SAMHSA 2005 Budget

 

CMHS Block Grant
Set-aside Funding
  FY 2003 FY 2004 FY 2005
State Data Systems $2,665,000 $2,785,000 $2,785,000
Program Evaluation 1,339,000 3,623,000 3,623,000
Technical Assistance 17,853,000 15,442,000 15,395,000
Total, Set-aside $21,857,000 $21,850,000 $21,803,000

PART Review

The Community Mental Health Services Block Grant was selected by OMB for the PART review process in FY 2003. The final rating was "Adequate." The assessment found that the Block Grant is the only Federal program that provides funds to all states and territories to develop a comprehensive, community-based system of care for individuals with serious mental illness and serious emotional disturbance. States are currently reporting voluntarily on a number of outcome measures, and SAMHSA has begun to implement agreed-upon long-term outcome measures. SAMHSA also has initiated funding for a national evaluation of the Block Grant program in response to the OMB findings.

Funding levels for the Community Mental Health Services Block Grant for the past five fiscal years were as follows:

Funding FTE

2000...... $356,000,000.......... 17
2001...... 420,000,000............ 17
2002...... 433,000,000............ 17
2003...... 437,140,000............ 17
2004...... a/ 434,690,000........ 17

a/ Includes $21.850 million from PHS evaluation funds.

Rationale for the Budget Request
The FY 2005 budget proposes an increase of approximately $1.4 million for this program, which will contribute toward maintaining current services. $21.8 million of the funding is provided through PHS Evaluation funds. All allotments remain at or above the minimum (FY 1998) level in accordance with the Public Health Service Act, Section 1918(b).

FY 2003
Final
FY 2005
Increase or
STATE/TERRITORY
Actual
Conference
Estimate
Decrease
Alabama
$6,292,914
$6,333,366
$6,267,562
-65,804
Alaska
822,980
807,349
783,060
-24,289
Arizona
7,465,088
7,620,939
7,927,354
+306,415
Arkansas
3,891,676
3,942,927
3,930,796
-12,131
California
55,596,604
54,447,176
55,398,192
+951,016
Colorado
5,625,743
5,743,057
5,803,053
+59,996
Connecticut
4,695,703
4,684,743
4,462,923
-221,820
Delaware
986,561
968,973
980,507
+11,534
District of Columbia
947,422
944,763
903,786
-40,977
Florida
26,635,631
26,144,498
26,573,146
+428,648
Georgia
12,621,267
12,840,422
13,168,568
+328,146
Hawaii
1,774,176
1,718,743
1,731,068
+12,325
Idaho
1,801,576
1,788,605
1,833,154
+44,549
Illinois
16,827,805
17,167,710
17,033,475
-134,235
Indiana
8,367,122
8,272,877
8,194,760
-78,117
Iowa
3,704,898
3,744,360
3,729,734
-14,626
Kansas
3,305,048
3,311,655
3,289,863
-21,792
Kentucky
5,855,670
5,755,784
5,861,988
+106,204
Louisiana
6,401,225
6,338,989
6,048,773
-290,216
Maine
1,774,759
1,764,404
1,788,735
+24,331
Maryland
8,378,786
8,320,840
8,336,054
+15,214
Massachusetts
8,502,548
8,598,380
8,494,085
-104,295
Michigan
13,241,980
13,163,041
13,056,634
-106,407
Minnesota
5,986,196
5,983,957
6,037,129
+53,172
Mississippi
4,030,688
4,128,357
4,119,415
-8,942
Missouri
7,091,959
7,114,254
7,143,243
+28,989
Montana
1,265,017
1,262,644
1,258,971
-3,673
Nebraska
2,099,881
2,105,983
2,102,981
-3,002
Nevada
3,279,098
3,231,892
3,435,569
+203,677
New Hampshire
1,456,587
1,469,696
1,498,160
+28,464
New Jersey
12,656,338
12,496,178
12,325,262
-170,916
New Mexico
2,325,437
2,355,414
2,371,975
+16,561
New York
29,692,427
28,990,291
28,554,334
-435,957
North Carolina
10,778,281
10,567,007
10,650,177
+83,170
North Dakota
852,974
852,938
829,077
-23,861
Ohio
14,945,817
14,969,400
14,661,023
-308,377
Oklahoma
4,775,657
4,781,491
4,760,633
-20,858
Oregon
4,457,361
4,317,425
4,347,320
+29,895
Pennsylvania
16,782,207
16,277,619
15,959,692
-317,927
Rhode Island
1,531,371
1,426,677
1,441,081
+14,404
South Carolina
5,586,529
5,559,432
5,683,121
+123,689
South Dakota
937,227
937,039
918,473
-18,566
Tennessee
8,316,649
8,137,479
8,114,894
-22,585
Texas
31,399,461
31,983,120
32,748,593
+765,473
Utah
2,939,256
3,002,350
3,152,592
+150,242
Vermont
815,129
809,409
809,597
+188
Virginia
10,872,471
11,082,109
11,065,219
-16,890
Washington
8,597,232
8,309,216
8,467,765
+158,549
West Virginia
2,658,108
2,674,605
2,610,696
-63,909
Wisconsin
6,867,742
6,864,509
6,869,148
+4,639
Wyoming
539,473
532,914
519,092
-13,822
State Subtotal
$409,053,755
$406,647,006
$408,052,502
+$1,405,496
American Samoa
81,263
80,781
81,063
+282
Guam
219,581
218,278
219,039
+761
Marshall Islands
72,113
71,685
71,935
+250
Micronesia
151,784
150,883
151,409
+526
Northern Mariana Islands
98,185
97,603
97,943
+340
Palau
50,000
50,000
50,000
---
Puerto Rico
5,402,260
5,370,219
5,388,930
+18,711
Virgin Islands
154,059
153,145
153,679
+534
Territory Subtotal
$6,229,245
$6,192,594
$6,213,998
+21,404
Total States/Territories
$415,283,000
$412,839,600
$414,266,500
+$1,426,900
SAMHSA Set-Aside 1/
21,857,000
21,728,400
21,803,500
+75,100
Unexpended Setaside
---
122,000
---
-122,000
TOTAL RESOURCES
$437,140,000
$434,690,000
$436,070,000
+$1,380,000
1/ The FY 2004 column reflects a reduction of $122,000 from the proposed budget of $434,690,000 which includes $21,850,000 from PHS Evaluation funds. In accordance with legislative authority the PHS Evaluation funds can only support the setaside activities. Based on the statutory formula for this program, the setaside can not exceed 5% of the program level and therefore only $21,728,400 of the $21,850,000 will be available for expenditure.
Community Mental Health Services Block Grant

Rating: Adequate
Program Type: Block/Formula
Program Summary:
The Community Mental Health Services Block Grant provides funds to states by formula to support community mental health services for adults with serious mental illness and children with serious emotional disturbance.

The assessment found:

  • The Block Grant is the only federal program that provides funds to every state to develop a comprehensive, community-based system of care for individuals with serious mental illness (SMI) and serious emotional disturbance (SED) who are uninsured or who have no mental health coverage.

  • The formula for distributing funds to states does not use prevalence of SMI and SED. However, state surveys confirm that the Block Grant is serving low-income individuals with SMI and the maintenance of effort requirement guards against supplantation.

  • As a part of the transition to performance partnerships, the program has adopted new long-term outcome measures for states to report on in exchange for additional flexibility. The program does not yet have multiple years of data to measure pr ogress on all newly-adopted long-term outcomes.

  • The program will undergo the first of three consecutive independent evaluation studies this year.

  • The program does not provide a budget presentation that clearly ties the impact of funding decisions on expected performance. Having new outcome measures in place will enable the agency to better understand the impact of changes in funding and make budget decisions based on program performance.

  • In response to these findings, the Administration:

    1. Proposes to fund competitive planning grants to states to more rapidly facilitate needed changes in the mental health system, in response to the report from the President's New Freedom Commission on Mental Health.
    2. Will continue to work with states to facilitate the transition from the Block Grant to performance
    partnerships to provide states additional flexibility in exchange for program performance.
    3. Will develop an efficiency measure and begin collecting data in the next year.
    4. Will identify baselines and targets for the number of SAMHSA-identified, evidence-based practices in each state and the percentage of service population coverage for each practice.

Program Funding Level (in millions of dollars)

2003 Actual 2004 Estimate 2005 Estimate
437
435
436

See Also:

Community Mental Health Services Block Grant
PART Corrective Action Plan