SECTION B: PUBLIC HEALTH & HUMAN SERVICES

1 GOVERNOR STEVE BULLOCK STATE OF MONTANA SECTION B: PUBLIC HEALTH & HUMAN SERVICES Department of PUBLIC HEALTH and HUMAN SERVICES OBPP Staff: Pat Sullivan x 1207 Brian Hannan x 4893 Department of PUBLIC HEALTH & HUMAN SERVICES - 6901069010 Department of PublicHealth& HUMAN ServicesRichard Opper x562202 HUMAN &CommunityServices DivisionJamie Palagi x667603 Child&FamilyServices DivisionMaurita Johnsonx841-241004 Director'sOfficeRichard Opper x562205 Child SupportEnforcement DivisionChad Dexter x184607 PUBLIC HEALTH &Safety DivisionTodd Harwell x030308 Quality AssuranceDivisionBrian Watson x286809 TechnologyServices DivisionStuart Fuller x279410 DevelopmentalServices

2 DivisionRebecca de Camara x695122 Senior&Long-TermCare DivisionBarbara Smith x781133 Addictive&MentalDisorders DivisionZoe Barnard x704406 Business&FinancialServices DivisionBecky Schlauch x940711 HEALTH ResourcesDivisionDuane Preshinger x445812 Medicaid&HealthServices DivisionMary Dalton x408401 Disability EmploymentTransitions DivisionJim Marks x259116 Management&Fair HearingsErica Johnston x9773 MissionStatement-ThemissionoftheMontanaD epartmentofPublicHealthandHumanServices( DPHHS)istoimproveand protect the HEALTH , well-being, and self-reliance of all Authority-Title 2-15-2201, MCAL anguage-The following language is recommended for HB 2:"TheDisabilityEmployment&TransitionsDi visionisappropriated$775,000ofstatespeci alrevenuefromtheMontanaTelecommunication sAccessProgram(MTAP)duringeachyearofthe2 019bienniumtocoveracontingentFCCmandate, whichwouldrequirestatestoprovidebothVide oandInternetProtocolrelayservicesforpeop lewithseverehearing,mobility or speech impairments.

3 ""Iflegislationauthorizingastatutoryappr opriationforSNAP benefits(LC###)isnotpassedandapproved,th eappropriation for the HUMAN and Community SERVICES Division is increased by $179,540,458 federal funds each year." of $564,785 from the counties participating in the intergovernmental transfer program for the nursing of PUBLIC HEALTH & HUMAN SERVICES - 69010 Agency Proposed BudgetBudget ItemTotalExec. BudgetFiscal 2018 TotalExec. BudgetFiscal 2019 TotalExec. Budget2019 BienniumFTE2, , Services194,759,450195,164,570389,924,02 0 Operating Expenses119,456,975119,884,098239,341,07 3 Equipment & Intangible Assets651,721651,7211,303,442 Capital Outlay000 Local Assistance6,000,0006,000,00012,000,000 Grants77,363,20276,863,205154,226,407 Benefits & Claims1,588,447,4321,653,637,9073,242,08 5,339 Transfers2,885,9012,885,9015,771,802 Debt Service292,007292,007584,014 Total Costs$1,989,856,688$2,055,379,409$4,045, 236,097 General Fund518,595,248530,418,3341,049,013,582 State/Other Special169,862,171170,044,668339,906,839 Federal Spec.

4 Rev. Funds1,301,399,2691,354,916,4072,656,315 ,676 Total Funds$1,989,856,688$2,055,379,409$4,045, 236,097 Agency Appropriated Bienniumto Biennium ComparisonProgram2017 BienniumAppropriated Budget2019 BienniumRequested BudgetBiennium to BienniumDifference (dollars)Biennium to BienniumDifference (percent)General FundTotal FundsGeneral FundTotal FundsGeneral FundTotal FundsGeneral FundTotalFunds01 - Disability Employment &Transitions Div12,450,66060,326,92911,034,32857,380, 417(1,416,332)(2,946,512)( )%( )%02 - HUMAN & CommunityServices66,541,486639,815,45978 ,589,263308,070,56012,047,777(331,744,89 9) ( )%03 - Child and Family ServicesDivision89,205,573155,697,92995, 457,615167,860,4416,252,04212,162, - Director's Office6,372,46714,904,8145,660,04214,003 ,365(712,425)(901,449)( )%( )%05 - Child Support EnforcementDivision7,611,73726,330,9677, 351,87625,696,556(259,861)(634,411)( )%( )%06 - Business and FinancialServices Division7,826,34620,401,1657,985,55820,6 25,358159,212224, - PUBLIC HEALTH & Safety Div7,776,850126,699,6597,851,609124,846, 28374,759(1,853,376) ( )

5 %08 - Quality Assurance Division4,989,91418,962,8775,085,75519,0 88,92895,841126, - Technology ServicesDivision23,039,42756,999,65125,1 45,28259,147,7972,105,8552,148, - Developmental ServicesDivision186,660,878604,384,87419 1,827,544626,175,2965,166,66621,790, - HEALTH Resource Division298,821,4101,541,229,589306,074, 8231,654,963,9977,253,413113,734, - Medicaid & HEALTH Svr Mgt4,744,63436,837,6974,674,32137,653,90 0(70,313)816,203( )% - Management and FairHearings1,687,7234,387,0561,751,2404 ,443,85963,51756, - Senior & Long-Term Care150,966,916638,824,979147,534,661621 ,497,801(3,432,255)(17,327,178)( )%( )%33 - Addictive and MentalDisorders Division159,623,048319,423,632152,989,66 5303,781,539(6,633,383)(15,642,093)( )%( )%Agency Total$1,028,319,069$4,265,227,277$1,049, 013,582$4,045,236,097$20,694,513($219,99 1,180) ( )%B-2 Department of PUBLIC HEALTH & HUMAN SERVICES - 69010 Disability Employment & Transitions Div - 0101 Disability EmploymentTransition DivisionJim Marks x2591 Vocational Rehabilitationof Blind&Low Vision FieldServices BureauDisability DeterminationBureauProgramDescription-Th eDisabilityEmploymentandTransitionsDivis ion(DETD)

6 ,DETD includesseveralsmallprogramsservingMonta nans with disabilities and their Proposed BudgetBudget ItemStartingPointFiscal 2017 BudgetAdjustmentsFiscal 2018 TotalExec. BudgetFiscal 2018 BudgetAdjustmentsFiscal 2019 TotalExec. BudgetFiscal 2019 ExecutiveBudget Request2019 Services9,532,929(181,197)9,351,732(147, 627)9,385,30218,737,034 Operating Expenses5,144,001(255,973)4,888,028(255, 376)4,888,6259,776,653 Benefits & Claims14,951,100(542,735)14,408,365(542, 735)14,408,36528,816,730 Transfers25,000025,000025,00050,000 Total Costs$29,653,030($979,905)$28,673,125($9 45,738)$28,707,292$57,380,417 General Fund6,160,497(645,980)5,514,517(640,686) 5,519,81111,034,328 State/Other Special961,863(6,892)954,971(6,293)955,5 701,910,541 Federal Spec.

7 Rev. Funds22,530,670(327,033)22,203,637(298,7 59)22,231,91144,435,548 Total Funds$29,653,030($979,905)$28,673,125($9 45,738)$28,707,292$57,380,417 Program Proposed Budget AdjustmentsBudget AdjustmentsFiscal 2018 Budget AdjustmentsFiscal 2019 General FundTotal FundsGeneral FundTotal FundsStatewide Present Law AdjustmentsSWPL - 1 - Personal SERVICES (43,171)(181,197)(37,961)(147,62 7)SWPL - 2 - Fixed Costs73327128 SWPL - 3 - Inflation Deflation(151)(1,076)(87)(574)Total Statewide Present Law Adjustments($43,315)($182,240)($38,021)( $148,073)New ProposalsNP - 555 - Appropriation Rebase(602,665)(797,665)(602,665)(797,66 5)Total New Proposals($602,665)($797,665)($602,665)( $797,665)Total Budget Adjustments($645,980)($979,905)($640,686 )($945,738)----------------------------S tatewide Present Law Adjustments----------------------------- General Fund TotalTotal FundsFY 2018($43,171)($181,197)FY 2019($37,961)($147,627)

8 SWPL - 1 - Personal SERVICES -Thebudgetincludesareductionof$1 81,197inFY2018and$147,627inFY2019toannua lizevariouspersonalservicescostsincludin gHB13payplanadjustmentsandincreasestosta tesharecostsforhealthinsurancepassedbyth e2015 Legislature,benefitsrateadjustments,long evityandadjustmentsrelatedtoincumbentsin eachpositionatthetimeofthesnapshot, and restoring vacancy savings reductions assessed in the 2019 of PUBLIC HEALTH & HUMAN SERVICES - 69010 Disability Employment & Transitions Div - 01 General Fund TotalTotal FundsFY 2018$7$33FY 2019$27$128 SWPL - 2 - Fixed Costs-Thisrequestincludes$33inFY2018and$ ,legislativeaudit,warrantwriter,payrollp rocessing, are approved in a separate portion of the Fund TotalTotal FundsFY 2018($151)($1,076)FY 2019($87)($574)SWPL - 3 - Inflation Deflation-Thischangepackageincludesaredu ctionof$1,076inFY2018and$ , library books, electricity, gasoline, and Proposals------------------------------- --------General Fund TotalTotal FundsFY 2018($602,665)($797,665)FY 2019($602,665)($797,665)

9 NP - 555 - Appropriation $797,665peryearwasincludedintheagencyred uctionplan submitted in compliance with 17-7-111, of PUBLIC HEALTH & HUMAN SERVICES - 69010 HUMAN & Community SERVICES - 0202 HUMAN &CommunityServices DivisionJamie Palagi x6676 Early ChildhoodBureauSystem OperationServicesField ServicesIntergovernmental HumanServices BureauFiscal BureauPolicy ServicesProgramDescription-TheHumanandCo mmunityServicesDivisionisledbyanadminist ratorandaseniorteam,comprised of associate administrators, bureau chiefs and program managers. There are six main areas: PUBLIC Assistance Business Process and Policy PUBLIC Assistance Data Analytics and Systems PUBLIC Assistance Field SERVICES Early Childhood SERVICES Intergovernmental HUMAN SERVICES PublicAssistanceincludespolicy,process,t raining,andsystemsupportforeligibilityse rvicestoclientsforMontana'sTemporaryAssi stancetoNeedyFamilies(TANF)program,Refug eeAssistanceprogram,theSupplementalNutri tionAssistanceProgram(SNAP),andHealthCov erageincludingMedicaidprogramsandHealthy MontanaKids(HMK)

10 , in addition to supporting the PUBLIC Assistance Helpline and the , self-service ,childprotectiveserviceschildcare,workin gcaretakerrelatives, ,recruitproviders, adults, the Head Start State Collaboration grant, and SERVICES to pregnant and parenting ,thisbureauprovidestheLow-IncomeEnergyAs sistanceandWeatherizationProgramaswellas othersupportsincludingtheemergency solutions grant and USDA food ,analyzes,implements,andmonitorsthedivis ionbudget;purchasessuppliesandequipment; and assists with grant reporting, contracts, and Authority - is in Title 53, Chapter 2, part 2 MCA and 45 of PUBLIC HEALTH & HUMAN SERVICES - 69010 HUMAN & Community SERVICES - 02 Program Proposed BudgetBudget ItemStartingPointFiscal 2017 BudgetAdjustmentsFiscal 2018 TotalExec.