R380-50. Local Health Department Funding Allocation Formula, R380. Health, Administration, Utah Administrative Code

Utah Administrative Code (Current through November 1, 2019)

R380-50. Local Health Department Funding Allocation Formula

R380-50-1. Authority and Purpose

Latest version.

(1) This rule is being promulgated under the authority of Section 26A-1-116, which directs the Utah Department of Health to establish by rule a formula for allocating funds by contract to local health departments.

(2) This rule specifies the formula for allocating state-appropriated funds to local health departments by contract.

R380-50-2. Definitions

Latest version.

(1) "Multi-county Factor" means funds allocated to local health departments to encourage them to form and maintain multi-county health departments.

(2) "Funds" means the State General Block Funds Maternal and Child Health Block grant funds, Preventive Block grant funds, immunization funds, bioterrorism/emergency preparedness and response funds, and tobacco funds, allocated by the Legislature to the Utah Department of Health for distribution to all participating local health departments by contract.

(3) "Local Health Department" means a local health department established under Section 26A-1-102(5).

(4) "Multi-county Health Department" means a local health department that is comprised of two or more contiguous counties as defined in Section 26A-1-102(7).

(5) "Participating local health department" means a local health department that accepts funds by contract from the Department.

(6) "Total State Population" means the population figures by county as provided by the State Office of Planning and Budget.

R380-50-3. Allocation Procedures

Latest version.

(1) The amount of funds to be allocated between the department and local health departments shall be determined by the Governance Committee as described in Section 26-1-4(3).

(2) By a three-fourths vote of its members, the Utah Association of Local Health Officers may, in cooperation with and subject to the approval of the Department of Health, allocate a portion of the funds as necessary to support public health programs within every participating local health department and are available to all eligible residents of the state. The Department finds that population is not the sole relevant factor in determining need.

(3) The Department adopts the following formula pursuant to Section 26A-1-116 for reallocating to local health departments any increases or decreases in funds.

(a) Minimum share. Thirty-two percent of the funds is divided into equal shares for each participating local health department.

(b) Population Factor: Fifty percent of the funds are divided among the local health departments based on the percentage of the total state population living within the geographical boundaries of the local health department according to the most current estimate from the Governor's Office of Management and Budget. At a minimum this factor will be evaluated after the official Census of the Population is released and four years after the official census is released.

(i) the multi-county factor is made up of two equal parts:

(aa) Number of counties: half of the multi-county dollar amount, divided by the total number of counties that make up all the multi-county health departments. The number is multiplied by the number of counties in each multi-county health department.

(bb) Population: each multi-county health department's population (based upon population figures provided by the Governor's Office of Management and Budget), divided by the total population of all the counties that make up all the multicounty health departments. The number (percent) is multiplied by half of the multi-county dollar amount.

(d) The department may, after consulting with the Governance Committee, alter the formula to address documented need established by valid and accepted data in one or more local health department jurisdictions.

(i) At no time can a local health department receive more than ten times the per capita amount calculated under this formula than any other local health department.

(e) The Governance Committee may include future funds in the funding formula in cases where the total program funding exceeds $500,000.

R380-50-4. Exceptions

Latest version.

(1) If one or more counties of a multi-county health department withdraw from the multi-county health department pursuant to Section 26A-1-122(2), the funds allocated to the original multi-county health department under the formula specified in Section 26A-1-116, will be reallocated among the counties that made up that original multi-county health department. Funds allocated to other local health departments will not be considered for reallocation unless the entire formula is reconsidered.

(2) The Department shall assist in this effort to assure an appropriate reallocation of funds.

(3) The funding formula will be reconsidered at an appropriate time that assures the integrity of the statewide public health system with no additional interruption to statewide public health efforts.