#1West Virginia Department of Health and Human Resources Budget Presentation to the West Virginia Senate Finance Committee January 30, 2023 WEST VIRGINIA Department of Health Humfan Resources#2Secretary's Priorities WEST VIRGINIA Department of Health Humfan Resources • . • • Strengthen and empower a strong leadership team to: • ● Better distribute leadership, management and communication responsibilities Reduce organizational silos and facilitate collaboration Optimize internal workflow Re-shape organizational culture Improve communication across the Department, with legislators, and with other external stakeholders. Improve overall employee morale, recruitment and retention. Take action to improve Child Protective Services and optimize the services provided for West Virginia's most vulnerable populations including those with behavioral health challenges, substance use disorder, and disabilities. 2#3Workforce Issues WEST VIRGINIA Department of Health Humfan Resources "At the most fundamental level, DHHR needs employees to deliver its services to West Virginians." "The first question on the Organization Assessment survey asks: what is the biggest challenge facing your team? Respondents have unlimited space to provide open- ended response. The top three most frequent responses submitted by the thousands of DHHR employees all relate to the workforce: limited staffing and workload; compensation and benefits; and attrition, retention, and hiring." WV DHHR Organization Assessment & Strategic Plan McChrystal Group October 2022 3#4Full-Time Employees by Bureau/Office WEST VIRGINIA Department of Health. Human Resources Bureau for Public Health (BPH) Bureau for Family Assistance (BFA) Bureau Office of Health Facilities (OHF) Bureau for Social Services (BSS) Vacant FTE Filled FTE Total FTE Vacancy Rate 646.50 1,007.20 1,653.70 39.1% 286.50 1,167.50 1,454.00 19.7% 171.99 532.00 703.99 24.4% 13.5% 171.00 1,092.00 1,263.00 Bureau for Child Support Enforcement (BCSE) 118.80 357.80 476.60 24.9% Bureau for Medical Services (BMS) 27.00 82.00 109.00 24.8% Bureau for Behavioral Health (BBH) 14.00 61.00 75.00 18.7% Other (see next slide) DHHR Totals Information as of January 3, 2023 96.00 626.96 722.96 13.3% 1,531.79 4,926.46 6,458.25 23.7% 4#5Full-Time Employees by Bureau/Office, cont. WEST VIRGINIA Department of Health Human Resources Vacancy Other Category Vacant FTE Filled FTE Office of Inspector General 36.00 174.00 Total FTE 210.00 Rate 17.1% Management Information Systems 23.00 115.23 138.23 16.6% Finance 9.00 78.13 87.13 10.3% Human Rights Commission (HRC) 7.00 20.00 27.00 25.9% Secretary's Office 5.00 18.60 23.60 21.2% Office of Human Resource Management 4.00 64.00 68.00 5.9% Operations 3.00 36.00 39.00 7.7% Constituent Services General Counsel Health Care Authority (HCA) Center for Threat Preparedness Office of Drug Control Policy Commission for the Deaf & Hard of Hearing Communications Developmental Disabilities Council Tiger Morton Quality Assurance for Children's Programs 3.00 80.00 83.00 3.6% 2.00 8.00 10.00 20.0% 2.00 6.00 8.00 25.0% 1.00 10.00 11.00 9.1% 1.00 7.00 8.00 12.5% 2.00 2.00 0.0% 2.00 2.00 0.0% 4.00 4.00 0.0% 1.00 1.00 0.0% 1.00 1.00 0.0% Other* 96.00 626.96 722.96 13.3% 5#6Office of Health Facilities - Vacancies WEST VIRGINIA Department of Health Humfan Resources Total Health Facilities Vacant FTEs = 646.5 Positions Vacant > 2 years 293.5 Positions Vacant 1-2 years 169.5 Positions Vacant 6 mo - 1 year 77.5 Positions Vacant < 6 mo 106.0 Total 646.5 Vacant FTEs by Position Licensed Nurses (RN/LPN) 169.0 Nursing Assistants (Certified & Non) 204.0 Environmental Services 67.0 Dietary Services 56.0 Social Services 11.0 Mental Health Therapists 15.0 Other 124.5 Total 646.5 6#7Office of Health Facilities - Vacancies, cont. Historically the most difficult positions to fill include: WEST VIRGINIA Department of Health Human Resources • Licensed Nurses (RNs & LPNs) . Nursing Assistants (Certified) Mental Health Therapists The current vacancies for these job classifications total 388 FTEs to date. Many initiatives have taken place to address these hard to fill positions, including: • Special hiring rates • • Relocation bonuses for both in-state and out-of-state candidates Appointment incentives for new hires • Retention incentives for existing staff Despite the investment in these initiatives, the market driven cost related to contracted staff (agency) continues to be the primary driver of increased cost in care delivery. 7#8Vacant FTEs by Vacancy Date WEST VIRGINIA Department of Health Humfan Resources OHF vacancy % Office of Health to DHHR Timeframe Vacant FTE Facilities (OHF) vacancy Less than 6 mo 550.55 106.00 19% 6 mo to 1 year 243.50 77.50 32% 1 yr to 2 yr 334.75 169.50 51% over 2 years 402.99 293.50 73% Total Vacant FTES 1,531.79 646.50 42% 8#9Bureau for Social Services Initiatives WEST VIRGINIA Department of Health. Human Resources Total Social Service Vacant FTES = 286.50 Critical direct service workers in CPS, APS, YSW are included in this vacant FTE matrix. Focused initiatives to enhance the BSS workforce have included: • Increased base salaries for CPS and YS workers by 15%. With an additional 5% increase included in a Statewide wage increase program. Reevaluate the job description for APS workers to include investigatory responsibilities resulting in a higher paygrade. • . . • Expanded the retention incentive to encourage career ladders for CPS workers. Added two Recruitment and Retention Specialists to provide more attention and urgency to the FTE vacancies in BSS. Initiated a $2,500 hiring incentive for counties with 40% vacancy rates and a $5,000 hiring incentive for the focus market (Berkeley, Jefferson and Morgan counties). Deployed communication to encourage retirees to return as temporary employees per an executive order. Hosted and attended more than 30 recruiting events resulting in more than 270 interviews. 9#10Bureau for Social Services Initiatives, cont. Impact of the December 14, 2022, Announcement WEST VIRGINIA Department of Health Humfan Several of the initiatives previously discussed were included in a December announcement and were also the focus of a social medial campaign. The graph below shows the positive impact of the many efforts in action: Resources Volume of Applicants in Oct Volume of Applicants in 2022 Nov 2022 Volume of Applicants in Dec 2022 Volume of Applicants to- Child Protective Service Worker (CPS) 37 35 70 date Jan 2023 105 110 100 90 80 70 60 50 40 30 20 October 2022 November 2022 December 2022 January 2023 (partial) 10#11Bureau for Social Services Initiatives, cont. Impact of the December 14, 2022 Announcement (cont.) WEST VIRGINIA Department of Health Humfan Since the December announcement the increased applicant volume has resulted in onboarding many new CPS and YS workers. Resources To date: 21 CPS and YS workers have been hired and onboarded. Included in this number are 3 workers specifically hired for the focus market (Berkeley, Jefferson and Morgan counties). 2 retirees have returned as temporary workers helping provide services in Fayette and Raleigh counties. The Recruitment and Retention team currently have 13 full-time CPS and YS workers in pending status beginning the onboarding process. One of the pending workers will provide services in Berkeley County. 11#12Bureau for Social Services Initiatives, cont. Summary of the January 24, 2023 Announcement WEST VIRGINIA Department of Health. Human Resources Based on the progress BSS has made with the deployment of many focused initiatives the month of December, it is encouraging to share additional enhancements announced this month. Focused initiatives to enhance the BSS workforce will include: • • • • Modifying the current retention bonus to a 10% increase to the base salary for those employees who experience their second-year and fourth-year work anniversaries and a 5% increase to the base salary for those employees who experience their sixth-year and eighth-year work anniversaries. Establishing a special hiring rate of $50,000 for CPS workers in the focused market (Berkeley, Jefferson and Morgan counties). Increasing YS classification to the same paygrade as CPS workers resulting in a higher paygrade. Create 37 new paraprofessional and policy and licensing positions to provide needed support to the field staff, which will provide a higher level of care delivery. Purchasing tablets for field staff to better utilize the enhanced capabilities of WV PATH. 12#13DHHR Budget by Funding Source SFY2024 WEST VIRGINIA Department of Health Human Resources Federal Block Grant. $509,410,964 7% Appropriated Special $674,109,932 9% Non-Appropriated Special $113,066,258 1% General Revenue $1,162,257,492 15% Total Department Budget SFY2024 $7,674,467,799 Federal Revenue $5,215,623,153 68% General Revenue Federal Revenue Federal Block Grant Appropriated Special ■Non-Appropriated Special 13#14DHHR Budget SFY2024 BPH HCA $2,306,771 0.03% HRC $2,051,364 0.03% OHF $241,914,877 3.15% $575,612,975 7.50% Total Department Budget SFY2024 $7,674,467,799 BMS $5,397,598,410 70.33% WEST VIRGINIA Department of Health Humfan Resources Other $156,218,252 2.04% BBH $236,213,866 3.08% BFA $506,031,899 6.59% BSS $515,561,687 6.72% Other includes: Management Information Services, Human Resources Management, Finance, Operations, Inspector General, Secretary's Office, Communications, General Counsel, Tiger Morton, Women's Commission, Deaf and Hard of Hearing, Developmental Disabilities Council, Office of Drug Control Policy, Constituent Services, Center for Threat Preparedness, Quality Assurance for Children's Programs BCSE $40,957,698 0.53% 14 14#15DHHR General Revenue Appropriation History DHHR Appropriation History General Revenue SFY2020 WEST VIRGINIA Department of Health Humfan Resources SFY2021 SFY2022 SFY2023 SFY2024 0400 Office of the Secretary 0403 Division of Human Services 0407 Division of Health - 667,244 667,244 667,244 673,296 681,780 975,720,261 842,957,558 882,511,249 876,605,511 846,387,409 90,324,981 82,617,343 73,863,941 76,225,716 82,005,964 0416 - Human Rights Commission 0525 Consolidated Medical Services Fund 0561-W Virginia Drinking Water Treatment TOTAL 238,797,522 231,618,154 225,133,154 226,972,222 1,307,577,153 1,159,927,444 1,184,242,733 1,182,586,248 1,419,645 1,419,645 1,419,645 1,462,003 1,510,946 231,023,893 647,500 647,500 647,500 647,500 647,500 1,162,257,492 15#16Supplemental/Improvement Program Institutional Facilities Operations Program Institutional Facilities Operations Department of Health and Human Resources General Revenue Supplementals / Improvements FY2023 Supplementals (Current year funding request) Fund/Appropriation 0525-33500 WEST VIRGINIA Department of Health Human Resources Fund Name Amount Consolidated Medical Services Fund 12,031,769 Total 12,031,769 FY2024 Improvement (Next year base increase) Fund/Appropriation 0525-33500 Total Fund Name Amount Consolidated Medical Services Fund 12,031,769 12,031,769 16#17COVID Federal Awards WEST VIRGINIA Department of Health Human Resources COVID Federal Awards Funding Description CFDA Period Award Expended Encumbered Anticipated Expenditures Balance not used Supplemental Nutrition Assistance Program (SNAP) Pandemic - PEBT food benefit * Supplemental Nutrition Assistance for Women, Infants, and Children (WIC) Supplemental Nutrition Assistance Program (SNAP) - Administrative Pandemic Electronic Benefit Transfer (P-EBT) Infants & Toddlers Guardianship* ** Pediatric Mental Health Care Access New Area Expansion Rape Prevention and Education Services 988 Cooperative Agreement to Build Local 988 Capacity Immunization Program *** Small Rural Hospital Improvement Program (SHIP) Epidemiology and Laboratory Capacity Information System *** Behavioral Risk Factor Surveillance System (BRFSS): COVID-19 Core Module; COVID-19 Optional Industry and Occupation Module 10.542 293,922,198.00 293,922,198.00 10.557 10/01/20-09/30/21 10.561 03/11/21-09/30/23 5,283,128.00 3,927,193.56 1,355,934.44 7,204,866.35 2,026,833.88 5,178,032.47 10.649 10/01/20-09/30/23 8,275,774.50 2,725,761.00 5,550,013.50 84.181 07/01/21-09/30/23 1,218,273.00 206,650.25 133,000.00 878,622.75 93.090 01/01/20 - 03/31/23 813,172.00 623,204.39 189,967.61 Small Rural Hospital Improvement Program (SHIP) COVID Testing and Mitigation 93.110 09/30/21 - 09/29/23 93.136 06/01/20 - 01/31/21 93.155 07/01/21-06/30/23 93.243 04/30/22 - 04/29/24 93.268 01/20/20-06/30/24 93.301 04/01/20-09/30/21 93.323 01/20/20- 07/31/24 93.336 08/01/21-07/31/23 445,000.00 445,000.00 19,620.00 19,620.00 5,425,896.00 3,174,659.00 1,498,576.00 752,661.00 1,019,464.00 234,052.00 78,018.00 707,394.00 46,127,073.00 1,854,974.00 239,096,263.00 297,432.00 23,516,437.57 11,203,424.19 11,407,211.24 1,854,973.55 0.45 173,096,582.61 268,674.63 41,374,409.95 24,625,270.44 28,757.37 Public Health Emergency Response *** 93.354 03/16/20-06/30/23 16,482,380.00 6,010,522.60 9,623,602.58 Activities to Support State, Tribal, Local and Territorial Health Department Response to Public 93.391 06/01/21 -05/31/23 30,370,777.00 848,254.82 9,306,423.45 12,651,282.71 8,413,070.84 Health or Healthcare Crises Provider Relief Funds *** Promoting Safe and Stable Families 93.498 04/01/20-09/30/22 11,832,628.51 11,802,415.44 93.556 10/01/20-09/30/22 Low Income Home Energy Assistance Program Child Care and Development Block Grant *** Community-Based Child Abuse Prevention Chafee Education and Training Vouchers Developmental Disabilities Temporary Assistance for Needy Families (TANF) Pandemic Emergency Assistance *** 472,497.00 93.558 04/01/21-09/30/22 4,617,546.00 93.568 10/01/19-09/30/23 56,012,460.00 50,528,736.64 93.575 03/27/20-09/30/23 350,668,437.00 291,715,565.57 30,213.07 472,497.00 4,533,202.00 84,344.00 5,483,723.36 58,952,871.43 93.590 04/01/21-09/30/23 1,199,299.00 781,499.00 93.599 10/01/20-09/30/22 851,303.00 71,016.51 93.630 04/01/21-09/30/22 26,695.00 26,695.00 417,800.00 780,286.49 17 17#18COVID Federal Awards, cont. COVID Federal Awards WEST VIRGINIA Department of Health. Human Resources Funding Description CFDA Period Award Expended Encumbered Anticipated Balance not used Expenditures State Planning Grants for Qualifying Community-Based Mobile Crisis Intervention Services Child Welfare Services Foster Care ** Adoption ** Emergency Grants to Address Mental and Substance Use Disorders During COVID-19 Child Abuse State Grants Family Violence Prevention and Services 93.639 09/30/21 - 09/29/23 93.645 03/27/20-09/30/21 847,527.00 847,527.00 276,154.00 93.658 01/01/20-03/31/23 12,597,722.00 93.659 01/01/20 - 03/31/23 93.665 02/01/21 - 05/31/23 93.669 04/01/21 - 09/30/23 93.671 03/27/20-09/30/25 15,980,105.00 276,154.00 8,709,586.00 11,489,133.00 3,888,136.00 4,490,972.00 4,859,649.00 2,713,824.92 2,072,397.51 73,426.57 487,669.00 487,669.00 4,324,253.00 420,672.00 3,903,581.00 Chafee Foster Care Program for Successful Transition to Adulthood Elder Abuse Prevention Interventions 93.674 10/01/20-09/30/22 5,856,961.00 639,667.19 5,217,293.81 Health Facilities Licensure Medicaid ** Maternal, Infant and Early Childhood Home Visiting Bioterrorism Hospital Preparedness Program Ryan White HIV/AIDS Mental Health Block Grant Substance Abuse Prevention and Treatment Block Grant Strengthening STD Prevention and Control Crisis Counseling - Regular Services Program (RSP) Crisis Counseling - Immediate Services Program (ISP) CARES Relief funding (Governor's Office) FEMA (St. Francis Alternate Care Site) FEMA (Nursing Home Testing) FEMA (Public Health Expenditures) 93.747 08/01/21 - 09/30/23 93.777 10/01/19-09/30/21 93.778 01/01/20- 03/31/23 93.870 05/01/21 - 09/30/24 93.889 01/20/20-06/30/21 93.917 04/01/20- 03/31/21 93.958 03/01/21 - 09/30/25 93.959 03/15/21-09/30/25 93.977 01/01/21 - 01/31/23 93.982 09/10/20 - 03/09/22 97.032 05/29/20 - 09/09/20 21.019 04/01/20-09/30/22 1,349,550.00 645,561.00 804,635,247.00 148,491.22 1,201,058.78 278,602.34 366,958.66 656,248,705.16 148,386,541.84 1,649,036.00 1,887,916.00 495,119.00 1,811,517.49 377,159.00 34,148.41 776,758.00 42,250.10 67,853.00 12,549,950.00 14,948,547.00 2,141,760.00 747,017.25 64,759.86 1,991,359.28 2,487,978.93 8,070,611.79 3,395,410.82 4,007,567.84 7,545,568.34 211,361.55 1,183,381.20 3,093.14 850,523.00 842,905.73 7,617.27 123,500.00 116,000.00 7,500.00 33,124,583.12 533,392.00 1,627,400.00 40,285,378.00 33,124,583.12 533,391.72 0.28 1,627,400.00 40,285,377.86 0.14 85,779,621.67 311,234,172.72 1,867,698.48 * PEBT food benefits are not processed through the State Accounting System. They are paid directly from the Federal Line of Credit to retailers. **Above amounts do not include increased FMAP subsequent to March 31, 2023. Additional funding is anticipated in relation to the phase out of the increased FMAP through Dec 2023. *** Period is entire span of funding for CFDA. There are multiple awards with differing periods of performance that fall within the overall span. 2,045,187,392.48 1,646,305,899.61 18#19COVID Federal Awards, cont. American Rescue Plan (ARP) WEST VIRGINIA Department of Health Humfan Resources ⚫ States must use the enhanced funding to supplement existing state funds expended for Medicaid HCBS. This 10% enhanced funding is based on 2022 expenditures; however, states are allowed to spend the enhanced funding through March 31, 2025. The enhanced funding has provided about a 50% increase to direct care rates for home and community-based providers to be extended through March. 19#20COVID Federal Awards, cont. Public Health Emergency (PHE) Unwind WEST VIRGINIA Department of Health Humfan Resources • PHE is set to expire March 31, 2023, and the unwind of FMAP will begin April 2023. • BMS will work with members whose benefits are set to expire to help them through the redetermination process and help the member navigate through all assistance programs available. BMS will process these redeterminations over a 12-month period starting in April. The 6.2 percent enhanced FMAP will be phased out over a nine- month period ● . April-June drops to 5% • July-Sept drops to 2.5% • Oct-Dec drops to 1.5% 20#21Potential Fiscal Impact WEST VIRGINIA Department of Health Humfan Resources DHHR has not introduced legislation that would have a fiscal impact on the 2023 budget. In reference to SB 126/HB 2006, the potential short-term and long-term fiscal impact is still to be determined. DHHR will continue the support to the sub-committees with a priority focus. 21 21#22Addendum Budget Detail WEST VIRGINIA Department of Health Humfan Resources 22#23DHHR Budget by Funding Source SFY2024 FY2024 GOVERNOR'S BUDGET WEST VIRGINIA Department of Health Human Resources GENERAL REVENUE FEDERAL REVENUE Percentage of Amount Total Request $ 1,162,257,492 15.06% $ 5,725,034,117 74.21% APPROPRIATED SPECIAL REVENUE $ 714,309,932 9.26% NON-APPROPRIATED SPECIAL REVENUE $ 113,066,258 1.47% TOTAL $ 7,714,667,799 100.00% 23#24Department General Revenue SFY2024 WEST VIRGINIA Department of Health. Humfan Resources FY2024 APPROPRIATED GENERAL REVENUE GOVERNOR'S RECOMMENDED Fund 0400 Office of the Secretary 681,780 Fund 0403 Division of Human Services 846,387,409 (Social Services, Family Assistance, Medical Services, Child Support Enforcement, Administration and Secretary's Office) Fund 0407 Division of Health - Central Office 82,005,964 Fund 0416 (Public Health, Administration and Secretary's Office) Human Rights Commission Fund 1,510,946 Fund 0525 Division of Health - Consolidated Medical Services (Behavioral Health, Health Facilities) 231,023,893 Fund 0561 Division of Health - WV Drinking Water Treatment 647,500 TOTAL $ 1,162,257,492 24#25Office of the Secretary WEST VIRGINIA Department of Health Humfan Resources DEPARTMENT OF HEALTH AND HUMAN RESOURCES Office of the Secretary Fund 0400 FY2023 Budget Bill Base FY2024 Governor's & Amendments Adjustments Budget Pay Raise Adjustments Improvements Budget 0400 00100 Personal Services 387,664 387,664 1,958 389,622 0400 09900 Unclassified 6,459 6,459 6,459 0400 13000 Current Expense 50,613 50,613 50,613 0400 70400 Commission for the Deaf & Hard-of-Hearing 228,560 228,560 6,526 235,086 Total $ 673,296 673,296 8,484 681,780 25#26Division of Human Services DIVISION OF HUMAN SERVICES Fund 0403 (Social Services, Family Assistance, Medical Services, Child Support Enforcement, Children's Health Insurance Program) WEST VIRGINIA Department of Health Humfan Resources FY2023 Budget Bill & FY2024 Adjustments Pay Raise Governor's Amendments Base Budget Adjustments Improvements Budget 0403 00100 Personal Services $ 53,656,432 0403 00201 Salary & Benefits of Cabinet Secretary and Agency Heads 45,531 60,688 (45,531) 53,717,120 3,048,401 56,765,521 0403 09900 Unclassified $ 5,688,944 5,688,944 5,688,944 0403 13000 Current Expense $ 12,072,050 12,072,050 12,072,050 0403 14400 Child Care Development $ 3,118,451 3,118,451 24,015 3,142,466 0403 18900 Medical Services (MEDICAID) $ 294,317,213 4,438,005 298,755,218 (34,018,790) 264,736,428 0403 19500 Social Services $ 224,656,151 (625,000) 224,031,151 535,438 224,566,589 0403 19600 Family Preservation Program 1,565,000 1,565,000 1,565,000 0403 27400 Family Resource Networks 1,762,464 1,762,464 1,762,464 0403 38400 Domestic Violence Legal Service Fund 400,000 400,000 400,000 0403 45500 James "Tiger" Morton Catastrophic Illness Fund 120,852 249,843 370,695 3,263 373,958 0403 46600 I/DD Waiver 108,541,736 108,541,736 108,541,736 0403 46800 Child Protective Services Case Workers 28,889,529 28,889,529 966,594 29,856,123 0403 53300 Title XIX Waiver for Senior Citizens $ 13,593,620 13,593,620 13,593,620 0403 54700 WV Teaching Hospitals Tertiary/Safety Net 6,356,000 6,356,000 6,356,000 0403 63300 Medical Services - Surplus 8,800,000 (8,800,000) 0403 68800 In-Home Family Education 1,000,000 1,000,000 1,000,000 (0403 continued on next page) 26#27Division of Human Services, cont. WEST VIRGINIA Department of Health Humfan Resources DIVISION OF HUMAN SERVICES Fund 0403 (Continued) (Social Services, Family Assistance, Medical Services, Child Support Enforcement, Children's Health Insurance Program) FY2023 Budget Bill & Adjustments Pay Raise Amendments Base Budget Adjustments Improvements FY2024 Governor's Budget 0403 69800 WV Works Separate State Program $ 1,535,000 1,535,000 1,535,000 0403 70500 0403 70700 0403 70800 0403 75000 Child Support Enforcement $ 6,711,478 6,711,478 265,454 6,976,932 Temporary Assistance for Needy Families/MOE $ 25,819,096 25,819,096 25,819,096 Child Care--Maintenance of Effort and Match Grants For Domestic Violence Shelters $ 5,693,743 5,693,743 5,693,743 0403 75500 0403 75900 Capital Outlay & Maintenance Programs and Statewide Prevention Community Based Services and Pilot $ 2,500,000 2,500,000 2,500,000 $ 11,875 11,875 11,875 Programs for Youth $ 1,000,000 1,000,000 0403 78900 Medical Services Administrative Costs (MEDICAID) $ 43,681,857 43,681,857 125,458 0403 83500 Traumatic Brain Injury $ 800,000 800,000 0403 85100 Indigent Burials $ 1,550,000 1,550,000 1,000,000 43,807,315 800,000 1,550,000 0403 85601 0403 85602 0403 91300 0403 94000 0403 0403 Children's Health Insurance Program $ 701,815 701,815 1,958 703,773 Children's Health Insurance Program $ 6,390,665 4,096,995 10,487,660 4,096,995 14,584,655 BRIM Premium $ 892,642 892,642 892,642 Rural Hospitals Under 150 Beds $ 2,596,000 2,596,000 95100 Children's Trust Fund - Transfer $ 220,000 220,000 95400 PATH $ 7,217,367 7,217,367 58,112 2,596,000 220,000 7,275,479 Total $ 871,905,511 (625,000) 871,280,511 5,028,693 (34,018,790) 4,096,995 846,387,409 Proposed Supplementals: Total 0403 $ 871,905,511 27 22#28DIVISION OF HEALTH Central Office Fund 0407 Division of Health WEST VIRGINIA Department of Health Humfan Resources (Public Health) FY2023 Budget Bill & FY2024 Governor's Adjustments Pay Raise Amendments Base Budget Adjustments Improvements Budget 0407 00100 Personal Services $ 13,051,133 13,051,133 553,090 13,604,223 0407 04500 Chief Medical Examiner $ 8,887,105 8,887,105 199,688 0407 09900 Unclassified $ 671,795 671,795 0407 13000 Current Expense $ 5,388,459 5,388,459 0407 18400 State Aid to Local & Basic Public Health Services $ 15,672,592 15,672,592 1,614,827 0407 18700 Safe Drinking Water Program $ 1,915,528 1,915,528 32,629 9,086,793 671,795 5,388,459 17,287,419 1,948,157 0407 21000 Women, Infants and Children $ 38,621 38,621 38,621 0407 22300 Early Intervention $ 8,134,060 8,134,060 8,134,060 0407 22500 Cancer Registry $ 211,359 211,359 9,854 221,213 0407 35401 Office of Drug Control Policy $ 554,230 554,230 16,314 570,544 0407 38300 0407 42001 0407 46700 Statewide EMS Program Support $ 1,711,912 1,711,912 13,052 1,724,964 Medical Cannabis $ 1,487,219 1,487,219 39,155 1,526,374 Black Lung Clinics $ 170,885 170,885 170,885 0407 55100 Vaccine for Children $ 341,261 341,261 341,261 0407 55300 Tuberculosis Control $ 335,307 335,307 9,789 345,096 0407 57500 Maternal and Child Health Clinics, Clinicians and Medical Contracts and Fees $ 5,905,414 5,905,414 13,704 5,919,118 (0407 continued on next page) 28#29Division of Health, cont. WEST VIRGINIA Department of Health Humfan Resources DIVISION OF HEALTH Central Office (Continued) Fund 0407 (Public Health) Adjustments FY2023 Adjustment FY2024 Budget Bill & One-Time Pay Raise Governor's Amendments Funding Base Budget Adjustments Improvements Budget 0407 62600 Epidemiology Support $ 1,530,473 1,530,473 45,191 1,575,664 0407 62800 Primary Care Support $ 1,233,045 1,233,045 10,115 1,243,160 0407 72300 Sexual Assault Intervention and Prevention $ 2,000,000 2,000,000 2,000,000 0407 72700 Health Right Free Clinics 4,250,000 4,250,000 4,250,000 0407 75500 Capital Outlay & Maintenance $ 70,000 70,000 70,000 0407 77800 Healthy Lifestyles 898,169 898,169 5,547 903,716 0407 83400 Maternal Mortality Review 50,841 50,841 979 51,820 0407 87300 Diabetes Education & Prevention 97,125 97,125 97,125 0407 91300 0407 91800 0407 94400 0407 18499 BRIM Premium 169,791 169,791 169,791 State Trauma & Emergency Care System WVU Charleston Poison Control Hotline 1,936,450 1,936,450 16,314 1,952,764 712,942 712,942 712,942 State Aid to Local & Basic Public Health Services - Surplus 2,000,000 2,000,000 Total $ 77,425,716 77,425,716 2,580,248 2,000,000 82,005,964 Proposed Supplementals: Pregnancy Centers - Surplus 0407-XXXXX 1,000,000 Total 0407 $ 78,425,716 29 29#30Division of Health, cont. WEST VIRGINIA Department of Health Humfan Resources HUMAN RIGHTS COMMISSION Fund 0416 FY2023 Budget Bill & FY2024 Governor's Adjustments Pay Raise Amendments Base Budget Adjustments Improvements Budget 0416 00100 Personal Services $ 1,003,911 1,003,911 48,943 1,052,854 0416 00201 Salary & Benefits of Cabinet Secretary and $ 112,000 112,000 112,000 0416 09900 Unclassified 4,024 4,024 4,024 0416 13000 Current Expense 331,304 331,304 331,304 0416 91300 BRIM Premium 10,764 10,764 10,764 Total $ 1,462,003 1,462,003 48,943 1,510,946 30#31Division of Health, cont. WEST VIRGINIA Department of Health Humfan Resources Consolidated Medical Services Fund Fund 0525 FY2023 Budget Bill & Amendments Adjustments Pay Raise Base Budget Adjustments Improvements FY2024 Governor's Budget 0525 00100 Personal Services 1,693,100 0525 13000 Current Expense 14,113 1,693,100 14,113 61,995 1,755,095 14,113 0525 14902 Jobs & Hope 0 0525 21900 Behavioral Health Program - Unclassified 70,186,648 625,000 70,811,648 68,520 70,880,168 0525 22100 Family Support Act 0 0525 33500 Institutional Facilities Operations 150,992,263 150,992,263 3,296,156 154,288,419 0525 35400 Substance Abuse Continuum Care 1,840,000 1,840,000 1,840,000 0525 75500 Capital Outlay & Maintenance 950,000 950,000 950,000 0525 80400 Renaissance Program 0525 91300 BRIM Premium 1,296,098 1,296,098 1,296,098 Total $ 226,972,222 625,000 227,597,222 3,426,671 231,023,893 Proposed Supplementals: Institutional Facilities Operations - Surplus 0525-63200 12,031,769 Total 0525 $ 12,031,769 31#32Division of Health, cont. WEST VIRGINIA Department of Health Humfan Resources DIVISION OF HEALTH (Public Health) WV Drinking Water Treatment Fund Fund 0561 0561 68900 WV Drinking Water Treatment Revolving Fund --Transfer Adjustments FY2023 Budget Bill FY2024 & Amendments Adjustment One-Time Funding Base Governor's Pay Raise Adjustments Improvements Budget Budget 647,500 647,500 647,500 32#33Department Federal Revenue SFY2024 FY2024 APPROPRIATED FEDERAL REVENUE GOVERNOR'S RECOMMENDED WEST VIRGINIA Department of Health Humfan Resources Fund 8723 Division of Health Consolidated Medical Service Fund (BBH) 8802 Central Office (BPH) 8824 WV Safe Drinking Water Treatment (BPH) 8750 Maternal and Child Health Block Grant (BPH) 8753 8793 8794 Preventive Health Block Grant (BPH) Substance Abuse Prevention and Treatment Block Grant (BBH) Community Mental Health Services Block Grant (BBH) Human Rights Commission Fund 8725 99,252,858 370,847,992 80,753,300 Total Division of Health 555 8722 8755 8757 8816 Consolidated Federal Funds - Human Rights Comm Gen Adm Fund Division of Human Services Consolidated Federal Funds-DHS General Administration (BSS, BFA, BMS, BCSE, CHIP) Energy Assistance Block Grant (BFA) Social Services Block Grant (BSS) Temporary Assistance for Needy Families Block Grant (BFA) 8817 Child Care and Development Block Grant (BFA) Total Division of Human Services $ 669 SA SA SA SA SASA 8,301,126 2,362,747 26,654,425 17,994,496 606,166,944 538,977 538,977 4,664,230,026 70,721,784 18,477,290 133,797,597 $ 231,101,499 5,118,328,196 Total $ 5,725,034,117 33#34Department Special Revenue SFY2024 FY2024 APPROPRIATED SPECIAL REVENUE GOVERNOR'S RECOMMENDED WEST VIRGINIA Department of Health Humfan Resources Fund Division of Health 5111 5144 5156 5163 5172 5183 5204 5214 5218 5420 Ryan Brown Addiction Prevention and Recovery Fund (BBH) Vital Statistics (BPH) Hospital Services Revenue Account (BPH) Laboratory Services (BPH) Health Facility Licensing (Secretary's Office) Hepatitis B Vaccine (BPH) Lead Abatement Fund (BPH) West Virginia Birth-to-Three (BPH) Tobacco Control Special Fund (BPH) Medical Cannabis Program Fund (BPH) $ 10,667,392 $ 4,726,676 $ 86,995,646 3,264,546 $ 797,851 9,740 $ 37,348 $ 34,338,731 $ 7,579 $ 2,555,698 Total Division of Health $ 143,401,207 Health Care Authority 5375 5377 Health Care Cost Review Authority Fund WV Health Care Authority - Certificate of Need Fund Total Health Care Authority 555 $ 1,356,526 $ 950,245 $ 2,306,771 Division of Human Services 5090 5094 Health Care Provider Tax (BMS) Child Support Enforcement 5185 5365 5454 5455 5467 5468 5490 Medical Services Trust Fund (BMS) Division of Human Services Lottery Fund (BMS) James "Tiger" Morton Catastrophic Illness Fund Domestic Violence Legal Services Fund (BFA) WV Works Separate State College Program (BFA) WV Works Separate State Two-Parent Families Program (BFA) Marriage Education Fund $ 393,855,719 38,000,000 $ 55,694,485 $ 77,716,750 $ 400,000 $ 900,000 $ 500,000 $ 1,500,000 $ 35,000 Total Division of Human Services $ 568,601,954 Total $ 714,309,932 34#35Department "Other" Funding SFY2024 FY2024 NON-APPROPRIATED SPECIAL REVENUE Division of Health Vital Statistics Service Fund Indirect Cost of Federal Programs Fund DHHR Special Revenue Trust Account Wellhead Protection Asbestos Abatement Licensure Infectious Medical Waste Nursing Home Licensing Board Certification of ICF/SNF Health Services Fee Insurance Property Loss Claims Fund Public Health Law Fund Breast & Cervical Cancer Diagnostic Treatment Drinking Water Treatment Revolving-Adm. Exp. EMS Licensure Gifts, Grants and Donations Radon Licensure Fund Healthy Lifestyles Fund Vital Statistics Improvement Fund Disastr Funds State Maternal and Child Health - EPSDT Total Division of Health Fund 5101 5107 5112 5113 5115 5117 5118 5119 5139 5146 5178 5197 5201 5205 5207 5208 5224 5225 5231 8740 ᏌᏊ WEST VIRGINIA Department of Health Human Resources 51,000 7,165,697 3,067,734 64,616 399,725 149,399 113,578 2,571,256 SA 1,461,404 56,001 325,000 21,843 3,733,960 454,076 6,965,471 20,000 44,000 263,762 15,016,014 1,210,597 43,155,133 35#36Fund "Other" Funding SFY2024, cont. FY2024 NON-APPROPRIATED SPECIAL REVENUE Division of Human Services National School Lunch Hearing Impaired Domestic Violence Women's Commission 5050 5052 5057 5110 DHHR Criminal Background Check 5450 5465 5469 5065 5362 5360 5084 Gifts, Grants, and Donations Children's Trust Fund Human Services Personal Services Fund Human Services Administrative Expense Fund Welfare Reform (TANF) Medical Services Program Fund Total Division of Human Services Fund Human Rights Commission 5353 Gifts, Grants, and Donations Total Human Rights Commission SA WEST VIRGINIA Department of Health Humfan Resources SA EA 44,208 17,819 600,000 994,104 3,510 1 184,200 142,362 6,952 2,800,000 65,116,528 69,909,684 1,441 1,441 36#37Contact Information Dr. Jeffrey H. Coben Interim Cabinet Secretary West Virginia Department of Health and Human Resources One Davis Square, Suite 100 East Charleston, WV 25301 Phone: (304) 558-0684 Email: [email protected] Website: dhhr.wv.gov Tara Buckner Chief Financial Officer West Virginia Department of Health and Human Resources Phone: (304) 558-9138 Email: [email protected] Starlah Wilcox Chief Budget Officer West Virginia Department of Health and Human Resources Phone: (304) 558-2814 Email: [email protected] WEST VIRGINIA Department of Health Humfan Resources 37