COBI 2015 - Social Services

Overview
Issues
Background
Financials

Sources Uses

FY 2016 Appropriation

The departments of Health, Workforce Services, and Human Services, and the Utah State Office of Rehabilitation (USOR), administer a variety of public health and social services programs for the State of Utah. The Department of Health includes the divisions of Executive Director's Operations, Family Health and Preparedness, Disease Control and Prevention, and Medicaid and Health Financing which administers the State's Medicaid and Children's Health Insurance (CHIP) programs. Utah utilizes 12 local health departments to administer many of the services required by the State. Local health departments cover all areas of the State and provide local public health services.

Funding History

Appropriation Overview

During the 2015 General Session, the Legislature appropriated for Fiscal Year 2016, $5,218,081,300 from all sources for Social Services. This is a 2.4 percent increase from Fiscal Year 2015 revised estimated amounts from all sources. The total includes $904,013,700 from the General/Education Funds, an increase of 5.7 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 02. Capital Development - Unified State Lab$191,400 ($191,400)

OngoingOne-TimeFinancing Source

$191,400$0General Fund

$0 ($191,400)General Fund, One-time

Prioritized #2 by the subcommittee. Estimated O&M is $747,100.

2-1-1 Information and Referral System at the United Way$0$550,000

OngoingOne-TimeFinancing Source

$0$550,000General Fund, One-time

Funding is meant to support an information and referral system.

ACA Savings - Local Mental Health/Sub Abuse ($100,000)$0

OngoingOne-TimeFinancing Source

($100,000)$0General Fund

Savings to local mental health and substance abuse systems for both children and adults that have already occurred resulting from passage of federal health care reform (ACA). The amount represents less than four tenths of 1% of state General Fund pass through provided. Savings would involve newly covered groups either on Medicaid or ACA subsidy where local agencies had paying the full amount before (e.g. - children 6-18 below 100% of poverty, etc.).

Accountable Care Organization Administrative Fee$5,390,800$0

OngoingOne-TimeFinancing Source

$1,600,000$0General Fund

$3,790,800$0Federal Funds

Accountable Care Organization Administrative Fee increase from 8.3% to 9%, which is $2M.

Achieving a Better Life Experience Program and Tax Credits$228,000 ($176,500)

OngoingOne-TimeFinancing Source

$67,300$0General Fund

$0 ($15,800)General Fund, One-time

$160,700 ($160,700)Dedicated Credits Revenue

Enactment of this bill could reduce revenue to the Education Fund by $187,000 in FY 2017. Enactment of this legislation may cost the Department of Workforce Services $128,000 in FY 2016 and $306,100 in FY 2017 for development and ongoing implementation of the newly created Achieving a Better Life Experience Program.

Adoption Records Access Amendments$81,200$0

OngoingOne-TimeFinancing Source

$55,000$0General Fund

$26,200$0Dedicated Credits Revenue

"provides for funding, automating, improving, and advertising...a mutual-consent, voluntary adoption registry (the registry) and other requests for adoption records." How Measure Success? "Automated system that records use and successful matches of parents and adoptees."

Adult Protective Services Caseworkers$229,700$0

OngoingOne-TimeFinancing Source

$229,700$0General Fund

Adult Protective Services Caseload - 3 additional caseworkers, 2 of which will help with increasing field caseloads (particularly in rural areas of the state) and 1 with increasing intake caseloads. Adult Protective Services (APS) is tasked with investigating abuse, neglect, and exploitation, including financial exploitation, of seniors aged 65 and older as well as vulnerable adults, defined as individuals aged 18-64 who have a disability that limits their ability to complete two or more Activities of Daily Living. Each year there are thousands of reports of abuse, neglect, and exploitation of seniors and vulnerable adults in Utah, with a 35% growth in allegations since 2009. This is an increase from the base of 7.5%.

Affordable Care Act Mandatory Changes ($1,507,000) ($83,800)

OngoingOne-TimeFinancing Source

($753,500)$0General Fund

$0 ($41,900)General Fund, One-time

($753,500) ($41,900)Federal Funds

Workforce Services received $1,800,000 in ongoing funding for 43 FTEs to handle forecasted increased Medicaid enrollment of 35,300 due to mandatory changes in federal health care reform that expands Medicaid eligibility for children. As of October 2014 the Department indicated that it has hired 23 FTEs. The Department estimates a need for 25 FTEs to handle the approximately 6,400 new Medicaid clients due to mandatory expansion. This reduction takes away the ongoing funding for the remaining 18 FTEs The Legislature can chose to make any reduction and subsequent use contingent upon actual savings realized via intent language.

Aging Local Caregiver Support$0$250,000

OngoingOne-TimeFinancing Source

$0$250,000General Fund, One-time

This funding will be passed through to the local Area Agencies on Aging to provide additional respite services to the caregivers of seniors.

Aging Nutrition$0$500,000

OngoingOne-TimeFinancing Source

$0$350,000General Fund, One-time

$0$150,000Federal Funds

This item was funded $300,000 with one-time funding sources in the 2014 General Session. Area Agencies on Aging (AAAs) requested a $300,000 ongoing amount in the 2015 General Session to address federal sequestration reductions affecting meals to a "vulnerable aging population either at senior centers or through the meals on wheels program." The Governor recommended funding $150,000 one-time for "Meals on Wheels." The Governor also recommended using $150,000 from the DHS federal reserve. The senior nutrition programs consist of Meals on Wheels (Home-delivered Meals) and meals served in senior centers (Congregate Meals). Both programs are designed to provide nutritious meals to seniors who cannot leave their homes or who may lack nutrition in the food they eat. Senior nutrition meals are created to meet seniors' specific nutritional needs and are intended to prevent issues associated with malnutrition and dehydration. Although both programs are currently in place, the demand for senior nutrition, as well as the costs of administering the programs, continues to rise and the request is for an additional General Fund to be provided to the twelve Utah Area Agencies on Aging (AAA) who administer senior nutrition programs across the state. The program requires clients be seniors aged 60 or older.

Aging Waiver$673,900$0

OngoingOne-TimeFinancing Source

$200,000$0General Fund

$473,900$0Transfers - Medicaid

This item was presented as a request to the Health and Human Services interim standing committee on 9-17-14 asking that the waiting list on the aging waiver be fully funded. Some have suggested funding this item as a cost saving measure to reduce more expensive institutional care. Funding for the Aging Waiver has been flat for a number of years.

Alzheimer's State Plan Amendments$161,200$0

OngoingOne-TimeFinancing Source

$161,200$0General Fund

"requires the Department of Health to designate Alzheimer's disease and related dementia as a public health issue and implement a state plan for Alzheimer's disease and related dementia."

Anesthesia Services Medicaid Reimbursement Rates$2,931,300$0

OngoingOne-TimeFinancing Source

$870,000$0General Fund

$2,061,300$0Federal Funds

"Medicaid anesthesia services." Health: "It would be a 30 percent increase for [fee-for-service] and [accountable care organization] providers."

ARRA Adjustments$2,000,000$11,608,000

OngoingOne-TimeFinancing Source

$0$11,608,000American Recovery and Reinvestment Act

$2,000,000$0Unemployment Compensation Fund

The Legislature expressed interest in reviewing the federal stimulus or American Reinvestment and Recovery Act (ARRA) money separate from the annual review of federal funds.

Assistive Technology Program$0$500,000

OngoingOne-TimeFinancing Source

$0$500,000Education Fund, One-time

Funding this item provides items such as wheelchairs, ramps, grab bars, and hand bars in order to assist individuals with disabilities to be more independent in their homes and communities. This building block was funded with one-time money during the 2014 General Session. USOR states this request is, "to assist individuals with disabilities to be more independent in their homes and communities . . . to eliminate a waiting list of individuals with disabilities needing assistive technology devices."

Attorney General Dedicated Credit Adjustments$433,800$0

OngoingOne-TimeFinancing Source

$126,700$0General Fund

$307,100$0Federal Funds

This item designates additional funding appropriated to an agency to pay higher costs for Attorney General services, due to statewide and AG-specific compensation increases.

Automatic External Defibrillator Account$0$150,000

OngoingOne-TimeFinancing Source

$0$150,000GFR - Automatic External Defibrillator Account

Provide $150,000 in one-time spending authority to the Department of Health from the General Fund Restricted - Automatic External Defibrillator Account for FY 2015. The money is already in the account from the 2014 General Session.

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.

Backfill General Fund Deposit From Fund 1052 Victims of Domestic Violence Services Account$0 ($15,500)

OngoingOne-TimeFinancing Source

$0 ($15,500)GFR - Domestic Violence

FY 2015 appropriations currently includes taking $15,500 from fund 1052 and depositing it into the General Fund. Upon further analysis the agency indicates that the fund balance is not a cash source and will not be able to provide this deposit. This funding backfills the current appropriation.

Background Checks/HB 145 Vulnerable Adult Workers$477,000$1,500

OngoingOne-TimeFinancing Source

$299,700$0General Fund

$0$1,500General Fund, One-time

$34,600$0Federal Funds

$142,700$0Transfers - Medicaid

Human Services - Background Checks & HB 145 - Vulnerable Adult Worker Amendments - "to enable background checks of employees working with vulnerable adults."

Career and Technical Education Comprehensive Study$18,300$0

OngoingOne-TimeFinancing Source

$18,300$0General Fund

Enactment of this legislation likely will not materially impact state revenue. Enactment of this legislation could cost the Department of Workforce Services $18,300 ongoing from the General Fund beginning in FY 2016 to staff the Career and Technical Education Board. Enactment of this legislation could also cost the Legislature $500 each year for travel and per diem to attend CTE Board meetings. This cost can be absorbed within existing budgets..

Case Managers for Chronically Homeless$352,400$1,000,000

OngoingOne-TimeFinancing Source

$352,400$0General Fund

$0$1,000,000GFR - Homeless Account

30 additional case managers would be hired to manage caseloads associated with the 10-Year Plan to End Chronic Homelessness. The case managers would provide daily support to about 20-30 clients each. Support includes coordination of services, benefit assistance, and training. This account currently receives $565,000 ongoing from the General Fund. The Governor funded this with one-time money.

Child and Family Amendments$11,100$0

OngoingOne-TimeFinancing Source

$11,100$0General Fund

Enactment of this legislation likely will not materially impact state revenue. Assuming about 5 cases annually, enactment of this bill could create total ongoing costs of $25,000 from the General Fund for the following agencies beginning in FY 2016: 1. Courts - $5,300 - for processing hearings, 2. Attorney General - $4,900 - for attorney representation, and 3. Guardian ad Litem (GAL) - $3,700 - for attorney representation, and 4. Division of Child and Family Services (DCFS) - $11,100 - for evaluations.

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.

Children's Mental Health Early Intervention for Children and Youth$1,500,000$0

OngoingOne-TimeFinancing Source

$1,200,000$0General Fund

$300,000$0Federal Funds

Children's mental health promotion/mental illness prevention that was funded $1,500,000 one time during the 2014 General Session. This request is to make that funding ongoing. Counties are also asking that this funding be increased by an additional $1.5 million in order to serve more schools. Children, Youth and their Families who have Serious Emotional Disturbance (SED) or who are at Risk of developing SEDs are the population being served. In the past two years these community based efforts to intervene early, helped 9,744 children, youth, and their families; 3,983 in the first year of funding and 5,761 in the second year of funding. The subcommittee took action to reduce the request to $1.2 million and fund $300,000 one-time with TANF funds.

CHIP Caseload Growth ($3,369,400) ($12,108,000)

OngoingOne-TimeFinancing Source

($700,000)$0General Fund

$0 ($2,500,000)General Fund, One-time

($2,669,400) ($9,608,000)Federal Funds

The consensus team estimates an average monthly enrollment of 15,700 for FY 2015. This is lower caseloads than prior forecasts. For FY 2016 the forecast projects enrollment growth of 1.4% or 200 Inflation increases - the Department contracts with two managed care organizations to provide all CHIP medical services. These contracts traditionally have annual increases. For FY 2014 these increases were 0% for one contractor and 9.1% for another contractor. The increase was primarily due to unusually high inpatient mental health expenditures. The forecast has increases in per member per month costs of 1.5% for FY 2015 and 3.0% for FY 2016. Nonlapsing balance - CHIP starts FY 2015 with a $1.4 million in nonlapsing balances which reduces the need for General Fund. The money comes from unspent funds in FY 2014.

DCFS Legal Fees$0$28,000

OngoingOne-TimeFinancing Source

$0$28,000General Fund, One-time

DCFS Legal Fees - "to implement a favorable Board of Examiners' recommendation." The Board of Examiners (Governor, Attorney General, State Auditor) sent a letter to the Senate President and Speaker of the House. The letter stated the following: "Pursuant to Utah Code Ann. Section 63G-9-1 0 1 etc. seq. , this letter reports to the Legislature the recommendation of the Board of Examiners for claims filed against the state for which funds have not been provided . . . The Board reviewed the report provided by Doug and Janet McLain for foster care adoption expenses and recommends payment in the amount of $27,568.25."

Dedicated Credits Increase$10,831,700$148,100

OngoingOne-TimeFinancing Source

$10,831,700$148,100Dedicated 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."

Direct Care Staff Salary Increase$14,260,400$4,211,600

OngoingOne-TimeFinancing Source

$4,232,500$0General Fund

$0$1,250,000General Fund, One-time

$10,027,900$2,961,600Transfers - Medicaid

This request would raise the wage of direct care workers providing services for the Division of Services for People with Disabiities (DSPD). The increase would apply to any 'waiver code' where there is a direct care worker. During FY 2014 DSPD had difficulty placing individuals already funded by the Legislature because community providers were unable to staff these placements due to lack of appropriate staff. This difficult is evidenced by DSPD nonlapsing $6.7 million in state funds (meant for services) at the end of FY 2014. The issue meant that families anticipating receiving services already approved had to wait for as long as six months to receive that service. The issue also involves access with regard to the Medicaid waiver and quality of care when appropiate staff cannot be hired.

Direct Care Staff Salary Increase - Internal Funding$3,917,500$0

OngoingOne-TimeFinancing Source

$1,162,700$0General Fund

$2,754,800$0Transfers - Medicaid

This request would raise the wage of direct care workers providing services for the Division of Services for People with Disabiities (DSPD). The increase would apply to any 'waiver code' where there is a direct care worker. During FY 2014 DSPD had difficulty placing individuals already funded by the Legislature because community providers were unable to staff these placements due to lack of appropriate staff. This difficult is evidenced by DSPD nonlapsing $6.7 million in state funds (meant for services) at the end of FY 2014. The issue meant that families anticipating receiving services already approved had to wait for as long as six months to receive that service. The issue also involves the issue of access with regard to the Medicaid waiver and quality of care when appropiate staff cannot be hired.

Disabilities - Capital Development Assistance$0$500,000

OngoingOne-TimeFinancing Source

$0$500,000General Fund, One-time

The funding could either be for FY 2015 or FY 2016. The funding will be used to assist individuals with disabilities living in community settings where the services are throughout much of the state.

Disabilities - Inclusive Schools, Communities, Workplaces$0$50,000

OngoingOne-TimeFinancing Source

$0$50,000General Fund, One-time

The funding is to provide assistance for creating inclusive schools, communities, and workplaces for individuals with disabilities.

Disabilities Dental Program$0$200,000

OngoingOne-TimeFinancing Source

$0$200,000General Fund, One-time

Funding is meant to help provide specialized dental services statewide to individuals with disabilities.

Disabilities Mandated Additional Needs$5,157,000 ($3,697,100)

OngoingOne-TimeFinancing Source

$1,530,600$0General Fund

$0 ($1,097,300)General Fund, One-time

$3,626,400 ($2,599,800)Transfers - Medicaid

There is a Medicaid requirement that the health and safety service needs of individuals receiving waiver services be met. Of the 4,800 covered individuals, 660 or 13.8 % identified last year as having increased health and safety needs. This is an increase from the base of 1.9%. How Measure Success? "Percent of people who are satisfied with their staff, support coordinator, and fiscal agent."

Disabilities Transportation$0$508,600

OngoingOne-TimeFinancing Source

$0$150,000General Fund, One-time

$0$358,600Transfers - Medicaid

Increases the rate for transportation services for people with disabilities to get from their homes to day programs, jobs, and other activities. This item was funded with one-time money during the 2014 General Session. Intent language was included to study the issue and provide a report to the LFA (which was done). The report included a number of recommendations almost all of which consisted of increasing the rates in various ways.

Disabilities Waiting List$0$4,211,600

OngoingOne-TimeFinancing Source

$0$1,250,000General Fund, One-time

$0$2,961,600Transfers - Medicaid

The Disability Waiting List was funded in the 2014 General Session with one-time money. Advocates are looking to make this funding ongoing plus any additional funding request in the 2015 General Session. If the Legislature funds approximately 150 individuals currently on the waiting list for services it would cost about $1,000,000 in General Fund and $3,500,000 in total funds. This is an increase from the base of 1.86%. How Measure Success? "Percent of people who are satisfied with their staff, support coordinator, and fiscal agent."

Domestic Violence Shelters$400,000$0

OngoingOne-TimeFinancing Source

$400,000$0General Fund

$0$0General Fund, One-time

This item was funded $300,000 ongoing and $393,500 one-time in the 2014 General Session. This funding provides $400,000 for Domestic Violence shelters ongoing. The funding will be divided up equally between all 13 non-profit domestic violence shelters in FY 2016. DCFS plans to implement a new funding formula in state FY 2017 and beyond. The funding is intended to provide basic life-saving and protection services of: safe shelter, case management, therapy, and children's services.

DSPD Nonlapsing Carryforward$0 ($6,676,200)

OngoingOne-TimeFinancing Source

$0 ($6,676,200)General Fund, One-time

DHS - DSPD Nonlapsing carryforward - the Division of Services for People with Disabilities (DSPD) has a large amount of unspent General Fund it has carried from FY 2014 into FY 2015. DSPD suggests this funding is due to difficulties in placing individuals into services in a timely manner. This funding is one-time. Utah Code (UCA 62A-5-102(7) dictates how nonlapsing funds may be used. DSPD would like to use the one-time funding to provide $5,000 in Respite Services per person to 850 people currently on the DSPD Waiting List ($4,250,000) and to cover: 1) the costs of Mandated Additional Needs for individuals currently receiving Medicaid Waiver Services who experience a loss of natural supports or a deterioration in health or behavior requiring additional supports to ensure their health and safety ($1,530,600); 2) the additional General Fund costs of children aging out of DCFS and DJJS custody who are receiving Medicaid Waiver Services through DSPD ($537,900); and 3) continue, and add to, the one-time transportation rate increase appropriated for FY 2015 ($357,700). The subcommittee may choose to agree with these uses or to use the funding in an alternate manner.

DV Shelters - Lethality Assessment$0$693,500

OngoingOne-TimeFinancing Source

$0$693,500General Fund, One-time

The Lethality Assessment Project (LAP) was developed in Maryland and "has proven to save lives. From 2006 to 2010, Maryland reduced domestic violence homicides by 30%." The LAP will increase the demand for shelter and services by directing high-risk domestic violence victims to the Domestic Violence Nonprofits across the state. These funds will assist in partnering with local law enforcement and accommodate the increase in clients. Based on research by Dr. Jacquelyn Campbell of The Johns Hopkins University School of Nursing, the LAP is designed to prevent domestic violence homicides, serious injury, and re-assault through partnering with law enforcement and encouraging more victims to utilize the support and shelter services of domestic violence programs. The LAP features a research based lethality screening tool and an accompanying protocol referral that provides direction for law enforcement, and domestic violence nonprofits personal to initiate appropriate action based on the results of the screening process. Some statistics relevant to this pilot project include: Only 4% of domestic violence murder victims ever participated in domestic violence service programs. In 50% of domestic violence related homicides, officers had previously responded to the scene. Re-assault of domestic violence victims in high danger was reduced by 60% if they went into shelter.

Emergency Medical Services Amendments$10,719,500$0

OngoingOne-TimeFinancing Source

$7,502,100$0Federal Funds

$3,217,400$0Dedicated Credits Revenue

Enacting this bill could increase revenue to a new expendable special revenue fund by $3,217,400 ongoing beginning in FY 2016 and may increase federal funds received by $7,502,100 ongoing beginning in FY 2016. Enactment of this legislation may cost the Department of Health $3,217,400 in expendable special revenue funds and $7,502,100 federal funds annually beginning in FY 2016. These costs are $40,000 for staff and $10,679,500 for increased reimbursement payments to Medicaid providers of ambulance transportation.

Employment Program for the Mentally Ill$0$120,000

OngoingOne-TimeFinancing Source

$0$120,000Federal Funds

Funding is to assist individuals with a serious and persistent mental illness the opportunity to build self-confidence and self-esteem through reintregartion into their community through meaningful work, education, safe and affordable housing, and respectful relationships.

Expand Autism Classrooms$0$500,000

OngoingOne-TimeFinancing Source

$0$500,000General Fund, One-time

Funding is meant to expand autism classrooms available throughout the state.

Fed Medical Assistance % Rate Change$29,000$0

OngoingOne-TimeFinancing Source

$537,100$0General Fund

($36,500)$0Federal Funds

($471,600)$0Transfers - Medicaid

The Federal Medical Assistance Percentage (FMAP) represents the federal share of the programmatic costs for Medicaid and federal Title IV-E (of the Social Security Act) programs. Title IV-E funds are used to support foster care and adoption assistance in the Division of Child and Family Services. The federal government utilizes a formula to determine its annual percent of FMAP. The projected FMAP rate for State Fiscal Year 2016 for Utah is 70.32 percent. This represents a 0.185 percent decrease from the State Fiscal Year 2015 FMAP rate. Of the $537,100 total FMAP rate change, $431,200 or 80 percent is within the Division of Services for People with Disabilities.

Federal Funds Adjustments$0 ($3,289,800)

OngoingOne-TimeFinancing Source

$0 ($3,289,800)Federal Funds

Annual adjustments of federal funds based on agency submission of grant changes.

Forensic Competency Restoration$300,000$0

OngoingOne-TimeFinancing Source

$300,000$0General Fund

County needs for competency evaluations are exceeding the availability of State Hospital forensic beds. The forensic program has 100 beds. Forensic adults are "adults who have been adjudicated and found not competent to stand trial. These patients are held in a secure facility (regardless of the severity of the crime they are accused of committing) until competency can be restored. . . The forensic unit also holds and treats patients who have been adjudicated and been found guilty or not guilty and mentally ill [20%]. . . Forensic patients cost more than civilly committed adult patients. Over the past four fiscal years, the average cost for forensic patients was $475 per patient day. The average cost for a civilly committed adult was $434 per patient day." A review by the Department of Human Services has determined that a less expensive option than adding more State Hospital forensic beds is to hire State Hospital level staff to go directly to county jails and restore competency there. This option allows the use of existing jails to provide the room and board.

General Assistance Program Changes$250,000$0

OngoingOne-TimeFinancing Source

$250,000$0Dedicated Credits Revenue

This bill provides that a refund that offsets a benefit provided to a recipient of General Assistance shall be retained by the division and may be used by the division to provide General Assistance to other recipients, unless the refund is required to be credited to the federal government.

Health Facility Certification Staffing$357,700$357,700

OngoingOne-TimeFinancing Source

$56,000$0General Fund

$0$56,000General Fund, One-time

$301,700$301,700Federal Funds

Provide ongoing funding for four FTEs to continue more timely inspections of health care facilities to meet state licensing and Medicare/Medicaid certification requirements. The Department of Health internally funded these four extra FTEs for FY 2014. The Department anticipates being able to inspect 100 facilities annually compared to 56 inspections in 2013. The Department indicates the federally-required frequency of inspections is 12.9 months, Utah was at 23 months in 2013. For FY 2014 the State Auditor indicates that the average inspection frequency was 12.9 months with all inspections less than 15.9 months since the last inspection. How Measure Success? (1) Average inspection frequency less than 13 months. (2) No nursing home inspected twice in a 16 month period.

Health Facility State Licensing Staffing$86,900$0

OngoingOne-TimeFinancing Source

$86,900$0General Fund

One FTE to perform about 25 inspections and to try and have more timely inspections of state licensed facilities (i.e. - assisted living, personal care agencies, and psychiatric hospitals). The agency indicates that currently state-only facilities are inspected every 4.5 years by 3 FTEs. This appropriation should bring the frequency to every 3.5 years. Health recommends a two year frequency for inspections as ideal. How Measure Success? (1) Facility inspections completed annually. (2) Time between inspections. (3) Class 1 deficiencies per inspection.

Increase Nursing Home Medicaid Rates$13,276,000$0

OngoingOne-TimeFinancing Source

$9,335,700$0Federal Funds

$3,940,300$0GFR - Nursing Care Facilities Account

Increase Nursing Home Medicaid Rates - The Legislature provided $2 million one-time in FY 2015 to raise nursing home rates 3.6% in Medicaid. This funding would make that rate increase ongoing. In order to keep the cost neutral for the State $110,600 of the appropriation would be used for the increased cost to the State for hospice costs. The number of Medicaid clients in nursing homes has declined annually from a high of 3,130 in FY 2011 to 2,938 clients in FY 2014. This is a decline of 6.1% or 192 clients. How Measure Success? Report on rates implemented.

Independent Living Center Services$0$275,000

OngoingOne-TimeFinancing Source

$0$275,000Education Fund, One-time

Under-served populations - Provide funding for Independent Living Centers to "Assist the six Centers for Independent Living to continue their efforts to serve youth and others with disabilities in training and education of independence and community integration skills (to include transition out of and diversion from nursing homes or other institutions)." This building block was funded with one-time money during the 2014 General Session but provides ongoing services. This funding is passed through to the independent living centers. USOR measures Independent Living Center performance by: 1) 20% of total served will be new consumers; 2) Report on total number served; 3) Report on number of youth served; 4) Report on number of individuals transitioned from nursing homes to the community; and 5) Report on number of individuals diverted from a nursing home placement."

Intermediate Care Facilities - Intellectually Disabled Direct Staff Salary$673,900$0

OngoingOne-TimeFinancing Source

$200,000$0General Fund

$473,900$0Federal Funds

"Provider care for the intellectually disabled population. The salaries range from $8.50-$9.35 per hour."

Justice Reinvestment Initiative$3,355,000$1,620,000

OngoingOne-TimeFinancing Source

$3,355,000$0General Fund

$0$1,620,000General Fund, One-time

Over the past 18 months, leaders in state government collaborated with the Pew Charitable Trusts Public Safety Performance Project and the U.S. Department of Justice to examine and find solutions to Utah's recidivism rate and growing prison population. The Justice Reinvestment Initiative is the broad project to begin implementation of key recommendations from the study. Funding is provided for the Department of Corrections, Board of Pardons and Parole, Governor's Office (Commission on Criminal and Juvenile Justice); additional funding is provided for the Division of Substance Abuse and Mental Health.

Land Exchange Distribution Account Adjustment$0$12,000

OngoingOne-TimeFinancing Source

$0$12,000GFR - Land Exchange Distribution Account

Adjust the appropriation from the Land Exchange Distribution Account to bring it more in line with the revenues that are flowing into the account.

Local Mental Health Medicaid Match$0$6,400,000

OngoingOne-TimeFinancing Source

$0$6,400,000General Fund, One-time

Local Mental Health Medicaid caseload growth has exceeded the growth in available Medicaid match funding sources. During the 2014 General Session the Legislature provided an additional $6.4 million one-time to counties to assist them in paying for Medicaid match. Counties are now looking to the state to: 1) make the $6.4 million ongoing. The Medicaid program requires that state partners (including counties) pay for a portion of Medicaid expenditures called Medicaid match. The total FY 2013 Utah Medicaid match requirement was approximately 30%. Local authority information indicates the increased pressure to fund the Medicaid match affects all counties. Growth in Medicaid enrollment has outpaced funding for Medicaid match. In FY 2013 73% of the match was paid for with State General Fund received by the counties as pass through while 27% was paid using county General Fund sources.

Local Public Health Emergency Fund$0$25,000

OngoingOne-TimeFinancing Source

$0$25,000General Fund, One-time

Assistance to local governments to plan for local health emergencies

Loss of Laboratory FTE$0 ($58,400)

OngoingOne-TimeFinancing Source

$0 ($58,400)General Fund, One-time

During FY 2015 the forensic toxicology section of the state laboratory has been without one FTE for several months. The one-time savings represent the savings the State while this position has remained unfilled.

Maliheh Free Clinic$0$50,000

OngoingOne-TimeFinancing Source

$0$50,000General Fund, One-time

No Description

Marriage Commission$0$300,000

OngoingOne-TimeFinancing Source

$0$300,000Federal Funds

This item was funded one-time in the 2014 General Session. The funding continues one-time assistance for the Marriage Commission. The commission is also exploring other options of public funding. The $300,000 maintains existing staff ($100,000) and expands efforts statewide to provide courses locally to help individuals form and sustain healthy and enduring marriages.

Medicaid Accountable Care Organizations Into Rural Counties$0$11,118,600

OngoingOne-TimeFinancing Source

$0$3,300,000General Fund, One-time

$0$7,818,600Federal Funds

This one-time cost would cover the claims would come in for up to 18 months under the old fee-for-service system while the State was also prepaying monthly premiums. This would expand Medicaid accountable care organizations into the following counties: Box Elder, Cache, Iron, Summit, Tooele, and Washington. This would take the percentage of Medicaid clients served via accountable care organizations from 70% to 88%. How Measure Success? Keep the Medicaid cost growth rate below the General Fund growth rate.

Medicaid Accountable Care Organizations Reimbursement Rates$2,100,000 ($2,100,000)

OngoingOne-TimeFinancing Source

$2,100,000$0General Fund

$0 ($2,100,000)General Fund, One-time

Enactment of this legislation likely will not materially impact state revenue. Enactment of this legislation may increase ongoing costs to the Department of Health beginning in FY 2017 by $2,000,000 General Fund and $4,700,000 federal funds for increased per member per month reimbursement to Medicaid accountable care organizations. In FY 2018 there may be ongoing costs of $2,100,000 General Fund and $5,000,000 federal funds.

Medicaid Caseload Growth$0$11,000,000

OngoingOne-TimeFinancing Source

$0$11,000,000General Fund, One-time

The following areas create costs for the state in Medicaid in FY 2016: (1) estimated increase of 1,900 or 1% clients in FY 2016, (2) $3.9 million for a 2% projected increase in accountable care organization contracts starting in January 2016, (3) $3.0 million for a new federal regulation to provide autism spectrum disorder-related services when medically necessary up to age 21, and (4) $3.1 million for cost increases over which the state has no control due to federal regulation or has opted not to exercise more state control. FY 2014 ended and FY 2015 will likely end under budget which reduces the baseline costs for FY 2016. How Measure Success? HEDIS measures (https://health.utah.gov/myhealthcare/reports/hedis) for access to care and how much appropriate care was received.

Medicaid Caseload Reduction$0 ($12,900,000)

OngoingOne-TimeFinancing Source

$0 ($12,900,000)General Fund, One-time

Medicaid Dental Reimbursement Rates$6,738,500$0

OngoingOne-TimeFinancing Source

$2,000,000$0General Fund

$4,738,500$0Federal Funds

"Increase reimbursement rates to pediatric dental providers." A $2 million ongoing General Fund increase would raise rates about 12%.

Medicaid Management Information System Replacement$0$50,500,000

OngoingOne-TimeFinancing Source

$0$5,050,000General Fund, One-time

$0$45,450,000Federal Funds

Money is for final phases for the replacement of the Medicaid Management Information System. (The Governor had $3.5 million in his budget). The replacement should be complete in FY 2017. How Measure Success? (once project completed) (1) the timeliness and accuracy of processed claims and (2) the amount of time to enroll a new Medicaid provider

Medicaid Physician Reimbursement Rates$8,423,200$8,423,200

OngoingOne-TimeFinancing Source

$2,500,000$0General Fund

$0$2,500,000General Fund, One-time

$5,923,200$5,923,200Federal Funds

Utah Medical Association: "Description is that funding flows through the DOH to the Medicaid insurance plans to the physicians to keep reimbursement rates at Medicaid reimbursement rates at for Primary care providers at Medicare rates which are still less than 70% of commercial rates but much higher than Medicaid rates were before the federal government bumped primary care rates up for two years." Health: "The $6 million figure would increase rates about 22% and be about 1.5% short of Medicare rates...$6.3 million in [General Fund] is needed to get the entire way there."

Medication Assisted Addiction Treatment$0$500,000

OngoingOne-TimeFinancing Source

$0$500,000General Fund, One-time

Funding provides assistance for medication assisted addiction treatment.

Mental Health Services Rates - DCFS$621,100$0

OngoingOne-TimeFinancing Source

$621,100$0General Fund

DHS - DCFS Mental Health Services Rates - Division of Child and Family Services (DCFS) and Division of Juvenile Justice Services (DJJS) mental health rates are lower than Medicaid rates due to two reductions taken in FY10 and FY11. Medicaid also added the requirement these contract providers use a more complex enrollment and bill directly through the Medicaid payment system (presented in the 2/14/13 Social Services Appropriations Subcommittee meeting). The Legislature funded part of this difference during its 2014 General Session: $559,600 to DCFS ($390,600 General Fund) and $439,600 to DJJS ($306,900 General Fund). How Measure Success? 1. Did children in foster care receive mental health assessments in required time frames (SAFE Measure) 2. Is the child making reasonable progress toward stable and adequate functioning emotionally and behaviorally, at home and at school? (Qualitative Case Review Measure)

Nonlapsing Balance Transfer$0$575,000

OngoingOne-TimeFinancing Source

$0$575,000Beginning Nonlapsing

No Description

Nurse Family Partnership$0$1,000,000

OngoingOne-TimeFinancing Source

$0$1,000,000Federal Funds

"Early and intensive interventions in high-risk pregnancies and family situations up to 2 years of age to improve outcomes and decrease short and long-term social services costs."

Office of Medical Examiner 24/7 Body Pick Up$58,000$0

OngoingOne-TimeFinancing Source

$58,000$0General Fund

"Fund 3 part-time additional morgue clerks so that funeral homes can deliver and pick up bodies from the Medical Examiner's office 24/7 - currently restricted pick up times."

Parent and Child Amendments$1,500$0

OngoingOne-TimeFinancing Source

$1,500$0General Fund

Enactment of this legislation likely will not materially impact state revenue. Assuming about 60 shelter and other removal hearings cases, enactment of this bill could create total ongoing costs of about $52,900 from the General Fund for the following agencies beginning in FY 2016: 1. Courts - $32,000 - for processing hearings and judge time; 2. Attorney General - $11,900 - for attorney representation and research; and 3. Guardian ad Litem (GAL) - $9,000 - for attorney representation. Also, assuming about 15 cases of investigating cases of mental abuse, the Department of Human Services may have additional costs of about $1,500 annually for a total General Fund impact of $54,400.

Parkinson Disease Registry$0$200,000

OngoingOne-TimeFinancing Source

$0$200,000General Fund, One-time

"Public health." "Little is known about the casuses and treatment of this devasting disease and why the incidence of the disease is increasing so fast in Utah. To learn that information is the purpose of the Utah Parkinson's Disease Registry." "The [Parkinson Disease Registry] is housed at the University fo Utah, along with the Utah Cancer Registry and the Utah Autism Registry…the Parkinson's Disease Registry is requesting $200,000 one-time money…to make the Registry fully functional."

Permanent Supportive Housing$0$1,000,000

OngoingOne-TimeFinancing Source

$0$1,000,000General Fund, One-time

Develop permanent housing solutions near Pioneer Park in downtown Salt Lake City via the Olene Walker Housing Loan Fund.

Pilot Program for Assistance for Children with Disabilities and Complex Medical Conditions$0$10,835,600

OngoingOne-TimeFinancing Source

$0$3,216,000General Fund, One-time

$0$7,619,600Federal Funds

"This bill directs the Department of Health to apply for a Medicaid waiver for children with disabilities and complex medical conditions." How Measure Success? "Waiver services will be less costly than costs that would have been incurred if the child was served in a nursing facility." Fiscal Note: $3,333,600 ongoing; ($940,100) one-time GF

Portability - Transfer IN - DOH to DHS$806,500$0

OngoingOne-TimeFinancing Source

$0$0General Fund

$806,500$0Transfers - Medicaid

Transfer ongoing General Fund of $1,466,000 for portability and transition programs beginning in FY 2015 from the Department of Health's Medicaid Optional Services to the Department of Human Services' Division of Services for People with Disabilities. The clients associated with the funding have already transferred from Health to Human Services. This adjustment facilitates the funding following the person. Both the Department of Health and the Department of Human Services agree with this transfer.

Prescription Drug Abuse, Misuse, and Overdose Prevention$0$500,000

OngoingOne-TimeFinancing Source

$0$500,000General Fund, One-time

Fund public outreach prevention program targeting opioid misuse and death. How Measure Success? 15% decrease in opioid overdoses by 15% over the next two years.

Primary Care Grants$600,000$1,400,000

OngoingOne-TimeFinancing Source

$600,000$0General Fund

$0$1,400,000General Fund, One-time

"increase access for uninsured."

Radon Grant Continuation$0$25,000

OngoingOne-TimeFinancing Source

$0$25,000General Fund, One-time

DEQ was informed by the federal government that radon grant program funding would be discontinued. However, the funding has continued.

Repeal of Methamphetamine Housing Reconstruction and Rehabilitation Account$0$13,000

OngoingOne-TimeFinancing Source

$0$13,000GFR - Meth House Reconstruction

This bill may result in a one-time transfer of $12,300 from the Methamphetamine Housing Reconstruction and Rehabilitation Account to the Olene Walker Housing Loan Fund in FY 2015. This bill may result in a one-time transfer of $12,300 from the Methamphetamine Housing Reconstruction and Rehabilitation Account to the Olene Walker Housing Loan Fund in FY 2015.

Replace Lost Medicaid Funding$1,100,000$0

OngoingOne-TimeFinancing Source

$1,100,000$0General Fund

This request results from Medicaid auditors disallowing previous cost allocation methods which lowered the annual Medicaid payments to the State Hospital. Medicaid auditors recommended various changes to the Utah State Hospital (USH) cost allocation methods previously agreed upon by both parties which have now lowered the annual Medicaid payments to the State Hospital. Lowering the Medicaid payments has the effect of increasing the state funding requirement.

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."

Special Administrative Expense Account$6,000,000$0

OngoingOne-TimeFinancing Source

$6,000,000$0GFR - Special Administrative Expense

Funding will be used for a DWS request of $6.0 million from the Special Administrative Expense Account - $1.0 million of which is required to pay interest to use this funding for non-unemployment related items - to increase job-growth programs.

State Hospital Savings regarding HB 14 (2012 GS) ($32,500) ($32,500)

OngoingOne-TimeFinancing Source

($32,500)$0General Fund

$0 ($32,500)General Fund, One-time

DHS - State Hospital Savings re H.B. 14 (2012) GS - The original fiscal note anticipated 4 individuals civilly committed to the State Hospital as a result of this bill. There has only been one civil commitment to the State Hospital since enactment of the bill. The State Hospital did hire staff to prepare for the effects of H.B. 14 at an ongoing cost of $167,500 leaving an ongoing surplus of $32,500.

Suicide Prevention Amendments$191,000$210,000

OngoingOne-TimeFinancing Source

$191,000$0General Fund

$0$210,000General Fund, One-time

No Description

Supplemental Fed Funds Adj - Workforce Services$0$14,438,600

OngoingOne-TimeFinancing Source

$0$14,438,600Federal Funds

Supplemental Federal Funds Request The FY 2015 supplemental federal funds request of $14,438,600 for the Department of Workforce Services was inadvertently excluded from the "Federal Funds Department of Workforce Services" Issue Brief. As a result, the supplemental request was not included in the Social Services Subcommittee motion #1C which authorized the use of federal funds for the department. The FY 2015 supplemental federal funds amount was included on page 4 of the "Workforce Services TANF Funds" Issue Brief which was reviewed by the Social Services Subcommittee during the base budget review. In addition, the department's planned increase in TANF spending for FY 2015 has been discussed several times in interim subcommittee meetings. We respectfully request the Executive Appropriations Committee consider a motion authorizing the use of the supplemental federal funds for FY 2015 for the Department of Workforce Services. The breakout for the supplemental federal funds request is shown below. Detail Breakout To Department of Workforce Services - Operations and Policy (NJBA) From Federal Funds 14,438,600 Schedule of Programs: Eligibility Services (NJP) 5,054,000 Refugee Assistance (NJG) 2,188,600 Temporary Assistance to Needy Facilities (NJF) 7,196,000

Supplemental Federal Funds Adjustment - Human Services$0$6,699,000

OngoingOne-TimeFinancing Source

$0$6,699,000Federal Funds

No Description

Supplemental Federal Funds Adjustment - Office of Rehabilitation$0$6,400,000

OngoingOne-TimeFinancing Source

$0$6,400,000Federal Funds

No Description

Tax on Medicaid and CHIP Health Plans From Federal Health Care Reform$10,983,800$967,000

OngoingOne-TimeFinancing Source

$3,260,000$0General Fund

$0$287,000General Fund, One-time

$7,723,800$680,000Federal Funds

The contracted Medicaid and CHIP health plans for Utah will have about a $3.3 million ongoing cost to them of new taxes as part of federal health care reform. The State has the option to pay this on their behalf and receive the normal state/federal match rate of 30% state and 70% federal. The cost started in January 2014. How Measure Success? Report on distribution of reimbursement of the provider tax.

Technology Dependent Waiver Capacity Expansion$1,054,900$0

OngoingOne-TimeFinancing Source

$313,100$0General Fund

$741,800$0Federal Funds

this will fund 10 of the 75 Medicaid individuals on the waiting list for this waiver. The 10 to be served are chosen based on severity of needs and duration of time on the waiting list. The Department of Health indicates that these individuals are being served currently in higher cost settings and are not all on Medicaid, but there will be no savings from expanding the waiver as the agency estimates new individuals to take up the higher cost settings freed up by new waiver clients. The waiver currently serves about 110 individuals. The waiver allows parental income to be excluded when determining an individual's eligibility for Medicaid. About 75% of the 10 individual's costs will be for regular Medicaid services and 25% for the waiver costs. How Measure Success? Count and cost of new individuals enrolled (via annual cost effectiveness report to federal government).

Tobacco Settlement to State Endowment Fund$1,488,700$1,488,700

OngoingOne-TimeFinancing Source

$1,488,700$0General Fund

$0$1,488,700General Fund, One-time

$0$0GFR - Tobacco Settlement

No Description

Transfer of Nonlapsing Balance from General Assistance to Pamela Atkinson Fund - In$0$647,600

OngoingOne-TimeFinancing Source

$0$647,600Beginning Nonlapsing

Notwithstanding intent language passed in Item 11, Chapter 13 Laws of Utah 2014 (see http://le.utah.gov/~2014/bills/static/SB0008.html), for the Department of Workforce Services I propose transferring $647,600 beginning nonlapsing from the General Assistance line item to the General Fund Restricted - Pamela Atkinson Homeless Account in FY 2015 for use in FY 2016 and reduce the building block entitled "Case Managers for Chronically Homeless" (see #19 at http://le.utah.gov/interim/2015/pdf/00001655.pdf) by the same amount (reduce by $647,600 to $352,400).

Transfer of Nonlapsing Balance from General Assistance to Pamela Atkinson Fund - Out$0 ($647,600)

OngoingOne-TimeFinancing Source

$0 ($647,600)Beginning Nonlapsing

Traumatic Brain Injury Fund$200,000$625,000

OngoingOne-TimeFinancing Source

$200,000$0General Fund

$0$625,000Beginning Nonlapsing

"Resource facilitation, education, and counseling for [traumatic brain injury] patients."

Use 3% Maximum from Nursing Restricted Account for Administration ($12,300) ($12,300)

OngoingOne-TimeFinancing Source

($12,300)$0General Fund

$0 ($12,300)General Fund, One-time

$0$0GFR - Nursing Care Facilities Account

By statute 3% of the Nursing Care Facilities Account can be used for administration. The account was recently increased in FY 2014 and the administration is not currently at 3%. The reduction represents an exchange of these restricted account funds for General Fund and takes the State to using 3% on administration based on projected collections.

USOE Indirect Cost Pool Transfers - USOR ($1,910,700) ($2,011,200)

OngoingOne-TimeFinancing Source

($1,910,700) ($2,011,200)Transfers - Indirect Costs

No Description

Utah Emergency Medical Services System Act Amendments$11,100$57,600

OngoingOne-TimeFinancing Source

$11,100$57,600Dedicated Credits Revenue

The Department of Health will receive an ongoing increase in dedicated credits beginning in FY 2016 of $33,100 with additional one-time increases in FY 2016 and FY 2017 of $84,800. Enactment of this legislation may cost the Department of Public Safety $12,500 for 0.25 FTE from dedicated credits to process background check applications. The Department of Public Safety will have pass through costs from dedicated credits to the Federal Bureau of Investigation for fingerprint background checks of $9,500 ongoing beginning in FY 2016 and one-time costs in FY 2016 and FY 2017 of $27,200. The bill may cost the Department of Health $11,100 ongoing dedicated credits beginning in FY 2016 and one-time costs of $57,600 in FY 2016 and FY 2017 for FTE time to process background check applications and background computer system upgrades and maintenance.

Voc Rehabilitation Structural Shortfall - Internal$0$2,928,200

OngoingOne-TimeFinancing Source

$0$2,928,200Education Fund, One-time

A structural imbalance is when an agency's ongoing expenditures exceed ongoing revenues. The Utah State Office of Rehabilitation (USOR) has a structural imbalance in its Division of Rehabilitation Services (DRS) currently estimated to be $6,300,000 in state funds. The Division of Rehabilitation Services has been dealing with a structural imbalance since FY 2010. The DRS structural imbalance is primarily the result of: 1) 40 percent caseload growth from FY 2007 through FY 2013, 2) state and federal budget cuts during the same period, and 3) an internal decision by USOR to continue providing services to all who apply and are found eligible. Some other surrounding states established waiting lists (called Order of Selection) during this period to deal with budget reductions. USOR, instead, used a strategy of using one-time funding sources combined with reducing its overall expenditures per client in order to make its budget balance during this period. The one-time funding sources consisted of: 1) using accumulated reserve federal grant authority, 2) federal ARRA stimulus one-time funds, and 3) one-time federal re-allotment funds. All accumulated reserve federal grant authority and federal ARRA stimulus money have been exhausted. USOR estimates its current funds will last only through February 2015. USOR is looking to receive one-time funding to bridge it into the next fiscal year where a re-allotment of federal funds and USOR budget reductions will begin to bring its budget in structural balance.

Vocational Rehabilitation Structural Shortfall$0$3,371,800

OngoingOne-TimeFinancing Source

$0$3,371,800Education Fund, One-time

Weber County Youth Impact - TANF Funding$0$35,000

OngoingOne-TimeFinancing Source

$0$35,000Federal Funds

The Social Services Appropriations Subcommittee passed the following, motion: "Increase the authorization for TANF funding for the Weber County Youth Impact Program by $5,000 (from the current $25,000 up to $30,000) for both FY 2015 and FY 2016 and include the increased authorization of $5,000 in the FY 2015 supplemental appropriations bill and the FY 2016 new supplemental appropriations bill."

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."

Youth Aging Out of DCFS Custody$537,900$0

OngoingOne-TimeFinancing Source

$537,900$0General Fund

This request maintains youth with intellectual disabilities on the Medicaid waiver who are aging out of the Division of Child and Family Services (DCFS) custody. DCFS is currently providing the funding until a person reaches age 18 (sometimes up to age 22). This item was funded $455,200 one-time General Fund in 2014 General Session. The underlying dynamics of the program would require an ongoing funding to replace the one-time funding plus any estimate in growth (or decline) of the need. How Measure Success? "Percent of people who are satisfied with their staff, support coordinator, and fiscal agent."

Staff Analysis

FY 2012 Expenditures over $10,000 by Unit

Statute

The Utah Department of Health is established and functions under the authority of Title 26 of the Utah Code. The Utah Department of Workforce Services has its authority in Title 35A of the Utah Code. The Utah Department of Human Services is established and functions under the authority of Title 62A of the Utah Code. The Utah State Office of Rehabilitation is established and functions under the authority of Title 53A of the Utah Code, Chapter 24.

The Department of Workforce Services administers the state's job placement; job training; unemployment insurance; labor market information; and the welfare functions of the Temporary Assistance to Needy Families (TANF), food stamps, child care, and housing.

The Department of Human Services includes the divisions of Executive Director Operations, Substance Abuse and Mental Health, Services for People with Disabilities, Aging and Adult Services, Office of Recovery Services, Child and Family Services, and Juvenile Justice Services (JJS). While JJS is part of the Department of Human Services, its budget is reviewed in the Executive Offices and Criminal Justice Appropriations Subcommittee. The Division of Substance Abuse and Mental Health also oversees the treatment portion of the Drug Courts. Two divisions have programs primarily operated at the local county level for mental health, substance abuse, and aging services. These local services are under the direction of the divisions of Aging and Adult Services and Substance Abuse and Mental Health.

The Utah State Office of Rehabilitation (USOR), under the direction of the State Board of Education, operates programs designed to assist individuals with disabilities to prepare for and obtain gainful employment as well as increase their independence. USOR contains a single line item and multiple programs, including an Executive Director's Office and four operating divisions: Services to the Blind and Visually Impaired, Rehabilitation Services, Disability Determination Services, and Services to the Deaf and Hard-of-Hearing. USOR provides tailored services focusing on the needs, interests, abilities, and informed choices of the individuals served. USOR works in concert with other community service and resource providers to offer rehabilitative services throughout the state.

Intent Language

Health

Workforce Services

Human Services

State Office of Rehabilitation

Restricted Account Transfers - SS

Health

Workforce Services

Human Services

State Office of Rehabilitation

Workforce Services

Restricted Account Transfers - SS

State Office of Rehabilitation

State Office of Rehabilitation

Workforce Services

For analysis of current budget requests and discussion of issues related to budgets covered by this subcommittee click here.

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Expenditure Category

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Appropriation History by

Agencies	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Health	2,242,493,800.04	2,333,569,800	2,460,831,300	2,646,666,600	2,775,239,900	(5,823,600)	2,769,416,300	112,784,100	2,882,200,400
Workforce Services	847,047,700	867,072,300	792,522,100	708,921,300	939,287,800	35,733,000	975,020,800	(6,418,700)	968,602,100
Human Services	560,333,800	560,480,300	583,838,300	604,824,500	641,979,000	15,645,300	657,624,300	31,265,600	688,889,900
State Office of Rehabilitation	76,085,600	76,645,300	81,101,000	79,106,200	83,036,900	5,740,600	88,777,500	(7,373,700)	81,403,800
Total	$3,725,960,900	$3,837,767,700	$3,918,292,700	$4,039,518,600	$4,439,543,600	$51,295,300	$4,490,838,900	$130,257,300	$4,621,096,200

Sources of Finance	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
General Fund	701,003,700	716,570,200	807,638,200	827,911,800	835,654,700	0	835,654,700	26,865,700	862,520,400
General Fund, One-time	(57,978,500)	44,397,100	(30,321,800)	(55,682,500)	19,560,400	(31,497,000)	(11,936,600)	26,990,600	15,054,000
Education Fund	17,410,900	17,342,800	18,241,600	18,698,500	20,660,300	0	20,660,300	451,100	21,111,400
Education Fund, One-time	0	20,000	200,000	403,700	797,500	6,183,100	6,980,600	(6,113,000)	867,600
Federal Funds	2,305,763,600	2,358,091,100	2,402,111,100	2,440,838,500	2,675,876,600	24,221,100	2,700,097,700	119,251,100	2,819,348,800
American Recovery and Reinvestment Act	160,053,200	28,213,000	21,319,900	31,560,500	36,198,000	0	36,198,000	(24,590,000)	11,608,000
Dedicated Credits Revenue	176,825,300.04	222,732,500	246,146,400	248,048,000	254,852,300	880,900	255,733,200	1,788,100	257,521,300
Federal Mineral Lease	6,511,800	7,279,500	6,405,300	7,956,300	7,349,100	0	7,349,100	1,201,400	8,550,500
Restricted Revenue	0	0	0	0	0	133,300	133,300	0	133,300
GFR - Automatic External Defibrillator A	0	0	0	150,000	0	150,000	150,000	(150,000)	0
GFR - Alzheimer's State Plan Task Force	20,900	0	0	0	0	0	0	0	0
GFR - Autism Treatment Account	0	0	565,400	1,132,600	2,067,200	0	2,067,200	(1,966,100)	101,100
GFR - Cancer Research Restricted Account	0	0	15,800	13,100	20,000	0	20,000	0	20,000
GFR - Cat and Dog Spay and Neuter	48,600	0	0	0	0	0	0	0	0
GFR - Children's Hearing Aid Pilot Progr	0	0	0	29,500	102,300	0	102,300	(300)	102,000
GFR - Choose Life Adoption Support Accou	0	25,000	25,000	25,000	25,000	0	25,000	0	25,000
GFR - Children's Account	400,000	400,000	400,000	400,000	450,000	0	450,000	0	450,000
GFR - Cigarette Tax	2,733,000	3,150,000	3,150,000	3,150,000	3,150,000	0	3,150,000	11,700	3,161,700
GFR - Domestic Violence	840,700	959,500	968,600	969,900	978,100	0	978,100	7,400	985,500
GFR - Homeless Account	732,000	560,600	646,600	1,121,100	1,635,400	0	1,635,400	99,600	1,735,000
GFR - Intoxicated Driver Rehab	1,500,000	1,500,000	1,500,000	1,500,000	1,500,000	0	1,500,000	0	1,500,000
GFR - Children's Organ Transplant	84,500	59,800	60,800	46,000	101,300	0	101,300	0	101,300
GFR - Land Exchange Distribution Account	0	305,200	0	0	0	0	0	0	0
GFR - Medicaid Restricted	1,847,600	0	0	41,400	0	20,765,900	20,765,900	(20,765,900)	0
GFR - Meth House Reconstruction	8,600	0	0	0	8,600	0	8,600	0	8,600
GFR - National Mens Prof Bball Team Spt	0	0	0	0	12,500	0	12,500	0	12,500
GFR - Nursing Care Facilities Account	19,441,000	21,296,400	23,370,700	22,909,300	25,294,800	0	25,294,800	3,960,600	29,255,400
GFR - Prostate Cancer Support	0	200	200	0	26,600	0	26,600	0	26,600
GFR - Special Administrative Expense	350,400	5,266,000	5,569,700	6,674,400	12,000,000	0	12,000,000	(5,951,300)	6,048,700
GFR - State Lab Drug Testing Account	298,200	322,800	320,300	372,700	681,000	0	681,000	19,200	700,200
GFR - Tobacco Settlement	19,555,000	16,976,300	17,686,900	17,719,900	17,762,500	0	17,762,500	10,300	17,772,800
GFR - Account for People with Disabiliti	100,000	100,000	100,000	0	0	0	0	0	0
Dept. of Public Safety Rest. Acct.	100,000	100,000	100,000	100,000	100,000	0	100,000	0	100,000
Hospital Provider Assessment	32,443,900	41,500,000	47,800,600	48,500,000	48,500,000	0	48,500,000	0	48,500,000
Organ Donation Contribution Fund	85,300	81,200	43,300	0	0	0	0	0	0
Permanent Community Impact	45,830,500	85,717,200	44,582,800	41,496,800	117,779,500	0	117,779,500	8,794,300	126,573,800
Unemployment Compensation Fund	1,230,600	6,567,000	8,946,400	8,076,000	6,876,000	(2,263,000)	4,613,000	(2,486,500)	2,126,500
Transfers	1,110,300	0	0	100	6,900	(6,900)	0	2,585,700	2,585,700
Transfers - Administrative Services	0	0	500	500	500	0	500	0	500
Transfers - Child Nutrition	71,600	0	77,800	75,700	75,000	1,000	76,000	0	76,000
Transfers - Commission on Criminal and J	317,000	305,100	370,100	356,200	351,300	48,700	400,000	0	400,000
Transfers - Corrections	0	0	16,800	23,900	16,800	7,100	23,900	0	23,900
Transfers - Environmental Quality	0	0	(12,500)	0	0	0	0	0	0
Transfers - Fed Pass-thru	3,330,100	0	0	0	0	1,425,000	1,425,000	(1,425,000)	0
Transfers - Federal	0	0	0	0	0	765,100	765,100	172,800	937,900
Transfers - Governor's Office Administra	1,800	0	0	0	0	0	0	0	0
Transfers - Health	0	0	(67,900)	2,390,800	(68,200)	3,478,000	3,409,800	(3,478,000)	(68,200)
Transfers - Human Services	920,100	818,200	3,021,800	465,500	1,060,000	(582,400)	477,600	1,300	478,900
Transfers - Indirect Costs	0	0	0	300	6,100	(2,014,300)	(2,008,200)	100,900	(1,907,300)
Transfers - Intergovernmental	3,974,300	23,700	206,000	380,100	0	275,000	275,000	0	275,000
Transfers - Medicaid	174,228,900	171,418,200	174,062,300	199,716,800	207,751,000	16,282,400	224,033,400	10,471,700	234,505,100
Transfers - Medicaid - DHS	73,643,000	78,332,700	84,703,700	90,190,100	93,231,100	1,242,500	94,473,600	(1,432,300)	93,041,300
Transfers - Medicaid - DAS	0	0	0	983,900	1,125,100	(60,000)	1,065,100	0	1,065,100
Transfers - Medicaid - DWS	20,678,100	18,557,500	16,312,000	12,915,100	23,832,300	(11,629,600)	12,202,700	(901,400)	11,301,300
Transfers - Medicaid - JJS	0	39,900	0	0	0	0	0	0	0
Transfers - Medicaid - GOPB	0	857,800	1,065,100	0	0	0	0	0	0
Transfers - Medicaid - Internal DOH	4,963,500	1,828,700	4,898,000	5,143,300	5,511,300	(1,035,400)	4,475,900	(205,500)	4,270,400
Transfers - Medicaid - UDC	0	0	16,900	20,200	316,800	(291,800)	25,000	0	25,000
Transfers - Medicaid - USDB	566,100	334,200	335,800	580,900	353,800	39,500	393,300	89,000	482,300
Transfers - Other Agencies	1,498,700	1,393,300	1,973,600	2,297,100	1,672,900	(180,900)	1,492,000	717,800	2,209,800
Transfers - Public Safety	422,500	303,500	197,400	177,400	165,800	300,300	466,100	200	466,300
Transfers - State Board of Regents	0	0	0	165,000	0	161,500	161,500	(200)	161,300
Transfers - State Office of Education	15,200	90,500	11,400	18,000	17,000	0	17,000	0	17,000
Transfers - State Office of Rehabilitati	0	0	0	128,600	0	128,600	128,600	0	128,600
Transfers - Within Agency	6,364,300	7,472,600	5,871,100	4,418,500	4,563,400	(973,000)	3,590,400	5,000	3,595,400
Transfers - Workforce Services	3,573,300	5,041,000	5,769,400	5,123,900	5,504,300	1,789,700	7,294,000	(1,758,000)	5,536,000
Transfers - Youth Corrections	0	1,636,000	0	1,425,000	993,800	431,300	1,425,100	0	1,425,100
Other Financing Sources	0	0	0	(6,600)	0	0	0	0	0
Pass-through	(674,800)	(352,600)	107,700	19,663,200	106,700	19,569,000	19,675,700	0	19,675,700
Beginning Nonlapsing	24,369,200	26,297,500	55,408,300	61,207,900	2,930,200	8,899,000	11,829,200	(5,905,800)	5,923,400
Closing Nonlapsing	(26,297,500)	(55,408,300)	(61,207,900)	(12,476,800)	0	(5,348,400)	(5,348,400)	4,165,500	(1,182,900)
Lapsing Balance	(4,355,600)	(755,200)	(2,438,500)	(30,035,100)	0	0	0	(374,400)	(374,400)
Beginning Fund Balance	0	0	0	6,600	0	0	0	0	0
Total	$3,725,960,900	$3,837,767,700	$3,918,292,700	$4,039,518,600	$4,439,543,600	$51,295,300	$4,490,838,900	$130,257,300	$4,621,096,200

Categories of Expenditure	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Personnel Services	424,010,500	412,911,400	427,804,600	424,694,200	446,886,000	8,269,000	455,155,000	6,671,500	461,826,500
In-state Travel	1,793,800	2,025,000	2,083,200	1,922,300	2,200,400	217,500	2,417,900	(5,300)	2,412,600
Out-of-state Travel	984,600	1,175,600	1,065,000	1,146,300	1,186,500	128,000	1,314,500	(17,100)	1,297,400
Current Expense	157,996,900.04	154,119,300	151,414,900	151,033,600	158,141,400	25,276,600	183,418,000	21,715,800	205,133,800
DP Current Expense	65,069,200	60,945,300	68,218,200	79,075,700	63,499,000	39,786,300	103,285,300	22,857,800	126,143,100
DP Capital Outlay	8,336,100	4,739,800	10,229,100	9,563,600	7,030,000	1,047,500	8,077,500	(3,685,000)	4,392,500
Capital Outlay	1,722,400	2,894,700	115,000	2,255,500	2,501,600	(1,730,600)	771,000	0	771,000
Other Charges/Pass Thru	3,021,529,900	3,114,220,500	3,213,998,700	3,329,680,100	3,758,102,400	(21,702,700)	3,736,399,700	82,719,600	3,819,119,300
Transfers	44,517,500	84,736,100	43,367,700	40,147,300	0	0	0	0	0
Trust and Agency Disbursements	0	0	(3,700)	0	(3,700)	3,700	0	0	0
Total	$3,725,960,900	$3,837,767,700	$3,918,292,700	$4,039,518,600	$4,439,543,600	$51,295,300	$4,490,838,900	$130,257,300	$4,621,096,200

Other Indicators	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Budgeted FTE	6,788.73	4,902.94	6,716.83	6,553.02	6,429.615	199.935	6,629.55	58.21	6,687.76
Actual FTE	6,420.53	6,264.47	6,301.50	6,250.33	0	0	0	0	0
Vehicles	554	566	569	522	566	(44)	522	0	522
Monthly Caseload	313,010	330,960	337,335	333,900	0	0	0	0	0

Agencies	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Health	95,100	98,100.01	293,100	257,900	532,100	(274,000)	258,100	4,042,400	4,300,500
Workforce Services	55,389,900	105,168,200	51,345,200	111,213,600	136,419,500	(41,581,400)	94,838,100	2,440,200	97,278,300
Human Services	0	0	0	410,300	256,200	173,700	429,900	0	429,900
State Office of Rehabilitation	0	0	0	500,000	17,300	(3,100)	14,200	0	14,200
Total	$55,485,000	$105,266,300	$51,638,300	$112,381,800	$137,225,100	($41,684,800)	$95,540,300	$6,482,600	$102,022,900

Sources of Finance	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
General Fund	2,242,900	2,242,900	2,242,900	2,242,900	2,242,900	0	2,242,900	200,000	2,442,900
General Fund, One-time	0	200,000	100,000	200,000	200,000	0	200,000	800,000	1,000,000
Federal Funds	2,227,200	6,285,100	1,646,300	2,311,200	12,000,000	0	12,000,000	(4,920,000)	7,080,000
Dedicated Credits Revenue	840,900	2,270,000.01	1,574,800	829,900	1,702,400	(862,200)	840,200	3,217,400	4,057,600
Interest Income	9,026,400	9,539,900	9,893,200	10,008,400	9,704,600	322,000	10,026,600	0	10,026,600
Sale of Fixed Assets	0	0	0	41,700	0	41,700	41,700	0	41,700
Federal Mineral Lease	61,708,100	67,015,300	58,621,700	73,598,500	63,810,000	9,788,500	73,598,500	5,594,200	79,192,700
Restricted Revenue	7,991,000	8,817,200	8,918,100	9,346,300	10,050,000	(703,700)	9,346,300	0	9,346,300
GFR - Land Exchange Distribution Account	265,500	162,600	45,800	75,200	420,000	(288,000)	132,000	(12,000)	120,000
GFR - Meth House Reconstruction	0	0	0	0	0	13,000	13,000	(13,000)	0
GFR - Mineral Bonus	3,837,900	26,559,600	3,442,900	2,674,100	9,200,000	(6,525,900)	2,674,100	1,702,200	4,376,300
Designated Sales Tax	915,000	915,000	915,000	915,000	915,000	0	915,000	0	915,000
Transfers	0	0	200,000	13,478,900	3,442,900	13,478,900	16,921,800	0	16,921,800
Transfers - Within Agency	0	0	0	38,700	0	38,700	38,700	0	38,700
Other Financing Sources	0	0	0	(300)	0	(300)	(300)	0	(300)
Repayments	0	32,780,200	0	45,915,000	35,799,900	(6,016,500)	29,783,400	1,465,800	31,249,200
Beginning Nonlapsing	0	0	0	0	2,015,500	(2,015,500)	0	2,749,600	2,749,600
Closing Nonlapsing	0	0	0	0	(2,015,500)	2,015,500	0	(2,234,700)	(2,234,700)
Beginning Fund Balance	660,195,300	693,765,200	745,286,700	783,632,000	787,077,500	45,848,200	832,925,700	61,109,000	894,034,700
Ending Fund Balance	(693,765,200)	(745,286,700)	(781,249,100)	(832,925,700)	(799,340,100)	(96,819,200)	(896,159,300)	(63,175,900)	(959,335,200)
Total	$55,485,000	$105,266,300	$51,638,300	$112,381,800	$137,225,100	($41,684,800)	$95,540,300	$6,482,600	$102,022,900

Categories of Expenditure	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Personnel Services	177,700	523,000	326,500	344,700	385,800	(7,100)	378,700	19,400	398,100
In-state Travel	100	2,100	2,000	100	2,000	(2,000)	0	0	0
Out-of-state Travel	0	1,400	800	2,800	2,100	2,000	4,100	0	4,100
Current Expense	635,100	371,200	275,900	606,900	491,400	140,700	632,100	825,000	1,457,100
DP Current Expense	2,400	0	1,126,100	1,400	0	1,400	1,400	0	1,400
Other Charges/Pass Thru	8,753,900	18,512,900	5,105,900	10,288,400	46,067,200	(36,251,600)	9,815,600	4,184,400	14,000,000
Transfers	45,915,800	85,855,700.01	44,801,100	100,824,900	90,074,000	(5,680,600)	84,393,400	1,453,800	85,847,200
Trust and Agency Disbursements	0	0	0	312,600	202,600	112,400	315,000	0	315,000
Total	$55,485,000	$105,266,300	$51,638,300	$112,381,800	$137,225,100	($41,684,800)	$95,540,300	$6,482,600	$102,022,900

Other Indicators	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Change in Fund Balance	27,579,500	43,035,500	0	43,363,800	9,218,600	(8,844,800)	373,800	(200,000)	173,800
Monthly Caseload	0	0	18	23	0	0	0	0	0

Agencies	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Workforce Services	643,156,200	444,848,800	317,237,800	339,575,400	456,339,200	(157,949,600)	298,389,600	(15,126,000)	283,263,600
Human Services	0	0	0	0	0	0	0	0	0
Total	$643,156,200	$444,848,800	$317,237,800	$339,575,400	$456,339,200	($157,949,600)	$298,389,600	($15,126,000)	$283,263,600

Sources of Finance	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Federal Funds	154,404,100	92,019,400	17,224,200	5,788,300	7,000,000	14,750,900	21,750,900	350,200	22,101,100
American Recovery and Reinvestment Act	156,296,400	86,890,300	56,357,600	16,308,100	0	0	0	0	0
Dedicated Credits Revenue	35,960,000	36,549,300	30,372,200	29,358,900	32,340,000	(2,981,100)	29,358,900	0	29,358,900
Premiums	260,886,400	343,985,000	353,776,400	330,969,400	403,975,000	(73,005,600)	330,969,400	0	330,969,400
Interest Income	13,080,900	10,837,500	13,001,100	15,932,900	14,000,000	1,932,900	15,932,900	0	15,932,900
Restricted Revenue	0	0	0	28,900	0	28,900	28,900	0	28,900
GFR - Special Administrative Expense	0	800,000	0	0	0	0	0	0	0
Lapsing Balance	0	(800,000)	0	0	0	0	0	0	0
Beginning Fund Balance	422,610,300	400,081,900	525,514,600	679,008,300	679,008,300	58,811,100	737,819,400	99,651,400	837,470,800
Ending Fund Balance	(400,081,900)	(525,514,600)	(679,008,300)	(737,819,400)	(679,984,100)	(157,486,700)	(837,470,800)	(115,127,600)	(952,598,400)
Total	$643,156,200	$444,848,800	$317,237,800	$339,575,400	$456,339,200	($157,949,600)	$298,389,600	($15,126,000)	$283,263,600

Categories of Expenditure	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Personnel Services	0	81,300	98,100	25,800	151,400	(125,600)	25,800	0	25,800
In-state Travel	0	400	300	0	4,600	(4,600)	0	0	0
Out-of-state Travel	0	3,500	9,300	2,000	7,200	(5,200)	2,000	0	2,000
Current Expense	0	11,800	1,900	100	102,800	(102,700)	100	200	300
DP Current Expense	0	0	100	0	0	0	0	0	0
DP Capital Outlay	0	0	0	0	4,000	(4,000)	0	0	0
Other Charges/Pass Thru	641,729,000	436,323,000	307,333,000	332,391,100	456,069,200	(164,863,900)	291,205,300	(15,126,200)	276,079,100
Transfers	1,133,500	7,871,400	8,946,400	6,358,900	0	6,358,900	6,358,900	0	6,358,900
Trust and Agency Disbursements	293,700	557,400	848,700	797,500	0	797,500	797,500	0	797,500
Total	$643,156,200	$444,848,800	$317,237,800	$339,575,400	$456,339,200	($157,949,600)	$298,389,600	($15,126,000)	$283,263,600

Other Indicators	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Actual FTE	0	0	0.80	0.30	0	0	0	0	0
Change in Fund Balance	(22,528,400)	125,432,700	0	0	1,000,000	(1,000,000)	0	0	0

Agencies	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Restricted Account Transfers - SS	595,000	565,000	1,815,000	1,465,000	1,165,000	2,136,300	3,301,300	(795,200)	2,506,100
Total	$595,000	$565,000	$1,815,000	$1,465,000	$1,165,000	$2,136,300	$3,301,300	($795,200)	$2,506,100

Sources of Finance	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
General Fund	565,000	565,000	565,000	665,000	665,000	0	665,000	352,400	1,017,400
General Fund, One-time	30,000	0	1,250,000	800,000	500,000	0	500,000	(500,000)	0
GFR - Tobacco Settlement	0	0	0	0	0	1,488,700	1,488,700	0	1,488,700
Beginning Nonlapsing	0	0	0	0	0	647,600	647,600	(647,600)	0
Total	$595,000	$565,000	$1,815,000	$1,465,000	$1,165,000	$2,136,300	$3,301,300	($795,200)	$2,506,100

Categories of Expenditure	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Transfers	595,000	565,000	1,815,000	1,465,000	1,165,000	2,136,300	3,301,300	(795,200)	2,506,100
Total	$595,000	$565,000	$1,815,000	$1,465,000	$1,165,000	$2,136,300	$3,301,300	($795,200)	$2,506,100

Other Indicators	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Monthly Caseload	0	0	0	59	0	0	0	0	0

Agencies	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Rev Transfers - SS	3,791,100	728,200	0	0	15,500	(15,500)	0	0	0
Total	$3,791,100	$728,200	$0	$0	$15,500	($15,500)	$0	$0	$0

Sources of Finance	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Dedicated Credits Revenue	209,000	209,000	0	0	0	0	0	0	0
GFR - Domestic Violence	0	0	0	0	15,500	(15,500)	0	0	0
GFR - Tobacco Settlement	0	519,200	0	0	0	0	0	0	0
GFR - Account for People with Disabiliti	3,582,100	0	0	0	0	0	0	0	0
Total	$3,791,100	$728,200	$0	$0	$15,500	($15,500)	$0	$0	$0

Categories of Expenditure	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Transfers	3,791,100	728,200	0	0	15,500	(15,500)	0	0	0
Total	$3,791,100	$728,200	$0	$0	$15,500	($15,500)	$0	$0	$0

Agencies	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Human Services	0	0	0	209,032,100	0	209,032,100	209,032,100	0	209,032,100
State Office of Rehabilitation	0	0	0	160,400	0	160,400	160,400	0	160,400
Total	$0	$0	$0	$209,192,500	$0	$209,192,500	$209,192,500	$0	$209,192,500

Sources of Finance	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Interest Income	0	0	0	8,800	0	8,800	8,800	0	8,800
Trust and Agency Funds	0	0	0	209,536,800	0	209,536,800	209,536,800	0	209,536,800
Beginning Nonlapsing	0	0	0	0	0	0	0	2,722,300	2,722,300
Closing Nonlapsing	0	0	0	(1,397,400)	0	(1,773,600)	(1,773,600)	(1,301,800)	(3,075,400)
Beginning Fund Balance	0	0	0	2,016,100	0	2,369,200	2,369,200	(2,369,200)	0
Ending Fund Balance	0	0	0	(971,800)	0	(948,700)	(948,700)	948,700	0
Total	$0	$0	$0	$209,192,500	$0	$209,192,500	$209,192,500	$0	$209,192,500

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Categories of Expenditure	FY11 Actual	FY12 Actual	FY13 Actual	FY14 Actual	FY15 Approp	FY15 Change	FY15 Revised	FY16 Change	FY16 Approp
Current Expense	0	0	0	100	0	100	100	0	100
DP Current Expense	0	0	0	1,200	0	1,200	1,200	0	1,200
Other Charges/Pass Thru	0	0	0	3,500	0	3,500	3,500	0	3,500
Trust and Agency Disbursements	0	0	0	209,187,700	0	209,187,700	209,187,700	0	209,187,700
Total	$0	$0	$0	$209,192,500	$0	$209,192,500	$209,192,500	$0	$209,192,500

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.