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.' , <br />Heacltli :& H~cmur~ .Seice;~ <br /> <br />The Health and Human Services budget includes appropriations for the Department of Human Services, <br />Department of Health, Veterans Homes, and related boards. This portion of the budget pays for hospital <br />visits, nursing home care, welfare payments, job training, care of state institutions, regulatory activities, <br />public health, and other services. Funding and delivery of these services is a shared responsibility of the <br />state, the federal government, and Minnesota's 87 counties. <br />f-leafi & l~uman'Services B~li~l~inding` `~ <br />in .millions) ~ _.._ _ .: <br />Percent <br />FY 2002-03 FY 2004-05 Chanae <br />General Fund 6,527 7,022 8°~ <br />All Operating Funds 15,1.63 16,421 8% <br />The Govemor's general fund budget for Health and Human Services totals $7.0 billion - a nearly 8 <br />percent increase over the current biennium. The budget for all funds totals $16.4 billion, an increase of 8 <br />percent. Net spending growth reflects the continued growth in the cost and number of people <br />participating in state and federal human services programs. The Governor's budget recommendations <br />address the cost pressures that have made this area the fastest growing part of the state budget. <br />Key Elements of the Budget Recommendations <br />The Governor's budget reduces health and human services spending from forecast levels but allows the <br />state to preserve core health and economic support services for the most vulnerable people. This part of • <br />the budget requires difficult trade-offs since protecting core services often requires eliminating optional <br />services or eligibility. Even within more limited resources, the Governor aims to maintain a <br />comprehensive set of services for children, elderly, and people with disabilities. <br />The Governor maintains the state's safety net by prioritizing and re-directing existing resources. The <br />budget includes expanded and improved mental health services for children and full funding for adoption <br />assistance of special needs children. Even in tight budgets, the state can set its priorities to ensure that <br />the safety net is maintained and even improved. <br />The Governor's budget achieves significant new savings by creating a single state program for <br />adults without children by consolidating the General Assistance Medical .Care (GAMC) program <br />with the MinnesotaCare program and further modifying MinnesotaCare. Adults, both parents and <br />adults without children, will be impacted by budget proposals the most, with reduced eligibility <br />levels and increased premiums. The proposals also maintain coverage for those who opt to pay <br />the full cost of MinnesotaCare's below-market premium prices but eliminate subsidized health <br />insurance coverage for higher-income parents and pregnant women. <br />Since health care programs funded exclusively with state dollars are less than one-quarter of all <br />health spending, reductions also had to be made in the federally matched Medical Assistance <br />(MA) program, the state's version of Medicaid. Changes to eligibility, benefits, utilization, and <br />provider payments are some of the few tools available to state policy-makers. The Governor's <br />budget changes include atwo-year moratorium on growth in the MA home and community-based <br />services for people with developmental disabilities, elimination of health care coverage for <br />undocumented people, and the elimination of a recently enacted expansion of autism services. <br />• <br />Governor's 2004.05 Budget 12 <br />