0530 Secretary for California Health and Human Services Agency

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1 LEGISLATIVE, JUDICIAL, AND EXECUTIVE LJE Secretary for California Health and Human Services Agency The primary mission of the Health and Human Services Agency (HHSA) is to provide policy leadership and direction to the departments, board and programs it oversees, to reduce duplication and fragmentation among HHSA departments in policy development and implementation, to improve coordination among departments on common programs, to ensure programmatic integrity, and to advance the Governor's priorities on health and human services issues. The HHSA accomplishes its mission through the administration and coordination of state and federal programs for public health, health care services, social services, public assistance, health planning and licensing, and rehabilitation. These programs touch the lives of millions of California's most needy and vulnerable residents. The HHSA is committed to striking a balance between maintaining access to essential health and human services for California's most disadvantaged and atrisk residents while pursuing ways to better manage and control costs. The following departments and entities fall under the purview of the HHSA: Department of Aging Department of Child Support Services Department of Community Services and Development Department of Developmental Services Emergency Medical Services Authority Department of Health Care Services Department of Managed Health Care Department of Public Health Department of Rehabilitation Department of Social Services Department of State Hospitals Office of Statewide Health Planning and Development 3-YR EXPENDITURES AND POSITIONS LEGAL CITATIONS AND AUTHORITY 0280-Secretary for Health and Human Services: Government Code, Title 2, Division 3, Part 2.5, commencing with Section The California Office of Health Information Integrity: Health and Safety Code Division 110, Section et seq. Health and Safety Code Section et seq, et seq, et seq Office of Systems Integration: Government Code, Title 2, Division 3, Part 2.5, Section Office of the Patient Advocate: Positions Expenditures * * * 0280 Secretary of California Health and Human Services $8,317 $9,845 $10, California Office of Health Information Integrity (CALOHII) ,998 2,745 1, Office of Systems Integration , , , Office of the Patient Advocate ,955 2,063 2,063 TOTALS, POSITIONS AND EXPENDITURES (All Programs) $361,548 $404,286 $456,224 FUNDING * * * 0001 General Fund $5,297 $4,042 $3, Federal Trust Fund 1,277 3,000 3, Special Deposit Fund Reimbursements 4,055 3,222 3, Office of Patient Advocate Trust Fund 1,955 2,063 2, Central Service Cost Recovery Fund 1,154 2,002 2, California Health and Human Services Automation Fund 347, , ,898 TOTALS, EXPENDITURES, ALL FUNDS $361,548 $404,286 $456,224 Fiscal year budget information reflects the latest available estimates pending final completion of the year-end

2 LJE 2 LEGISLATIVE, JUDICIAL, AND EXECUTIVE Health and Safety Code Division 115, Section et seq. DETAILED BUDGET ADJUSTMENTS PROGRAM DESCRIPTIONS General Fund * * Other Positions General Other Funds Fund Funds Positions Workload Budget Adjustments Workload Budget Change Proposals Office of Law Enforcement Support Rightsizing $- $- - $271 $- - Child Welfare Digital Services Adjustment , Medi-Cal Eligibility Data System Modernization Multi , Departmental Planning Team Case Management, Information and Payrolling ,800 - System II - Implementation of Paid Sick Leave for IHSS Providers (SB 3) Horizontal Integration Office: Transfer to Office of Systems Integration Totals, Workload Budget Change Proposals $- $- - $271 $61, Other Workload Budget Adjustments Expenditure by Category Redistribution $- $- - $1,368 $3,436 - Budget Position Transparency ,368-3, Retirement Rate Adjustments Salary Adjustments Benefit Adjustments Pro Rata Miscellaneous Baseline Adjustments Totals, Other Workload Budget Adjustments $143 $ $95 $ Totals, Workload Budget Adjustments $143 $383 - $176 $62, Totals, Budget Adjustments $143 $383 - $176 $62, SECRETARY FOR HEALTH AND HUMAN SERVICES The Secretary for California Health and Human Services Agency provides the Governor with the highest level of advice on state health, human services and related budget policy issues. The Secretary also provides the highest level of leadership and oversight of the agency-wide efforts to promote the health and well-being of a growing and increasingly diverse California population THE CALIFORNIA OFFICE OF HEALTH INFORMATION INTEGRITY The California Office of Health Information Integrity (CalOHII) is responsible for statewide leadership, coordination, policy formation, direction, and oversight responsibilities for federal Health Insurance Portability and Accountability Act (HIPAA) requirements. As the leading resource for providing HIPAA expertise to the State of California, CalOHII exercises full authority relative to state entities to establish policy, provide direction to state entities, monitor progress and report on implementation efforts based on state and federal laws OFFICE OF SYSTEMS INTEGRATION This Office provides project management services for automation projects for the Health and Human Services Agency, the Department of Social Services, the Department of Health Care Services, the Department of Public Health, and the Health Benefit Exchange, including: Appeals Case Management System California Healthcare Eligibility, Enrollment and Retention System Project. Case Management, Information and Payrolling System II Child Welfare Services/Case Management System Child Welfare Services - New System Fiscal year budget information reflects the latest available estimates pending final completion of the year-end

3 LEGISLATIVE, JUDICIAL, AND EXECUTIVE LJE 3 Electronic Benefit Transfer System Electronic Women, Infants and Children Management Information System Project Medi-Cal Eligibility Data System Modernization Statewide Automated Welfare System Statewide Fingerprint Imaging System Welfare Data Tracking Implementation Project OFFICE OF THE PATIENT ADVOCATE The mission of the Office of the Patient Advocate is to improve the access to and quality of health care services by promoting transparency and accountability. The Office of the Patient Advocate is mandated to produce a number of public reports on health care service topics. Current reporting activities include: Online Annual Health Care Quality Report Cards on health plans and medical groups, A Baseline Review and annual report on the State Consumer Assistance Call Centers and health care complaint data, Online Timely Access Compliance report on California Department of Managed Health Care health care services plans and providers, and Model protocols for State Consumer Assistance Call Centers. DETAILED EXPENDITURES BY PROGRAM 0280 SECRETARY OF CALIFORNIA HEALTH AND HUMAN SERVICES * * * 0001 General Fund $3,394 $2,951 $2, Federal Trust Fund 1,277 3,000 3, Reimbursements 2,492 1,892 1, Central Service Cost Recovery Fund 1,154 2,002 2,251 Totals, State Operations $8,317 $9,845 $10, CALIFORNIA OFFICE OF HEALTH INFORMATION INTEGRITY (CALOHII) 0001 General Fund $1,903 $1,091 $ Special Deposit Fund Reimbursements 1, Totals, State Operations $2,998 $2,745 $1, OFFICE OF SYSTEMS INTEGRATION 0995 Reimbursements California Health and Human Services Automation Fund 347, , ,898 Totals, State Operations $348,278 $389,633 $442, OFFICE OF THE PATIENT ADVOCATE 3209 Office of Patient Advocate Trust Fund $1,955 $2,063 $2,063 Totals, State Operations $1,955 $2,063 $2,063 TOTALS, EXPENDITURES State Operations 361, , ,224 Totals, Expenditures $361,548 $404,286 $456,224 Fiscal year budget information reflects the latest available estimates pending final completion of the year-end

4 LJE 4 LEGISLATIVE, JUDICIAL, AND EXECUTIVE EXPENDITURES BY CATEGORY PERSONAL SERVICES 1 State Operations Positions Expenditures * * * Baseline Positions $18,641 $26,375 $29,607 Total Adjustments , Net Totals, Salaries and Wages $21,476 $26,453 $30,562 Staff Benefits ,888 15,319 17,477 Totals, Personal Services $32,364 $41,772 $48,039 OPERATING EXPENSES AND EQUIPMENT $329,184 $362,514 $408,185 TOTALS, POSITIONS AND EXPENDITURES, ALL FUNDS (State Operations) $361,548 $404,286 $456,224 DETAIL OF AND ADJUSTMENTS 1 STATE OPERATIONS * * * 0001 General Fund 001 Budget Act appropriation $6,144 $2,814 $2,983 Allocation for Employee Compensation Allocation for Staff Benefits CalATERS Funding Removal Section 3.60 Pension Contribution Adjustment Technical Adjustments -2, Budget Act appropriation 3,770 1, Allocation for Employee Compensation Allocation for Staff Benefits Section 3.60 Pension Contribution Adjustment Technical Adjustments -1, Totals Available $6,283 $4,042 $3,814 Unexpended balance, estimated savings TOTALS, EXPENDITURES $5,297 $4,042 $3, Federal Trust Fund 001 Budget Act appropriation $3,643 $3,000 $3,000 Totals Available $3,643 $3,000 $3,000 Unexpended balance, estimated savings -2, TOTALS, EXPENDITURES $1,277 $3,000 $3, Special Deposit Fund 017 Budget Act appropriation - $800 - TOTALS, EXPENDITURES $- $800 $ Reimbursements Reimbursements $4,055 $3,222 $3,198 TOTALS, EXPENDITURES $4,055 $3,222 $3, Office of Patient Advocate Trust Fund Fiscal year budget information reflects the latest available estimates pending final completion of the year-end

5 LEGISLATIVE, JUDICIAL, AND EXECUTIVE LJE 5 1 STATE OPERATIONS * * * 001 Budget Act appropriation $2,089 $2,077 $2,063 Allocation for Employee Compensation Allocation for Staff Benefits Pro Rata Assessments Removal Section 3.60 Pension Contribution Adjustment Totals Available $2,109 $2,063 $2,063 Unexpended balance, estimated savings TOTALS, EXPENDITURES $1,955 $2,063 $2, Central Service Cost Recovery Fund 001 Budget Act appropriation $1,154 $2,002 $2,251 TOTALS, EXPENDITURES $1,154 $2,002 $2, California Health and Human Services Automation Fund 001 Budget Act appropriation $331,874 $388,772 $441,898 Allocation for Employee Compensation Allocation for Staff Benefits CalATERS Funding Removal Revised Expenditure Authority per Provision 1 15, Section 3.60 Pension Contribution Adjustment Technical Adjustments TOTALS, EXPENDITURES $347,810 $389,157 $441,898 Total Expenditures, All Funds, (State Operations) $361,548 $404,286 $456,224 FUND CONDITION STATEMENTS 3209 Office of Patient Advocate Trust Fund S * * * BEGINNING BALANCE $1,252 $1,438 $1,437 Prior Year Adjustments Adjusted Beginning Balance $1,295 $1,438 $1,437 REVENUES, TRANSFERS, AND OTHER ADJUSTMENTS Revenues: Investment Income - Surplus Money Investments Transfers and Other Adjustments Revenue Transfer from Insurance Fund (0217) to Office of Patient Advocate Trust Fund (3209) per Chapter 552, Statutes of 2011 Revenue Transfer from Managed Care Fund (0933) to Office of Patient Advocate Trust ,878 1,869 1,898 Fund (3209) per Chapter 552, Statutes of 2011 Total Revenues, Transfers, and Other Adjustments $2,098 $2,086 $2,072 Total Resources $3,393 $3,524 $3,509 EXPENDITURE AND EXPENDITURE ADJUSTMENTS Expenditures: 0530 Secretary for California Health and Human Services Agency (State Operations) 1,955 2,063 2, Financial Information System for California (State Operations) Statewide General Administrative Expenditures (Pro Rata) (State Operations) Total Expenditures and Expenditure Adjustments $1,955 $2,087 $2,072 FUND BALANCE $1,438 $1,437 $1,437 Reserve for economic uncertainties 1,438 1,437 1,437 Fiscal year budget information reflects the latest available estimates pending final completion of the year-end

6 LJE 6 LEGISLATIVE, JUDICIAL, AND EXECUTIVE CHANGES IN AUTHORIZED POSITIONS Positions Expenditures * * * Baseline Positions $18,641 $26,375 $29,607 Salary and Other Adjustments , ,709 Workload and Administrative Adjustments Child Welfare Digital Services Adjustment Assoc Info Sys Analyst (Spec) Assoc Pers Analyst Assoc Programmer Analyst (Spec) Dp Mgr I Dp Mgr II Dp Mgr III Mgmt Svcs Techn Office Techn (Typing) Sr Info Sys Analyst (Spec) , Sr Legal Analyst Sr Programmer Analyst (Spec) Sr Programmer Analyst (Supvr) Staff Info Sys Analyst (Spec) Staff Programmer Analyst (Spec) Staff Svcs Analyst (Gen) Staff Svcs Mgr III Sys Software Spec I (Tech) Sys Software Spec II (Supvry) Sys Software Spec II (Tech) Sys Software Spec III (Supvry) Horizontal Integration Office: Transfer to Office of Systems Integration Assoc Govtl Program Analyst C.E.A Staff Svcs Mgr I Medi-Cal Eligibility Data System Modernization Multi-Departmental Planning Team Temporary Help (Limited Term ) ,220 TOTALS, WORKLOAD AND ADMINISTRATIVE $- $- $5,664 ADJUSTMENTS Totals, Adjustments $2,835 $78 $955 TOTALS, SALARIES AND WAGES $21,476 $26,453 $30,562 Fiscal year budget information reflects the latest available estimates pending final completion of the year-end