1

2011-13 WISCONSIN PUBLIC HEALTH FUNDING

Donna Moore, Operations Director

Department of Health Services

Division of Public Health

2

Appropriation Schedule

All agency appropriations are found under Chapter 20.

S. 20.005 is the biennial appropriation schedule. – This schedule is repealed and recreated in each biennial

budget act.

S. 20.435 is specific to the Department of Health Services (DHS). – Each department has a different 3-digit number. – DHS is set up with a program structure that reflects the division

structure i.e., (1) is Public Health, (4) is Health Care Access and Accountability, etc.

3

2011-13 Wisconsin Total Budget by State Agency – Act 32(All Funds Biennial Budget = $64.3 Billion)

Administration $2.2 b

3%

Public Instruction $12.0 b

19%

Corrections$2.5 b

4%

Shared Revenues & Tax Relief

$4.8 b7%

Transportation $5.7 b

9%

Health Services $18.1 b

29%

Children & Families

$2.2 b3%

All Other State Agencies

$5.9 b9%

University of Wisconsin

$11.0 b17%

4

2011-2013 Wisconsin Total GPR Budget by State Agency – Act 32(Total Biennial Budget = $29.0 Billion)

All OtherState Agencies

$2.2 b8%

Corrections$2.3 b

8%

Shared Revenue $4.3 b16%

Public Instruction

$10.2 b39%

University of Wisconsin

$2.1 b8%

Health Services$5.7 b21%

5

2011-2013 DHS Total Budgetby Division – Act 32(Total Biennial Budget = $18.1 Billion)

Long TermCare

(DLTC)$0.90 b

5%

ExecutiveServices$0.11 b

1%

QualityAssurance

(DQA)$0.05 b

0.3%

Health Care Access & Accountability

(DHCAA)$15.6 b

86%

Facilities$0.75 b

4%

Mental Health & Substance Abuse

Services(DMHSAS)

$0.14 b1%

Public Health(DPH)

$0.54 b3%

6

2011-13 DPH Budget – Act 32By Administration & Aids/Local Assistance(Total Budget = $540.8 Million)

Aids/Local Assistance

$390.4 m72%

Administration$150.3 m

28%

Administration = Funds used for State Operations costs.

Aids/Local Assistance = Funds distributed to LPHDs, providers, etc., for specific objectives.

7

2011-13 DPH Budget By Source of Funds – Act 32 (Total Budget = $540.8 Million)

Segregated$0.6 m

0%

Program-Revenue Service$80.3 m

13%

Program Revenue$70.0 m

11%

Federal$391.6 m

65%

General PurposeRevenue$70.1 m

11%

Program Revenue = Funds generated by fees.

Program Revenue-Service = Funds generated by charging for services within or between state agencies.

Segregated = Funds generated and earmarked for a specific purpose, i.e. gas tax for road building projects.

* Prevention Block Grant reinstated for one year--ends September 30, 2013.8

2011-13 DPH Federal FundingBy Type of Grant(Total Budget = $427.6 Million)

Hospital Preparedness

$12.8 m3%

Maternal & Child Health

$21.4 m5%

Prevention*$4.3 m

1%

Categorical(i.e., non-block

grants)$350.6 m

82%

Public Health Preparedness

$38.5 m9%

9

Statewide LPHD Expenditures by Source of Funds(Total = $150.9 Million)

Donations/Grants

$2.61%

Local Tax/Levy$81.3 m

54%

Federal$49.2 m

23%

State General Purpose Revenue

$8.3 m6%

Fees for Service$3.1 m

16%

10

2011-13 Division of Public HealthAnnual GPR Funding Reductions – Act 32

General Grant Funding– Reduced most general purpose revenue and program

revenue funded grants by 10% as part of a shared budget solution.

– DPH portion -- $4,559,000 per year.

Tobacco Use Control Grants– Reduced by $1,535,000 GPR per year– New funding level is $5,315,000 per year.

11

2011-13 Division of Public HealthAnnual GPR Funding Reductions (con’t)

Family Planning– Reduced by $193,600 GPR per year– Reduced funding to $1,742,000 per year.

Wisconsin State Laboratory of Hygiene– Reduced Basic Agreement by $256,000 GPR

over the biennium ($179,500 in FY12 and $76,500 in FY13).

2011-13 Division of Public HealthNew GPR Funding – Act 32

Grants for Low-Income Dental Clinics– Provided $850,000 GPR per year for grants to non-profit

dental clinics.

Seal-A-Smile Program– Provided $250,000 GPR in FY13 to support school-based

dental sealants.

Well Women Program– Maintained funding at current level of $2,228,200 GPR.

13

2011-13 Division of Public HealthOther Provisions – Act 32

Family Planning GPR Grant Funds– Renamed to “Women’s Health Block Grant.– Required that DHS allocate funding to “public entities” who

may provide these funds to other public/private entities subject to limitations.

Newborn Screening Test Fees– Required DHS to set fee by rule, rather than State Lab of

Hygiene Board. Patient Health Care Records Fee

– Revised statutory fees that providers may charge for copies of patient records.

– Required DHS to update them based on the CPI.– MA recipients can receive copies at a reduced rate.

14

Preparation and Submittal of Agency

Budget Requests

April to September 2012

Review by DOA, Preparation & Submittal of

Governor’s Budget

September 2012 to February 2013

Consideration of Executive Budget Bill by Joint Finance Committee

February through June 2013

The Budget Cycle

Legislative Enactment of Budget

Bill

Summer 2013

Governor’s Vetoes on Budget Bill

Summer 2013

15

Estimated Impact of President’s FFY13 Budget on Public Health Programs(FFY = October 1 – September 30)

Grant FFY 12 FFY 13 (Est) Difference (%)

Title V Maternal and Child Health Block Grant (MCH) $ 10,637,979 $ 10,552,876 -0.8%

ACA - Epidemiology and Laboratory Capacity (ELC) $ 1,270,392 $ 1,270,392 0.0%

Comprehensive STD Prevention Systems (CSPS) $ 967,413 $ 967,413 0.0%

Commodity Supplemental Food Program $ 745,724 $ 763,250 2.4%

Epidemiology and Laboratory Capacity (ELC) $ 887,711 $ 887,711 0.0%

Immunization & Vaccines for Children $ 4,297,557 $ 4,297,557 0.0%

Public Health Emergency Preparedness Cooperative Agreement $ 11,285,615 $ 11,285,615 0.0%

WIC Breastfeeding Peer Counseling Project $ 830,000 $ 830,000 0.0%

WIC Farmers' Market Nutrition Program $ 520,938 $ 520,938 0.0%

The Emergency Food Assistance Program (TEFAP) $ 1,153,240 $ 1,180,687 2.4%

WIC - Supplemental Nutrition Program for Women, Infants, Children $ 85,705,219 $ 89,300,000 4.2%

National Cancer Prevention and Control Program (NCPCP) $ 4,184,381 $ 4,184,381 0.0%

Preventive Health & Health Services Grant $ 1,378,216 $ - -100.0%

Healthy Communities, Tobacco Control, Diabetes Prevention and Control $ 2,187,424 $ - -100.0%

Heart Disease and Stroke Prevention Programs (HDSP) $ 350,000 $ - -100.0%

State Public Health Approaches to Arthritis $ 508,810 $ - -100.0%

16

Estimated Impact of President’s FFY13 Budget on Public Health Programs (con’t)

Grant FFY 12 FFY 13 (Est) Difference (%)

Coordinated Chronic Disease Prevention and Health Promotion Program $ 697,830 $ - -100.0%

Comprehensive Chronic Disease Prevention/Health Promotion Grant $ - Unknown

Tobacco Prevention and Control $ - Unknown

Chronic Disease Self-Management $ - Unknown

Teen Pregnancy Prevention $ - Unknown

Ryan White HIV Care Grant Program Part B (including ADAP) $ 8,910,774 $ 8,732,559 -2.0%

HIV Prevention Cooperative Agreement $ 2,167,772 $ 2,167,772 0.0%

HIV/AIDS Surveillance Cooperative Agreement $ 400,617 $ 380,586 -5.0%

Childhood Lead Poisoning Prevention (Propose to Combine with Asthma) $ 594,000 $ - -100.0%

Addressing Asthma from a Public Health Perspective $ 396,000 $ 396,000 0.0%

Hospital Preparedness Program 2008 $ 6,403,834 $ 4,266,667 -33.0%

National Environmental Public Health Tracking Program Implementation $ 1,100,000 $ 880,000 -20.0%

EPA Indoor Radon Grant $ 278,000 $ - -100.0%

Totals $147,859,446 $142,864,404 -3.4%