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April 9th Military DeptVeterans Affairs

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April 9th Military DeptVeterans Affairs ...

    SUBCOMMITTEE NO.4 ON STATE ADMINISTRATION APRIL 9, 2008

    AGENDA

    ASSEMBLY BUDGET SUBCOMMITTEE NO. 4

    ON STATE ADMINISTRATION

    Assemblymember Juan Arambula, Chair

    WEDNESDAY, APRIL 9, 2008, 1:30 PM

    STATE CAPITOL, ROOM 437

     CONSENT CALENDAR

    ITEM DESCRIPTION 8940 MILITARY DEPARTMENT 3 ISSUE 1 CAPITAL OUTLAY ADVANCE PLANS AND STUDIES 3

    3 ISSUE 2 CAPITAL OUTLAY STATEWIDE KITCHEN RENOVATIONS

    3 ISSUE 3 CAPITAL OUTLAY STATEWIDE LATRINE RENOVATIONS

    4 ISSUE 4 ROSEVILLE ARMORY CUSTODIAN

    4 ISSUE 5 STATE ACTIVE DUTY EMPLOYEE COMPENSATION INCREASE

    4 ISSUE 6 REIMBURSEMENT AUTHORITY - FINANCIAL ASSISTANCE FUND MANAGER

    5 ISSUE 7 REIMBURSEMENT AUTHORITY HOMELAND SECURITY TRAINING AND EXERCISE 8950 DEPARTMENT OF VETERANS AFFAIRS 5

    5 ISSUE 1 CAPITAL OUTLAY YOUNTVILLE, WASTEWATER SYSTEM STUDY

    6 ISSUE 2 CAPITAL OUTLAY YOUNTVILLE, UPGRADE FIRE ALARM SYSTEM

    6 ISSUE 3 REIMBURSEMENT AUTHORITY PATHWAY HOME PROGRAM

    7 ISSUE 4 COMPUTED RADIOLOGY PICTURE ARCHIVING AND COMMUNICATION SYSTEM

    7 ISSUE 5 PHARMACY STAFFING AUGMENTATION

    8 ISSUE 6 STAFFING TO MEET HEALTH COMMUNITY STANDARDS

ITEMS TO BE HEARD

    ITEM DESCRIPTION 8940 MILITARY DEPARTMENT 9

    9 ISSUE 1 MEDICAL SERVICES BRANCH STAFFING

    11 ISSUE 2 JOINT OPERATIONS CENTER STAFFING

    12 ISSUE 3 COMPUTER LIFECYCLE REPLACEMENT

    13 ISSUE 4 CALIFORNIA CADET CORPS STAFF AND OPERATING FUNDS

    14 ISSUE 5 CALIFORNIA NATIONAL GUARD EDUCATION BENEFIT PROGRAM

    15 ISSUE 6 WILDLAND FIREFIGHTING INITIATIVE

    16 ISSUE 7 BBR

    8950 DEPARTMENT OF VETERANS AFFAIRS 17

    17 ISSUE 1 NORTHERN CALIFORNIA VETERANS CEMETERY OPERATIONAL IMPROVEMENTS

    19 ISSUE 2 CDVA FISCAL OPERATIONS

    20 ISSUE 3 CAPITAL ASSETS, FACILITIES MANAGEMENT & CONSTRUCTION

    ASSEMBLY BUDGET COMMITTEE 1

    SUBCOMMITTEE NO.4 ON STATE ADMINISTRATION APRIL 9, 2008

    21 ISSUE 4 ALZHEIMER'S UNIT AND WARD 1A/1B OPERATING EXPENSE INCREASE YOUNT. ISSUE 5 GLAVC VETERAN'S HOME START UP STAFFING, PHASE II 22

    23 ISSUE 6 REDDING AND FRESNO VETERANS HOMES PRE-ACTIVATION

    24 ISSUE 7 CHULA VISTA BUDGET CORRECTION

    25 ISSUE 8 LICENSED VOCATIONAL NURSING STAFF FOR RESIDENTIAL CARE FACILITY FOR

    ELDERLY CHULA VISTA

    26 ISSUE 9 AUGMENTATION OF NURSING STAFF

    27 ISSUE 10 GENERAL FUND REVENUE CHANGE

    28 ISSUE 11 BBR LOCAL ASSISTANCE TO COUNTIES

    28 ISSUE 12 BBR

    ASSEMBLY BUDGET COMMITTEE 2

SUBCOMMITTEE NO.4 ON STATE ADMINISTRATION APRIL 9, 2008

    CONSENT ITEMS

    ITEM 8940 MILITARY DEPARTMENT

    ISSUE 1: CAPITAL OUTLAY ADVANCED PLANS AND STUDIES

This proposal would provide $125,000 General Fund and $125,000 in Federal Funds to

    conduct studies and design charrettes for planned projects for the Military Department.

COMMENTS

The Military Department's current method for developing the scope of projects has not

    been accurate, which has often resulted in project costs being underestimated. This will

    improve the Military's ability to scope and estimate future funding required for projects.

    ISSUE 2: CAPITAL OUTLAY STATEWIDE KITCHEN RENOVATIONS

This request would provide $254,000 General Fund and $246,000 Federal Funds to

    renovate and enlarge kitchen facilities in selected armories throughout California to

    correct fire/life safety, public health, and other code deficiencies.

COMMENTS

Armories are used by the public for private and public functions. Many Military

    Department armories do not comply with the legal requirements of California Title 24 and

    fire code and thus cannot be used for cooking and food preparation.

    ISSUE 3: CAPITAL OUTLAY STATEWIDE LATRINE RENOVATIONS

This request would provide $232,000 General Fund and $347,000 Federal Funds to

    renovate and enlarge latrines at selected armories throughout California to address

    Americans with Disabilities Act, and other code deficiencies.

COMMENTS

Most Military Department armories are over 50 years old and do not meet the

    requirements of the Americans with Disabilities Act.

ASSEMBLY BUDGET COMMITTEE 3

SUBCOMMITTEE NO.4 ON STATE ADMINISTRATION APRIL 9, 2008

ISSUE 4: ROSEVILLE ARMORY CUSTODIAN

    This request would provide $66,000 General Fund for custodial services at the newly expanded Roseville Armory.

COMMENTS

    A permanent full time custodial employee will ensure that minimum standards at the facility are maintained for Army National Guard Soldiers and the public who will utilize the facility.

ISSUE 5: STATE ACTIVE DUTY EMPLOYEE COMPENSATION INCREASE

    This request would provide an increase of $604,000 General Fund and $722,000 Federal Funds to cover estimated State Active Duty (SAD) employee compensation increases.

COMMENTS

    In accordance with Sections 320 and 321 of the Military and Veterans Code, pay for SAD employees must be based upon military pay increases granted by congress. Military compensation is based on each military member's pay grade, duty location and years of military service.

ISSUE 6: REIMBURSEMENT AUTHORITY - FINANCIAL ASSISTANCE FUND

    MANAGER

    This request would provide $87,000 in Reimbursement authority to hire a State Active Duty manager to oversee the Iraq Afghanistan Development Impact Program (IADIP).

COMMENTS

    The IADIP is a program supported entirely with private donations that supports families of deployed or formerly deployed National Guard members suffering from financial hardships. This position would oversee all aspects of the program.

ASSEMBLY BUDGET COMMITTEE 4

SUBCOMMITTEE NO.4 ON STATE ADMINISTRATION APRIL 9, 2008

    ISSUE 7: REIMBURSEMENT AUTHORITY HOMELAND SECURITY

    TRAINING AND EXERCISE

This request would provide $1,509,000 in Reimbursement authority and 13 positions on

    a three-year limited-term basis to execute a continuing interagency agreement with the

    Office of Homeland Security (OHS).

COMMENTS

These positions would provide the necessary Military Department personnel to OHS to

    manage its statewide terrorism training and exercise programs for Weapons of Mass

    Destruction. The original source of funds for these positions is the Homeland Security

    Grant Program managed by OHS.

ITEM 8950 DEPARTMENT OF VETERANS AFFAIRS

    ISSUE 1: CAPITAL OUTLAY YOUNTVILLE, WASTEWATER SYSTEM

    STUDY

This request provides $199,000 General Fund to study apparent cracks in the 1920s era

    sewer system at Yountville. According to the department, the study will allow a

    determination as to the most economical way to secure the sewer system.

COMMENTS

Data indicates that sewer flows into the Joint Treatment Plant track rainfall (i.e. flows

    increase with rainfall), suggesting that the sewer system at Yountville is subject to

    infiltration/inflow from rain runoff and/or ground water entering the system through cracks,

    breaks, root damage, and/or improper connections. Not only does this unnecessarily

    increase sewer treatment costs (because all of the water is processed as if it were raw

    sewage), but it raises concern that the sewer system may leak during the dry season.

ASSEMBLY BUDGET COMMITTEE 5

SUBCOMMITTEE NO.4 ON STATE ADMINISTRATION APRIL 9, 2008

ISSUE 2: CAPITAL OUTLAY YOUNTVILLE, UPGRADE FIRE ALARM

    SYSTEM

This request provides $339,000 General Fund to prepare preliminary plans and working

    drawings for the purchase and installation of a new addressable fire alarm system in

    seven veteran occupied buildings and the acute care center at Yountville. Assuming the

    project was to go according to plan, the CDVA would request an additional $2.2 million

    ($680,000 GF and $1.53 million Federal Funds) for construction costs in FY 2009-10.

COMMENTS

An addressable fire alarm system transmits information that allows emergency response

    personnel to pinpoint the location (the building, and in some cases the floor) of a fire,

    thereby significantly reducing response times. Although many of the Yountville

    residential areas were remodeled in the late 1980s and early 1990s, addressable fire

    alarms were not available at the time. In addition to placing addressable smoke

    detectors in seven veteran-occupied buildings, this project would also replace the

    existing computer (which has exceeded its ―useful life‖ by 11 years and failed 10 times in

    a 12-month period), and bring the Yountville fire alarm system into compliance with both

    the National Fire Code and Title 19 of the California Code of Regulations.

ISSUE 3: REIMBURSEMENT AUTHORITY PATHWAY HOME PROGRAM

This request provides $600,000 in Reimbursement authority for three years to host a

    privately funded pilot program for returning disabled veterans at Yountville.

COMMENTS

The CDVA indicates that Yountville is currently negotiating an agreement with The

    Pathway Home Program (PHP), LLC to utilize private funding from the Iraq-Afghanistan

    Deployment Impact Fund to establish a specialized program in a currently unoccupied

    building to accommodate and rehabilitate physically and/or psychologically disabled

    veterans of service in Iraq and Afghanistan. These veterans are otherwise eligible for

    admission to the Home as ―disabled veterans‖ and would be afforded the status of

    associate members under the agreement.

ASSEMBLY BUDGET COMMITTEE 6

SUBCOMMITTEE NO.4 ON STATE ADMINISTRATION APRIL 9, 2008

ISSUE 4: COMPUTED RADIOLOGY PICTURE ARCHIVING AND

    COMMUNICATION SYSTEM

This request provides $123,000 General Fund to replace the traditional x-ray film

    process at Yountville.

COMMENTS

Currently Yountville chemically develops x-ray films and transports them off-site for a

    reading by a contract radiologist. This request would reduce the turnaround time for

    exam draft reports by allowing images to be transmitted electronically. Additionally, the

    proposed system would allow multiple individuals (doctors, nurses, and/or radiologists)

    to potentially view the same x-ray at the same time but in different locations.

ISSUE 5: PHARMACY STAFFING AUGMENTATION

This request provides $224,000 General Fund and 2 positions to address increased

    workload and regulatory requirements in the Chula Vista pharmacy.

COMMENTS

Originally, the Chula Vista pharmacy was to serve the prescription needs of the home’s

    RCFE and DOM unitsa total average daily census of approximately 165 residents requiring approximately 1,485 prescriptions per month. However, the home has grown

    and the pharmacy has been required to address not only the increasing number of Chula

    Vista residents, but the prescription needs of Barstow’s residents as well. Today, the

    pharmacy fills an average of 5,100 prescriptions per month for 531 residents of the two

    homes. Over time, the original staff of 2 pharmacists and 2 pharmacy technicians was

    augmented to include an office technician, and in 2006 a pharmacist and pharmacy

    technician from Barstow along with an office technician and a half-time consultant (for a

    total of 7.5 positions); however, with the reopening of the Barstow SNF unit and the

    addition of its 40 new residents, the CDVA asserts that the pharmacy workload is no

    longer absorbable within existing resources.

ASSEMBLY BUDGET COMMITTEE 7

SUBCOMMITTEE NO.4 ON STATE ADMINISTRATION APRIL 9, 2008

ISSUE 6: STAFFING TO MEET HEALTH COMMUNITY STANDARDS

This request provides $448,000 General Fund and 4 positions to meet Minimum Data

    Set (MDS) requirements at the Chula Vista Skilled Nursing Facility and maintain the

    health community standard of one MDS employee per 60 residents.

COMMENTS

MDS documents become the basis for payment for both Medicare and Medi-Cal

    recipients, in addition to measuring the quality of care in the facility. Failure to correctly

    complete these documents could result in a default payment or erroneous percentages

    resulting in the appearance that the facility had substandard care, which would prompt a

    regulatory visit from the California Department of Public Health.

ASSEMBLY BUDGET COMMITTEE 8

SUBCOMMITTEE NO.4 ON STATE ADMINISTRATION APRIL 9, 2008

    ITEMS TO BE HEARD

ITEM 8940 MILITARY DEPARTMENT

    The Military Department is responsible for the command and management of the California Army and Air National Guard. To support the operations for a force of more than 20,000 personnel, the department maintains a headquarters complex in Sacramento, more than 100 armories, maintenance facilities, training sites, and aviation centers throughout the state.

    The mission of the National Guard is to (1) provide mission-ready forces to the federal government, (2) protect the public safety of the citizens of California by providing military support to civil authorities during natural disasters and other emergencies, and (3) provide service and support to local communities in California.

    The budget proposes expenditure of $142 million, an increase of 6 percent. Roughly one-half ($73 million) of the overall funding for the department comes from federal funds. Proposed General Fund expenditures are $44 million, about the same as in the current year.

ISSUE 1: MEDICAL SERVICES BRANCH STAFFING

    The Governor's Budget proposes $228,000 General Fund and 3 State Active Duty positions for the Medical Services Branch to meet the increased demand for services provided to wounded and deceased soldiers.

BACKGROUND

    The three positions will primarily be addressing workload in the following two areas:

Casualty Assistance

    The CMD asserts that there is a shortage of staff to cover increasing casualty operations missions. From July 2004 through July 2007, CMD has had 158 California National Guard (CNG) soldier casualties. CMD has completed 250 Casualty Notification Officer missions and 99 Casualty Assistance Officer missions. CMD is required to have on call personnel 24 hours a day for its casualty operations mission. At present CMD has two permanent and one temporary position for this purpose. Casualty assistance is a full-time responsibility that can take several weeks of dedicated support and up to several months of follow up.

ASSEMBLY BUDGET COMMITTEE 9

SUBCOMMITTEE NO.4 ON STATE ADMINISTRATION APRIL 9, 2008

Line of Duty Reports

    The Line of Duty (LOD) report is the complete medical documentation and evidence

    required to support a claim of a service connected injury or illness. All medical

    payments and soldier Incapacitation Pay payments are contingent upon having an

    approved LOD. Typical processing time for a LOD report is 30-60 days and requires

    inputs and action at the unit, CMD, and National Guard Bureau. Timely processing

    insures that the soldier's medical bills are paid on time and avoids unnecessary

    problems with delinquent collection actions. Currently, the CMD has 269 open (not

    completed) LOD reports which affect CNG soldiers' receipt of medical benefits. From

    2004-2007 over 1,117 CNG soldiers have been injured during pre-deployment training or

    during deployment. With current personnel, the CMD is able to process approximately

    66 percent of its required LOD reports.

COMMENTS

Staff notes that the 3 permanent positions being requested will replace temporary staff,

    of which two positions were funded with federal funds.

ASSEMBLY BUDGET COMMITTEE 10

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