We promote and protect the

health and safety of Idahoans.

Overview: DHW Budget
and Support Services

Dave Taylor
Deputy Director

January 19, 2010


JFAC Presentation
We promote and protect the
health and safety of Idahoans.
2
Federal Funds
Awarded by grants or contracts
130 different active federal grants
Some open-ended
Received ARRA Funding

Dedicated funds
$s collected for specific purpose
Receipts
Collected for services rendered
DHW Funding Sources
We promote and protect the
health and safety of Idahoans.
3


DHW Revenue By Funding Source
$535.7 M
$1,085.5 M
$106.3 M
$496.0 M
$1,189.8 M
$85.0 M
$118.5 M
$460.7 M
$1,286.1 M
$159.1 M
$112.4 M
$483.3 M
$1,318.6 M
$75.5 M
$101.2 M
$115.4 M
SFY 2008 Expenses SFY 2009 Expenses SFY 2010 Estimated
Expenses
SFY 2011
Recommendation
Receipts
Dedicated Funds
Federal Funds - ARRA
Federal Funds
General Funds
Total Funds
$1,743.2 Million
Total Funds
$1,908.9 Million
Total Funds
$2,050.3 Million
Total Funds
$2,094.0 Million
Dedicated Funds
2008 - $15.7 Million
2009 - $19.6 Million
2010 - $32.0 Million
We promote and protect the
health and safety of Idahoans.
4


DHW Revenue By Funding Source Less Medicaid
$167.4 M
$237.9 M
$23.8 M
$168.4 M
$259.8 M
$2.4 M
$28.1 M
$150.5 M
$282.4 M
$40.6 M
$30.1 M
$146.5 M
$243.3 M
$4.2 M
$29.4 M
SFY 2008 Expenses SFY 2009 Expenses SFY 2010 Estimated
Expenses
SFY 2011
Recommendation
Receipts
Dedicated Funds
Federal Funds - ARRA
Federal Funds
General Funds
Total Funds
$441.8 Million
Total Funds
$472.0 Million
Total Funds
$520.4 Million
Total Funds
$438.5 Million
Dedicated Funds
2008 - $12.7 Million
2009 - $13.3 Million
2010 - $16.8 Million
2011 - $15.1 Million
We promote and protect the
health and safety of Idahoans.
5
DHW 2011 Recommendation by Funding
Source
Dedicated Funds
$101.2 Million
4.8%
Receipts
$115.4 Million
5.5%
Federal Funds
$1,394.1 Million
66.6%
General Funds
$483.3 Million
23.1%
Total Funds
$2,094.0 Million
We promote and protect the
health and safety of Idahoans.
6
DHW Expenses By Category

$177.8 M
$115.7 M
$1,449.7 M
$182.3 M
$138.3 M
$1,588.3 M
$183.8 M
$138.4 M
$1,728.1 M
$176.8 M
$120.1 M
$1,797.1 M
SFY 2008 Expenses SFY 2009 Expenses SFY 2010 Estimated
Expenses
SFY 2011
Recommendation
Trustee and Benefits
Operating and Capital
Personnel
Total Funds
$1,743.2 Million
Total Funds
$1,908.9 Million
Total Funds
$2,050.3 Million
Total Funds
$2,094.0 Million
We promote and protect the
health and safety of Idahoans.
7
DHW 2011 Recommendation by Category

Total Funds
$2,094.0 Million
Trustee and Benefits
$1,797.1 Million
85.8%
Operating and Capital
$120.1 Million
5.7%
Personnel
$176.8 Million
8.5%
We promote and protect the
health and safety of Idahoans.
8
DHW 2011 Recommendation By Division
Medicaid
$1,656 Million
79.1%
Family and Community
Services
$99.8 Million
4.8%
Behavioral Health
$95.2 Million
4.5%
Public Health
$84 Million
4.0%
Support Services
$34 Million
1.6%
Welfare
$125.4 Million
6.0%
Medically Indigent
$0.1 Million
0.01%
Total Funds
$2,094.0 Million
We promote and protect the
health and safety of Idahoans.
9
DHW Expenditures by Category
2011 Governor's Recommendation - Expenditures by Object (all funds)
$-
$250,000,000
$500,000,000
$750,000,000
$1,000,000,000
$1,250,000,000
$1,500,000,000
$1,750,000,000
Total $1,655,523,600 $95,221,900 $99,802,300 $125,400,800 $84,024,600 $33,934,800 $137,500
Trustee/Benefit $1,595,634,600 $37,259,300 $33,321,500 $74,492,800 $56,443,500 $- $-
Operating $42,222,200 $13,901,300 $15,104,500 $19,154,300 $14,989,500 $14,680,700 $27,500
Personnel $17,666,800 $44,061,300 $51,376,300 $31,753,700 $12,591,600 $19,254,100 $110,000
MEDICAID
BEHAVIORAL
HEALTH
FACS WELFARE PUBLIC HEALTH INDIRECT
MEDICALLY
INDIGENT
We promote and protect the
health and safety of Idahoans.
10
DHW Budget - 2010 to 2011
DEPARTMENT OF HEALTH AND WELFARE - GOVERNOR'S 2011 RECOMMENDATION
2011 Total
DEPT 2010 Original Supplementals & Program Line 2011 Inc <Dec> % of
TOTAL Appropriation Base Adjustments Maintenance Items Total vs. 2010 Base Change
Revenue
General 462,027,700 $ (4,460,800) $ 24,284,800 $ 1,437,900 $ 483,289,600 $ 21,261,900 $ 4.6%
Dedicated 27,745,600 $ (1,265,400) $ 72,962,200 $ 1,788,900 $ 101,231,300 $ 73,485,700 $ 264.9%
Receipts 113,719,900 $ 331,600 $ 827,000 $ 508,600 $ 115,387,100 $ 1,667,200 $ 1.5%
Federal 1,394,826,600 $ (32,116,500) $ 26,449,100 $ 4,978,300 $ 1,394,137,500 $ (689,100) $ 0.0%
1,998,319,800 $ (37,511,100) $ 124,523,100 $ 8,713,700 $ 2,094,045,500 $ 95,725,700 $ 4.8%
2011 Total
2010 Original Supplementals & Program Line 2011 Inc <Dec> % of
All Funds Appropriation Base Adjustments Maintenance Items Total vs. 2010 Base Change
Expenditures
Personnel 185,613,700 $ (3,185,600) $ (820,100) $ (4,794,200) $ 176,813,800 $ (8,799,900) $ -4.7%
Operating 135,003,600 $ (24,949,900) $ (1,208,600) $ 11,234,900 $ 120,080,000 $ (14,923,600) $ -11.1%
Capital 643,200 $ (643,200) $ - $ - $ - $ (643,200) $ -100.0%
T&B 1,677,059,300 $ (8,732,400) $ 126,551,800 $ 2,273,000 $ 1,797,151,700 $ 120,092,400 $ 7.2%
1,998,319,800 $ (37,511,100) $ 124,523,100 $ 8,713,700 $ 2,094,045,500 $ 95,725,700 $ 4.8%
We promote and protect the
health and safety of Idahoans.
11
Percent
$ % $ % of Approp.
Personnel 90,834,200 $ 15.5% (7,569,200) $ 14.6% -8.3%
Op / Cap 46,291,100 $ 7.9% (3,390,900) $ 6.5% -7.3%
T&B 450,534,500 $ 76.7% (40,840,500) $ 78.8% -9.1%
TOTAL 587,659,800 $ 100.0% (51,800,600) $ 100.0% -8.8%
FY09 Orig. GF Approp. FY09/10 GF Holdbacks
On-Going
DHW Holdback Summary
We promote and protect the
health and safety of Idahoans.
12
DHW 5% PERSONNEL REDUCTION PLAN
2010
GF Base
Program Personnel Dept's % of
Appropriation 5% Plan GF Approp
SR Operations 14,777,100 $ (1,076,100) $ -7.28%
Medicaid 7,075,100 (413,200) -5.84%
Child Welfare 10,477,300 (670,400) -6.40%
Children's MH 2,720,400 (197,100) -7.25%
Adult MH 12,273,100 (433,400) -3.53%
SHS 9,955,200 119,300 1.20%
SHN 6,215,200 (58,200) -0.94%
Substance Abuse 537,700 (7,600) -1.41%
Indirect Support Services 9,790,700 (587,400) -6.00%
Community DD 4,714,100 (294,300) -6.24%
ISSH 4,622,900 (524,100) -11.34%
Service Integration 874,200 (57,800) -6.61%
Physical Health 1,518,700 (75,900) -5.00%
EMS - - 0.00%
Labs 1,465,800 (73,300) -5.00%
87,017,500 $ (4,349,500) $ -5.00%
We promote and protect the
health and safety of Idahoans.
13
DHW Holdback Strategies 2010 & 2011
2010 2% Reduction
Day Office Closure @ noon on
every other Friday starting January
22
nd
4 hours of Furlough each pay period
2011 4% Reduction
We will review all possibilities to meet
Governors Recommended budget
We promote and protect the
health and safety of Idahoans.
14
Audit Finding: TANF Replacement
Ongoing One-Time
General
Funds
Federal
Funds Total
Personnel
Child Welfare (904,000) $ 904,000 $ - $
LBB - 2 - 20 / Line 5
Children's Mental Health (245,000) $ 245,000 $ - $
LBB - 2 - 70 / Line 5
Trustee & Benefit Payments
Self-Reliance Benefits 2,600,000 $ (2,600,000) $ - $
LBB - 2 - 116 / Line 5
Total 1,451,000 $ (1,451,000) $ - $
We promote and protect the
health and safety of Idahoans.
15
JFAC Presentation


Indirect Support Services
We promote and protect the
health and safety of Idahoans.
16
DHW 2011 Recommendation By Division
Total Funds
$2,094.0 Million
Medicaid
$1,656 Million
79.1%
Family and Community
Services
$99.8 Million
4.8%
Behavioral Health
$95.2 Million
4.5%
Public Health
$84 Million
4.0%
Support Services
$34 Million
1.6%
Welfare
$125.4 Million
6.0%
Medically Indigent
$0.1 Million
0.01%
We promote and protect the
health and safety of Idahoans.
17
Support Services: Revenue by Source
$16.9 M
$17.4 M
$1.1 M
$16.7 M
$16.2 M
$1.3 M
$15.2 M
$17.7 M
$1.0 M
$2.0 M
$15.8 M
$16.4 M

$1.7 M
SFY 2008 Expenses SFY 2009 Expenses SFY 2010 Estimated
Expenses
SFY 2011
Recommendation
Receipts
Dedicated Funds
Federal Funds - ARRA
Federal Funds
General Funds
Total Funds
$35.4 Million
Total Funds
$34.2 Million
Total Funds
$35.9 Million
Total Funds
$33.9 Million
We promote and protect the
health and safety of Idahoans.
18


Day Care Health & Safety Inspections LBB 2-49
Line #14
The Department is requesting receipts authority for the
Criminal History Unit in the amount of $29,900.
Ongoing One-Time
Dedicated
Funds
Dedicated
Funds Total
Personnel - $ - $ - $
Operating 29,900 $ - $ 29,900 $
Capital - $ - $ - $
Total 29,900 $ - $ 29,900 $
We promote and protect the
health and safety of Idahoans.
19
Support Services Legislative Intent
Vehicle Management:
502 vehicles in Departments fleet
Average Annual Usage:
9,260 miles per vehicle
98.5% of new vehicles purchased in 07 & 08
assigned to the field offices
Central Office average miles per vehicle:
80,040 miles
Regional Office average miles per vehicle:
59,145
We promote and protect the
health and safety of Idahoans.
20
Questions



We promote and protect the
health and safety of Idahoans.
DHW Budget
and Support Services

Dave Taylor
Deputy Director

January 19, 2010


JFAC Presentation