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Health and Human Services
Department of Public Health
The Budget includes $3.1 billion ($390.7 million General Fund) for the Department of Public Health (DPH).
BIOMONITORING
The Budget includes $3.2 million General Fund and 7.6 positions to implement the Environmental Contaminant Biomonitoring Program pursuant to Chapter 599, Statutes of 2006 (SB 1379). This funding will support a contract to develop a sampling design and establish parameters for this program, and hire staff and purchase equipment to establish laboratory protocols for the test design, field sampling, and the accelerated implementation of this program. This is a collaborative effort that also includes $1.6 million for the Department of Toxic Substances Control and $380,000 for the Office of Environmental Health Hazard Assessment.
PROPOSITION 84
The Budget includes $47.3 million Proposition 84 bond funds and 15.7 two-year limited-term positions to administer a program to provide emergency and infrastructure improvement grants and grants and loans for drinking water projects.
GENETIC DISEASE
The Genetic Disease Screening Program, within the Center for Family Health, screens newborns and pregnant women for genetic and congenital disorders in a cost-effective and clinically efficient manner. The screening programs provide testing, follow-up and early diagnosis of disorders to prevent adverse outcomes or minimize the clinical effects of such disorders. The Budget Act includes $118.4 million from the Genetic Disease Testing Fund, a net increase of $20.7 million above the Budget Act of 2006. The Budget Act includes $4.2 million from the Birth Defects Monitoring Fund, $16.1 million from the Genetic Disease Testing Fund and 5.7 positions to implement Chapter 484, Statutes of 2006 (SB 1555), which expands research efforts and prenatal screenings for birth defects.
FOODBORNE ILLNESS
The Budget includes $903,000 General Fund and 4.7 positions to enhance the state's capabilities to respond to foodborne illnesses and outbreaks such as E. coli. These resources will allow the DPH to quickly respond to and investigate the source of future outbreaks.
AIDS DRUG ASSISTANCE PROGRAM
The Budget includes $288.9 million to fully fund the AIDS Drug Assistance Program (ADAP). ADAP provides life-saving medications to low-income persons living with HIV/AIDS. Drugs provided by ADAP have been shown to prolong quality of life and delay the deterioration of health among individuals living with HIV. The ADAP will serve nearly 32,905 clients in 2007-08.
HIV/AIDS CARE AND TREATMENT PROGRAMS
As a result of additional drug rebate revenues, the Budget Act reflects one-time General Fund savings of $9.3 million and a one-time redirection of $7.8 million General Fund to other HIV care and treatment programs. The one-time redirection of General Fund will better meet the needs of persons living with HIV, while ensuring that the state maintains compliance with federal maintenance-of-effort requirements and continues to receive federal Ryan White HIV/AIDS Treatment Modernization Act funds totaling approximately $122 million in 2007-08. The Budget includes redirected funding for the following programs:
- $4 million for the Therapeutic Monitoring Program to provide more than 33,000 viral load and resistance tests to approximately 17,000 clients.
- Up to $1.8 million to backfill the expected loss of federal funds to designated Eligible Metropolitan Areas or Transitional Grant Areas.
- $1.5 million for the AIDS Regional Information and Evaluation System, a web-based case management system that supports client access to care and treatment.
- $500,000 to support the development and delivery of capacity-building activities.
HIV REPORTING
The Budget includes $2 million General Fund to provide additional local assistance funding to increase surveillance staff for HIV reporting activities. This funding will accelerate the state's implementation of names-based HIV reporting, which is critical for the state's continued receipt of $50 million in federal grants to support critical services for persons living with HIV.
LICENSING AND CERTIFICATION
The Budget includes $83.6 million ($9.1 million General Fund) for Licensing and Certification (L and C) activities including:
- $2.8 million General Fund to help offset L and C fee increases to facilities.
- $7.2 million L and C Program Fund and 42.7 positions to implement Chapter 647, Statutes of 2006 (SB 1301) related to the reporting of and follow up on adverse events in hospitals.
- $2.5 million L and C Program Fund and 15.2 positions to conduct periodic licensing surveys of long-term care facilities, pursuant to Chapter 895, Statutes of 2006 (SB 1312).
- $0.7 million ($0.4 million L and C Program Fund and $0.4 million Federal Funds) and 5.7 positions to provide legal and administrative support for the 155.5 new L and C staff included in the 2006 Budget Act.
- $0.2 million and 1.4 positions in the DPH and $0.5 million ($0.3 million General Fund) and 4.3 positions in the DHCS to ensure hospitals apply fair pricing to uninsured and underinsured patients, pursuant to Chapter 755, Statutes of 2006 (AB 774).
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