SOCIAL SERVICES BASE BUDGET

2024 GENERAL SESSION

STATE OF UTAH

Chief Sponsor: Raymond P. Ward

Senate Sponsor: Heidi Balderree

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LONG TITLE
General Description:
     This bill supplements or reduces appropriations otherwise provided for the support and operation of state government for the fiscal year beginning July 1, 2023 and ending June 30, 2024 and appropriates funds for the support and operation of state government for the fiscal year beginning July 1, 2024 and ending June 30, 2025.
Highlighted Provisions:
     This bill:
     ▸     provides appropriations for the use and support of certain state agencies;
     ▸     provides appropriations for other purposes as described; and
     ▸     provides intent language.
Money Appropriated in this Bill:
     This bill appropriates ($135,801,700) in operating and capital budgets for fiscal year 2024, including:
     ▸     ($95,092,300) from the General Fund; and
     ▸     ($40,709,400) from various sources as detailed in this bill.
     This bill appropriates ($1,156,400) in expendable funds and accounts for fiscal year 2024.
     This bill appropriates $7,424,500 in business-like activities for fiscal year 2024.
     This bill appropriates $26,565,400 in restricted fund and account transfers for fiscal year 2024, including:
     ▸     ($59,434,400) from the General Fund; and
     ▸     $85,999,800 from various sources as detailed in this bill.
     This bill appropriates ($2,040,500) in fiduciary funds for fiscal year 2024.
     This bill appropriates $9,252,147,700 in operating and capital budgets for fiscal year 2025, including:
     ▸     $1,445,715,800 from the General Fund;
     ▸     $7,174,100 from the Income Tax Fund; and
     ▸     $7,799,257,800 from various sources as detailed in this bill.
     This bill appropriates $36,948,600 in expendable funds and accounts for fiscal year 2025, including:
     ▸     $10,292,900 from the General Fund; and
     ▸     $26,655,700 from various sources as detailed in this bill.
     This bill appropriates $258,008,400 in business-like activities for fiscal year 2025.
     This bill appropriates $298,867,400 in restricted fund and account transfers for fiscal year 2025, including:
     ▸     $40,570,500 from the General Fund;
     ▸     $870,800 from the Income Tax Fund; and
     ▸     $257,426,100 from various sources as detailed in this bill.
     This bill appropriates $221,493,900 in fiduciary funds for fiscal year 2025.
Other Special Clauses:
     Section 1 of this bill takes effect immediately. Section 2 and Section 3 of this bill take effect on July 1, 2024.
Utah Code Sections Affected:
     ENACTS UNCODIFIED MATERIAL
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Be it enacted by the Legislature of the state of Utah:
     Section 1. FY 2024 Appropriations. The following sums of money are appropriated for the fiscal year beginning July 1, 2023 and ending June 30, 2024. These are additions to amounts otherwise appropriated for fiscal year 2024.
     Subsection 1(a). Operating and Capital Budgets. Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures Act, the Legislature appropriates the following sums of money from the funds or accounts indicated for the use and support of the government of the state of Utah.
Department of Workforce Services
Item 1
     To Department of Workforce Services - Housing and Community Development
From Federal Funds - American Rescue Plan, One-time
2,000,000

Schedule of Programs:
Community Services
2,000,000

     The Legislature intends that $2,000,000 one-time from Federal Funds American Rescue Plan Act provided by this item be used for Washington County Food Bank. The Legislature further intends that funds appropriated by this item from the American Rescue Plan Act may only be expended or distributed for purposes that comply with the legal requirements and federal guidelines under the American Rescue Plan Act of 2021. Additionally, the Legislature intends that the agency administering these funds meet all compliance and reporting requirements associated with these funds, as directed by the Governor's Office of Planning and Budget.
Item 2
     To Department of Workforce Services - State Office of Rehabilitation
From Beginning Nonlapsing Balances
(927,400)

From Closing Nonlapsing Balances
500,000

Schedule of Programs:
Executive Director
(427,400)

Department of Health and Human Services
Item 3
     To Department of Health and Human Services - Operations
From Federal Funds, One-time
(4,112,700)

From Dedicated Credits Revenue, One-time
(26,500)

From Revenue Transfers, One-time
(3,842,700)

From Beginning Nonlapsing Balances
(405,600)

From Closing Nonlapsing Balances
(8,361,200)

Schedule of Programs:
Executive Director Office
(6,362,700)

Ancillary Services
650,400

Finance & Administration
(1,619,800)

Data, Systems, & Evaluations
(6,663,700)

Public Affairs, Education & Outreach
(424,500)

American Indian / Alaska Native
(138,300)

Continuous Quality Improvement
(2,103,800)

Customer Experience
(86,300)

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report performance measures for the Operations line item, whose mission is "ensure all Utahns have fair and equitable opportunities to live safe and healthy lives." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Number of DHHS audit recommendations unresolved after one year (Target = 5), 2) Percent of strategic objectives that are due and completed per fiscal year (Target = 80%), and 3) Percent of key data systems that are modernized, optimized, and integrated by 2026 (American Rescue Plan Act project tracking) (Target = % of checklist items completed).
Item 4
     To Department of Health and Human Services - Clinical Services
From Federal Funds, One-time
(17,477,100)

From Dedicated Credits Revenue, One-time
(3,169,100)

From Expendable Receipts, One-time
(62,500)

From Revenue Transfers, One-time
(200,000)

From Beginning Nonlapsing Balances
9,519,400

From Closing Nonlapsing Balances
(1,447,200)

Schedule of Programs:
Medical Examiner
700,000

State Laboratory
(18,883,600)

Primary Care and Rural Health
1,000,000

Health Clinics of Utah
(1,212,600)

Medical Education Council
509,700

Medical Residency Grant Program
4,500,000

Forensic Psychiatry Grant Program
550,000

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following performance measures for the Clinical Services line item, whose mission is to "improve access to physical, mental, and oral healthcare services for underserved populations; work to overcome critical healthcare provider shortages; provide safe and timely access to medical cannabis; and reduce health disparities and advance health equity in Utah". The Department of Health and Human Services shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024 the final status of performance measures established in FY 2024. For FY 2025, the department shall report the following performance measures: 1) Percent of operational units or offices that increase their activity score after participating in the Building Organizational Capacity (BOCA) project (Target = 100%), 2) Percentage of turnaround times standards met (Target = 90%), and 3) Percentage of autopsy reports completed within 60 days (Target = At least 90%).
Item 5
     To Department of Health and Human Services - Department Oversight
From Federal Funds, One-time
(170,300)

From Dedicated Credits Revenue, One-time
(235,600)

From Revenue Transfers, One-time
(33,900)

From Beginning Nonlapsing Balances
400,400

From Closing Nonlapsing Balances
(727,600)

Schedule of Programs:
Licensing & Background Checks
(602,800)

Internal Audit
(14,500)

Admin Hearings
(82,500)

Utah Developmental Disabilities Council
(67,200)

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following performance measures for the Department Oversight line item, whose mission is "protect the public's health through preventing avoidable illness, injury, disability, and premature death; assuring access to affordable, quality health care; and promoting health lifestyles by providing services and oversight of services which are applicable throughout all divisions and bureaus of the Department." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Rate of provider compliance with licensing rules (Target = Improve by 5% from baseline with baseline being developed) and 2) Number of days between criminal record released and staff determination (Target = Within 5 working days of the release of a criminal record).
Item 6
     To Department of Health and Human Services - Health Care Administration
From Federal Funds, One-time
(53,781,500)

From Ambulance Service Provider Assess Exp Rev Fund, One-time
(600)

From Revenue Transfers, One-time
(2,198,300)

From Beginning Nonlapsing Balances
12,182,300

From Closing Nonlapsing Balances
(600,000)

Schedule of Programs:
Integrated Health Care Administration
(54,071,900)

Long-Term Services and Supports Administration
212,500

Provider Reimbursement Information System for Medicaid
9,461,300

     The Legislature intends that the Department of Health and Human Services report to the Social Services Appropriations Subcommittee by June 1, 2024 on options to implement a quality-based auto-assignment of Medicaid managed care clients who do not select a health plan.
     The Legislature intends that the Office of Inspector General report by June 1, 2024 to the Social Services Appropriations Subcommittee on results of its analysis of provider preventable conditions reports.
     The Legislature intends that the Departments of Workforce Services and Health and Human Services report on recommendations as well as potential costs and benefits of expanding automation of Medicaid eligibility reviews by June 1, 2024 to the Social Services Appropriations Subcommittee. The report shall include lessons learned from the automation efforts for ex-parte renewals.
     The Legislature intends that the Department of Health and Human Services report to the Social Services Appropriations Subcommittee by June 1, 2024 on the feasibility of primary care health homes focusing on Advancing Care for Exceptional (ACE) kids in Medicaid.
Item 7
     To Department of Health and Human Services - Integrated Health Care Services
From General Fund, One-time
(94,092,300)

From Federal Funds, One-time
(83,870,000)

From Federal Funds - Enhanced FMAP, One-time
21,000,000

From Federal Funds - American Rescue Plan, One-time
665,000

From Expendable Receipts, One-time
163,300

From General Fund Restricted - Medicaid Restricted Account, One-time
77,500,000

From General Fund Restricted - Opioid Litigation Proceeds Restricted Account, One-time
2,800,000

From Beginning Nonlapsing Balances
50,892,200

Schedule of Programs:
Children's Health Insurance Program Services
(25,247,300)

Medicaid Accountable Care Organizations
(43,339,500)

Medicaid Behavioral Health Services
163,300

Medicaid Other Services
49,941,200

Non-Medicaid Behavioral Health Treatment and Crisis Response  
(9,246,200)

State Hospital
2,786,700

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following performance measures for the Integrated Health Care Services line item, whose mission is "provide access to quality, cost-effective health care for eligible Utahns." The Department of Health and Human Services shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024 the final status of performance measures established in FY 2024. For FY 2025, the department shall report the following performance measures: 1) Percent of Medicaid adults and adolescents with major depressive episodes who receive treatment (Target = Improve from baseline with the baseline being developed), 2) Annual State General Funds Saved Through Preferred Drug List (Target => $20 million), 3) Percent of Medicaid members who promptly receive outpatient treatment after visiting a hospital for mental health issues (Target = National average [for 2020 this was 59%]), 4) Rates of Utahns dying of drug-related causes (Target = Decrease rates of Utah drug deaths by 1 per 100,000 in each year from 2022 through 2027), 5) Percentage of youth clients with improved symptoms, or recovered, as measured by the Youth Outcome questionnaires (Target = 50%), 6) Percentage of adult clients with improved symptoms, or recovered, as measured by the Adult Mental Health Outcome (45% of adults), 7) Utah State Hospital (USH) patients have successful clinical outcomes and are discharged to lower levels of service when appropriate (Target = Delayed Adult Civil bed days will be reduced by 5 percent), 8) Percentage of Individuals Who Transitioned from intermediate care facilities to community-based services (Target = No less than 10% of individuals residing in intermediate care facilities will transition to home and community based services on an annual basis), 9) Percent of Medicaid adult members that receive services from an integrated health plan or other integrated model (Target = 40%), and 10) Percent of clean claims adjudicated by Provider Reimbursement Information System for Medicaid within 30 days of submission (Target = 90%).
     The Legislature intends that $665,000 one-time from the American Rescue Plan Act provided by this item be used for Cherish the Families Support Services in Hildale. The Legislature further intends that funds appropriated by this item from the American Rescue Plan Act may only be expended or distributed for purposes that comply with the legal requirements and federal guidelines under the American Rescue Plan Act of 2021. Additionally, the Legislature intends that the agency administering these funds meet all compliance and reporting requirements associated with these funds, as directed by the Governor's Office of Planning and Budget.
     The Department of Health and Human Services may use up to a combined maximum of $77,500,000 from the General Fund Restricted - Medicaid Restricted Account and associated federal matching funds provided for Integrated Health Care Services only in the case that non-federal fund appropriations provided for FY 2024 in all other items of appropriation within the respective line item are insufficient to pay appropriate claims within the respective line item for FY 2024 when combined with federal matching funds.
     Pursuant to Section 63J-1-603 of the Utah Code, the Legislature intends that up to $15,600,000 General Fund Restricted - Medicaid Restricted Account provided in this line item for the Department of Health and Human Services Integrated Health Care Services line item shall not lapse at the close of FY 2024. The use of any nonlapsing funding is limited to ultra-high cost drugs carved out of Medicaid managed care that cost more than $1.0 million each annually.
Item 8
     To Department of Health and Human Services - Long-Term Services & Support
From Federal Funds, One-time
(2,823,300)

From Dedicated Credits Revenue, One-time
(527,200)

From Expendable Receipts, One-time
(100)

From Beginning Nonlapsing Balances
15,172,800

Schedule of Programs:
Aging & Adult Services
(325,500)

Adult Protective Services
270,200

Office of Public Guardian
30,900

Services for People with Disabilities
(19,558,600)

Community Supports Waiver Services
26,844,400

Utah State Developmental Center
4,560,800

Item 9
     To Department of Health and Human Services - Public Health, Prevention, and Epidemiology
From Beginning Nonlapsing Balances
1,251,200

Schedule of Programs:
Communicable Disease
234,000

Health Promotion and Prevention
630,300

Emergency Medical Services and Preparedness
(509,100)

Local Health Departments
25,000

Population Health
871,000

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following performance measures for the Public Health, Prevention, and Epidemiology line item, whose mission is "prevent chronic disease and injury, rapidly detect and investigate communicable diseases and environmental health hazards, provide prevention-focused education, and institute control measures to reduce and prevent the impact of disease." The Department of Health and Human Services shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024 the final status of performance measures established in FY 2024. For FY 2025, the department shall report the following performance measures: 1) Decreasing the number and percentage of Utahns who experience a preventable illness or injury of public health concern (Target = Improve from baseline with the baseline being developed), 2) Decrease the percent of Utah Adults who report fair or poor general health in very high Health Improvement Index areas (Target = Decrease by 1% annually), 3) Proportion of state, federal, and private funding allocated to essential public health services (Target = Increase in state investment into essential public health services), and 4) Percentage of rules, disease plans, and response plans that are current (Target = 95%).
Item 10
     To Department of Health and Human Services - Children, Youth, & Families
From General Fund, One-time
(1,000,000)

From Federal Funds, One-time
(32,846,400)

From Dedicated Credits Revenue, One-time
(1,961,900)

From Expendable Receipts, One-time
(278,400)

From Expendable Receipts - Rebates, One-time
(885,800)

From Revenue Transfers, One-time
(7,120,000)

From Beginning Nonlapsing Balances
1,595,300

From Closing Nonlapsing Balances
(3,714,500)

Schedule of Programs:
Child & Family Services
(1,384,200)

Domestic Violence
1,000,000

Out-of-Home Services
(8,218,800)

Adoption Assistance
(51,700)

Child Abuse Prevention and Facility Services
(1,176,600)

Children with Special Healthcare Needs
(28,054,200)

Maternal & Child Health
(24,681,700)

Family Health
(8,571,700)

Office of Coordinated Care and Regional Supports
1,753,300

DCFS Selected Programs
(122,100)

Office of Early Childhood
23,296,000

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report performance measures for the Child, Youth, & Families line item, whose mission is "to keep children safe from abuse and neglect and provide domestic violence services by working with communities and strengthening families." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Percent of children who demonstrated improvement in social-emotional skills, including social relationships. (Target = At least 56%); 2) Percent of children confirmed as victims of abuse or neglect who experienced repeat maltreatment within 12 months (Target = 9.7% or less); 3) Number and percent of reunification (Reunification is the process of returning children in temporary out-of-home care to their families of origin) (Target = 2% increase over the FY21 rate); 4) Case worker turnover rate (Target = 22.4% reduction in turnover); 5) Average number of case workers per case (may include more than 1 child) (Target = 5% decrease over the FY22 rate); and 6) Average number of placements (including foster families) per child (Target = 4.48 moves per 1,000 days).
Item 11
     To Department of Health and Human Services - Office of Recovery Services
From Federal Funds, One-time
(121,000)

From Dedicated Credits Revenue, One-time
(1,282,400)

From Expendable Receipts, One-time
(2,880,400)

From Revenue Transfers, One-time
(260,100)

Schedule of Programs:
Recovery Services
3,305,800

Child Support Services
(5,976,900)

Children in Care Collections
(1,065,100)

Attorney General Contract
(688,100)

Medical Collections
(119,600)

     Subsection 1(b). Expendable Funds and Accounts. The Legislature has reviewed the following expendable funds. The Legislature authorizes the State Division of Finance to transfer amounts between funds and accounts as indicated. Outlays and expenditures from the funds or accounts to which the money is transferred may be made without further legislative action, in accordance with statutory provisions relating to the funds or accounts.
Department of Workforce Services
Item 12
     To Department of Workforce Services - Intermountain Weatherization Training Fund
From Dedicated Credits Revenue, One-time
(69,800)

From Lapsing Balance
69,800

Item 13
     To Department of Workforce Services - Utah Community Center for the Deaf Fund
     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Utah Community Center for the Deaf Fund, whose mission is to "provide services in support of creating a safe place, with full communication where every Deaf, Hard of Hearing and Deafblind person is embraced by their community and supported to grow to their full potential." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Increase the number of individuals accessing interpreter certification exams in Southern Utah (Target=25).
Department of Health and Human Services
Item 14
     To Department of Health and Human Services - Allyson Gamble Organ Donation Contribution Fund
From Beginning Fund Balance
284,300

From Closing Fund Balance
(426,700)

Schedule of Programs:
Allyson Gamble Organ Donation Contribution Fund
(142,400)

Item 15
     To Department of Health and Human Services - Neuro-Rehabilitation Fund
From Beginning Fund Balance
384,200

From Closing Fund Balance
(1,170,500)

Schedule of Programs:
Neuro-Rehabilitation Fund
(786,300)

Item 16
     To Department of Health and Human Services - Brain Injury Fund
From Beginning Fund Balance
(93,200)

From Closing Fund Balance
(134,500)

Schedule of Programs:
Brain Injury Fund
(227,700)

Item 17
     To Department of Health and Human Services - Maurice N. Warshaw Trust Fund
From Beginning Fund Balance
5,200

From Closing Fund Balance
(5,200)

Item 18
     To Department of Health and Human Services - Out and About Homebound Transportation Assistance Fund
From Beginning Fund Balance
66,400

From Closing Fund Balance
(66,400)

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report performance measures for the Out and About Homebound Transportation Assistance Fund. The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024 the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measure: 1) Number of internal reviews completed for compliance with statute, federal regulations, and other requirements (Target = 1).
Item 19
     To Department of Health and Human Services - Utah State Developmental Center Long-Term Sustainability Fund
From Beginning Fund Balance
1,963,600

From Closing Fund Balance
(1,963,600)

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report performance measures for the Utah State Developmental Center Long-Term Sustainability Fund. The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024 the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Number of internal reviews completed for compliance with statute, federal regulations, and other requirements (Target = 1).
Item 20
     To Department of Health and Human Services - Utah State Developmental Center Miscellaneous Donation Fund
From Beginning Fund Balance
(573,300)

From Closing Fund Balance
573,300

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report performance measures for the Utah State Developmental Center Miscellaneous Donation Fund. The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024 the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measure: 1) Number of internal reviews completed for compliance with statute, federal regulations, and other requirements (Target = 1).
Item 21
     To Department of Health and Human Services - Utah State Developmental Center Workshop Fund
From Beginning Fund Balance
(16,200)

From Closing Fund Balance
16,200

Item 22
     To Department of Health and Human Services - Utah State Hospital Unit Fund
From Beginning Fund Balance
(245,200)

From Closing Fund Balance
245,200

Item 23
     To Department of Health and Human Services - Mental Health Services Donation Fund
From Beginning Fund Balance
109,800

From Closing Fund Balance
(109,800)

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report performance measures for the Mental Health Services Donation Fund. The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024 the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measure: 1) Number of internal reviews completed for compliance with statute, federal regulations, and other requirements (Target = 1).
Item 24
     To Department of Health and Human Services - Suicide Prevention and Education Fund
From Beginning Fund Balance
212,600

From Closing Fund Balance
(212,600)

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report performance measures for the Suicide Prevention and Education Fund. The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024 the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measure: 1) Number of internal reviews completed for compliance with statute, federal regulations, and other requirements (Target = 1).
Item 25
     To Department of Health and Human Services - Pediatric Neuro-Rehabilitation Fund
From Beginning Fund Balance
39,900

From Closing Fund Balance
(39,900)

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following performance measure for the Pediatric Neuro-Rehabilitation Fund, whose mission is "The Violence and Injury Prevention Program is a trusted and comprehensive resource for data related to violence and injury. Through education, this information helps promote partnerships and programs to prevent injuries and improve public health." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measure: 1) Percentage of children that had an increase in functional activity (Target = 70%).
     Subsection 1(c). Business-like Activities. The Legislature has reviewed the following proprietary funds. Under the terms and conditions of Utah Code 63J-1-410, for any included Internal Service Fund, the Legislature approves budgets, full-time permanent positions, and capital acquisition amounts as indicated, and appropriates to the funds, as indicated, estimated revenue from rates, fees, and other charges. The Legislature authorizes the State Division of Finance to transfer amounts between funds and accounts as indicated.
Department of Health and Human Services
Item 26
     To Department of Health and Human Services - Qualified Patient Enterprise Fund
From Dedicated Credits Revenue, One-time
2,305,400

From Revenue Transfers, One-time
1,422,600

From Beginning Fund Balance
5,838,900

From Closing Fund Balance
(2,142,400)

Schedule of Programs:
Qualified Patient Enterprise Fund
7,424,500

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following performance measure for the Center for Medical Cannabis, whose mission is to "provide safe and timely access to medical cannabis." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measure: 1) Audit compliance rate of recommending medical providers, medical cannabis cardholders, and pharmacy medical providers (Target = 95%).
     Subsection 1(d). Restricted Fund and Account Transfers. The Legislature authorizes the State Division of Finance to transfer the following amounts between the following funds or accounts as indicated. Expenditures and outlays from the funds to which the money is transferred must be authorized by an appropriation.
Item 27
     To Ambulance Service Provider Assessment Expendable Revenue Fund
From Dedicated Credits Revenue, One-time
(1,898,900)

Schedule of Programs:
Ambulance Service Provider Assessment Expendable Revenue Fund  
(1,898,900)

Item 28
     To Hospital Provider Assessment Fund
From Dedicated Credits Revenue, One-time
57,211,300

Schedule of Programs:
Hospital Provider Assessment Expendable Special Revenue Fund  
57,211,300

Item 29
     To Medicaid Expansion Fund
From General Fund, One-time
(59,434,400)

From Expendable Receipts, One-time
(61,900)

From Revenue Transfers, One-time
3,074,300

From Beginning Fund Balance
23,489,700

From Closing Fund Balance
7,512,100

Schedule of Programs:
Medicaid Expansion Fund
(25,420,200)

Item 30
     To Nursing Care Facilities Provider Assessment Fund
From Dedicated Credits Revenue, One-time
(3,968,600)

Schedule of Programs:
Nursing Care Facilities Provider Assessment Fund
(3,968,600)

Item 31
     To General Fund Restricted - Medicaid Restricted Account
From Beginning Fund Balance
59,661,400

From Closing Fund Balance
(59,661,400)

Item 32
     To Adult Autism Treatment Account
From Beginning Fund Balance
641,800

Schedule of Programs:
Adult Autism Treatment Account
641,800

     Subsection 1(e). Fiduciary Funds. The Legislature has reviewed proposed revenues, expenditures, fund balances, and changes in fund balances for the following fiduciary funds.
Department of Health and Human Services
Item 33
     To Department of Health and Human Services - Human Services Client Trust Fund
From Beginning Fund Balance
(136,700)

From Closing Fund Balance
(1,903,800)

Schedule of Programs:
Human Services Client Trust Fund
(2,040,500)

Item 34
     To Department of Health and Human Services - Human Services ORS Support Collections
From Beginning Fund Balance
2,203,700

From Closing Fund Balance
(2,203,700)

Item 35
     To Department of Health and Human Services - Utah State Developmental Center Patient Account
From Beginning Fund Balance
(112,100)

From Closing Fund Balance
112,100

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report the final status of performance measures established in FY 2024 appropriations bills for the Utah State Developmental Center Patient Account line item to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024. For FY 2025, the Department of Health and Human Services shall report on the following performance measure: 1) Number of internal reviews completed for compliance with statute, federal regulations, and other requirements (Target = 1).
Item 36
     To Department of Health and Human Services - Utah State Hospital Patient Trust Fund
From Beginning Fund Balance
193,100

From Closing Fund Balance
(193,100)

     Section 2. FY 2025 Appropriations. The following sums of money are appropriated for the fiscal year beginning July 1, 2024 and ending June 30, 2025.
     Subsection 2(a). Operating and Capital Budgets. Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures Act, the Legislature appropriates the following sums of money from the funds or accounts indicated for the use and support of the government of the state of Utah.
Department of Workforce Services
Item 37
     To Department of Workforce Services - Administration
From General Fund
4,848,900

From Federal Funds
10,712,900

From Dedicated Credits Revenue
123,600

From Expendable Receipts
121,800

From Education Savings Incentive Restricted Account
870,800

From Gen. Fund Rest. - Homeless Housing Reform Rest. Acct
23,000

From Housing Opportunities for Low Income Households
5,100

From Medicaid Expansion Fund
1,200

From Navajo Revitalization Fund
11,700

From Olene Walker Housing Loan Fund
25,500

From OWHT-Fed Home
5,100

From OWHTF-Low Income Housing
21,600

From Permanent Community Impact Loan Fund
96,100

From Permanent Community Impact Bonus Fund
68,400

From Qualified Emergency Food Agencies Fund
4,200

From General Fund Restricted - School Readiness Account
18,300

From Revenue Transfers
3,965,700

From Uintah Basin Revitalization Fund
3,700

Schedule of Programs:
Administrative Support
13,686,100

Communications
1,565,100

Executive Director's Office
1,573,500

Human Resources
2,130,100

Internal Audit
1,972,800

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Administration line item, whose mission is to "be the best-managed State Agency in Utah." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) provide accurate and timely department-wide fiscal administration as measured by audit findings or responses (Target: zero audit findings); 2) percent of DWS programs/systems that have reviewed, planned for, or mitigated identified risks (Target: 100%); and 3) percent of DWS facilities for which an annual facilities risk assessment is completed using the Division of Risk Management guidelines and checklist (Target: 98%).
Item 38
     To Department of Workforce Services - Community Development Capital Budget
From Permanent Community Impact Loan Fund
93,060,000

Schedule of Programs:
Community Impact Board
93,060,000

Item 39
     To Department of Workforce Services - General Assistance
From General Fund
4,341,000

From Revenue Transfers
255,800

Schedule of Programs:
General Assistance
4,596,800

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the General Assistance line item, whose mission is to "provide temporary financial assistance to disabled adults without dependent children to support basic living needs as they seek longer term financial benefits through SSI/SSDI or employment." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) positive closure rate (SSI achievement or closed with earnings) (Target = 65%), 2) General Assistance average monthly customers served (Target = 730), and 3) internal review compliance accuracy (Target = 95%).
Item 40
     To Department of Workforce Services - Housing and Community Development
From General Fund
1,638,900

From Federal Funds
49,189,600

From Dedicated Credits Revenue
902,600

From Expendable Receipts
1,292,400

From Housing Opportunities for Low Income Households
555,300

From Navajo Revitalization Fund
63,300

From Olene Walker Housing Loan Fund
643,000

From OWHT-Fed Home
555,300

From OWHTF-Low Income Housing
552,700

From Permanent Community Impact Loan Fund
771,800

From Permanent Community Impact Bonus Fund
588,000

From Qualified Emergency Food Agencies Fund
37,900

From Revenue Transfers
614,700

From Uintah Basin Revitalization Fund
44,900

Schedule of Programs:
Community Development
8,124,300

Community Development Administration
1,490,700

Community Services
4,622,300

HEAT
25,010,900

Housing Development
6,849,800

Weatherization Assistance
11,352,400

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Housing and Community Development line item, whose mission is to "actively partner with other state agencies, local government, nonprofits, and the private sector to build local capacity, fund services and infrastructure, and to leverage federal and state resources for critical programs." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) utilities assistance for low-income households - unique number of eligible households assisted with home energy costs (Target = 26,000 households), 2) Weatherization Assistance unique number of low-income households assisted by installing permanent energy conservation measures in their homes (Target = 347 homes), and 3) Affordable housing units funded from Olene Walker and Private Activity Bonds (Target = 2,200).
Item 41
     To Department of Workforce Services - Nutrition Assistance - SNAP
From Federal Funds
512,755,100

Schedule of Programs:
Nutrition Assistance - SNAP
512,755,100

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Nutrition Assistance - SNAP line item, whose mission is to "provide accurate and timely Supplemental Nutrition Assistance Program (SNAP) benefits to eligible low-income individuals and families." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) SNAP accuracy of paid benefits (Target= 97%), 2) SNAP  Certification Timeliness - percentage of cases where a decision of eligibility was made within 30 calendar days (Target = 95%), and 3) SNAP Calendar Days to Decision from Application Submission to Eligibility Decision (Target = 12 days).
Item 42
     To Department of Workforce Services - Special Service Districts
From General Fund Restricted - Mineral Lease
3,015,800

Schedule of Programs:
Special Service Districts
3,015,800

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Special Service Districts line item, whose mission is to "align with the Housing and Community Development Division, which actively partners with other state agencies, local government, nonprofits, and the private sector to build local capacity, fund services and infrastructure, and to leverage federal and state resources for critical programs." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measure: 1) the total pass through of funds to qualifying special service districts in counties of the 5th, 6th, and 7th class (completed quarterly).
Item 43
     To Department of Workforce Services - State Office of Rehabilitation
From General Fund
24,175,100

From Federal Funds
53,514,600

From Dedicated Credits Revenue
576,000

From Expendable Receipts
581,400

From Gen. Fund Rest. - Homeless Housing Reform Rest. Acct
500

From Housing Opportunities for Low Income Households
1,000

From Medicaid Expansion Fund
200

From Navajo Revitalization Fund
500

From Olene Walker Housing Loan Fund
1,000

From OWHT-Fed Home
1,000

From OWHTF-Low Income Housing
1,000

From Permanent Community Impact Loan Fund
1,300

From Permanent Community Impact Bonus Fund
1,000

From Qualified Emergency Food Agencies Fund
500

From General Fund Restricted - School Readiness Account
400

From Revenue Transfers
64,000

From Uintah Basin Revitalization Fund
500

From Beginning Nonlapsing Balances
7,500,000

From Closing Nonlapsing Balances
(7,500,000)

Schedule of Programs:
Blind and Visually Impaired
4,169,800

Deaf and Hard of Hearing
3,459,600

Disability Determination
16,914,900

Executive Director
1,089,400

Rehabilitation Services
53,286,300

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the State Office of Rehabilitation line item, whose mission is to "empower clients and provide high quality services that promote independence and self-fulfillment through its programs." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Vocational Rehabilitation - Percentage of all VR clients receiving services who are eligible or potentially eligible youth (ages 14-24) (Target >=41%), 2) Vocational Rehabilitation - maintain or increase a successful rehabilitation closure rate (Target = 55%), and 3) Deaf and Hard of Hearing Total number of individuals served with DSDHH programs (Target = 8,000).
Item 44
     To Department of Workforce Services - Unemployment Insurance
From General Fund
1,135,500

From Federal Funds
29,798,300

From Dedicated Credits Revenue
763,600

From Expendable Receipts
35,800

From Gen. Fund Rest. - Homeless Housing Reform Rest. Acct
1,000

From Housing Opportunities for Low Income Households
1,000

From Medicaid Expansion Fund
100

From Navajo Revitalization Fund
500

From Olene Walker Housing Loan Fund
1,500

From OWHT-Fed Home
1,000

From OWHTF-Low Income Housing
1,500

From Permanent Community Impact Loan Fund
4,500

From Permanent Community Impact Bonus Fund
3,300

From Qualified Emergency Food Agencies Fund
500

From General Fund Restricted - School Readiness Account
1,200

From Revenue Transfers
136,900

From Uintah Basin Revitalization Fund
500

Schedule of Programs:
Adjudication
5,833,400

Unemployment Insurance Administration
26,053,300

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Unemployment Insurance line item, whose mission is to "accurately assess eligibility for unemployment benefits and liability for employers in a timely manner." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Percentage of employers registered with the department within 90 days of employers first reporting employee wages (Target => 98.5%), 2) Percentage of unemployment insurance separation determinations that meet quality standards as outlined and defined by the USDOL (Target => 95%), and 3) percentage of Unemployment Insurance benefits payments made within 14 calendar days (Target => 95%).
Item 45
     To Department of Workforce Services - Office of Homeless Services
From General Fund
19,288,500

From Federal Funds
5,131,300

From Dedicated Credits Revenue
19,700

From Gen. Fund Rest. - Pamela Atkinson Homeless Account
2,518,000

From Gen. Fund Rest. - Homeless Housing Reform Rest. Acct
12,904,700

From General Fund Restricted - Homeless Shelter Cities Mitigation Restricted Account  
11,072,300

From Revenue Transfers
25,100

Schedule of Programs:
Homeless Services
50,959,600

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Office of Homeless Services line item, whose mission is to "make homelessness rare, brief, and nonrecurring." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) HUD Performance Measure: Length of time persons remain homeless (Target = Reduce by 10%), 2) HUD Performance Measure: The extent to which persons who exit homelessness to permanent housing destinations return to homelessness (Target = Reduce by 10% from the previous year's achievement), 3) HUD Performance Measure: Number of homeless persons (Target = Reduce by 8% from the previous year's achievement), 4) HUD Performance Measure: Jobs and income growth for homeless persons in CoC Program-funded projects (Increase by 10% from previous years achievement), 5) HUD Performance Measure: Number of persons who become homeless for the first time (Target = Reduce by 6% from previous years achievement), and 6) HUD Performance Measure: successful housing placement - Successful exits or retention of housing from Permanent Housing (PH) (Target = 93% or above).
Department of Health and Human Services
Item 46
     To Department of Health and Human Services - Operations
From General Fund
21,031,300

From Income Tax Fund
557,100

From Federal Funds
6,313,700

From Dedicated Credits Revenue
3,221,000

From Revenue Transfers
1,324,500

From Beginning Nonlapsing Balances
8,361,200

From Closing Nonlapsing Balances
(4,642,000)

Schedule of Programs:
Executive Director Office
4,191,100

Ancillary Services
3,584,200

Finance & Administration
9,675,500

Data, Systems, & Evaluations
10,265,000

Public Affairs, Education & Outreach
1,663,900

American Indian / Alaska Native
476,400

Continuous Quality Improvement
4,326,400

Customer Experience
1,984,300

Item 47
     To Department of Health and Human Services - Clinical Services
From General Fund
17,119,500

From Income Tax Fund
3,306,100

From Federal Funds
19,888,800

From Federal Funds, One-time
(17,276,300)

From Dedicated Credits Revenue
11,564,500

From Dedicated Credits Revenue, One-time
(2,334,100)

From Expendable Receipts
365,900

From Expendable Receipts, One-time
(62,100)

From Department of Public Safety Restricted Account
451,800

From General Fund Restricted - Opioid Litigation Proceeds Restricted Account  
1,300,000

From Gen. Fund Rest. - State Lab Drug Testing Account
779,300

From Revenue Transfers
324,900

From Beginning Nonlapsing Balances
1,447,200

Schedule of Programs:
Medical Examiner
10,533,800

State Laboratory
13,558,900

Primary Care and Rural Health
8,328,800

Health Equity
741,400

Medical Education Council
1,662,600

Medical Residency Grant Program
1,500,000

Forensic Psychiatry Grant Program
550,000

Item 48
     To Department of Health and Human Services - Department Oversight
From General Fund
9,231,700

From Federal Funds
6,935,900

From Dedicated Credits Revenue
1,871,300

From Revenue Transfers
3,768,300

From Beginning Nonlapsing Balances
4,223,500

From Closing Nonlapsing Balances
(4,212,000)

Schedule of Programs:
Licensing & Background Checks
17,923,200

Internal Audit
2,080,100

Admin Hearings
1,192,200

Utah Developmental Disabilities Council
623,200

Item 49
     To Department of Health and Human Services - Health Care Administration
From Federal Funds
21,800

Schedule of Programs:
Utah Developmental Disabilities Council
21,800

Item 50
     To Department of Health and Human Services - Integrated Health Care Services
From General Fund
819,603,200

From General Fund, One-time
(9,100,000)

From Federal Funds
4,265,614,700

From Federal Funds, One-time
3,033,400

From Dedicated Credits Revenue
11,487,700

From Expendable Receipts
256,568,600

From Expendable Receipts - Rebates
373,289,600

From General Fund Restricted - Statewide Behavioral Health Crisis Response Account  
16,930,600

From Ambulance Service Provider Assess Exp Rev Fund
5,071,700

From General Fund Restricted - Electronic Cigarette Substance and Nicotine Product Proceeds Restricted Account
262,600

From Hospital Provider Assessment Fund
113,045,500

From Medicaid Expansion Fund
127,715,000

From Nursing Care Facilities Provider Assessment Fund
39,851,000

From General Fund Restricted - Opioid Litigation Proceeds Restricted Account  
4,384,300

From General Fund Restricted - Tobacco Settlement Account
12,148,600

From Revenue Transfers
303,282,100

From Pass-through
1,813,000

Schedule of Programs:
Children's Health Insurance Program Services
154,258,700

Medicaid Accountable Care Organizations
1,759,315,600

Medicaid Behavioral Health Services
282,826,800

Medicaid Home and Community Based Services
626,326,200

Medicaid Hospital Services
318,263,900

Medicaid Pharmacy Services
357,968,200

Medicaid Long Term Care Services
471,204,400

Medicare Buy-In and Clawback Payments
118,547,900

Medicaid Other Services
636,669,400

Offsets to Medicaid Expenditures
(41,566,500)

Expansion Accountable Care Organizations
592,371,500

Expansion Behavioral Health Services
79,469,900

Expansion Hospital Services
295,502,600

Expansion Other Services
291,029,400

Expansion Pharmacy Services
126,549,800

Non-Medicaid Behavioral Health Treatment and Crisis Response  
179,410,000

State Hospital
96,853,800

Item 51
     To Department of Health and Human Services - Long-Term Services & Support
From General Fund
223,021,700

From Income Tax Fund
193,900

From Federal Funds
843,100

From Dedicated Credits Revenue
1,566,000

From Expendable Receipts
1,320,000

From General Fund Restricted - Division of Services for People with Disabilities Restricted Account
3,904,800

From Revenue Transfers
409,716,600

Schedule of Programs:
Services for People with Disabilities
11,884,600

Community Supports Waiver Services
533,982,600

Disabilities - Non Waiver Services
2,765,500

Disabilities - Other Waiver Services
37,063,300

Utah State Developmental Center
54,870,100

Item 52
     To Department of Health and Human Services - Public Health, Prevention, and Epidemiology
From General Fund
13,236,700

From Federal Funds
249,688,600

From Dedicated Credits Revenue
242,400

From Expendable Receipts
1,991,600

From Expendable Receipts - Rebates
6,645,300

From General Fund Restricted - Cancer Research Account
20,000

From General Fund Restricted - Cigarette Tax Restricted Account
3,150,000

From General Fund Restricted - Electronic Cigarette Substance and Nicotine Product Proceeds Restricted Account
9,288,400

From General Fund Restricted - Opioid Litigation Proceeds Restricted Account  
443,400

From General Fund Restricted - Tobacco Settlement Account
3,403,500

From Revenue Transfers
7,617,000

Schedule of Programs:
Communicable Disease
233,555,400

Health Promotion and Prevention
44,798,500

Emergency Medical Services and Preparedness
10,162,000

Local Health Departments
6,137,500

Population Health
1,073,500

Item 53
     To Department of Health and Human Services - Children, Youth, & Families
From General Fund
192,716,400

From Federal Funds
131,792,100

From Dedicated Credits Revenue
1,600,800

From Expendable Receipts
643,300

From Expendable Receipts - Rebates
7,985,300

From General Fund Restricted - Adult Autism Treatment Account
1,526,700

From General Fund Restricted - Victim Services Restricted Account
3,200,000

From General Fund Restricted - Children's Account
340,000

From Gen. Fund Rest. - K. Oscarson Children's Organ Transp.
109,400

From General Fund Restricted - National Professional Men's Basketball Team Support of Women and Children Issues
101,600

From Revenue Transfers
(5,472,600)

From Beginning Nonlapsing Balances
4,140,800

From Closing Nonlapsing Balances
(2,074,100)

Schedule of Programs:
Child & Family Services
122,953,000

Domestic Violence
19,172,000

In-Home Services
2,196,100

Out-of-Home Services
36,935,400

Adoption Assistance
21,291,800

Child Abuse Prevention and Facility Services
5,813,000

Children with Special Healthcare Needs
11,060,700

Maternal & Child Health
64,048,300

Family Health
782,500

Office of Coordinated Care and Regional Supports
2,462,800

DCFS Selected Programs
31,336,300

Office of Early Childhood
18,557,800

     Subsection 2(b). Expendable Funds and Accounts. The Legislature has reviewed the following expendable funds. The Legislature authorizes the State Division of Finance to transfer amounts between funds and accounts as indicated. Outlays and expenditures from the funds or accounts to which the money is transferred may be made without further legislative action, in accordance with statutory provisions relating to the funds or accounts.
Department of Workforce Services
Item 54
     To Department of Workforce Services - Individuals with Visual Impairment Fund
From Dedicated Credits Revenue
45,700

From Interest Income
18,500

From Beginning Fund Balance
1,361,400

From Closing Fund Balance
(1,380,600)

Schedule of Programs:
Individuals with Visual Impairment Fund
45,000

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Individuals with Visual Impairment Fund, whose mission is to "assist blind and visually impaired individuals in achieving their highest level of independence, participation in society and employment consistent with individual interests, values, preferences and abilities." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Grantees will maintain or increase the number of individuals served (Target >=165), 2) Grantees will maintain or increase the number of services provided (Target>=906), and 3) Number of individuals provided low-vision services (Target = 2,400).
Item 55
     To Department of Workforce Services - Individuals with Visual Impairment Vendor Fund
From Trust and Agency Funds
163,900

From Beginning Fund Balance
200,300

From Closing Fund Balance
(200,200)

Schedule of Programs:
Individuals with Visual Disabilities Vendor Fund
164,000

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Individuals with Visual Impairment Vendor Fund, whose mission is to "assist Blind and Visually Impaired individuals in achieving their highest level of independence, participation in society and employment consistent with individual interests, values, preferences and abilities." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Number of business locations receiving upgraded equipment purchased by fund will meet or exceed previous year's total (Target = 12), 2) Number of business locations receiving equipment repairs and/or maintenance will meet or exceed previous year's total (Target = 32), and 3) Business Enterprise Program will establish new business locations in government and/or private businesses to provide additional employment opportunities (Target = 4).
Item 56
     To Department of Workforce Services - Intermountain Weatherization Training Fund
From Beginning Fund Balance
3,500

From Closing Fund Balance
(3,500)

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Intermountain Weatherization Training Fund, whose mission is "aligned with the Housing and Community Development Division, which actively partners with other state agencies, local government, nonprofits, and the private sector to build local capacity, fund services and infrastructure, and to leverage federal and state resources for critical programs." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Excluding contractors, the total number of weatherization assistance program individuals trained (Target=400), and 2) number of individuals trained each year (Target => 3).
Item 57
     To Department of Workforce Services - Navajo Revitalization Fund
From Dedicated Credits Revenue
115,800

From Interest Income
150,000

From Other Financing Sources
1,000,000

From Beginning Fund Balance
9,263,300

From Closing Fund Balance
(9,448,100)

Schedule of Programs:
Navajo Revitalization Fund
1,081,000

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Navajo Revitalization Fund, whose mission is "aligned with the Housing and Community Development Division, which actively partners with other state agencies, local government, nonprofits, and the private sector to build local capacity, fund services and infrastructure, and to leverage federal and state resources for critical programs." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measure: 1) provide support to Navajo Revitalization Board with resources and data to enable allocation of new and re-allocated funds to improve quality of life for those living on the Utah portion of the Navajo Reservation (Target = allocate annual allocation from tax revenues within one year).
Item 58
     To Department of Workforce Services - Permanent Community Impact Bonus Fund
From Interest Income
8,802,100

From Gen. Fund Rest. - Land Exchange Distribution Account
100

From General Fund Restricted - Mineral Bonus
8,342,200

From Beginning Fund Balance
462,268,200

From Closing Fund Balance
(479,072,600)

Schedule of Programs:
Permanent Community Impact Bonus Fund
340,000

Item 59
     To Department of Workforce Services - Permanent Community Impact Fund
From Dedicated Credits Revenue
1,200,000

From Interest Income
4,275,000

From General Fund Restricted - Mineral Lease
25,467,900

From Gen. Fund Rest. - Land Exchange Distribution Account
11,500

From Beginning Fund Balance
281,568,900

From Closing Fund Balance
(292,483,300)

Schedule of Programs:
Permanent Community Impact Fund
20,040,000

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Permanent Community Impact Fund, whose mission is "aligned with the Housing and Community Development Division, which actively partners with other state agencies, local government, nonprofits, and the private sector to build local capacity, fund services and infrastructure, and to leverage federal and state resources for critical programs." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) new receipts invested in communities annually (Target = 100%), 2) The Community Impact Board funds the Regional Planning Program and community development specialists, who provide technical assistance, prepare tools, guides, and resources to ensure communities meet compliance with land use planning regulations (Target = 24 communities assisted), and 3) Maintain a minimum ratio of loan-to-grant funding for CIB projects (Target: At least 45% of loans to 55% grants).
Item 60
     To Department of Workforce Services - Qualified Emergency Food Agencies Fund
From Designated Sales Tax
540,000

From Revenue Transfers
375,000

From Beginning Fund Balance
139,700

From Closing Fund Balance
(139,700)

Schedule of Programs:
Emergency Food Agencies Fund
915,000

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Qualified Emergency Food Agencies Fund, whose mission is "aligned with the Housing and Community Development Division, which actively partners with other state agencies, local government, nonprofits, and the private sector to build local capacity, fund services and infrastructure, and to leverage federal and state resources for critical programs." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) The number of households served by QEFAF agencies (Target: 11,000) and 2) Percent of QEFAF program funds obligated to QEFAF agencies (Target: 100% of funds obligated).
Item 61
     To Department of Workforce Services - Uintah Basin Revitalization Fund
From Dedicated Credits Revenue
220,000

From Interest Income
200,000

From Other Financing Sources
7,000,000

From Beginning Fund Balance
25,430,600

From Closing Fund Balance
(28,599,300)

Schedule of Programs:
Uintah Basin Revitalization Fund
4,251,300

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Uintah Basin Revitalization Fund, whose mission is "aligned with the Housing and Community Development Division, which actively partners with other state agencies, local government, nonprofits, and the private sector to build local capacity, fund services and infrastructure, and to leverage federal and state resources for critical programs." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) provide Revitalization Board with support, resources and data to allocate new and re-allocated funds to improve the quality of life for those living in the Uintah Basin (Target = allocate annual allocation from tax revenues within one year).
Item 62
     To Department of Workforce Services - Utah Community Center for the Deaf Fund
From Dedicated Credits Revenue
5,000

From Interest Income
2,000

From Beginning Fund Balance
14,300

From Closing Fund Balance
(17,300)

Schedule of Programs:
Utah Community Center for the Deaf Fund
4,000

Item 63
     To Department of Workforce Services - Olene Walker Low Income Housing
From General Fund
5,492,900

From Federal Funds
6,950,000

From Dedicated Credits Revenue
20,000

From Interest Income
3,080,000

From Revenue Transfers
(800,000)

From Beginning Fund Balance
215,086,000

From Closing Fund Balance
(225,489,200)

Schedule of Programs:
Olene Walker Low Income Housing
4,339,700

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Olene Walker Housing Loan Fund, whose mission is to "aligned with the Housing and Community Development Division, which actively partners with other state agencies, local government, nonprofits, and the private sector to build local capacity, fund services and infrastructure, and to leverage federal and state resources for critical programs." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) housing units preserved or created (Target = 175), 2) rural housing units created (Target = 15), and 3) leveraging of other funds in each project to Olene Walker Housing Loan Fund monies (Target = 15:1).
Department of Health and Human Services
Item 64
     To Department of Health and Human Services - Allyson Gamble Organ Donation Contribution Fund
From Dedicated Credits Revenue
224,600

From Interest Income
13,000

From Beginning Fund Balance
610,200

From Closing Fund Balance
(610,200)

Schedule of Programs:
Allyson Gamble Organ Donation Contribution Fund
237,600

Item 65
     To Department of Health and Human Services - Neuro-Rehabilitation Fund
From Dedicated Credits Revenue
450,000

From Beginning Fund Balance
1,170,500

From Closing Fund Balance
(1,170,500)

Schedule of Programs:
Neuro-Rehabilitation Fund
450,000

Item 66
     To Department of Health and Human Services - Brain Injury Fund
From General Fund
200,000

From Beginning Fund Balance
134,500

From Closing Fund Balance
(134,500)

Schedule of Programs:
Brain Injury Fund
200,000

Item 67
     To Department of Health and Human Services - Maurice N. Warshaw Trust Fund
From Interest Income
1,000

From Beginning Fund Balance
166,300

From Closing Fund Balance
(167,300)

Item 68
     To Department of Health and Human Services - Out and About Homebound Transportation Assistance Fund
From Dedicated Credits Revenue
75,600

From Interest Income
3,000

From Beginning Fund Balance
305,800

From Closing Fund Balance
(305,800)

Schedule of Programs:
Out and About Homebound Transportation Assistance Fund
78,600

Item 69
     To Department of Health and Human Services - Utah State Developmental Center Long-Term Sustainability Fund
From Dedicated Credits Revenue
12,100

From Interest Income
14,500

From Revenue Transfers
38,700

From Beginning Fund Balance
29,762,600

From Closing Fund Balance
(29,827,900)

Item 70
     To Department of Health and Human Services - Utah State Developmental Center Miscellaneous Donation Fund
From Dedicated Credits Revenue
6,000

From Interest Income
6,000

From Beginning Fund Balance
602,100

From Closing Fund Balance
(602,100)

Schedule of Programs:
Utah State Developmental Center Miscellaneous Donation Fund  
12,000

Item 71
     To Department of Health and Human Services - Utah State Developmental Center Workshop Fund
From Dedicated Credits Revenue
140,000

From Beginning Fund Balance
17,000

From Closing Fund Balance
(17,000)

Schedule of Programs:
Utah State Developmental Center Workshop Fund
140,000

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report the final status of performance measures established in FY 2024 appropriations bills for the Utah State Developmental Center Workshop Fund line item to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024. For FY 2025, the Department of Health and Human Services shall report on the following performance measure: 1) Number of internal reviews completed for compliance with statute, federal regulations, and other requirements (Target = 1).
Item 72
     To Department of Health and Human Services - Utah State Hospital Unit Fund
From Dedicated Credits Revenue
42,400

From Interest Income
8,000

From Beginning Fund Balance
240,600

From Closing Fund Balance
(240,600)

Schedule of Programs:
Utah State Hospital Unit Fund
50,400

Item 73
     To Department of Health and Human Services - Mental Health Services Donation Fund
From General Fund
100,000

From Beginning Fund Balance
310,600

From Closing Fund Balance
(310,600)

Schedule of Programs:
Mental Health Services Donation Fund
100,000

Item 74
     To Department of Health and Human Services - Suicide Prevention and Education Fund
From Beginning Fund Balance
1,430,300

From Closing Fund Balance
(1,430,300)

Item 75
     To Department of Health and Human Services - Pediatric Neuro-Rehabilitation Fund
From Beginning Fund Balance
39,900

From Closing Fund Balance
(39,900)

Item 76
     To Department of Health and Human Services - Alternative Eligibility Expendable Revenue Fund
From General Fund
4,500,000

Schedule of Programs:
Alternative Eligibility Expendable Revenue Fund
4,500,000

     Subsection 2(c). Business-like Activities. The Legislature has reviewed the following proprietary funds. Under the terms and conditions of Utah Code 63J-1-410, for any included Internal Service Fund, the Legislature approves budgets, full-time permanent positions, and capital acquisition amounts as indicated, and appropriates to the funds, as indicated, estimated revenue from rates, fees, and other charges. The Legislature authorizes the State Division of Finance to transfer amounts between funds and accounts as indicated.
Department of Workforce Services
Item 77
     To Department of Workforce Services - Economic Revitalization and Investment Fund
From Interest Income
100,000

From Beginning Fund Balance
2,174,200

From Closing Fund Balance
(2,273,700)

Schedule of Programs:
Economic Revitalization and Investment Fund
500

Item 78
     To Department of Workforce Services - Unemployment Compensation Fund
From Federal Funds
1,850,000

From Dedicated Credits Revenue
18,557,800

From Trust and Agency Funds
205,579,400

From Beginning Fund Balance
1,188,824,600

From Closing Fund Balance
(1,160,743,100)

Schedule of Programs:
Unemployment Compensation Fund
254,068,700

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Unemployment Compensation Fund, whose mission is to "monitor the health of the Utah Unemployment Trust Fund within the context of statute and promote a fair and even playing field for employers." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Unemployment Insurance Trust Fund balance is greater than the minimum adequate reserve amount and less than the maximum adequate reserve amount per the annual calculations defined in Utah Code, 2) Maintain the average high cost multiple, a nationally recognized solvency measure, greater than 1 for the Unemployment Insurance Trust Fund balance (Target =>1), and 3) Contributory employers unemployment insurance contributions due paid timely, (paid by the employer before the last day of the month that follows each calendar quarter end) (Target>=95%).
Department of Health and Human Services
Item 79
     To Department of Health and Human Services - Qualified Patient Enterprise Fund
From Dedicated Credits Revenue
5,366,300

From Beginning Fund Balance
5,691,800

From Closing Fund Balance
(7,118,900)

Schedule of Programs:
Qualified Patient Enterprise Fund
3,939,200

     Subsection 2(d). Restricted Fund and Account Transfers. The Legislature authorizes the State Division of Finance to transfer the following amounts between the following funds or accounts as indicated. Expenditures and outlays from the funds to which the money is transferred must be authorized by an appropriation.
Item 80
     To General Fund Restricted - Homeless Shelter Cities Mitigation Restricted Account
From General Fund
5,000,000

Schedule of Programs:
General Fund Restricted - Homeless Shelter Cities Mitigation Restricted Account
5,000,000

Item 81
     To General Fund Restricted - Homeless Account
From General Fund
1,817,400

Schedule of Programs:
General Fund Restricted - Pamela Atkinson Homeless Account  
1,817,400

Item 82
     To General Fund Restricted - Homeless to Housing Reform Account
From General Fund
12,850,000

Schedule of Programs:
General Fund Restricted - Homeless to Housing Reform Restricted Account
12,850,000

Item 83
     To General Fund Restricted - School Readiness Account
From General Fund
3,000,000

From Beginning Fund Balance
1,464,400

From Closing Fund Balance
(147,300)

Schedule of Programs:
General Fund Restricted - School Readiness Account
4,317,100

Item 84
     To Education Savings Incentive Restricted Account
From Income Tax Fund
870,800

Schedule of Programs:
Education Savings Incentive Restricted Account
870,800

Item 85
     To Statewide Behavioral Health Crisis Response Account
From General Fund
16,903,100

Schedule of Programs:
Statewide Behavioral Health Crisis Response Account
16,903,100

Item 86
     To Ambulance Service Provider Assessment Expendable Revenue Fund
From Dedicated Credits Revenue
5,092,300

Schedule of Programs:
Ambulance Service Provider Assessment Expendable Revenue Fund  
5,092,300

Item 87
     To Hospital Provider Assessment Fund
From Dedicated Credits Revenue
113,256,800

Schedule of Programs:
Hospital Provider Assessment Expendable Special Revenue Fund  
113,256,800

Item 88
     To Medicaid Expansion Fund
From General Fund
59,861,100

From General Fund, One-time
(59,861,100)

From Dedicated Credits Revenue
150,100,000

From Expendable Receipts
355,900

From Revenue Transfers
3,524,800

From Beginning Fund Balance
360,647,800

From Closing Fund Balance
(417,928,400)

Schedule of Programs:
Medicaid Expansion Fund
96,700,100

Item 89
     To Nursing Care Facilities Provider Assessment Fund
From Dedicated Credits Revenue
41,059,800

Schedule of Programs:
Nursing Care Facilities Provider Assessment Fund
41,059,800

Item 90
     To General Fund Restricted - Medicaid Restricted Account
From Beginning Fund Balance
101,119,800

From Closing Fund Balance
(101,119,800)

Item 91
     To Adult Autism Treatment Account
From General Fund
1,000,000

Schedule of Programs:
Adult Autism Treatment Account
1,000,000

     Subsection 2(e). Fiduciary Funds. The Legislature has reviewed proposed revenues, expenditures, fund balances, and changes in fund balances for the following fiduciary funds.
Department of Health and Human Services
Item 92
     To Department of Health and Human Services - Human Services Client Trust Fund
From Interest Income
9,100

From Trust and Agency Funds
4,907,600

From Beginning Fund Balance
1,903,800

From Closing Fund Balance
(1,903,800)

Schedule of Programs:
Human Services Client Trust Fund
4,916,700

Item 93
     To Department of Health and Human Services - Human Services ORS Support Collections
From Trust and Agency Funds
212,842,300

From Beginning Fund Balance
2,203,700

From Closing Fund Balance
(2,203,700)

Schedule of Programs:
Human Services ORS Support Collections
212,842,300

Item 94
     To Department of Health and Human Services - Utah State Developmental Center Patient Account
From Interest Income
1,000

From Trust and Agency Funds
2,002,900

From Beginning Fund Balance
624,600

From Closing Fund Balance
(624,600)

Schedule of Programs:
Utah State Developmental Center Patient Account
2,003,900

Item 95
     To Department of Health and Human Services - Utah State Hospital Patient Trust Fund
From Trust and Agency Funds
1,731,000

From Beginning Fund Balance
559,400

From Closing Fund Balance
(559,400)

Schedule of Programs:
Utah State Hospital Patient Trust Fund
1,731,000

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report the final status of performance measures established in FY 2024 appropriations bills for the Utah State Hospital Patient Trust Fund line item to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024. For FY 2025, the Department of Health and Human Services shall report on the following performance measure: 1) Number of internal reviews completed for compliance with statute, federal regulations, and other requirements (Target = 1).
     Section 3. FY 2025 Appropriations. The following sums of money are appropriated for the fiscal year beginning July 1, 2024 and ending June 30, 2025 for programs reviewed during the accountable budget process. These are additions to amounts otherwise appropriated for fiscal year 2025.
     Subsection 3(a). Operating and Capital Budgets. Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures Act, the Legislature appropriates the following sums of money from the funds or accounts indicated for the use and support of the government of the state of Utah.
Department of Workforce Services
Item 96
     To Department of Workforce Services - Operations and Policy
From General Fund
54,632,400

From Income Tax Fund
3,117,000

From Federal Funds
300,477,900

From Dedicated Credits Revenue
496,000

From Expendable Receipts
2,138,400

From Gen. Fund Rest. - Homeless Housing Reform Rest. Acct
41,100

From Housing Opportunities for Low Income Households
2,000

From Medicaid Expansion Fund
3,637,700

From Navajo Revitalization Fund
7,600

From Olene Walker Housing Loan Fund
47,300

From OWHT-Fed Home
2,000

From OWHTF-Low Income Housing
36,300

From Permanent Community Impact Loan Fund
155,600

From Permanent Community Impact Bonus Fund
114,100

From Qualified Emergency Food Agencies Fund
4,500

From General Fund Restricted - School Readiness Account
9,514,800

From Revenue Transfers
56,164,900

From Uintah Basin Revitalization Fund
2,800

Schedule of Programs:
Child Care Assistance
90,419,100

Eligibility Services
86,138,700

Facilities and Pass-Through
8,180,800

Information Technology
46,373,000

Nutrition Assistance
96,500

Other Assistance
294,800

Refugee Assistance
7,475,600

Temporary Assistance for Needy Families
70,740,200

Trade Adjustment Act Assistance
1,515,300

Workforce Development
111,653,900

Workforce Investment Act Assistance
4,576,300

Workforce Research and Analysis
3,128,200

     The Legislature intends that the Departments of Workforce Service and Health and Human Services report on recommendations as well as potential costs and benefits of expanding automation of Medicaid eligibility reviews by June 1, 2024 to the Social Services Appropriations Subcommittee. The report shall include lessons learned from the automation efforts for ex-parte renewals.
     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Operations and Policy line item, whose mission is to "meet the needs of our customers with responsive, respectful and accurate service." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) labor exchange - total job placements (Target = 30,000 placements per calendar quarter), 2) TANF recipients - positive closure rate (Target = 78% per calendar month), 3) Eligibility Services - internal review compliance accuracy (Target = 95%), 4) Eligibility Average Call Wait Time (Target = 18 Minutes), 5) WIOA Adult Entered Employment Rate (Target = 62%), 6) WIOA Dislocated Workers Entered Employment Rate (Target = 83%), 7) Refugee Services Office Refugee Job Placements (Target = 230), 8) Child Care Cases Eligibility Determined Within 30 Days (Target = 95%), 9) Internal Review Medical Compliance Accuracy (Target = 95%), and 10) Eligibility Days to Decision (Target = 15 Days).
Department of Health and Human Services
Item 97
     To Department of Health and Human Services - Health Care Administration
From General Fund
14,779,600

From Federal Funds
88,109,900

From Dedicated Credits Revenue
17,900

From Expendable Receipts
19,283,800

From Ambulance Service Provider Assess Exp Rev Fund
20,000

From Hospital Provider Assessment Fund
211,300

From Medicaid Expansion Fund
3,443,500

From Nursing Care Facilities Provider Assessment Fund
1,208,800

From Suicide Prevention Fund
12,500

From Revenue Transfers
42,785,700

From Beginning Nonlapsing Balances
600,000

Schedule of Programs:
Integrated Health Care Administration
55,978,700

Long-Term Services and Supports Administration
7,996,200

Provider Reimbursement Information System for Medicaid
21,873,500

Seeded Services
84,624,600

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following performance measures for the Health Care Administration line item, whose mission is "provide access to quality, cost-effective health care for eligible Utahans." The Department of Health and Human Services shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024 the final status of performance measures established in FY 2024. For FY 2025, the department shall report the following performance measures: 1) Percent of Medicaid members/patients/clients that report adequate access to DHHS program services (Target = Improve from baseline with the baseline being developed), 2) Average decision time of Medicaid medical prior authorizations (Target = 7 days), and 3) Health Program Representative Customer Service Line average call wait time (Target = under 2 minutes).
Item 98
     To Department of Health and Human Services - Long-Term Services & Support
From General Fund
18,140,500

From Federal Funds
16,019,300

From Expendable Receipts
301,200

From Revenue Transfers
(1,014,600)

Schedule of Programs:
Aging & Adult Services
23,961,300

Adult Protective Services
6,276,000

Office of Public Guardian
1,311,600

Aging Waiver Services
1,897,500

     The Legislature intends that the Department of Health and Human Services shall report by October 1, 2024 on a proposed method of measuring outcomes of funds distributed to and expended by the Area Agencies on Aging (AAAs). These proposed methods shall include: 1) How do AAAs measure the outcomes of the funds they expend on services for their clients? 2) Can AAAs recommend a methodology for determining the return on investment for the funds that they expend? 3) How do AAAs capture client satisfaction and customer service and how can those results (if any) be communicated to policymakers.
     The Department of Health and Human Services shall report to the Social Services Appropriations Subcommittee by October 1, 2024 on the following related to rates administered by the Division of Aging and Adult Services: (1) Historical values for each rate going back 5 years and the last date each rate was reviewed/changed; (2) The source of the rate value; (3) How much was paid out by the Area Agencies on Aging for each rate and a breakdown of state/federal funding; (4) An analysis of each rate compared to the market; (5) Projected appropriations needed to meet market amount for each rate; and (6) the number of providers licensed and contracted for these services in 2018 and how many are licensed and contracted to perform these services in 2023.
     The Department of Health and Human Services shall report to the Social Services Appropriations Subcommittee by October 1, 2024, on the efforts and outcomes of the Division of Aging and Adult Services to adjust caseload and assignment of responsibilities to staff of Adult Protective Services and the Office of the Public Guardian. The Department shall also report on the impact and expenditure of additional legislative funding appropriated for personnel expenses during the 2023 General Session to Adult Protective Services and the Office of the Public Guardian.
     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report performance measures for the Long-Term Services and Supports line item, whose mission is "protect the public's health through preventing avoidable illness, injury, disability, and premature death; assuring access to affordable, quality health care; and promoting health lifestyles by providing services and oversight of services which are applicable throughout all divisions and bureaus of the Department." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Percent of individuals who do not currently have a paid job in the community, but would like a job in the community (NCI) (Target = 44%), 2) Percent of Adults who Report that Services and Supports Help Them Live a Good Life (Target = 92%), 3) People Receiving Supports in their home or a Family Member's Home Rather Than a Residential Setting (Target = 57%), 4) Percent of Office of the Public Guardian (OPG) referrals where an alternative to guardianship with OPG is made (Target = 60%), and 5) The percentage of APS clients who accept referrals to community services (Target = 60%).
Item 99
     To Department of Health and Human Services - Office of Recovery Services
From General Fund
15,874,900

From Federal Funds
26,605,400

From Dedicated Credits Revenue
3,482,300

From Expendable Receipts
2,038,000

From Medicaid Expansion Fund
55,600

From Revenue Transfers
3,220,600

Schedule of Programs:
Recovery Services
18,035,400

Child Support Services
22,894,900

Children in Care Collections
697,500

Attorney General Contract
6,080,300

Medical Collections
3,568,700

     In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report performance measures for the Office of Recovery Services line item, whose mission is "to serve children and families by promoting independence by providing services on behalf of children and families in obtaining financial and medical support, through locating parents, establishing paternity and support obligations, and enforcing those obligations when necessary." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Medical Coverage for children (Target = Improve from baseline with the baseline being developed), 2) Cost Effectiveness (ORS overall) (Target = $5.50), and 3) Current Support Collection Rates (Target = 65%).
     Section 4. Effective Date.
     If approved by two-thirds of all the members elected to each house, Section 1 of this bill takes effect upon approval by the Governor, or the day following the constitutional time limit of Utah Constitution Article VII, Section 8 without the Governor's signature, or in the case of a veto, the date of override. Section 2 and Section 3 of this bill take effect on July 1, 2024.