1     
SOCIAL SERVICES BASE BUDGET

2     
2024 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Raymond P. Ward

5     
Senate Sponsor: Heidi Balderree

6     =====================================================================
7     LONG TITLE

8     General Description:
9          This bill supplements or reduces appropriations otherwise provided for the support and
10     operation of state government for the fiscal year beginning July 1, 2023 and ending June 30, 2024
11     and appropriates funds for the support and operation of state government for the fiscal year
12     beginning July 1, 2024 and ending June 30, 2025.
13     Highlighted Provisions:
14          This bill:
15          ▸     provides appropriations for the use and support of certain state agencies;
16          ▸     provides appropriations for other purposes as described; and
17          ▸     provides intent language.
18     Money Appropriated in this Bill:
19          This bill appropriates ($135,801,700) in operating and capital budgets for fiscal year 2024,
20     including:
21          ▸     ($95,092,300) from the General Fund; and
22          ▸     ($40,709,400) from various sources as detailed in this bill.
23          This bill appropriates ($1,156,400) in expendable funds and accounts for fiscal year 2024.
24          This bill appropriates $7,424,500 in business-like activities for fiscal year 2024.
25          This bill appropriates $26,565,400 in restricted fund and account transfers for fiscal year
26     2024, including:
27          ▸     ($59,434,400) from the General Fund; and
28          ▸     $85,999,800 from various sources as detailed in this bill.
29          This bill appropriates ($2,040,500) in fiduciary funds for fiscal year 2024.
30          This bill appropriates $9,252,147,700 in operating and capital budgets for fiscal year 2025,
31     including:

32          ▸     $1,445,715,800 from the General Fund;
33          ▸     $7,174,100 from the Income Tax Fund; and
34          ▸     $7,799,257,800 from various sources as detailed in this bill.
35          This bill appropriates $36,948,600 in expendable funds and accounts for fiscal year 2025,
36     including:
37          ▸     $10,292,900 from the General Fund; and
38          ▸     $26,655,700 from various sources as detailed in this bill.
39          This bill appropriates $258,008,400 in business-like activities for fiscal year 2025.
40          This bill appropriates $298,867,400 in restricted fund and account transfers for fiscal year
41     2025, including:
42          ▸     $40,570,500 from the General Fund;
43          ▸     $870,800 from the Income Tax Fund; and
44          ▸     $257,426,100 from various sources as detailed in this bill.
45          This bill appropriates $221,493,900 in fiduciary funds for fiscal year 2025.
46     Other Special Clauses:
47          Section 1 of this bill takes effect immediately. Section 2 and Section 3 of this bill take effect
48     on July 1, 2024.
49     Utah Code Sections Affected:
50          ENACTS UNCODIFIED MATERIAL
51     =====================================================================
52     Be it enacted by the Legislature of the state of Utah:
53          Section 1. FY 2024 Appropriations. The following sums of money are appropriated for the
54     fiscal year beginning July 1, 2023 and ending June 30, 2024. These are additions to amounts
55     otherwise appropriated for fiscal year 2024.
56          Subsection 1(a). Operating and Capital Budgets. Under the terms and conditions of
57     Title 63J, Chapter 1, Budgetary Procedures Act, the Legislature appropriates the following sums of
58     money from the funds or accounts indicated for the use and support of the government of the state of
59     Utah.
60     Department of Workforce Services
61     Item 1
     To Department of Workforce Services - Housing and Community
62     Development
63     From Federal Funds - American Rescue Plan, One-time
2,000,000

64     Schedule of Programs:
65     Community Services
2,000,000

66          The Legislature intends that $2,000,000 one-time from
67     Federal Funds American Rescue Plan Act provided by this
68     item be used for Washington County Food Bank. The
69     Legislature further intends that funds appropriated by this item

70     from the American Rescue Plan Act may only be expended or
71     distributed for purposes that comply with the legal
72     requirements and federal guidelines under the American
73     Rescue Plan Act of 2021. Additionally, the Legislature intends
74     that the agency administering these funds meet all compliance
75     and reporting requirements associated with these funds, as
76     directed by the Governor's Office of Planning and Budget.
77     Item 2
     To Department of Workforce Services - State Office of
78     Rehabilitation
79     From Beginning Nonlapsing Balances
(927,400)

80     From Closing Nonlapsing Balances
500,000

81     Schedule of Programs:
82     Executive Director
(427,400)

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

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

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

88     From Beginning Nonlapsing Balances
(405,600)

89     From Closing Nonlapsing Balances
(8,361,200)

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

92     Ancillary Services
650,400

93     Finance & Administration
(1,619,800)

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

95     Public Affairs, Education & Outreach
(424,500)

96     American Indian / Alaska Native
(138,300)

97     Continuous Quality Improvement
(2,103,800)

98     Customer Experience
(86,300)

99          In accordance with UCA 63J-1-903, the Legislature intends
100     that the Department of Health and Human Services report
101     performance measures for the Operations line item, whose
102     mission is "ensure all Utahns have fair and equitable
103     opportunities to live safe and healthy lives." The department
104     shall report to the Office of the Legislative Fiscal Analyst and
105     to the Governor's Office of Planning and Budget before August
106     15, 2024, the final status of performance measures established
107     in FY 2024 appropriations bills. For FY 2025, the department

108     shall report the following performance measures: 1) Number of
109     DHHS audit recommendations unresolved after one year
110     (Target = 5), 2) Percent of strategic objectives that are due and
111     completed per fiscal year (Target = 80%), and 3) Percent of
112     key data systems that are modernized, optimized, and
113     integrated by 2026 (American Rescue Plan Act project
114     tracking) (Target = % of checklist items completed).
115     Item 4
     To Department of Health and Human Services - Clinical Services
116     From Federal Funds, One-time
(17,477,100)

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

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

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

120     From Beginning Nonlapsing Balances
9,519,400

121     From Closing Nonlapsing Balances
(1,447,200)

122     Schedule of Programs:
123     Medical Examiner
700,000

124     State Laboratory
(18,883,600)

125     Primary Care and Rural Health
1,000,000

126     Health Clinics of Utah
(1,212,600)

127     Medical Education Council
509,700

128     Medical Residency Grant Program
4,500,000

129     Forensic Psychiatry Grant Program
550,000

130          In accordance with UCA 63J-1-903, the Legislature intends
131     that the Department of Health and Human Services report on
132     the following performance measures for the Clinical Services
133     line item, whose mission is to "improve access to physical,
134     mental, and oral healthcare services for underserved
135     populations; work to overcome critical healthcare provider
136     shortages; provide safe and timely access to medical cannabis;
137     and reduce health disparities and advance health equity in
138     Utah". The Department of Health and Human Services shall
139     report to the Office of the Legislative Fiscal Analyst and to the
140     Governor's Office of Planning and Budget before August 15,
141     2024 the final status of performance measures established in
142     FY 2024. For FY 2025, the department shall report the
143     following performance measures: 1) Percent of operational
144     units or offices that increase their activity score after
145     participating in the Building Organizational Capacity (BOCA)

146     project (Target = 100%), 2) Percentage of turnaround times
147     standards met (Target = 90%), and 3) Percentage of autopsy
148     reports completed within 60 days (Target = At least 90%).
149     Item 5
     To Department of Health and Human Services - Department
150     Oversight
151     From Federal Funds, One-time
(170,300)

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

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

154     From Beginning Nonlapsing Balances
400,400

155     From Closing Nonlapsing Balances
(727,600)

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

158     Internal Audit
(14,500)

159     Admin Hearings
(82,500)

160     Utah Developmental Disabilities Council
(67,200)

161          In accordance with UCA 63J-1-903, the Legislature intends
162     that the Department of Health and Human Services report on
163     the following performance measures for the Department
164     Oversight line item, whose mission is "protect the public's
165     health through preventing avoidable illness, injury, disability,
166     and premature death; assuring access to affordable, quality
167     health care; and promoting health lifestyles by providing
168     services and oversight of services which are applicable
169     throughout all divisions and bureaus of the Department." The
170     department shall report to the Office of the Legislative Fiscal
171     Analyst and to the Governor's Office of Planning and Budget
172     before August 15, 2024, the final status of performance
173     measures established in FY 2024 appropriations bills. For FY
174     2025, the department shall report the following performance
175     measures: 1) Rate of provider compliance with licensing rules
176     (Target = Improve by 5% from baseline with baseline being
177     developed) and 2) Number of days between criminal record
178     released and staff determination (Target = Within 5 working
179     days of the release of a criminal record).
180     Item 6
     To Department of Health and Human Services - Health Care
181     Administration
182     From Federal Funds, One-time
(53,781,500)

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


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

185     From Beginning Nonlapsing Balances
12,182,300

186     From Closing Nonlapsing Balances
(600,000)

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

189     Long-Term Services and Supports Administration
212,500

190     Provider Reimbursement Information System for Medicaid
9,461,300

191          The Legislature intends that the Department of Health and
192     Human Services report to the Social Services Appropriations
193     Subcommittee by June 1, 2024 on options to implement a
194     quality-based auto-assignment of Medicaid managed care
195     clients who do not select a health plan.
196          The Legislature intends that the Office of Inspector General
197     report by June 1, 2024 to the Social Services Appropriations
198     Subcommittee on results of its analysis of provider preventable
199     conditions reports.
200          The Legislature intends that the Departments of Workforce
201     Services and Health and Human Services report on
202     recommendations as well as potential costs and benefits of
203     expanding automation of Medicaid eligibility reviews by June
204     1, 2024 to the Social Services Appropriations Subcommittee.
205     The report shall include lessons learned from the automation
206     efforts for ex-parte renewals.
207          The Legislature intends that the Department of Health and
208     Human Services report to the Social Services Appropriations
209     Subcommittee by June 1, 2024 on the feasibility of primary
210     care health homes focusing on Advancing Care for Exceptional
211     (ACE) kids in Medicaid.
212     Item 7
     To Department of Health and Human Services - Integrated Health
213     Care Services
214     From General Fund, One-time
(94,092,300)

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

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

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

218     From Expendable Receipts, One-time
163,300

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

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


222     From Beginning Nonlapsing Balances
50,892,200

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

225     Medicaid Accountable Care Organizations
(43,339,500)

226     Medicaid Behavioral Health Services
163,300

227     Medicaid Other Services
49,941,200

228     Non-Medicaid Behavioral Health Treatment and Crisis Response
229     
(9,246,200)

230     State Hospital
2,786,700

231          In accordance with UCA 63J-1-903, the Legislature intends
232     that the Department of Health and Human Services report on
233     the following performance measures for the Integrated Health
234     Care Services line item, whose mission is "provide access to
235     quality, cost-effective health care for eligible Utahns." The
236     Department of Health and Human Services shall report to the
237     Office of the Legislative Fiscal Analyst and to the Governor's
238     Office of Planning and Budget before August 15, 2024 the
239     final status of performance measures established in FY 2024.
240     For FY 2025, the department shall report the following
241     performance measures: 1) Percent of Medicaid adults and
242     adolescents with major depressive episodes who receive
243     treatment (Target = Improve from baseline with the baseline
244     being developed), 2) Annual State General Funds Saved
245     Through Preferred Drug List (Target => $20 million), 3)
246     Percent of Medicaid members who promptly receive outpatient
247     treatment after visiting a hospital for mental health issues
248     (Target = National average [for 2020 this was 59%]), 4) Rates
249     of Utahns dying of drug-related causes (Target = Decrease
250     rates of Utah drug deaths by 1 per 100,000 in each year from
251     2022 through 2027), 5) Percentage of youth clients with
252     improved symptoms, or recovered, as measured by the Youth
253     Outcome questionnaires (Target = 50%), 6) Percentage of adult
254     clients with improved symptoms, or recovered, as measured by
255     the Adult Mental Health Outcome (45% of adults), 7) Utah
256     State Hospital (USH) patients have successful clinical
257     outcomes and are discharged to lower levels of service when
258     appropriate (Target = Delayed Adult Civil bed days will be
259     reduced by 5 percent), 8) Percentage of Individuals Who

260     Transitioned from intermediate care facilities to
261     community-based services (Target = No less than 10% of
262     individuals residing in intermediate care facilities will
263     transition to home and community based services on an annual
264     basis), 9) Percent of Medicaid adult members that receive
265     services from an integrated health plan or other integrated
266     model (Target = 40%), and 10) Percent of clean claims
267     adjudicated by Provider Reimbursement Information System
268     for Medicaid within 30 days of submission (Target = 90%).
269          The Legislature intends that $665,000 one-time from the
270     American Rescue Plan Act provided by this item be used for
271     Cherish the Families Support Services in Hildale. The
272     Legislature further intends that funds appropriated by this item
273     from the American Rescue Plan Act may only be expended or
274     distributed for purposes that comply with the legal
275     requirements and federal guidelines under the American
276     Rescue Plan Act of 2021. Additionally, the Legislature intends
277     that the agency administering these funds meet all compliance
278     and reporting requirements associated with these funds, as
279     directed by the Governor's Office of Planning and Budget.
280          The Department of Health and Human Services may use up
281     to a combined maximum of $77,500,000 from the General
282     Fund Restricted - Medicaid Restricted Account and associated
283     federal matching funds provided for Integrated Health Care
284     Services only in the case that non-federal fund appropriations
285     provided for FY 2024 in all other items of appropriation within
286     the respective line item are insufficient to pay appropriate
287     claims within the respective line item for FY 2024 when
288     combined with federal matching funds.
289          Pursuant to Section 63J-1-603 of the Utah Code, the
290     Legislature intends that up to $15,600,000 General Fund
291     Restricted - Medicaid Restricted Account provided in this line
292     item for the Department of Health and Human Services
293     Integrated Health Care Services line item shall not lapse at the
294     close of FY 2024. The use of any nonlapsing funding is limited
295     to ultra-high cost drugs carved out of Medicaid managed care
296     that cost more than $1.0 million each annually.
297     Item 8
     To Department of Health and Human Services - Long-Term

298     Services & Support
299     From Federal Funds, One-time
(2,823,300)

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

301     From Expendable Receipts, One-time
(100)

302     From Beginning Nonlapsing Balances
15,172,800

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

305     Adult Protective Services
270,200

306     Office of Public Guardian
30,900

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

308     Community Supports Waiver Services
26,844,400

309     Utah State Developmental Center
4,560,800

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

313     Schedule of Programs:
314     Communicable Disease
234,000

315     Health Promotion and Prevention
630,300

316     Emergency Medical Services and Preparedness
(509,100)

317     Local Health Departments
25,000

318     Population Health
871,000

319          In accordance with UCA 63J-1-903, the Legislature intends
320     that the Department of Health and Human Services report on
321     the following performance measures for the Public Health,
322     Prevention, and Epidemiology line item, whose mission is
323     "prevent chronic disease and injury, rapidly detect and
324     investigate communicable diseases and environmental health
325     hazards, provide prevention-focused education, and institute
326     control measures to reduce and prevent the impact of disease."
327     The Department of Health and Human Services shall report to
328     the Office of the Legislative Fiscal Analyst and to the
329     Governor's Office of Planning and Budget before August 15,
330     2024 the final status of performance measures established in
331     FY 2024. For FY 2025, the department shall report the
332     following performance measures: 1) Decreasing the number
333     and percentage of Utahns who experience a preventable illness
334     or injury of public health concern (Target = Improve from
335     baseline with the baseline being developed), 2) Decrease the

336     percent of Utah Adults who report fair or poor general health in
337     very high Health Improvement Index areas (Target = Decrease
338     by 1% annually), 3) Proportion of state, federal, and private
339     funding allocated to essential public health services (Target =
340     Increase in state investment into essential public health
341     services), and 4) Percentage of rules, disease plans, and
342     response plans that are current (Target = 95%).
343     Item 10
     To Department of Health and Human Services - Children, Youth,
344     & Families
345     From General Fund, One-time
(1,000,000)

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

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

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

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

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

351     From Beginning Nonlapsing Balances
1,595,300

352     From Closing Nonlapsing Balances
(3,714,500)

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

355     Domestic Violence
1,000,000

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

357     Adoption Assistance
(51,700)

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

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

360     Maternal & Child Health
(24,681,700)

361     Family Health
(8,571,700)

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

363     DCFS Selected Programs
(122,100)

364     Office of Early Childhood
23,296,000

365          In accordance with UCA 63J-1-903, the Legislature intends
366     that the Department of Health and Human Services report
367     performance measures for the Child, Youth, & Families line
368     item, whose mission is "to keep children safe from abuse and
369     neglect and provide domestic violence services by working
370     with communities and strengthening families." The department
371     shall report to the Office of the Legislative Fiscal Analyst and
372     to the Governor's Office of Planning and Budget before August
373     15, 2024, the final status of performance measures established

374     in FY 2024 appropriations bills. For FY 2025, the department
375     shall report the following performance measures: 1) Percent of
376     children who demonstrated improvement in social-emotional
377     skills, including social relationships. (Target = At least 56%);
378     2) Percent of children confirmed as victims of abuse or neglect
379     who experienced repeat maltreatment within 12 months (Target
380     = 9.7% or less); 3) Number and percent of reunification
381     (Reunification is the process of returning children in temporary
382     out-of-home care to their families of origin) (Target = 2%
383     increase over the FY21 rate); 4) Case worker turnover rate
384     (Target = 22.4% reduction in turnover); 5) Average number of
385     case workers per case (may include more than 1 child) (Target
386     = 5% decrease over the FY22 rate); and 6) Average number of
387     placements (including foster families) per child (Target = 4.48
388     moves per 1,000 days).
389     Item 11
     To Department of Health and Human Services - Office of
390     Recovery Services
391     From Federal Funds, One-time
(121,000)

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

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

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

395     Schedule of Programs:
396     Recovery Services
3,305,800

397     Child Support Services
(5,976,900)

398     Children in Care Collections
(1,065,100)

399     Attorney General Contract
(688,100)

400     Medical Collections
(119,600)

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

410     From Lapsing Balance
69,800

411     Item 13
     To Department of Workforce Services - Utah Community Center

412     for the Deaf Fund
413          In accordance with UCA 63J-1-903, the Legislature intends
414     that the Department of Workforce Services report performance
415     measures for the Utah Community Center for the Deaf Fund,
416     whose mission is to "provide services in support of creating a
417     safe place, with full communication where every Deaf, Hard of
418     Hearing and Deafblind person is embraced by their community
419     and supported to grow to their full potential." The department
420     shall report to the Office of the Legislative Fiscal Analyst and
421     to the Governor's Office of Planning and Budget before August
422     15, 2024, the final status of performance measures established
423     in FY 2024 appropriations bills. For FY 2025, the department
424     shall report the following performance measures: 1) Increase
425     the number of individuals accessing interpreter certification
426     exams in Southern Utah (Target=25).
427     Department of Health and Human Services
428     Item 14
     To Department of Health and Human Services - Allyson Gamble
429     Organ Donation Contribution Fund
430     From Beginning Fund Balance
284,300

431     From Closing Fund Balance
(426,700)

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

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

437     From Closing Fund Balance
(1,170,500)

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

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

442     From Closing Fund Balance
(134,500)

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

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

448     From Closing Fund Balance
(5,200)

449     Item 18
     To Department of Health and Human Services - Out and About

450     Homebound Transportation Assistance Fund
451     From Beginning Fund Balance
66,400

452     From Closing Fund Balance
(66,400)

453          In accordance with UCA 63J-1-903, the Legislature intends
454     that the Department of Health and Human Services report
455     performance measures for the Out and About Homebound
456     Transportation Assistance Fund. The department shall report to
457     the Office of the Legislative Fiscal Analyst and to the
458     Governor's Office of Planning and Budget before August 15,
459     2024 the final status of performance measures established in
460     FY 2024 appropriations bills. For FY 2025, the department
461     shall report the following performance measure: 1) Number of
462     internal reviews completed for compliance with statute, federal
463     regulations, and other requirements (Target = 1).
464     Item 19
     To Department of Health and Human Services - Utah State
465     Developmental Center Long-Term Sustainability Fund
466     From Beginning Fund Balance
1,963,600

467     From Closing Fund Balance
(1,963,600)

468          In accordance with UCA 63J-1-903, the Legislature intends
469     that the Department of Health and Human Services report
470     performance measures for the Utah State Developmental
471     Center Long-Term Sustainability Fund. The department shall
472     report to the Office of the Legislative Fiscal Analyst and to the
473     Governor's Office of Planning and Budget before August 15,
474     2024 the final status of performance measures established in
475     FY 2024 appropriations bills. For FY 2025, the department
476     shall report the following performance measures: 1) Number of
477     internal reviews completed for compliance with statute, federal
478     regulations, and other requirements (Target = 1).
479     Item 20
     To Department of Health and Human Services - Utah State
480     Developmental Center Miscellaneous Donation Fund
481     From Beginning Fund Balance
(573,300)

482     From Closing Fund Balance
573,300

483          In accordance with UCA 63J-1-903, the Legislature intends
484     that the Department of Health and Human Services report
485     performance measures for the Utah State Developmental
486     Center Miscellaneous Donation Fund. The department shall
487     report to the Office of the Legislative Fiscal Analyst and to the

488     Governor's Office of Planning and Budget before August 15,
489     2024 the final status of performance measures established in
490     FY 2024 appropriations bills. For FY 2025, the department
491     shall report the following performance measure: 1) Number of
492     internal reviews completed for compliance with statute, federal
493     regulations, and other requirements (Target = 1).
494     Item 21
     To Department of Health and Human Services - Utah State
495     Developmental Center Workshop Fund
496     From Beginning Fund Balance
(16,200)

497     From Closing Fund Balance
16,200

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

501     From Closing Fund Balance
245,200

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

505     From Closing Fund Balance
(109,800)

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

520     From Closing Fund Balance
(212,600)

521          In accordance with UCA 63J-1-903, the Legislature intends
522     that the Department of Health and Human Services report
523     performance measures for the Suicide Prevention and
524     Education Fund. The department shall report to the Office of
525     the Legislative Fiscal Analyst and to the Governor's Office of

526     Planning and Budget before August 15, 2024 the final status of
527     performance measures established in FY 2024 appropriations
528     bills. For FY 2025, the department shall report the following
529     performance measure: 1) Number of internal reviews
530     completed for compliance with statute, federal regulations, and
531     other requirements (Target = 1).
532     Item 25
     To Department of Health and Human Services - Pediatric
533     Neuro-Rehabilitation Fund
534     From Beginning Fund Balance
39,900

535     From Closing Fund Balance
(39,900)

536          In accordance with UCA 63J-1-903, the Legislature intends
537     that the Department of Health and Human Services report on
538     the following performance measure for the Pediatric
539     Neuro-Rehabilitation Fund, whose mission is "The Violence
540     and Injury Prevention Program is a trusted and comprehensive
541     resource for data related to violence and injury. Through
542     education, this information helps promote partnerships and
543     programs to prevent injuries and improve public health." The
544     department shall report to the Office of the Legislative Fiscal
545     Analyst and to the Governor's Office of Planning and Budget
546     before August 15, 2024, the final status of performance
547     measures established in FY 2024 appropriations bills. For FY
548     2025, the department shall report the following performance
549     measure: 1) Percentage of children that had an increase in
550     functional activity (Target = 70%).
551          Subsection 1(c). Business-like Activities. The Legislature has reviewed the following
552     proprietary funds. Under the terms and conditions of Utah Code 63J-1-410, for any included Internal
553     Service Fund, the Legislature approves budgets, full-time permanent positions, and capital
554     acquisition amounts as indicated, and appropriates to the funds, as indicated, estimated revenue from
555     rates, fees, and other charges. The Legislature authorizes the State Division of Finance to transfer
556     amounts between funds and accounts as indicated.
557     Department of Health and Human Services
558     Item 26
     To Department of Health and Human Services - Qualified Patient
559     Enterprise Fund
560     From Dedicated Credits Revenue, One-time
2,305,400

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

562     From Beginning Fund Balance
5,838,900

563     From Closing Fund Balance
(2,142,400)


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

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

585     Schedule of Programs:
586     Ambulance Service Provider Assessment Expendable Revenue Fund
587     
(1,898,900)

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

590     Schedule of Programs:
591     Hospital Provider Assessment Expendable Special Revenue Fund
592     
57,211,300

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

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

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

597     From Beginning Fund Balance
23,489,700

598     From Closing Fund Balance
7,512,100

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

601     Item 30
     To Nursing Care Facilities Provider Assessment Fund

602     From Dedicated Credits Revenue, One-time
(3,968,600)

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

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

607     From Closing Fund Balance
(59,661,400)

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

610     Schedule of Programs:
611     Adult Autism Treatment Account
641,800

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

618     From Closing Fund Balance
(1,903,800)

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

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

624     From Closing Fund Balance
(2,203,700)

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

628     From Closing Fund Balance
112,100

629          In accordance with UCA 63J-1-903, the Legislature intends
630     that the Department of Health and Human Services report the
631     final status of performance measures established in FY 2024
632     appropriations bills for the Utah State Developmental Center
633     Patient Account line item to the Office of the Legislative Fiscal
634     Analyst and to the Governor's Office of Planning and Budget
635     before August 15, 2024. For FY 2025, the Department of
636     Health and Human Services shall report on the following
637     performance measure: 1) Number of internal reviews
638     completed for compliance with statute, federal regulations, and
639     other requirements (Target = 1).

640     Item 36
     To Department of Health and Human Services - Utah State
641     Hospital Patient Trust Fund
642     From Beginning Fund Balance
193,100

643     From Closing Fund Balance
(193,100)

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

653     From Federal Funds
10,712,900

654     From Dedicated Credits Revenue
123,600

655     From Expendable Receipts
121,800

656     From Education Savings Incentive Restricted Account
870,800

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

658     From Housing Opportunities for Low Income Households
5,100

659     From Medicaid Expansion Fund
1,200

660     From Navajo Revitalization Fund
11,700

661     From Olene Walker Housing Loan Fund
25,500

662     From OWHT-Fed Home
5,100

663     From OWHTF-Low Income Housing
21,600

664     From Permanent Community Impact Loan Fund
96,100

665     From Permanent Community Impact Bonus Fund
68,400

666     From Qualified Emergency Food Agencies Fund
4,200

667     From General Fund Restricted - School Readiness Account
18,300

668     From Revenue Transfers
3,965,700

669     From Uintah Basin Revitalization Fund
3,700

670     Schedule of Programs:
671     Administrative Support
13,686,100

672     Communications
1,565,100

673     Executive Director's Office
1,573,500

674     Human Resources
2,130,100

675     Internal Audit
1,972,800

676          In accordance with UCA 63J-1-903, the Legislature intends
677     that the Department of Workforce Services report performance

678     measures for the Administration line item, whose mission is to
679     "be the best-managed State Agency in Utah." The department
680     shall report to the Office of the Legislative Fiscal Analyst and
681     to the Governor's Office of Planning and Budget before August
682     15, 2024, the final status of performance measures established
683     in FY 2024 appropriations bills. For FY 2025, the department
684     shall report the following performance measures: 1) provide
685     accurate and timely department-wide fiscal administration as
686     measured by audit findings or responses (Target: zero audit
687     findings); 2) percent of DWS programs/systems that have
688     reviewed, planned for, or mitigated identified risks (Target:
689     100%); and 3) percent of DWS facilities for which an annual
690     facilities risk assessment is completed using the Division of
691     Risk Management guidelines and checklist (Target: 98%).
692     Item 38
     To Department of Workforce Services - Community Development
693     Capital Budget
694     From Permanent Community Impact Loan Fund
93,060,000

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

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

699     From Revenue Transfers
255,800

700     Schedule of Programs:
701     General Assistance
4,596,800

702          In accordance with UCA 63J-1-903, the Legislature intends
703     that the Department of Workforce Services report performance
704     measures for the General Assistance line item, whose mission
705     is to "provide temporary financial assistance to disabled adults
706     without dependent children to support basic living needs as
707     they seek longer term financial benefits through SSI/SSDI or
708     employment." The department shall report to the Office of the
709     Legislative Fiscal Analyst and to the Governor's Office of
710     Planning and Budget before August 15, 2024, the final status
711     of performance measures established in FY 2024
712     appropriations bills. For FY 2025, the department shall report
713     the following performance measures: 1) positive closure rate
714     (SSI achievement or closed with earnings) (Target = 65%), 2)
715     General Assistance average monthly customers served (Target

716     = 730), and 3) internal review compliance accuracy (Target =
717     95%).
718     Item 40
     To Department of Workforce Services - Housing and Community
719     Development
720     From General Fund
1,638,900

721     From Federal Funds
49,189,600

722     From Dedicated Credits Revenue
902,600

723     From Expendable Receipts
1,292,400

724     From Housing Opportunities for Low Income Households
555,300

725     From Navajo Revitalization Fund
63,300

726     From Olene Walker Housing Loan Fund
643,000

727     From OWHT-Fed Home
555,300

728     From OWHTF-Low Income Housing
552,700

729     From Permanent Community Impact Loan Fund
771,800

730     From Permanent Community Impact Bonus Fund
588,000

731     From Qualified Emergency Food Agencies Fund
37,900

732     From Revenue Transfers
614,700

733     From Uintah Basin Revitalization Fund
44,900

734     Schedule of Programs:
735     Community Development
8,124,300

736     Community Development Administration
1,490,700

737     Community Services
4,622,300

738     HEAT
25,010,900

739     Housing Development
6,849,800

740     Weatherization Assistance
11,352,400

741          In accordance with UCA 63J-1-903, the Legislature intends
742     that the Department of Workforce Services report performance
743     measures for the Housing and Community Development line
744     item, whose mission is to "actively partner with other state
745     agencies, local government, nonprofits, and the private sector
746     to build local capacity, fund services and infrastructure, and to
747     leverage federal and state resources for critical programs." The
748     department shall report to the Office of the Legislative Fiscal
749     Analyst and to the Governor's Office of Planning and Budget
750     before August 15, 2024, the final status of performance
751     measures established in FY 2024 appropriations bills. For FY
752     2025, the department shall report the following performance
753     measures: 1) utilities assistance for low-income households -

754     unique number of eligible households assisted with home
755     energy costs (Target = 26,000 households), 2) Weatherization
756     Assistance unique number of low-income households assisted
757     by installing permanent energy conservation measures in their
758     homes (Target = 347 homes), and 3) Affordable housing units
759     funded from Olene Walker and Private Activity Bonds (Target
760     = 2,200).
761     Item 41
     To Department of Workforce Services - Nutrition Assistance -
762     SNAP
763     From Federal Funds
512,755,100

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

766          In accordance with UCA 63J-1-903, the Legislature intends
767     that the Department of Workforce Services report performance
768     measures for the Nutrition Assistance - SNAP line item, whose
769     mission is to "provide accurate and timely Supplemental
770     Nutrition Assistance Program (SNAP) benefits to eligible
771     low-income individuals and families." The department shall
772     report to the Office of the Legislative Fiscal Analyst and to the
773     Governor's Office of Planning and Budget before August 15,
774     2024, the final status of performance measures established in
775     FY 2024 appropriations bills. For FY 2025, the department
776     shall report the following performance measures: 1) SNAP
777     accuracy of paid benefits (Target= 97%), 2) SNAP
778     Certification Timeliness - percentage of cases where a decision
779     of eligibility was made within 30 calendar days (Target =
780     95%), and 3) SNAP Calendar Days to Decision from
781     Application Submission to Eligibility Decision (Target = 12
782     days).
783     Item 42
     To Department of Workforce Services - Special Service Districts
784     From General Fund Restricted - Mineral Lease
3,015,800

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

787          In accordance with UCA 63J-1-903, the Legislature intends
788     that the Department of Workforce Services report performance
789     measures for the Special Service Districts line item, whose
790     mission is to "align with the Housing and Community
791     Development Division, which actively partners with other state

792     agencies, local government, nonprofits, and the private sector
793     to build local capacity, fund services and infrastructure, and to
794     leverage federal and state resources for critical programs." The
795     department shall report to the Office of the Legislative Fiscal
796     Analyst and to the Governor's Office of Planning and Budget
797     before August 15, 2024, the final status of performance
798     measures established in FY 2024 appropriations bills. For FY
799     2025, the department shall report the following performance
800     measure: 1) the total pass through of funds to qualifying
801     special service districts in counties of the 5th, 6th, and 7th class
802     (completed quarterly).
803     Item 43
     To Department of Workforce Services - State Office of
804     Rehabilitation
805     From General Fund
24,175,100

806     From Federal Funds
53,514,600

807     From Dedicated Credits Revenue
576,000

808     From Expendable Receipts
581,400

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

810     From Housing Opportunities for Low Income Households
1,000

811     From Medicaid Expansion Fund
200

812     From Navajo Revitalization Fund
500

813     From Olene Walker Housing Loan Fund
1,000

814     From OWHT-Fed Home
1,000

815     From OWHTF-Low Income Housing
1,000

816     From Permanent Community Impact Loan Fund
1,300

817     From Permanent Community Impact Bonus Fund
1,000

818     From Qualified Emergency Food Agencies Fund
500

819     From General Fund Restricted - School Readiness Account
400

820     From Revenue Transfers
64,000

821     From Uintah Basin Revitalization Fund
500

822     From Beginning Nonlapsing Balances
7,500,000

823     From Closing Nonlapsing Balances
(7,500,000)

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

826     Deaf and Hard of Hearing
3,459,600

827     Disability Determination
16,914,900

828     Executive Director
1,089,400

829     Rehabilitation Services
53,286,300


830          In accordance with UCA 63J-1-903, the Legislature intends
831     that the Department of Workforce Services report performance
832     measures for the State Office of Rehabilitation line item,
833     whose mission is to "empower clients and provide high quality
834     services that promote independence and self-fulfillment
835     through its programs." The department shall report to the
836     Office of the Legislative Fiscal Analyst and to the Governor's
837     Office of Planning and Budget before August 15, 2024, the
838     final status of performance measures established in FY 2024
839     appropriations bills. For FY 2025, the department shall report
840     the following performance measures: 1) Vocational
841     Rehabilitation - Percentage of all VR clients receiving services
842     who are eligible or potentially eligible youth (ages 14-24)
843     (Target >=41%), 2) Vocational Rehabilitation - maintain or
844     increase a successful rehabilitation closure rate (Target =
845     55%), and 3) Deaf and Hard of Hearing Total number of
846     individuals served with DSDHH programs (Target = 8,000).
847     Item 44
     To Department of Workforce Services - Unemployment Insurance
848     From General Fund
1,135,500

849     From Federal Funds
29,798,300

850     From Dedicated Credits Revenue
763,600

851     From Expendable Receipts
35,800

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

853     From Housing Opportunities for Low Income Households
1,000

854     From Medicaid Expansion Fund
100

855     From Navajo Revitalization Fund
500

856     From Olene Walker Housing Loan Fund
1,500

857     From OWHT-Fed Home
1,000

858     From OWHTF-Low Income Housing
1,500

859     From Permanent Community Impact Loan Fund
4,500

860     From Permanent Community Impact Bonus Fund
3,300

861     From Qualified Emergency Food Agencies Fund
500

862     From General Fund Restricted - School Readiness Account
1,200

863     From Revenue Transfers
136,900

864     From Uintah Basin Revitalization Fund
500

865     Schedule of Programs:
866     Adjudication
5,833,400

867     Unemployment Insurance Administration
26,053,300


868          In accordance with UCA 63J-1-903, the Legislature intends
869     that the Department of Workforce Services report performance
870     measures for the Unemployment Insurance line item, whose
871     mission is to "accurately assess eligibility for unemployment
872     benefits and liability for employers in a timely manner." The
873     department shall report to the Office of the Legislative Fiscal
874     Analyst and to the Governor's Office of Planning and Budget
875     before August 15, 2024, the final status of performance
876     measures established in FY 2024 appropriations bills. For FY
877     2025, the department shall report the following performance
878     measures: 1) Percentage of employers registered with the
879     department within 90 days of employers first reporting
880     employee wages (Target => 98.5%), 2) Percentage of
881     unemployment insurance separation determinations that meet
882     quality standards as outlined and defined by the USDOL
883     (Target => 95%), and 3) percentage of Unemployment
884     Insurance benefits payments made within 14 calendar days
885     (Target => 95%).
886     Item 45
     To Department of Workforce Services - Office of Homeless
887     Services
888     From General Fund
19,288,500

889     From Federal Funds
5,131,300

890     From Dedicated Credits Revenue
19,700

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

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

893     From General Fund Restricted - Homeless Shelter Cities Mitigation Restricted Account
894     
11,072,300

895     From Revenue Transfers
25,100

896     Schedule of Programs:
897     Homeless Services
50,959,600

898          In accordance with UCA 63J-1-903, the Legislature intends
899     that the Department of Workforce Services report performance
900     measures for the Office of Homeless Services line item, whose
901     mission is to "make homelessness rare, brief, and
902     nonrecurring." The department shall report to the Office of the
903     Legislative Fiscal Analyst and to the Governor's Office of
904     Planning and Budget before August 15, 2024, the final status
905     of performance measures established in FY 2024

906     appropriations bills. For FY 2025, the department shall report
907     the following performance measures: 1) HUD Performance
908     Measure: Length of time persons remain homeless (Target =
909     Reduce by 10%), 2) HUD Performance Measure: The extent to
910     which persons who exit homelessness to permanent housing
911     destinations return to homelessness (Target = Reduce by 10%
912     from the previous year's achievement), 3) HUD Performance
913     Measure: Number of homeless persons (Target = Reduce by
914     8% from the previous year's achievement), 4) HUD
915     Performance Measure: Jobs and income growth for homeless
916     persons in CoC Program-funded projects (Increase by 10%
917     from previous years achievement), 5) HUD Performance
918     Measure: Number of persons who become homeless for the
919     first time (Target = Reduce by 6% from previous years
920     achievement), and 6) HUD Performance Measure: successful
921     housing placement - Successful exits or retention of housing
922     from Permanent Housing (PH) (Target = 93% or above).
923     Department of Health and Human Services
924     Item 46
     To Department of Health and Human Services - Operations
925     From General Fund
21,031,300

926     From Income Tax Fund
557,100

927     From Federal Funds
6,313,700

928     From Dedicated Credits Revenue
3,221,000

929     From Revenue Transfers
1,324,500

930     From Beginning Nonlapsing Balances
8,361,200

931     From Closing Nonlapsing Balances
(4,642,000)

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

934     Ancillary Services
3,584,200

935     Finance & Administration
9,675,500

936     Data, Systems, & Evaluations
10,265,000

937     Public Affairs, Education & Outreach
1,663,900

938     American Indian / Alaska Native
476,400

939     Continuous Quality Improvement
4,326,400

940     Customer Experience
1,984,300

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

943     From Income Tax Fund
3,306,100


944     From Federal Funds
19,888,800

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

946     From Dedicated Credits Revenue
11,564,500

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

948     From Expendable Receipts
365,900

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

950     From Department of Public Safety Restricted Account
451,800

951     From General Fund Restricted - Opioid Litigation Proceeds Restricted Account
952     
1,300,000

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

954     From Revenue Transfers
324,900

955     From Beginning Nonlapsing Balances
1,447,200

956     Schedule of Programs:
957     Medical Examiner
10,533,800

958     State Laboratory
13,558,900

959     Primary Care and Rural Health
8,328,800

960     Health Equity
741,400

961     Medical Education Council
1,662,600

962     Medical Residency Grant Program
1,500,000

963     Forensic Psychiatry Grant Program
550,000

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

967     From Federal Funds
6,935,900

968     From Dedicated Credits Revenue
1,871,300

969     From Revenue Transfers
3,768,300

970     From Beginning Nonlapsing Balances
4,223,500

971     From Closing Nonlapsing Balances
(4,212,000)

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

974     Internal Audit
2,080,100

975     Admin Hearings
1,192,200

976     Utah Developmental Disabilities Council
623,200

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

980     Schedule of Programs:
981     Utah Developmental Disabilities Council
21,800


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

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

986     From Federal Funds
4,265,614,700

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

988     From Dedicated Credits Revenue
11,487,700

989     From Expendable Receipts
256,568,600

990     From Expendable Receipts - Rebates
373,289,600

991     From General Fund Restricted - Statewide Behavioral Health Crisis Response Account
992     
16,930,600

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

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

996     From Hospital Provider Assessment Fund
113,045,500

997     From Medicaid Expansion Fund
127,715,000

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

999     From General Fund Restricted - Opioid Litigation Proceeds Restricted Account
1000     
4,384,300

1001     From General Fund Restricted - Tobacco Settlement Account
12,148,600

1002     From Revenue Transfers
303,282,100

1003     From Pass-through
1,813,000

1004     Schedule of Programs:
1005     Children's Health Insurance Program Services
154,258,700

1006     Medicaid Accountable Care Organizations
1,759,315,600

1007     Medicaid Behavioral Health Services
282,826,800

1008     Medicaid Home and Community Based Services
626,326,200

1009     Medicaid Hospital Services
318,263,900

1010     Medicaid Pharmacy Services
357,968,200

1011     Medicaid Long Term Care Services
471,204,400

1012     Medicare Buy-In and Clawback Payments
118,547,900

1013     Medicaid Other Services
636,669,400

1014     Offsets to Medicaid Expenditures
(41,566,500)

1015     Expansion Accountable Care Organizations
592,371,500

1016     Expansion Behavioral Health Services
79,469,900

1017     Expansion Hospital Services
295,502,600

1018     Expansion Other Services
291,029,400

1019     Expansion Pharmacy Services
126,549,800


1020     Non-Medicaid Behavioral Health Treatment and Crisis Response
1021     
179,410,000

1022     State Hospital
96,853,800

1023     Item 51
     To Department of Health and Human Services - Long-Term
1024     Services & Support
1025     From General Fund
223,021,700

1026     From Income Tax Fund
193,900

1027     From Federal Funds
843,100

1028     From Dedicated Credits Revenue
1,566,000

1029     From Expendable Receipts
1,320,000

1030     From General Fund Restricted - Division of Services for People with Disabilities
1031     Restricted Account
3,904,800

1032     From Revenue Transfers
409,716,600

1033     Schedule of Programs:
1034     Services for People with Disabilities
11,884,600

1035     Community Supports Waiver Services
533,982,600

1036     Disabilities - Non Waiver Services
2,765,500

1037     Disabilities - Other Waiver Services
37,063,300

1038     Utah State Developmental Center
54,870,100

1039     Item 52
     To Department of Health and Human Services - Public Health,
1040     Prevention, and Epidemiology
1041     From General Fund
13,236,700

1042     From Federal Funds
249,688,600

1043     From Dedicated Credits Revenue
242,400

1044     From Expendable Receipts
1,991,600

1045     From Expendable Receipts - Rebates
6,645,300

1046     From General Fund Restricted - Cancer Research Account
20,000

1047     From General Fund Restricted - Cigarette Tax Restricted Account
3,150,000

1048     From General Fund Restricted - Electronic Cigarette Substance and Nicotine Product
1049     Proceeds Restricted Account
9,288,400

1050     From General Fund Restricted - Opioid Litigation Proceeds Restricted Account
1051     
443,400

1052     From General Fund Restricted - Tobacco Settlement Account
3,403,500

1053     From Revenue Transfers
7,617,000

1054     Schedule of Programs:
1055     Communicable Disease
233,555,400

1056     Health Promotion and Prevention
44,798,500

1057     Emergency Medical Services and Preparedness
10,162,000


1058     Local Health Departments
6,137,500

1059     Population Health
1,073,500

1060     Item 53
     To Department of Health and Human Services - Children, Youth,
1061     & Families
1062     From General Fund
192,716,400

1063     From Federal Funds
131,792,100

1064     From Dedicated Credits Revenue
1,600,800

1065     From Expendable Receipts
643,300

1066     From Expendable Receipts - Rebates
7,985,300

1067     From General Fund Restricted - Adult Autism Treatment Account
1,526,700

1068     From General Fund Restricted - Victim Services Restricted Account
3,200,000

1069     From General Fund Restricted - Children's Account
340,000

1070     From Gen. Fund Rest. - K. Oscarson Children's Organ Transp.
109,400

1071     From General Fund Restricted - National Professional Men's Basketball Team Support of
1072     Women and Children Issues
101,600

1073     From Revenue Transfers
(5,472,600)

1074     From Beginning Nonlapsing Balances
4,140,800

1075     From Closing Nonlapsing Balances
(2,074,100)

1076     Schedule of Programs:
1077     Child & Family Services
122,953,000

1078     Domestic Violence
19,172,000

1079     In-Home Services
2,196,100

1080     Out-of-Home Services
36,935,400

1081     Adoption Assistance
21,291,800

1082     Child Abuse Prevention and Facility Services
5,813,000

1083     Children with Special Healthcare Needs
11,060,700

1084     Maternal & Child Health
64,048,300

1085     Family Health
782,500

1086     Office of Coordinated Care and Regional Supports
2,462,800

1087     DCFS Selected Programs
31,336,300

1088     Office of Early Childhood
18,557,800

1089          Subsection 2(b). Expendable Funds and Accounts. The Legislature has reviewed the
1090     following expendable funds. The Legislature authorizes the State Division of Finance to transfer
1091     amounts between funds and accounts as indicated. Outlays and expenditures from the funds or
1092     accounts to which the money is transferred may be made without further legislative action, in
1093     accordance with statutory provisions relating to the funds or accounts.
1094     Department of Workforce Services
1095     Item 54
     To Department of Workforce Services - Individuals with Visual

1096     Impairment Fund
1097     From Dedicated Credits Revenue
45,700

1098     From Interest Income
18,500

1099     From Beginning Fund Balance
1,361,400

1100     From Closing Fund Balance
(1,380,600)

1101     Schedule of Programs:
1102     Individuals with Visual Impairment Fund
45,000

1103          In accordance with UCA 63J-1-903, the Legislature intends
1104     that the Department of Workforce Services report performance
1105     measures for the Individuals with Visual Impairment Fund,
1106     whose mission is to "assist blind and visually impaired
1107     individuals in achieving their highest level of independence,
1108     participation in society and employment consistent with
1109     individual interests, values, preferences and abilities." The
1110     department shall report to the Office of the Legislative Fiscal
1111     Analyst and to the Governor's Office of Planning and Budget
1112     before August 15, 2024, the final status of performance
1113     measures established in FY 2024 appropriations bills. For FY
1114     2025, the department shall report the following performance
1115     measures: 1) Grantees will maintain or increase the number of
1116     individuals served (Target >=165), 2) Grantees will maintain
1117     or increase the number of services provided (Target>=906),
1118     and 3) Number of individuals provided low-vision services
1119     (Target = 2,400).
1120     Item 55
     To Department of Workforce Services - Individuals with Visual
1121     Impairment Vendor Fund
1122     From Trust and Agency Funds
163,900

1123     From Beginning Fund Balance
200,300

1124     From Closing Fund Balance
(200,200)

1125     Schedule of Programs:
1126     Individuals with Visual Disabilities Vendor Fund
164,000

1127          In accordance with UCA 63J-1-903, the Legislature intends
1128     that the Department of Workforce Services report performance
1129     measures for the Individuals with Visual Impairment Vendor
1130     Fund, whose mission is to "assist Blind and Visually Impaired
1131     individuals in achieving their highest level of independence,
1132     participation in society and employment consistent with
1133     individual interests, values, preferences and abilities." The

1134     department shall report to the Office of the Legislative Fiscal
1135     Analyst and to the Governor's Office of Planning and Budget
1136     before August 15, 2024, the final status of performance
1137     measures established in FY 2024 appropriations bills. For FY
1138     2025, the department shall report the following performance
1139     measures: 1) Number of business locations receiving upgraded
1140     equipment purchased by fund will meet or exceed previous
1141     year's total (Target = 12), 2) Number of business locations
1142     receiving equipment repairs and/or maintenance will meet or
1143     exceed previous year's total (Target = 32), and 3) Business
1144     Enterprise Program will establish new business locations in
1145     government and/or private businesses to provide additional
1146     employment opportunities (Target = 4).
1147     Item 56
     To Department of Workforce Services - Intermountain
1148     Weatherization Training Fund
1149     From Beginning Fund Balance
3,500

1150     From Closing Fund Balance
(3,500)

1151          In accordance with UCA 63J-1-903, the Legislature intends
1152     that the Department of Workforce Services report performance
1153     measures for the Intermountain Weatherization Training Fund,
1154     whose mission is "aligned with the Housing and Community
1155     Development Division, which actively partners with other state
1156     agencies, local government, nonprofits, and the private sector
1157     to build local capacity, fund services and infrastructure, and to
1158     leverage federal and state resources for critical programs." The
1159     department shall report to the Office of the Legislative Fiscal
1160     Analyst and to the Governor's Office of Planning and Budget
1161     before August 15, 2024, the final status of performance
1162     measures established in FY 2024 appropriations bills. For FY
1163     2025, the department shall report the following performance
1164     measures: 1) Excluding contractors, the total number of
1165     weatherization assistance program individuals trained
1166     (Target=400), and 2) number of individuals trained each year
1167     (Target => 3).
1168     Item 57
     To Department of Workforce Services - Navajo Revitalization
1169     Fund
1170     From Dedicated Credits Revenue
115,800

1171     From Interest Income
150,000


1172     From Other Financing Sources
1,000,000

1173     From Beginning Fund Balance
9,263,300

1174     From Closing Fund Balance
(9,448,100)

1175     Schedule of Programs:
1176     Navajo Revitalization Fund
1,081,000

1177          In accordance with UCA 63J-1-903, the Legislature intends
1178     that the Department of Workforce Services report performance
1179     measures for the Navajo Revitalization Fund, whose mission is
1180     "aligned with the Housing and Community Development
1181     Division, which actively partners with other state agencies,
1182     local government, nonprofits, and the private sector to build
1183     local capacity, fund services and infrastructure, and to leverage
1184     federal and state resources for critical programs." The
1185     department shall report to the Office of the Legislative Fiscal
1186     Analyst and to the Governor's Office of Planning and Budget
1187     before August 15, 2024, the final status of performance
1188     measures established in FY 2024 appropriations bills. For FY
1189     2025, the department shall report the following performance
1190     measure: 1) provide support to Navajo Revitalization Board
1191     with resources and data to enable allocation of new and
1192     re-allocated funds to improve quality of life for those living on
1193     the Utah portion of the Navajo Reservation (Target = allocate
1194     annual allocation from tax revenues within one year).
1195     Item 58
     To Department of Workforce Services - Permanent Community
1196     Impact Bonus Fund
1197     From Interest Income
8,802,100

1198     From Gen. Fund Rest. - Land Exchange Distribution Account
100

1199     From General Fund Restricted - Mineral Bonus
8,342,200

1200     From Beginning Fund Balance
462,268,200

1201     From Closing Fund Balance
(479,072,600)

1202     Schedule of Programs:
1203     Permanent Community Impact Bonus Fund
340,000

1204     Item 59
     To Department of Workforce Services - Permanent Community
1205     Impact Fund
1206     From Dedicated Credits Revenue
1,200,000

1207     From Interest Income
4,275,000

1208     From General Fund Restricted - Mineral Lease
25,467,900

1209     From Gen. Fund Rest. - Land Exchange Distribution Account
11,500


1210     From Beginning Fund Balance
281,568,900

1211     From Closing Fund Balance
(292,483,300)

1212     Schedule of Programs:
1213     Permanent Community Impact Fund
20,040,000

1214          In accordance with UCA 63J-1-903, the Legislature intends
1215     that the Department of Workforce Services report performance
1216     measures for the Permanent Community Impact Fund, whose
1217     mission is "aligned with the Housing and Community
1218     Development Division, which actively partners with other state
1219     agencies, local government, nonprofits, and the private sector
1220     to build local capacity, fund services and infrastructure, and to
1221     leverage federal and state resources for critical programs." The
1222     department shall report to the Office of the Legislative Fiscal
1223     Analyst and to the Governor's Office of Planning and Budget
1224     before August 15, 2024, the final status of performance
1225     measures established in FY 2024 appropriations bills. For FY
1226     2025, the department shall report the following performance
1227     measures: 1) new receipts invested in communities annually
1228     (Target = 100%), 2) The Community Impact Board funds the
1229     Regional Planning Program and community development
1230     specialists, who provide technical assistance, prepare tools,
1231     guides, and resources to ensure communities meet compliance
1232     with land use planning regulations (Target = 24 communities
1233     assisted), and 3) Maintain a minimum ratio of loan-to-grant
1234     funding for CIB projects (Target: At least 45% of loans to 55%
1235     grants).
1236     Item 60
     To Department of Workforce Services - Qualified Emergency
1237     Food Agencies Fund
1238     From Designated Sales Tax
540,000

1239     From Revenue Transfers
375,000

1240     From Beginning Fund Balance
139,700

1241     From Closing Fund Balance
(139,700)

1242     Schedule of Programs:
1243     Emergency Food Agencies Fund
915,000

1244          In accordance with UCA 63J-1-903, the Legislature intends
1245     that the Department of Workforce Services report performance
1246     measures for the Qualified Emergency Food Agencies Fund,
1247     whose mission is "aligned with the Housing and Community

1248     Development Division, which actively partners with other state
1249     agencies, local government, nonprofits, and the private sector
1250     to build local capacity, fund services and infrastructure, and to
1251     leverage federal and state resources for critical programs." The
1252     department shall report to the Office of the Legislative Fiscal
1253     Analyst and to the Governor's Office of Planning and Budget
1254     before August 15, 2024, the final status of performance
1255     measures established in FY 2024 appropriations bills. For FY
1256     2025, the department shall report the following performance
1257     measures: 1) The number of households served by QEFAF
1258     agencies (Target: 11,000) and 2) Percent of QEFAF program
1259     funds obligated to QEFAF agencies (Target: 100% of funds
1260     obligated).
1261     Item 61
     To Department of Workforce Services - Uintah Basin
1262     Revitalization Fund
1263     From Dedicated Credits Revenue
220,000

1264     From Interest Income
200,000

1265     From Other Financing Sources
7,000,000

1266     From Beginning Fund Balance
25,430,600

1267     From Closing Fund Balance
(28,599,300)

1268     Schedule of Programs:
1269     Uintah Basin Revitalization Fund
4,251,300

1270          In accordance with UCA 63J-1-903, the Legislature intends
1271     that the Department of Workforce Services report performance
1272     measures for the Uintah Basin Revitalization Fund, whose
1273     mission is "aligned with the Housing and Community
1274     Development Division, which actively partners with other state
1275     agencies, local government, nonprofits, and the private sector
1276     to build local capacity, fund services and infrastructure, and to
1277     leverage federal and state resources for critical programs." The
1278     department shall report to the Office of the Legislative Fiscal
1279     Analyst and to the Governor's Office of Planning and Budget
1280     before August 15, 2024, the final status of performance
1281     measures established in FY 2024 appropriations bills. For FY
1282     2025, the department shall report the following performance
1283     measures: 1) provide Revitalization Board with support,
1284     resources and data to allocate new and re-allocated funds to
1285     improve the quality of life for those living in the Uintah Basin

1286     (Target = allocate annual allocation from tax revenues within
1287     one year).
1288     Item 62
     To Department of Workforce Services - Utah Community Center
1289     for the Deaf Fund
1290     From Dedicated Credits Revenue
5,000

1291     From Interest Income
2,000

1292     From Beginning Fund Balance
14,300

1293     From Closing Fund Balance
(17,300)

1294     Schedule of Programs:
1295     Utah Community Center for the Deaf Fund
4,000

1296     Item 63
     To Department of Workforce Services - Olene Walker Low
1297     Income Housing
1298     From General Fund
5,492,900

1299     From Federal Funds
6,950,000

1300     From Dedicated Credits Revenue
20,000

1301     From Interest Income
3,080,000

1302     From Revenue Transfers
(800,000)

1303     From Beginning Fund Balance
215,086,000

1304     From Closing Fund Balance
(225,489,200)

1305     Schedule of Programs:
1306     Olene Walker Low Income Housing
4,339,700

1307          In accordance with UCA 63J-1-903, the Legislature intends
1308     that the Department of Workforce Services report performance
1309     measures for the Olene Walker Housing Loan Fund, whose
1310     mission is to "aligned with the Housing and Community
1311     Development Division, which actively partners with other state
1312     agencies, local government, nonprofits, and the private sector
1313     to build local capacity, fund services and infrastructure, and to
1314     leverage federal and state resources for critical programs." The
1315     department shall report to the Office of the Legislative Fiscal
1316     Analyst and to the Governor's Office of Planning and Budget
1317     before August 15, 2024, the final status of performance
1318     measures established in FY 2024 appropriations bills. For FY
1319     2025, the department shall report the following performance
1320     measures: 1) housing units preserved or created (Target = 175),
1321     2) rural housing units created (Target = 15), and 3) leveraging
1322     of other funds in each project to Olene Walker Housing Loan
1323     Fund monies (Target = 15:1).

1324     Department of Health and Human Services
1325     Item 64
     To Department of Health and Human Services - Allyson Gamble
1326     Organ Donation Contribution Fund
1327     From Dedicated Credits Revenue
224,600

1328     From Interest Income
13,000

1329     From Beginning Fund Balance
610,200

1330     From Closing Fund Balance
(610,200)

1331     Schedule of Programs:
1332     Allyson Gamble Organ Donation Contribution Fund
237,600

1333     Item 65
     To Department of Health and Human Services -
1334     Neuro-Rehabilitation Fund
1335     From Dedicated Credits Revenue
450,000

1336     From Beginning Fund Balance
1,170,500

1337     From Closing Fund Balance
(1,170,500)

1338     Schedule of Programs:
1339     Neuro-Rehabilitation Fund
450,000

1340     Item 66
     To Department of Health and Human Services - Brain Injury Fund
1341     From General Fund
200,000

1342     From Beginning Fund Balance
134,500

1343     From Closing Fund Balance
(134,500)

1344     Schedule of Programs:
1345     Brain Injury Fund
200,000

1346     Item 67
     To Department of Health and Human Services - Maurice N.
1347     Warshaw Trust Fund
1348     From Interest Income
1,000

1349     From Beginning Fund Balance
166,300

1350     From Closing Fund Balance
(167,300)

1351     Item 68
     To Department of Health and Human Services - Out and About
1352     Homebound Transportation Assistance Fund
1353     From Dedicated Credits Revenue
75,600

1354     From Interest Income
3,000

1355     From Beginning Fund Balance
305,800

1356     From Closing Fund Balance
(305,800)

1357     Schedule of Programs:
1358     Out and About Homebound Transportation Assistance Fund
1359     
78,600

1360     Item 69
     To Department of Health and Human Services - Utah State
1361     Developmental Center Long-Term Sustainability Fund

1362     From Dedicated Credits Revenue
12,100

1363     From Interest Income
14,500

1364     From Revenue Transfers
38,700

1365     From Beginning Fund Balance
29,762,600

1366     From Closing Fund Balance
(29,827,900)

1367     Item 70
     To Department of Health and Human Services - Utah State
1368     Developmental Center Miscellaneous Donation Fund
1369     From Dedicated Credits Revenue
6,000

1370     From Interest Income
6,000

1371     From Beginning Fund Balance
602,100

1372     From Closing Fund Balance
(602,100)

1373     Schedule of Programs:
1374     Utah State Developmental Center Miscellaneous Donation Fund
1375     
12,000

1376     Item 71
     To Department of Health and Human Services - Utah State
1377     Developmental Center Workshop Fund
1378     From Dedicated Credits Revenue
140,000

1379     From Beginning Fund Balance
17,000

1380     From Closing Fund Balance
(17,000)

1381     Schedule of Programs:
1382     Utah State Developmental Center Workshop Fund
140,000

1383          In accordance with UCA 63J-1-903, the Legislature intends
1384     that the Department of Health and Human Services report the
1385     final status of performance measures established in FY 2024
1386     appropriations bills for the Utah State Developmental Center
1387     Workshop Fund line item to the Office of the Legislative Fiscal
1388     Analyst and to the Governor's Office of Planning and Budget
1389     before August 15, 2024. For FY 2025, the Department of
1390     Health and Human Services shall report on the following
1391     performance measure: 1) Number of internal reviews
1392     completed for compliance with statute, federal regulations, and
1393     other requirements (Target = 1).
1394     Item 72
     To Department of Health and Human Services - Utah State
1395     Hospital Unit Fund
1396     From Dedicated Credits Revenue
42,400

1397     From Interest Income
8,000

1398     From Beginning Fund Balance
240,600

1399     From Closing Fund Balance
(240,600)


1400     Schedule of Programs:
1401     Utah State Hospital Unit Fund
50,400

1402     Item 73
     To Department of Health and Human Services - Mental Health
1403     Services Donation Fund
1404     From General Fund
100,000

1405     From Beginning Fund Balance
310,600

1406     From Closing Fund Balance
(310,600)

1407     Schedule of Programs:
1408     Mental Health Services Donation Fund
100,000

1409     Item 74
     To Department of Health and Human Services - Suicide
1410     Prevention and Education Fund
1411     From Beginning Fund Balance
1,430,300

1412     From Closing Fund Balance
(1,430,300)

1413     Item 75
     To Department of Health and Human Services - Pediatric
1414     Neuro-Rehabilitation Fund
1415     From Beginning Fund Balance
39,900

1416     From Closing Fund Balance
(39,900)

1417     Item 76
     To Department of Health and Human Services - Alternative
1418     Eligibility Expendable Revenue Fund
1419     From General Fund
4,500,000

1420     Schedule of Programs:
1421     Alternative Eligibility Expendable Revenue Fund
4,500,000

1422          Subsection 2(c). Business-like Activities. The Legislature has reviewed the following
1423     proprietary funds. Under the terms and conditions of Utah Code 63J-1-410, for any included Internal
1424     Service Fund, the Legislature approves budgets, full-time permanent positions, and capital
1425     acquisition amounts as indicated, and appropriates to the funds, as indicated, estimated revenue from
1426     rates, fees, and other charges. The Legislature authorizes the State Division of Finance to transfer
1427     amounts between funds and accounts as indicated.
1428     Department of Workforce Services
1429     Item 77
     To Department of Workforce Services - Economic Revitalization
1430     and Investment Fund
1431     From Interest Income
100,000

1432     From Beginning Fund Balance
2,174,200

1433     From Closing Fund Balance
(2,273,700)

1434     Schedule of Programs:
1435     Economic Revitalization and Investment Fund
500

1436     Item 78
     To Department of Workforce Services - Unemployment
1437     Compensation Fund

1438     From Federal Funds
1,850,000

1439     From Dedicated Credits Revenue
18,557,800

1440     From Trust and Agency Funds
205,579,400

1441     From Beginning Fund Balance
1,188,824,600

1442     From Closing Fund Balance
(1,160,743,100)

1443     Schedule of Programs:
1444     Unemployment Compensation Fund
254,068,700

1445          In accordance with UCA 63J-1-903, the Legislature intends
1446     that the Department of Workforce Services report performance
1447     measures for the Unemployment Compensation Fund, whose
1448     mission is to "monitor the health of the Utah Unemployment
1449     Trust Fund within the context of statute and promote a fair and
1450     even playing field for employers." The department shall report
1451     to the Office of the Legislative Fiscal Analyst and to the
1452     Governor's Office of Planning and Budget before August 15,
1453     2024, the final status of performance measures established in
1454     FY 2024 appropriations bills. For FY 2025, the department
1455     shall report the following performance measures: 1)
1456     Unemployment Insurance Trust Fund balance is greater than
1457     the minimum adequate reserve amount and less than the
1458     maximum adequate reserve amount per the annual calculations
1459     defined in Utah Code, 2) Maintain the average high cost
1460     multiple, a nationally recognized solvency measure, greater
1461     than 1 for the Unemployment Insurance Trust Fund balance
1462     (Target =>1), and 3) Contributory employers unemployment
1463     insurance contributions due paid timely, (paid by the employer
1464     before the last day of the month that follows each calendar
1465     quarter end) (Target>=95%).
1466     Department of Health and Human Services
1467     Item 79
     To Department of Health and Human Services - Qualified Patient
1468     Enterprise Fund
1469     From Dedicated Credits Revenue
5,366,300

1470     From Beginning Fund Balance
5,691,800

1471     From Closing Fund Balance
(7,118,900)

1472     Schedule of Programs:
1473     Qualified Patient Enterprise Fund
3,939,200

1474          Subsection 2(d). Restricted Fund and Account Transfers. The Legislature authorizes
1475     the State Division of Finance to transfer the following amounts between the following funds or

1476     accounts as indicated. Expenditures and outlays from the funds to which the money is transferred
1477     must be authorized by an appropriation.
1478     Item 80
     To General Fund Restricted - Homeless Shelter Cities Mitigation
1479     Restricted Account
1480     From General Fund
5,000,000

1481     Schedule of Programs:
1482     General Fund Restricted - Homeless Shelter Cities Mitigation Restricted
1483     Account
5,000,000

1484     Item 81
     To General Fund Restricted - Homeless Account
1485     From General Fund
1,817,400

1486     Schedule of Programs:
1487     General Fund Restricted - Pamela Atkinson Homeless Account
1488     
1,817,400

1489     Item 82
     To General Fund Restricted - Homeless to Housing Reform
1490     Account
1491     From General Fund
12,850,000

1492     Schedule of Programs:
1493     General Fund Restricted - Homeless to Housing Reform Restricted
1494     Account
12,850,000

1495     Item 83
     To General Fund Restricted - School Readiness Account
1496     From General Fund
3,000,000

1497     From Beginning Fund Balance
1,464,400

1498     From Closing Fund Balance
(147,300)

1499     Schedule of Programs:
1500     General Fund Restricted - School Readiness Account
4,317,100

1501     Item 84
     To Education Savings Incentive Restricted Account
1502     From Income Tax Fund
870,800

1503     Schedule of Programs:
1504     Education Savings Incentive Restricted Account
870,800

1505     Item 85
     To Statewide Behavioral Health Crisis Response Account
1506     From General Fund
16,903,100

1507     Schedule of Programs:
1508     Statewide Behavioral Health Crisis Response Account
16,903,100

1509     Item 86
     To Ambulance Service Provider Assessment Expendable Revenue
1510     Fund
1511     From Dedicated Credits Revenue
5,092,300

1512     Schedule of Programs:
1513     Ambulance Service Provider Assessment Expendable Revenue Fund

1514     
5,092,300

1515     Item 87
     To Hospital Provider Assessment Fund
1516     From Dedicated Credits Revenue
113,256,800

1517     Schedule of Programs:
1518     Hospital Provider Assessment Expendable Special Revenue Fund
1519     
113,256,800

1520     Item 88
     To Medicaid Expansion Fund
1521     From General Fund
59,861,100

1522     From General Fund, One-time
(59,861,100)

1523     From Dedicated Credits Revenue
150,100,000

1524     From Expendable Receipts
355,900

1525     From Revenue Transfers
3,524,800

1526     From Beginning Fund Balance
360,647,800

1527     From Closing Fund Balance
(417,928,400)

1528     Schedule of Programs:
1529     Medicaid Expansion Fund
96,700,100

1530     Item 89
     To Nursing Care Facilities Provider Assessment Fund
1531     From Dedicated Credits Revenue
41,059,800

1532     Schedule of Programs:
1533     Nursing Care Facilities Provider Assessment Fund
41,059,800

1534     Item 90
     To General Fund Restricted - Medicaid Restricted Account
1535     From Beginning Fund Balance
101,119,800

1536     From Closing Fund Balance
(101,119,800)

1537     Item 91
     To Adult Autism Treatment Account
1538     From General Fund
1,000,000

1539     Schedule of Programs:
1540     Adult Autism Treatment Account
1,000,000

1541          Subsection 2(e). Fiduciary Funds. The Legislature has reviewed proposed revenues,
1542     expenditures, fund balances, and changes in fund balances for the following fiduciary funds.
1543     Department of Health and Human Services
1544     Item 92
     To Department of Health and Human Services - Human Services
1545     Client Trust Fund
1546     From Interest Income
9,100

1547     From Trust and Agency Funds
4,907,600

1548     From Beginning Fund Balance
1,903,800

1549     From Closing Fund Balance
(1,903,800)

1550     Schedule of Programs:
1551     Human Services Client Trust Fund
4,916,700


1552     Item 93
     To Department of Health and Human Services - Human Services
1553     ORS Support Collections
1554     From Trust and Agency Funds
212,842,300

1555     From Beginning Fund Balance
2,203,700

1556     From Closing Fund Balance
(2,203,700)

1557     Schedule of Programs:
1558     Human Services ORS Support Collections
212,842,300

1559     Item 94
     To Department of Health and Human Services - Utah State
1560     Developmental Center Patient Account
1561     From Interest Income
1,000

1562     From Trust and Agency Funds
2,002,900

1563     From Beginning Fund Balance
624,600

1564     From Closing Fund Balance
(624,600)

1565     Schedule of Programs:
1566     Utah State Developmental Center Patient Account
2,003,900

1567     Item 95
     To Department of Health and Human Services - Utah State
1568     Hospital Patient Trust Fund
1569     From Trust and Agency Funds
1,731,000

1570     From Beginning Fund Balance
559,400

1571     From Closing Fund Balance
(559,400)

1572     Schedule of Programs:
1573     Utah State Hospital Patient Trust Fund
1,731,000

1574          In accordance with UCA 63J-1-903, the Legislature intends
1575     that the Department of Health and Human Services report the
1576     final status of performance measures established in FY 2024
1577     appropriations bills for the Utah State Hospital Patient Trust
1578     Fund line item to the Office of the Legislative Fiscal Analyst
1579     and to the Governor's Office of Planning and Budget before
1580     August 15, 2024. For FY 2025, the Department of Health and
1581     Human Services shall report on the following performance
1582     measure: 1) Number of internal reviews completed for
1583     compliance with statute, federal regulations, and other
1584     requirements (Target = 1).
1585          Section 3. FY 2025 Appropriations. The following sums of money are appropriated for the
1586     fiscal year beginning July 1, 2024 and ending June 30, 2025 for programs reviewed during the
1587     accountable budget process. These are additions to amounts otherwise appropriated for fiscal year
1588     2025.
1589          Subsection 3(a). Operating and Capital Budgets. Under the terms and conditions of

1590     Title 63J, Chapter 1, Budgetary Procedures Act, the Legislature appropriates the following sums of
1591     money from the funds or accounts indicated for the use and support of the government of the state of
1592     Utah.
1593     Department of Workforce Services
1594     Item 96
     To Department of Workforce Services - Operations and Policy
1595     From General Fund
54,632,400

1596     From Income Tax Fund
3,117,000

1597     From Federal Funds
300,477,900

1598     From Dedicated Credits Revenue
496,000

1599     From Expendable Receipts
2,138,400

1600     From Gen. Fund Rest. - Homeless Housing Reform Rest. Acct
41,100

1601     From Housing Opportunities for Low Income Households
2,000

1602     From Medicaid Expansion Fund
3,637,700

1603     From Navajo Revitalization Fund
7,600

1604     From Olene Walker Housing Loan Fund
47,300

1605     From OWHT-Fed Home
2,000

1606     From OWHTF-Low Income Housing
36,300

1607     From Permanent Community Impact Loan Fund
155,600

1608     From Permanent Community Impact Bonus Fund
114,100

1609     From Qualified Emergency Food Agencies Fund
4,500

1610     From General Fund Restricted - School Readiness Account
9,514,800

1611     From Revenue Transfers
56,164,900

1612     From Uintah Basin Revitalization Fund
2,800

1613     Schedule of Programs:
1614     Child Care Assistance
90,419,100

1615     Eligibility Services
86,138,700

1616     Facilities and Pass-Through
8,180,800

1617     Information Technology
46,373,000

1618     Nutrition Assistance
96,500

1619     Other Assistance
294,800

1620     Refugee Assistance
7,475,600

1621     Temporary Assistance for Needy Families
70,740,200

1622     Trade Adjustment Act Assistance
1,515,300

1623     Workforce Development
111,653,900

1624     Workforce Investment Act Assistance
4,576,300

1625     Workforce Research and Analysis
3,128,200

1626          The Legislature intends that the Departments of Workforce
1627     Service and Health and Human Services report on

1628     recommendations as well as potential costs and benefits of
1629     expanding automation of Medicaid eligibility reviews by June
1630     1, 2024 to the Social Services Appropriations Subcommittee.
1631     The report shall include lessons learned from the automation
1632     efforts for ex-parte renewals.
1633          In accordance with UCA 63J-1-903, the Legislature intends
1634     that the Department of Workforce Services report performance
1635     measures for the Operations and Policy line item, whose
1636     mission is to "meet the needs of our customers with responsive,
1637     respectful and accurate service." The department shall report to
1638     the Office of the Legislative Fiscal Analyst and to the
1639     Governor's Office of Planning and Budget before August 15,
1640     2024, the final status of performance measures established in
1641     FY 2024 appropriations bills. For FY 2025, the department
1642     shall report the following performance measures: 1) labor
1643     exchange - total job placements (Target = 30,000 placements
1644     per calendar quarter), 2) TANF recipients - positive closure
1645     rate (Target = 78% per calendar month), 3) Eligibility Services
1646     - internal review compliance accuracy (Target = 95%), 4)
1647     Eligibility Average Call Wait Time (Target = 18 Minutes), 5)
1648     WIOA Adult Entered Employment Rate (Target = 62%), 6)
1649     WIOA Dislocated Workers Entered Employment Rate (Target
1650     = 83%), 7) Refugee Services Office Refugee Job Placements
1651     (Target = 230), 8) Child Care Cases Eligibility Determined
1652     Within 30 Days (Target = 95%), 9) Internal Review Medical
1653     Compliance Accuracy (Target = 95%), and 10) Eligibility
1654     Days to Decision (Target = 15 Days).
1655     Department of Health and Human Services
1656     Item 97
     To Department of Health and Human Services - Health Care
1657     Administration
1658     From General Fund
14,779,600

1659     From Federal Funds
88,109,900

1660     From Dedicated Credits Revenue
17,900

1661     From Expendable Receipts
19,283,800

1662     From Ambulance Service Provider Assess Exp Rev Fund
20,000

1663     From Hospital Provider Assessment Fund
211,300

1664     From Medicaid Expansion Fund
3,443,500

1665     From Nursing Care Facilities Provider Assessment Fund
1,208,800


1666     From Suicide Prevention Fund
12,500

1667     From Revenue Transfers
42,785,700

1668     From Beginning Nonlapsing Balances
600,000

1669     Schedule of Programs:
1670     Integrated Health Care Administration
55,978,700

1671     Long-Term Services and Supports Administration
7,996,200

1672     Provider Reimbursement Information System for Medicaid
21,873,500

1673     Seeded Services
84,624,600

1674          In accordance with UCA 63J-1-903, the Legislature intends
1675     that the Department of Health and Human Services report on
1676     the following performance measures for the Health Care
1677     Administration line item, whose mission is "provide access to
1678     quality, cost-effective health care for eligible Utahans." The
1679     Department of Health and Human Services shall report to the
1680     Office of the Legislative Fiscal Analyst and to the Governor's
1681     Office of Planning and Budget before August 15, 2024 the
1682     final status of performance measures established in FY 2024.
1683     For FY 2025, the department shall report the following
1684     performance measures: 1) Percent of Medicaid
1685     members/patients/clients that report adequate access to DHHS
1686     program services (Target = Improve from baseline with the
1687     baseline being developed), 2) Average decision time of
1688     Medicaid medical prior authorizations (Target = 7 days), and
1689     3) Health Program Representative Customer Service Line
1690     average call wait time (Target = under 2 minutes).
1691     Item 98
     To Department of Health and Human Services - Long-Term
1692     Services & Support
1693     From General Fund
18,140,500

1694     From Federal Funds
16,019,300

1695     From Expendable Receipts
301,200

1696     From Revenue Transfers
(1,014,600)

1697     Schedule of Programs:
1698     Aging & Adult Services
23,961,300

1699     Adult Protective Services
6,276,000

1700     Office of Public Guardian
1,311,600

1701     Aging Waiver Services
1,897,500

1702          The Legislature intends that the Department of Health and
1703     Human Services shall report by October 1, 2024 on a proposed

1704     method of measuring outcomes of funds distributed to and
1705     expended by the Area Agencies on Aging (AAAs). These
1706     proposed methods shall include: 1) How do AAAs measure the
1707     outcomes of the funds they expend on services for their
1708     clients? 2) Can AAAs recommend a methodology for
1709     determining the return on investment for the funds that they
1710     expend? 3) How do AAAs capture client satisfaction and
1711     customer service and how can those results (if any) be
1712     communicated to policymakers.
1713          The Department of Health and Human Services shall report
1714     to the Social Services Appropriations Subcommittee by
1715     October 1, 2024 on the following related to rates administered
1716     by the Division of Aging and Adult Services: (1) Historical
1717     values for each rate going back 5 years and the last date each
1718     rate was reviewed/changed; (2) The source of the rate value;
1719     (3) How much was paid out by the Area Agencies on Aging for
1720     each rate and a breakdown of state/federal funding; (4) An
1721     analysis of each rate compared to the market; (5) Projected
1722     appropriations needed to meet market amount for each rate;
1723     and (6) the number of providers licensed and contracted for
1724     these services in 2018 and how many are licensed and
1725     contracted to perform these services in 2023.
1726          The Department of Health and Human Services shall report
1727     to the Social Services Appropriations Subcommittee by
1728     October 1, 2024, on the efforts and outcomes of the Division of
1729     Aging and Adult Services to adjust caseload and assignment of
1730     responsibilities to staff of Adult Protective Services and the
1731     Office of the Public Guardian. The Department shall also
1732     report on the impact and expenditure of additional legislative
1733     funding appropriated for personnel expenses during the 2023
1734     General Session to Adult Protective Services and the Office of
1735     the Public Guardian.
1736          In accordance with UCA 63J-1-903, the Legislature intends
1737     that the Department of Health and Human Services report
1738     performance measures for the Long-Term Services and
1739     Supports line item, whose mission is "protect the public's
1740     health through preventing avoidable illness, injury, disability,
1741     and premature death; assuring access to affordable, quality

1742     health care; and promoting health lifestyles by providing
1743     services and oversight of services which are applicable
1744     throughout all divisions and bureaus of the Department." The
1745     department shall report to the Office of the Legislative Fiscal
1746     Analyst and to the Governor's Office of Planning and Budget
1747     before August 15, 2024, the final status of performance
1748     measures established in FY 2024 appropriations bills. For FY
1749     2025, the department shall report the following performance
1750     measures: 1) Percent of individuals who do not currently have
1751     a paid job in the community, but would like a job in the
1752     community (NCI) (Target = 44%), 2) Percent of Adults who
1753     Report that Services and Supports Help Them Live a Good
1754     Life (Target = 92%), 3) People Receiving Supports in their
1755     home or a Family Member's Home Rather Than a Residential
1756     Setting (Target = 57%), 4) Percent of Office of the Public
1757     Guardian (OPG) referrals where an alternative to guardianship
1758     with OPG is made (Target = 60%), and 5) The percentage of
1759     APS clients who accept referrals to community services
1760     (Target = 60%).
1761     Item 99
     To Department of Health and Human Services - Office of
1762     Recovery Services
1763     From General Fund
15,874,900

1764     From Federal Funds
26,605,400

1765     From Dedicated Credits Revenue
3,482,300

1766     From Expendable Receipts
2,038,000

1767     From Medicaid Expansion Fund
55,600

1768     From Revenue Transfers
3,220,600

1769     Schedule of Programs:
1770     Recovery Services
18,035,400

1771     Child Support Services
22,894,900

1772     Children in Care Collections
697,500

1773     Attorney General Contract
6,080,300

1774     Medical Collections
3,568,700

1775          In accordance with UCA 63J-1-903, the Legislature intends
1776     that the Department of Health and Human Services report
1777     performance measures for the Office of Recovery Services line
1778     item, whose mission is "to serve children and families by
1779     promoting independence by providing services on behalf of

1780     children and families in obtaining financial and medical
1781     support, through locating parents, establishing paternity and
1782     support obligations, and enforcing those obligations when
1783     necessary." The department shall report to the Office of the
1784     Legislative Fiscal Analyst and to the Governor's Office of
1785     Planning and Budget before August 15, 2024, the final status
1786     of performance measures established in FY 2024
1787     appropriations bills. For FY 2025, the department shall report
1788     the following performance measures: 1) Medical Coverage for
1789     children (Target = Improve from baseline with the baseline
1790     being developed), 2) Cost Effectiveness (ORS overall) (Target
1791     = $5.50), and 3) Current Support Collection Rates (Target =
1792     65%).
1793          Section 4. Effective Date.
1794          If approved by two-thirds of all the members elected to each house, Section 1 of this bill
1795     takes effect upon approval by the Governor, or the day following the constitutional time limit of
1796     Utah Constitution Article VII, Section 8 without the Governor's signature, or in the case of a veto,
1797     the date of override. Section 2 and Section 3 of this bill take effect on July 1, 2024.