The FY2003 Recommended Budget includes Full Time Employees =1,239.9. Funding=$166,997,034. Total change from FY02 of =$5,121,701. General Fund = $2,407,862, Federal Funds= $2,806,663, Other Funds= -$92,824, and FTE = -8.

Budget Detail for Secretary. The Secretary's office monitors and reviews the programs and services of the department to ensure efficient and effective delivery of services. The Secretary coordinates the administrative and financial services by managing substantive and fiscal policy. TOTAL: Governor's Recommendation FY2003=$1,401,832, Dollar Change From FY 2002=$4,907, Percent Change From FY 2002= -0.3 percent, and Governor's Recommendation FY2003 FTE =26.0.

Ms. Wanda Seiler, Director, Division of Developmental Disabilities (Document #4) presented information to the committee. The division supports individuals with developmental disabilities and their families by responding to individual needs and promoting inclusion, growth, choice, and productivity. The Governor's Recommendation FY 2003 is $66,241,571. Dollar change from FY2002 is $3,925,376. The Governor recommends 14.0 FTEs.

Ms. Seiler informed the committee about Family Support. The Governor recommends $1,807,857 which includes $1,141,220 from the general fund and $666,367 from federal funds. This is an increase of $233,071 (14.8 percent) from the FY 2002 budget. The recommendation includes $33,071 ($23,595 from the general fund) for an inflationary increase of 2.1 percent and $200,000 from a federal grant for services.

The Family Support program enables children with developmental disabilities to reside at home with their families rather than in an institutional setting. Family Support has a statewide component and a local one administered by 11 local non-profit organizations that also cover the state. There are programs in Sioux Falls (two), the southeast, Mitchell, the northeast, Aberdeen, Brookings, the central area, the northern Black Hills, the southern Black Hills, and the south central area. According to the agency, services provided by the statewide program are less than what the local programs provide. For FY 2001, the statewide program average was $454 per family and the local program average was $2,388 per family. Currently there are 168 families on a waiting list to receive services from a local program. The program serves approximately 826 families.

Adult Home and Community Based Services (HCBS). The Governor recommends $55,666,727 which includes $19,232,854 from the general fund and $36,433,873 from federal funds. This is an increase of $3,601,158 (6.9 percent) from FY 2002. The Home and Community Based Services (HCBS) Program provides services through 19 providers fro 2,238 individuals. The agency anticipates the number of individuals served to increase to 2,280. The enhancement includes:

$1,561,967 ($536,926 from the general fund) for an inflationary increase of 3.0 percent, $2,039,191 ($1,265,706 from the general fund) for an additional 48 clients.

Senator Drake asked how the department estimated an additional 48 clients. Ms. Seiler said that the number was based on historical information of the average number of people have admitted for the last two years.

Community Adjustment Training Centers. The following services are provided: residential habilitation, pre-vocational training, supported employment, service coordination, physical/occupational/speech therapy, nursing services, community living training, recreation and leisure skills training, and transportation.

Representative Lange asked about the history of Community Adjustment Training Centers. Ms. Oldenkamp responded that they were started in the early 1980's with a Title Block Grant.

Senator Putnam asked about the Safe and Stable Families Program (an independent living program) money figures from the federal government. Ms. Oldenkamp said that they would find out more information on the program.

Ms. Seiler informed the committee about Developmental Disabilities Consumer Expansion. The FY03 Recommended Budget Total is $ 2,039,191.

Senator Madden asked about the larger cost of the daily rate for kids turning 21. Ms. Seiler said that these individuals have more behavior problems which requires more supervision.

Senator Greenfield asked how many individuals under 21 are served. Ms. Seiler said that there are 300 students under 21. The local school districts pay for the individuals while they are in school until they are 21 years old. After their twenty- first birthday, funds need to be made available for services.

Developmental Disabilities. FY2003 total recommended budget is $66,241,571. This includes $23,740,671 from the general funds and $42,500,900 from federal funds. Major items recommended total $4,125,571.

Ms Anne Rieck Mosena, President and CEO of Sioux Vocational Services, Sioux Falls introduced Carol and Al Miller who talked about a family member who has been helped tremendously by the opportunity to learn independent skills at Sioux Vocational Services.
Joel Dykstra and his daughter, Sarah Dykstsra, who is a client at Sioux Vocational Services told the committee about the benefits and offerings at the site.

Misty Galerin, Sioux Vocational Supervisor told the committee about a typical day dealing with clients.

Senator Dennert asked Mr. Dykstra about England's organizations to help those with disabilities. His daughter, Sarah had been taking advantage of the services. Mr. Dykstra said that it is hard to compare the two countries methods of dealing with individuals with different abilities.

The meeting recessed at 10:20AM.

The meeting reconvened at 10:40AM.

Ms. Anne Rieck Mosena, South Dakota Association of Community Based Services, Sioux Falls, and Rebecca Carlson, South Dakota Association of Community Based Services, Winner, South Dakota (Document #5) presented information from a 2002 Position Paper on their non-profit organization representing and advocating for 15 Adjustment Training Centers (ATCs) who serve approximately 90 percent of adults with developmental disabilities receiving services in South Dakota. Approximately 2,000 people with disabilities receive residential, vocational and other supportive services in community based settings. With the assistance of the ATCs, many individuals with developmental disabilities are able to become productive members of society.

ATCs have saved South Dakota taxpayers substantial amounts of money providing services to individuals with developmental disabilities. Working with the state, ATCs have significantly reduced waiting lists for services.

The Adjustment Training Centers primarily receive their funding from the Department of Human Services. Despite increasing costs, there have been limited increases in the funding provided to the ATCs. The association estimated the five year average funding increase to be 68 percent.

Ms. Betty Oldenkamp, Secretary, Department of Human Services and Ted Williams, Director, South Dakota Developmental Center-Redfield (Document #6) presented information to the committee. The mission statement of South Dakota Development Center-Redfield reads as follows: to provide individualized services to individuals with developmental disabilities in a structured residential setting only when appropriate community-based services are not available and to provide services which enable individuals to reach their highest level of independence in the least restrictive environment possible. The Center encourages family involvement as a variety of services are offered to meet the client's needs
.
South Dakota Development Center - Redfield. The Governor's recommended budget for FY2003 total is $18,665,561. The dollar change from FY2002 is 575,663. The percent change from FY2002 is 3.2 percent. Funding Sources: General Fund ($6,830,267), Federal Funds ($11,670,873), and Other Funds ( $164,416). Federal Fund Sources: Title XIX($11,393,539), School Lunch ($212,013),

and Title IV ($65,326).

Job Reclassification. The Governor recommends $142,805 ($68,415 from the general fund) for the job reclassification of 4.0 FTE positions in Health Services: 1.0 Behavior Therapist, 1.0 Behavior Intervention Specialist, 1.0 Medical Services Coordinator. Also 1.0 Developmental Disabilities (DD) Tech I was transferred from another program.

The recommendation for the entire Health Services program is $4,155,307 ($1,554,699 from the general fund). This is an increase of $197,055 (5.0 percent) from FY 2002. This includes $3,045,386 ($1,136,703 from the general fund) for the salaries and benefits of 72.6 FTE positions and $1,109,921 ($417,996 from the general fund) for operating expenditures. The increase in operating expenditures is primarily for prescription drugs.

Youth Instructors. The Governor recommends $251,796 ($112,730 from the general fund) for the salaries and benefits of 8.0 new FTE Youth Instructor positions. The new staff, coupled with 2.0 reclassified, current FTE positions, are to serve a new female module that was created in April, 2001. According to the agency, there has been an increase in the number of youth admitted to the Turtle Creek Youth Program. Additional staff are needed to provide a safer, more therapeutic environment.

According to the performance indicators listed in the Governor's recommended budget, the average daily population is estimated to be 190 for FY 2003. This is the same number for FY 2002 and a decrease of 6 persons from the average daily population from three fiscal years ago. The admissions of youth is projected to decrease to 8 in FY 2003; this is half of the admission from FY 2001.

Senator Putnam reminded the committee that the increase in personnel was for safety purposes. Staff have been injured by clients.

Ms. Oldenkamp said that 95 percent of the clients have co-disabilities (mental and physical). There are 190 clients served today. The level of developmental disabilities of clientele shows 87.03 percent mental retardation with 32.43 percent in the Mild category, 36.22 percent - Profound, 9.73 percent - Moderate, and 8.65 percent - Severe. The number of those in the Mild category is growing and the number in the Profound category is decreasing.

Senator Apa asked about building use. Mr. Williams said that the administration building he referred to is a 100 years old building, and it is used for staff offices.

Representative Burg asked how the Development Center was using the availability of the Redfield Hospital. Mr. Williams replied that two physicians assistants are on staff. The Center is developing a working relationship with the hospital.

Mr. Williams said the education services have been taken over by the Redfield School District. There are presently 40 students in attendance. South Dakota Development Center personnel work

as teacher aides in the Redfield School System.

South Dakota Development Center - Redfield. The FY2003 total recommended budget is $18,665,561. This is an increase of $575,663 which includes $370,943 from the general fund and $204,720 from federal funds.

Mr. Williams reported that there are 410 current authorized employees at the South Dakota Development Center -Redfield.

Senator Greenfield asked if clients abused staff and if the staff could be compensated for damages such as torn clothing or broken glasses. Mr. Williams said that the clients would pay for damages.