Compendium of Budget Information for the 2009 General Session

Health & Human Services
Appropriations Subcommittee
Subcommittee Table of Contents

Group: Health & Human Services - Department of Health

Agency: Health

Function

The mission of the Utah Department of Health is to protect the public's health through 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 five of its major goals:

  1. Expand public health coverage for children through Medicaid and the Children's Health Insurance Program
  2. Work towards health insurance coverage for all Utah citizens as a long-term public health goal
  3. Improve capacity to respond to intentional and natural public health threats at state and local levels
  4. Establish prevention of childhood obesity as a public health priority
  5. Provide public health facilities and health plans with quality and performance data that are consistent, reliable, and understandable to consumers

Local health departments (LHDs) 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 are:

  1. Federal Mandates
    • requirements for using federal funds
  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, including:
    • general inflation
    • medical inflation
    • fuel and transportation costs
    • provider personnel expenses
  5. 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.

Funding Detail

Sources of Finance
2005
Actual
2006
Actual
2007
Actual
2008
Actual
2009
Approp
General Fund $287,990,800 $319,339,900 $337,937,700 $366,720,600 $370,400,500
General Fund, One-time $0 $19,152,000 $20,013,600 $5,670,000 ($754,200)
Federal Funds $1,119,576,600 $1,196,617,500 $1,176,874,800 $1,267,666,400 $1,287,083,200
Dedicated Credits Revenue $114,623,000 $107,074,300 $107,698,900 $116,966,100 $108,871,500
GFR - Cat & Dog Spay & Neuter $0 $0 $0 $50,000 $50,000
GFR - Cigarette Tax Rest $3,131,500 $3,131,500 $3,131,700 $3,131,700 $3,131,700
GFR - Kurt Oscarson Trans $100,000 $100,000 $100,000 $100,000 $100,000
GFR - Medicaid Restricted $0 $0 $1,995,900 $4,065,000 $5,828,400
GFR - Nursing Facility $0 $0 $11,698,600 $0 $0
GFR - Nursing Care Facilities Account $10,100,000 $10,407,500 $0 $15,716,200 $15,716,200
GFR - State Lab Drug Testing Account $293,600 $293,600 $293,500 $407,100 $418,000
GFR - Tobacco Settlement $13,155,200 $16,531,800 $16,624,600 $18,710,700 $16,768,000
Organ Donation Contribution Fund $113,000 $76,100 $113,000 $113,000 $113,000
Transfers $0 $0 $0 $38,813,800 $0
Transfers - Environmental Quality $30,800 $22,500 $11,000 $19,900 $32,500
Transfers - Governor's Office Administration $0 $0 $0 $245,600 $0
Transfers - H - Medical Assistance $2,012,100 $10,000 $0 $0 $0
Transfers - Health $0 $0 $40,000 $0 $0
Transfers - Human Services $86,719,200 $108,260,700 $78,369,200 $57,195,500 $65,595,500
Transfers - Intergovernmental ($1,083,100) ($1,406,800) $34,272,000 ($275,300) $34,489,600
Transfers - Medicaid $1,171,500 $1,679,000 $2,487,100 $2,090,200 $2,243,400
Transfers - Other Agencies $7,381,300 $9,290,200 $428,900 $7,914,700 $9,208,900
Transfers - Public Safety $136,600 $224,800 $269,500 $405,800 $347,400
Transfers - State Office of Education $175,200 $0 $0 $15,200 $0
Transfers - Within Agency $12,352,900 $18,492,700 $25,418,800 $39,977,300 $33,196,300
Transfers - Workforce Services $641,000 $639,900 $1,041,000 $3,110,200 $1,271,400
Rural Health Care Facilities Fund $0 $0 $0 $277,500 $277,500
Beginning Nonlapsing $3,787,900 $4,327,400 $9,242,000 $4,688,700 $3,499,100
Closing Nonlapsing ($4,327,400) ($9,242,200) ($16,256,100) ($6,892,600) ($2,728,100)
Lapsing Balance ($1,988,200) ($2,162,000) ($657,100) ($14,477,400) $2,063,000
Total
$1,656,093,500
$1,802,860,400
$1,811,148,600
$1,932,425,900
$1,957,222,800
 
Line Items
2005
Actual
2006
Actual
2007
Actual
2008
Actual
2009
Approp
Executive Director's Operations $26,519,600 $25,225,700 $29,199,800 $29,126,900 $28,277,400
Health Systems Improvement $11,328,800 $12,111,300 $14,740,300 $18,474,400 $17,720,400
Workforce Financial Assistance $794,900 $940,300 $477,600 $517,600 $425,900
Epidemiology & Lab Services $15,865,400 $16,634,800 $18,442,100 $21,457,700 $20,698,100
Community and Family Health Services $98,790,300 $100,010,000 $100,042,200 $107,423,100 $107,697,500
Health Care Financing $67,679,400 $75,944,300 $107,492,700 $117,295,400 $95,149,500
Medical Assistance $1,397,207,200 $1,518,090,800 $1,486,153,000 $0 $0
Medicaid Mandatory Services $0 $0 $0 $806,844,200 $799,422,100
Medicaid Optional Services $0 $0 $0 $771,059,100 $809,483,000
Children's Health Insurance Program $35,866,700 $51,847,500 $52,508,700 $57,545,900 $76,021,900
Local Health Departments $2,041,200 $2,055,700 $2,092,200 $2,681,600 $2,327,000
Total
$1,656,093,500
$1,802,860,400
$1,811,148,600
$1,932,425,900
$1,957,222,800
 
Categories of Expenditure
2005
Actual
2006
Actual
2007
Actual
2008
Actual
2009
Approp
Personal Services $74,936,200 $79,282,800 $79,994,400 $71,127,100 $69,250,300
In-State Travel $610,000 $723,700 $754,300 $731,400 $677,200
Out of State Travel $600,300 $589,400 $665,100 $663,200 $655,200
Current Expense $45,167,300 $57,447,400 $73,027,700 $57,092,100 $50,638,500
DP Current Expense $7,545,200 $7,298,600 $13,845,100 $14,823,800 $13,657,400
DP Capital Outlay $1,034,400 $307,500 $485,900 $189,500 $31,000
Capital Outlay $725,900 $404,700 $399,300 $926,700 $9,864,900
Other Charges/Pass Thru $1,525,474,200 $1,656,806,300 $1,641,976,800 $1,786,872,100 $1,812,448,300
Total
$1,656,093,500
$1,802,860,400
$1,811,148,600
$1,932,425,900
$1,957,222,800
 
Other Indicators
2005
Actual
2006
Actual
2007
Actual
2008
Actual
2009
Approp
Budgeted FTE 1,315.8 1,336.4 1,218.1 1,049.4 1,049.5
Vehicles 55 73 65 67 63






Subcommittee Table of Contents