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 |
| 2021-23 Maintenance Level | 1,895.0 | 158,105 | 1,149,163 | 1,307,268 |
| Difference from 2019-21 | 0.50 | (4,760) | 2,274 | (2,486) |
| % Change from 2019-21 | 0.03% | (2.9%) | 0.20% | (0.2%) |
2021-23 Policy Other Changes |
||||
| Fruit & Vegetable Incentive Program | 0.0 | 3,000 | 0 | 3,000 |
| Backfill Medicaid Fraud Account | 0.0 | 1,374 | (1,398) | (24) |
| COVID-19: Contain the Spread | 111.8 | 387,461 | 50,564 | 438,025 |
| COVID-19: Administer Vaccines | 22.3 | 9,580 | 0 | 9,580 |
| Maintain Core Public Health Data | 75.0 | 18,387 | 3,974 | 22,361 |
| Sustain Child Profile Health System | 0.0 | 1,000 | 0 | 1,000 |
| Support Suicide Prevention | 5.3 | 4,590 | 0 | 4,590 |
| Support Recommendations for CHWs | 4.7 | 1,254 | 0 | 1,254 |
| Maintain HEAL-WA Web Portal | 0.0 | 0 | 1,156 | 1,156 |
| COVID-19: Support HIV Clients | 0.0 | 0 | 26,855 | 26,855 |
| Update HELMS Funding | 20.2 | 0 | 15,028 | 15,028 |
| Maintain Developmental Screening | 7.2 | 2,069 | 0 | 2,069 |
| Regionalizing Public Health | 4.5 | 3,200 | 0 | 3,200 |
| 2021-23 Policy Other Changes Total | 251.0 | 431,915 | 96,179 | 528,094 |
2021-23 Policy Comp Changes |
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| Pension Adjustments, nonrate | 0.0 | 60 | 247 | 307 |
| State Employee Benefits | 0.0 | (32) | (109) | (141) |
| WFSE General Government | 0.0 | (2,235) | (9,772) | (12,007) |
| Temporary Layoffs and Other Savings | 0.0 | (995) | (3,319) | (4,314) |
| Rep Employee Health Benefits | 0.0 | (101) | (456) | (557) |
| Non-Rep General Wage Increase | 0.0 | (652) | (2,200) | (2,852) |
| SEIU 1199 General Government | 0.0 | (74) | (645) | (719) |
| 2021-23 Policy Comp Changes Total | 0.0 | (4,029) | (16,254) | (20,283) |
2021-23 Policy Central Services Changes |
||||
| Archives/Records Management | 0.0 | 9 | 46 | 55 |
| Audit Services | 0.0 | (3) | (13) | (16) |
| Legal Services | 0.0 | (133) | (698) | (831) |
| CTS Central Services | 0.0 | 137 | 666 | 803 |
| DES Central Services | 0.0 | 22 | 134 | 156 |
| OFM Central Services | 0.0 | 749 | 1,747 | 2,496 |
| Self-Insurance Liability Premium | 0.0 | 37 | 183 | 220 |
| 2021-23 Policy Central Services Changes Total | 0.0 | 818 | 2,065 | 2,883 |
| Total Policy Changes | 251.0 | 428,704 | 81,990 | 510,694 |
| 2021-23 Policy Level | 2,146.0 | 586,809 | 1,231,153 | 1,817,962 |
| Difference from 2019-21 | 251.5 | 423,944 | 84,264 | 508,208 |
| % Change from 2019-21 | 13.3% | 260.3% | 7.3% | 38.8% |
Policy Changes
Fruit & Vegetable Incentive Program
Funding is provided to support the Fruit and Vegetable Incentive Program which provides low-income families with vouchers to purchase fresh produce. This provides more nutritious food for families while also supporting local food producers. (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 in the 2021-23 carry forward balances with General Fund-State dollars. (General Fund - State, Health Professions Account - State, Medicaid Fraud Penalty Account - State)
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. Funding is for the period of July 2021 to June 2022. (General Fund - Federal, General Fund - State)
COVID-19: Administer Vaccines
Funding is provided to plan, prepare, and deploy the COVID-19 vaccine once it is available. This requires DOH to scale up its vaccine operations and immunization information system to take on this new body of work. (General Fund - State)
Maintain Core Public Health Data
Funding is provided to support the maintenance and operations of core public health information systems upon the expiration of federal funding from the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009. These five systems are critically important during the COVID-19 pandemic. (General Fund - Federal, General Fund - State)
Sustain Child Profile Health System
Funding is provided to maintain the state’s Child Profile Health Promotion System which delivers critical health messages to parents, well-child visit and immunization information and reminders, and other important public health information. (General Fund - State)
Support Suicide Prevention
Funding is provided to expand on the recommendations of the Action Alliance for Suicide Prevention for a responsive, multi-agency suicide prevention system. Suicide rates continue to rise at an alarming rate in Washington and are much greater than the national average. There is growing evidence to support that the rates will worsen due to depression, sucidial thoughts and ideation, anxiety, and emotional distress as the pandemic and subsequent economic downturn continue. (General Fund - State)
Support Recommendations for CHWs
Funding is provided to implement the 2018 Community Health Workers Task Force recommendations to provide statewide leadership, training, and integration of Community Health Workers (CHWs) with insurers, health care providers, and public health systems. During the COVID-19 response, CHWs have provided critical coordination for case contact tracing and resource access for individuals in isolation and quarantine, particularly for populations with access barriers related to language, culture, mobility, and multiple co-existing health conditions. (General Fund - State)
Maintain HEAL-WA Web Portal
Increased spending authority is provided to maintain the web portal for the Health Electronic Resource for Washington (HEAL-WA). Operation costs are rising as the number of users increase on this portal which is administered through the University of Washington. The department provides the funding to support the portal’s ongoing maintenance to ensure the continuation of this valuable tool to give health care providers access to professional literature and clinical resources. (Health Professions Account - State)
COVID-19: Support HIV Clients
Increased local spending authority is provided to support HIV/AIDS clients during the pandemic 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. The department will use this additional authority to meet current contractual obligations for services currently in place and to expand services to people living with HIV who have lost access to care as a result of the COVID-19 pandemic. (General Fund - Private/Local, General Fund - Local)
Update HELMS Funding
Funding is provided to implement the new Health Care Enforcement and Licensing Modernization Solution (HELMS). This effort, which is under the gated funding oversight process by the Office of the Chief Information Officer (OCIO), will transform licensing and enforcement processes, improve data security, support electronic records management, and improve access to information. (Medical Test Site Licensure Account - State, General Fund - Local, Health Professions Account - State, other funds)
Maintain Developmental Screening
Funding is provided to support the ongoing operations and maintenance of a new Universal Developmental Screening (UDS) data system that will be completed in the fall of 2021. Children with developmental or behavioral disabilities benefit greatly from early intervention, but fewer than half are identified before starting school, when interventions are most effective. (General Fund - State)
Regionalizing Public Health
Funding is provided to support nine regional public health directors as a component of regionalizing public health districts. (Foundational Public Health Servs Ac - State, General Fund - State)
Pension Adjustments, nonrate
This funds the potential impact of Department of Retirement Systems request legislation on pension service credit and benefit calculation. It will prevent budget reductions such as temporary layoffs from negatively affecting employee retirement benefits. (General Fund - State, General Fund - Federal, Health Professions Account - State, other funds)
State Employee Benefits
Health insurance funding is provided for state employees who are not represented by a union, who are covered by a bargaining agreement that is not subject to financial feasibility determination, or who are not part of the coalition of unions for health benefits. The insurance funding rate is $988 per employee per month for fiscal year 2022 and $1,018 per employee per month for fiscal year 2023. (Universal Vaccine Purchase Account - Non-Appropriated, Dedicated Marijuana Acct - State, Model Toxics Control Operating Acct - State, other funds)
WFSE General Government
This adjustment reflects the impact of the 2021-23 collective bargaining agreement. (Medicaid Fraud Penalty Account - State, Medical Aid Account - State, Aquatic Lands Enhancement Account - State, other funds)
Temporary Layoffs and Other Savings
This item reflects savings achieved from temporary layoffs or similar actions. (Biotoxin Account - State, Medicaid Fraud Penalty Account - State, Public Health Supplemental Account - Private/Local, other funds)
Rep Employee Health Benefits
This provides health insurance funding for the master agreement for employee benefits as part of a coalition of unions. The insurance funding rate is $988 per employee per month for fiscal year 2022 and $1,018 per employee per month for fiscal year 2023. (Medicaid Fraud Penalty Account - State, Public Health Supplemental Account - Private/Local, Temporary Worker Housing Account - Non-Appropriated, other funds)
Non-Rep General Wage Increase
This reflects savings from the cancellation of the July 1, 2020 general wage increase for some non-represented, non-classified employees. (Public Health Supplemental Account - Private/Local, Medicaid Fraud Penalty Account - State, Accident Account - State, other funds)
SEIU 1199 General Government
This adjustment reflects the impact of the 2021-23 collective bargaining agreement. (General Fund - Private/Local, General Fund - State, Health Professions Account - State, other funds)
Archives/Records Management
Adjustments are made for each agency’s anticipated share of charges for archives and records management services provided by the Secretary of State’s Office. (General Fund - Federal, General Fund - State, General Fund - Local, other funds)
Audit Services
Adjustments are made for each agency’s anticipated cost of audits performed by the State Auditor’s Office. (Drinking Water Assistance Account - Federal, Health Professions Account - State, General Fund - Private/Local, other funds)
Legal Services
Adjustments are made for each agency’s anticipated cost of legal services provided by the Attorney General’s Office. Because legal services expenditures are based on consumption, funding provided in the central service model is not all inclusive. (General Fund - Local, General Fund - Private/Local, General Fund - Federal, other funds)
CTS Central Services
Adjustments are made to reflect each agency’s anticipated share of charges for Microsoft 365 G5 licenses contracted for state agencies by the Consolidated Technology Services agency. This contract allows the state to achieve economies of scale and administrative efficiencies in the management of licenses. (General Fund - State, General Fund - Federal, General Fund - Local, other funds)
DES Central Services
Adjustments are made to reflect each agency’s anticipated share of charges from the Department of Enterprise Services (DES) for campus rent, utilities, parking, and contracts; capital project surcharges; financing cost recovery; public and historic facilities; real estate services; risk management services; personnel service rates; the Perry Street child care center; small agency services; and the department’s enterprise applications. (Health Professions Account - State, General Fund - Federal, General Fund - State, other funds)
OFM Central Services
Adjustments are made to reflect each agency’s anticipated share of charges for existing statewide financial applications, One Washington, and other central services provided by the Office of Financial Management. (Health Professions Account - State, General Fund - State, General Fund - Local, other funds)
Self-Insurance Liability Premium
Adjustments are made to reflect each agency's share of actuarily projected costs of the Self-Insurance Liability Account. This includes adjustments to existing funding levels as well as enhancements for anticipated liabilities in the 2021-23 biennium. (General Fund - Local, General Fund - State, General Fund - Federal, other funds)
