Enrolled Copy H.B. 7
1 SOCIAL SERVICES BASE BUDGET
2 2024 GENERAL SESSION
3 STATE OF UTAH
4 Chief Sponsor: Raymond P. Ward
5 Senate Sponsor: Heidi Balderree
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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.
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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
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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 item
68 be used for Washington County Food Bank. The Legislature
69 further intends that funds appropriated by this item from the
70 American Rescue Plan Act may only be expended or
71 distributed for purposes that comply with the legal
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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
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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 key
112 data systems that are modernized, optimized, and integrated by
113 2026 (American Rescue Plan Act project tracking) (Target = %
114 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)
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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)
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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
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220 From General Fund Restricted - Opioid Litigation Proceeds Restricted Account, One-time
221 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