Agency: Health Function The mission of the Utah Department of Health is to protect the public's health by preventing avoidable illness, injury, disability, and premature death; assuring access to affordable, quality health care; and promoting healthy lifestyles.
The Utah Department of Health lists the following objectives as three of its major goals:
- To be among the healthiest of all state populations by promoting healthy communities, healthy behaviors, and an improved health care system.
- Assure that health care reform improves health and reduces health care costs, by focusing on prevention as well as improving; access to care, quality of care, and cost of care.
- Transform Medicaid to improve health outcomes and reduce cost by aligning provider payment incentives with desired outcomes: improved health and reduced costs, while preserving access.
Twelve local health departments cover all areas of the State and provide local public health services. The State utilizes local health departments to administer many of the services required by State law. Significant Factors Impacting the Budget The Utah Department of Health budget is affected by five primary factors. These factors include: - Federal mandates
- requirements for using federal funds, including entitlement programs
- Enrollment growth, driven by:
- demographics, especially the aging of the population
- State and federal program changes and funding
- The Utah State economy, which impacts the:
- federal allocation of funding
- number of qualifying individuals
- Inflationary factors:
- general inflation
- medical inflation
- fuel and transportation costs
- provider personnel expenses
- Program changes which may increase program costs
Statutory Authority The Utah Department of Health is governed by the Utah Health Code in Title 26 of the Utah Code. - UCA 26-1 authorizes and establishes the Department; authorizes the Health Advisory Council; and outlines the powers and duties of the Department.
- UCA 26-18 creates the Medical Assistance Act, the joint federal/state program that provides healthcare services to select populations, commonly known as 'Medicaid'.
- UCA 26-23 grants enforcement authority and penalty provisions to the Department.
- UCA 26-25 limits the usage of confidential medical information obtained by the Department.
- UCA 26-26 requires institutions to obtain the Department's authorization to obtain impounded animals for scientific and educational activities.
Special Funds Tobacco Settlement Restricted Account is a General Fund Restricted account established by UCA 59-9-201. This account receives 60% of the annual payments from tobacco companies for the 1998 Master Settlement Agreement. The UCA 59-9-201 has specific appropriations and also allows the Legislature the option of appropriating the fund for other purposes. The code requires all agencies, who receive funds from this account, to make an annual report to the Social Services Appropriations Subcommittee. Funding Detail For analysis of current budget requests and discussion of issues related to this budget click here. | Sources of Finance | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Actual | 2012
Approp | | General Fund | $366,720,600 | $353,377,000 | $324,624,200 | $362,431,700 | $377,459,100 | | General Fund, One-time | $5,670,000 | ($46,639,600) | ($57,963,200) | ($61,190,000) | ($2,617,300) | | Federal Funds | $1,267,666,400 | $1,352,662,700 | $1,442,568,400 | $1,473,044,200 | $1,333,595,800 | | American Recovery and Reinvestment Act | $0 | $74,154,500 | $113,731,400 | $107,644,200 | $5,000,000 | | Dedicated Credits Revenue | $116,966,100 | $120,212,100 | $134,406,500 | $158,170,200 | $135,802,400 | | GFR - Autism Treatment Account | $0 | $0 | $0 | $0 | $50,000 | | GFR - Cancer Research Restricted Account | $0 | $0 | $0 | $0 | $20,000 | | GFR - Cat & Dog Spay & Neuter | $50,000 | $66,200 | $80,000 | $48,600 | $0 | | GFR - Cigarette Tax | $3,131,700 | $3,131,700 | $3,131,700 | $2,733,000 | $3,131,700 | | GFR - Children's Organ Transplant | $100,000 | $100,000 | $100,000 | $84,500 | $100,400 | | GFR - Medicaid Restricted | $4,065,000 | $8,790,900 | $8,396,500 | $1,847,600 | $0 | | GFR - Nursing Care Facilities Account | $15,716,200 | $15,716,200 | $18,240,300 | $19,441,000 | $21,376,900 | | GFR - Prostate Cancer Support | $0 | $0 | $0 | $0 | $26,600 | | GFR - State Lab Drug Testing Account | $407,100 | $418,000 | $417,300 | $298,200 | $420,500 | | GFR - Tobacco Settlement | $18,710,700 | $16,768,000 | $20,364,300 | $17,229,600 | $20,355,000 | | TFR - Dept. of Public Safety Rest. Acct. | $0 | $0 | $100,000 | $100,000 | $100,000 | | Hospital Provider Assessment | $0 | $0 | $0 | $32,443,900 | $41,500,000 | | Organ Donation Contribution Fund | $113,000 | $113,000 | $113,000 | $85,300 | $113,000 | | Transfers | $38,813,800 | $1,290,800 | $0 | $0 | $611,500 | | Transfers - Administrative Services | $0 | $0 | $0 | $0 | $100,000 | | Transfers - Environmental Quality | $19,900 | $6,500 | $0 | $0 | $0 | | Transfers - Fed Pass-thru | $0 | $0 | $0 | $3,330,100 | $0 | | Transfers - Governor's Office Administration | $245,600 | $185,900 | $96,800 | $1,800 | $0 | | Transfers - Human Services | $1,141,300 | $906,500 | $893,200 | $920,100 | $1,006,400 | | Transfers - Intergovernmental | ($275,300) | $70,310,000 | $37,504,300 | $3,974,300 | $24,268,300 | | Transfers - Medicaid | $2,090,200 | $0 | $0 | $4,515,400 | $0 | | Transfers - Medicaid - DHS | $56,054,200 | $69,362,200 | $74,172,500 | $73,643,000 | $79,230,800 | | Transfers - Medicaid - DWS | $2,140,200 | $26,745,300 | $27,274,700 | $20,678,100 | $23,781,400 | | Transfers - Medicaid - Internal DOH | $0 | $0 | $0 | $4,963,500 | $0 | | Transfers - Medicaid - USDB | $0 | $0 | $0 | $566,100 | $0 | | Transfers - Other Agencies | $7,914,700 | $2,400 | $792,200 | $289,800 | $0 | | Transfers - Public Safety | $405,800 | $545,900 | $516,900 | $422,500 | $1,878,700 | | Transfers - State Office of Education | $15,200 | $0 | $16,800 | $15,200 | $0 | | Transfers - Within Agency | $39,977,300 | $16,049,000 | $14,063,300 | $6,001,200 | $11,269,000 | | Transfers - Workforce Services | $970,000 | $1,580,400 | $2,265,200 | $3,573,300 | $2,452,100 | | Transfers - Youth Corrections | $0 | $5,926,800 | $0 | $0 | $0 | | GFR - Rural Healthcare Facilities Account | $277,500 | $277,500 | $0 | $0 | $0 | | Pass-through | $0 | $2,611,100 | ($502,700) | ($674,800) | ($300,000) | | Beginning Nonlapsing | $4,688,700 | $6,892,600 | $11,593,100 | $20,426,300 | $1,997,200 | | Closing Nonlapsing | ($6,892,600) | ($11,593,100) | ($20,426,300) | ($13,662,500) | ($2,080,100) | | Lapsing Balance | ($14,477,400) | ($1,546,300) | ($3,993,600) | ($901,600) | $0 | | Total | $1,932,425,900 | $2,088,424,200 | $2,152,576,800 | $2,242,493,800 | $2,080,649,400 |
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| | Line Items | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Actual | 2012
Approp | | Executive Director's Operations | $12,238,400 | $12,803,800 | $12,881,300 | $16,938,900 | $14,276,700 | | Family Health and Preparedness | $118,879,200 | $117,365,200 | $128,828,300 | $121,657,700 | $121,687,300 | | Disease Control and Prevention | $45,364,500 | $46,884,200 | $47,044,400 | $54,714,600 | $59,031,100 | | Local Health Departments | $2,681,600 | $2,497,000 | $2,309,700 | $2,122,400 | $2,122,400 | | Workforce Financial Assistance | $517,600 | $560,000 | $325,200 | $140,000 | $91,900 | | Health Care Financing | $117,295,400 | $114,719,500 | $100,307,100 | $104,320,400 | $99,562,300 | | Medicaid Management Information System Replacement | $0 | $0 | $0 | $2,369,300 | $30,693,600 | | Medicaid Sanctions | $0 | $0 | $0 | $0 | $0 | | Children's Health Insurance Program | $57,545,900 | $70,299,200 | $77,001,600 | $71,358,100 | $82,115,600 | | Medicaid Mandatory Services | $806,844,200 | $898,735,200 | $976,642,400 | $1,027,499,400 | $871,572,900 | | Medicaid Optional Services | $771,059,100 | $824,560,100 | $807,236,800 | $841,373,000 | $799,495,600 | | Total | $1,932,425,900 | $2,088,424,200 | $2,152,576,800 | $2,242,493,800 | $2,080,649,400 |
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| | Categories of Expenditure | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Actual | 2012
Approp | | Personnel Services | $71,127,100 | $74,126,100 | $71,092,500 | $71,215,300 | $70,058,600 | | In-state Travel | $731,400 | $688,600 | $582,600 | $566,700 | $674,600 | | Out-of-state Travel | $663,200 | $528,500 | $481,600 | $564,200 | $570,600 | | Current Expense | $57,092,100 | $52,036,200 | $72,148,200 | $53,634,000 | $59,732,200 | | DP Current Expense | $14,823,800 | $14,211,500 | $13,861,800 | $14,380,200 | $13,466,900 | | DP Capital Outlay | $189,500 | $106,500 | $59,800 | $2,947,900 | $2,400 | | Capital Outlay | $926,700 | $614,900 | $1,137,300 | $1,493,000 | $708,400 | | Other Charges/Pass Thru | $1,786,872,100 | $1,946,111,900 | $1,993,213,000 | $2,097,692,500 | $1,935,435,700 | | Total | $1,932,425,900 | $2,088,424,200 | $2,152,576,800 | $2,242,493,800 | $2,080,649,400 |
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| | Other Indicators | 2008
Actual | 2009
Actual | 2010
Actual | 2011
Actual | 2012
Approp | | Budgeted FTE | 1,049.4 | 978.4 | 1,006.2 | 1,012.9 | 969.2 | | Actual FTE | 985.2 | 984.0 | 955.3 | 933.3 | 0.0 | | Vehicles | 67 | 64 | 62 | 61 | 47 |
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Subcommittee Table of Contents |