Department of Health

  Annual FTEs General Fund State Other Funds Total Funds
  (Dollars in Thousands)
Estimated Expenditures 1,823.8 149,285 1,097,397 1,246,682

2017-19 Maintenance Other Changes

Health Integration Indirect Rate 4.5 366 312 678
Technical Adjustments 0.0 (215) 930 715
State Data Center Move 0.0 410 0 410
Reduce Expenditure Authority 0.0 0 (12,200) (12,200)
2017-19 Maintenance Other Changes Total 4.5 561 (10,958) (10,397)
Total Maintenance Changes 4.5 561 (10,958) (10,397)
2017-19 Maintenance Level 1,828.3 149,846 1,086,439 1,236,285

2017-19 Policy Other Changes

WMC Increased Legal Costs 1.4 0 1,028 1,028
WMC Clinical Investigator Costs 1.5 0 1,063 1,063
2017-19 Policy Other Changes Total 2.9 0 2,091 2,091
Total Policy Changes 2.9 0 2,091 2,091
2017-19 Policy Level 1,831.2 149,846 1,088,530 1,238,376

Policy Changes

Health Integration Indirect Rate

The fiscal note for Chapter 201, Laws of 2018 (2ESHB 1388), relating to behavioral health integration, did not include sufficient appropriation to support the program’s federal indirect rate requirement. Funding is provided for the Department of Health to address the shortfall. Without this additional appropriation, the department would have to identify programmatic reductions of $678,000 General Fund-State each year to supplant the indirect rate requirement.

Technical Adjustments

Adjustments are made for variances found in the reconciliation of multiple budget steps to correct the federal funding source and to provide additional federal and local authority.

State Data Center Move

Funding is provided for the Department of Health (DOH) to migrate its IT infrastructure into the state data center in the 2019-21 biennium.

Reduce Expenditure Authority

WMC Increased Legal Costs

Increased discipline and litigation costs have led to an increase in Attorney General billing costs for the Washington Medical Commission (WMC).

WMC Clinical Investigator Costs

The 2017-18 collective bargaining agreement included a new class of investigator (Clinical Health Care Investigator) for the Washington Medical Commission. The 2017-19 budget allotment did not include the additional funds to compensate these clinically trained staff. This supplemental adjustment corrects this budget difference.