Health and Human Services

1 Health and Human Services Health and Human Services programs provide a wide range of Services in the areas of Health care, behavioral Health , public Health , income assistance, social Services , workforce development, child care, and assistance to people with disabilities. These Services are provided to California's residents, including vulnerable and at-risk children and adults, in ways that promote Health and well-being, strengthen and preserve families, and foster independence. 4100 State council on Developmental Disabilities Through programs, projects, and activities consistent with the federal Developmental Disabilities Act and the California Lanterman Developmental Disabilities Services Act, the State council on Developmental Disabilities is responsible for engaging in advocacy, capacity building, and systems change activities that promote self-determination, independence, productivity, and inclusion in all aspects of community life for Californians with developmental disabilities and their families.

2 3-YEAR EXPENDITURES AND POSITIONS Positions Expenditures 2020-21 2021-22 2022-23 2020-21* 2021-22* 2022-23* 3800 State council Planning and Administration $2,490 $2,647 $2,650 3805 Community Program Development - - - 71 260 260 3810 Regional Offices and Regional Advisory Committees 8,460 11,427 10,628 TOTALS, POSITIONS AND EXPENDITURES (All Programs) $11,021 $14,334 $13,538 FUNDING 2020-21* 2021-22* 2022-23* 0890 Federal Trust Fund $6,638 $8,542 $8,101 0995 Reimbursements 4,383 5,792 5,437 TOTALS, EXPENDITURES, ALL FUNDS $11,021 $14,334 $13,538 LEGAL CITATIONS AND AUTHORITY DEPARTMENT AUTHORITY Welfare and Institutions Code, Division , commencing with Section 4520; and Developmental Disabilities Assistance and Bill of Rights Act (Public Law 106-402; 42 United States Code Section 15001).

3 DETAILED BUDGET ADJUSTMENTS 2021-22* 2022-23* General Fund Other Funds Positions General Fund Other Funds Positions Workload Budget Adjustments Other Workload Budget Adjustments Section Ongoing Expenditure Reduction Adjustment $- $-184 - $- $-184 - Salary Adjustments - 274 - - 281 - Benefit Adjustments - 132 - - 155 - Authorized Positions, Salaries, and Wages Realignment - - - - Technical Adjustments (SB170/AB172) - 823 - - - - Retirement Rate Adjustments - -9 - - -9 - Totals, Other Workload Budget Adjustments $- $1,036 $- $243 Totals, Workload Budget Adjustments $- $1,036 $- $243 Totals, Budget Adjustments $- $1,036 $- $243 PROGRAM DESCRIPTIONS 3800 - STATE council PLANNING AND ADMINISTRATION The council is responsible for developing and implementing a State Plan containing goals, objectives, activities, and projected outcomes designed to improve and enhance the availability and quality of Services and supports to individuals with developmental disabilities and their families.

4 The appointed council members engage in policy planning to ensure system coordination, barrier removal, monitoring, and evaluation. Health AND Human SERVICES2022-23 GOVERNOR'S BUDGET HHS 1* Dollars in thousands, except in Salary Range. Numbers may not add or match to other statements due to rounding of budget - COMMUNITY PROGRAM DEVELOPMENT The council administers grants to community-based organizations that fund new and innovative community program development projects to implement State Plan objectives and improve and enhance Services for individuals with developmental disabilities and their families. 3810 - REGIONAL OFFICES AND REGIONAL ADVISORY COMMITTEES Twelve Regional Offices and Regional Advisory Committees provide programmatic support to assist with advocacy, capacity building, systems change, and implementation of State Plan objectives in council Regions throughout California.

5 These offices and advisory committees provide information and data to the council to assess regional needs and implementation of the State Plan for inclusion in reports to the federal government and the Legislature. These offices also carry out direct service supports for pandemic and emergency responses. In addition to implementation of State Plan activities, Regional Office staff support the following activities to improve and enhance the availability and quality of Services for residents of state developmental centers and state-operated community facilities: Advocacy Services through volunteers recruited by council staff for individuals who have no legally appointed representative to assist them in making choices and decisions.

6 Clients' rights advocacy Services to ensure that laws, regulations, and policies pertaining to the rights of persons with developmental disabilities are observed. Quality Assessments for individuals who receive community residential Services and support. DETAILED EXPENDITURES BY PROGRAM 2020-21* 2021-22* 2022-23* PROGRAM REQUIREMENTS 3800 STATE council PLANNING AND ADMINISTRATION State Operations: 0890 Federal Trust Fund $2,490 $2,647 $2,650 Totals, State Operations $2,490 $2,647 $2,650 PROGRAM REQUIREMENTS 3805 COMMUNITY PROGRAM DEVELOPMENT State Operations: 0890 Federal Trust Fund $71 $260 $260 Totals, State Operations $71 $260 $260 PROGRAM REQUIREMENTS 3810 REGIONAL OFFICES AND REGIONAL ADVISORY COMMITTEES State Operations.

7 0890 Federal Trust Fund $4,077 $5,635 $5,191 0995 Reimbursements 4,383 5,792 5,437 Totals, State Operations $8,460 $11,427 $10,628 TOTALS, EXPENDITURES State Operations 11,021 14,334 13,538 Totals, Expenditures $11,021 $14,334 $13,538 EXPENDITURES BY CATEGORY 1 State Operations Positions Expenditures 2020-21 2021-22 2022-23 2020-21* 2021-22* 2022-23* PERSONAL Services Baseline Positions $5,636 $6,129 $6,126 2022-23 GOVERNOR'S BUDGET HHS 24100 State council on Developmental Disabilities - ContinuedHEALTH AND Human Services * Dollars in thousands, except in Salary Range. Numbers may not add or match to other statements due to rounding of budget State Operations Positions Expenditures 2020-21 2021-22 2022-23 2020-21* 2021-22* 2022-23* Authorized Positions, Salaries, and Wages Realignment - - 13 110 Other Adjustments - - -380 274 281 Net Totals, Salaries and Wages $5,256 $6,416 $6,517 Staff Benefits - - - 2,777 3,355 3,378 Totals, Personal Services $8,033 $9,771 $9,895 OPERATING EXPENSES AND EQUIPMENT $3,017 $3,938 $3,383 SPECIAL ITEMS OF EXPENSES -29 625 260 TOTALS, POSITIONS AND EXPENDITURES, ALL FUNDS (State Operations)

8 $11,021 $14,334 $13,538 DETAIL OF APPROPRIATIONS AND ADJUSTMENTS 1 STATE OPERATIONS 2020-21* 2021-22* 2022-23* 0890 Federal Trust Fund APPROPRIATIONS 001 Budget Act appropriation $6,638 $7,938 $8,101 Allocation for Employee Compensation - 181 - Allocation for Staff Benefits - 90 - Section Pension Contribution Adjustment - -6 - Section Ongoing Expenditure Reduction Adjustment - -119 - Prior Year Balances Available: Item 4100-001-0890, Budget Act of 2020 as reappropriated by Item 4100-490, Chapter 696, Statutes of 2021 - 458 - Totals Available $6,638 $8,542 $8,101 TOTALS, EXPENDITURES $6,638 $8,542 $8,101 0995 Reimbursements APPROPRIATIONS Reimbursements $4,383 $5,792 $5,437 TOTALS, EXPENDITURES $4,383 $5,792 $5,437 Total Expenditures, All Funds, (State Operations)

9 $11,021 $14,334 $13,538 CHANGES IN AUTHORIZED POSITIONS Positions Expenditures 2020-21 2021-22 2022-23 2020-21* 2021-22* 2022-23* Baseline Positions $5,636 $6,129 $6,126 Authorized Positions, Salaries, and Wages Realignment - - 13 110 Salary and Other Adjustments - - -380 274 281 Totals, Adjustments $-380 $287 $391 TOTALS, SALARIES AND WAGES $5,256 $6,416 $6,517 4120 Emergency Medical Services Authority The Emergency Medical Services Authority's mission is to provide quality patient care by administering an effective statewide system of coordinated emergency medical care, injury preventions, and disaster medical response that integrates public Health , public safety, and healthcare.

10 Health AND Human SERVICES4100 State council on Developmental Disabilities - Continued2022-23 GOVERNOR'S BUDGET HHS 3* Dollars in thousands, except in Salary Range. Numbers may not add or match to other statements due to rounding of budget EXPENDITURES AND POSITIONS Positions Expenditures 2020-21 2021-22 2022-23 2020-21* 2021-22* 2022-23* 3820 Emergency Medical Services Authority $98,834 $85,393 $58,692 TOTALS, POSITIONS AND EXPENDITURES (All Programs) $98,834 $85,393 $58,692 FUNDING 2020-21* 2021-22* 2022-23* 0001 General Fund $76,092 $60,098 $32,790 0194 Emergency Medical Services Training Program Approval Fund 82 158 241 0312 Emergency Medical Services Personnel Fund 2,633 2,645 3,644 0890 Federal Trust Fund 2,854 4,946 4,466 0995 Reimbursements 15,774 15,832 15,837 3137 Emergency Medical Technician Certification Fund 1,399 1,714 1,714 TOTALS, EXPENDITURES, ALL FUNDS $98,834 $85,393 $58,692 LEGAL CITATIONS AND AUTHORITY DEPARTMENT AUTHORITY Health and Safety Code.