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 the desired outcomes of improved health and reduced costs, while preserving access to care.
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's 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 Health Code in Title 26 of the Utah Code governs the Utah Department of Health. - UCA 26-1 authorizes and establishes the Department; authorizes the Health Advisory Council; and outlines the powers and duties of the Department. It also authorizes the Department of Health to establish methods or measures for health care providers, public health entities, and health care insurers to coordinate among themselves to verify the identity of the individuals they serve.
- UCA 26-18 creates the Medical Assistance Act, the joint federal/state program that provides health care 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. Medicaid Restricted Account is a General Fund Restricted Account. The statute says that the Legislature might appropriate the money to "expand medical assistance coverage and private health insurance plans to low income persons." Revenues for this fund come from monies unexpended in the Medicaid program at the close of each fiscal year. Monies remain in the fund until appropriated by the legislature. Funding Detail For analysis of current budget requests and discussion of issues related to this budget click here. Table 1: Operating and Capital Budget Including Expendable Funds and Accounts Sources of Finance (click linked fund name for more info) | 2009 Actual | 2010 Actual | 2011 Actual | 2012 Actual | 2013 Approp | General Fund | $353,377,000 | $324,624,200 | $362,431,700 | $377,459,100 | $454,564,600 | General Fund, One-time | ($46,589,600) | ($57,963,200) | ($61,190,000) | $45,119,600 | $7,225,000 | Federal Funds | $1,352,662,700 | $1,442,568,400 | $1,473,044,200 | $1,512,123,300 | $1,587,951,700 | American Recovery and Reinvestment Act | $74,154,500 | $113,731,400 | $107,644,200 | $17,843,900 | $75,721,200 | Dedicated Credits Revenue | $120,212,600 | $134,406,500 | $158,170,200 | $206,102,000 | $158,877,700 | GFR - Autism Treatment Account | $0 | $0 | $0 | $0 | $1,050,000 | GFR - Cancer Research Restricted Account | $0 | $0 | $0 | $0 | $20,000 | GFR - Cat & Dog Spay & Neuter | $66,200 | $80,000 | $48,600 | $0 | $0 | GFR - Cigarette Tax | $3,131,700 | $3,131,700 | $2,733,000 | $3,150,000 | $3,150,000 | GFR - Children's Organ Transplant | $100,000 | $100,000 | $84,500 | $59,800 | $100,600 | GFR - Medicaid Restricted | $8,790,900 | $8,396,500 | $1,847,600 | $0 | $0 | GFR - Nursing Care Facilities Account | $15,716,200 | $18,240,300 | $19,441,000 | $21,296,400 | $23,370,700 | GFR - Prostate Cancer Support | $0 | $0 | $0 | $200 | $26,600 | GFR - Rural Healthcare Facilities Account | $277,500 | $0 | $0 | $0 | $0 | GFR - State Lab Drug Testing Account | $418,000 | $417,300 | $298,200 | $322,800 | $432,200 | GFR - Tobacco Settlement | $16,768,000 | $20,364,300 | $17,229,600 | $14,650,900 | $15,370,200 | Dept. of Public Safety Rest. Acct. | $0 | $100,000 | $100,000 | $100,000 | $100,000 | Hospital Provider Assessment | $0 | $0 | $32,443,900 | $41,500,000 | $41,500,000 | Organ Donation Contribution Fund | $113,000 | $113,000 | $85,300 | $81,200 | $113,000 | Transfers | $1,290,800 | $0 | $0 | $0 | $131,900 | Transfers - Environmental Quality | $6,500 | $0 | $0 | $0 | $0 | Transfers - Fed Pass-thru | $0 | $0 | $3,330,100 | $0 | $3,330,100 | Transfers - Governor's Office Administration | $185,900 | $96,800 | $1,800 | $0 | $93,000 | Transfers - Human Services | $906,500 | $893,200 | $920,100 | $818,200 | $1,022,400 | Transfers - Intergovernmental | $70,310,000 | $37,504,300 | $3,974,300 | $23,700 | $16,922,600 | Transfers - Medicaid | $0 | $0 | $4,515,400 | $5,423,400 | $5,344,200 | Transfers - Medicaid - DHS | $69,362,200 | $74,172,500 | $73,643,000 | $78,332,700 | $84,766,500 | Transfers - Medicaid - DWS | $26,745,300 | $27,274,700 | $20,678,100 | $18,557,500 | $18,082,800 | Transfers - Medicaid - JJS | $0 | $0 | $0 | $39,900 | $0 | Transfers - Medicaid - GOPB | $0 | $0 | $0 | $857,800 | $994,900 | Transfers - Medicaid - Internal DOH | $0 | $0 | $4,963,500 | $1,828,700 | $4,655,700 | Transfers - Medicaid - UDC | $0 | $0 | $0 | $0 | $625,000 | Transfers - Medicaid - USDB | $0 | $0 | $566,100 | $334,200 | $310,000 | Transfers - Other Agencies | $2,400 | $792,200 | $289,800 | $231,100 | $0 | Transfers - Public Safety | $545,900 | $516,900 | $422,500 | $303,500 | $168,900 | Transfers - State Office of Education | $0 | $16,800 | $15,200 | $17,000 | $17,000 | Transfers - Within Agency | $16,049,000 | $14,063,300 | $6,001,200 | $7,080,400 | $5,159,100 | Transfers - Workforce Services | $1,580,400 | $2,265,200 | $3,573,300 | $5,041,000 | $4,655,800 | Transfers - Youth Corrections | $5,926,800 | $0 | $0 | $1,636,000 | $0 | Pass-through | $2,611,100 | ($502,700) | ($674,800) | ($352,600) | ($686,400) | Beginning Nonlapsing | $6,892,600 | $11,593,100 | $20,426,300 | $13,662,500 | $6,204,300 | Closing Nonlapsing | ($11,593,100) | ($20,426,300) | ($13,662,500) | ($39,838,900) | ($1,188,200) | Lapsing Balance | ($1,546,300) | ($3,993,600) | ($901,600) | ($7,100) | $0 | Beginning Fund Balance | $0 | $50,500 | $40,500 | $30,700 | $0 | Ending Fund Balance | ($50,500) | ($40,500) | ($30,700) | ($242,200) | $0 | Total | $2,088,424,200 | $2,152,586,800 | $2,242,503,600 | $2,333,586,700 | $2,520,183,100 |
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| | | | | | Line Items (click linked line item name to drill-down) | 2009 Actual | 2010 Actual | 2011 Actual | 2012 Actual | 2013 Approp |
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Executive Director's Operations | $12,803,800 | $12,881,300 | $16,938,900 | $14,589,800 | $13,229,600 | Family Health and Preparedness | $117,365,200 | $128,828,300 | $121,657,700 | $119,100,600 | $123,282,500 | Disease Control and Prevention | $46,884,200 | $47,044,400 | $54,714,600 | $56,330,300 | $57,778,300 | Local Health Departments | $2,497,000 | $2,309,700 | $2,122,400 | $2,122,400 | $2,122,400 | Workforce Financial Assistance | $560,000 | $325,200 | $140,000 | $164,300 | $40,300 | Medicaid and Health Financing | $114,719,500 | $100,307,100 | $104,320,400 | $96,075,100 | $106,121,400 | Medicaid Management Information System Replacement | $0 | $0 | $2,369,300 | $2,273,600 | $19,473,800 | Medicaid Sanctions | $0 | $0 | $0 | $0 | $100,000 | Children's Health Insurance Program | $70,299,200 | $77,001,600 | $71,358,100 | $73,510,600 | $86,737,300 | Medicaid Mandatory Services | $898,735,200 | $976,642,400 | $1,027,499,400 | $1,055,908,200 | $1,163,562,200 | Medicaid Optional Services | $824,560,100 | $807,236,800 | $841,373,000 | $913,494,900 | $947,635,300 | Traumatic Brain Injury Fund | $0 | $10,000 | $9,800 | $16,900 | $100,000 | Traumatic Head and Spinal Cord Injury Rehabilitation Fund | $0 | $0 | $0 | $0 | $0 | Total | $2,088,424,200 | $2,152,586,800 | $2,242,503,600 | $2,333,586,700 | $2,520,183,100 |
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| | | | | | Categories of Expenditure (mouse-over category name for definition) | 2009 Actual | 2010 Actual | 2011 Actual | 2012 Actual | 2013 Approp |
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Personnel Services | $74,126,100 | $71,092,500 | $71,215,900 | $69,444,100 | $73,500,200 | In-state Travel | $688,600 | $582,600 | $566,700 | $586,500 | $669,300 | Out-of-state Travel | $528,500 | $481,600 | $564,200 | $706,300 | $572,200 | Current Expense | $52,036,200 | $72,156,300 | $53,643,200 | $55,910,200 | $66,565,900 | DP Current Expense | $14,211,500 | $13,861,800 | $14,380,200 | $15,304,200 | $16,007,400 | DP Capital Outlay | $106,500 | $59,800 | $2,947,900 | $1,344,900 | $649,900 | Capital Outlay | $614,900 | $1,137,300 | $1,493,000 | $1,271,700 | $0 | Other Charges/Pass Thru | $1,946,111,900 | $1,993,214,900 | $2,097,692,500 | $2,189,018,800 | $2,362,118,200 | Transfers | $0 | $0 | $0 | $0 | $100,000 | Total | $2,088,424,200 | $2,152,586,800 | $2,242,503,600 | $2,333,586,700 | $2,520,183,100 |
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Other Indicators | 2009 Actual | 2010 Actual | 2011 Actual | 2012 Actual | 2013 Approp | Budgeted FTE | 978.4 | 1,006.2 | 1,012.9 | 983.1 | 997.8 | Actual FTE | 977.6 | 955.3 | 933.3 | 913.5 | 0.0 | Vehicles | 64 | 62 | 61 | 56 | 58 | Change in Fund Balance | 50,500 | (10,000) | (9,800) | 211,500 | 0 |
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Subcommittee Table of Contents   Table 2: Operating and Capital Budgets Sources of Finance (click linked fund name for more info) | 2009 Actual | 2010 Actual | 2011 Actual | 2012 Actual | 2013 Approp | General Fund | $353,377,000 | $324,624,200 | $362,431,700 | $377,459,100 | $454,564,600 | General Fund, One-time | ($46,639,600) | ($57,963,200) | ($61,190,000) | $44,919,600 | $7,125,000 | Federal Funds | $1,352,662,700 | $1,442,568,400 | $1,473,044,200 | $1,512,123,300 | $1,587,951,700 | American Recovery and Reinvestment Act | $74,154,500 | $113,731,400 | $107,644,200 | $17,843,900 | $75,721,200 | Dedicated Credits Revenue | $120,212,100 | $134,406,500 | $158,170,200 | $206,073,600 | $158,877,700 | GFR - Autism Treatment Account | $0 | $0 | $0 | $0 | $1,050,000 | GFR - Cancer Research Restricted Account | $0 | $0 | $0 | $0 | $20,000 | GFR - Cat & Dog Spay & Neuter | $66,200 | $80,000 | $48,600 | $0 | $0 | GFR - Cigarette Tax | $3,131,700 | $3,131,700 | $2,733,000 | $3,150,000 | $3,150,000 | GFR - Children's Organ Transplant | $100,000 | $100,000 | $84,500 | $59,800 | $100,600 | GFR - Medicaid Restricted | $8,790,900 | $8,396,500 | $1,847,600 | $0 | $0 | GFR - Nursing Care Facilities Account | $15,716,200 | $18,240,300 | $19,441,000 | $21,296,400 | $23,370,700 | GFR - Prostate Cancer Support | $0 | $0 | $0 | $200 | $26,600 | GFR - Rural Healthcare Facilities Account | $277,500 | $0 | $0 | $0 | $0 | GFR - State Lab Drug Testing Account | $418,000 | $417,300 | $298,200 | $322,800 | $432,200 | GFR - Tobacco Settlement | $16,768,000 | $20,364,300 | $17,229,600 | $14,650,900 | $15,370,200 | Dept. of Public Safety Rest. Acct. | $0 | $100,000 | $100,000 | $100,000 | $100,000 | Hospital Provider Assessment | $0 | $0 | $32,443,900 | $41,500,000 | $41,500,000 | Organ Donation Contribution Fund | $113,000 | $113,000 | $85,300 | $81,200 | $113,000 | Transfers | $1,290,800 | $0 | $0 | $0 | $131,900 | Transfers - Environmental Quality | $6,500 | $0 | $0 | $0 | $0 | Transfers - Fed Pass-thru | $0 | $0 | $3,330,100 | $0 | $3,330,100 | Transfers - Governor's Office Administration | $185,900 | $96,800 | $1,800 | $0 | $93,000 | Transfers - Human Services | $906,500 | $893,200 | $920,100 | $818,200 | $1,022,400 | Transfers - Intergovernmental | $70,310,000 | $37,504,300 | $3,974,300 | $23,700 | $16,922,600 | Transfers - Medicaid | $0 | $0 | $4,515,400 | $5,423,400 | $5,344,200 | Transfers - Medicaid - DHS | $69,362,200 | $74,172,500 | $73,643,000 | $78,332,700 | $84,766,500 | Transfers - Medicaid - DWS | $26,745,300 | $27,274,700 | $20,678,100 | $18,557,500 | $18,082,800 | Transfers - Medicaid - JJS | $0 | $0 | $0 | $39,900 | $0 | Transfers - Medicaid - GOPB | $0 | $0 | $0 | $857,800 | $994,900 | Transfers - Medicaid - Internal DOH | $0 | $0 | $4,963,500 | $1,828,700 | $4,655,700 | Transfers - Medicaid - UDC | $0 | $0 | $0 | $0 | $625,000 | Transfers - Medicaid - USDB | $0 | $0 | $566,100 | $334,200 | $310,000 | Transfers - Other Agencies | $2,400 | $792,200 | $289,800 | $231,100 | $0 | Transfers - Public Safety | $545,900 | $516,900 | $422,500 | $303,500 | $168,900 | Transfers - State Office of Education | $0 | $16,800 | $15,200 | $17,000 | $17,000 | Transfers - Within Agency | $16,049,000 | $14,063,300 | $6,001,200 | $7,080,400 | $5,159,100 | Transfers - Workforce Services | $1,580,400 | $2,265,200 | $3,573,300 | $5,041,000 | $4,655,800 | Transfers - Youth Corrections | $5,926,800 | $0 | $0 | $1,636,000 | $0 | Pass-through | $2,611,100 | ($502,700) | ($674,800) | ($352,600) | ($686,400) | Beginning Nonlapsing | $6,892,600 | $11,593,100 | $20,426,300 | $13,662,500 | $6,204,300 | Closing Nonlapsing | ($11,593,100) | ($20,426,300) | ($13,662,500) | ($39,838,900) | ($1,188,200) | Lapsing Balance | ($1,546,300) | ($3,993,600) | ($901,600) | ($7,100) | $0 | Total | $2,088,424,200 | $2,152,576,800 | $2,242,493,800 | $2,333,569,800 | $2,520,083,100 |
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| | | | | | Line Items (click linked line item name to drill-down) | 2009 Actual | 2010 Actual | 2011 Actual | 2012 Actual | 2013 Approp |
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Executive Director's Operations | $12,803,800 | $12,881,300 | $16,938,900 | $14,589,800 | $13,229,600 | Family Health and Preparedness | $117,365,200 | $128,828,300 | $121,657,700 | $119,100,600 | $123,282,500 | Disease Control and Prevention | $46,884,200 | $47,044,400 | $54,714,600 | $56,330,300 | $57,778,300 | Local Health Departments | $2,497,000 | $2,309,700 | $2,122,400 | $2,122,400 | $2,122,400 | Workforce Financial Assistance | $560,000 | $325,200 | $140,000 | $164,300 | $40,300 | Medicaid and Health Financing | $114,719,500 | $100,307,100 | $104,320,400 | $96,075,100 | $106,121,400 | Medicaid Management Information System Replacement | $0 | $0 | $2,369,300 | $2,273,600 | $19,473,800 | Medicaid Sanctions | $0 | $0 | $0 | $0 | $100,000 | Children's Health Insurance Program | $70,299,200 | $77,001,600 | $71,358,100 | $73,510,600 | $86,737,300 | Medicaid Mandatory Services | $898,735,200 | $976,642,400 | $1,027,499,400 | $1,055,908,200 | $1,163,562,200 | Medicaid Optional Services | $824,560,100 | $807,236,800 | $841,373,000 | $913,494,900 | $947,635,300 | Total | $2,088,424,200 | $2,152,576,800 | $2,242,493,800 | $2,333,569,800 | $2,520,083,100 |
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| | | | | | Categories of Expenditure (mouse-over category name for definition) | 2009 Actual | 2010 Actual | 2011 Actual | 2012 Actual | 2013 Approp |
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Personnel Services | $74,126,100 | $71,092,500 | $71,215,300 | $69,444,000 | $73,500,200 | In-state Travel | $688,600 | $582,600 | $566,700 | $586,500 | $669,300 | Out-of-state Travel | $528,500 | $481,600 | $564,200 | $706,300 | $572,200 | Current Expense | $52,036,200 | $72,148,200 | $53,634,000 | $55,893,400 | $66,565,900 | DP Current Expense | $14,211,500 | $13,861,800 | $14,380,200 | $15,304,200 | $16,007,400 | DP Capital Outlay | $106,500 | $59,800 | $2,947,900 | $1,344,900 | $649,900 | Capital Outlay | $614,900 | $1,137,300 | $1,493,000 | $1,271,700 | $0 | Other Charges/Pass Thru | $1,946,111,900 | $1,993,213,000 | $2,097,692,500 | $2,189,018,800 | $2,362,118,200 | Total | $2,088,424,200 | $2,152,576,800 | $2,242,493,800 | $2,333,569,800 | $2,520,083,100 |
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Other Indicators | 2009 Actual | 2010 Actual | 2011 Actual | 2012 Actual | 2013 Approp | Budgeted FTE | 978.4 | 1,006.2 | 1,012.9 | 983.1 | 997.8 | Actual FTE | 977.6 | 955.3 | 933.3 | 913.5 | 0.0 | Vehicles | 64 | 62 | 61 | 56 | 58 |
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Subcommittee Table of Contents   Table 3: Expendable Funds and Accounts Sources of Finance (click linked fund name for more info) | 2009 Actual | 2010 Actual | 2011 Actual | 2012 Actual | 2013 Approp | General Fund, One-time | $50,000 | $0 | $0 | $200,000 | $100,000 | Dedicated Credits Revenue | $500 | $0 | $0 | $28,400 | $0 | Beginning Fund Balance | $0 | $50,500 | $40,500 | $30,700 | $0 | Ending Fund Balance | ($50,500) | ($40,500) | ($30,700) | ($242,200) | $0 | Total | $0 | $10,000 | $9,800 | $16,900 | $100,000 |
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| | | | | | Line Items (click linked line item name to drill-down) | 2009 Actual | 2010 Actual | 2011 Actual | 2012 Actual | 2013 Approp |
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Traumatic Brain Injury Fund | $0 | $10,000 | $9,800 | $16,900 | $100,000 | Traumatic Head and Spinal Cord Injury Rehabilitation Fund | $0 | $0 | $0 | $0 | $0 | Total | $0 | $10,000 | $9,800 | $16,900 | $100,000 |
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| | | | | | Categories of Expenditure (mouse-over category name for definition) | 2009 Actual | 2010 Actual | 2011 Actual | 2012 Actual | 2013 Approp |
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Personnel Services | $0 | $0 | $600 | $100 | $0 | Current Expense | $0 | $8,100 | $9,200 | $16,800 | $0 | Other Charges/Pass Thru | $0 | $1,900 | $0 | $0 | $0 | Transfers | $0 | $0 | $0 | $0 | $100,000 | Total | $0 | $10,000 | $9,800 | $16,900 | $100,000 |
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Other Indicators | 2009 Actual | 2010 Actual | 2011 Actual | 2012 Actual | 2013 Approp | Change in Fund Balance | 50,500 | (10,000) | (9,800) | 211,500 | 0 |
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Subcommittee Table of Contents |