FY 2016 Appropriation

The Bureau of Child Development is responsible for protecting the health and safety of young children. This is done through four programs: Baby Watch Early Intervention Program, Child Care Licensing Program, Office of Home Visiting, and the State Early Childhood Comprehensive Systems Grant.

Funding History

Funding Issues

New Federal Surplus Property Resale Program

New federal surplus resale program where state agencies can receive dedicated credits from the sale of property/equipment.
Appropriation Overview

During the 2015 General Session, the Legislature appropriated for Fiscal Year 2016, $27,649,100 from all sources for Child Development. This is a 0.3 percent increase from Fiscal Year 2015 revised estimated amounts from all sources. The total includes $13,535,800 from the General/Education Funds, an increase of 0.9 percent from revised Fiscal Year 2015 estimates.

Appropriation Adjustments

In addition to statewide compensation and internal service fund cost increases, the following appropriation adjustments were made during the 2015 General Session:

DescriptionOngoingOne-Time Baby Watch Early Intervention Caseload$220,000$0
OngoingOne-TimeFinancing Source
$220,000$0General Fund
DOH - Baby Watch Early Intervention Caseload - The Legislature funded ongoing caseload with $220,000 one-time for FY 2015. The $220,000 represents a 0.9% increase in ongoing funding for this program. How Measure Success? (1) the proportion of Moderately and Severely delayed infants/toddlers who are served. (2) the number of families reporting that early intervention services have helped their family effectively communicate their child's needs and help their child develop and learn. (3) development closer to typically developing children in the following ways: Acquisition and use of knowledge and skills Use of appropriate behaviors to meet their needs Positive social and emotional skills. (4) at least 85% of these children will complete the program with improvement. (5) Continue to serve both severely delayed and moderately delayed children rather than having to restrict this program to only the severely delayed.
Child Care Amendments$88,000$12,000
OngoingOne-TimeFinancing Source
$88,000$0General Fund
$0$12,000General Fund, One-time
About 1,000 child care workers in FY 2015 and 7,000 ongoing beginning in FY 2016 who previously paid $15 for a background check to the Department of Public Safety will now pay those fees to the Department of Health. This could result in a shift of revenue of $15,000 in FY 2015 and $105,000 ongoing beginning in FY 2016 from dedicated credits to the Department of Public Safety to a deposit in the General Fund. The Department of Health deposits its child care background check fees into the General Fund. Enactment of this legislation could cost the Department of Health from the General Fund $12,000 in FY 2015 and $88,000 ongoing beginning in FY 2016 for 1.6 FTEs to process 1,000 child care worker background checks in FY 2015 and 7,000 ongoing beginning in FY 2016. The Department of Public Safety will no longer be processing these child care background checks at a dedicated credits cost of $15,000 in FY 2015 and $105,000 ongoing beginning in FY 2016.
Dedicated Credits Increase$4,400$0
OngoingOne-TimeFinancing Source
$4,400$0Dedicated Credits Revenue
(1) An increase of $802,200 in dedicated credits in FY 2016 in the Department of Health's Executive Director's Operations line item for $383,700 for potential sales from five new products from the All Payer Claims Database, $250,000 for contract for implementing the Master Person Index, and $168,500 for increased fees in vital records to offset declines in fee quantities. (2) An increase of $10,002,000 in dedicated credits in FY 2016 in the Department of Health's Medicaid Mandatory Services line item which is just a shift from the Medicaid Optional Services line item, but no overall increases for dedicated credits in Medicaid services. (3) $27,500 in ongoing dedicated credits beginning in FY 2016 for the Department of Health for a new federal surplus resale program where state agencies can receive dedicated credits from the sale of property/equipment. (4) For the Department of Health's Disease and Prevention Control line item as dedicated credits - Health: "Grant from the Association of Public Health Laboratories for $148,100. The purpose of this proposal is to establish molecular testing (Severe Combined Immunodeficiency) within the Utah Public Health Laboratory. Through this mechanism we explore and implement a cross-testing section process to advance Newborn Screening and the Infectious Disease group. The grant finances research and development work to implement a mandated test. All future cost will be covered completely through revenue generated through test fees."

Baby Watch Early Intervention Program

  • Target Population: Children from birth to age three with at least a moderate developmental delay or a diagnosed condition that has a high probability of resulting in a developmental delay.
  • Services Provided: Multi-disciplinary evaluation, service coordination, specialty and therapy services such as nursing, physical therapy, occupational therapy, speech therapy, special instruction, and family support services.
  • Delivery System: Contracted regional providers provide services statewide. As conditions for accepting Individuals with Disabilities Education Act Part C federal funds, the State and contracted providers must serve all children who meet the State-established eligibility criteria for the program. Parents pay a sliding scale fee for their children to receive services. The program bills Medicaid and the Children's Health Insurance Program for eligible children.

Child Care Licensing Program

The Child Care Licensing Program regulates child care programs by: establishing and enforcing health and safety rules for child care programs, assisting providers in meeting the health and safety rules, and providing the public with accurate information about regulated child care. The Child Care Licensing Program inspects child care facilities to ensure compliance with licensing rules, investigates complaints against regulated providers, and provides training on the licensing rules. Child care licensing rules include requirements for the physical facility, personnel, emergency preparedness, supervision of children, child health and nutrition, injury prevention, and infection control.

The Program issues citations to a provider/facility for violations of licensing rules. For repeat violations of the same rule, the Program assesses a civil money penalty. The State uses these funds for training for child care providers.

The categories of providers regulated by the Bureau include Child Care Centers, Hourly Child Care Centers, Out of School Time Programs, Licensed Family Child Care (in-home), and Residential Certificate Care (in-home). In general anyone caring for five or more unrelated children must comply with licensing requirements. UCA 26-39 exempts from licensing requirements child care programs operating under the supervision of the following groups:

  • Federal government
  • Higher education
  • Public education or programs located on the property of public education institutions
  • Local governments

Office of Home Visiting

The Office of Home Visiting administers a federal grant that provides and supports voluntary home visits to at-risk expectant or new parents. Home visiting is an evidence-based prevention strategy intended to improve the health and well-being of at-risk women, children and families. Trained home visitors, nurses or social workers, provide regular home visits to provide information about prenatal care, infant care, child development and parenting skills, and connect parents to important resources in their community.

State Early Childhood Comprehensive Systems Grant

The Bureau administers the State Early Childhood Comprehensive Systems grant, which is funded with federal Title V funds, to improve the system of services for children from birth to age eight by coordinating efforts of statewide agencies and organizations to ensure children enter school healthy and ready to learn.

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

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.


The monthly caseload is the number of child care facilities inspected.

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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.