MISSISSIPPI LEGISLATURE

1999 Regular Session

To: Appropriations

By: Representatives Holland, Nettles, Barnett (92nd), Frierson, Moody, Read, Scott (17th), Stevens

AN ACT MAKING AN APPROPRIATION FOR THE PURPOSE OF DEFRAYING THE EXPENSES OF THE STATE DEPARTMENT OF HEALTH FOR THE FISCAL YEAR 2000.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MISSISSIPPI:

SECTION 1. The following sum, or so much thereof as may be necessary, is hereby appropriated out of any money in the State General Fund not otherwise appropriated, for the purpose of defraying the expenses of the State Department of Health for the fiscal year beginning July 1, 1999, and ending June 30, 2000

$ 43,467,358.00.

SECTION 2. The following sum, or so much thereof as may be necessary, is hereby appropriated out of any money in any special fund in the State Treasury to the credit of the State Department of Health which is comprised of special source funds collected by or otherwise available to the department, for the purpose of defraying the expenses of the department for the fiscal year beginning July 1, 1999, and ending June 30, 2000

$ 159,060,219.00.

SECTION 3. The following sum, or so much thereof as may be necessary, is hereby appropriated out of any money in the State Treasury to the credit of the Health Care Expendable Fund, created under House Bill No. 519, 1999 Regular Session, for the purpose of defraying the expenses of the State Board of Health for the fiscal year beginning July 1, 1999, and ending June 30, 2000

$ 11,400,000.00.

The above funds shall be allocated as follows:

Tobacco funds to fund the Maternal and

Child Health Care Program......$1,400,000.00

Tobacco funds for the Mississippi Qualified

Health Center Grant Program....$4,000,000.00

Tobacco funds for the trauma care

system.........................$6,000,000.00

SECTION 4. Of the funds appropriated under the provisions of Sections 1, 2 and 3, not more than the amounts set forth below shall be expended for the respective major objects or purposes of expenditure:

MAJOR OBJECTS OF EXPENDITURE:

Personal Services:

Salaries, Wages and Fringe Benefits $ 96,109,539.00

Travel and Subsistence 4,329,200.00

Contractual Services 23,647,545.00

Commodities 51,799,290.00

Capital Outlay:

Other Than Equipment 500,000.00

Equipment 3,034,430.00

Subsidies, Loans and Grants 34,507,573.00

Total $ 213,927,577.00

FUNDING:

General Funds $ 43,467,358.00

Special Funds 170,460,219.00

Total $ 213,927,577.00

AUTHORIZED POSITIONS:

Permanent: Full Time. . . . . . . . . 2,359

Part Time. . . . . . . . . 57

Time-Limited: Full Time. . . . . . . . . 591

Part Time. . . . . . . . . 23

From the funds provided in the budget category "Personal Services: Salaries, Wages and Fringe Benefits," funds may be expended for the following purposes, in compliance with the policies established by the State Personnel Board and any conditions placed on such expenditures:

(a) The components of the Variable Compensation Plan shall be maintained within the constraints of the funds appropriated herein.

(b) Funds are provided to adjust the Variable Compensation Plan, including realignment, to ensure that all full-time employees with at least six (6) months of continuous current service, as of June 30, 1999, receive an increase of One Thousand Five Hundred Dollars ($1,500.00). Funds are provided to adjust critical job classes up to an additional One Thousand Dollars ($1,000.00).

(c) If an employee is currently at or above the end salary for his or her job classification, then the increase shall be built into the employee's base salary. To be eligible for any increase authorized in this section, employees may not have a current performance rating below "meets expectations" as of the effective date of the increase. Employees who subsequently receive a performance rating of "meets expectations" or above during Fiscal Year 2000 shall receive the salary increase effective the date of the rating.

It is the agency's responsibility to make certain that funds required to be appropriated for "Personal Services" for Fiscal Year 2001 do not exceed Fiscal Year 2000 funds appropriated for that purpose unless programs or positions are added to the agency's budget by the Mississippi Legislature.

Any transfers or escalations shall be made in accordance with the terms, conditions and procedures established by law.

No general funds authorized to be expended herein shall be used to replace federal funds and/or other special funds which are being used for salaries authorized under the provisions of this act and which are withdrawn and no longer available.

SECTION 5. In compliance with the "Mississippi Performance Budget and Strategic Planning Act of 1994," it is the intent of the Legislature that the funds provided herein shall be utilized in the most efficient and effective manner possible to achieve the intended mission of this agency. Based on the funding authorized, this agency shall make every effort to attain the targeted performance measures provided below:

FY00

Performance Measures Target

Chronic Illness

Patients served (persons) 1,800

Home health visits (visits) 164,900

Hypertension visits (visits) 25,143

Diabetes treatment visits (visits) 2,920

Maternal and Child Health

Maternity patients served (persons) 12,000

WIC patients served (persons) 103,000

Family planning patients served (persons) 113,487

Environmental Health

General sanitation inspections (actions) 30,609

Food establishments inspected (sites) 38,000

Water supplies tested (actions) 1,540

Disease Prevention

Vaccinations administered (persons) 739,559

Patients receiving STD treatment (persons) 24,000

TB cases and contacts investigated (actions) 3,400

Health Care Planning and Licensure

Declaratory for CON reviews (actions) 500

Ambulance services licensed (entities) 150

Nurse's aides certified (persons) 4,000

Professional licenses issued (persons) 5,946

Support Services

Percentage of total budget (%) 6.34

A reporting of the degree to which the performance targets set above have been or are being achieved shall be provided in the agency's budget request submitted to the Joint Legislative Budget Committee for Fiscal Year 2001.

SECTION 6. Funds are provided in this act for the reallocation of the following positions not to exceed One Hundred Forty-eight Thousand Five Hundred Forty-two Dollars ($148,542.00):

1 Secretary Principal to Personnel Assistant

1 DP-Data Entry Operator to DP-Data Control Clerk

1 Fiscal Officer, Chief to Division Director I

1 Personnel Director, Large to Bureau Director II

1 DP-Data Entry Operator to DP-Data Control Clerk

1 Personnel Technician to Personnel Officer II

1 Branch Director II to Division Director I

2 Laboratory Assistant to Laboratory Technician

1 Microbiologist to Laboratory Technician

2 Branch Director II to Division Director I

1 Fiscal Officer, Chief to Division Director I

1 Nurse I to Projects Officer IV

1 Branch Director II to Division Director I

1 DP-Data Entry Operator to DP-Data Control Clerk

1 Health Program Rep to Health Program Specialist

1 Office Manager II to Envir Trainee, Public

1 Office Unit Supervisor to Accounting/Auditing

1 Nurse I to Envir Hlth Program S

1 Medical Records Clerk to Library Technician

1 DP-Data Entry Operator to DP-Data Control Clerk

2 Nurse I to Envir Hlth Program S

1 Envir III, Public Health to Environmental Hlth Program

1 Medical Records Clerk to DP-Data Control Clerk

9 Health Program Specialist to DH-Early Intervention

2 Branch Director II to Division Director I

1 Clerk to Medical Records Clerk

2 Health Program Rep to Envir Trainee, Public

1 Office Systems Advis to Operations Mgmt Anal

1 Clerk to Medical Records Clerk

1 Health Program Rep to Health Program Specialist

1 Branch Director I to Division Director

1 Warehouse Clerk, CHI to Projects Officer IS

1 Warehouse Clerk, CHI to Warehouse Manager I

2 Clerk to Medical Records Clerk

1 DP-Data Entry Operator to DP-Data Control Supervisor

3 Health Program Specialist to Health Program Specialist

1 Investigator Regulator to Health Program Specialist

1 Branch Director II to Division Director I

1 Microbiologist to Laboratory Technician

2 DP-Data Entry Operator to DP-Data Control Clerk

1 Branch Director II to Division Director I

1 DP-Data Control Clerk to Secretary Principal

1 Branch Director II to Division Director I

1 DP-Data Entry Operator to DP-Data Control Clerk

SECTION 7. It is the intention of the Legislature that the State Department of Health may escalate any special funds and positions not to exceed Two Million Dollars ($2,000,000.00). Such escalation shall be submitted to and approved by the Department of Finance and Administration in the manner consistent with the escalation of federal funds.

SECTION 8. It is the intention of the Legislature that the Department of Health shall have the authority to expend any special funds collected or otherwise available, notwithstanding any restrictions in the general law or statutes earmarking said funds for a particular use, that are in excess of the amounts needed for the purpose of such fund, for the purpose of providing maternal and child health, family planning and disease control services.

SECTION 9. It is the intention of the Legislature that with the funds provided herein, the State Department of Health may provide and administer without charge, Hepatitis B vaccinations to Emergency Medical Services (EMS) personnel who are in need of such vaccinations through job related exposure.

SECTION 10. In addition to all other sums heretofore appropriated, the following sum, or so much thereof as may be necessary, is hereby appropriated out of any money in the State Treasury to the credit of the Local Governments and Rural Water Systems Emergency Loan Fund, and the Local Governments and Rural Water System Improvements Revolving Loan Fund as authorized in Chapter 521, Laws of 1995, to the State Department of Health for the purpose of defraying the expenses of the Local Governments and Rural Water Systems Improvements Board, for the fiscal year beginning July 1, 1999, and ending June 30, 2000

$ 14,585,860.00

SECTION 11. It is the intention of the Legislature that in the event that there are insufficient Child Care Development Block Grant Funds, then the Department of Health shall maintain the Child Care Licensure Program at the same level that the program was in Fiscal Year 1993 using any other funds.

SECTION 12. Of the funds appropriated in Section 2, One Million Dollars ($1,000,000.00) shall come from the Department of Human Services, Child Care Development Fund or other appropriate special funds for the purpose of child care licensure. These funds are to be transferred to the State Department of Health no later than July 31, 1999. The State Department of Health shall make a complete accounting of the uses of these funds to the Department of Human Services.

SECTION 13. It is the intention of the Legislature that the State Department of Health shall expend not more than Fifty Thousand Dollars ($50,000.00) of the funds appropriated in Section 1 and allocated in Section 3 for providing the oil known as "Lorenzo's Oil" for the treatment of the genetic disorder adrenoleukodystrophy (ALD), to children and Mississippi residents over the age of twenty-one (21) who have the genetic disorder adrenoleukodystrophy and for whom Medicaid does not reimburse the cost of providing the oil. The department may also provide needed pathology and biannual MRI exams.

SECTION 14. In addition to all other funds heretofore appropriated, the following sum, or so much thereof as may be necessary, is hereby appropriated out of any money deposited in the State Treasury from the Mississippi Tobacco Pilot Program as authorized in the case Mike Moore Attorney General ex rel. State of Mississippi v. The American Tobacco Company et al. (Chancery Court of Jackson County, Mississippi, Cause No. 94-1429) to the State Department of Health for the fiscal year beginning July 1, 1999, and ending June 30, 2000 $ 8,000,000.00.

SECTION 15. Of the funds appropriated in Section 1, Seven Hundred Fifty Thousand Dollars ($750,000.00) are provided for the purpose of purchasing AIDS drugs only and not for educational purposes.

SECTION 16. Of the funds appropriated herein, Fifty Thousand Dollars ($50,000.00) is provided for the Osteoporosis Program.

SECTION 17. The money herein appropriated shall be paid by the State Treasurer out of any money in the State Treasury to the credit of the proper fund or funds as set forth in this act, upon warrants issued by the State Fiscal Officer; and the State Fiscal Officer shall issue his warrants upon requisitions signed by the proper person, officer or officers, in the manner provided by law.

SECTION 18. This act shall take effect and be in force from and after July 1, 1999.