Missouri Department of Health and Senior Services Fiscal Year 2024 Budget Request, Book 1 of 2

2022·35.6 MB·English

by  Missouri Department of Health and Senior Services

MISSOURI DEPARTMENT OF
H E A L T H &
SENIOR SERVICES
Fiscal Year 2024 Budget Request
Department Request
Paula F. Nickelson
Acting Director
Book 1 of 2
DEPARTMENT OF HEALTH AND SENIOR SERVICES
FISCAL YEAR 2024 BUDGET- DEPARTMENT REQUEST
TABLE OF CONTENTS
Page Page
Department Strategic Placemat ............................................. 1 Division of Community and Public Health .......................... 66
State Auditor’s Reports .......................................................... 2 Core - Community & Public Health Operations .................... 66
Programs Subject to Missouri Sunset Act ........................... 5 C o r e - L ocal Public Health Agencies (Core Functions) ....... 85
Increase - Aid to Local Public Health ............................. 95
Office of the Director .............................................................. 6 Core - Community & Public Health Program/Contracts… . 100
Core - Director’s Office ........................................................... 6 Increase - Cancer Control Funding Pickup ................. 136
Increase - Lead Out of Schools.................................... 158
Division of Administration ................................................... 15 Core - Women’s Health Initiatives ...................................... 183
Core - Administration ........................................................... 15 Core - Extended Women’s Health Services ....................... 212
Core - Health Initiatives Fund Transfer ................................ 32 Core - Nutrition Services ....................................................2 21
Core - Debt Offset Escrow ................................................... 37 Core - Office of Rural Health & Primary Care .................... 239
Core - Refunds ..................................................................... 42 Core - PRIMO ..................................................................... 241
Core - Federal Grants and Donated Funds ......................... 48 Increase - MO Area Education .................................... 272
Increase - State Loan Repayment (SLRP) ................. 276
State Public Health Laboratory ............................................ 56 Increase - Delta Dental ............................................... 285
Core - State Public Health Laboratory ................................. 56 Core - Office of Minority Health .......................................... 288
Core - Public Health / Healthcare Emergency Preparedness
& Response Coordination ....................................... 298
Increase - American Rescue Plan Grants .................... 354
Increase - Infrastructure, Workforce, and Data ............ 359
January2022
M I S S O U R I
Department of Health and Senior Services
Strategic Placemat
We will protect health and keep the people of Missouri safe
Emerging Public Social
Public Health Infant and Whole Person
Health Behavior Health Threats Determinants
System Building Maternal Health Health Access
Preparedness of Health
ModernizeDHSS IT Developenhanced Partnerwith behavioral Developinnovative Developapartnership OptimizeHCBS
infrastructureto newbornscreeningand healthfacilitiestoadopt projectsfundedby betweentheMSPHL operationstoincrease
enhancedatasharing reportingcapabilitiesat andimplementnicotine federalCOVID-19 andlocalpublichealth thetimelinessand
andinteroperability MSPHLtoenableearly addictiontreatmentand fundingopportunities agenciestoprovide qualityofassessments
between systems publichealth tobacco-freepoliciesas moredirectservicesin toenhanceparticipant
interventionefforts astandardofcare underservedareas health
Developaframework
toensureefficientand
CreatetheOneHealth MaintainPAMRboard Increaseparticipationin Establishsmoke-free Developeducational
effectiveuseofOpioid
laboratorycampusto engagementand LifestyleChange policiesand resourcesoncancer
optimizeandshare oversighttoimprove Programsfor SettlementFunds environmental change preventionand
laboratoryresources infantandmaternal Missouriansatriskfor strategiesatthelocal screeningguidelinesfor
acrossagencies healthoutcomes diabetesthrough leveltoimprovehealth communityhealth
promotionalcampaigns outcomes workerstargeting
andpartnershipswith forareasmostinneed disadvantagedand
EstablishtheTitleV healthorganizations uninsuredMissourians
Developaframework
MCH BlockGrant
toapplyprocess Fundcommunitywater
AdvisoryCouncilto
improvement fluoridationprojectto PursuefederalARPA
ensureefficientand
strategiestolicensing repair,replace, and fundingtoexpand
effectiveuseofgrant
andregulation purchaseresourcesto seniorfeeding
funding
procedures improvecitizenoral programsin
healthinareasof underservedareas
greatestrisk
At our core, we at DHSS execute the following foundational responsibilities:
• Providing public health services and supports to all citizens MISSOURI DEPARTMENl' Of'
HEALTH&
• Ensuring regulation of facilities and service providers that deliver care to Missourians
S NIOR S■RVIC■S
• Performing oversight of programs and protections for our elderlyand vulnerable residents
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DHSS Auditor's Reports
PROGRAM OR DIVISION NAME TYPE OF REPORT DATE WEBSITE
ISSUED
State of Missouri / Single Audit / State Auditor’s Report July 2022 https://auditor.mo.gov/AuditReport/CitzSummary?id=929
Year ended June 30, 2021
State of Missouri / Single Audit / State Auditor’s Report May 2021 https://auditor.mo.gov/AuditReport/ViewReport?report=2021
Year ended June 30, 2020 024
State of Missouri / Single Audit / State Auditor’s Report March 2020 https://app.auditor.mo.gov/Repository/Press/202001481677
Year ended June 30, 2019 9.pdf
MO Dept. of Health and Senior Services / State Auditor’s Report August 2021 https://auditor.mo.gov/AuditReport/ViewReport?report=2
Div. of Community and Public Health Bureau of 021049
WIC and Nutrition Services (WICNS); MO WIC
Information Network System (MOWINS)
MO Dept. of Health and Senior Services / Federal Office of March 2020 https://oig.hhs.gov/oas/reports/region7/71803230.pdf
Div. of Regulation and Licensure Section for Long Inspector General Audit
Term Care Regulation
MO Dept. of Health and Senior Services / Federal USDA Food & October 2019 No website. A report hard copy is available upon request.
Div. of Community and Public Health / Child & Nutrition Services (FNS)
Adult Care Food Program (CACFP) Management Evaluation
MO Dept. of Health and Senior Services / Federal Centers For September No website. A report hard copy is available upon request.
Div. of Community and Public Health Bureau of Disease Control & 2019
HIV, STD, Hepatitis (BHSH) Prevention Div. of
Sexually Transmitted
Disease Prevention Site
Visit
MO Dept. of Health and Senior Services / Federal Centers For October 2019 No website. A report hard copy is available upon request.
Div. of Community and Public Health Section for Disease Control &
Disease Prevention (DP) Bureau of Immunization Prevention Technical
(BI) Assistance Site Visit
MO Dept. of Health and Senior Services / Federal Centers For February No website. A report hard copy is available upon request.
Disease Control & 2020
Prevention Site Visit
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Div. of Community and Public Health / Public
Health Emergency Preparedness/Hospital
Preparedness Program (PHEP/HPP)
MO Dept. of Health and Senior Services / Federal Asst. Secretary January 2020 No website. A report hard copy is available upon request.
Div. of Community and Public Health / Public for Preparedness and
Health Emergency Preparedness/Hospital Response (ASPR) Site
Preparedness Program (PHEP/HPP) Visit
MO Dept. of Health and Senior Services / Federal U.S. December No website. A report hard copy is available upon request.
Div. of Community and Public Health / Section for Environmental 2020
Environmental and Public Health (EPH) Protection Agency
Region 7 Lead
Licensing Program
Remote Review
MO Dept. of Health and Senior Services / Federal Health September No website. A report hard copy is available upon request.
Div. of Community and Public Health / Bureau of Resource Service 2021
HIV/STD, Hepatitis (HIV/STD) Administration (HRSA)
HIV/AIDS Ryan White
Program Part B Site
Visit
MO Dept. of Health and Senior Services / Federal U.S. May 2021 No website. A report hard copy is available upon request.
Div. of Community and Public Health / Department of
Commodity Supplemental Food Program (CSFP) Agriculture Mountain
Plains Regional Office
(MPRO) Virtual
Management Evaluation
MO Dept. of Health and Senior Services / Federal Food & Drug March 2021 No website. A report hard copy is available upon request.
Div. of Community and Public Health / Bureau of Administration
Environmental Health Services (EHS) Manufactured Food
Regulatory Program
Standards (MFRPS)
Remote Assessment
MO Dept. of Health and Senior Services / Federal Office of Child October 2021 Program moved from DHSS to DESE 08/28/2021. A report
Div. of Regulation and Licensure / Section for Care Administration for hard copy is available upon request or contact Dept. of
Child Care Regulation Children and Families Elementary and Secondary Education (DESE) for final
report of 09/10/2021.
MO Dept. of Health and Senior Services / Federal Health October 2021 No website. A report hard copy is available upon request.
Div. of Community and Public Health / Bureau of Resources and
HIV/STD, Hepatitis (HIV/STD) Services Administration
(HRSA) HIV/AIDS
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Bureau virtual site
review
MO Dept. of Health and Senior Services / Federal USDA Food & November No website. A report hard copy is available upon request.
Div. of Community and Public Health / Bureau of Nutrition Services (FNS) 2021
Community Food & Nutrition Assistance (CFNA) Mountain Plains
Summer Food Service Program (SFSP) Regional Office (MPRO)
Virtual Site Visit
MO Dept. of Health and Senior Services / Federal Centers For May 2022 No website. A report hard copy is available upon request.
Div. of Community and Public Health Section for Disease Control &
Disease Prevention (DP) Bureau of Opioid Prevention National
Response Center for Injury
Prevention and Control;
Div. of Overdose
Prevention virtual site
visit
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Program Statutes Establishing Sunset Date Review Status
Non-Medicaid Eligible Services Section 208.930, RSMo June 30, 2025 Has not been started.
Radioactive Waste Shipments Section 260.392, RSMo August 28, 2024 Has not been started.
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CORE DECISION ITEM
Health and Senior Services Budget Unit 58015C
Director's Office
Core - Director's Office HB Section 10.600
1. CORE FINANCIAL SUMMARY
FY 2024 Budget Request FY 2024 Governor's Recommendation
GR Federal Other Total GR Fed Other Total
PS 234,966 570,832 0 805,798 PS 0 0 0 0
EE 17,051 66,862 0 83,913 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 252,017 637,694 0 889,711 Total 0 0 0 0
FTE 3.80 7.20 0.00 11.00 FTE 0.00 0.00 0.00 0.00
Est. Fringe I 144,942 I 320,459 I 0 I 465,401 Est. Fringe I 0 I 0 I 0 I 0
Note: Fringes budgeted in House Bill 5 except for certain fringes budgeted Note: Fringes budgeted in House Bill 5 except for certain fringes budgeted
directly to MoDOT, Highway Patrol, and Conservation. Id irectly to MoDOT, Highway Patrol, and Conservation. I
2. CORE DESCRIPTION
The Office of the Director 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. Staff within the Director's Office coordinate
press releases and respond to media requests on health information and the department's social media posts, work on organizational development issues, provide
counsel on regulatory and licensure actions, pursue guardianships for eligible adults, and provide legal assistance to all departmental divisions. This also includes the
Employee Disqualification List (EDL) program that manages all aspects of the statutorily mandated EDL process, including complaint investigations indicating possible
abuse, neglect, misappropriation of funds or property, and falsification of service delivery documents by employees.
3. PROGRAM LISTING (list programs included in this core funding)
DHSS Director's Office
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CORE DECISION ITEM
Health and Senior Services Budget Unit 58015C
Director's Office
Core - Director's Office HB Section 10.600
4. FINANCIAL HISTORY
FY 2020 FY 2021 FY 2022 FY 2023
Actual Actual Actual Current Yr. Actual Expenditures (All Funds)
2,000,000
Appropriation (All Funds) 1,181,513 617,403 738,751 889,711
Less Reverted (All Funds) (7,531) (5,023) (5,938) 0
Less Restricted (All Funds)* 0 0 0 0
Budget Authority (All Funds) 1,173,982 612,380 732,813 889,711
1,500,000
Actual Expenditures (All Funds) 1,084,296 587,611 650,247 N/A
Unexpended (All Funds) 89,686 24,769 82,566 N/A
1,084,296
""
Unexpended, by Fund:
1,000,000
General Revenue 4,609 349 17,123 N/A
~
Federal 85,076 24,421 65,443 N/A
65-0,247
Other 0 0 0 N/A
-587,611 -
500,000
FY 2020 FY 2021 FY 2022
Reverted includes the Governor's standard three percent reserve (when applicable).
Restricted includes any Governor’s expenditure restrictions which remained at the end of the fiscal year (when applicable).
NOTES: FY 2022 lapse represents Deputy Director position which was vacant for a portion of the year.
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