MISSISSIPPI LEGISLATURE

2000 Regular Session

To: Appropriations

By: Representatives Stevens, Broomfield, Barnett (92nd), Holland, Moody, Nettles

AN ACT MAKING AN APPROPRIATION FOR THE PURPOSE OF DEFRAYING THE EXPENSES OF THE STATE DEPARTMENT OF HEALTH FOR THE FISCAL YEAR 2001.

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, 2000, and ending June 30, 2001

$ 42,568,125.00.

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, 2000, and ending June 30, 2001

$ 153,157,797.00.

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, for the purpose of defraying the expenses of the State Board of Health for the fiscal year beginning July 1, 2000, and ending June 30, 2001

$ 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 $ 89,952,254.00

Travel and Subsistence 4,515,600.00

Contractual Services 25,530,822.00

Commodities 48,032,400.00

Capital Outlay:

Other Than Equipment 500,000.00

Equipment 4,111,000.00

Subsidies, Loans and Grants 34,483,846.00

Total $ 207,125,922.00

FUNDING:

General Funds $ 42,568,125.00

Special Funds 164,557,797.00

Total $ 207,125,922.00

AUTHORIZED POSITIONS:

Permanent: Full Time 1,961

Part Time 40

Time-Limited: Full Time 481

Part Time 13

With the funds herein appropriated, it is the intention of the Legislature that it shall be the agency's responsibility to make certain that funds required to be appropriated for "Personal Services" for Fiscal Year 2002 do not exceed Fiscal Year 2001 funds appropriated for that purpose, unless programs or positions are added to the agency's Fiscal Year 2002 budget by the Mississippi Legislature. Based on data provided by the Legislative Budget Office, the State Personnel Board shall determine and publish the projected annual cost to fully fund all appropriated positions in compliance with the provisions of this act. It shall be the responsibility of the agency head to insure that no single personnel action increases this projected annual cost and/or the Fiscal Year 2001 appropriation for "Personal Services" when annualized. If, at the end of any calendar month, the State Personnel Board determines that the agency has taken action(s) which would cause the agency to exceed this projected annual cost or the Fiscal Year 2001 "Personal Services" appropriated level, when annualized, then only those actions which reduce the projected annual cost and/or the appropriation requirement will be processed by the State Personnel Board until such time as the requirements of this provision are met.

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:

FY01

Performance Measures Target

Chronic Illness

Patients served (persons) 1,925

Home health visits (visits) 88,000

Hypertension visits (visits) 13,600

Diabetes treatment visits (visits) 510

Maternal and Child Health

Maternity patients served (persons) 12,243

WIC patients served (persons) 102,000

Family planning patients served (persons) 104,198

Environmental Health

General sanitation inspections (actions) 27,099

Food establishments inspected (sites) 30,000

Water supplies tested (actions) 1,623

Disease Prevention

Vaccinations administered (persons) 550,000

Patients receiving STD treatment (persons) 600

TB cases and contacts investigated (actions) 26,000

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) 6,579

Support Services

Percentage of total budget (%) 6.63

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 2002.

SECTION 6. 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 7. 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 8. 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 9. 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, 2000, and ending June 30, 2001

$ 12,899,000.00

SECTION 10. 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 11. 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, 2000. The State Department of Health shall make a complete accounting of the uses of these funds to the Department of Human Services.

SECTION 12. 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 4 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 13. 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, 2000, and ending June 30, 2001 $ 8,000,000.00.

SECTION 14. 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 15. Of the funds appropriated herein, Fifty Thousand Dollars ($50,000.00) is provided for the Osteoporosis Program.

SECTION 16. None of the funds appropriated herein may be spent unless the State Department of Health gives prior reasonable notice of any and all proposed changes in rules and/or regulations promulgated by the Department to the Public Health and Welfare Committees of the Mississippi House of Representatives and Senate.

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, 2000.