DEPARTMENT OF HEAL TH AND SENIOR SERVICES FISCAL YEAR 2019 BUDGET DEPARTMENT REQUEST Randall W. Williams, MD, FACOG Director DEPARTMENT OF HEALT H AND SENIOR SERVICES FISCAL YEAR 2019 BUDGET TABLE OF CONTENTS Page Page State Auditor's Report ..................................................................... 1 Programs Subject to Missouri Sunset Act ..................................... 2 Office of the Director ........................................................................ 3 - Director's Office ,,,,A Division of Administration ............................................................. 12 Core - Administration Core - Health Initiatives Fund Core - Offset Escrow,,," Core - Refunds Core - Federal Grants and Division of Regulation and Licensure ........................................ 361 Core - and Licensuro Division of Community and Public Health ................................... 48 Core - Division of Public Health Core - Missouri Health Facilities Review Committee,",, Core - Nutrition ",Asnm'AC Core- Core- of Core- PRIMO State Auditor's Reports Program or Division Name Type of Report Date Issued Website State of Missouri/ Single Audit/ Year State Auditor's March 2016 htt12://a1212.auditor.mo.gov/Re12ository/Press/2016016718198.Qdf Ended June 30, 2015 Report State of Missouri/ Single Audit/ Year State Auditor's March 2015 httQ://www.auditor.mo.gov/Re12ository/Press/2015014480075. Qdf Ended June 30, 2014 Report State of Missouri/ Single Audit/ Year State Auditor's March 2014 htt12://www.auditor.mo.gov/12ress/2014017593543. Qdf Ended June 30, 2013 Report State of Missouri/ Single Audit/ Year State Auditor's March 2013 httQ://www.auditor.mo.gov/12ress/2013-024. Qdf Ended June 30, 2012 Report 1 0123456789 Department of Health and Senior Services Programs Subject to Missouri Sunset Act Program Statutes Establishing Sunset Date Review Status Non-Medicaid Eligible Services Section 208.930, RSMo June 30, 2019 Has not been started. Radioactive Waste Shipments Section 260.392, RSMo August28,2024 Has not been started. 2 DO DECISION ITEM SUMMARY Budget Unit Decision Item FY 2017 FY 2017 FY 2018 FY 2018 FY 2019 FY 2019 ************* **********··· Budget Object Summary ACTUAL ACTUAL BUDGET BUDGET DEPT REQ DEPT REQ SECURED SECURED Fund DOLLAR FTE DOLLAR FTE DOLLAR FTE COLUMN COLUMN OFFICE OF THE DIRECTOR CORE PERSONAL SERVICES GENERAL REVENUE 438,511 8.33 452,074 15.82 451,653 15.82 0 0.00 DHSS-FEDERALAND OTHER FUNDS 1,144,174 21.79 1,235,836 17.38 1,235,836 17.38 0 0.00 TOTAL-PS 1,582,685 30.12 1,687,910 33.20 1,687,489 33.20 0 0.00 EXPENSE & EQUIPMENT GENERAL REVENUE 16,211 0.00 16,705 0.00 16,705 0.00 0 ti.oo DHSS-FEDERALAND OTHER FUNDS 89,625 0.00 120,986 0.00 120,986 0.00 0 ti.oo TOTAL-EE 105,836 0.00 137,691 0.00 137,691 0.00 0 b.oo TOTAL 1,688,521 30.12 1,825,601 33.20 1,825,180 33.20 0 b.oo GRAND TOTAL $1,688,521 30.12 $1,825,601 33.20 $1,825,180 33.20 $0 0.00 9/22/17 9: 34 im_disummary 3 CORE DECISION ITEM Health and Senior Services Budget Unit 5801 SC Director's Office Core - Director's Office HB Section 10.600 1. CORE FINANCIAL SUMMARY FY 2019 Budget Request FY 2019 Governor's Recommendation GR Federal Other Total GR Fed Other Total PS 452,074 1,235,836 0 1,687,910 PS 0 0 0 0 EE 16,284 120,986 0 137,270 EE 0 0 0 0 PSD 0 0 0 0 PSD 0 0 0 0 TRF 0 0 0 0 TRF 0 0 0 0 Total 468,358 1,356,822 0 1,825,180 Total 0 0 0 0 FTE 15.82 17.38 0.00 33.20 FTE 0.00 0.00 0.00 0.00 Est. Fringe I 304,932 I 546, 196 I 01 851,128 Est. Fringe I 01 01 01 0 Note: Fringes budgeted in House Bill 5 except for certain fringes Note: Fringes budgeted in House Bill 5 except for certain fringes budgeted directly to MoDOT, Hiqhway Patrol, and Conservation. budgeted directly to MoDOT, Highway Patrol, and Conservation. 2. CORE DESCRIPTION The Office of the Director, which includes the Boards of Health and Senior Services, serves as the focal point for leadership and coordination across the department. The director articulates and reinforces the department's vision and goals to the programs within the department and provides advice and counsel on public health and senior services issues to the governor and the legislature. The director of the Department of Health and Senior Services facilitates the department's partnership with local public health agencies, Area Agencies on Aging, and other organizations addressing public health and senior issues. The Director's Office staff provide administrative leadership, support, coordination, and oversight for the entire department. Within the Director's Office, the Office of General Counsel (OGG) provides legal support to all departmental units. OGG is also responsible for maintaining the Employee Disqualification List, which ensures that individuals that have committed acts of abuse, neglect, misappropriation, or falsification are not employed by health care agencies. The Office of Human Resources provides personnel management services and support for the department. 4 CORE DECISION ITEM Health and Senior Services Budget Unit 5801 SC Director's Office Core -Director's Office HB Section 10.600 3. PROGRAM LISTING (list proarams included in this core fundina) DHSS Director's Office 4. FINANCIAL HISTORY FY 2015 FY 2016 FY 2017 FY 2018 Actual Expenditures (All Funds) Actual Actual Actual Current Yr. Appropriation (All Funds) 2,256,803 1,792,512 1,825,608 1,825,601 2,500,000 Less Reverted (All Funds) 0 (13,797) (14,063) (14,063) Less Restricted (All Funds) 0 0 0 0 2,03.6..,2 78 Budget Authority (All Funds) 2,256,803 1,778,715 1,811,545 1,811,538 2,000,000 Actual Expenditures (All Funds) 2,036,278 1,656,082 1,688,520 N/A Unexpended (All Funds) 220,525 122,633 123,025 N/A 1,656,082 1-,688,520 ·-- - Unexpended, by Fund: 1,500,000 General Revenue 46 0 0 N/A Federal 220,479 122,633 123,025 N/A Other 0 0 0 N/A 1,000,000 FY 2015 FY 2016 FY 2017 Reverted includes the Governor's standard three percent reserve (when applicable). Restricted includes any extraordinary expenditure restrictions (when applicable). NOTES: 5 CORE RECONCILIATION DETAIL - - -- DEPARTMENT OF HEALTH & SENIOR SERVIC - --- OFFICE OF THE DIRECTOR 5. CORE RECONCILIATION DETAIL Budget Class FTE GR Federal Other Total Explanation TAFP AFTER VETOES PS 33.20 452,074 1,235,836 0 1,687,910 EE 0.00 16,705 120,986 0 137,691 Total 33.20 468,779 1,356,822 0 1,825,601 DEPARTMENT CORE ADJUSTMENTS Transfer Out 1010 8443 PS 0.00 (421) 0 0 (421) Transfer to HB12 - Gov Office. Core Reallocation 205 8443 PS 0.00 0 0 0 0 Core Reallocation 212 8445 PS (0.00) 0 0 0 0 NET DEPARTMENT CHANGES (0.00) (421) 0 0 (421) DEPARTMENT CORE REQUEST PS 33.20 451,653 1,235,836 0 1,687,489 EE 0.00 16,705 120,986 0 137,691 Total 33.20 468,358 1,356,822 0 1,825,180 GOVERNOR'S RECOMMENDED CORE PS 33.20 451,653 1,235,836 0 1,687,489 EE 0.00 16,705 120,986 0 137,691 Total 33.20 468,358 1,356,822 0 1,825,180 6 DECISION ITEM DETAIL Budget Unit FY 2017 FY 2017 FY 2018 FY 2018 FY 2019 FY 2019 ************* ************* Decision Item ACTUAL ACTUAL BUDGET BUDGET DEPT REQ DEPT REQ SECURED SECURED Budget Object Class DOLLAR FTE DOLLAR FTE DOLLAR FTE COLUMN COLUMN OFFICE OF THE DIRECTOR CORE ADMIN OFFICE SUPPORT ASSISTANT 67,724 1.98 67,200 1.98 68,196 2.00 0 0.00 SR OFFICE SUPPORT ASSISTANT 40,844 1.36 76,260 2.50 45,251 1.50 0 0.00 PERSONNEL OFFICER 110,391 2.17 101,424 1.98 104,484 2.00 0 0.00 HUMAN RELATIONS OFCR Ill 53,092 1.00 53,136 0.99 53,136 1.00 0 0.00 PERSONNEL ANAL I 31,084 1.00 31,608 0.99 0 0.00 0 0.00 PERSONNEL ANAL II 83,427 2.00 83,496 1.98 121,800 3.00 0 0.00 PUBLIC INFORMATION COOR 39,522 0.85 46,056 0.99 46,056 1.00 0 0.00 TRAINING TECH II 0 0.00 0 0.00 42,780 1.00 0 0.00 TRAINING TECH Ill 47,950 1.00 46,992 0.99 49,116 1.00 0 0.00 PERSONNEL CLERK 100,929 3.03 100,116 2.97 101,064 3.00 0 0.00 VIDEO SPECIALIST 1,396 0.03 0 0.00 0 0.00 0 0.00 HUMAN RESOURCES MGR B1 11,523 0.22 51,081 0.99 0 0.00 0 0.00 HUMAN RESOURCES MGR B2 69,810 1.00 69,870 0.99 69,870 1.00 0 0.00 HEALTH & SENIOR SVCS MANAGER 1 7,540 0.13 0 0.00 0 0.00 0 0.00 STATE DEPARTMENT DIRECTOR 125,477 1.00 124,143 0.99 128,244 1.00 0 0.00 DEPUTY STATE DEPT DIRECTOR 19,794 0.17 20,740 0.99 20,734 1.00 0 0.00 DESIGNATED PRINCIPAL ASST DEPT 34,903 0.54 65,000 1.00 64,903 1.00 0 0.00 PROJECT SPECIALIST 151 0.00 0 0.00 0 0.00 0 0.00 LEGAL COUNSEL 330,500 6.45 364,128 6.93 384,474 7.70 0 0.00 CHIEF COUNSEL 91,407 1.00 91,482 0.99 91,482 1.00 0 0.00 SENIOR COUNSEL 80,005 1.00 80,071 0.99 80,Q?O 1.00 0 0.00 EXECUTIVE 15,358 0.12 0 0.00 0 0.00 0 0.00 SPECIAL ASST PROFESSIONAL 66,531 1.02 63,361 0.99 64,903 1.00 0 0.00 SPECIAL ASST OFFICE & CLERICAL 153,327 3.05 151,746 2.97 150,926 3.00 0 0.00 TOTAL-PS 1,582,685 30.12 1,687,910 33.20 1,687,489 33.20 0 0.00 TRAVEL, IN-STATE 22,685 0.00 9,311 0.00 30,679 0.00 0 0.00 TRAVEL, OUT-OF-STATE 2,467 0.00 4,834 0.00 2,467 0.00 0 0.00 SUPPLIES 39,977 0.00 52,911 0.00 49,977 0.00 0 0.00 PROFESSIONAL DEVELOPMENT 9,776 0.00 11,120 0.00 9,776 0.00 0 0.00 COMMUNICATION SERV & SUPP 6,067 0.00 6,502 0.00 6,067 0.00 0 0.00 PROFESSIONAL SERVICES 16,184 0.00 28,432 0.00 16,184 0.00 0 0.00 M&R SERVICES 150 0.00 2,050 0.00 150 0.00 0 0.00 9/22/17 10:06 Page 1 of 67 im_didetail 7