Delaware Health and Social Services Secretary Rita Landgraf told the General Assembly’s Joint Finance Committee March 1 her agency is having to prioritize the issues it must deal with to make up for worsening staff shortages brought on by budget cuts in prior years.
“The decisions being discussed this week are extremely difficult ones and we remain in triage mode,” she said. “The challenge with triage mode is that it is ever changing and ever shifting depending on the severity of need.”
Landgraf’s opening presentation on the state of her department kicked off a week of hearings on the budgets of various DHSS divisions and offices.
Since fiscal year 2008, Landgraf said her agency has cut 271 positions through attrition. Combined with an anticipated 181 cuts slated for fiscal year 2011, the agency stands to lose approximately 9% of its workforce.
However, the secretary said staffing reductions don’t mean DHSS can offer fewer services to the public. On the contrary, she said, in a down economy the agency is tasked with providing even more help to needy citizens.
The recession has taken the heaviest toll on the Divisions of Social Services, the Division of Child Support Enforcement and the network of state service centers.
However, Landgraf said, the agency is managing the burgeoning workload.
“Even though the demand has increased, I am pleased by the innovative and creative measures our employees continue to demonstrate across the department in improving work processes,” she said.
Gov. Jack Markell has recommended $876.7 million in general fund appropriations for the department in fiscal year 2011, more than $63 million more than the agency received for the current year.
However, $77 million of the governor’s recommended funding is necessary to replace federal stimulus money provided this year to help the state meet its Medicaid obligations.
With those funds taken out of the total, the agency’s budget is $13.7 million less than it was for fiscal year 2010.
“There are, nevertheless, significant and substantive cuts in the General Fund budgets for all of our divisions,” Landgraff said. “And, the final point is that our [fiscal year 2011] General Funds proposed budget is still $68.6 million less than it was in [fiscal year 2009].”
Reductions to the DHSS budget include eliminating $1.3 million in pass-through funds previously funneled to nonprofit organizations that provide a myriad of services to Delawareans, including Boys and Girls Clubs, the Modern Maturity Center in Dover and Poison Control.
Markell cut all pass-throughs from his draft budget this year, arguing that the organizations that receive pass through funds are held accountable for how that money is spent.