Bangor Department of Health and Human Services Janet Mills Maine Department of Health and Human Services Maine DHHS mental health News Paul LePage politics

LePage likely tied Mills’ hands on Bangor psychiatric facility — Bangor — Bangor Daily News — BDN Maine

LePage likely tied Mills’ hands on Bangor psychiatric facility — Bangor — Bangor Daily News — BDN Maine

Gov. Janet Mills hasn’t dedicated to opening a new, 16-bed state psychiatric facility in Bangor that’s about three-and-a-half months away from completion. But as key lawmakers proceed to call for the facility to be situated in Augusta, newly launched paperwork from the state present that former Gov. Paul LePage’s administration primarily reduce off Mills’ power to vary course.

A lease the LePage administration signed last Might with the event firm that’s constructing the safe facility on the campus of Dorothea Dix Psychiatric Middle in Bangor obligates the state to $11.3 million in lease payments over 30 years for a building the LePage administration estimated would value between $2 million and $three million.

What’s extra, the settlement particularly bars the state from terminating the lease so it could possibly open an analogous facility elsewhere, reminiscent of in Augusta — a provision that a former Maine Supreme Judicial Courtroom justice and court-appointed watchdog over Maine’s mental well being providers referred to as unusual in state leases.

“I’ve never seen that particular clause,” stated Dan Wathen, the former Maine Supreme Courtroom Chief Justice who is the court-appointed watchdog for Maine’s mental well being system.

And even when the state came up with a special use for the Bangor building so it might open a safe psychiatric facility in Augusta — closer to the state’s Riverview Psychiatric Middle, from which it might absorb sufferers — its choices would still be limited: The lease requires that the state use the Bangor building as a residential care facility licensed for at the least seven residents.

The brand new documents launched by the state break down for the primary time how LePage negotiated the development and lease of a privately owned state psychiatric facility that he and lawmakers fought over for years — and which LePage’s administration pursued largely beyond public view.

“It seems to me we have a hornet’s nest,” stated state Sen. Geoff Gratwick, a Bangor Democrat who has favored locating the psychiatric facility in Augusta so sufferers can proceed seeing the identical care suppliers to whom they’ve develop into accustomed throughout their time at Riverview.

Remaining arrangements

While the LePage administration and lawmakers talked about opening a safe psychiatric step-down facility for years as a approach to help Riverview Psychiatric Middle regain the federal certification it misplaced in 2013, the ultimate preparations for the Bangor facility only came together in LePage’s final yr in office.

In Might 2018, the LePage administration bought virtually three state-owned acres on the Dorothea Dix campus to a Hermon improvement firm owned by Thomas Ellis.

The identical month, the 2 events signed the lease beneath which Ellis agreed to construct a 9,500-square-foot facility, then lease it again to the state for 30 years, in line with documents offered by the state Division of Administration and Financial Providers.

Development of the 16-bed facility on State Hospital Drive began last summer time and is predicted to finish by the center of Might.

‘All possible options’

Final month, the single-story building had a roof and partitions that have been wrapped in reflective insulation, however nonetheless no home windows. It had the look of a stretched-out, ranch-style residence, hidden from the primary roads that cross by way of that part of Bangor and dwarfed by the previous brick buildings that stand close by on the Dorothea Dix campus.

After buying those 2.69 acres from the state for $60,000 and negotiating the 30-year lease with the state, Ellis Business Improvement was chargeable for the costs of designing and constructing the facility, and making certain it’s ready to use as a secure psychiatric facility by Might 19.

It was not clear precisely a lot the undertaking will value the corporate. Thomas Ellis did not respond to a telephone call or emails looking for info. An interim spokesman for the state Department of Administration and Monetary Providers, Dick Thompson, stated the state has no document of these prices.

Nevertheless, the Maine Department of Health and Human Providers beforehand estimated the venture would value between $2 million and $three million, in accordance with a legislative monetary doc from 2017. Additionally, Ellis Business Improvement just lately took out a $three.45 million mortgage on the property, data on the Penobscot County Registry of Deeds show.

Long-term, Ellis Business Improvement should pay property taxes to the town of Bangor; the price of building repairs, upkeep and enhancements; and bills for any insurance coverage.

The state should cover all heating, water and other utilities, in accordance with the lease. Beyond any building-associated prices, it is going to pay to run the facility and provide patient providers.

Callie Ferguson | BDN

Callie Ferguson | BDN

The location of the psychiatric step-down facility pictured in June 2018.

Two other builders, Cianbro and Ouelett Development, also bid for the Bangor undertaking, in line with state data. The state initially negotiated with Cianbro to do the work but couldn’t agree on a lease fee, based on Thompson.

Mills and her representatives have made few public remarks about what they plan for the psychiatric facility, which is meant to deal with so-called “forensic patients” who have been discovered not criminally chargeable for crimes they’ve committed or have been deemed unfit for trial, but who not need the restrictive, hospital degree of care offered at Riverview Psychiatric Middle.

Before a current Bangor occasion, Mills stated her employees continues to be reviewing the agreements the LePage administration negotiated.

“I have not looked at the contracts myself,” Mills stated. “People in the office are looking at the contracts and are looking at all possible options.”

Mills’ employees also hasn’t decided about whether or not to go forward with another contract that the LePage administration negotiated with Right Care Restoration Solutions, a Tennessee contractor that submitted a bid to the state to operate the forensic unit.

A member of the LePage administration signed that contract, but within the weeks before Mills was sworn in as governor, she efficiently requested that Right Care not signal it.

[Tennessee company didn’t sign contract to run Bangor psychiatric facility at Mills’ request]

Mills took that step amid uncertainty over how one can pay Right Care. In December, Wathen, the court-appointed mental well being care watchdog, stated a LePage administration proposal to pay for the contract with about $5.4 million in state cash earmarked for local mental health providers violated the decades-old courtroom order that Wathen screens.

“Governor Mills has previously expressed concerns about the LePage Administration’s pursuit of the proposed step-down facility in Bangor,” Mills spokesman Scott Ogden wrote in an e-mail. “Now the administration is reviewing the contract negotiated by the LePage administration, continuing discussions with Correct Care, and conducting a thorough evaluation of all aspects of the facility to determine in the coming weeks and months the best path forward.”

Avoiding the Legislature

During Mills’ tenure as the state’s lawyer common, she argued on multiple occasions that the LePage administration needed the Legislature’s approval to build the facility on state property, whether or not in Augusta or Bangor. LePage never acquired that approval.

[AG: LePage needs legislative approval to build mental health unit]

Lawmakers from each events have long agreed that such a facility is needed. But a primary effort to realize legislative approval for it fell brief early in 2016 amid considerations that the challenge wasn’t absolutely vetted.

The LePage administration then started pursuing development in Augusta with out the Legislature’s approval, proposing to use present sources of Department of Health and Human Providers funding. However Democratic legislative leaders quashed that plan late in 2016, citing a regulation that requires the Legislative Council — made up of 10 legislative leaders of each events — to log off on any development in Augusta’s Capitol Space improvement zone.

So the governor discovered a approach to proceed the undertaking without legislative approval: by shifting it to a state-owned parcel on Hogan Street in Bangor, nicely outdoors of Augusta. But LePage’s plan ran into more hassle. Mills issued a memo in January 2017 saying the facility needed legislative approval to be built on state-owned land in Augusta or Bangor.

The administration modified plans again in response, proposing to promote the state land to a personal developer who would lease the facility again to the state for 30 years. It modified plans once more after the Bangor City Council barred the facility from opening anyplace however on the Dorothea Dix campus.

Robert F. Bukaty | AP

Robert F. Bukaty | AP

This July 30, 2018 photograph exhibits the Dorothea Dix Psychiatric Middle, formerly often known as Bangor Mental Health Institute in Bangor, Maine.

In Might 2018, the state bought the two.69 acres to Ellis Business Improvement.

[Bangor limits where LePage can build psychiatric facility]

All alongside, the LePage administration insisted that Democrats in the Legislature have been resisting the undertaking and that it was shifting the venture to Bangor to escape partisan bickering.

Looking for transparency

Now, advocates for the people who can be served by the step-down facility hope Mills will shine some mild on a challenge that stayed at the hours of darkness during LePage’s time in office.

Kevin Voydovich, an lawyer with the group Disability Rights Maine who represents the plaintiffs in a decades-old class-action lawsuit towards the state over the quality of its psychiatric care, stated final week that he couldn’t remark on the specifics of the Bangor facility because he doesn’t know them.

“We currently don’t know what direction the state is going in with this facility or any kind of planning with it,” Voydovich stated. “Our hope at this point with the new administration is that they will involve us with any discussions going forward with this facility or what direction it will take.”

No matter how development progresses within the coming weeks in Bangor, a proposal to maneuver the psychiatric facility to Augusta could have its day earlier than the state Legislature.

Beneath LD 284, sponsored by Democratic Rep. Drew Gattine of Westbrook, the facility can be situated in Augusta, it will be run by the state and an advisory committee would oversee its operations. An identical invoice, LD 162, passed the Legislature in 2017 however couldn’t overcome a veto from LePage.

Gattine — who typically pressed the LePage administration for details on the proposed step-down facility — stated he wasn’t conversant in the terms of the lease agreement with Ellis Business Improvement and didn’t know concerning the requirement that the state pay $11.three million to the developer over 30 years.

“This is far more expensive than they originally speculated it was going to cost,” Gattine stated. “The problem is that, for the last two years there’s been a total lack of transparency from Maine DHHS. Now, we’re kind of learning about these things in dribs and drabs.”