COBI 2015 - Workforce Financial Assistance

Overview
Issues
Performance
Background
Financials

Sources Uses

FY 2016 Appropriation

The purpose of the Utah Health Care Workforce Financial Assistance Program is to increase the number of: (1) health care professionals (physicians, physician assistants, nurses, dentists, mental health therapists, or other health care professionals) to provide primary health care services in medically underserved areas and (2) geriatric professionals (health care professionals, social worker, occupational therapist, pharmacist, physical therapist, or psychologist). This is done through educational loan repayment grants and scholarships in return for providing health care services for an obligated period of time. Funding for this program is designated as nonlapsing and is appropriated as a separate line item, in accordance with UCA 26-46-102(4).

Funding History

Appropriation Overview

During the 2015 General Session, the Legislature appropriated for Fiscal Year 2016, $1,300,000 from all sources for Workforce Financial Assistance. This is a 23974.1 percent increase from Fiscal Year 2015 revised estimated amounts from all sources. The total includes $900,000 in new approprations from the General/Education Funds.

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 Rural Physician Loan Repayment Program$600,000$0

OngoingOne-TimeFinancing Source

$300,000$0General Fund

$300,000$0Dedicated Credits Revenue

"This bill creates the Rural Physician Loan Repayment Program." How Measure Success? "Number of physicians working in the program as determined by actual allocation of funding."

Workforce Financial Assistance - Loan Forgiveness to Serve in Underserved Areas$0$700,000

OngoingOne-TimeFinancing Source

$0$600,000General Fund, One-time

$0$100,000Federal Funds

"Partial loan forgiveness for health care professionals."

Staff Analysis

Of those individuals that have completed their service obligation, 83 percent have either remained in their original service areas or within the same county where their service obligation began. Placements have been made in 26 of Utah's 29 counties, allowing those communities the opportunity for more comprehensive primary health care services. Over the course of its existence, the program has provided funding to secure the obligation of a total of 970 years of service. In 2009, 78 care professionals at 45 employment sites met the minimum eligibility criteria. Twenty-seven, or 35% of those qualified health care professionals could be given awards with existing resources.

Statute

The Workforce Financial Assistance Program is governed by Title 26, Chapter 46 of the Utah Code.

UCA 26-46 creates the Utah Health Care Workforce Financial Assistance Program Advisory Committee and establishes the Health Department's authority to administer the program.

Ongoing funding ended after FY 2009 and the State no longer qualifies for the $1 to $1 match for up to $270,000 federal funds. Existing appropriations have continued as nonlapsing funds for the continuing obligations. The nonlapsing funds will likely run out in FY 2015.

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

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Funding Source

Expenditure Category

Appropriation Type:

Appropriation History by

Programs	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Workforce Financial Assistance	140,000	164,300	32,800	9,800	0	5,400	5,400	1,294,600	1,300,000
Total	$140,000	$164,300	$32,800	$9,800	$0	$5,400	$5,400	$1,294,600	$1,300,000

Sources of Finance	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
General Fund	0	0	0	0	0	0	0	300,000	300,000
General Fund, One-time	0	0	0	0	0	0	0	600,000	600,000
Federal Funds	12,700	0	0	0	0	0	0	100,000	100,000
Dedicated Credits Revenue	0	0	0	0	0	0	0	300,000	300,000
Beginning Nonlapsing	339,600	212,300	48,000	15,200	0	5,400	5,400	(5,400)	0
Closing Nonlapsing	(212,300)	(48,000)	(15,200)	(5,400)	0	0	0	0	0
Total	$140,000	$164,300	$32,800	$9,800	$0	$5,400	$5,400	$1,294,600	$1,300,000

Categories of Expenditure	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Personnel Services	9,900	7,200	7,900	4,400	0	0	0	0	0
Current Expense	129,600	156,400	13,800	5,000	0	5,400	5,400	1,294,600	1,300,000
DP Current Expense	500	700	500	400	0	0	0	0	0
Other Charges/Pass Thru	0	0	10,600	0	0	0	0	0	0
Total	$140,000	$164,300	$32,800	$9,800	$0	$5,400	$5,400	$1,294,600	$1,300,000

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Other Indicators	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Budgeted FTE	0.30	0.20	0.15	0	0	0	0	0	0
Actual FTE	0.20	0.20	0.10	0	0	0	0	0	0

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.