COBI 2015 - Public Health and Preparedness

Overview
Issues
Background
Financials

Sources Uses

FY 2016 Appropriation

The federal government via its Department of Health and Human Services funds a nationwide cooperative agreement program for public health and healthcare preparedness through the Centers for Disease Control and Prevention and the Office of the Assistant Secretary for Preparedness and Response.

Funding History

Appropriation Overview

During the 2015 General Session, the Legislature appropriated for Fiscal Year 2016, $8,621,900 from all sources for Public Health and Preparedness. This is a 0.8 percent increase from Fiscal Year 2015 revised estimated amounts from all sources.

Public health preparedness had a previous focus on bioterrorism. The focus has now evolved into a more comprehensive, all-hazards approach to all disasters including emerging or reemerging infectious diseases and natural disasters, in addition to intentional threats from chemical, nuclear, or radiological incidents.

The ability to identify and contain outbreaks, provide vaccines and medications during emergencies, and treat people during mass traumas is a key focus of the work being done by the Preparedness Program.

Preparedness Program

Vision: Have a well-prepared and capable public health and medical emergency response system where public health emergencies are handled efficiently and cooperatively by state and local workforce.

The Preparedness Program works directly with and provides support to local health department emergency response coordinators. The program also partners with other state agencies (such as the Department of Public Safety, Department of Agriculture and Food, and Utah National Guard) as well as hospitals, health clinics, Indian Health, and volunteer organizations.

Intent Language

HB0003: Item 76

Under Section 63J-1-603 of the Utah Code, the Legislature intends that up to $50,000 of Item 21 of Chapter 13, Laws of Utah 2014, funds appropriated for the Department of Health's Assistance for People with Bleeding Disorders Program shall not lapse at the close of Fiscal Year 2015. The use of any nonlapsing funds is limited to services to eligible clients.

HB0003: Item 76

Under Section 63J-1-603 of the Utah Code, the Legislature intends that up to $250,000 of Item 21 of Chapter 13, Laws of Utah 2014 for the Department of Health's Emergency Medical Services shall not lapse at the close of Fiscal Year 2015. The use of any nonlapsing funds is limited to testing, certifications, background screenings, replacement testing equipment and testing supplies.

HB0003: Item 76

Under Section 63J-1-603 of the Utah Code, the Legislature intends that civil money penalties collected for the Department of Health's Child Care Licensing and Health Care Licensing in Item 21 of Chapter 13, Laws of Utah 2014 from childcare and health care provider violations shall not lapse at the close of Fiscal Year 2015. The use of any nonlapsing funds is limited to trainings for providers and staff, as well as upgrades to the Child Care Licensing database.

HB0003: Item 76

Under Section 63J-1-603 of the Utah Code, the Legislature intends that up to $245,000 of Item 21 of Chapter 13, Laws of Utah 2014 for the Department of Health's Family Health and Preparedness line item not lapse at the close of Fiscal Year 2015. The use of any nonlapsing funds is limited to health facility licensure and certification activities.

HB0003: Item 76

Under Section 63J-1-603 of the Utah Code, the Legislature intends that up to $210,000 of Item 21 of Chapter 13, Laws of Utah 2014 from fees collected for the purpose of plan reviews by the Department of Health's Bureau of Health Facility Licensure, Certification and Resident Assessment shall not lapse at the close of Fiscal Year 2015. The use of any nonlapsing funds is limited to plan review activities.

HB0003: Item 76

Under Section 63J-1-603 of the Utah Code, the Legislature intends that criminal fines and forfeiture money collected for the Department of Health's Emergency Medical Services in Item 21 of Chapter 13, Laws of Utah 2014 shall not lapse at the close of Fiscal Year 2015. The use of any nonlapsing funds is limited to purposes outlined in Section 26-8a-207(2).

SB0003: Item 113

The $1,000,000 in federal funds appropriated for the Nurse Family Partnership in the Department of Health in the Family Health and Preparedness line item is dependent upon the availability of and qualification for the Nurse Family Partnership for Temporary Assistance for Needy Families federal funds.

SB0007S01: Item 1

The Legislature intends that the Department of Health report on the following performance measures for the Family Health and Preparedness line item: (1) The percent of children who demonstrated improvement in social-emotional skills, including social relationships (Goal = 70% or more), (2) The percent of children who demonstrated improvement in their rate of growth in acquisition and use of knowledge and skills, including early language/communication and early literacy (Goal = 75% or more), (3) The percent of children who demonstrated improvement in their rate of growth in the use of appropriate behaviors to meet their needs (Goal = 75% or more) by January 1, 2016 to the Social Services Appropriations Subcommittee.

SB0007S01: Item 11

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Funding Source

Expenditure Category

Appropriation Type:

Appropriation History by

Sources of Finance	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Federal Funds	15,400,800	12,225,700	10,118,300	9,505,700	9,615,500	(1,060,100)	8,555,400	66,500	8,621,900
Total	$15,400,800	$12,225,700	$10,118,300	$9,505,700	$9,615,500	($1,060,100)	$8,555,400	$66,500	$8,621,900

Categories of Expenditure	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Personnel Services	2,257,000	2,022,200	1,903,300	1,953,800	2,254,100	(157,200)	2,096,900	70,200	2,167,100
In-state Travel	50,000	33,000	33,400	32,100	18,700	0	18,700	0	18,700
Out-of-state Travel	55,500	42,700	51,300	75,200	61,200	0	61,200	0	61,200
Current Expense	2,201,300	1,220,000	1,280,900	966,400	789,100	0	789,100	700	789,800
DP Current Expense	558,400	417,600	290,000	349,200	147,800	0	147,800	(4,400)	143,400
DP Capital Outlay	(47,700)	150,400	32,400	34,900	172,500	0	172,500	0	172,500
Capital Outlay	526,600	378,500	130,600	76,900	0	0	0	0	0
Other Charges/Pass Thru	9,799,700	7,961,300	6,396,400	6,017,200	6,172,100	(902,900)	5,269,200	0	5,269,200
Total	$15,400,800	$12,225,700	$10,118,300	$9,505,700	$9,615,500	($1,060,100)	$8,555,400	$66,500	$8,621,900

Show Table | Show Additional Information

Other Indicators	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Approp
Budgeted FTE	36.30	32.40	28.45	26.50	25.66	(1)	24.66	24.66
Actual FTE	27.10	25.90	23.50	23	0	0	0	0
Vehicles	3	2	2	2	2	0	2	2

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.