Compendium of Budget Information for the 2011 General Session

Social Services
Appropriations Subcommittee
Subcommittee Table of Contents

Group: Social Services - Department of Health

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 five of its major goals:

  1. Implement and integrate public health in health reform.
  2. Improve working relationships with local health departments.
  3. Have Utah be a leader in the use and sharing of electronic health information.
  4. Continue comprehensive and collaborative efforts to address the obesity epidemic.
  5. Address the prescription drug misuse/abuse and accidental death incidence.

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 are:

  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, 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

For analysis of current budget requests and discussion of issues related to this budget click here.

Sources of Finance
2007
Actual
2008
Actual
2009
Actual
2010
Actual
2011
Approp
General Fund $337,937,700 $366,720,600 $353,377,000 $324,624,200 $362,431,700
General Fund, One-time $20,013,600 $5,670,000 ($46,639,600) ($57,963,200) ($57,703,000)
Federal Funds $1,176,874,800 $1,267,666,400 $1,352,662,700 $1,442,568,400 $1,474,202,300
American Recovery and Reinvestment Act $0 $0 $74,154,500 $113,731,400 $62,768,900
Dedicated Credits Revenue $107,698,900 $116,966,100 $120,212,100 $134,406,500 $128,666,800
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 $0 $50,000 $66,200 $80,000 $80,000
GFR - Cigarette Tax Rest $3,131,700 $3,131,700 $3,131,700 $3,131,700 $3,131,700
GFR - Children's Organ Transplant Trust $100,000 $100,000 $100,000 $100,000 $100,000
GFR - Medicaid Restricted $1,995,900 $4,065,000 $8,790,900 $8,396,500 $1,847,600
GFR - Nursing Facility $11,698,600 $0 $0 $0 $0
GFR - Nursing Care Facilities Account $0 $15,716,200 $15,716,200 $18,240,300 $19,506,300
GFR - State Lab Drug Testing Account $293,500 $407,100 $418,000 $417,300 $420,300
GFR - Tobacco Settlement $16,624,600 $18,710,700 $16,768,000 $20,364,300 $24,278,100
TFR - Dept. of Public Safety Rest. Acct. $0 $0 $0 $100,000 $100,000
Hospital Provider Assessment Special Revenue Fund $0 $0 $0 $0 $2,000,000
Organ Donation Contribution Fund $113,000 $113,000 $113,000 $113,000 $113,000
Transfers $0 $38,813,800 $1,290,800 $0 $904,500
Transfers - Environmental Quality $11,000 $19,900 $6,500 $0 $0
Transfers - Governor's Office Administration $0 $245,600 $185,900 $96,800 $0
Transfers - Health $40,000 $0 $0 $0 $0
Transfers - Human Services $78,369,200 $57,195,500 $70,268,700 $75,065,700 $67,213,000
Transfers - Intergovernmental $34,272,000 ($275,300) $70,310,000 $37,504,300 $27,255,000
Transfers - Medicaid $2,487,100 $2,090,200 $0 $0 $0
Transfers - Other Agencies $428,900 $7,914,700 $2,400 $792,200 $0
Transfers - Public Safety $269,500 $405,800 $545,900 $516,900 $354,800
Transfers - State Office of Education $0 $15,200 $0 $16,800 $0
Transfers - Within Agency $25,418,800 $39,977,300 $16,049,000 $14,063,300 $16,066,900
Transfers - Workforce Services $1,041,000 $3,110,200 $28,325,700 $29,539,900 $27,334,600
Transfers - Youth Corrections $0 $0 $5,926,800 $0 $3,552,900
Rural Health Care Facilities Fund $0 $277,500 $277,500 $0 $0
Pass-through $0 $0 $2,611,100 ($502,700) $27,100
Beginning Nonlapsing $9,242,000 $4,688,700 $6,892,600 $11,593,100 $1,700,000
Closing Nonlapsing ($16,256,100) ($6,892,600) ($11,593,100) ($20,426,300) ($1,292,500)
Lapsing Balance ($657,100) ($14,477,400) ($1,546,300) ($3,993,600) $0
Total
$1,811,148,600
$1,932,425,900
$2,088,424,200
$2,152,576,800
$2,165,130,000
 
Line Items
2007
Actual
2008
Actual
2009
Actual
2010
Actual
2011
Approp
Executive Director's Operations $11,373,400 $12,238,400 $12,803,800 $12,881,300 $17,081,500
Family Health and Preparedness $109,189,200 $118,879,200 $117,365,200 $128,828,300 $121,644,300
Disease Control and Prevention $41,861,800 $45,364,500 $46,884,200 $47,044,400 $60,750,300
Workforce Financial Assistance $477,600 $517,600 $560,000 $325,200 $170,100
Health Care Financing $107,492,700 $117,295,400 $114,719,500 $100,307,100 $113,912,700
Medicaid Management Information System Replacement $0 $0 $0 $0 $24,577,600
Medical Assistance $1,486,153,000 $0 $0 $0 $0
Medicaid Mandatory Services $0 $806,844,200 $898,735,200 $976,642,400 $897,871,000
Medicaid Optional Services $0 $771,059,100 $824,560,100 $807,236,800 $846,079,800
Medicaid Sanctions $0 $0 $0 $0 $1,048,900
Children's Health Insurance Program $52,508,700 $57,545,900 $70,299,200 $77,001,600 $79,871,400
Local Health Departments $2,092,200 $2,681,600 $2,497,000 $2,309,700 $2,122,400
Total
$1,811,148,600
$1,932,425,900
$2,088,424,200
$2,152,576,800
$2,165,130,000
 
Categories of Expenditure
2007
Actual
2008
Actual
2009
Actual
2010
Actual
2011
Approp
Personnel Services $79,994,400 $71,127,100 $74,126,100 $71,092,500 $72,751,900
In-state Travel $754,300 $731,400 $688,600 $582,600 $741,900
Out-of-state Travel $665,100 $663,200 $528,500 $481,600 $518,700
Current Expense $73,027,700 $57,092,100 $52,036,200 $72,148,200 $56,469,300
DP Current Expense $13,845,100 $14,823,800 $14,211,500 $13,861,800 $14,054,700
DP Capital Outlay $485,900 $189,500 $106,500 $59,800 $8,200
Capital Outlay $399,300 $926,700 $614,900 $1,137,300 $100,000
Other Charges/Pass Thru $1,641,976,800 $1,786,872,100 $1,946,111,900 $1,993,213,000 $2,020,485,300
Total
$1,811,148,600
$1,932,425,900
$2,088,424,200
$2,152,576,800
$2,165,130,000
 
Other Indicators
2007
Actual
2008
Actual
2009
Actual
2010
Actual
2011
Approp
Budgeted FTE 1,218.1 1,049.4 978.4 1,006.2 1,012.7
Vehicles 65 67 64 62 64






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