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Monday, May 31, 2010

The latest on the S.C. state budget

Last Tuesday, the Senate voted 29-14 to non-concur with the House amendments to the FY 2010-11 General Appropriations bill, H.4657, sending it to a conference committee. Conferees were Senators Hugh Leatherman (Florence Co.), John Land (Clarendon Co.), Mike Fair (Greenville Co.), and Representatives Dan Cooper (Anderson Co.), Bill Clyburn (Aiken Co.), and Kenny Bingham (Lexington Co.) They reached consensus late yesterday afternoon and will report the budget compromise back to their respective bodies next week.

As reported last week, contention between the two bodies was over the source of funding for the court system, highway patrol and natural resources – health care. Much of the wheeling and dealing took place behind closed doors and by Thursday afternoon, the House conferees entered the committee hearing looking tired. The Senate restored all but $700,000 of the $8,300,000 in cuts to health care services the House used to fund the Judicial system (court), DNR and DPS. Below are the details of what services were restored or eliminated.

Funding levels restored to health care services under DHHS:

  • Kidney Disease Prevention - KEEP $1,000,000
  • Rural Hospital Grants $300,000
  • Federally Qualified Health Centers $200,000
  • Prescription Assistance Welvista ($5k) and Free Medical Clinics ($1k) $600,000 total
  • Cap Enrollment of SCHIP Standalone Program $1,700,000
  • Hard cap of 3 prescriptions $5,700,000 (4 soft cap, 4 with override)

Funding levels restored to health care services under DHEC:

  • Rape Crisis Centers $100,000
  • ADAP Program Annualization FY2009-12 n/r funding $2,000,000
  • HIV Prevention – Faith Based $200,000
  • Best Chance Network $1,000,000
  • Colorectal Cancer Screening $1,000,000
  • Hemophilia $100,000
  • Trauma Centers $800,000
  • ADAP Program Elimination $2,200,000

Conferees settled on the following provisos of note: not exclusive

  • 22.48 Budgetary flexibility (if Part IV funds not realized)
  • 80A.55 State Health Plan - Obesity Treatment Pilot Program
  • 80C.2 Abortion funding in the cases of rape, incest, or risk of mother
  • 90.18 Healthcare maintenance of effort
  • PART IV Enhanced FMAP – except trauma language to prioritize levels of designation

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