TI TLE SLI DE Title Slide
January 3 1 , 2 0 0 7
Title slide
The 2 0 0 8 -0 9 Executive Budget State Operating Funds All Funds - - PowerPoint PPT Presentation
TI TLE SLI DE N EW Y ORK Title Slide 2008-09 E XECUTIVE B UDGET Title slide G OVERNOR E LIOT S PITZER January 3 1 , 2 0 0 7 J ANUARY 22, 2008 The 2 0 0 8 -0 9 Executive Budget State Operating Funds All Funds ( includes Federal) All Funds (
January 3 1 , 2 0 0 7
Title slide
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State Operating Funds State Operating Funds All Funds ( includes Federal) All Funds ( includes Federal) $81.8 billion/ 5.0% growth $124.3 billion/ 5.1% growth
SCHOOL AI D $20.3B 25% MEDI CAI D $16.2B 20% HI GHER EDUCATI ON $7.3B 9% STAR $4.8B 6% DEBT SERVI CE $4.6B 6% ALL OTHER $17.8B 20% HEALTH/ PENSI ON BENEFI TS $4.3B 5% HEALTH $3.5B 4% TRANSPORTATI ON $3.1B 4% SCHOOL AI D $23.1B 19% MEDI CAI D $39.0B 31% ALL OTHER $28.0B 21% HI GHER ED $8.2B 7% TRANSPORTATI ON $6.8B 5% HEALTH $5.3B 4% HEALTH/ PENSI ON BENEFI TS $4.6B 4% DEBT SERVI CE $4.6B 4% STAR $4.8B 4%
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The Old Paradigm
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The Old Paradigm
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from November to December 2007
Budget (NYS is 8.2% of General Fund)
6
2 4 6 8
2004 2005 2006 2007
$ B illio n s
Quarterly Profit/ Loss, Securities Firms Quarterly Profit/ Loss, Securities Firms Roughly 20% of NYS revenues come from the financial services industry Annual Change in Bonuses, Financial Annual Change in Bonuses, Financial Services Industry Services Industry
2 4 6 8 10 12
2004 2008
$ Billions
2004 2005 2006 2007 2004 2005 2006 2007
$4 B $2 B $8 B $6 B $12 B $10 B $4 B $6 B
$8 B
$2 B
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Annual Growth in Base Tax Receipts Annual Growth in Base Tax Receipts
1 1 .3 % 4 .2 %
$ 2 .5 B
0% 2% 4% 6% 8% 10% 12%
4- yr Annual Avg. ( 03- 04 to 07- 08) 2008- 09 ( Est.)
1 0 .1 % 4 .2 %
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Current Deficit $4.4 B New Initiatives* $400 M 2008-09 Budget Gap $4.8 B
* Includes Child Health Plus expansion; Upstate Revitalization Fund; Veterans’ Tuition Program; Investment in primary and preventive health care; Universal Broadband grants; Low-Income Housing Tax Credits; and others
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No new taxes Level playing field by closing tax loopholes Provide critical services Do more with less – spending efficient, targeted and fair
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Across Across-
the-
Board General Fund Savings: $ 4 .8 Billion
$ 1 .3 5 billion – 2 2 %
STAR
$ 3 5 4 m illion – 7 .2 % $ 1 .3 5 billion – 2 2 % $ 4 3 4 m illion – 8 .8 %
audits
rights
for NYC
preferred drug list and reduce Average W holesale Price
rates for hospitals, nursing hom es and hom e care
surcharge for State Police & critical bridge m aintenance
com ply w ith w orkers' com pensation law - from $ 2 ,5 0 0 to $ 1 0 ,0 0 0
cap elim ination
rule)
sales by non-profits
to include little cigars
year increase than projected – phase-in slow ed from 4 2 .5 % to 3 7 .5 % ; m inim um increase set at 2 % instead of 3 %
Governm ent Efficiency $1.35 billion Health Care $1.04 billion STAR $354 million Foundation Aid $93 million Fee I ncreases $133 million Loophole Closures $434 million Non-Recurring Resources $1.13 billion
increase in Basic Middle Class STAR Rebate; w ould have provided average hom eow ner w ith $ 6 5 m ore ( m aintains increase for seniors)
PI T credit w ill also be delayed for one year
aside to pay for the costs of new labor settlem ents this year
Reserves $337 million
1 1
Annual Spending Growth, 2006 Annual Spending Growth, 2006-
07 to 2008-
09
1 1 .0 % 6 .0 % 5 .0 % 8 .1 % 4 .9 % 5 .1 %
State Operating Funds All Funds
0 % 2 % 4 % 6 % 8 % 1 0 % 1 2 % 2 0 0 6 - 0 7 2 0 0 7 - 0 8 2 0 0 8 - 0 9 2 0 0 6 - 0 7 2 0 0 7 - 0 8 2 0 0 8 - 0 9
1 1 .0 % 6 .0 % 8 .1 % 4 .9 % 5 .1 % 0% 2% 4% 6% 8% 10%
Personal Income Growth: 5.3% 2006-07 2007-08 2008-09 2006-07 2007-08 2008-09
5 .0 %
1 2
Annual Spending Growth, 1997 Annual Spending Growth, 1997-
present
0% 2% 4% 6% 8% 10% 12% '9 7 '9 8 '9 9 '0 0 '0 1 '0 2 '0 3 '0 4 '0 5 '0 6 '0 7 '0 8
Personal I ncom e Grow th: 5 .3 %
Limit State Operating
spending growth to 5.3% (long-term average personal income growth)
Why?
– Best measure of affordability without burdening taxpayers – If spending growth had been kept to 5.3% the last 5 years, we would have nearly $4 B in extra reserves today – nearly the size of the current budget gap
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The Old Paradigm
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Fully-funded education system tied to accountability New funding strategy to pay for transformative higher education investments Patient-first health care reform that increases quality and lowers costs Comprehensive property tax relief: Middle Class STAR; mandate relief; tax cap Revitalizing the Upstate economy and sustaining growth Downstate Government spending under control: 5.3% growth
Long Long-
Term Agenda
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large aid increases and failing schools in need of improvement
programs proven to work
targeted to 16 most struggling schools; longer school day by 1 hour; longer school year by 20 days; small classes of 10 students for those in most need
Year 1 : I nvestm ent Year 1 : I nvestm ent Year 1 : Accountability Year 1 : Accountability
1 6 $ 1 4 .4 $ 1 4 .6 $ 1 4 .4 $ 1 5 .2 $ 1 6 .2 $ 1 7 .8
$ 1 0 $ 1 5 $ 2 0 $ 2 5
2 0 0 1 - 0 2 2 0 0 2 - 0 3 2 0 0 3 - 0 4 2 0 0 4 - 0 5 2 0 0 5 - 0 6 2 0 0 6 - 0 7 2 0 0 7 - 0 8 2 0 0 8 - 0 9 2 0 0 9 - 1 0 2 0 1 0 - 1 1
State School Aid ($Billion) State School Aid ($Billion) $ 7 .8 BI LLI ON
$ 1 9 .6 $ 2 1 .0 $ 2 3 .1 $ 2 5 .6
Maintaining Our Com m itm ent
Projected Total School Aid at Time of 2007-08 Enactment:
2007-08 $19.6 B 2008-09 $21.0 B 2009-10 $23.2 B 2010-11 $25.5 B
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$ Millions % of Operating
Foundation Aid 14,543 78% Other Operating 3,743 20% NYC Academic Achievement Grant 179 1% High Tax Aid 100 1% Total Operating Support 1 8 ,5 6 5 Building Aid/ EXCEL 2,111 Other Grant Programs 338 Total School Aid 21,014
(-$350 M from Projected)
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$ 0 $ 2 $ 4 $ 6
2 0 0 7 - 0 8 2 0 0 8 - 0 9 2 0 0 9 - 1 0 2 0 1 0 - 1 1
NYS NYC*
$5 .4 0 B Cumulative Increase, 2007 to 2011 ($Million) Cumulative Increase, 2007 to 2011 ($Million) $ 7 5 4 M $ 6 6 6 M $ 1 .2 9 B $ 1 .1 2 B $ 2 .1 6 B $ 1 .6 4 B $ 2 .3 0 B $ 3 .1 0 B
* Expected NYC contribution
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Increased Operating School Support to Big 4 Cities (2007 Increased Operating School Support to Big 4 Cities (2007-
08 to 2008-
09)
7 .8 % 7 .7 % 8 .1 % 1 0 .5 %
0% 2% 4% 6% 8% 10% 12%
Buffa lo Roche ste r Yonke rs Syra cuse $ 3 9 .1 M $ 3 0 .7 M $ 2 4 .5 M $ 1 6 .7 M
* Syracuse is higher because of higher reimbursable aid (transportation, special education, etc.)
*
2 0
1 8 0
$0 $100 $200 $300 $400 $500 $600 $700 2006-07 2007-08 2008-09 2010-11
4 4 -
Year Com m itm ent
State Funding State Funding
UPK for the first time
enrolled (30% increase)
UPK Enrollm ent UPK Enrollm ent
$ 2 9 2 M $ 3 7 3 M $ 6 3 3 M $ 4 5 2 M 7 2 k 9 3 k 1 2 1 k 1 8 0 k
2 1
all students
intervene when districts fail to demonstrate progress
tenure determination
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$ 2 5 ,0 3 9 $ 3 1 ,5 3 9 $ 5 0 ,9 4 4 $ 6 1 ,2 7 3 $ 1 0 0 ,0 0 0
$0 $20,000 $40,000 $60,000 $80,000 $100,000
Less t han HS HS Bachelor's Mast er's Professional
Earnings Relative to Educational Attainment, Earnings Relative to Educational Attainment, 2005 2005 U.S. Rank for Share of 25 U.S. Rank for Share of 25-
34-
year-
Bachelor Bachelor’ ’s Degree or Greater s Degree or Greater
Rank Year 1st 1998 5th 2004 9th 2007 13th 2009 18th 2019 If trends continue, the world ranking of the U.S. will continue to fall:
Source: Postsecondary Education Opportunity
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75.3% 73.0% 64.3% 60.7% 52.2%
45% 50% 55% 60% 65% 70% 75% 80%
PA I L FL CA NY 10.0% 9.8% 8.6% 8.0% 7.6% 7.9%
7.0% 7.5% 8.0% 8.5% 9.0% 9.5% 10.0% 10.5% 1980 1985 1990 1995 2000 2005
Full Full-
Time Faculty at Large Public University Systems as a % of Total University Systems as a % of Total New York New York’ ’s Share of U.S. Academic R & D s Share of U.S. Academic R & D
Had NYS m aintained its 1 0 % share, an additional 2 7 ,0 0 0 jobs w ould have been created.
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2 5
$35,038 $21,839 $19,945 $19,722 $19,259 $5,582
$0 $5,000 $10,000 $15,000 $20,000 $25,000 $30,000 $35,000 $40,000
FL PA CA I L NYS proposed NYS current
* University of California and California State University Systems combined Source: Council on Aid for Education - Voluntary Support of Education, FY 2007 Survey; City University of New York
Endowment Size per Full Endowment Size per Full-
Time Student, Large U.S. Public University Systems
$ 4 Billion
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Endow m ent Principal Annual 5 % Distribution Cum ulative Distribution Year 1 $4 billion $220 million $220 million Year 1 0 $6.3 billion $334 million $3.0 billion Year 2 0 $9.6 billion $508 million $7.2 billion Year 3 0 $14.7 billion $772 million $13.7 billion
* Growth is projected according to the 10-year avg. of the NYS Pension Fund (9.77% ) and assumes 5% distribution annually
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Protect Lottery’s support for K-12 education (must continue
to grow at its current rate of about 2% per year)
All existing State regulation and oversight of the Lottery
must be maintained … Unless investors can meet these principles: NO DEAL
2 8
Controlling costs Increasing access through
streamlining and expansions
Rationalizing Reimbursement:
“Medicaid dollars must follow Medicaid patients” (Phase 1)
Investing in Public Health Reorganize DOH to leverage market
power of Medicaid and fight fraud
Continuing to control costs Health care for all children Rationalizing Reimbursement: “Pay
for the right care in the right setting at the right price” (Phase 2)
Attacking Chronic Diseases Medical Malpractice Task Force
Year 1 Year 1 Year 2 Year 2
2 9
State Medicaid Spending State Medicaid Spending 3 .6 %
8 .3 %
3 .6 % 0 .9 %
0% 2% 4% 6% 8%
2 0 0 6 - 0 7 Enacte d 2 0 0 7 - 0 8 Enacted
0% 2% 4% 6% 8%
2 0 0 6 - 0 7 Ena cte d 2 0 0 7 - 0 8 Ena cte d0% 2% 4% 6% 8%
2 0 0 6 - 0 7 Ena cte d 2 0 0 7 - 0 8 Ena cte d8 .3 % 8 .3 % 8 .3 % 0 .9 %
3 .6 %
5 -yr avg. grow th ( 0 1 -0 2 to 0 6 -0 7 ) 5 -yr avg. grow th ( 0 1 -0 2 to 0 6 -0 7 ) 5 -yr avg. grow th ( 0 1 -0 2 to 0 6 -0 7 ) 2 -year avg. ( 0 7 -0 8 and 0 8 -0 9 ) 2 0 0 7 -0 8 2 0 0 8 -0 9
3 0
$200 $250 $300 $350 $400 $450 $500 $550 $600
2 0 0 6 - 0 7 Ena ct e d 2 0 0 7 - 0 8 Ena cte d 2 0 0 7 - 0 8 Proje cte d 2 0 0 8 - 0 9 Ex e cut iv e Budge t
$ 3 0 0 M $ 4 3 0 M $ 5 0 5 M $ 5 9 0 M
Medicaid Fraud Recoveries Medicaid Fraud Recoveries
3 1
up to 400% FPL
Expanding Access Other Ways:
Health Plus and Family Health Plus
3 2
budget savings)
(25% of the Medicaid patients who cost 75% of Medicaid dollars)
3 3
Care Measure National Ranking Percentage of Uninsured 2 2 nd Quality of Health Care 3 0 th Public Health I ndicators 3 0 th Avoidable Hospital Use 3 9 th Breast Cancer Deaths 3 1 st Deaths due to chronic disease 1 st 1 in 4 children is obese; 1 in 1 2 has asthm a
Doctor Shortages I nadequate Care
Health Professional Shortage Areas (more than 3,500 people for each physician)
3 4
Reim bursem ent Doesn’t Reflect Actual Costs: Overpays for Som e, Underpays for Others
– Before: Hip Replacement = $29,073, 14-day hospital stay – After: Hip Replacement = $17,705, 4-day hospital stay (when fully phased in) – Before: Neonate = $255,506, 109-day hospital stay – After: Neonate = $443,313, 94-day hospital stay (when fully phased in)
Underpays for Prim ary and Preventive Care
– Clinic rates frozen for over a decade – Physician rates 2nd lowest in nation – 50% of NYS-trained physicians leave NYS
I gnores Quality and I ntensity of Care
– Pays same for an ear infection and a broken arm – Pays the same for a 10-minute visit to a doctor and 100-minute visit – Pays for preventable complications (“Never Events”)
Core Problem : I rrational Reim bursem ent System Core Problem : I rrational Reim bursem ent System
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I nvest in Prim ary & Preventive Care
– Update inpatient rates and shift $84 M to clinics, physicians and outpatient hospitals – “Doctors Across New York”
Tuition Loan Repayments Grants to start practices in rural and urban underserved areas
– Pay more for evening and weekend hours
Rew ard Quality
– Redesign rates to factor in quality and intensity of service (first time ever) – Begin selectively contracting based on quality (e.g., breast cancer surgery)
NYS will only contract with high-volume breast cancer hospitals while ensuring access Women who have breast cancer surgery at low-volume hospitals are 60% more likely to die
after five years compared to women who go to high-volume hospitals
– Eliminate payment for avoidable inpatient complications (“Never Events”) Rationalizing our Reim bursem ent System Rationalizing our Reim bursem ent System
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quality for ALL New Yorkers
and pave the way for universal health care
Transform ing our Health Care Delivery System Transform ing our Health Care Delivery System
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$4.8 billion in STAR Tax Relief
– Targeted to middle-class New Yorkers who need it most
$19.6 billion in school aid $720 million in Aid and
Incentives for Municipalities
Continue Medicaid Cap and
FHP Takeover
Commission on Local Government
Efficiency and Competitiveness
– Advanced 150 locally-generated proposals for shared services and government consolidation
Direct Relief Direct Relief Mandate Relief Mandate Relief
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$ 1 1 .3 $ 1 2 .2 $ 1 3 .2 $ 1 4 .2 $ 1 5 .3 $ 1 6 .4 $ 1 7 .3
$ 1 0 $ 1 2 $ 1 4 $ 1 6 $ 1 8
2 0 0 1 2 0 0 2 2 0 0 3 2 0 0 4 2 0 0 5 2 0 0 6 2 0 0 7
School District Property Tax Levy (Outside of NYC) School District Property Tax Levy (Outside of NYC)
7% Average Increase in School Taxes
3 9
Increase property tax
relief for seniors
– 40% increase in Enhanced STAR exemption ($91 M)
Continue last year’s
STAR Rebates, targeted to middle class Direct Relief Direct Relief Mandate Relief Mandate Relief
Wicks Law Reform Preschool Special
Education Cap
Continue Medicaid Cap
and FHP Takeover
Local Government
Commission
– Implement locally- generated initiatives
Commission will develop:
– Fair and effective school property tax cap – Proposals to address root causes – Proposals to increase fairness of tax relief system for middle class
Property Tax Cap Property Tax Cap
4 0
Basic STAR Senior STAR
County Average STAR Exemption Savings Middle Class STAR Rebate Total Taxpayer Savings Average STAR Exemption Savings Enhanced STAR Rebate Total Taxpayer Savings
$599 $334 $ 9 3 3 $1,072 $410 $ 1 ,4 8 2 $516 $294 $ 8 1 0 $901 $349 $ 1 ,2 5 0 $681 $385 $ 1 ,0 6 6 $1,172 $459 $ 1 ,6 3 1 $535 $ 1 ,4 8 5 $1,691 $612 $ 2 ,3 0 3 $1,834 $924 $ 2 ,7 5 8 $3,198 $1,162 $ 4 ,3 6 0 $688 $386 $ 1 ,0 7 4 $1,217 $458 $ 1 ,6 7 5
Albany Erie Onondaga Suffolk Westchester Direct Property Tax Relief, 2008 Direct Property Tax Relief, 2008-
09 Executive Budget
$950
Statewide
4 1
$ 1 Billion Upstate Revitalization Fund $ 1 Billion Upstate Revitalization Fund
$ 3 5 0 M – Regional Blueprint Fund
ready sites and industrial parks
small-business loan programs
between cutting-edge research and job creation
$ 3 0 M – I ntercity Rail I m provem ents $ 5 0 M – Upstate Agribusiness Fund $ 8 0 M – Upstate Parks Restoration $ 1 1 5 M – City by City Projects $ 1 0 0 M – Preservation of Upstate Bridges $ 1 0 0 M – Upstate Housing and Com m unity Revitalization $ 1 7 5 M – Other I nitiatives
Broadband Access
marketing program
existing high-tech programs
development fund has not been 100% bonded capital in over a decade
4 2
State State-
Related Debt as a Percent of Personal Income
5.0% 5.5% 6.0% 6.5% 7.0%
1 9 9 8 - 9 9 1 9 9 9 - 0 0 2 0 0 0 - 0 1 2 0 0 1 - 0 2 2 0 0 2 - 0 3 2 0 0 3 - 0 4 2 0 0 4 - 0 5 2 0 0 5 - 0 6 2 0 0 6 - 0 7 2 0 0 7 - 0 8 2 0 0 8 - 0 9 2 0 0 9 - 1 0 2 0 1 0 - 1 1 2 0 1 1 - 1 2 2 0 1 2 - 1 3
4 3
I nvestm ent and Breaking Gridlock I nvestm ent and Breaking Gridlock
– Housing Opportunity Fund ($300 M for Downstate) – Downstate Revitalization Fund ($200 M)
– Hudson Yards – Moynihan Station (in planning stage) – Port Authority Bus Terminal
4 4
expiring Power for Jobs programs
– Reducing Crime Trooper Redeployment New Crime Analysis Centers (Buffalo, Rochester, Syracuse and Albany) Operation IMPACT – Increased Aid and Incentives to Municipalities ($50 M; second installment of four-year, $200 M plan)
4 5 NYC School Districts Counties Other Cities Tow ns & Villages Total
School Aid/ Education 517.7 892.5 31.0 0.0 0.0 1,441.2 Revenue Actions 49.4 0.0 109.3 24.0 6.6 189.3 Welfare (63.8) 0.0 (41.8) 0.0 0.0 (105.6) Health 17.1 0.0 8.3 0.0 0.0 25.3 Transportation 7.4 0.0 15.3 0.0 0.0 22.7 Municipal Aid 123.9 0.0 (2.0) 64.8 1.2 187.9 All Other Impacts 5.6 12.3 5.5 1.1 1.2 25.7 Total 2 0 0 8 -0 9 Exec. Budget Actions 6 5 7 .3 9 0 4 .8 1 2 5 .6 8 9 .9 9 .0 1 ,7 8 6 .5 Continuing Medicaid Cap Savings 210.6 0.0 244.1 0.0 0.0 454.7 Continuing FHP Takeover Savings 309.8 0.0 149.3 0.0 0.0 459.1 Grand Total 1 ,1 7 7 .7 9 0 4 .8 5 1 9 .0 8 9 .9 9 .0 2 ,7 0 0 .3
Executive Budget Impact on Local Governments ($ Millions) Executive Budget Impact on Local Governments ($ Millions)
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The Old Paradigm