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 |
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| 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 |
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| 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.
