Health and Human Services Subcommittee FY 2011-13 budget highlights.

Fiscal Research Division _ Health and Human Services Health and Human Services Subcommittee FY 2011-13 Budget Highlights Fiscal Brief February 2012 The North Carolina General Assembly House and Senate Appropriations Subcommittees on Health and Human Services (HHS Subcommittee) determine the budget for one State agency, the Department of Health and Human Services (DHHS). DHHS is comprised of twelve divisions, which may be categorized under four broad service areas: health, human services, administrative, and support functions. Actual and Certified General Fund Expenditures and Receipts' Actual Actual Ce rifled Certified FY 2009-10 FY 2010-11 FY 2011-12 FY 2012-13 Expenditures 18,126,545,619 18,627,591,550 18,087,219,722 17,697,877,744 Less: Receipts 14,275,041,465 14,609,933,767 13,592,092,770 13,242,714,81 1 Net General Fund Appropriations $3,851,504,154 $4,017,657,783 $4,495,126,952 $4,455,162,933 Positions (FTE) 17,521.6 17,249.4 16,761.8 16,751.9 'Department or Division level budget and PTE information is provided in tables at the end of this budget brief. Budget Overview The Certified FY 2011-12 Net General Fund Appropriation for the Department of Health and Human Services is $4.5 billion. This is a reduction of 9.0 percent from the Continuation Budget. The General Fund Appropriation funds 16,762 full-time equivalent positions (FTE), 2.1 percent fewer than the Continuation Budget FTE. The chart below shows the Department budget by division. DHHS Net General Fund Appropriation FY 201 1-12 S4, 495.1 Million DMHDDSA 15% Health S.L. 2011-145, Appropriations Act of 2011 (H.B. 200), as amended by S.L. 2011-391, 2011 Budget Technical Corrections (H.B. 22), appropriates $4.5 billion to the Department of Health and Human Services in FY 2011-12. The FY 2011-12 Continuation Budget for DHHS agencies was $4.9 billion. General Fund appropriations for FY 2011-12 are $477.5 million or 1 1 percent more than actual expenditures for FY 2010-11. The budget increase over FY 2010-1 1 actual expenditures is due to the loss of one-time federal funds within the Medicaid program in which General Fund Appropriations had been replaced by federal funds on a non-recurring basis. Subcommittee reductions were based upon an estimated State budget gap of $2.6 billion. Click here for more information on the FY 2011-12 budget gap. The HHS Subcommittee reduced spending by $432.6 million in the first year of the FY 2011-13 biennium. The HHS Subcommittee discussed various reduction options, focusing on maximizing federal funds, reducing costs while maintaining critical services, and achieving administrative efficiencies. This Fiscal Brief provides a summary of the FY 2011-13 HHS Budget.