A Special Update for TDCJ Correctional Managed Care Employees + A Reminder for All University Employees

Apr 22, 2015, 08:48 AM by Melissa Harman

There have been many specific questions related to the status of the CMC budget.

Remember your civics and Texas government course? (Of course you do; you took it in the 7th grade.) The House and the Senate each produce a budget. Those budgets are put together for the next two years of operations of each state agency. Sometimes the House and Senate budgets look alike, but sometimes they look very, very different. This is the normal ebb and flow in the process.

This year, each budget looks vastly different from the other one. TDCJ and CMC budget items are allocated to Article V, having to do with criminal justice, prisons, the Department of Public Safety, and the like. This Article fared no better than others in each chamber, with marked differences in the overall as well as the specific allocations to budget items. Overall, it looks like this going to be a topic of serious consideration for the to-be-named conference committee. (See my April 20 blog post for more information on the conference committee process.) In past sessions, CMC has usually been discussed in more detail during Conference Committee.

Correctional Health Care LAR HB 1 Comparison
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So what does this mean? The House of Representatives put $84.9 million into its budget for CMC, but put it all into the first area designated for health care services (hospital and clinics). This amount covers the shortfall from the past biennium in building the next two-year budget and also allocates resources for predicted growth in costs related to like pharmaceuticals and treatment of elderly patients with chronic diseases.

The House did NOT allocate any monies for capital equipment, expansion of services (building back staff to 24/7 operations in selected sites) or for employee salaries increases. Rather, Representatives put these items into Article XI, the “wish list” Article. This means that they did not provide funding for the items, but they did leave the discussion open in the Conference Committee.

The Senate provided less money for the CMC enterprise than did the House: $50.5 million to be exact. Senators put $20 million into continuing operations of health care services, which creates quite a substantial shortfall for the next two years. The Senate made no provisions for pay raises in Article XI. They did fund the entire amount requested for capital and for expanded operations.

As you can see, the proposed budgets are vastly difference. So how does this get resolved? In Conference Committee.

What does that mean? The House and Senate leadership (the Speaker of the House and the Lt. Governor, respectively) will each appoint five members to a Conference Committee to meet and go through the budget article by article. They are called upon to reach a compromise that is acceptable to each chamber of the Legislature. For CMC in Article V, the Conference Committee will have to evaluate the money allocated in the budget for the program and decide how to spend those funds for the coming two years. Members could decide to “find the money” for employee raises, for capital, and/or for expansion of services. Sending this work to Conference Committee also means there is another step in the process, and funding decisions regarding correctional health care have not been finalized.

In “finding the money,” the Conference Committee has the option of adding more money to the allocation or subtracting funds from it. (It works both ways!) If the House or the Senate members have a compelling reason to add or subtract funds, they could do so in creating a final budget for each house to approve. And of course, that final budget would have to be acceptable to the Governor in order to obtain his signature and pass to become law.

We, along with leadership from the partner agencies, have been meeting with legislators and their staff throughout this session regarding the importance of all these CMC items, and in particular salary increases. We will continue to work with the Legislature on funding for CMC during the conference process. Nothing is “over” until the final gavel.

Now for the reminder: Many people working in CMC and other parts of the university have asked us about contacting their local elected officials regarding their thoughts and concerns about the budget and other matters. Expressing one’s opinion to elected officials is every American’s right, but for both state and federal employees, contact with officials must be done in the proper manner in order to comply with state and federal law.

Employees cannot make contact with Legislators on state time, or using state resources like telephones, computers, printers, email addresses, or paper and stamps. And no employee may speak as a representative of UTMB unless specifically invited to do so by university leadership. But all employees are free to contact a federal or state official to express opinions about any matter on their own time, using their own resources, and speaking on behalf of themselves as individuals. The state has created the following web site to help members of the public learn more about the Legislature, legislation under consideration and representatives for each district: www.capitol.state.tx.us.