DAR File No. 31911

Health, Administration

R380-50

Local Health Department Funding Allocation Formula

NOTICE OF PROPOSED RULE

DAR File No.: 31911
Filed: 09/02/2008, 07:07
Received by: NL

RULE ANALYSIS

Purpose of the rule or reason for the change:

Section 26A-1-116 directs the Utah Department of Health to establish by rule a formula for allocating funds by contract to local health departments. This rule amendment reflects a consensus agreement between local health departments and the state health department on that formula, effective 07/01/2008.

Summary of the rule or change:

A baseline reflecting current allocations is adopted. Modified allocations for minimum allocations, population, multi-district, and square mile are proposed.

State statutory or constitutional authorization for this rule:

Title 26A, Chapter 1

Anticipated cost or savings to:

the state budget:

There will be no cost or savings to the state budget from this rule change because it merely allocates existing funding.

local governments:

Local health departments' allocation of funding is maintained at current levels and only future appropriations above those levels will be distributed based on the formula proposed in this rule. All 12 local health departments support this rule change and are aware of any cost or savings that will occur.

small businesses and persons other than businesses:

No change in current service delivery levels to those served by local health departments is expected due to this rule.

Compliance costs for affected persons:

No mandates for regulated entities are present in this rule. No compliance cost for any person is expected.

Comments by the department head on the fiscal impact the rule may have on businesses:

This consensus agreement between local health departments and the state health department on the formula for allocation of funding reflects a high level of cooperation among local and state health and should have a positive fiscal impact on the provision of public health services in Utah. David N. Sundwall, MD, Executive Director

The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

Health
Administration
CANNON HEALTH BLDG
288 N 1460 W
SALT LAKE CITY UT 84116-3231

Direct questions regarding this rule to:

Doug Springmeyer at the above address, by phone at 801-538-6971, by FAX at 801-538-6306, or by Internet E-mail at dspringm@utah.gov

Interested persons may present their views on this rule by submitting written comments to the address above no later than 5:00 p.m. on:

10/15/2008

This rule may become effective on:

10/22/2008

Authorized by:

David N. Sundwall, Executive Director

R380. Health, Administration.

R380-50. Local Health Department Funding Allocation Formula.

R380-50-2. Definitions.

(1) "Contract" means the Public Health Services Contract between the Utah Department of Health and the local health departments through which state block grant funds are distributed.

(2) "District Incentive" means funds allocated to local health departments to encourage them to form and maintain multi-county health departments.

(3) "Funds" means the State General Funds allocated by the Legislature to the Utah Department of Health for distribution to local health departments by contract.

(4) "Local Health Department" means a local health department established under Section 26A-1-102(5).

(5) "Rural County" means a county with a population of less than 100 persons per square mile.

(6) "Total Poverty Population" means the population in a county that is living below the poverty level established by the United States Government Census Bureau reported by Utah Job Service.

([6]7) "Total State Population" means the population figures by county as provided by the State Office of Planning and Budget.

 

R380-50-3. Allocation Procedures.

(1) By a three-fourths vote of its members, the Utah Association of Local Health Officers may, in cooperation with and subject to the approval of the Department of Health, allocate a portion of the funds as necessary to support basic public health programs within every local health department that benefit and are available to all residents of the state. The Department finds that population is not the sole relevant factor in determining need.[In allocating this portion, no local health department may receive less than it received in the prior year, except for years in which the state funding is decreased.]

(2) As of July 1, 2008 each local health department is receiving the following base line funding, which shall remain the same unless new funding is received or cuts are implemented:

Bear River -- $227,277.00

Central -- $294,638.00

Davis -- $132,480.00

Salt Lake -- $451,388.00

Southeast -- $271,595.00

Southwest -- $288,966.00

Summit -- $60,002.00

Tooele -- $95,180.00

Tri-County -- $202,128.00

Utah -- $227,128.00

Wasatch -- $57,552.00

Weber/Morgan -- $188,754.00

(3) The Department adopts the following formula pursuant to Section 26A-1-116 for allocating to local health departments any increases or decreases in funding beyond the amounts reflected in the base line figures in R380-5-3(2).

[(2) The Utah Department of Health finds that population is not the sole relevant factor in determining need and adopts the following formula pursuant to Section 26A-1-116 for allocating to local health departments the funds that remain after the allocation in Subsection R380-50-3(1):

(a) District Incentive Factor: local health departments consisting of at least two counties shall receive 25.29% in accordance with the number of counties within the geographical boundaries of the local health department as follows:

(i) Local health departments with two counties shall receive 10.34% of this amount.

(ii) Local health departments with three counties shall receive 13.79% of this amount.

(iii) Local health departments with four counties shall receive 17.24% of this amount.

(iv) Local health departments with five counties shall receive 20.69% of this amount.

(v) Local health departments with six counties shall receive 24.14% of this amount.](a) Minimum share. Twenty percent divided into twelve equal shares for each local health department.

(b) Rural county and District Incentive Factor. Twenty percent divided among the local health departments with at least one rural county according to the following percentages, however if the number of rural counties within the local health department's boundary changes, the formula will be renegotiated:

(i) rural single county local health department, currently Summit, Tooele and Wasatch counties -- 1.45%

(ii) Multi county local health department with one rural county, currently Weber/Morgan -- 4.35%

(iii) Multi county local health department with three rural counties, currently Bear River and Tri-County -- 13.04%

(iv) Multi county local health department with four rural counties, currently Southeast -- 17.39%

(v) Multi county local health department with five rural counties, currently Southwest -- 21.74%

(vi) Multi county local health department with six rural counties, currently Central -- 26.09%

(b) Population Factor: Forty percent divided among the local health departments [shall receive 28.04% according to]based on the percentage of the total state population living within the geographical boundaries of the local health department according to the most current estimate from the Governor's Office of Planning and Budget.

[(c) Poverty Population Factor: local health departments shall receive 23.34% according to the percentage of the total poverty population of the state living within the geographical boundaries of each local health department.

d](c). Square Mile Factor: Twenty percent divided among the local health departments [shall receive 23.33% ]according to the percentage of the total square miles in the state lying within the geographical jurisdiction of each local health department.

 

KEY: health, local government, funding formula[*]

Date of Enactment or Last Substantive Amendment: [1993]

Notice of Continuation: November 26, 2007

Authorizing, and Implemented or Interpreted Law: 26A-1-116