Rep. Norm Thurston — Voting Record

Bill

Number

H.B. 7 (2024GS)

Sponsor

Rep. Ward, R.

Final action

Governor Signed 1/31/2024

Outcome

Became law — signed by Gov. Spencer J. Cox

Summary

What it does

• This bill:
• provides appropriations for the use and support of certain state agencies;
• provides appropriations for other purposes as described; and
• provides intent language.

Every vote on this bill

Bill text

SOCIAL SERVICES BASE BUDGET
2024 GENERAL SESSION
STATE OF UTAH
Chief Sponsor: Raymond P. Ward
Senate Sponsor: Heidi Balderree
=====================================================================
LONG TITLE
General Description:
 This bill supplements or reduces appropriations otherwise provided for the support and operation of state government for the fiscal year beginning July 1, 2023 and ending June 30, 2024 and appropriates funds for the support and operation of state government for the fiscal year beginning July 1, 2024 and ending June 30, 2025.
Highlighted Provisions:
 This bill:
 ▸ provides appropriations for the use and support of certain state agencies;
 ▸ provides appropriations for other purposes as described; and
 ▸ provides intent language.
Money Appropriated in this Bill:
 This bill appropriates ($135,801,700) in operating and capital budgets for fiscal year 2024, including:
 ▸ ($95,092,300) from the General Fund; and
 ▸ ($40,709,400) from various sources as detailed in this bill.
 This bill appropriates ($1,156,400) in expendable funds and accounts for fiscal year 2024.
 This bill appropriates $7,424,500 in business-like activities for fiscal year 2024.
 This bill appropriates $26,565,400 in restricted fund and account transfers for fiscal year 2024, including:
 ▸ ($59,434,400) from the General Fund; and
 ▸ $85,999,800 from various sources as detailed in this bill.
 This bill appropriates ($2,040,500) in fiduciary funds for fiscal year 2024.
 This bill appropriates $9,252,147,700 in operating and capital budgets for fiscal year 2025, including:
 ▸ $1,445,715,800 from the General Fund;
 ▸ $7,174,100 from the Income Tax Fund; and
 ▸ $7,799,257,800 from various sources as detailed in this bill.
 This bill appropriates $36,948,600 in expendable funds and accounts for fiscal year 2025, including:
 ▸ $10,292,900 from the General Fund; and
 ▸ $26,655,700 from various sources as detailed in this bill.
 This bill appropriates $258,008,400 in business-like activities for fiscal year 2025.
 This bill appropriates $298,867,400 in restricted fund and account transfers for fiscal year 2025, including:
 ▸ $40,570,500 from the General Fund;
 ▸ $870,800 from the Income Tax Fund; and
 ▸ $257,426,100 from various sources as detailed in this bill.
 This bill appropriates $221,493,900 in fiduciary funds for fiscal year 2025.
Other Special Clauses:
 Section 1 of this bill takes effect immediately. Section 2 and Section 3 of this bill take effect on July 1, 2024.
Utah Code Sections Affected:
 ENACTS UNCODIFIED MATERIAL
=====================================================================
Be it enacted by the Legislature of the state of Utah:
 Section 1. 
FY 2024 Appropriations. 
The following sums of money are appropriated for the fiscal year beginning July 1, 2023 and ending June 30, 2024. These are additions to amounts otherwise appropriated for fiscal year 2024.
 Subsection 1(a). 
Operating and Capital Budgets. 
Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures Act, the Legislature appropriates the following sums of money from the funds or accounts indicated for the use and support of the government of the state of Utah.
Department of Workforce Services
Item 1
 To Department of Workforce Services - Housing and Community Development
From Federal Funds - American Rescue Plan, One-time 
2,000,000
Schedule of Programs:
Community Services 
2,000,000
 The Legislature intends that $2,000,000 one-time from Federal Funds American Rescue Plan Act provided by this item be used for Washington County Food Bank. The Legislature further intends that funds appropriated by this item from the American Rescue Plan Act may only be expended or distributed for purposes that comply with the legal requirements and federal guidelines under the American Rescue Plan Act of 2021. Additionally, the Legislature intends that the agency administering these funds meet all compliance and reporting requirements associated with these funds, as directed by the Governor's Office of Planning and Budget.
Item 2
 To Department of Workforce Services - State Office of Rehabilitation
From Beginning Nonlapsing Balances 
(927,400)
From Closing Nonlapsing Balances 
500,000
Schedule of Programs:
Executive Director 
(427,400)
Department of Health and Human Services
Item 3
 To Department of Health and Human Services - Operations
From Federal Funds, One-time 
(4,112,700)
From Dedicated Credits Revenue, One-time 
(26,500)
From Revenue Transfers, One-time 
(3,842,700)
From Beginning Nonlapsing Balances 
(405,600)
From Closing Nonlapsing Balances 
(8,361,200)
Schedule of Programs:
Executive Director Office 
(6,362,700)
Ancillary Services 
650,400
Finance & Administration 
(1,619,800)
Data, Systems, & Evaluations 
(6,663,700)
Public Affairs, Education & Outreach 
(424,500)
American Indian / Alaska Native 
(138,300)
Continuous Quality Improvement 
(2,103,800)
Customer Experience 
(86,300)
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report performance measures for the Operations line item, whose mission is "ensure all Utahns have fair and equitable opportunities to live safe and healthy lives." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Number of DHHS audit recommendations unresolved after one year (Target = 5), 2) Percent of strategic objectives that are due and completed per fiscal year (Target = 80%), and 3) Percent of key data systems that are modernized, optimized, and integrated by 2026 (American Rescue Plan Act project tracking) (Target = % of checklist items completed).
Item 4
 To Department of Health and Human Services - Clinical Services
From Federal Funds, One-time 
(17,477,100)
From Dedicated Credits Revenue, One-time 
(3,169,100)
From Expendable Receipts, One-time 
(62,500)
From Revenue Transfers, One-time 
(200,000)
From Beginning Nonlapsing Balances 
9,519,400
From Closing Nonlapsing Balances 
(1,447,200)
Schedule of Programs:
Medical Examiner 
700,000
State Laboratory 
(18,883,600)
Primary Care and Rural Health 
1,000,000
Health Clinics of Utah 
(1,212,600)
Medical Education Council 
509,700
Medical Residency Grant Program 
4,500,000
Forensic Psychiatry Grant Program 
550,000
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following performance measures for the Clinical Services line item, whose mission is to "improve access to physical, mental, and oral healthcare services for underserved populations; work to overcome critical healthcare provider shortages; provide safe and timely access to medical cannabis; and reduce health disparities and advance health equity in Utah". The Department of Health and Human Services shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024 the final status of performance measures established in FY 2024. For FY 2025, the department shall report the following performance measures: 1) Percent of operational units or offices that increase their activity score after participating in the Building Organizational Capacity (BOCA) project (Target = 100%), 2) Percentage of turnaround times standards met (Target = 90%), and 3) Percentage of autopsy reports completed within 60 days (Target = At least 90%).
Item 5
 To Department of Health and Human Services - Department Oversight
From Federal Funds, One-time 
(170,300)
From Dedicated Credits Revenue, One-time 
(235,600)
From Revenue Transfers, One-time 
(33,900)
From Beginning Nonlapsing Balances 
400,400
From Closing Nonlapsing Balances 
(727,600)
Schedule of Programs:
Licensing & Background Checks 
(602,800)
Internal Audit 
(14,500)
Admin Hearings 
(82,500)
Utah Developmental Disabilities Council 
(67,200)
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following performance measures for the Department Oversight line item, whose mission is "protect the public's health through preventing avoidable illness, injury, disability, and premature death; assuring access to affordable, quality health care; and promoting health lifestyles by providing services and oversight of services which are applicable throughout all divisions and bureaus of the Department." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Rate of provider compliance with licensing rules (Target = Improve by 5% from baseline with baseline being developed) and 2) Number of days between criminal record released and staff determination (Target = Within 5 working days of the release of a criminal record).
Item 6
 To Department of Health and Human Services - Health Care Administration
From Federal Funds, One-time 
(53,781,500)
From Ambulance Service Provider Assess Exp Rev Fund, One-time 
(600)
From Revenue Transfers, One-time 
(2,198,300)
From Beginning Nonlapsing Balances 
12,182,300
From Closing Nonlapsing Balances 
(600,000)
Schedule of Programs:
Integrated Health Care Administration 
(54,071,900)
Long-Term Services and Supports Administration 
212,500
Provider Reimbursement Information System for Medicaid 
9,461,300
 The Legislature intends that the Department of Health and Human Services report to the Social Services Appropriations Subcommittee by June 1, 2024 on options to implement a quality-based auto-assignment of Medicaid managed care clients who do not select a health plan.
 The Legislature intends that the Office of Inspector General report by June 1, 2024 to the Social Services Appropriations Subcommittee on results of its analysis of provider preventable conditions reports.
 The Legislature intends that the Departments of Workforce Services and Health and Human Services report on recommendations as well as potential costs and benefits of expanding automation of Medicaid eligibility reviews by June 1, 2024 to the Social Services Appropriations Subcommittee. The report shall include lessons learned from the automation efforts for ex-parte renewals.
 The Legislature intends that the Department of Health and Human Services report to the Social Services Appropriations Subcommittee by June 1, 2024 on the feasibility of primary care health homes focusing on Advancing Care for Exceptional (ACE) kids in Medicaid.
Item 7
 To Department of Health and Human Services - Integrated Health Care Services
From General Fund, One-time 
(94,092,300)
From Federal Funds, One-time 
(83,870,000)
From Federal Funds - Enhanced FMAP, One-time 
21,000,000
From Federal Funds - American Rescue Plan, One-time 
665,000
From Expendable Receipts, One-time 
163,300
From General Fund Restricted - Medicaid Restricted Account, One-time 
77,500,000
From General Fund Restricted - Opioid Litigation Proceeds Restricted Account, One-time 
2,800,000
From Beginning Nonlapsing Balances 
50,892,200
Schedule of Programs:
Children's Health Insurance Program Services 
(25,247,300)
Medicaid Accountable Care Organizations 
(43,339,500)
Medicaid Behavioral Health Services 
163,300
Medicaid Other Services 
49,941,200
Non-Medicaid Behavioral Health Treatment and Crisis Response 
(9,246,200)
State Hospital 
2,786,700
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following performance measures for the Integrated Health Care Services line item, whose mission is "provide access to quality, cost-effective health care for eligible Utahns." The Department of Health and Human Services shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024 the final status of performance measures established in FY 2024. For FY 2025, the department shall report the following performance measures: 1) Percent of Medicaid adults and adolescents with major depressive episodes who receive treatment (Target = Improve from baseline with the baseline being developed), 2) Annual State General Funds Saved Through Preferred Drug List (Target => $20 million), 3) Percent of Medicaid members who promptly receive outpatient treatment after visiting a hospital for mental health issues (Target = National average [for 2020 this was 59%]), 4) Rates of Utahns dying of drug-related causes (Target = Decrease rates of Utah drug deaths by 1 per 100,000 in each year from 2022 through 2027), 5) Percentage of youth clients with improved symptoms, or recovered, as measured by the Youth Outcome questionnaires (Target = 50%), 6) Percentage of adult clients with improved symptoms, or recovered, as measured by the Adult Mental Health Outcome (45% of adults), 7) Utah State Hospital (USH) patients have successful clinical outcomes and are discharged to lower levels of service when appropriate (Target = Delayed Adult Civil bed days will be reduced by 5 percent), 8) Percentage of Individuals Who Transitioned from intermediate care facilities to community-based services (Target = No less than 10% of individuals residing in intermediate care facilities will transition to home and community based services on an annual basis), 9) Percent of Medicaid adult members that receive services from an integrated health plan or other integrated model (Target = 40%), and 10) Percent of clean claims adjudicated by Provider Reimbursement Information System for Medicaid within 30 days of submission (Target = 90%).
 The Legislature intends that $665,000 one-time from the American Rescue Plan Act provided by this item be used for Cherish the Families Support Services in Hildale. The Legislature further intends that funds appropriated by this item from the American Rescue Plan Act may only be expended or distributed for purposes that comply with the legal requirements and federal guidelines under the American Rescue Plan Act of 2021. Additionally, the Legislature intends that the agency administering these funds meet all compliance and reporting requirements associated with these funds, as directed by the Governor's Office of Planning and Budget.
 The Department of Health and Human Services may use up to a combined maximum of $77,500,000 from the General Fund Restricted - Medicaid Restricted Account and associated federal matching funds provided for Integrated Health Care Services only in the case that non-federal fund appropriations provided for FY 2024 in all other items of appropriation within the respective line item are insufficient to pay appropriate claims within the respective line item for FY 2024 when combined with federal matching funds.
 Pursuant to Section 63J-1-603 of the Utah Code, the Legislature intends that up to $15,600,000 General Fund Restricted - Medicaid Restricted Account provided in this line item for the Department of Health and Human Services Integrated Health Care Services line item shall not lapse at the close of FY 2024. The use of any nonlapsing funding is limited to ultra-high cost drugs carved out of Medicaid managed care that cost more than $1.0 million each annually.
Item 8
 To Department of Health and Human Services - Long-Term Services & Support
From Federal Funds, One-time 
(2,823,300)
From Dedicated Credits Revenue, One-time 
(527,200)
From Expendable Receipts, One-time 
(100)
From Beginning Nonlapsing Balances 
15,172,800
Schedule of Programs:
Aging & Adult Services 
(325,500)
Adult Protective Services 
270,200
Office of Public Guardian 
30,900
Services for People with Disabilities 
(19,558,600)
Community Supports Waiver Services 
26,844,400
Utah State Developmental Center 
4,560,800
Item 9
 To Department of Health and Human Services - Public Health, Prevention, and Epidemiology
From Beginning Nonlapsing Balances 
1,251,200
Schedule of Programs:
Communicable Disease 
234,000
Health Promotion and Prevention 
630,300
Emergency Medical Services and Preparedness 
(509,100)
Local Health Departments 
25,000
Population Health 
871,000
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following performance measures for the Public Health, Prevention, and Epidemiology line item, whose mission is "prevent chronic disease and injury, rapidly detect and investigate communicable diseases and environmental health hazards, provide prevention-focused education, and institute control measures to reduce and prevent the impact of disease." The Department of Health and Human Services shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024 the final status of performance measures established in FY 2024. For FY 2025, the department shall report the following performance measures: 1) Decreasing the number and percentage of Utahns who experience a preventable illness or injury of public health concern (Target = Improve from baseline with the baseline being developed), 2) Decrease the percent of Utah Adults who report fair or poor general health in very high Health Improvement Index areas (Target = Decrease by 1% annually), 3) Proportion of state, federal, and private funding allocated to essential public health services (Target = Increase in state investment into essential public health services), and 4) Percentage of rules, disease plans, and response plans that are current (Target = 95%).
Item 10
 To Department of Health and Human Services - Children, Youth, & Families
From General Fund, One-time 
(1,000,000)
From Federal Funds, One-time 
(32,846,400)
From Dedicated Credits Revenue, One-time 
(1,961,900)
From Expendable Receipts, One-time 
(278,400)
From Expendable Receipts - Rebates, One-time 
(885,800)
From Revenue Transfers, One-time 
(7,120,000)
From Beginning Nonlapsing Balances 
1,595,300
From Closing Nonlapsing Balances 
(3,714,500)
Schedule of Programs:
Child & Family Services 
(1,384,200)
Domestic Violence 
1,000,000
Out-of-Home Services 
(8,218,800)
Adoption Assistance 
(51,700)
Child Abuse Prevention and Facility Services 
(1,176,600)
Children with Special Healthcare Needs 
(28,054,200)
Maternal & Child Health 
(24,681,700)
Family Health 
(8,571,700)
Office of Coordinated Care and Regional Supports 
1,753,300
DCFS Selected Programs 
(122,100)
Office of Early Childhood 
23,296,000
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report performance measures for the Child, Youth, & Families line item, whose mission is "to keep children safe from abuse and neglect and provide domestic violence services by working with communities and strengthening families." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Percent of children who demonstrated improvement in social-emotional skills, including social relationships. (Target = At least 56%); 2) Percent of children confirmed as victims of abuse or neglect who experienced repeat maltreatment within 12 months (Target = 9.7% or less); 3) Number and percent of reunification (Reunification is the process of returning children in temporary out-of-home care to their families of origin) (Target = 2% increase over the FY21 rate); 4) Case worker turnover rate (Target = 22.4% reduction in turnover); 5) Average number of case workers per case (may include more than 1 child) (Target = 5% decrease over the FY22 rate); and 6) Average number of placements (including foster families) per child (Target = 4.48 moves per 1,000 days).
Item 11
 To Department of Health and Human Services - Office of Recovery Services
From Federal Funds, One-time 
(121,000)
From Dedicated Credits Revenue, One-time 
(1,282,400)
From Expendable Receipts, One-time 
(2,880,400)
From Revenue Transfers, One-time 
(260,100)
Schedule of Programs:
Recovery Services 
3,305,800
Child Support Services 
(5,976,900)
Children in Care Collections 
(1,065,100)
Attorney General Contract 
(688,100)
Medical Collections 
(119,600)
 Subsection 1(b). 
Expendable Funds and Accounts. 
The Legislature has reviewed the following expendable funds. The Legislature authorizes the State Division of Finance to transfer amounts between funds and accounts as indicated. Outlays and expenditures from the funds or accounts to which the money is transferred may be made without further legislative action, in accordance with statutory provisions relating to the funds or accounts.
Department of Workforce Services
Item 12
 To Department of Workforce Services - Intermountain Weatherization Training Fund
From Dedicated Credits Revenue, One-time 
(69,800)
From Lapsing Balance 
69,800
Item 13
 To Department of Workforce Services - Utah Community Center for the Deaf Fund
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Utah Community Center for the Deaf Fund, whose mission is to "provide services in support of creating a safe place, with full communication where every Deaf, Hard of Hearing and Deafblind person is embraced by their community and supported to grow to their full potential." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Increase the number of individuals accessing interpreter certification exams in Southern Utah (Target=25).
Department of Health and Human Services
Item 14
 To Department of Health and Human Services - Allyson Gamble Organ Donation Contribution Fund
From Beginning Fund Balance
284,300
From Closing Fund Balance
(426,700)
Schedule of Programs:
Allyson Gamble Organ Donation Contribution Fund 
(142,400)
Item 15
 To Department of Health and Human Services - Neuro-Rehabilitation Fund
From Beginning Fund Balance
384,200
From Closing Fund Balance
(1,170,500)
Schedule of Programs:
Neuro-Rehabilitation Fund 
(786,300)
Item 16
 To Department of Health and Human Services - Brain Injury Fund
From Beginning Fund Balance
(93,200)
From Closing Fund Balance
(134,500)
Schedule of Programs:
Brain Injury Fund 
(227,700)
Item 17
 To Department of Health and Human Services - Maurice N. Warshaw Trust Fund
From Beginning Fund Balance
5,200
From Closing Fund Balance
(5,200)
Item 18
 To Department of Health and Human Services - Out and About Homebound Transportation Assistance Fund
From Beginning Fund Balance
66,400
From Closing Fund Balance
(66,400)
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report performance measures for the Out and About Homebound Transportation Assistance Fund. The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024 the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measure: 1) Number of internal reviews completed for compliance with statute, federal regulations, and other requirements (Target = 1).
Item 19
 To Department of Health and Human Services - Utah State Developmental Center Long-Term Sustainability Fund
From Beginning Fund Balance
1,963,600
From Closing Fund Balance
(1,963,600)
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report performance measures for the Utah State Developmental Center Long-Term Sustainability Fund. The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024 the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Number of internal reviews completed for compliance with statute, federal regulations, and other requirements (Target = 1).
Item 20
 To Department of Health and Human Services - Utah State Developmental Center Miscellaneous Donation Fund
From Beginning Fund Balance
(573,300)
From Closing Fund Balance
573,300
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report performance measures for the Utah State Developmental Center Miscellaneous Donation Fund. The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024 the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measure: 1) Number of internal reviews completed for compliance with statute, federal regulations, and other requirements (Target = 1).
Item 21
 To Department of Health and Human Services - Utah State Developmental Center Workshop Fund
From Beginning Fund Balance
(16,200)
From Closing Fund Balance
16,200
Item 22
 To Department of Health and Human Services - Utah State Hospital Unit Fund
From Beginning Fund Balance
(245,200)
From Closing Fund Balance
245,200
Item 23
 To Department of Health and Human Services - Mental Health Services Donation Fund
From Beginning Fund Balance
109,800
From Closing Fund Balance
(109,800)
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report performance measures for the Mental Health Services Donation Fund. The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024 the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measure: 1) Number of internal reviews completed for compliance with statute, federal regulations, and other requirements (Target = 1).
Item 24
 To Department of Health and Human Services - Suicide Prevention and Education Fund
From Beginning Fund Balance
212,600
From Closing Fund Balance
(212,600)
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report performance measures for the Suicide Prevention and Education Fund. The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024 the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measure: 1) Number of internal reviews completed for compliance with statute, federal regulations, and other requirements (Target = 1).
Item 25
 To Department of Health and Human Services - Pediatric Neuro-Rehabilitation Fund
From Beginning Fund Balance
39,900
From Closing Fund Balance
(39,900)
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following performance measure for the Pediatric Neuro-Rehabilitation Fund, whose mission is "The Violence and Injury Prevention Program is a trusted and comprehensive resource for data related to violence and injury. Through education, this information helps promote partnerships and programs to prevent injuries and improve public health." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measure: 1) Percentage of children that had an increase in functional activity (Target = 70%).
 Subsection 1(c). 
Business-like Activities. 
The Legislature has reviewed the following proprietary funds. Under the terms and conditions of Utah Code 63J-1-410, for any included Internal Service Fund, the Legislature approves budgets, full-time permanent positions, and capital acquisition amounts as indicated, and appropriates to the funds, as indicated, estimated revenue from rates, fees, and other charges. The Legislature authorizes the State Division of Finance to transfer amounts between funds and accounts as indicated.
Department of Health and Human Services
Item 26
 To Department of Health and Human Services - Qualified Patient Enterprise Fund
From Dedicated Credits Revenue, One-time 
2,305,400
From Revenue Transfers, One-time 
1,422,600
From Beginning Fund Balance
5,838,900
From Closing Fund Balance
(2,142,400)
Schedule of Programs:
Qualified Patient Enterprise Fund 
7,424,500
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following performance measure for the Center for Medical Cannabis, whose mission is to "provide safe and timely access to medical cannabis." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measure: 1) Audit compliance rate of recommending medical providers, medical cannabis cardholders, and pharmacy medical providers (Target = 95%).
 Subsection 1(d). 
Restricted Fund and Account Transfers. 
The Legislature authorizes the State Division of Finance to transfer the following amounts between the following funds or accounts as indicated. Expenditures and outlays from the funds to which the money is transferred must be authorized by an appropriation.
Item 27
 To Ambulance Service Provider Assessment Expendable Revenue Fund
From Dedicated Credits Revenue, One-time 
(1,898,900)
Schedule of Programs:
Ambulance Service Provider Assessment Expendable Revenue Fund 
(1,898,900)
Item 28
 To Hospital Provider Assessment Fund
From Dedicated Credits Revenue, One-time 
57,211,300
Schedule of Programs:
Hospital Provider Assessment Expendable Special Revenue Fund 
57,211,300
Item 29
 To Medicaid Expansion Fund
From General Fund, One-time 
(59,434,400)
From Expendable Receipts, One-time 
(61,900)
From Revenue Transfers, One-time 
3,074,300
From Beginning Fund Balance
23,489,700
From Closing Fund Balance
7,512,100
Schedule of Programs:
Medicaid Expansion Fund 
(25,420,200)
Item 30
 To Nursing Care Facilities Provider Assessment Fund
From Dedicated Credits Revenue, One-time 
(3,968,600)
Schedule of Programs:
Nursing Care Facilities Provider Assessment Fund 
(3,968,600)
Item 31
 To General Fund Restricted - Medicaid Restricted Account
From Beginning Fund Balance
59,661,400
From Closing Fund Balance
(59,661,400)
Item 32
 To Adult Autism Treatment Account
From Beginning Fund Balance
641,800
Schedule of Programs:
Adult Autism Treatment Account 
641,800
 Subsection 1(e). 
Fiduciary Funds. 
The Legislature has reviewed proposed revenues, expenditures, fund balances, and changes in fund balances for the following fiduciary funds.
Department of Health and Human Services
Item 33
 To Department of Health and Human Services - Human Services Client Trust Fund
From Beginning Fund Balance
(136,700)
From Closing Fund Balance
(1,903,800)
Schedule of Programs:
Human Services Client Trust Fund 
(2,040,500)
Item 34
 To Department of Health and Human Services - Human Services ORS Support Collections
From Beginning Fund Balance
2,203,700
From Closing Fund Balance
(2,203,700)
Item 35
 To Department of Health and Human Services - Utah State Developmental Center Patient Account
From Beginning Fund Balance
(112,100)
From Closing Fund Balance
112,100
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report the final status of performance measures established in FY 2024 appropriations bills for the Utah State Developmental Center Patient Account line item to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024. For FY 2025, the Department of Health and Human Services shall report on the following performance measure: 1) Number of internal reviews completed for compliance with statute, federal regulations, and other requirements (Target = 1).
Item 36
 To Department of Health and Human Services - Utah State Hospital Patient Trust Fund
From Beginning Fund Balance
193,100
From Closing Fund Balance
(193,100)
 Section 2. 
FY 2025 Appropriations. 
The following sums of money are appropriated for the fiscal year beginning July 1, 2024 and ending June 30, 2025.
 Subsection 2(a). 
Operating and Capital Budgets. 
Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures Act, the Legislature appropriates the following sums of money from the funds or accounts indicated for the use and support of the government of the state of Utah.
Department of Workforce Services
Item 37
 To Department of Workforce Services - Administration
From General Fund 
4,848,900
From Federal Funds 
10,712,900
From Dedicated Credits Revenue 
123,600
From Expendable Receipts 
121,800
From Education Savings Incentive Restricted Account 
870,800
From Gen. Fund Rest. - Homeless Housing Reform Rest. Acct 
23,000
From Housing Opportunities for Low Income Households 
5,100
From Medicaid Expansion Fund 
1,200
From Navajo Revitalization Fund 
11,700
From Olene Walker Housing Loan Fund 
25,500
From OWHT-Fed Home 
5,100
From OWHTF-Low Income Housing 
21,600
From Permanent Community Impact Loan Fund 
96,100
From Permanent Community Impact Bonus Fund 
68,400
From Qualified Emergency Food Agencies Fund 
4,200
From General Fund Restricted - School Readiness Account 
18,300
From Revenue Transfers 
3,965,700
From Uintah Basin Revitalization Fund 
3,700
Schedule of Programs:
Administrative Support 
13,686,100
Communications 
1,565,100
Executive Director's Office 
1,573,500
Human Resources 
2,130,100
Internal Audit 
1,972,800
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Administration line item, whose mission is to "be the best-managed State Agency in Utah." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) provide accurate and timely department-wide fiscal administration as measured by audit findings or responses (Target: zero audit findings); 2) percent of DWS programs/systems that have reviewed, planned for, or mitigated identified risks (Target: 100%); and 3) percent of DWS facilities for which an annual facilities risk assessment is completed using the Division of Risk Management guidelines and checklist (Target: 98%).
Item 38
 To Department of Workforce Services - Community Development Capital Budget
From Permanent Community Impact Loan Fund 
93,060,000
Schedule of Programs:
Community Impact Board 
93,060,000
Item 39
 To Department of Workforce Services - General Assistance
From General Fund 
4,341,000
From Revenue Transfers 
255,800
Schedule of Programs:
General Assistance 
4,596,800
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the General Assistance line item, whose mission is to "provide temporary financial assistance to disabled adults without dependent children to support basic living needs as they seek longer term financial benefits through SSI/SSDI or employment." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) positive closure rate (SSI achievement or closed with earnings) (Target = 65%), 2) General Assistance average monthly customers served (Target = 730), and 3) internal review compliance accuracy (Target = 95%).
Item 40
 To Department of Workforce Services - Housing and Community Development
From General Fund 
1,638,900
From Federal Funds 
49,189,600
From Dedicated Credits Revenue 
902,600
From Expendable Receipts 
1,292,400
From Housing Opportunities for Low Income Households 
555,300
From Navajo Revitalization Fund 
63,300
From Olene Walker Housing Loan Fund 
643,000
From OWHT-Fed Home 
555,300
From OWHTF-Low Income Housing 
552,700
From Permanent Community Impact Loan Fund 
771,800
From Permanent Community Impact Bonus Fund 
588,000
From Qualified Emergency Food Agencies Fund 
37,900
From Revenue Transfers 
614,700
From Uintah Basin Revitalization Fund 
44,900
Schedule of Programs:
Community Development 
8,124,300
Community Development Administration 
1,490,700
Community Services 
4,622,300
HEAT 
25,010,900
Housing Development 
6,849,800
Weatherization Assistance 
11,352,400
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Housing and Community Development line item, whose mission is to "actively partner with other state agencies, local government, nonprofits, and the private sector to build local capacity, fund services and infrastructure, and to leverage federal and state resources for critical programs." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) utilities assistance for low-income households - unique number of eligible households assisted with home energy costs (Target = 26,000 households), 2) Weatherization Assistance unique number of low-income households assisted by installing permanent energy conservation measures in their homes (Target = 347 homes), and 3) Affordable housing units funded from Olene Walker and Private Activity Bonds (Target = 2,200).
Item 41
 To Department of Workforce Services - Nutrition Assistance - SNAP
From Federal Funds 
512,755,100
Schedule of Programs:
Nutrition Assistance - SNAP 
512,755,100
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Nutrition Assistance - SNAP line item, whose mission is to "provide accurate and timely Supplemental Nutrition Assistance Program (SNAP) benefits to eligible low-income individuals and families." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) SNAP accuracy of paid benefits (Target= 97%), 2) SNAP Certification Timeliness - percentage of cases where a decision of eligibility was made within 30 calendar days (Target = 95%), and 3) SNAP Calendar Days to Decision from Application Submission to Eligibility Decision (Target = 12 days).
Item 42
 To Department of Workforce Services - Special Service Districts
From General Fund Restricted - Mineral Lease 
3,015,800
Schedule of Programs:
Special Service Districts 
3,015,800
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Special Service Districts line item, whose mission is to "align with the Housing and Community Development Division, which actively partners with other state agencies, local government, nonprofits, and the private sector to build local capacity, fund services and infrastructure, and to leverage federal and state resources for critical programs." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measure: 1) the total pass through of funds to qualifying special service districts in counties of the 5th, 6th, and 7th class (completed quarterly).
Item 43
 To Department of Workforce Services - State Office of Rehabilitation
From General Fund 
24,175,100
From Federal Funds 
53,514,600
From Dedicated Credits Revenue 
576,000
From Expendable Receipts 
581,400
From Gen. Fund Rest. - Homeless Housing Reform Rest. Acct 
500
From Housing Opportunities for Low Income Households 
1,000
From Medicaid Expansion Fund 
200
From Navajo Revitalization Fund 
500
From Olene Walker Housing Loan Fund 
1,000
From OWHT-Fed Home 
1,000
From OWHTF-Low Income Housing 
1,000
From Permanent Community Impact Loan Fund 
1,300
From Permanent Community Impact Bonus Fund 
1,000
From Qualified Emergency Food Agencies Fund 
500
From General Fund Restricted - School Readiness Account 
400
From Revenue Transfers 
64,000
From Uintah Basin Revitalization Fund 
500
From Beginning Nonlapsing Balances 
7,500,000
From Closing Nonlapsing Balances 
(7,500,000)
Schedule of Programs:
Blind and Visually Impaired 
4,169,800
Deaf and Hard of Hearing 
3,459,600
Disability Determination 
16,914,900
Executive Director 
1,089,400
Rehabilitation Services 
53,286,300
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the State Office of Rehabilitation line item, whose mission is to "empower clients and provide high quality services that promote independence and self-fulfillment through its programs." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Vocational Rehabilitation - Percentage of all VR clients receiving services who are eligible or potentially eligible youth (ages 14-24) (Target >=41%), 2) Vocational Rehabilitation - maintain or increase a successful rehabilitation closure rate (Target = 55%), and 3) Deaf and Hard of Hearing Total number of individuals served with DSDHH programs (Target = 8,000).
Item 44
 To Department of Workforce Services - Unemployment Insurance
From General Fund 
1,135,500
From Federal Funds 
29,798,300
From Dedicated Credits Revenue 
763,600
From Expendable Receipts 
35,800
From Gen. Fund Rest. - Homeless Housing Reform Rest. Acct 
1,000
From Housing Opportunities for Low Income Households 
1,000
From Medicaid Expansion Fund 
100
From Navajo Revitalization Fund 
500
From Olene Walker Housing Loan Fund 
1,500
From OWHT-Fed Home 
1,000
From OWHTF-Low Income Housing 
1,500
From Permanent Community Impact Loan Fund 
4,500
From Permanent Community Impact Bonus Fund 
3,300
From Qualified Emergency Food Agencies Fund 
500
From General Fund Restricted - School Readiness Account 
1,200
From Revenue Transfers 
136,900
From Uintah Basin Revitalization Fund 
500
Schedule of Programs:
Adjudication 
5,833,400
Unemployment Insurance Administration 
26,053,300
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Unemployment Insurance line item, whose mission is to "accurately assess eligibility for unemployment benefits and liability for employers in a timely manner." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Percentage of employers registered with the department within 90 days of employers first reporting employee wages (Target => 98.5%), 2) Percentage of unemployment insurance separation determinations that meet quality standards as outlined and defined by the USDOL (Target => 95%), and 3) percentage of Unemployment Insurance benefits payments made within 14 calendar days (Target => 95%).
Item 45
 To Department of Workforce Services - Office of Homeless Services
From General Fund 
19,288,500
From Federal Funds 
5,131,300
From Dedicated Credits Revenue 
19,700
From Gen. Fund Rest. - Pamela Atkinson Homeless Account 
2,518,000
From Gen. Fund Rest. - Homeless Housing Reform Rest. Acct 
12,904,700
From General Fund Restricted - Homeless Shelter Cities Mitigation Restricted Account 
11,072,300
From Revenue Transfers 
25,100
Schedule of Programs:
Homeless Services 
50,959,600
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Office of Homeless Services line item, whose mission is to "make homelessness rare, brief, and nonrecurring." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) HUD Performance Measure: Length of time persons remain homeless (Target = Reduce by 10%), 2) HUD Performance Measure: The extent to which persons who exit homelessness to permanent housing destinations return to homelessness (Target = Reduce by 10% from the previous year's achievement), 3) HUD Performance Measure: Number of homeless persons (Target = Reduce by 8% from the previous year's achievement), 4) HUD Performance Measure: Jobs and income growth for homeless persons in CoC Program-funded projects (Increase by 10% from previous years achievement), 5) HUD Performance Measure: Number of persons who become homeless for the first time (Target = Reduce by 6% from previous years achievement), and 6) HUD Performance Measure: successful housing placement - Successful exits or retention of housing from Permanent Housing (PH) (Target = 93% or above).
Department of Health and Human Services
Item 46
 To Department of Health and Human Services - Operations
From General Fund 
21,031,300
From Income Tax Fund 
557,100
From Federal Funds 
6,313,700
From Dedicated Credits Revenue 
3,221,000
From Revenue Transfers 
1,324,500
From Beginning Nonlapsing Balances 
8,361,200
From Closing Nonlapsing Balances 
(4,642,000)
Schedule of Programs:
Executive Director Office 
4,191,100
Ancillary Services 
3,584,200
Finance & Administration 
9,675,500
Data, Systems, & Evaluations 
10,265,000
Public Affairs, Education & Outreach 
1,663,900
American Indian / Alaska Native 
476,400
Continuous Quality Improvement 
4,326,400
Customer Experience 
1,984,300
Item 47
 To Department of Health and Human Services - Clinical Services
From General Fund 
17,119,500
From Income Tax Fund 
3,306,100
From Federal Funds 
19,888,800
From Federal Funds, One-time 
(17,276,300)
From Dedicated Credits Revenue 
11,564,500
From Dedicated Credits Revenue, One-time 
(2,334,100)
From Expendable Receipts 
365,900
From Expendable Receipts, One-time 
(62,100)
From Department of Public Safety Restricted Account 
451,800
From General Fund Restricted - Opioid Litigation Proceeds Restricted Account 
1,300,000
From Gen. Fund Rest. - State Lab Drug Testing Account 
779,300
From Revenue Transfers 
324,900
From Beginning Nonlapsing Balances 
1,447,200
Schedule of Programs:
Medical Examiner 
10,533,800
State Laboratory 
13,558,900
Primary Care and Rural Health 
8,328,800
Health Equity 
741,400
Medical Education Council 
1,662,600
Medical Residency Grant Program 
1,500,000
Forensic Psychiatry Grant Program 
550,000
Item 48
 To Department of Health and Human Services - Department Oversight
From General Fund 
9,231,700
From Federal Funds 
6,935,900
From Dedicated Credits Revenue 
1,871,300
From Revenue Transfers 
3,768,300
From Beginning Nonlapsing Balances 
4,223,500
From Closing Nonlapsing Balances 
(4,212,000)
Schedule of Programs:
Licensing & Background Checks 
17,923,200
Internal Audit 
2,080,100
Admin Hearings 
1,192,200
Utah Developmental Disabilities Council 
623,200
Item 49
 To Department of Health and Human Services - Health Care Administration
From Federal Funds 
21,800
Schedule of Programs:
Utah Developmental Disabilities Council 
21,800
Item 50
 To Department of Health and Human Services - Integrated Health Care Services
From General Fund 
819,603,200
From General Fund, One-time 
(9,100,000)
From Federal Funds 
4,265,614,700
From Federal Funds, One-time 
3,033,400
From Dedicated Credits Revenue 
11,487,700
From Expendable Receipts 
256,568,600
From Expendable Receipts - Rebates 
373,289,600
From General Fund Restricted - Statewide Behavioral Health Crisis Response Account 
16,930,600
From Ambulance Service Provider Assess Exp Rev Fund 
5,071,700
From General Fund Restricted - Electronic Cigarette Substance and Nicotine Product Proceeds Restricted Account 
262,600
From Hospital Provider Assessment Fund 
113,045,500
From Medicaid Expansion Fund 
127,715,000
From Nursing Care Facilities Provider Assessment Fund 
39,851,000
From General Fund Restricted - Opioid Litigation Proceeds Restricted Account 
4,384,300
From General Fund Restricted - Tobacco Settlement Account 
12,148,600
From Revenue Transfers 
303,282,100
From Pass-through 
1,813,000
Schedule of Programs:
Children's Health Insurance Program Services 
154,258,700
Medicaid Accountable Care Organizations 
1,759,315,600
Medicaid Behavioral Health Services 
282,826,800
Medicaid Home and Community Based Services 
626,326,200
Medicaid Hospital Services 
318,263,900
Medicaid Pharmacy Services 
357,968,200
Medicaid Long Term Care Services 
471,204,400
Medicare Buy-In and Clawback Payments 
118,547,900
Medicaid Other Services 
636,669,400
Offsets to Medicaid Expenditures 
(41,566,500)
Expansion Accountable Care Organizations 
592,371,500
Expansion Behavioral Health Services 
79,469,900
Expansion Hospital Services 
295,502,600
Expansion Other Services 
291,029,400
Expansion Pharmacy Services 
126,549,800
Non-Medicaid Behavioral Health Treatment and Crisis Response 
179,410,000
State Hospital 
96,853,800
Item 51
 To Department of Health and Human Services - Long-Term Services & Support
From General Fund 
223,021,700
From Income Tax Fund 
193,900
From Federal Funds 
843,100
From Dedicated Credits Revenue 
1,566,000
From Expendable Receipts 
1,320,000
From General Fund Restricted - Division of Services for People with Disabilities Restricted Account 
3,904,800
From Revenue Transfers 
409,716,600
Schedule of Programs:
Services for People with Disabilities 
11,884,600
Community Supports Waiver Services 
533,982,600
Disabilities - Non Waiver Services 
2,765,500
Disabilities - Other Waiver Services 
37,063,300
Utah State Developmental Center 
54,870,100
Item 52
 To Department of Health and Human Services - Public Health, Prevention, and Epidemiology
From General Fund 
13,236,700
From Federal Funds 
249,688,600
From Dedicated Credits Revenue 
242,400
From Expendable Receipts 
1,991,600
From Expendable Receipts - Rebates 
6,645,300
From General Fund Restricted - Cancer Research Account 
20,000
From General Fund Restricted - Cigarette Tax Restricted Account 
3,150,000
From General Fund Restricted - Electronic Cigarette Substance and Nicotine Product Proceeds Restricted Account 
9,288,400
From General Fund Restricted - Opioid Litigation Proceeds Restricted Account 
443,400
From General Fund Restricted - Tobacco Settlement Account 
3,403,500
From Revenue Transfers 
7,617,000
Schedule of Programs:
Communicable Disease 
233,555,400
Health Promotion and Prevention 
44,798,500
Emergency Medical Services and Preparedness 
10,162,000
Local Health Departments 
6,137,500
Population Health 
1,073,500
Item 53
 To Department of Health and Human Services - Children, Youth, & Families
From General Fund 
192,716,400
From Federal Funds 
131,792,100
From Dedicated Credits Revenue 
1,600,800
From Expendable Receipts 
643,300
From Expendable Receipts - Rebates 
7,985,300
From General Fund Restricted - Adult Autism Treatment Account 
1,526,700
From General Fund Restricted - Victim Services Restricted Account 
3,200,000
From General Fund Restricted - Children's Account 
340,000
From Gen. Fund Rest. - K. Oscarson Children's Organ Transp. 
109,400
From General Fund Restricted - National Professional Men's Basketball Team Support of Women and Children Issues 
101,600
From Revenue Transfers 
(5,472,600)
From Beginning Nonlapsing Balances 
4,140,800
From Closing Nonlapsing Balances 
(2,074,100)
Schedule of Programs:
Child & Family Services 
122,953,000
Domestic Violence 
19,172,000
In-Home Services 
2,196,100
Out-of-Home Services 
36,935,400
Adoption Assistance 
21,291,800
Child Abuse Prevention and Facility Services 
5,813,000
Children with Special Healthcare Needs 
11,060,700
Maternal & Child Health 
64,048,300
Family Health 
782,500
Office of Coordinated Care and Regional Supports 
2,462,800
DCFS Selected Programs 
31,336,300
Office of Early Childhood 
18,557,800
 Subsection 2(b). 
Expendable Funds and Accounts. 
The Legislature has reviewed the following expendable funds. The Legislature authorizes the State Division of Finance to transfer amounts between funds and accounts as indicated. Outlays and expenditures from the funds or accounts to which the money is transferred may be made without further legislative action, in accordance with statutory provisions relating to the funds or accounts.
Department of Workforce Services
Item 54
 To Department of Workforce Services - Individuals with Visual Impairment Fund
From Dedicated Credits Revenue 
45,700
From Interest Income 
18,500
From Beginning Fund Balance
1,361,400
From Closing Fund Balance
(1,380,600)
Schedule of Programs:
Individuals with Visual Impairment Fund 
45,000
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Individuals with Visual Impairment Fund, whose mission is to "assist blind and visually impaired individuals in achieving their highest level of independence, participation in society and employment consistent with individual interests, values, preferences and abilities." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Grantees will maintain or increase the number of individuals served (Target >=165), 2) Grantees will maintain or increase the number of services provided (Target>=906), and 3) Number of individuals provided low-vision services (Target = 2,400).
Item 55
 To Department of Workforce Services - Individuals with Visual Impairment Vendor Fund
From Trust and Agency Funds 
163,900
From Beginning Fund Balance
200,300
From Closing Fund Balance
(200,200)
Schedule of Programs:
Individuals with Visual Disabilities Vendor Fund 
164,000
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Individuals with Visual Impairment Vendor Fund, whose mission is to "assist Blind and Visually Impaired individuals in achieving their highest level of independence, participation in society and employment consistent with individual interests, values, preferences and abilities." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Number of business locations receiving upgraded equipment purchased by fund will meet or exceed previous year's total (Target = 12), 2) Number of business locations receiving equipment repairs and/or maintenance will meet or exceed previous year's total (Target = 32), and 3) Business Enterprise Program will establish new business locations in government and/or private businesses to provide additional employment opportunities (Target = 4).
Item 56
 To Department of Workforce Services - Intermountain Weatherization Training Fund
From Beginning Fund Balance
3,500
From Closing Fund Balance
(3,500)
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Intermountain Weatherization Training Fund, whose mission is "aligned with the Housing and Community Development Division, which actively partners with other state agencies, local government, nonprofits, and the private sector to build local capacity, fund services and infrastructure, and to leverage federal and state resources for critical programs." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Excluding contractors, the total number of weatherization assistance program individuals trained (Target=400), and 2) number of individuals trained each year (Target => 3).
Item 57
 To Department of Workforce Services - Navajo Revitalization Fund
From Dedicated Credits Revenue 
115,800
From Interest Income 
150,000
From Other Financing Sources 
1,000,000
From Beginning Fund Balance
9,263,300
From Closing Fund Balance
(9,448,100)
Schedule of Programs:
Navajo Revitalization Fund 
1,081,000
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Navajo Revitalization Fund, whose mission is "aligned with the Housing and Community Development Division, which actively partners with other state agencies, local government, nonprofits, and the private sector to build local capacity, fund services and infrastructure, and to leverage federal and state resources for critical programs." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measure: 1) provide support to Navajo Revitalization Board with resources and data to enable allocation of new and re-allocated funds to improve quality of life for those living on the Utah portion of the Navajo Reservation (Target = allocate annual allocation from tax revenues within one year).
Item 58
 To Department of Workforce Services - Permanent Community Impact Bonus Fund
From Interest Income 
8,802,100
From Gen. Fund Rest. - Land Exchange Distribution Account 
100
From General Fund Restricted - Mineral Bonus 
8,342,200
From Beginning Fund Balance
462,268,200
From Closing Fund Balance
(479,072,600)
Schedule of Programs:
Permanent Community Impact Bonus Fund 
340,000
Item 59
 To Department of Workforce Services - Permanent Community Impact Fund
From Dedicated Credits Revenue 
1,200,000
From Interest Income 
4,275,000
From General Fund Restricted - Mineral Lease 
25,467,900
From Gen. Fund Rest. - Land Exchange Distribution Account 
11,500
From Beginning Fund Balance
281,568,900
From Closing Fund Balance
(292,483,300)
Schedule of Programs:
Permanent Community Impact Fund 
20,040,000
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Permanent Community Impact Fund, whose mission is "aligned with the Housing and Community Development Division, which actively partners with other state agencies, local government, nonprofits, and the private sector to build local capacity, fund services and infrastructure, and to leverage federal and state resources for critical programs." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) new receipts invested in communities annually (Target = 100%), 2) The Community Impact Board funds the Regional Planning Program and community development specialists, who provide technical assistance, prepare tools, guides, and resources to ensure communities meet compliance with land use planning regulations (Target = 24 communities assisted), and 3) Maintain a minimum ratio of loan-to-grant funding for CIB projects (Target: At least 45% of loans to 55% grants).
Item 60
 To Department of Workforce Services - Qualified Emergency Food Agencies Fund
From Designated Sales Tax 
540,000
From Revenue Transfers 
375,000
From Beginning Fund Balance
139,700
From Closing Fund Balance
(139,700)
Schedule of Programs:
Emergency Food Agencies Fund 
915,000
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Qualified Emergency Food Agencies Fund, whose mission is "aligned with the Housing and Community Development Division, which actively partners with other state agencies, local government, nonprofits, and the private sector to build local capacity, fund services and infrastructure, and to leverage federal and state resources for critical programs." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) The number of households served by QEFAF agencies (Target: 11,000) and 2) Percent of QEFAF program funds obligated to QEFAF agencies (Target: 100% of funds obligated).
Item 61
 To Department of Workforce Services - Uintah Basin Revitalization Fund
From Dedicated Credits Revenue 
220,000
From Interest Income 
200,000
From Other Financing Sources 
7,000,000
From Beginning Fund Balance
25,430,600
From Closing Fund Balance
(28,599,300)
Schedule of Programs:
Uintah Basin Revitalization Fund 
4,251,300
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Uintah Basin Revitalization Fund, whose mission is "aligned with the Housing and Community Development Division, which actively partners with other state agencies, local government, nonprofits, and the private sector to build local capacity, fund services and infrastructure, and to leverage federal and state resources for critical programs." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) provide Revitalization Board with support, resources and data to allocate new and re-allocated funds to improve the quality of life for those living in the Uintah Basin (Target = allocate annual allocation from tax revenues within one year).
Item 62
 To Department of Workforce Services - Utah Community Center for the Deaf Fund
From Dedicated Credits Revenue 
5,000
From Interest Income 
2,000
From Beginning Fund Balance
14,300
From Closing Fund Balance
(17,300)
Schedule of Programs:
Utah Community Center for the Deaf Fund 
4,000
Item 63
 To Department of Workforce Services - Olene Walker Low Income Housing
From General Fund 
5,492,900
From Federal Funds 
6,950,000
From Dedicated Credits Revenue 
20,000
From Interest Income 
3,080,000
From Revenue Transfers 
(800,000)
From Beginning Fund Balance
215,086,000
From Closing Fund Balance
(225,489,200)
Schedule of Programs:
Olene Walker Low Income Housing 
4,339,700
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Olene Walker Housing Loan Fund, whose mission is to "aligned with the Housing and Community Development Division, which actively partners with other state agencies, local government, nonprofits, and the private sector to build local capacity, fund services and infrastructure, and to leverage federal and state resources for critical programs." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) housing units preserved or created (Target = 175), 2) rural housing units created (Target = 15), and 3) leveraging of other funds in each project to Olene Walker Housing Loan Fund monies (Target = 15:1).
Department of Health and Human Services
Item 64
 To Department of Health and Human Services - Allyson Gamble Organ Donation Contribution Fund
From Dedicated Credits Revenue 
224,600
From Interest Income 
13,000
From Beginning Fund Balance
610,200
From Closing Fund Balance
(610,200)
Schedule of Programs:
Allyson Gamble Organ Donation Contribution Fund 
237,600
Item 65
 To Department of Health and Human Services - Neuro-Rehabilitation Fund
From Dedicated Credits Revenue 
450,000
From Beginning Fund Balance
1,170,500
From Closing Fund Balance
(1,170,500)
Schedule of Programs:
Neuro-Rehabilitation Fund 
450,000
Item 66
 To Department of Health and Human Services - Brain Injury Fund
From General Fund 
200,000
From Beginning Fund Balance
134,500
From Closing Fund Balance
(134,500)
Schedule of Programs:
Brain Injury Fund 
200,000
Item 67
 To Department of Health and Human Services - Maurice N. Warshaw Trust Fund
From Interest Income 
1,000
From Beginning Fund Balance
166,300
From Closing Fund Balance
(167,300)
Item 68
 To Department of Health and Human Services - Out and About Homebound Transportation Assistance Fund
From Dedicated Credits Revenue 
75,600
From Interest Income 
3,000
From Beginning Fund Balance
305,800
From Closing Fund Balance
(305,800)
Schedule of Programs:
Out and About Homebound Transportation Assistance Fund 
78,600
Item 69
 To Department of Health and Human Services - Utah State Developmental Center Long-Term Sustainability Fund
From Dedicated Credits Revenue 
12,100
From Interest Income 
14,500
From Revenue Transfers 
38,700
From Beginning Fund Balance
29,762,600
From Closing Fund Balance
(29,827,900)
Item 70
 To Department of Health and Human Services - Utah State Developmental Center Miscellaneous Donation Fund
From Dedicated Credits Revenue 
6,000
From Interest Income 
6,000
From Beginning Fund Balance
602,100
From Closing Fund Balance
(602,100)
Schedule of Programs:
Utah State Developmental Center Miscellaneous Donation Fund 
12,000
Item 71
 To Department of Health and Human Services - Utah State Developmental Center Workshop Fund
From Dedicated Credits Revenue 
140,000
From Beginning Fund Balance
17,000
From Closing Fund Balance
(17,000)
Schedule of Programs:
Utah State Developmental Center Workshop Fund 
140,000
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report the final status of performance measures established in FY 2024 appropriations bills for the Utah State Developmental Center Workshop Fund line item to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024. For FY 2025, the Department of Health and Human Services shall report on the following performance measure: 1) Number of internal reviews completed for compliance with statute, federal regulations, and other requirements (Target = 1).
Item 72
 To Department of Health and Human Services - Utah State Hospital Unit Fund
From Dedicated Credits Revenue 
42,400
From Interest Income 
8,000
From Beginning Fund Balance
240,600
From Closing Fund Balance
(240,600)
Schedule of Programs:
Utah State Hospital Unit Fund 
50,400
Item 73
 To Department of Health and Human Services - Mental Health Services Donation Fund
From General Fund 
100,000
From Beginning Fund Balance
310,600
From Closing Fund Balance
(310,600)
Schedule of Programs:
Mental Health Services Donation Fund 
100,000
Item 74
 To Department of Health and Human Services - Suicide Prevention and Education Fund
From Beginning Fund Balance
1,430,300
From Closing Fund Balance
(1,430,300)
Item 75
 To Department of Health and Human Services - Pediatric Neuro-Rehabilitation Fund
From Beginning Fund Balance
39,900
From Closing Fund Balance
(39,900)
Item 76
 To Department of Health and Human Services - Alternative Eligibility Expendable Revenue Fund
From General Fund 
4,500,000
Schedule of Programs:
Alternative Eligibility Expendable Revenue Fund 
4,500,000
 Subsection 2(c). 
Business-like Activities. 
The Legislature has reviewed the following proprietary funds. Under the terms and conditions of Utah Code 63J-1-410, for any included Internal Service Fund, the Legislature approves budgets, full-time permanent positions, and capital acquisition amounts as indicated, and appropriates to the funds, as indicated, estimated revenue from rates, fees, and other charges. The Legislature authorizes the State Division of Finance to transfer amounts between funds and accounts as indicated.
Department of Workforce Services
Item 77
 To Department of Workforce Services - Economic Revitalization and Investment Fund
From Interest Income 
100,000
From Beginning Fund Balance
2,174,200
From Closing Fund Balance
(2,273,700)
Schedule of Programs:
Economic Revitalization and Investment Fund 
500
Item 78
 To Department of Workforce Services - Unemployment Compensation Fund
From Federal Funds 
1,850,000
From Dedicated Credits Revenue 
18,557,800
From Trust and Agency Funds 
205,579,400
From Beginning Fund Balance
1,188,824,600
From Closing Fund Balance
(1,160,743,100)
Schedule of Programs:
Unemployment Compensation Fund 
254,068,700
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Unemployment Compensation Fund, whose mission is to "monitor the health of the Utah Unemployment Trust Fund within the context of statute and promote a fair and even playing field for employers." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Unemployment Insurance Trust Fund balance is greater than the minimum adequate reserve amount and less than the maximum adequate reserve amount per the annual calculations defined in Utah Code, 2) Maintain the average high cost multiple, a nationally recognized solvency measure, greater than 1 for the Unemployment Insurance Trust Fund balance (Target =>1), and 3) Contributory employers unemployment insurance contributions due paid timely, (paid by the employer before the last day of the month that follows each calendar quarter end) (Target>=95%).
Department of Health and Human Services
Item 79
 To Department of Health and Human Services - Qualified Patient Enterprise Fund
From Dedicated Credits Revenue 
5,366,300
From Beginning Fund Balance
5,691,800
From Closing Fund Balance
(7,118,900)
Schedule of Programs:
Qualified Patient Enterprise Fund 
3,939,200
 Subsection 2(d). 
Restricted Fund and Account Transfers. 
The Legislature authorizes the State Division of Finance to transfer the following amounts between the following funds or accounts as indicated. Expenditures and outlays from the funds to which the money is transferred must be authorized by an appropriation.
Item 80
 To General Fund Restricted - Homeless Shelter Cities Mitigation Restricted Account
From General Fund 
5,000,000
Schedule of Programs:
General Fund Restricted - Homeless Shelter Cities Mitigation Restricted Account 
5,000,000
Item 81
 To General Fund Restricted - Homeless Account
From General Fund 
1,817,400
Schedule of Programs:
General Fund Restricted - Pamela Atkinson Homeless Account 
1,817,400
Item 82
 To General Fund Restricted - Homeless to Housing Reform Account
From General Fund 
12,850,000
Schedule of Programs:
General Fund Restricted - Homeless to Housing Reform Restricted Account 
12,850,000
Item 83
 To General Fund Restricted - School Readiness Account
From General Fund 
3,000,000
From Beginning Fund Balance
1,464,400
From Closing Fund Balance
(147,300)
Schedule of Programs:
General Fund Restricted - School Readiness Account 
4,317,100
Item 84
 To Education Savings Incentive Restricted Account
From Income Tax Fund 
870,800
Schedule of Programs:
Education Savings Incentive Restricted Account 
870,800
Item 85
 To Statewide Behavioral Health Crisis Response Account
From General Fund 
16,903,100
Schedule of Programs:
Statewide Behavioral Health Crisis Response Account 
16,903,100
Item 86
 To Ambulance Service Provider Assessment Expendable Revenue Fund
From Dedicated Credits Revenue 
5,092,300
Schedule of Programs:
Ambulance Service Provider Assessment Expendable Revenue Fund 
5,092,300
Item 87
 To Hospital Provider Assessment Fund
From Dedicated Credits Revenue 
113,256,800
Schedule of Programs:
Hospital Provider Assessment Expendable Special Revenue Fund 
113,256,800
Item 88
 To Medicaid Expansion Fund
From General Fund 
59,861,100
From General Fund, One-time 
(59,861,100)
From Dedicated Credits Revenue 
150,100,000
From Expendable Receipts 
355,900
From Revenue Transfers 
3,524,800
From Beginning Fund Balance
360,647,800
From Closing Fund Balance
(417,928,400)
Schedule of Programs:
Medicaid Expansion Fund 
96,700,100
Item 89
 To Nursing Care Facilities Provider Assessment Fund
From Dedicated Credits Revenue 
41,059,800
Schedule of Programs:
Nursing Care Facilities Provider Assessment Fund 
41,059,800
Item 90
 To General Fund Restricted - Medicaid Restricted Account
From Beginning Fund Balance
101,119,800
From Closing Fund Balance
(101,119,800)
Item 91
 To Adult Autism Treatment Account
From General Fund 
1,000,000
Schedule of Programs:
Adult Autism Treatment Account 
1,000,000
 Subsection 2(e). 
Fiduciary Funds. 
The Legislature has reviewed proposed revenues, expenditures, fund balances, and changes in fund balances for the following fiduciary funds.
Department of Health and Human Services
Item 92
 To Department of Health and Human Services - Human Services Client Trust Fund
From Interest Income 
9,100
From Trust and Agency Funds 
4,907,600
From Beginning Fund Balance
1,903,800
From Closing Fund Balance
(1,903,800)
Schedule of Programs:
Human Services Client Trust Fund 
4,916,700
Item 93
 To Department of Health and Human Services - Human Services ORS Support Collections
From Trust and Agency Funds 
212,842,300
From Beginning Fund Balance
2,203,700
From Closing Fund Balance
(2,203,700)
Schedule of Programs:
Human Services ORS Support Collections 
212,842,300
Item 94
 To Department of Health and Human Services - Utah State Developmental Center Patient Account
From Interest Income 
1,000
From Trust and Agency Funds 
2,002,900
From Beginning Fund Balance
624,600
From Closing Fund Balance
(624,600)
Schedule of Programs:
Utah State Developmental Center Patient Account 
2,003,900
Item 95
 To Department of Health and Human Services - Utah State Hospital Patient Trust Fund
From Trust and Agency Funds 
1,731,000
From Beginning Fund Balance
559,400
From Closing Fund Balance
(559,400)
Schedule of Programs:
Utah State Hospital Patient Trust Fund 
1,731,000
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report the final status of performance measures established in FY 2024 appropriations bills for the Utah State Hospital Patient Trust Fund line item to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024. For FY 2025, the Department of Health and Human Services shall report on the following performance measure: 1) Number of internal reviews completed for compliance with statute, federal regulations, and other requirements (Target = 1).
 Section 3. 
FY 2025 Appropriations. 
The following sums of money are appropriated for the fiscal year beginning July 1, 2024 and ending June 30, 2025 for programs reviewed during the accountable budget process. These are additions to amounts otherwise appropriated for fiscal year 2025.
 Subsection 3(a). 
Operating and Capital Budgets. 
Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures Act, the Legislature appropriates the following sums of money from the funds or accounts indicated for the use and support of the government of the state of Utah.
Department of Workforce Services
Item 96
 To Department of Workforce Services - Operations and Policy
From General Fund 
54,632,400
From Income Tax Fund 
3,117,000
From Federal Funds 
300,477,900
From Dedicated Credits Revenue 
496,000
From Expendable Receipts 
2,138,400
From Gen. Fund Rest. - Homeless Housing Reform Rest. Acct 
41,100
From Housing Opportunities for Low Income Households 
2,000
From Medicaid Expansion Fund 
3,637,700
From Navajo Revitalization Fund 
7,600
From Olene Walker Housing Loan Fund 
47,300
From OWHT-Fed Home 
2,000
From OWHTF-Low Income Housing 
36,300
From Permanent Community Impact Loan Fund 
155,600
From Permanent Community Impact Bonus Fund 
114,100
From Qualified Emergency Food Agencies Fund 
4,500
From General Fund Restricted - School Readiness Account 
9,514,800
From Revenue Transfers 
56,164,900
From Uintah Basin Revitalization Fund 
2,800
Schedule of Programs:
Child Care Assistance 
90,419,100
Eligibility Services 
86,138,700
Facilities and Pass-Through 
8,180,800
Information Technology 
46,373,000
Nutrition Assistance 
96,500
Other Assistance 
294,800
Refugee Assistance 
7,475,600
Temporary Assistance for Needy Families 
70,740,200
Trade Adjustment Act Assistance 
1,515,300
Workforce Development 
111,653,900
Workforce Investment Act Assistance 
4,576,300
Workforce Research and Analysis 
3,128,200
 The Legislature intends that the Departments of Workforce Service and Health and Human Services report on recommendations as well as potential costs and benefits of expanding automation of Medicaid eligibility reviews by June 1, 2024 to the Social Services Appropriations Subcommittee. The report shall include lessons learned from the automation efforts for ex-parte renewals.
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Workforce Services report performance measures for the Operations and Policy line item, whose mission is to "meet the needs of our customers with responsive, respectful and accurate service." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) labor exchange - total job placements (Target = 30,000 placements per calendar quarter), 2) TANF recipients - positive closure rate (Target = 78% per calendar month), 3) Eligibility Services - internal review compliance accuracy (Target = 95%), 4) Eligibility Average Call Wait Time (Target = 18 Minutes), 5) WIOA Adult Entered Employment Rate (Target = 62%), 6) WIOA Dislocated Workers Entered Employment Rate (Target = 83%), 7) Refugee Services Office Refugee Job Placements (Target = 230), 8) Child Care Cases Eligibility Determined Within 30 Days (Target = 95%), 9) Internal Review Medical Compliance Accuracy (Target = 95%), and 10) Eligibility Days to Decision (Target = 15 Days).
Department of Health and Human Services
Item 97
 To Department of Health and Human Services - Health Care Administration
From General Fund 
14,779,600
From Federal Funds 
88,109,900
From Dedicated Credits Revenue 
17,900
From Expendable Receipts 
19,283,800
From Ambulance Service Provider Assess Exp Rev Fund 
20,000
From Hospital Provider Assessment Fund 
211,300
From Medicaid Expansion Fund 
3,443,500
From Nursing Care Facilities Provider Assessment Fund 
1,208,800
From Suicide Prevention Fund 
12,500
From Revenue Transfers 
42,785,700
From Beginning Nonlapsing Balances 
600,000
Schedule of Programs:
Integrated Health Care Administration 
55,978,700
Long-Term Services and Supports Administration 
7,996,200
Provider Reimbursement Information System for Medicaid 
21,873,500
Seeded Services 
84,624,600
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following performance measures for the Health Care Administration line item, whose mission is "provide access to quality, cost-effective health care for eligible Utahans." The Department of Health and Human Services shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024 the final status of performance measures established in FY 2024. For FY 2025, the department shall report the following performance measures: 1) Percent of Medicaid members/patients/clients that report adequate access to DHHS program services (Target = Improve from baseline with the baseline being developed), 2) Average decision time of Medicaid medical prior authorizations (Target = 7 days), and 3) Health Program Representative Customer Service Line average call wait time (Target = under 2 minutes).
Item 98
 To Department of Health and Human Services - Long-Term Services & Support
From General Fund 
18,140,500
From Federal Funds 
16,019,300
From Expendable Receipts 
301,200
From Revenue Transfers 
(1,014,600)
Schedule of Programs:
Aging & Adult Services 
23,961,300
Adult Protective Services 
6,276,000
Office of Public Guardian 
1,311,600
Aging Waiver Services 
1,897,500
 The Legislature intends that the Department of Health and Human Services shall report by October 1, 2024 on a proposed method of measuring outcomes of funds distributed to and expended by the Area Agencies on Aging (AAAs). These proposed methods shall include: 1) How do AAAs measure the outcomes of the funds they expend on services for their clients? 2) Can AAAs recommend a methodology for determining the return on investment for the funds that they expend? 3) How do AAAs capture client satisfaction and customer service and how can those results (if any) be communicated to policymakers.
 The Department of Health and Human Services shall report to the Social Services Appropriations Subcommittee by October 1, 2024 on the following related to rates administered by the Division of Aging and Adult Services: (1) Historical values for each rate going back 5 years and the last date each rate was reviewed/changed; (2) The source of the rate value; (3) How much was paid out by the Area Agencies on Aging for each rate and a breakdown of state/federal funding; (4) An analysis of each rate compared to the market; (5) Projected appropriations needed to meet market amount for each rate; and (6) the number of providers licensed and contracted for these services in 2018 and how many are licensed and contracted to perform these services in 2023.
 The Department of Health and Human Services shall report to the Social Services Appropriations Subcommittee by October 1, 2024, on the efforts and outcomes of the Division of Aging and Adult Services to adjust caseload and assignment of responsibilities to staff of Adult Protective Services and the Office of the Public Guardian. The Department shall also report on the impact and expenditure of additional legislative funding appropriated for personnel expenses during the 2023 General Session to Adult Protective Services and the Office of the Public Guardian.
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report performance measures for the Long-Term Services and Supports line item, whose mission is "protect the public's health through preventing avoidable illness, injury, disability, and premature death; assuring access to affordable, quality health care; and promoting health lifestyles by providing services and oversight of services which are applicable throughout all divisions and bureaus of the Department." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Percent of individuals who do not currently have a paid job in the community, but would like a job in the community (NCI) (Target = 44%), 2) Percent of Adults who Report that Services and Supports Help Them Live a Good Life (Target = 92%), 3) People Receiving Supports in their home or a Family Member's Home Rather Than a Residential Setting (Target = 57%), 4) Percent of Office of the Public Guardian (OPG) referrals where an alternative to guardianship with OPG is made (Target = 60%), and 5) The percentage of APS clients who accept referrals to community services (Target = 60%).
Item 99
 To Department of Health and Human Services - Office of Recovery Services
From General Fund 
15,874,900
From Federal Funds 
26,605,400
From Dedicated Credits Revenue 
3,482,300
From Expendable Receipts 
2,038,000
From Medicaid Expansion Fund 
55,600
From Revenue Transfers 
3,220,600
Schedule of Programs:
Recovery Services 
18,035,400
Child Support Services 
22,894,900
Children in Care Collections 
697,500
Attorney General Contract 
6,080,300
Medical Collections 
3,568,700
 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report performance measures for the Office of Recovery Services line item, whose mission is "to serve children and families by promoting independence by providing services on behalf of children and families in obtaining financial and medical support, through locating parents, establishing paternity and support obligations, and enforcing those obligations when necessary." The department shall report to the Office of the Legislative Fiscal Analyst and to the Governor's Office of Planning and Budget before August 15, 2024, the final status of performance measures established in FY 2024 appropriations bills. For FY 2025, the department shall report the following performance measures: 1) Medical Coverage for children (Target = Improve from baseline with the baseline being developed), 2) Cost Effectiveness (ORS overall) (Target = $5.50), and 3) Current Support Collection Rates (Target = 65%).
 Section 4. 
Effective Date.
 If approved by two-thirds of all the members elected to each house, Section 1 of this bill takes effect upon approval by the Governor, or the day following the constitutional time limit of Utah Constitution Article VII, Section 8 without the Governor's signature, or in the case of a veto, the date of override. Section 2 and Section 3 of this bill take effect on July 1, 2024.