Department of Health

  Annual FTEs General Fund State Other Funds Total Funds
  (Dollars in Thousands)
Estimated Expenditures 1,894.5 162,865 1,146,889 1,309,754
Total Maintenance Changes 0.0 0 0 0
2019-21 Maintenance Level 1,895.1 163,016 1,156,589 1,319,605

2019-21 Policy Other Changes

Agency Savings and Efficiencies (4.1) (2,352) 0 (2,352)
Backfill Medicaid Fraud Account 0.0 1,374 (1,374) 0
Expedite Nurse Licensure 0.0 0 504 504
COVID-19: Contain the Spread 56.7 125,947 100,042 225,989
COVID-19: Support HIV Clients 0.0 0 11,400 11,400
Update HELMS Funding 0.0 299 1,614 1,913
2019-21 Policy Other Changes Total 52.6 125,268 112,186 237,454
Total Policy Changes 52.6 125,268 112,186 237,454
2019-21 Policy Level 1,947.7 288,284 1,268,775 1,557,059

Policy Changes

Serve Additional WIC Families

Increased appropriation authority to cover additional infant formula rebates from the Women, Infants and Children (WIC) Nutrition Program. The rebate revenue is used to provide additional 125,279 eligible participants with access to nutritious food.

Shift Developmental Screening Funds

Funding is provided to support the continued development of the Universal Developmental Screening data system. The agency is funded from unspent appropriation shifted to fiscal year 2021 to complete project development.

Agency Savings and Efficiencies

The department identified efficiencies and cost-saving measures to help address the revenue shortfall in the state general fund: $516,000 is reverted to GF-S due to agency efficiencies, $870,000 of GF-S is reverted for rebate revenue, and $966,000 is saved by merging the vape prevention and marijuana prevention units. (General Fund - State)

Backfill Medicaid Fraud Account

In conjunction with the Attorney General's Office and the Health Care Authority, the Department of Health will exchange Medicaid Fraud and Penalty Account (MFPA) spending authority within the supplemental carryforward balances with General Fund-State. (Medicaid Fraud Penalty Account - State, General Fund - State)

Expedite Nurse Licensure

Increased appropriation authority is provided to fund 15 FTEs to assist in completing nurse licensure applications within an expedited timeframe in support of the COVID-19 pandemic response. (Nursing Resource Center Account - Non-Appropriated)

COVID-19: Contain the Spread

Funding is provided to support the ongoing statewide effort to control the spread of COVID-19 through diagnostic testing, case investigation and contact tracing, care coordination, outbreak response, data collection and analysis, public communications, and necessary operational and information technology support from January 2021 to June 2021. (General Fund - Federal, General Fund - State)

COVID-19: Support HIV Clients

Increased spending authority is provided to comply with the federal Ryan White Care Act requirement to reinvest pharmaceutical drug rebate revenue received through the AIDS Drug Assistance Program into currently funded and allowable services supporting those living with HIV/AIDS. (General Fund - Local, General Fund - Private/Local)

Update HELMS Funding

Additional spending authority is provided to implement the Health Care Enforcement and Licensing Modernization Solution (HELMS) project, which is under the gated funding oversight by the Office of the Chief Information Officer (OCIO). It will transform licensing and enforcement processes, improve data security, support electronic records management, and improve access to information. (General Fund - State, Medical Test Site Licensure Account - State, Health Professions Account - State, other funds)