The following request was sent to the legislative fiscal officers in the 50 states.
The following table reports the responses given by the legislative fiscal officers (and corrected by the SSA directors, if there were corrections).
The following survey was sent to the SSA directors in the 50 states.
The following sections report the responses given by the SSA directors.
Alabama
Alcohol and Drug Abuse Director: J. Kent Hart
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Was there an increase in FY 2003 appropriations? NO
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
Co-occurring disorders; Crisis services; Long-term residential
Additional notes:
Alaska
Alcohol and Drug Abuse Director: Bill Hogan
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? YES
What services were reduced?
Efforts were made to increase Medicaid to offset grant reductions and to reorganize services into more integrated and organized service models to mitigate the impact of grant reductions. No categories or services were closed. It is not clear how well Medicaid offset the grant reductions in terms of the amount of services provided.
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations?
What services were expanded?
Additional notes:
Arizona
Alcohol and Drug Abuse Director: Christina Dye
Was there a decrease in FY 2003 appropriations?
Was there a decrease in FY 2004 appropriations? YES
What services were reduced?
As specified in statute, a portion of the funds not appropriated for FY 2004 were used to support substance abuse services for court-ordered persons who are otherwise unable to pay. The reduction ($3.3 mill) therefore resulted in reduced statewide capacity to provide non-Medicaid DUI and court-order treatment. Impacted approximately 5,000 Arizonans.
Was there an increase in FY 2003 appropriations? YES
Was there an increase in FY 2004 appropriations?
What services were expanded?
Approximately $1 mill increase from FY 2002 supported two rural detoxification facilities (Page and Yuma, Arizona) and emergency behavioral health services across the state (e.g. 24/7 mobile teams, crisis phones, etc.).
Additional notes:
Arkansas
Alcohol and Drug Abuse Director: Joe M. Hill
Was there a decrease in FY 2003 appropriations? YES
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Regional Alcohol and Drug Detoxification Services
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations?
What services were expanded?
Additional notes:
California
Alcohol and Drug Abuse Director: Kathryn P. Jett
Was there a decrease in FY 2003 appropriations? YES
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
The decrease in the FY 2002-03 appropriations necessitated a reduction in Non-Drug Medi-Cal discretionary residential and perinatal treatment services. However, the information provided by the counties to the Department does not indicate the specific areas of treatment services that were impacted by these reductions. The decrease also represented a reduction in Drug Medi-Cal services due to caseload and rate changes.
Was there an increase in FY 2003 appropriations? NO
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
The increase in FY 2003-04 appropriations represents an increase in prevention services associated with the grant increase for the Safe and Drug-Free Schools and Communities Act. The appropriations also increased due to the receipt of a new State Incentive Grant award from the Substance Abuse and Mental Health Services Administration to implement science-based prevention programs and services, including community-based prevention programs serving youth and young adults. In addition, the State's Drug Court Programs changed its program structure to primarily focus on felons and prison-bound offenders.
Additional notes:
Colorado
Alcohol and Drug Abuse Director: Janet Wood
Was there a decrease in FY 2003 appropriations? YES
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Loss of screening/assessment services within commitment population (ADAD had a contract with the Division of Youth Corrections); Loss of state staff (FTE) and personal services reduction; $13,000 loss in treatment services
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations? NO
What services were expanded?
Additional notes:
Connecticut
Alcohol and Drug Abuse Director: Thomas A. Kirk, Jr.
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Some appropriations decreased but the services were funded by other appropriations.
Was there an increase in FY 2003 appropriations? NO
Was there an increase in FY 2004 appropriations? NO
What services were expanded?
Services showed no significant increase.
Additional notes:
Delaware
Alcohol and Drug Abuse Director: Jack Kemp
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
Increase was for employee benefits (health insurance and pension); Increase for youth outpatient and residential.
Additional notes:
Florida
Alcohol and Drug Abuse Director: Ken DeCerchio
Was there a decrease in FY 2003 appropriations?
Was there a decrease in FY 2004 appropriations?
What services were reduced?
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations?
What services were expanded?
Prevention services; Treatment services for drug courts; Detoxification services; Services for persons with co-occurring disorders
Additional notes:
Georgia
Alcohol and Drug Abuse Director: Bruce Hoopes
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Cuts came out of administrative funds. There was a slight increase in services.
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations?
What services were expanded?
Additional notes:
Hawaii
Alcohol and Drug Abuse Director: Elaine Wilson
Was there a decrease in FY 2003 appropriations?
Was there a decrease in FY 2004 appropriations?
What services were reduced?
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
Increase of $2.2 million general state funds appropriation from SFY 2003 to SFY 2004 to provide integrated case management and substance abuse treatment to adult criminal justice populations.
Additional notes:
Idaho
Alcohol and Drug Abuse Director: Pharis P. Stanger
Was there a decrease in FY 2003 appropriations? YES
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Substance abuse treatment of drug court participants; Statewide training related to treatment; Statewide treatment infrastructure initiatives; Health and Welfare central administration
Was there an increase in FY 2003 appropriations? NO
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
Substance abuse treatment services to adolescents, pregnant women and women with dependent children.
Additional notes:
Illinois
Alcohol and Drug Abuse Director: Theodore Binion-Taylor
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Was there an increase in FY 2003 appropriations? NO
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
Treatment services that are reimbursed through Medicaid were increased.
Additional notes:
Indiana
Alcohol and Drug Abuse Director: John Viernes
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? YES
What services were reduced?
We cannot project now; we are trying to create savings in other accounts to make up the difference.
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations?
What services were expanded?
Additional notes:
Iowa
Alcohol and Drug Abuse Director: Janet Zwick
Was there a decrease in FY 2003 appropriations?
Was there a decrease in FY 2004 appropriations?
What services were reduced?
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
Prevention
Additional notes:
Kansas
Alcohol and Drug Abuse Director: Donna Doolin
Was there a decrease in FY 2003 appropriations? YES
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Prevention funding was reduced.
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations?
What services were expanded?
Additional notes:
FY03 - $5,820,212 SGF; FY04 - $5,956,915 SGF
Kentucky
Alcohol and Drug Abuse Director: Karyn Hascal
Was there a decrease in FY 2003 appropriations?
Was there a decrease in FY 2004 appropriations?
What services were reduced?
Flat funding does not allow for cost of living increases. Therefore, some satellite offices in remote counties have closed, reducing access to services.
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations?
What services were expanded?
Additional notes:
Louisiana
Alcohol and Drug Abuse Director: Michael Duffy
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Was there an increase in FY 2003 appropriations? NO
Was there an increase in FY 2004 appropriations? NO
What services were expanded?
Additional notes:
Maine
Alcohol and Drug Abuse Director: Kimberly Johnson
Was there a decrease in FY 2003 appropriations? YES
Was there a decrease in FY 2004 appropriations? YES
What services were reduced?
Treatment services reduced.
Was there an increase in FY 2003 appropriations? YES
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
DEEP Account; Increased program availability (number offered); Expanded geographical accessibility (locations increased; MaineCare Account; Rates increased; Expanded eligible population; Funds transferred from Human Services (accounting change)
Additional notes:
Maryland
Alcohol and Drug Abuse Director: Peter F. Luongo
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
The reductions were accomplished by removing funding for treatment projects that were not yet operational. Prevention programming increased during FY2003/2004 through use of federal dollars to implement Model Program Initiatives in Maryland.
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations?
What services were expanded?
Additional notes:
Massachusetts
Alcohol and Drug Abuse Director: Michale Botticelli
Was there a decrease in FY 2003 appropriations? YES
Was there a decrease in FY 2004 appropriations? YES
What services were reduced?
Residential rehabilitation; Ambulatory Services; CHINS; Youth Intervention; Houses of correction and trial court; Child care; Driver alcohol education; Youth screening and assessment; Outreach and referral for shelter residents; Training and technical assistance; Compulsive gambling services; Transitional support services; Methadone treatment and counseling; Acute treatment; Supportive housing; HIV/AIDS outreach; Transportation support services
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations?
What services were expanded?
Additional notes:
Michigan
Alcohol and Drug Abuse Director: Yvonne Blackmond (Director); Doris Gellert (Contact)
Was there a decrease in FY 2003 appropriations? YES
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
State disability assistance program (room and board to enable residential services)
Was there an increase in FY 2003 appropriations? NO
Was there an increase in FY 2004 appropriations? NO
What services were expanded?
Additional notes:
Minnesota
DID NOT RESPOND TO SURVEY
Mississippi
Alcohol and Drug Abuse Director: Herbert L. Loving
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Was there an increase in FY 2003 appropriations? YES
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
The additional funds were not used to increase services. They were used to try and maintain what we currently have.
Additional notes:
Missouri
Alcohol and Drug Abuse Director: Michael Couty
Was there a decrease in FY 2003 appropriations? YES
Was there a decrease in FY 2004 appropriations? YES
What services were reduced?
FY 2003; Personal service (5.0 FTE); Prevention community services; Community treatment programs; Community treatment staff (1.0 FTE); FY 2004; Community treatment programs; Acute medical services; Medicaid co-play plan; Prevention staff (5.10 FTE)
Was there an increase in FY 2003 appropriations? YES
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
FY 2003; Underage drinking prevention; Substance abuse treatment in state mental hospitals; FY 2004; Medicaid authority
Additional notes:
Montana
Alcohol and Drug Abuse Director: Joan Cassidy
Was there a decrease in FY 2003 appropriations?
Was there a decrease in FY 2004 appropriations?
What services were reduced?
Was there an increase in FY 2003 appropriations? YES
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
Women and children facilities; Recovery homes (2)
Additional notes:
Nebraska
Alcohol and Drug Abuse Director: Ron Sorensen
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations?
What services were expanded?
Additional notes:
Nevada
Alcohol and Drug Abuse Director: Maria D. Canfield
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Was there an increase in FY 2003 appropriations? YES
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
Adolescent treatment services
Additional notes:
New Hampshire
Alcohol and Drug Abuse Director: Riley Regan
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations?
What services were expanded?
Additional notes:
New Jersey
Alcohol and Drug Abuse Director: Carolann Kane-Cavaiola
Was there a decrease in FY 2003 appropriations? YES
Was there a decrease in FY 2004 appropriations? YES
What services were reduced?
FY 2003; $1.7 million (2.7 percent) reduction. Absorbed reduction in treatment services through elimination of one-time special appropriation fund; $19.4 million (28.9 percent) reduction. Reduced funding by two-thirds in the Comprehensive Tobacco Control Program.
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations?
What services were expanded?
Additional notes:
New Mexico
Alcohol and Drug Abuse Director: Pamela Martin
Was there a decrease in FY 2003 appropriations?
Was there a decrease in FY 2004 appropriations?
What services were reduced?
Was there an increase in FY 2003 appropriations? NO
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
Drug treatment, especially in northern New Mexico
Additional notes:
New York
Alcohol and Drug Abuse Director: William A. Gorman
Was there a decrease in FY 2003 appropriations?
Was there a decrease in FY 2004 appropriations? YES
What services were reduced?
Less critical and/or poorly performing treatment and prevention services were reduced and in some cases, OASAS funding support was terminated. Critical treatment and prevention services were maintained.
Was there an increase in FY 2003 appropriations? NO
Was there an increase in FY 2004 appropriations?
What services were expanded?
Appropriation increases supported a 3% cost of living adjustment to all treatment and prevention programs and funded one-time legislative initiatives.
Additional notes:
North Carolina
Alcohol and Drug Abuse Director: Flo Stein
Was there a decrease in FY 2003 appropriations?
Was there a decrease in FY 2004 appropriations?
What services were reduced?
Was there an increase in FY 2003 appropriations? YES
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
Services to women on welfare and children living with parents who are addicted
Additional notes:
North Dakota
Alcohol and Drug Abuse Director: Karen Larson (Director); Don Wright (Asst. Director)
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Was there an increase in FY 2003 appropriations? NO
Was there an increase in FY 2004 appropriations? NO
What services were expanded?
Additional notes:
Ohio
Alcohol and Drug Abuse Director: Gary Q. Tester
Was there a decrease in FY 2003 appropriations? YES
Was there a decrease in FY 2004 appropriations?
What services were reduced?
The Ohio Department of Alcohol and Drug Addiction Services was able to absorb approximately half of the reduction internally so the impact to Treatment and Prevention Services were minimized as much as possible.
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
Of the increase, $5,000,000.00 replaced TANF MOE Funding which in prior budget years came from the Ohio Department of Job and Family Services through an intra-state transfer. $750,000.00 is earmarked for expansion of therapeutic communities. $2,500,000.00 was used to increase the per capita/needs allocations to boards so they can increase local programs according to local needs.
Additional notes:
Oklahoma
Alcohol and Drug Abuse Director: Ben Brown
Was there a decrease in FY 2003 appropriations? YES
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Budget shortfalls were severe during FY03. (Initial appropriations increased by tax collections fell short.) Reductions in the "general" services occurred. In most of the targeted areas, other increases offset the shortfalls.
Was there an increase in FY 2003 appropriations? YES
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
FY03; Treatment for pregnant women and women with dependent children; FY04; Drug courts; adolescent treatment; treatment for domestic violence survivors. Not included in the numbers, but related, is treatment of co-occurring disorders.
Additional notes:
Oregon
Alcohol and Drug Abuse Director: Bob Nikkel
Was there a decrease in FY 2003 appropriations?
Was there a decrease in FY 2004 appropriations?
What services were reduced?
Was there an increase in FY 2003 appropriations? NO
Was there an increase in FY 2004 appropriations? NO
What services were expanded?
Additional notes:
Pennsylvania
Alcohol and Drug Abuse Director: Gene R. Boyle
Was there a decrease in FY 2003 appropriations?
Was there a decrease in FY 2004 appropriations?
What services were reduced?
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations? NO
What services were expanded?
These funds were put into the budget to restore the drug and alcohol monies that had been eliminated.
Additional notes:
Rhode Island
Alcohol and Drug Abuse Director: Craig Stenning
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations?
What services were expanded?
Additional notes:
South Carolina
Alcohol and Drug Abuse Director: W. Lee Catoe
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Services have not been impacted due to state office absorbing majority of state-wide budget cuts and increased Federal Block Grant funding to our providers.
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations?
What services were expanded?
Additional notes:
South Dakota
Alcohol and Drug Abuse Director:
Was there a decrease in FY 2003 appropriations?
Was there a decrease in FY 2004 appropriations?
What services were reduced?
Was there an increase in FY 2003 appropriations? YES
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
Increased the rate paid for services
Additional notes:
Tennessee
Alcohol and Drug Abuse Director: Stephanie W. Perry
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? YES
What services were reduced?
Ancillary services were decreased from treatment services and pilot programs were decreased from prevention services.
Was there an increase in FY 2003 appropriations? NO
Was there an increase in FY 2004 appropriations? NO
What services were expanded?
Additional notes:
Texas
Alcohol and Drug Abuse Director: Dave Wanser
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations?
What services were expanded?
Additional notes:
Utah
Alcohol and Drug Abuse Director: Randall W. Bachman
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
The state general fund reductions were more than offset by increases in the SAPT block grant. However, these cuts have placed us at risk of not being able to meet our Maintenance of Effort (MOE) requirement, which could lead to a net loss of over $700,000 next year. We have applied for a waiver. Note: On average, we spend about $1500 a year for persons in treatment. A net reduction of $700,000 would mean the loss of the ability to serve approximately 500 people. Even if funding is preserved, this does not keep up with the growth in demand for treatment. For example, in Salt Lake County our Substance Abuse Local Authority has a waiting list of up to 4 months for treatment.
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations?
What services were expanded?
Additional notes:
Vermont
DID NOT RESPOND TO SURVEY
Virginia
Alcohol and Drug Abuse Director: Ken Batten (Acting Director)
Was there a decrease in FY 2003 appropriations? YES
Was there a decrease in FY 2004 appropriations? YES
What services were reduced?
Community-based detox; Residential treatment (long and short-term); Jail-based services
Was there an increase in FY 2003 appropriations?
Was there an increase in FY 2004 appropriations?
What services were expanded?
Additional notes:
Washington
Alcohol and Drug Abuse Director: Kenneth D. Stark
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
While neither FY 2003 nor FY 2004 were reduced in total, there were specific targeted reductions of enhancements in both periods. In FY 2003, the reductions were primarily in administrative elements. In FY 2004, the state's TASC programs were cut by more than $4 million but there was a corresponding increase with the addition of the Criminal Justice Treatment Account.
Was there an increase in FY 2003 appropriations? NO
Was there an increase in FY 2004 appropriations? NO
What services were expanded?
See our response to the previous question. Again, there were some specific targeted reductions and some specific enhancement enacted in both periods. The most notable expansion was the Criminal Justice Treatment Account to provide treatment for individuals for whom charges have been filed.
Additional notes:
West Virginia
Alcohol and Drug Abuse Director: Steve Mason
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Was there an increase in FY 2003 appropriations? NO
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
All services expanded were treatment services and included: women with children services, adolescent intensive outpatient services, home-based services, and co-occurring services
Additional notes:
Wisconsin
Alcohol and Drug Abuse Director: Joyce Allen
Was there a decrease in FY 2003 appropriations? NO
Was there a decrease in FY 2004 appropriations? NO
What services were reduced?
Was there an increase in FY 2003 appropriations? YES
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
Added recovery services and bioterrorism services
Additional notes:
Wyoming
Alcohol and Drug Abuse Director: Diane Galloway
Was there a decrease in FY 2003 appropriations?
Was there a decrease in FY 2004 appropriations?
What services were reduced?
Was there an increase in FY 2003 appropriations? YES
Was there an increase in FY 2004 appropriations? YES
What services were expanded?
During the FY03-04 biennium, additional funding in the amount of 25 million was appropriated from tobacco settlement trust funds for House Bill 59, the Substance Abuse Control Plan. This legislative act significantly increased funding to the Substance Abuse Division which tripled intensive outpatient services; doubled residential services; and included the establishment of four, first-time women's residential treatment centers. In addition to increasing treatment services, five research studies were conducted to support policy decisions in adolescent treatment, reentry of incarcerated persons, study of children of incarcerated persons, adolescent education/compliance checks, and alcohol warning signs/education. Included in the 25 million was a five million dollar appropriation to Department of Family Service for juvenile intervention supervision and a two million dollar appropriation to Department of Corrections for ISP officers, adult supervision, and sanctions. This inter-agency collaboration has proven to be beneficial to maximize funding.
Additional notes:
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