Compendium of Budget Information for the 2013 General Session

Social Services
Appropriations Subcommittee
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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:

  1. To be among the healthiest of all state populations by promoting healthy communities, healthy behaviors, and an improved health care system.
  2. 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.
  3. 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:

  1. Federal mandates
    • requirements for using federal funds, including entitlement programs
  2. Enrollment growth, driven by:
    • demographics, especially the aging of the population
    • State and federal program changes and funding
  3. The Utah State economy, which impacts the:
    • federal allocation of funding
    • number of qualifying individuals
  4. Inflationary factors:
    • general inflation
    • medical inflation
    • fuel and transportation costs
    • provider personnel expenses
  5. 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
Line Items
(click linked line item name to drill-down)
2009
Actual
2010
Actual
2011
Actual
2012
Actual
2013
Approp
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
Categories of Expenditure
(mouse-over category name for definition)
2009
Actual
2010
Actual
2011
Actual
2012
Actual
2013
Approp
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
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






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
Line Items
(click linked line item name to drill-down)
2009
Actual
2010
Actual
2011
Actual
2012
Actual
2013
Approp
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
Categories of Expenditure
(mouse-over category name for definition)
2009
Actual
2010
Actual
2011
Actual
2012
Actual
2013
Approp
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
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






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
Line Items
(click linked line item name to drill-down)
2009
Actual
2010
Actual
2011
Actual
2012
Actual
2013
Approp
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
Categories of Expenditure
(mouse-over category name for definition)
2009
Actual
2010
Actual
2011
Actual
2012
Actual
2013
Approp
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
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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COBI contains unaudited data as presented to the Legislature by state agencies at the time of publication. For audited financial data see the State of Utah's Comprehensive Annual Financial Reports.