LeadingAge New York State Budget Review April 2017 | страница 4

Capital Funding
The final budget creates a second round of the Statewide Health Care Facility Transformation Program
(SHCFTP) that was initiated in the SFY 2016-17 budget. Administered jointly by DOH and the Dormitory
Authority of the State of New York (DASNY), the program was funded at $200 million last year and at $500
million in the current fiscal year. It is financed through a combination of DASNY bonds and State budget
capital funding.
The SHCFTP funding will be available for similar purposes as the first round that was established in last
year’s budget. These purposes include “capital projects, debt retirement, working capital, and other non-
capital projects that facilitate health care transformation and expand access to health care services, including,
but not limited to a merger, consolidation, acquisition or other activities intended to create financially
sustainable systems of care or preserve or expand essential health care services.” Funds may be awarded to
hospitals, nursing homes, diagnostic and treatment centers, mental hygiene law clinics, and community-
based providers. Consistent with last year’s program legislation, grant awards may be offered without a
competitive bid or request for proposals, and will not be available to support general operating expenses.
Of the $500 million proposed for the program, up to $300 million may be awarded to projects that were
not funded under the first round of applications, $50 million is allocated to Montefiore Medical Center, and
at least $75 million is allocated to community-based health care providers. Community-based health care
providers are defined as diagnostic and treatment centers, mental health clinics, alcohol and substance abuse
treatment clinics, home care providers, primary care providers. The term “primary care providers” was added
to this year’s program to permit hospital-based primary care providers that are not licensed as diagnostic and
treatment centers to participate in the funds. The $75 million may also be allocated to “other purposes and
community-based providers designated by the Commissioner” pursuant to information obtained through a
stakeholder input process.
Eligible applicants must fulfill a need for “acute inpatient, outpatient, primary, home care, or residential
health care services in a community.” Priority will be given to projects that did not receive awards under
last year’s funding round. Projects included in the Brooklyn and Oneida County transformation programs
established last year are not eligible for this funding. (Note: round one awards have not yet been announced
as of the publication of this document.)
Criteria to be considered by DOH in making awards would include how the project contributes to the
integration of health care services, the long term sustainability of the applicant. or the preservation of health
care services in the communities served; whether the proposed project aligns with Delivery System Reform
Incentive Payment (DSRIP) goals; the extent to which it serves Medicaid beneficiaries and uninsured
individuals, and geographic distribution considerations.
Grant awards to providers will be conditioned on achieving certain process and performance metrics and
milestones to be determined by DOH. DOH, in turn, is required to report quarterly to the Legislature on the
awards and the progress of the projects.
Non-Profit Infrastructure Capital Improvement Program
The final budget continues the Non-Profit Infrastructure Capital Improvement Program commenced in
2015-16 with an appropriation of $20 million. This program supports infrastructure investments in not-
for-profit human services programs that provide direct services to individuals. Grants are intended to fund
improvements in the quality, efficiency, and accessibility of services.
LeadingAge New York/April 2017
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