OFFICE OF FISCAL ANALYSIS

Legislative Office Building, Room 5200

Hartford, CT 06106 (860) 240-0200

http://www.cga.ct.gov/ofa

sHB-5528

AN ACT CONCERNING ESSENTIAL PUBLIC HEALTH SERVICES.


OFA Fiscal Note

State Impact:

Agency Affected

Fund-Effect

FY 15 $

FY 16 $

Public Health, Dept.

GF - Cost

approx. 25,000

None

Public Health, Dept.

GF - Potential Savings

None

approx. 52,000 - 307,000

Municipal Impact:

Municipalities

Effect

FY 15 $

FY 16 $

Various Municipalities

Potential Revenue Loss

None

approx. 52,000 - 307,000

Explanation

The bill results in a cost of approximately $25,000 to the Department of Public Health (DPH) in FY 15, a potential savings to DPH in FY 16 onward of approximately $50,000 to $300,000 and an equal, associated, potential revenue loss to district departments of health and municipal health departments in FY 16 onward. The bill requires that district departments of health and municipal health departments that are eligible to receive a per capita subsidy from DPH under existing statutes1 also provide a health program that meets certain requirements under the bill. As criteria that demonstrate that departments are meeting these requirements are anticipated to be developed in FY 15, funding to departments may be affected in FY 16 onward, not in FY 15.

The $25,000 cost to DPH is associated with hiring a consultant to redesign and reprogram DPH's web-based local health management system (also known as “Maven”) to accommodate the measurement and tracking of health program criteria by district department of health and municipal health department. Should a department fail to meet the criteria that are developed and lose its per capita subsidy, a revenue loss to that department and a savings of the same amount to DPH would result. Of the 36 total district departments of health and municipal health departments receiving a DPH subsidy in FY 14, the smallest department2 received $52,079 and the largest3 received $307,316. It is anticipated that, at most, one department may not meet criteria in FY 16 onward. Hence, the savings/revenue loss is reflected as a potential $52,000 to $307,000 in FY 16.

The Out Years

The potential savings/revenue loss identified above would continue into the future to the extent that departments fail to meet health program criteria and lose their per capita subsidy.

1 DPH expended $4,662,487 for these subsidies in FY 13.

2 Connecticut River Area Health District.

3 North Central District Health Department.