Compendium of Budget Information for the 2009 General Session
| Health & Human Services Appropriations Subcommittee | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Subcommittee Table of Contents | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Group: Health & Human Services - Department of Human Services Line Item: Executive Director Operations Function The Executive Director Operations (EDO) division includes the department director's office as well as bureaus that serve other divisions in the department or provide administrative support such as Fiscal Operations, Legal Affairs (including the Office of Public Guardian), and the Office of Licensing. EDO also includes the Utah Developmental Disabilities Council, a program that operates independently of the department, but for which the department provides administrative support. Statutory Authority The following laws govern the operations of Office of the Executive Director Operations:
Funding Detail Passage of the Federal Budget Deficit Act during the 2006 General Session resulted in a loss of federal funds (Title IV-E and Medicaid) for EDO. The Legislature appropriated state funds of $736,700 for FY 2006 and $1,354,600 for FY 2007 to replace the loss of federal funds. The Legislature passed and funded Senate Bill 50, the Drug Offender Reform Act (DORA), during its 2007 General Session. An additional $4,850,000 in General Fund was added during that year. During the 2008 General Session of the Legislature, the DORA program was transferred to the Division of Substance Abuse and Mental Health.
Program: Executive Director's Office Function The Executive Director's Office is responsible for the overall direction of the department. This includes administration and support, public relations, legislative liaison, planning, and policy development. This program also administers one direct federal grant. The Visitation Grant is a recurring grant of $100,000 per year and establishes and administers programs that support and facilitate non-custodial parents' access to and visitation of their children. Funding Detail
Function The Legal Affairs Program consists of the following offices: The Office of Legal Affairs handles the cost of the Attorney General services in the department. Currently there are two full time attorneys dedicated to department issues whose personnel costs are budgeted in DHS and transferred to the Office of the Attorney General. Administrative Hearings conducts hearings required by state and federal law where persons may appeal decisions of administrative agencies in the department. Among the programs served are child abuse or neglect findings, child support enforcement, foster parent due process and licensing, and disciplinary proceedings by the Division of Juvenile Justice Services. The Office of Public Guardian was created by the 1999 Legislature (UCA 62A-14). It provides guardianship and conservator services to legally incapacitated adults who have no willing and responsible family or friends to serve as guardians or conservators. The primary tasks of the office are to prepare documentation, evaluate, and assist the court process in establishing these functions for its clients. Office staff acts as case managers by organizing residential accommodations, overseeing health care needs, and managing the finances and real personal property of wards. As resources are limited, services are focused on incapacitated adults who are in life-threatening situations and adults who are being abused, neglected, or exploited. The office is also responsible to educate the public of its role and in general about guardians and conservators. Funding Detail
Program: Information Technology Function Passage of House Bill 109, Information Technology Governance Amendments (2005 General Session) established the Department of Technology Services (DTS) as an internal service fund agency for statewide information technology services. This change is reflected in the FY 2007 base budget. All but one full time equivalent employee (FTE) and the associated expenditures including motor pool were moved to DTS. One FTE was moved to the Office of Fiscal Operations to continue work on data warehouse functions. DHS currently uses the Public Assistance Case Management Information System (PACMIS) to determine and record eligibility for Medicaid services in the department's Child Welfare Management Information System (SAFE) and in the Unified Social Service Delivery System (USSDS). Modifications to the existing Department of Human Services data systems are required to enable them to communicate with the Department of Workforce Services. The new electronic Resource and Eligibility Product (eREP) system will replace the existing PACMIS. The 2004 Legislature appropriated $660,300 ($463,900 General Fund) as a one-time supplemental for FY 2004 for the required programming work for the eREP project. Every year since the 2005 General Session, the Legislature has adopted intent language for the eREP enhancement's funding to be non-lapsing. Through FY 2008, the Office of Information Technology has spent $192,900 in General Fund for required modifications to the existing database to allow it to interface with Workforce Services eREP system. The scheduled statewide implementation date is July 2009. Funding Detail
Program: Administrative Support Services Function The Bureau of Administrative Support is responsible for facilities management and planning, risk management, Americans with Disabilities Act coordination, emergency management, and constituent services. It provides such general services as mail distribution, forms control, motor pool, and information services. Funding Detail For FY 2006, the state's Motor Pool transferred the responsibility for DHS' mini-motor pool to the Bureau of Administrative Support which increased the number of vehicles from five to 21. Reorganization within EDO later moved the funding, FTEs, and vehicles of Administrative Support to the Office of Fiscal Operations beginning in FY 2007.
Function The Office of Fiscal Operations provides financial services and information to the department and functions as the liaison between the Department of Human Services and the Division of Health Care Financing regarding Medicaid rate issues. One FTE will be moved from the Office of Information Technology and a second FTE from the Office of Human Resources to continue work on the Data Warehouse functions. The office consists of the following bureaus: The Bureau of Finance is responsible for purchasing, accounting, cash management, budgeting, forecasting, management of data warehouse, management analysis, cost allocations for federal grants, and coordination of the department's appropriations requests. The Bureau of Internal Review and Audit reports to department management on fiscal accountability, efficiency, economy, and effectiveness of programs and services. The Bureau of Contract Management oversees all of the department's contract functions including the procurement of direct client services, the establishment of rates for client services, and the processing and monitoring of all contracts. This bureau also develops internal contracting policies and standards, ensures compliance with state procurement laws, and provides technical assistance for divisions within the department. The Bureau of Administrative Support is responsible for facilities management and planning, risk management, Americans with Disabilities Act coordination, emergency management, and constituent services. This bureau also provides general services such as mail distribution, forms control, motor pool, and information services. The bureau was previously the Office of Administrative Support but was consolidated with Fiscal Operations in FY 2007. Funding Detail Reorganization within EDO consolidated some funding, FTEs, and vehicles from Administrative Support, the Office of Information Technology, and the Office of Human Resources to the Office of Fiscal Operations for FY 2007.
Function Passage of House Bill 269, Human Resource Management Amendments (2006 General Session), established the Department of Human Resource Management (DHRM) as an internal service fund agency for statewide human resource functions. This change became effective for FY 2007. All but two FTE and the associated expenditures were moved to DHRM. One FTE was moved to the Executive Director's Office and one to the Office of Fiscal Operations. The remaining funds in this budget cover the DHRM rates and rent. Funding Detail
Program: Local Discretionary Pass-Through Function This budget includes the portion of the Social Services Block Grant (SSBG) passed through to local governments. Since the early 1990s, the department has passed through about nine percent of its SSBG grant. Since Federal Fiscal Year (FFY) 1997, this federal block grant has been reduced approximately 23 percent nationwide. This program also included the federal Ogden Urban Enterprise Grant. This ten-year grant has now been completed and fully expended. Funding Detail
Function Special Projects funding ended in FY 2005. In the past, the funding for special projects was as follows: The Carousel Project was a flexible funding source for difficult placements of children who have been in programs in more than one area and have failed. Single Audit received billings from the State Auditor for expenses incurred in the financial audit of federal funds required by the federal government. Funding Detail The 2005 Legislature transferred the Carousel Project along with $37,500 in General Fund to the Division of Child and Family Services to the Out-of-Home Care program. The single audit project is now under Fiscal Operations.
Program: Office of Services Review Function The Office of Services Review has the following primary functions: The Office of Services Review (OSR) coordinates and monitors the department's efforts to comply with state and federal regulations, court rulings, and policies. Utah Code 62A-4a-118 requires the department to review a random sample of child welfare referral cases in the Division of Child and Family Services. The results must be reported to the Legislative Auditor General and the Health and Human Services Interim Committee by October 1 of each year. The review includes quality control and compliance reviews of child protective services programs and foster care cases. OSR conducts program reviews in other divisions within the department as directed by the department director. OSR also performs fatality reviews regarding deaths of individuals in the care and/or custody of various agencies within the department. Office of Child Protection Ombudsman (OCPO) was created by the department in 1996 to investigate complaints filed against the Division of Child and Family Services (DCFS) and to make recommendations regarding the findings of those investigations. OCPO determines whether an act or omission of DCFS with respect to a child: 1) places a child's health or safety at risk, 2) has adequate documentation to support the removal or placement of the child, or 3) is contrary to statute, rule, or policy. The office was codified in statute during the 1998 General Session of the Legislature and this language can be found at 62A-4a-208. Funding Detail
Function The Office of Licensing is authorized to license public and private agencies that provide various human service programs. The office proposes and enforces laws, rules, and due process procedures in issuing and reviewing licenses. A schedule of license fees is at the end of this report. This office was a function within the Administrative Support Services program prior to FY 2006 when it was changed to its own separate program. Background This program was separated from the Administrative Support program in FY 2006. Funding Detail
Program: Utah Council for People with Disabilities Function Utah has decided to participate in the federal Developmental Disabilities Assistance and Bill of Rights Act (Public Law 106 - 402). This federal law provides grant funds for innovative pilot service programs for people with disabilities. It also requires every participating state to have a council to serve as a coordinating, advocacy, and long range planning body for people with disabilities. The Utah Council for People with Disabilities, currently established by a Governor's executive order, advocates for the collective needs of people with disabilities in Utah and works to facilitate system changes and increased system capacity. It awards and monitors federal grants issued under the above-mentioned federal act and then evaluates the effectiveness of those grants. The council also administers the Access Utah Network program. The Utah State Office of Rehabilitation Services and the departments of Health and Human Services fund this information delivery system jointly. Its purpose is to provide information to persons with disabilities and their families regarding assistive technology as well as the Americans with Disabilities Act (ADA), including programs and services available. It operates a toll-free telephone service and maintains the following resources: 1) an internet home page, 2) a Cooperative Service Directory of program service providers, 3) a used equipment data bank, 4) an ADA resource library, and 5) a listing of assistive technology equipment available nationwide. Funding Detail During the 2008 Second Special Session of the Legislature, state funding for the Utah Council for People with Disabilities was eliminated to help balance the state budget.
Program: Foster Care Citizen Review Board Function The Foster Care Citizen Review Board (FCCRB) was started as a pilot project in 1993 to evaluate an alternative method of reviewing foster care cases. The Legislature established the FCCRB as a statewide, independent, agency in 1997 (UCA 78-3g) to help comply with federal statute (42 U.S.C. 675(5) (B)). The statute requires the status of all children in foster care be reviewed at least every six months. Prior to the establishment of the FCCRB system, these reviews were either accomplished through an administrative review process in the Division of Child and Family Services (DCFS) or by the courts themselves. The courts also perform reviews - mostly during the first year a child is in custody. This program was eliminated during the 2008 Second Special Session of the Legislature. Funding Detail During the 2008 Second Special Session of the Legislature, the Foster Care Citizen Review Board was eliminated to help balance the state budget.
Program: Drug Offender Reform Act - Pilot Function Senate Bill 50, the Drug Offender Reform Act (DORA), was passed during the 2007 General Session of the Legislature. DORA was designed to expand offender access to treatment, provide for smarter sentencing by judges, create a seamless transition for offenders re-entering the community from prison, and provide increased community supervision. This legislation was predicated on a three-year DORA pilot program in the Third Judicial District Court in Salt Lake County created during the 2005 First Special Session. During the 2008 General Session of the Legislature, the DORA program was transferred to the Division of Substance Abuse and Mental Health. See that section for more detailed information. Funding Detail During the 2008 General Session of the Legislature, the DORA program was transferred to the Division of Substance Abuse and Mental Health.
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