department of aging and disabilities independent living is
created within the agency of human services to manage programs and to
protect the interests of older Vermonters and Vermonters with disabilities. It
shall serve as the state unit on aging, as provided by the Older Americans Act
of 1965, as amended, and it shall serve as the administrative home within the
agency of human services for the designated state agencies for federal
vocational rehabilitation and independent living programs, as provided by the
Rehabilitation Act of 1973, as amended as the successor to and
continuation of the department of aging and disabilities, the developmental
services division of the department of developmental and mental health
services, and the personal care and hi-tech programs in the department of
prevention, assistance, transition, and health access.
Sec. 106e. 3 V.S.A. § 3086(b) is amended to read:
(b)
The administrative services operations division shall provide the
following services to the agency and all its components, including components
assigned to it for administration:
(1) Personnel administration;
(2)
Coordination of financing Financing and accounting activities;
(3) Coordination of filing and records maintenance activities;
(4) Provision of facilities, office space, and equipment and the care thereof;
(5) Requisitioning from the department of buildings and general services of the agency of administration, of supplies, equipment and other requirements;
(6)
Management improvement services; and
(7) Training;
(8) Information systems and technology; and
(9) Other administrative functions assigned to it by the secretary.
Sec. 106f. 3 V.S.A. § 3088 is added to read:
§ 3088. OFFICE OF VERMONT HEALTH ACCESS
The office of Vermont health access is created within the agency of human services.
Sec. 106g. APPROPRIATION TRANSFERS; REPORTS
(a) The agency of human services shall submit reports on any transfers made in accordance with Sec. 298(f) of this act to the legislative joint fiscal committee on July 1, September 1, and November 1 for committee review and consideration at the July, September, and November 2004 committee meetings.
Sec. 107. Rate setting
Personal services 628,088
Operating expenses 66,803
Total 694,891
Source of Funds
Interdepartmental transfer 694,891
Sec. 108. Human services board
Personal services 269,238
Operating expenses 32,226
Total 301,464
Source of Funds
General fund 121,082
Federal funds 128,129
Interdepartmental transfer 52,253
Total 301,464
Sec. 109. Developmental disabilities council
Personal services 122,521
Operating expenses 39,600
Grants 321,000
Total 483,121
Source of Funds
Federal funds 483,121
(a) The executive director of the developmental disabilities council shall be an exempt position.
Sec. 110. Office of child support services
Personal services 7,649,310
Operating expenses 2,790,782
Total 10,440,092
Source of Funds
General fund 1,370,517
Special funds 454,125
Federal funds 8,508,350
Interdepartmental transfer 107,100
Total 10,440,092
Sec. 111. Health - administration and support
Personal services 4,149,049
Operating expenses 1,011,452
Total 5,160,501
Source of Funds
General fund 1,072,540
Special funds 21,951
Federal funds 4,066,010
Total 5,160,501
Sec. 112. Health - health protection
Personal services 3,235,360
Operating expenses 650,861
Grants 406,340
Total 4,292,561
Source of Funds
General fund 1,213,228
Special funds 1,122,900
Federal funds 1,509,317
Interdepartmental transfer 447,116
Total 4,292,561
Sec. 113. Health - health surveillance
Personal services 6,827,697
Operating expenses 1,887,908
Grants 2,714,100
Total 11,429,705
Source of Funds
General fund 3,680,018
Special funds 1,072,850
Federal funds 6,546,652
Permanent trust 2,300
Interdepartmental transfer 127,885
Total 11,429,705
(a) Of the above general fund appropriation, $250,000.00 and at least $50,000.00 in federal funds shall be appropriated to the Vermont AIDS service organizations for client-based support services. The grants in this section shall be awarded equitably on a per-client basis and shall be used for services only, not administrative or other purposes. The method by which AIDS service organizations’ clients are counted shall be determined by mutual agreement of the department of health, the AIDS service organizations, and the HIV/AIDS service advisory council (HASAC).
(b) Of the above federal fund appropriation, the Ryan White Title II federal service funds shall be used for direct client-based support services, including services that assist people living with HIV/AIDS to access medical care. The department shall follow federal guidelines and shall be advised by the HASAC for the purpose of prioritization of the use of these funds. Criteria shall be developed by the department, in collaboration with the HASAC, to govern situations when the department may select providers outside the existing AIDS service organizations network to receive part of these Ryan White Title II funds.
(c) Of the above general fund appropriation, $175,000.00 shall be used for all aspects of the HIV/AIDS medication assistance program (AMAP), including the costs of prescribed medications, related laboratory testing, nutritional supplements, and maximum cost-effectiveness for the program.
(d) The secretary of human services shall immediately notify the joint fiscal committee if, at any time, there are insufficient funds in AMAP to assist all eligible individuals. The secretary shall work in cooperation with persons living with HIV/AIDS to develop a plan to continue access to AMAP medications until such time as the general assembly can take action.
(e) The secretary of human services shall work in conjunction with the AMAP advisory committee, comprising no less than 50 percent of members who are living with HIV/AIDS. The committee shall make recommendations regarding the program’s formulary of approved medication, related laboratory testing, nutritional supplements, and eligibility for the program.
Sec. 114. Health - health improvement
Personal services 7,865,343
Operating expenses 1,109,859
Grants 14,554,500
Total 23,529,702
Source of Funds
General fund 3,569,214
Special funds 989,927
Tobacco fund 3,399,677
Federal funds 15,415,384
Interdepartmental transfer 155,500
Total 23,529,702
(a) The department of health may carry forward any unspent portion of funds designated for health professional loan repayment. These funds may be used either alone or to match federal national health service corps loan repayment funds, local funds, or private funds and shall be made available to primary care providers, dentists, licensed nurses, and dental hygienists who agree to practice for a prescribed period of time in the state or at an accredited hospital within 10 miles of the Vermont border, serving a portion of the state designated as a health professional shortage population, or other rural or underserved areas. Educational scholarships, loan repayment grants, loan deferment payments, and payments of taxes due on the award may be considered for payment.
(b) Of the above appropriation, $300,000.00 is to support the Vermont coalition of clinics for the uninsured health care and dental services provided by clinics for uninsured individuals and families.
(c) The above tobacco fund appropriation in this section shall be utilized according to the provisions of 18 V.S.A. chapter 225 as follows:
(1) community-based programs - $1,023,624.00;
(2) media and public education - $926,053.00;
(3) tobacco cessation programs - $1,130,000.00; of this allocation, $80,000.00 shall be used to make nicotine replacement therapies
available to all persons enrolled in tobacco cessation counseling;
(4) surveillance and evaluation activities - $320,000.00.
(d) The department of health in conjunction with the department of education shall track and report quarterly expenses and receipts for the family infant toddler program.
(1) The first report shall include final expenses and receipts by source for fiscal year 2004 (through June 30, 2004) which shall be broken out by quarter and include enrollment data.
(2) For fiscal year 2005, the quarterly reports shall include:
(A) the number of enrolled children;
(B) expenses; and
(C) receipts by source, including federal part C dollars, Medicaid receipts, state general funds, and any other sources of funding.
(3) The department of health shall submit these reports to the house and senate committees on appropriations and health and welfare or the joint health access oversight committee when the general assembly is not in session.
(e) The department of health shall report to the joint health access oversight committee prior to implementing any change in the manner in which services in the family infant toddler program are delivered.
(f) Of the above general fund appropriation, $120,000.00 is for activities to address childhood obesity of which $50,000.00 shall be used to fill the public health nutrition chief position, $50,000.00 for “fitWIC” kits and $20,000.00 for grants of $10,000.00 each to the “Run Girl Run” and “Girls on the Run” programs.
Sec. 115. Health - community public health
Personal services 11,300,056
Operating expenses 1,632,764
Grants 11,594,327
Total 24,527,147
Source of Funds
General fund 4,007,512
Special funds 520,701
Federal funds 19,641,614
Interdepartmental transfer 357,320
Total 24,527,147
(a) The department of health shall include with its annual budget submission the total amount of funds granted through the healthy babies program and the source of funds that support the grant.
Sec. 116. Health - alcohol and drug abuse programs
Personal services 2,370,638
Operating expenses 860,942
Grants 16,767,392
Total 19,998,972
Source of Funds
General fund 4,836,632
Special funds 157,000
Tobacco fund 3,171,266
Federal funds 11,416,074
Interdepartmental transfer 418,000
Total 19,998,972
(a) For the purpose of meeting the need for outpatient substance abuse services when the preferred provider system has a waiting list of five days or more or there is a lack of qualified clinicians to provide services in a region of the state, a state-qualified alcohol and drug abuse counselor may apply to the department of health, division of alcohol and drug abuse programs, for time‑limited authorization to participate as a Medicaid provider to deliver clinical and case coordination services as authorized.
(b)(1) In accordance with federal law, the division of alcohol and drug abuse programs may use the following interim criteria to determine whether to enroll a state-supported Medicaid and uninsured population substance abuse program in the division’s network of designated providers, as described in the state plan:
(A) The program has the ability to provide the quality, quantity, and levels of care required under the division’s standards, licensure standards, and accreditation standards established by the commission of accreditation of rehabilitation facilities, the joint commission on accreditation of health care organizations, or the commission on accreditation for family services.
(B) Any program that is currently being funded in the existing network shall continue to be a designated program until further standards are developed, provided the standards identified in subdivision (1) of this subsection are satisfied.
(C) All programs shall continue to fulfill grant or contract agreements.
(2) The provisions of subdivision (1) of this subsection shall not preclude the division’s “request for bids” process.
(c) Of the above appropriation, $75,000.00 shall be used for drug court programs in Bennington, Chittenden, and Rutland counties. The sum of $25,000.00 is allocated for each drug court program to be used for treatment, case management, coordination, and screening services as needed.
(d) Of the above interdepartmental transfer, $90,000.00 shall be used to support the gambling addiction program.
Sec. 117. Health - medical practice board
Personal services 637,400
Operating expenses 125,000
Total 762,400
Source of Funds
Special funds 762,400
Sec. 117a. 26 V.S.A. § 1351(f) is added to read:
(f) Classified state employees who are employed as investigators by the department of health who have successfully met the standards of training for a full-time law enforcement officer under chapter 151 of Title 20 shall have the same powers as sheriffs in criminal matters and the enforcement of the law and in serving criminal process, and shall have all the immunities and matters of defense now available or hereafter made available to sheriffs in a suit brought against them in consequence for acts done in the course of their employment.
Sec. 118. Social and rehabilitation services - administrative and support services
Personal services 2,237,449
Operating expenses 331,754
Total 2,569,203
Source of Funds
General fund 1,187,302
Federal funds 1,381,901
Total 2,569,203
(a) Prior to entering into long-term contracts to replace the residential capacity lost as a result of the change in status at Mountain View, the department shall seek proposals from qualified providers to meet the residential treatment needs of the department’s caseload.
Sec. 119. Social and rehabilitation services - social services
Personal services 17,195,972
Operating expenses 2,695,866
Grants 52,569,306
Total 72,461,144
Source of Funds
General fund 30,635,390
Special funds 1,306,152
Tobacco fund 75,000
Federal funds 40,444,602
Total 72,461,144
Sec. 120. Social and rehabilitation services - child care services
Personal services 1,785,851
Operating expenses 409,257
Grants 35,740,228
Total 37,935,336
Source of Funds
General fund 13,328,821
Transportation fund 60,249
Special funds 832,000
Federal funds 23,637,014
Interdepartmental transfer 77,252
Total 37,935,336
(a) Of the above appropriation, $50,000.00 shall be granted to the Vermont Center for the Book.
Sec. 120a. FISCAL YEAR 2004 CHILD CARE SUPPLEMENTAL
APPROPRIATION
(a) In addition to funds already appropriated to the department of social and rehabilitation services for child care expenditures, $1,700,000.00 in general funds is appropriated from the human services caseload reserve established under 32 V.S.A. § 308b to meet caseload pressures in fiscal year 2004.
Sec. 121. [Deleted]
Sec. 122. Social and rehabilitation services - Woodside rehabilitation center
Personal services 2,282,357
Operating expenses 438,299
Total 2,720,656
Source of Funds
General fund 2,665,764
Interdepartmental transfer 54,892
Total 2,720,656
Sec. 123. Social and rehabilitation services - disability determination services
Personal services 2,719,300
Operating expenses 441,112
Total 3,160,412
Source of Funds
Federal funds 2,915,267
Interdepartmental transfer 245,145
Total 3,160,412
Sec. 124. Prevention, assistance, transition, and health access - administration
Personal services 27,827,176
Operating expenses 5,254,699
Grants 1,414,675
Total 34,496,550
Source of Funds
General fund 13,476,039
Special funds 2,047,319
Federal funds 18,973,192
Total 34,496,550
(a) Of the above special fund appropriation, $85,000.00 shall be from the universal service fund for administration and software expenses for the lifeline program.
Sec. 125. Prevention, assistance, transition, and health access - reach up
Grants 44,486,083
Source of Funds
General fund 15,948,867
Special funds 2,200,000
Federal funds 26,337,216
Total 44,486,083
Sec. 126. Prevention, assistance, transition, and health access - aid to aged, blind and disabled
Personal services 1,365,966
Grants 9,218,772
Total 10,584,738
Source of Funds
General fund 10,584,738
Sec. 127. FUND APPROPRIATIONS AND TRANSFERS
(a) The sum of $69,065,572.00 is appropriated and transferred from the general fund to the health access trust fund in fiscal year 2005.
(b) The sum of $17,250,000.00 is appropriated and transferred from the tobacco litigation settlement fund to the health access trust fund in fiscal year 2005.
Sec. 128. Prevention, assistance, transition, and health access - Medicaid
Personal services 15,812,482
Grants 565,725,112
Total 581,537,594
Source of Funds
Special funds 227,732,074
Federal funds 353,805,520
Total 581,537,594
(a) HIV/AIDS health insurance assistance program.
(1) The department of prevention, assistance, transition, and health access (PATH) in cooperation with the department of health shall operate an HIV/AIDS insurance assistance program.
(2) The program shall pay all or a portion of continuation health insurance premiums for those eligible individuals with HIV/AIDS for whom it can be determined that continuation of private insurance coverage is less costly to the state than other alternatives.
(3) Eligibility for this program shall be limited to individuals whose household income does not exceed 200 percent of the federal poverty level, after deducting unreimbursed medical expenses and health insurance premiums from gross income, and whose assets, exclusive of the primary residence and certain other exclusions to be defined by the department of prevention, assistance, transition, and health access, do not exceed $10,000.00.
(4) Expenditures under this program shall not exceed $55,000.00 in fiscal year 2005.
(b) The general assembly recognizes that increasing malpractice insurance premium costs are jeopardizing access to physician services for Medicaid beneficiaries. Of the above appropriation, $250,000.00 from the health access trust fund, along with federal matching funds, shall be used to increase reimbursement paid to physicians. The increase shall be applied equally to all procedures.
(c) The rules for Medicaid payments for nursing homes shall be amended, effective July 1, 2004, to raise the limit on recognition of base year per diem costs to 135 percent of the median base year nursing care per diem costs, 120 percent of the median base year resident care per diem costs, and 137 percent of the median base year indirect per diem costs for all private nursing homes participating in the Vermont Medicaid program that meet the criteria set out in Sec. 160(b) of No. 142 of the Acts of 2002. Notwithstanding any other provisions of law, the rule change required by this subsection shall be adopted as soon as practicable after passage of this act and shall be exempt from the procedural requirements of 3 V.S.A. chapter 25, except that the agency of human services shall make reasonable efforts to ensure that the change is made known to persons who may be affected by it.
* * * Prescription Drug Price Disclosure * * *
Sec. 128a. 33 V.S.A. § 2008 is added to read:
§ 2008. PRESCRIPTION DRUG PRICE DISCLOSURE
(a) Upon request, a pharmacy shall disclose to any consumer or health care provider the usual and customary retail price of a prescription drug.
(b) With each prescription dispensed, a pharmacy shall disclose to the consumer, in writing, the price of the prescription and any payment toward the price required of the consumer.
(c) For purposes of this section:
(1) “Price of the prescription” means the amount charged by the pharmacy to the consumer or, if applicable, to the consumer’s health benefit plan.
(2) “Usual and customary retail price” means the total price charged to a consumer who does not have prescription drug coverage under a health benefit plan.
(d) In addition to any other remedy provided by law, the attorney general may file an action in superior court for a violation of this section. In any such action, the attorney general shall have the same authority to investigate and to obtain remedies as if the action were brought under the consumer fraud act, chapter 63 of Title 9. Each violation of this section constitutes a separate civil violation for which the attorney general may obtain relief.
* * * Pharmaceutical Marketers * * *
Sec. 128b. 33 V.S.A. § 2005 is amended to read:
§ 2005. PHARMACEUTICAL MARKETERS
(a)(1)
Annually on or before January 1 of each year, every pharmaceutical
manufacturing company shall disclose to the Vermont board of pharmacy office
of the attorney general the value, nature, and purpose of any
gift, fee, payment, subsidy, or other economic benefit provided
in connection with detailing, promotional, or other marketing activities
by the company, directly or through its pharmaceutical marketers, to any
physician, hospital, nursing home, pharmacist, health benefit plan
administrator, or any other person in Vermont authorized to prescribe,
dispense, or purchase prescription drugs in this state. Disclosure shall
include the name of the recipient. Disclosure shall be made on a form and
in a manner prescribed by the board office of the attorney general
and shall require pharmaceutical manufacturing companies to report the value,
nature, and purpose of all gift expenditures according to specific categories.
Initial disclosure shall be made on or before January 1, 2004 for
the 12-month period ending June 30, 2003. The
board shall provide to the office of the attorney general complete access to
the information required to be disclosed under this subsection. The
office of the attorney general shall report annually on the disclosures made
under this section to the general assembly and the governor on or before March
1.
(2) Each
Annually in the month of October, each company subject to the provisions
of this section also shall also disclose to the board, on or
before October 1, 2002 and annually thereafter office
of the attorney general, the name and address of the individual responsible
for the company’s compliance with the provisions of this section.
(3)
The Vermont board of pharmacy and the office of the attorney general
shall keep confidential all trade secret information, as defined by subdivision
317(b)(9) of Title 1. The disclosure form prescribed by the board shall
permit the company to identify any information that is a trade secret.
(4) The following shall be exempt from disclosure:
(A) free samples of prescription drugs intended to be distributed to patients;
(B)
the payment of reasonable compensation and reimbursement of expenses in
connection with bona fide clinical trials. As used in this subdivision, “clinical
trial” means an approved clinical trial conducted in connection with a research
study designed to answer specific questions about vaccines, new therapies or
new ways of using known treatments;
(C)
any gift, fee, payment, subsidy or other economic benefit the value of which is
less than $25.00; and
(D) scholarship or other support for medical students, residents and fellows to attend a significant educational, scientific, or policy-making conference of a national, regional, or specialty medical or other professional association if the recipient of the scholarship or other support is selected by the association;
(E) unrestricted grants for continuing medical education programs; and
(F) prescription drug rebates and discounts.
* * *
(c) As used in this section:
(1) “Approved clinical trial” means a clinical trial that has been approved by the U.S. Food and Drug Administration (FDA) or has been approved by a duly constituted Institutional Review Board (IRB) after reviewing and evaluating it in accordance with the human subject protection standards set forth at 21 C.F.R. Part 50, 45 C.F.R. Part 46, or an equivalent set of standards of another federal agency.
(2) “Bona fide clinical trial” means an approved clinical trial that constitutes “research” as that term is defined in 45 C.F.R. § 46.102 when the results of the research can be published freely by the investigator and reasonably can be considered to be of interest to scientists or medical practitioners working in the particular field of inquiry.
(3) “Clinical trial” means any study assessing the safety or efficacy of drugs administered alone or in combination with other drugs or other therapies, or assessing the relative safety or efficacy of drugs in comparison with other drugs or other therapies.
(4) “Pharmaceutical marketer” means a person who, while employed by or under contract to represent a pharmaceutical manufacturing company, engages in pharmaceutical detailing, promotional activities, or other marketing of prescription drugs in this state to any physician, hospital, nursing home, pharmacist, health benefit plan administrator, or any other person authorized to prescribe, dispense, or purchase prescription drugs. The term does not include a wholesale drug distributor or the distributor’s representative who promotes or otherwise markets the services of the wholesale drug distributor in connection with a prescription drug.
(2)(5) “Pharmaceutical
manufacturing company” means any entity which is engaged in the production,
preparation, propagation, compounding, conversion, or processing of
prescription drugs, either directly or indirectly by extraction from substances
of natural origin, or independently by means of chemical synthesis, or by a
combination of extraction and chemical synthesis, or any entity engaged in the
packaging, repackaging, labeling, relabeling, or distribution of prescription
drugs. The term does not include a wholesale drug distributor or pharmacist
licensed under chapter 36 of Title 26.
(6) “Unrestricted grant” means any gift, payment, subsidy, or other economic benefit to an educational institution, professional association, health care facility, or governmental entity which does not impose any restrictions on the use of the grant, such as favorable treatment of a certain product or an ability of the marketer to control or influence the planning, content, or execution of the education activity.
Sec. 128c. 33 V.S.A. § 2005a is added to read:
§ 2005a. PHARMACEUTICAL MARKETER PRICE DISCLOSURE
(a) When a pharmaceutical marketer engages in any form of prescription drug marketing directly to a physician or other person authorized to prescribe prescription drugs, the marketer shall disclose to the physician or other prescriber the average wholesale price (AWP) of the drugs being marketed. Disclosure shall include the AWP per pill and the price relationship between the drug being marketed and other drugs within the same therapeutic class.
(b) The disclosures required under this section shall be on a form and in a manner prescribed by the office of the attorney general. The attorney general may adopt rules to implement the provisions of this section.
(c) In addition to any other remedy provided by law, the attorney general after consultation with the commissioner of banking, insurance, securities, and health care administration may file an action in superior court for a violation of this section or of rules adopted under this section. In any such action, the attorney general shall have the same authority to investigate and to obtain remedies as if the action were brought under the consumer fraud act, chapter 63 of Title 9. Each violation of this section or of rules adopted under this section constitutes a separate civil violation for which the attorney general may obtain relief.
(d) As used in this section:
(1) “Average wholesale price” or “AWP” means the wholesale price charged on a specific commodity that is assigned by the drug manufacturer and listed in a nationally recognized drug pricing file.
(2) “Pharmaceutical manufacturing company” is defined by subdivision 2005(c)(2) of this title.
(3) “Pharmaceutical marketer” is defined by subdivision 2005(c)(1) of this title.
* * * Over the Counter Drugs * * *
Sec. 128d. 33 V.S.A. § 1992a is added to read:
§ 1992a. OVER THE COUNTER DRUG COVERAGE
(a) All public pharmaceutical assistance programs shall provide coverage for those over the counter drugs on the preferred drug list developed under section 1998 of this title, provided the drugs are authorized as part of the medical treatment of a specific disease or condition and they are a less costly, medically appropriate substitute for a currently covered prescription drug.
(b) The department shall seek any waivers of federal law, rule, or regulation necessary to implement the provisions of this section.
* * * Prescription Filling * * *
Sec. 128e. 8 V.S.A. § 4089j is added to read:
§ 4089j. RETAIL PHARMACIES; FILLING OF PRESCRIPTIONS
(a) A health insurer and pharmacy benefit manager doing business in Vermont shall permit a retail pharmacist licensed under chapter 36 of Title 26 to fill prescriptions in the same manner and at the same level of reimbursement as they are filled by mail order pharmacies with respect to the quantity of drugs or days’ supply of drugs dispensed under each prescription.
(b) As used in this section,
(1) “Health insurer” is defined by subdivision 9402(9) of Title 18.
(2) “Pharmacy benefit manager” means an entity that performs pharmacy benefit management. “Pharmacy benefit management” means an arrangement for the procurement of prescription drugs at negotiated dispensing rates, the administration or management of prescription drug benefits provided by a health insurance plan for the benefit of beneficiaries, or any of the following services provided with regard to the administration of pharmacy benefits:
(A) mail service pharmacy;
(B) claims processing, retail network management, and payment of claims to pharmacies for prescription drugs dispensed to beneficiaries;
(C) clinical formulary development and management services;
(D) rebate contracting and administration;
(E) certain patient compliance, therapeutic intervention, and generic substitution programs; and
(F) disease management programs.
(c) This section shall apply to Medicaid, the Vermont health access plan, the VScript pharmaceutical assistance program, and any other public health care assistance program.
* * * OTC; Joint Purchasing within Vermont; Counterdetailing * * *
Sec. 128f. 33 V.S.A. § 1998 is amended to read:
§ 1998. PHARMACY BEST PRACTICES AND COST CONTROL
PROGRAM ESTABLISHED
(a) The commissioner of prevention, assistance, transition, and health access shall establish a pharmacy best practices and cost control program designed to reduce the cost of providing prescription drugs, while maintaining high quality in prescription drug therapies. The program shall include:
(1) A preferred list of covered prescription drugs that identifies preferred choices within therapeutic classes for particular diseases and conditions, including generic alternatives and over-the-counter drugs.
(A)
The commissioner, and the commissioner of banking, insurance,
securities, and health care administration shall implement the preferred drug
list as a uniform, statewide preferred drug list by encouraging all health
benefit plans in this state to participate in the program.
(B) The commissioner of personnel shall use the preferred drug list in the state employees health benefit plan only if participation in the program will provide economic and health benefits to the state employees health benefit plan and to beneficiaries of the plan, and only if agreed to through the bargaining process between the state of Vermont and the authorized representatives of the employees of the state of Vermont. The provisions of this subdivision do not authorize the actuarial pooling of the state employees health benefit plan with any other health benefit plan, unless otherwise agreed to through the bargaining process between the state of Vermont and the authorized representatives of the employees of the state of Vermont. No later than November 1, 2004, the commissioner of personnel shall report to the health access oversight committee and the senate and house committees on health and welfare on whether use of the preferred drug list in the state employees health benefit plan would, in his or her opinion, provide economic and health benefits to the state employees health benefit plan and to beneficiaries of the plan.
* * *
(4) Education
programs, including a counterdetailing With input from physicians,
pharmacists, private insurers, hospitals, pharmacy benefit managers, and the
drug utilization review board, an evidence-based research education program,
designed to provide information and education on the therapeutic and
cost-effective utilization of prescription drugs to physicians, pharmacists,
and other health care professionals authorized to prescribe and dispense
prescription drugs. To the extent possible, the program shall inform prescribers
about drug marketing that is intended to circumvent competition from generic
alternatives. Details of the program, including the scope of the program and
funding recommendations, shall be contained in a report submitted to the health
access oversight committee and the senate and house committees on health and
welfare no later than January 1, 2005;
* * *
* * * Expanding Use of 340B Programs * * *
Sec. 128g. 33 V.S.A. § 2008 is added to read:
§ 2008. FEDERAL DISCOUNT PROGRAMS; STUDY
The commissioner shall study and by January 1, 2005 report to the governor, the senate and house committees on health and welfare and on appropriations, and the health access oversight committee on the feasibility of providing discounted prescription drugs to Vermont’s most vulnerable patient populations through the use of Section 340B of the federal Public Health Service Act, 42 United States Code § 256b (1999). The commissioner shall work with other state agencies, representatives of state employees, and representatives of health care providers and facilities in the state to provide the following information:
(1) A description of all health care providers and facilities in the state potentially eligible for designation as “covered entities” under Section 340B, including without limitation all hospitals eligible as disproportionate share hospitals; recipients of grants from the United States Public Health Service; federally qualified health centers; federally qualified look-alikes; state‑operated AIDS drug assistance programs; Ryan White CARE Act Title I, Title II, and Title III programs; tuberculosis, black lung, family planning, and sexually transmitted disease clinics; hemophilia treatment centers; public housing primary care clinics; and clinics for homeless people.
(2) A listing of potential applications of Section 340B and the potential benefits to public, private, and third-party payors for prescription drugs, including:
(A) application to inmates and employees in youth correctional facilities, county jails, and state prisons;
(B) maximizing the use of Section 340B within state-funded managed care plans;
(C) the inclusion of Section 340B providers in state bulk purchasing initiatives; and
(D) using sole source contracts with Section 340B providers to furnish high-cost chronic care drugs.
(3) Discounts available through Section 340B contracts, including estimated cost savings to the state as a result of retail mark-up avoidance, negotiated subceiling prices, and coordination with the Medicaid program in order to minimize costs to the program and to other purchasers of prescription drugs.
(4) The resources available to potential applicants for designation as covered entities for the application process, establishing a Section 340B program, establishing state qualified health centers with concurrent federally qualified health center look-alike status, restructuring the health care system, or other methods of lowering the cost of prescription drugs. The resources must include state and federal agencies and private philanthropic grants to be used for the purposes of this section.
* * * Mental Health Drugs * * *
Sec. 128h. MENTAL HEALTH DRUGS; SUNSET EXTENSION
Subdivision (2) of Sec. 5 of No. 127 of the Acts of the 2001 Adj. Sess. (2002) is amended to read:
(2)
Sec. 1, 33 V.S.A. § 1999(d) (prior authorization and drugs used to treat mental
illness), shall be repealed on July 1, 2004 2006. The commissioner of prevention, assistance,
transition, and health access shall report to the health access oversight
committee concerning the drug utilization review board’s analysis of
prescribing patterns, literature, and testimony regarding clinical efficacy and
outcomes, expenditure trends, and any proposed revisions to the preferred drug
list as it pertains to drugs used to treat mental illness. The commissioner’s
report shall include also an assessment of the use of medication algorithms and
of the behavioral pharmacy project implemented in the state of Missouri.
* * * Medicare Drug Benefit: Impact on Vermont and Coordination
with State Programs * * *
Sec. 128i. PRESCRIPTION DRUG COVERAGE FOR MEDICARE
BENEFICIARIES
The department of prevention, assistance, transition, and health access shall analyze the financial impact on the state of Vermont and on Vermont Medicare beneficiaries caused by implementation of the federal Medicare Prescription Drug, Improvement, and Modernization Act of 2003, P.L. 108-173, and report its findings annually to the health access oversight committee and the senate and house committees on health and welfare beginning October 1, 2004. The final report shall be on October 1, 2009.
Sec. 128j. PRESCRIPTION DRUG BENEFIT WORKING GROUP
The commissioner of aging and disabilities with representatives from the department of prevention, assistance, transition, and health access shall convene a working group of elderly and disabled consumers, advocates, and providers to:
(1) develop and implement a plan which at a minimum shall include outreach, education, and assistance to minimize any confusion and duplication of coverage caused by the introduction of the new, federally mandated Medicare discount cards to Vermont Medicare beneficiaries, especially those who also are eligible for Medicaid, VHAP-Rx, VScript, VScript Expanded, or Healthy Vermonters; and
(2) plan for the implementation of Medicare Part D in the state beginning January 1, 2006. Such planning shall include both monitoring and advocacy on federal policy as it relates to Vermont state pharmaceutical assistance programs with a goal of minimizing any reduction of assistance to these beneficiaries. The plan shall analyze fully the potential gains and losses to Vermont and to its state pharmaceutical assistance beneficiaries resulting from Medicare Part D and the balance of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, P.L. 108-173, and shall provide ongoing cost projections and identify sources of funding for holding these beneficiaries harmless from pharmacy benefit cuts once Medicare Part D is implemented.
* * * Prior Authorization Exemption * * *
Sec. 128k. 33 V.S.A. § 1999(f) is amended to read:
(f) The
program’s prior authorization process shall require that the prescriber, not
the pharmacy, request a prior authorization exception exemption
to the requirements of this section. The No later than December 31,
2004, the commissioner shall create a pilot program may designed
to exempt a prescriber from the need to secure prior authorization for
a specific drug category requirement of the preferred drug list program
if the program determines that the prescriber has written a minimum number
of scripts in that category, and the prescriber prescribes prescription drugs
on the preferred drug list at or above the minimum threshold for that category
met compliance standards established by the department in consultation with
the drug utilization review board. This exemption does not apply to drugs that
require prior authorization for clinical reasons.
* * * Reimportation * * *
Sec. 128l. 8 V.S.A. § 4089i is added to read:
§ 4089i. PRESCRIPTION DRUG COVERAGE
A health insurance or other health benefit plan offered by a health insurer shall provide coverage for prescription drugs purchased in Canada, and used in Canada or reimported legally, on the same benefit terms and conditions as prescription drugs purchased in this country. For drugs purchased by mail or through the internet, the plan may require accreditation by the Internet and Mailorder Pharmacy Accreditation Commission (IMPAC™) or similar organization.
Sec. 128m. 33 V.S.A. § 2007 is added to read:
§ 2007. CANADIAN PRESCRIPTION DRUG INFORMATION PROGRAM
The department of prevention, assistance, transition, and health access shall establish a website and prepare written information to offer guidance to Vermont residents seeking information about ordering prescription drugs through the mail or otherwise from a participating Canadian pharmacy.
Sec. 128n. APPLICABILITY; STATUTORY REVISION
The statutory revision commission is directed to recodify 8 V.S.A. §§ 4089i and 4089j (health care ombudsman) as 8 V.S.A. §§ 4089v and 4089w, respectively.
* * * Healthy Vermonters Expansion * * *
Sec. 128o. 33 V.S.A. § 2003 is amended to read:
§
2003. PHARMACY DISCOUNT PLAN PLANS
(a) On
or before July 1, 2002, the The
commissioner shall implement a pharmacy discount plan plans,
to be known as the “Healthy Vermonters” program and the “Healthy Vermonters
Plus”program, for Vermonters without adequate coverage for prescription
drugs. The provisions of section 1992 of this title shall apply to the
commissioner’s authority to administer the pharmacy discount plan plans
established by this section. The commissioner may establish an enrollment
fee in such amount as is necessary to support the administrative costs of the
plan.
(b)
The pharmacy discount plan authorized by this section Healthy
Vermonters program shall include a program implemented as a Section 1115
Medicaid waiver, wherein the state makes a payment toward the cost of the drugs
dispensed to individuals enrolled in this program of at least two percent of
the cost of each prescription or refill, consistent with the appropriation for
the program established by this section offer beneficiaries an initial
discounted cost for covered drugs. Upon approval by the Centers for Medicare
and Medicaid Services of a Section 1115 Medicaid waiver program, and upon
subsequent legislative approval, the Healthy Vermonters program and the Healthy
Vermonters Plus program shall offer beneficiaries a secondary discounted cost,
which shall reflect a state payment toward the cost of each dispensed drug as
well as any rebate amount negotiated by the commissioner.
(c) The
commissioner shall implement the pharmacy discount program authorized by this
section without any financial contribution by the state otherwise required by
subsection (b) of this section, and without federal waiver approval during such
time as federal waiver approval has not been secured.
(d) As
used in this section:
(1) “Beneficiary” means any individual enrolled in either the Healthy Vermonters program or the Healthy Vermonters Plus program.
(2) “Eligible
Healthy Vermonters beneficiary” means any individual Vermont
resident without adequate coverage:
(A) who
is at least 65 years of age, or is disabled and is eligible for Medicare or
Social Security disability benefits, with household income equal to or less
than 400 percent of the federal poverty level, as calculated under the rules of
the Vermont health access plan, as amended, and any other individual Vermont
resident with; or
(B)
whose household income is equal to or
less than 300 percent of the federal poverty level, as calculated under the
rules of the Vermont Health access plan, as amended; and.
(3) “Healthy Vermonters Plus beneficiary” means any individual Vermont resident without adequate coverage:
(A) whose household income is greater than 300 percent and equal to or less than 350 percent of the federal poverty level, as calculated under the rules of the Vermont health access plan, as amended; or
(B) whose family incurs unreimbursed expenses for prescription drugs, including insurance premiums, that equal five percent or more of household income or whose total unreimbursed medical expenses, including insurance premiums, equal 15 percent or more of household income.
(4) “Initial discounted cost” means the price of the drug based on the Medicaid fee schedule.
(5) “Labeler” means an entity or person that receives prescription drugs from a manufacturer or wholesaler and repackages those drugs for later retail sale and that has a labeler code from the federal Food and Drug Administration under 21 Code of Federal Regulations, 207.20 (1999).
(6) “Participating retail pharmacy” means a retail pharmacy located in this state or another business licensed to dispense prescription drugs in this state that participates in the program according to rules established by the department and provides discounted prices to eligible beneficiaries of the program.
(7) “Rebate amount” means the rebate negotiated by the commissioner and required from a drug manufacturer or labeler under this section. In determining the appropriate rebate, the commissioner shall:
(A) take into consideration the rebate calculated under the Medicaid Rebate Program under section 1396r-8 of Title 42 of the United States Code, the average wholesale price of prescription drugs, and any other information on prescription drug prices and price discounts;
(B) use his or her best efforts to obtain an initial rebate amount equal to or greater than the rebate calculated under the Medicaid program under section 1396r-8 of Title 42 of the United States Code;
(C) use his or her best efforts to obtain an amount equal to or greater than the amount of any discount, rebate, or price reduction for prescription drugs provided to the federal government.
(8) “Secondary discounted cost” means, under the Healthy Vermonters program, the price of the drug based on the Medicaid fee schedule, less payment by the state of at least two percent of the Medicaid rate, less any rebate amount negotiated by the commissioner and paid for out of the Healthy Vermonters dedicated fund established under subsection (j) of this section and, under the Healthy Vermonters Plus program, the average wholesale price of the drug, less payment by the state of at least two percent of the Medicaid rate, less any rebate amount negotiated by the commissioner and paid for out of the Healthy Vermonters dedicated fund established under subsection (j).
(2)(9) “Vermonter
without Without adequate coverage” includes eligible
beneficiaries with no coverage for prescription drugs or certain types of
prescription drugs, and eligible beneficiaries whose annual maximum
coverage limit under their health benefit plan has been reached.
(d) Drugs covered by the pharmacy discount plans shall include all drugs covered under the Medicaid program.
(e) The Vermont board of pharmacy shall adopt standards of practice requiring disclosure by participating retail pharmacies to beneficiaries of the amount of savings provided as a result of the pharmacy discount plans. The standards must consider and protect information that is proprietary in nature. The department may not impose transaction charges under this program on pharmacies that submit claims or receive payments under the plans. Pharmacies shall submit claims to the department to verify the amount charged to beneficiaries under the plans. On a weekly or biweekly basis, the department must reimburse pharmacies for the difference between the initial discounted price or the average wholesale price and the secondary discounted price provided to beneficiaries.
(f) The names of drug manufacturers and labelers who do and do not enter into rebate agreements under pharmacy discount plans are public information. The department shall release this information to health care providers and the public on a regular basis and shall publicize participation by manufacturers and labelers. The department shall impose prior authorization requirements in the Medicaid program, as permitted by law, to the extent the department determines it is appropriate to do so in order to encourage manufacturer and labeler participation in the pharmacy discount plans and so long as the additional prior authorization requirements remain consistent with the goals of the Medicaid program and the requirements of Title XIX of the federal Social Security Act.
(g) The commissioner shall establish, by rule, a process to resolve discrepancies in rebate amounts claimed by manufacturers, labelers, pharmacies, and the department.
(h) The Healthy Vermonters dedicated fund is established to receive revenue from manufacturers and labelers who pay rebates as provided in subdivision (d)(5) of this section and any appropriations or allocations designated for the fund. The purposes of the fund are to reimburse retail pharmacies for discounted prices provided to individuals enrolled in the pharmacy discount plans; and to reimburse the department for contracted services, including pharmacy claims processing fees, administrative and associated computer costs, and other reasonable program costs. The fund is a nonlapsing dedicated fund. Interest on fund balances accrues to the fund. Surplus funds in the fund must be used for the benefit of the program.
(i) Annually, the department shall report the enrollment and financial status of the pharmacy discount plans to the health access oversight committee by September 1, and to the general assembly by January 1.
(j) The department shall undertake outreach efforts to build public awareness of the pharmacy discount plans and maximize enrollment. Outreach efforts shall include steps to educate retail pharmacists on the purposes of the Healthy Vermonters dedicated fund, in particular as it relates to pharmacy reimbursements for discounted prices provided to program enrollees. The department may adjust the requirements and terms of the pharmacy discount plans to accommodate any new federally funded prescription drug programs.
(k) The department may contract with a third party or third parties to administer any or all components of the pharmacy discount plans, including outreach, eligibility, claims, administration, and rebate recovery and redistribution.
(l) The department shall administer the pharmacy discount plans and other medical and pharmaceutical assistance programs under this title in a manner advantageous to the programs and enrollees. In implementing this section, the department may coordinate the other programs and the pharmacy discount plans and may take actions to enhance efficiency, reduce the cost of prescription drugs, and maximize benefits to the programs and enrollees, including providing the benefits of pharmacy discount plans to enrollees in other programs.
(m) The department may adopt rules to implement the provisions of this section.
(n) The department shall seek a waiver from the Centers for Medicare and Medicaid Services (CMS) requesting authorization necessary to implement the provisions of this section, including application of manufacturer and labeler rebates to the pharmacy discount plans. The secondary discounted cost shall not be available to beneficiaries of the pharmacy discount plans until the department receives written notification from CMS that the waiver requested under this section has been approved and until the general assembly subsequently approves all aspects of the pharmacy discount plans, including funding for positions and related operating costs associated with eligibility determinations.
Sec. 129. Sec. 147(d) of No. 66 of the Acts of 2003 is amended to read:
(d) VHAP, premium-based.
* * *
(2) The department shall establish per individual premiums for the VHAP Uninsured program for the following brackets of income for the VHAP group as a percentage of federal poverty level (FPL):
(A) Income less than or equal to 50 percent of FPL:
$4.00 per month.
(B)(A) Income greater than 50 percent and less than or
equal to 75 percent of FPL: $10.00 per month.
(C)(B) Income greater than 75 percent and less than or
equal to 100 percent of FPL: $35.00 per month.
(D)(C) Income greater than 100 percent and less than or
equal to 150 percent of FPL: $45.00 per month.
(E)(D) Income greater than 150 percent and less than or
equal to 185 percent of FPL: $65.00 per month.
(3) The department shall establish per household
premiums for the working people with disabilities program for the following
brackets of income for the Medicaid group as a percentage of federal poverty
level (FPL):
(A) Income greater than 185 percent of FPL and less
than or equal to 225 percent of FPL: $50.00 per month.
(B) Income greater than 225 percent of FPL and less
than or equal to 250 percent of FPL, without other health insurance coverage:
$75.00 per month.
(C) Income greater than 225 percent of FPL and less
than or equal to 250 percent of FPL, with other health insurance coverage:
$60.00 per month.
Sec. 129a. Sec. 152 of No. 66 of the Acts of 2003 is amended to read:
Sec. 152. THE ADOPTION OF PREVENTION,
ASSISTANCE, TRANSITION, AND HEALTH ACCESS RULES
(a) Notwithstanding any provisions to the contrary in
3 V.S.A. chapter 25, the commissioner of prevention, assistance, transition,
and health access may adopt rules in order that changes reflected in Sec. 147
subsections (b), (c), (d)(3), (f)(1), (j), (k) and (l) of this act shall
be implemented by July 1, 2003. These rules shall be effective upon filing
with the secretary of state, and the changes authorized therein shall be
implemented no sooner than 10 days following the mailing of adverse action
notice and shall have the full force and effect of rules adopted pursuant to 3
V.S.A. chapter 25. Any such rules filed by the commissioner with the secretary
of state shall be deemed to be in full compliance with 3 V.S.A. § 843 and shall
be accepted by the secretary of state, if filed with a certification by the
commissioner that the rule is required to meet the purposes of this section. Rules
adopted under this subsection shall remain in effect until December 31, 2003 or
until amended by rules adopted pursuant to the provisions of Sec. 152a of this
act. Notwithstanding the provisions to the contrary of 3 V.S.A. chapter
25, the commissioner may file prior to and adopt, effective as soon as
promulgated, all rules necessary to exempt all individuals domiciled in the state
of Vermont from the implementation of Sec. 115(a) of Public Law 104-193 through
June 30, 2004.
Sec. 130. Sec. 147(g) of No. 66 of the Acts of 2003 is amended to read:
(g) Premium billing, collections and nonpayment.
(1) The commissioner shall make such changes in the
billing and collection process as are necessary to minimize administrative
effort and uncollected premiums effective January 1, 2004. The
changes in the following subdivisions (A), (B), and (D)(iii) shall be effective
January 1, 2004. The changes in the following subdivisions (C),
(D)(i), and (D)(iv)-(vi) shall be effective August 1, 2004 The
changes in subdivision (D)(ii) shall be implemented as soon as administratively
feasible. These changes shall
include:
(A) Shifting from retrospective to prospective billing.
(B) Continuing the current billing approach for all groups currently paying program fees until the new billing approach is approved and ready to be implemented.
(C) Adjusting the billing cycle for premiums to facilitate efforts by beneficiaries to stay current and avoid delinquencies.
(D) Requiring beneficiaries to pay prospectively a premium equivalent to one month of coverage before initial enrollment, so that:
(i) if a premium is received and processed prior to the first day of the current month, then full coverage shall begin on the first day of the current month;
(ii) if a premium is received and processed after the first day of the current month, then full coverage shall begin on the first day of the following month;
(iii) for applicants seeking VHAP coverage, limited coverage (essential hospital, physician and pharmaceutical coverage) shall be provided at no cost between the date that the beneficiary is determined eligible and the date that full coverage begins, contingent upon receipt of premium payment;
(iv) VHAP beneficiaries shall receive a notice of eligibility determination that includes a description of the limited coverage and a warning that if the premium is not paid, the beneficiary shall be responsible for all bills incurred in the interim;
(v) for applicants seeking VHAP coverage if payment of the premium is not received by the due date, no payment shall be made for any care received after eligibility is determined;
(vi) if a VHAP beneficiary’s coverage is cancelled and the beneficiary attempts to reenroll within 12 months, no limited benefit coverage shall be provided, except under the following circumstances:
(aa) the applicant or spouse had employer or university‑sponsored insurance that terminated;
(bb) the applicant’s household income dropped below 75 percent of FPL;
(cc) the applicant established residence in another state for more than 30 days and subsequently returned to Vermont;
(dd) medical incapacity during the period when premium payments were due;
(vii) following payment of the initial premium, premium bills for subsequent months shall be sent at least 25 days before enrollment may be closed;
(viii) for subsequent months, notice shall be sent at least 10 days before closure for nonpayment of premiums;
(ix) for subsequent months, eligibility shall be reinstated if payment of premiums is received by the last day of month;
(x) for the VHAP Pharmacy, VScript and VScript expanded programs, the prospective billing mechanism described above in Sec. 147 (g)(1)(D)(i)-(ii) shall apply. Limited coverage, described above in Sec. 147 (g)(1)(D)(iii), is not available. If a beneficiary’s coverage is cancelled for nonpayment of premium due to medical incapacity during the period when premium payments were due, the department will provide coverage between the date that the coverage lapsed due to nonpayment of the premium and the last day of the current month, provided that the beneficiary will be responsible for all bills incurred during this period if all premium payments due are not received by the last day of the current month;
(xi) for pregnant women and children participating in
the Dr. Dynasaur, underinsured children, and the SCHIP programs coverage
groups, the prospective billing mechanism described above in
Sec. 147(g)(1)(D)(i)‑(ii) shall apply. Limited coverage, described
above in Sec. 147(g)(1)(D)(iii), is not available. Provisions of federal law
permitting retroactive coverage shall apply, subject to payment of premiums for
any such retroactive coverage sought by the beneficiary;
(xii) for beneficiaries participating in the Working
People with Disabilities program, the prospective billing mechanism
described above in Sec. 147 (g)(1)(D)(i)-(ii) shall apply. Limited coverage,
described above in Sec. 147 (g)(1)(D)(iii), is not available. Provisions of
federal law permitting retroactive coverage shall apply, subject to payment of
premiums for any such retroactive coverage sought by the beneficiary. If a
beneficiary’s coverage is cancelled and the beneficiary attempts to reenroll
within twelve months, contingent upon federal approval, three-month retroactive
coverage will not be provided, except under the following circumstances:
(aa) the applicant or spouse had employer or
university-sponsored insurance that terminated;
(bb) the applicant’s household income dropped below
75% of FPL;
(cc) the applicant established residence in another
state for more than 30 days and subsequently returned to Vermont;
(dd) medical incapacity during the period when premium
payments were due.
* * *
Sec. 130a. 33 V.S.A. § 1901c is added to read:
§ 1901c. MEDICAL CARE ADVISORY COMMITTEE
(a) The commissioner shall appoint a medical care advisory committee to advise the department about health care and medical services, consistent with the requirements of federal law.
(b) The medical care advisory committee shall be given an opportunity to participate in policy development and program administration for Medicaid and for the VHAP and VScript programs, as they are defined in section 1901b of this subchapter. It shall have an opportunity to review and comment upon agency policy initiatives pertaining to health care benefits and beneficiary eligibility. It also shall have the opportunity to comment on proposed rules prior to commencement of the rulemaking process and on waiver or waiver amendment applications prior to submission to the Centers for Medicare and Medicaid Services. Prior to the annual budget development process, the department shall engage the medical care advisory committee in priority setting, including consideration of scope of benefits, beneficiary eligibility, funding outlook, financing options, and possible budget recommendations.
(c) The medical care advisory committee shall make policy recommendations on department proposals to the department, the health access oversight committee, and the standing committees on health and welfare. When the general assembly is not in session, the commissioner shall respond in writing to these recommendations, a copy of which shall be provided to each of the legislative committees.
(d) During the legislative session, the commissioner shall provide the committee at regularly scheduled meetings updates on the status of policy and budget proposals.
(e) The commissioner shall convene the medical care advisory committee at least six times each year.
(f) At least one-third of the members of the medical care advisory committee shall be recipients of Medicaid, VHAP, or VScript. Such members shall receive per diem compensation and reimbursement of expenses pursuant to section 1010 of Title 32, including costs of travel, child care, personal assistance services, and any other service necessary for participation on the committee approved by the commissioner.
(g) The commissioner shall appoint members of the medical care advisory committee for staggered, nonrecurring three-year terms. The commissioner may remove members of the committee who fail to attend three consecutive meetings and appoint replacements.
(h) For purposes of this section, “program administration” means annual and long-term strategic planning, including priority setting, relative to scope of benefits, beneficiary eligibility, funding outlook, financing options, and possible budget recommendations.
Sec. 131. RULES SUSPENSION PURSUANT TO FEDERAL APPROVAL
(a) The rules adopted by the department of prevention, assistance, transition, and health access pursuant to Sec. 147(k) of No. 66 of the Acts of 2003 shall be amended based upon guidance received from the Center for Medicare and Medicaid Services which has approved valuation of United States savings bonds as a resource beginning on the date of purchase unless individuals have requested and been denied a hardship waiver from the United States Department of the Treasury, Bureau of Public Debt.
(b) Notwithstanding any provisions to the contrary in 3 V.S.A. chapter 25, the commissioner of prevention, assistance, transition, and health access shall adopt rules to implement the changes reflected in Sec. 131(a) of this act by July 1, 2004. The commissioner shall file these rules with the secretary of state. The secretary of state shall accept the rules and deem them to be in full compliance with 3 V.S.A. § 843, if filed with a certification by the commissioner that the rule is required to meet the purposes of this section. These rules shall be effective upon filing with the secretary of state, and the changes authorized therein shall have the full force and effect of rules adopted pursuant to 3 V.S.A. chapter 25. Rules adopted under this subsection shall remain in effect until amended by rules adopted pursuant to 3 V.S.A. chapter 25.
Sec. 132. [Deleted]
Sec. 133. 33 V.S.A. § 1973 is added to read:
§ 1973. VERMONT HEALTH ACCESS PLAN
(a) The department of prevention, assistance, transition, and health access shall establish the Vermont health access plan (VHAP) pursuant to a waiver of federal Medicaid law. The plan shall remain in effect as long as the federal waiver is granted or renewed.
(b) The purpose of the Vermont health access plan is to provide health care coverage for uninsured or underinsured low income Vermonters. The commissioner of the department of prevention, assistance, transition, and health access shall establish rules regarding eligibility and administration of the plan.
Sec. 134. Prevention, assistance, transition, and health access - general assistance
Grants 4,376,260
Source of Funds
General fund 3,264,939
Special funds 1
Federal funds 1,111,320
Total 4,376,260
(a) Of the above appropriation, $527,000.00 in federal TANF funds and $50,000.00 in general funds are allocated specifically for assistance to families who demonstrate they are faced with a reasonably preventable loss of housing and who meet state requirements for this assistance, as established by rule. Of the above general fund appropriation, $50,000.00 shall be used for the “Category II” rental assistance program. Assistance under this provision is not an entitlement and shall cease upon expenditure of these allocated funds.
(b) Of the above appropriation, an amount not to exceed $150,000.00 ($75,000.00 in federal TANF funds and $75,000.00 in general funds) may be expended for temporary housing assistance to individuals and families that have reached the 28-day maximum allowed under department rules and have a continued need for this type of emergency assistance. Assistance shall be limited to an additional 56 cumulative days beyond the current 28-day maximum. Assistance under this provision is not an entitlement and shall cease upon expenditure of these allocated funds.
Sec. 135. Prevention, assistance, transition, and health access - home heating fuel assistance/LIHEAP
Personal services 20,000
Operating expenses 90,000
Grants 8,352,075
Total 8,462,075
Source of Funds
Special funds 8,462,075
(a) Of the funds appropriated for home heating fuel assistance/LIHEAP in this act, no more than $350,000.00 shall be expended for crisis fuel direct service/administration exclusive of statewide after hours crisis coverage.
Sec. 136. WEATHERIZATION FUND ANALYSIS
(a) On or before December 15 of each year, the department of public service and the agency of human services in consultation with the joint fiscal office shall develop and submit a report to the senate and house committees on appropriations which provides:
(1) any projected or actual reserves in the special fund established pursuant to 33 V.S.A. § 2503, the expenditure of which would not adversely impact ongoing levels of weatherization services; and
(2) an analysis of the projected need of households eligible for fuel assistance in meeting their heating bills in the current heating season as compared to previous heating seasons. A heating season shall be defined as the six months from October through March.
Sec. 137. PREVENTION, ASSISTANCE, TRANSITION, AND HEALTH
ACCESS - HOME HEATING FUEL ASSISTANCE/LIHEAP
(a) All federal funds granted to the state for home heating fuel assistance under the low income home energy assistance program (LIHEAP) or other similar federal program in fiscal year 2005 and all unexpended LIHEAP funds granted to the state in fiscal year 2004 are hereby transferred to the home heating fuel assistance trust fund for the provision of home heating fuel assistance, including program administration, under 33 V.S.A. chapter 26.
(b) For the purpose of a crisis set-aside, seasonal home heating fuel assistance through December 31, 2004, and program administration, the commissioner of finance and management shall transfer $2,550,000.00 from the home weatherization assistance trust fund to the home heating fuel assistance trust fund to the extent that federal LIHEAP or similar federal funds are not available. An equivalent amount shall be returned to the home weatherization trust fund from the home heating fuel assistance trust fund to the extent that federal LIHEAP or similar federal funds are received. Should a transfer of funds from the home weatherization assistance trust fund be necessary for the 2004-2005 crisis set-aside and seasonal home heating fuel assistance through December 31, 2004, and LIHEAP funds awarded as of December 31, 2004 for fiscal year 2005 do not exceed $2,550.000.00, subsequent payments under the home heating fuel assistance program shall not precede January 30, 2005. Notwithstanding any other provision of law, payments authorized by the office of home heating fuel assistance shall not exceed funds available, except that for fuel assistance payments made through December 31, 2004, the commissioner of finance and management may anticipate receipts into the home weatherization assistance trust fund.
Sec. 138. Prevention, assistance, transition, and health access - food stamp
cash out
Grants 5,764,119
Source of Funds
Federal funds 5,764,119
Sec. 139. TANF EXEMPTION
(a) The commissioner may exempt all individuals domiciled in the state of Vermont from the implementation of Sec. 115(a) of Public Law 104-193 through June 30, 2005.
Sec. 139a. 33 V.S.A. § 101(4) is amended to read:
(4) Assistance and benefits shall be so administered as to maintain and encourage dignity, self-respect, and self-reliance. It is the legislative intent that assistance granted shall be adequate to maintain a reasonable standard of health and decency based on current cost of living indices. Notwithstanding this subdivision, the department will amend rules that establish new maximum Reach Up grant amounts only when the general assembly has taken affirmative action to increase or decrease the Reach Up financial assistance appropriation.
Sec. 140. Developmental and mental health services - central office
Personal services 2,439,723
Operating expenses 788,274
Total 3,227,997
Source of Funds
General fund 1,423,598
Federal funds 1,804,399
Total 3,227,997
(a) The commissioner of the department of developmental and mental health services shall collaborate with the housing and conservation board and the Vermont housing finance agency to determine whether there would be substantial savings by refinancing long-term capital debt on land and buildings owned by community mental health centers and used as housing for low income Vermonters with physical or mental disabilities. The commissioner, board, and agency shall jointly provide a written report of the findings and conclusions to the house and senate committees on appropriations by January 31, 2005.
Sec. 141. COMMITTEE ON DEPARTMENT OF DEVELOPMENTAL AND
MENTAL HEALTH SERVICES DESIGNATED AGENCY
PROVIDER SYSTEM
(a) It is the intent of the general assembly to ensure that consumers have access to a comprehensive and adequate continuum of care, and that the department of developmental and mental health services designated agency provider system is financially sustainable.
(b) There is created a committee to study and report on the department of developmental and mental health services designated agency provider system. The committee shall be broadly constituted of individuals with knowledge and interest in the subject matter areas. Members shall be appointed upon passage of this act and shall include:
(1) the secretary of human services or designee;
(2) the commissioner of developmental and mental health services or designee;
(3) the commissioner of health or designee;
(4) the commissioner of aging and disabilities or designee;
(5) at least four members selected by the Vermont council on developmental and mental health services;
(6) one member selected by the Vermont association for mental health;
(7) one current or recent recipient of community developmental services;
(8) one current or recent recipient of community mental health services;
(9) one representative of the department of finance and management;
(10) one member selected by the Vermont association of hospital and health systems; and
(11) other members as necessary to accomplish the purposes of this section.
(c) In studying the department of developmental and mental health services designated agency provider system, the secretary and the committee shall consider the following:
(1) issues relative to the delivery of services, including best practice models, group versus individualized services, preventive and primary care, service coordination options, and cost-effective approaches to delivering services;
(2) ways to ensure funding parity among mental health, substance abuse, and physical health;
(3) baseline infrastructure requirements;
(4) whether the system is underfunded and, if so, the impact of such underfunding;
(5) issues relative to realistic service expectations, including reasonable reimbursement rates and funding mechanisms that correlate with utilization trends;
(6) issues relative to human resources, including recruitment and retention strategies, training and education, licensing requirements, and competitive compensation; and
(7) issues relative to efficient business practices, including group purchasing of health insurance, workers’ compensation, information technology, and business supplies; and efficient practices for revenue collection.
(d) The agency of human services shall contract with a third party consultant to review and make recommendations regarding the financial sustainability of the department of developmental and mental health services designated agency provider system. The secretary or designee, in collaboration with the committee, shall design the scope of work, design request for proposals, and select a consultant. The consultant selected by the agency shall submit its report to the secretary and the committee no later than November 1, 2004.
(e) On or before November 15, 2004, the secretary, in collaboration with the committee, shall provide a report, including the underlying data, regarding the financial sustainability, resources, efficiency, and services offered by designated provider agencies to the mental health oversight committee. The agency of human services shall ensure that the research is inclusive of the above elements and shall address the range of services or rate of any growth in the need of services.
(f) On or before December 15, 2004, the secretary shall file a report with the governor and the general assembly detailing the findings and recommendations with respect to the issues covered in subsections (c), (d), and (e) of this section, including comments from the mental health oversight committee. In addition, the report shall include recommendations for the short‑ and long‑term financial sustainability of the department of developmental and mental health services designated agency provider system, including options to create more reliable annual budget decisions.
(g) The committee is authorized to meet up to six times per year and shall cease to exist on July 1, 2006.
Sec. 141a. VERMONT STATE HOSPITAL FUTURE PLANNING
ADVISORY GROUP
(a) It is the intent of the general assembly that all mental health programs, services, and supports, including inpatient psychiatric services, be provided to individuals with psychiatric disabilities or diagnoses or emotional disorders in a holistic, comprehensive continuum of care, that consumers be treated at all times with dignity and respect, that public resources be allocated efficiently and produce the best positive outcomes, and that direct services overseen and provided by the agency of human services and its community partners be client- and family-centered and ‑driven, accessible, and culturally competent.
(b) The secretary of human services shall be responsible for the development and, upon approval by the mental health oversight committee and joint fiscal committee, implementation of a comprehensive strategic plan for the delivery of services currently provided by the Vermont state hospital developed within the context of long-range planning for a comprehensive continuum of care for mental health services. The secretary shall upon passage establish a statewide state hospital future planning advisory group to advise the secretary on development and implementation of a strategic plan related to developing alternatives to the services currently provided by the Vermont state hospital.
(c) The members of the state hospital future planning advisory group may consist of the members of the current Vermont state hospital advisory committee. If the members of the Vermont state hospital advisory committee are unwilling or unable to serve as the members of the state hospital future planning advisory group for some or all of the functions identified in this section, a specific group shall be created with members appointed by the secretary. In either instance, the state hospital future planning advisory group shall have members representing the following: designated community mental health agencies; designated hospitals; the adult program standing committee; consumers and their family members; psychiatric and nursing staff of the Vermont state hospital; a recent patient of the Vermont state hospital; patient rights protection organizations; Vermont legal aid; the department of corrections; developmental services; child and adolescent mental health services; the Vermont psychiatric association; the Vermont psychological association; and the Vermont state employees’ association.
(d) Members of the state hospital future planning advisory group not receiving compensation for service on the advisory group from another source are entitled to compensation under section 1010 of Title 32.
(e) The secretary or designee shall consult with the advisory group on all aspects of strategic planning, including methods of seeking further public input, investigation of program options and policies, and recommendations concerning organization, operations, funding, and implementation.
(f) The principles guiding the state hospital future planning advisory group in creating the immediate and long‑term plans for the Vermont state hospital shall include the following:
(1) an understanding of the role of active treatment within the goal of recovery;
(2) an understanding of the role of trauma in the lives of individuals;
(3) accessible general medical care;
(4) minimal use of involuntary interventions such as seclusion, restraint, and involuntary medication;
(5) staff training in the use of safe and appropriate alternatives to involuntary interventions;
(6) consumers’ participation in the development and implementation of their treatment plans;
(7) consumers’ right to privacy and the right to have information regarding their care remain confidential, unless disclosure is authorized by the consumer or required under the law;
(8) ongoing consumer and community input with regard to program oversight and development; and
(9) accountability for all components of the mental health care system.
(g) The state hospital future planning advisory group shall consider and make recommendations to the secretary on the following:
(1) in general, the future of Vermont’s inpatient psychiatric programs, including those currently provided by the Vermont state hospital and, more specifically, whether new general or forensic inpatient programs should be created, either in partnership with designated hospitals or with hospitals or other facilities that do not currently provide inpatient psychiatric services;
(2) designs for programs that are responsive to changes over time in levels and types of need, service delivery practices, and sources of funding;
(3) whether designated hospitals should be encouraged to expand existing psychiatric services;
(4) whether additional community-based, hospital alternative, or diversion programs should be developed;
(5) whether the state should expand community‑based peer run programs;
(6) whether to create a flexible individual case management program to fund support services necessary to keep individuals out of the hospital;
(7) how to design mental health services to maximize safety and ensure appropriate protection for the legal rights of consumers;
(8) the development of ongoing quality monitoring and consumer satisfaction programs;
(9) methods for maximizing federal funding sources and mental health coverage under private and public insurance plans;
(10) the necessity of developing housing alternatives, including group homes, supportive housing, and independent living options;
(11) the integration of primary care with the mental health system of care, including the need for education on the appropriate uses of psychotropic medications and follow-up care;
(12) governance issues, including governance of the Vermont state hospital and an assessment of the role of the board of mental health and whether new members should be appointed; and
(13) ways to improve judicial proceedings concerning involuntary treatment and involuntary medication.
(h) On or before October 15, 2004, the secretary shall prepare and present for approval to the mental health oversight committee an outline of the findings and recommendations for replacement of the functions of the Vermont state hospital.
(i) On or before January 15, 2005, the secretary shall prepare and present to the mental health oversight committee and the joint fiscal committee a report containing a comprehensive implementation plan for replacing the services currently provided by the Vermont state hospital developed within the context of long-range planning for a comprehensive continuum of care for mental health services. The report shall include proposals for legislation and capital and operational funding needed to implement the plan.
(j) For purposes of this section, the state hospital future planning advisory group shall cease to exist on July 1, 2006.
Sec. 141b. THE DEPARTMENT OF CORRECTIONS MENTAL HEALTH
SERVICES PLAN
(a) The commissioner of corrections shall provide the mental health oversight committee with the corrections mental health services plan no later than January 15, 2005.
(b) The secretary shall ensure that the findings and recommendations of the corrections mental health services plan be coordinated with and complementary to the findings and recommendations required by Secs. 141 and 141a of this act.
Sec. 141c. THE MENTAL HEALTH OVERSIGHT COMMITTEE
(a) The mental health oversight committee is created to oversee the development and implementation of the secretary of human services’ strategic plan to develop alternatives for services currently provided by the Vermont state hospital and to ensure that consumers have access to a comprehensive and adequate continuum of care and Vermont has a financially sustainable department of developmental and mental health services designated agency provider system. The committee shall be composed of one member from each of the house committees on health and welfare, institutions, and appropriations and a member-at-large to be appointed by the speaker of the house, not all from the same party, and one member from each of the senate committees on health and welfare, institutions, and appropriations and one member-at-large to be appointed by the committee on committees, not all from the same party. Initial appointments shall be made upon passage.
(b) The committee shall review whether the secretary’s study on the department of developmental and mental health services designated agency provider system required in Sec. 141 of this act, the strategic plan for developing alternatives to the Vermont state hospital required in Sec. 141a of this act, and the department of corrections mental health services plan achieve the goals and principles stated herein effectively, efficiently, and satisfactorily, including that the findings and recommendations of the reports are coordinated and complementary. The committee shall specifically:
(1) solicit input from individuals and their families served by the mental health system;
(2) monitor the study and planning processes and time lines;
(3) measure the efforts of the agency of human services against the goals and principles described in this act; and
(4) review and approve, modify, or disapprove the recommendations contained in the reports required by Secs. 141 and 141a of this act and authorize preliminary implementation steps for developing alternatives to the services currently provided by the Vermont state hospital developed within the context of long-range planning for a comprehensive continuum of care for mental health services.
(c) Based on the reports required by Secs. 141, 141a, and 141b of this act, the committee shall recommend areas of further study needed to develop a comprehensive continuum of care for mental health services.
(d) The committee is authorized to meet up to six times per year while the general assembly is not in session to perform its functions under this section.
(e) The secretary of the agency of human services shall report to the committee as required by the committee and Secs. 141 and 141a of this act and this section.
(f) Members of the committee shall be entitled to compensation and reimbursement for expenses under section 406 of Title 2.
(g) The secretary of administration, the legislative council, and the joint fiscal office shall provide staff support requested by the committee.
(h) The committee shall cease to exist on July 1, 2006.
* * *Licensing of the State Hospital* * *
Sec. 141d. 18 V.S.A. § 1902(1)(I) is amended to read:
(I) The provisions of this subdivision (1) do not apply to any of the following institutions:
(i) Nursing and convalescent homes, boarding homes, homes for the aged, nurseries, and institutions used primarily for domiciliary care;
(ii)
Any hospital conducted, maintained, or operated by the United States
government, the state of Vermont, or a duly
authorized agency thereof.
The commissioner of health may develop interim licensing criteria specific to the Vermont state hospital that shall be applicable until the hospital achieves recertification by the federal Centers for Medicare and Medicaid Services or until January 31, 2005, whichever occurs first.
Sec. 141e. 18 V.S.A. § 7511 is added to read:
§ 7511. TRANSPORTATION
(a) The commissioner shall ensure that all reasonable and appropriate efforts consistent with public safety are made to transport or escort a person subject to this chapter to and from any inpatient setting, including escorts within a designated hospital or the Vermont state hospital, in a manner which:
(1) prevents physical and psychological trauma;
(2) respects the privacy of the individual; and
(3) represents the least restrictive means necessary for the safety of the patient.
(b) The commissioner shall have the authority to designate by rule the professionals who may transport patients under the commissioner’s care and custody.
Sec. 141f. 18 V.S.A. § 7504 is amended to read:
§ 7504. APPLICATION FOR EMERGENCY EXAMINATION
(a) A person shall be admitted to a designated hospital for an emergency examination to determine if he or she is a person in need of treatment upon written application by an interested party accompanied by a certificate by a licensed physician who is not the applicant. The application and certificate shall set forth the facts and circumstances which constitute the need for an emergency examination and which show that the person is a person in need of treatment.
(b) The
application and certificate shall be authority for any mental health
professional or law enforcement officer to take the person into temporary
custody and to transport transporting the person to a designated
hospital for an emergency examination, as provided in section 7511 of this
title.
(c) For the purposes of admission of an individual to a designated hospital for care and treatment under this section, a head of a hospital, as provided in subsection (a) of this section, may include a person designated in writing by the head of the hospital to discharge the authority granted in this section. A designated person must be an official hospital administrator, supervisory personnel or a licensed physician on duty on the hospital premises other than the certifying physician under subsection (a) of this section.
Sec. 142. Developmental and mental health services - community mental health
Personal services 3,007,985
Operating expenses 453,111
Grants 103,035,192
Total 106,496,288
Source of Funds
General fund 35,947,821
Special funds 7,775,810
Federal funds 58,369,269
Interdepartmental transfer 4,403,388
Total 106,496,288
Sec. 143. Developmental and mental health services - developmental services
Personal services 3,196,296
Operating expenses 498,012
Grants 95,811,783
Total 99,506,091
Source of Funds
General fund 38,524,746
Special funds 905,890
Federal funds 58,943,955
Interdepartmental transfer 1,131,500
Total 99,506,091
Sec. 144. Developmental and mental health services - Vermont state hospital
Personal services 14,658,501
Operating expenses 1,764,303
Grants 3,000
Total 16,425,804
Source of Funds
General fund 1,867,915
Special funds 110,000
Federal funds 572,426
Interdepartmental transfer 13,875,463
Total 16,425,804
Sec. 145. Aging and disabilities - administration and support
Personal services 15,221,670
Operating expenses 2,498,348
Total 17,720,018
Source of Funds
General fund 4,632,832
Special funds 782,599
Federal funds 11,300,136
Interdepartmental transfer 1,004,451
Total 17,720,018
(a) Of the above appropriation, at least $10,000.00 shall be expended by the department for the support of “The Independent,” an independent newsletter to provide information and education on aging and disabilities issues.
Sec. 146. Aging and disabilities - division of advocacy and independent living
Grants 22,331,687
Source of Funds
General fund 8,783,764
Transportation fund 419,330