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The Health and Human Services budget subcommittee appropriates funding for the Department of Elder Affairs (DEA), the Department of Public Health (IDPH), the Department of Human Services (DHS), and the Department of Veterans Affairs (VA), including the Iowa Veterans Home (IVH).

The Governor’s FY 2010 budget recommendations start from the new FY 2009 base, which includes administrative reductions and the 1.5% across the board cut.  Administrative reductions include capturing savings from vacant positions and benefits, a hiring freeze, and a review of all non-personnel costs including information technology, postage, travel, food, utilities, audit costs, maintenance, contracts, etc.

Agency

Adm. Cuts

ATB 1.5%

Total FY 09 Cuts

DEA

$165,000

$83,342

$248,342

IDPH

$500,000

$418,018

$918,018

DHS

$5,800,000

$19,688,268

$25,488,268

VA

$37,312

$19,364

$56,676

IVH

$488,449

$39,166

$527,615

Fiscal Year 2010

For FY 2010, the Governor recommends a 6.5% across the board reduction from the adjusted FY 09 level.  The Healthy Iowans Tobacco Trust (HITT) fund was eliminated last year and those appropriations have been now transferred to the general fund.  In addition, the Governor proposes moving the Health Care Trust Fund, which collects the tobacco tax money, as well as the Gambling Treatment Fund, to the general fund.  These funds would be eliminated.

This includes an appropriation of $4.9 million for the Department of Elder Affairs, $1.494 billion for the Department of Human Services, $64 million for the Department of Public Health, and $15.1 million for the Department of Veterans Affairs. Highlights of the budget recommendations are below.

Department of Elder Affairs

Besides the 6.5% across the board reductions, the Governor recommends no other changes to the Department of Elder Affair’s budget for FY 2010.  DEA is funded at $4.9 million, which is a reduction of $342,000 from the adjusted FY 09 level.

Department of Public Health

The 6.5% across the board reductions cut the Department of Public Health (IDPH) a total of $1.8 million.  The HITT fund, the Health Care Trust Fund, and the Gambling Treatment Fund, were back filled for a net gain of $35.9 million to the department.

In addition, IDPH was allowed to make adjustments that have no fiscal impact.  The adjustments include the ability to fund the Public Health Modernization Act; and the consolidation of programs and councils that were started last year as part of House File 2539, the Health Care Reform bill.

Compared to FY 2009, the general fund budget for IDPH will increase by nearly $64 million, however half of this amount is a transfer of money already appropriated for FY 2009.

Department of Human Services

The 6.5% across the board reductions cut the Department of Human Services (DHS) a total of $82.4 million.  The Governor recommends three areas where the 6.5% cuts are to be restored: Glenwood Resource Center, Child and Family Services, and Adoption Subsidy.

The HITT fund, the Health Care Trust Fund, were back filled for a net gain of $115.8 million to the department.

There is no appropriation for Nursing Home rebasing or Hospital Annualization.

The $10 million promised for the coverage of children under (hawk-i) Healthy and Well Kids in Iowa for up to 300% of the Federal Poverty Level is eliminated.

Medicaid – The Governor estimates the Medicaid program will be under funded by approximately $50 million.  In addition, the 6.5% cut is not restored.

Mental Health – The Governor did not recommend restoring the cuts to county mental health services.  As a result, the appropriation was decreased by over $1.4 million.  In addition, the mental health growth factor is decreased by 6.5%, a total of $3.5 million.

S-CHIP/hawk-i – After the 6.5% cut in the amount of $890,000, the Governor recommends restoring this appropriation.  For FY 10, hawk-i will have a net increase of $1.7 million above the adjusted FY 09 level.  The backfill appropriation is for expansion and outreach of the program. The hawk-i program is funded at $15.4 million for FY 10.

Senior Living Trust Fund (SLTF) – The Governor recommends appropriating $27.3 million from the Senior Living Trust Fund.  The standing appropriations for the Iowa Finance Authority, the Department of Elder Affairs, and the Department of Inspections and Appeals are unchanged.  The Governor recommends transferring $16.8 million to Medicaid.  Lastly, the Governor proposes eliminating the SLTF starting in FY 2011.

Department of Veterans Affairs

Besides the 6.5% across the board reductions, the Governor recommends no other changes to the Department of Veterans Affair and the Iowa Veterans Home budget for FY 2010.  the VA is funded at $15.1 million which is a reduction of over $1 million from the adjusted FY 09 level.

Staff Contact: Zeke Furlong
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