L EGISLATIVE A PPROPRIATIONS R EQUEST F I S C A L Y EAR S 202 2 A N D 202 3

Submitted to the Governor’s Office and the Legislative Budget Board

T H E U NIVERSITY OF T EXAS H E A L T H S C I E N C E C E N T E R A T H OUSTON

O c t o b e r 2020

TABLE OF CONTENTS

I. Schedules Not Included ...... 1

1. Administrator's Statement ...... 2 A. High Priority Appropriations Requests B. Organization Chart C. Executive Organization Descriptions

Budget Overview – Biennial Amounts ...... 16

2. Summaries of Request A. Summary of Base Request by Strategy ...... 18 B. Summary of Base Request by Method of Finance ...... 24 C. Summary of Base Request by Object of Expense ...... 30 D. Summary of Base Request Objective Outcomes ...... 31 F. Summary of Total Request by Strategy ...... 33 G. Summary of Total Request Objective Outcomes ...... 38

3. Strategies and Riders A. Strategy Requests: GOAL 1: PROVIDE INSTRUCTIONAL AND OPERATIONS SUPPORT Objective 1: Instructional Programs Strategy 1: Medical Education ...... 41 Strategy 2: Dental Education ...... 45 Strategy 3: Graduate Training in the Biomedical Sciences ...... 48 Strategy 4: Allied Health Professions Training ...... 51 Strategy 5: Nursing Education ...... 54 Strategy 6: Graduate Training in Public Health ...... 57 Strategy 7: Graduate Medical Education...... 59 Objective 2: Operations – Staff Benefits Strategy 1: Staff Group Insurance Premiums ...... 62 Strategy 2: Workers’ Compensation Insurance ...... 64 Strategy 3: Unemployment Insurance ...... 66 Objective 3: Operations – Statutory Funds Strategy 1: Public Education Grants ...... 68 Strategy 3: Dental Loans ...... 70 GOAL 2: PROVIDE RESEARCH SUPPORT Objective 1: Research Activities Strategy 1: Research Enhancement ...... 72 Strategy 2: Performance Based Research Operations ...... 74 GOAL 3: PROVIDE INFRASTUCTURE SUPPORT

i TABLE OF CONTENTS (Continued) Objective 1: Operations and Maintenance

3. Strategies and Riders (continued)

Strategy 1: Educational and General Space Support ...... 76 Objective 2: Infrastructure Support Strategy 1: Tuition Revenue Bond Retirement ...... 79 GOAL 4: PROVIDE HEALTH CARE SUPPORT Objective 1: Dental Clinic Care Strategy 1: Dental Clinic Operations ...... 81 GOAL 5: PROVIDE NON-FORMULA SUPPORT Objective 1: Instruction/Operation Non-Formula Items Strategy 1: Improving Public Health in Texas Communities ...... 83 Strategy 2: Biomedical Informatics Research and Education Expansion ...... 85 Objective 2: Regional Academic Health Center – Public Health Strategy 1: Regional Academic Health Center – Public Health ...... 87 Objective 3: Research Non-Formula Items Strategy 1: Heart Disease and Stroke Research ...... 90 Strategy 2: Biotechnology Program ...... 92 Strategy 3: World’s Greatest Scientist...... 94 Strategy 5: Psychiatry and Behavioral Sciences Research ...... 96 Strategy 7: Integrated Care Study For Veterans With Post-traumatic Stress Disorder...... 99 Objective 4: Health Care Non-Formula Item Strategy 1: Harris County Hospital District ...... 102 Strategy 2: Service Delivery in the Valley/Border Region ...... 104 Strategy 3: Trauma Care...... 106 Objective 5: Institutional Support Non-Formula Items Strategy 1: Institutional Enhancement ...... 108 GOAL 7: TOBACCO FUNDS Objective 1: Tobacco Earnings for Research Strategy 1: Tobacco Earnings for the UT Health Science Center at ...... 110 Strategy 2: Tobacco Earnings from the Permanent Health Fund for Higher Education No. 810...... 112

A.1 Program-Level Request Schedule ...... 115

B. Rider Revisions and Additions Request ...... 116

6. Supporting Schedules A. Historically Underutilized Business Supporting Schedule...... 119 G. Homeland Security Funding Schedule – Part C – COVID-19 Related Expenditures ...... 120 H. Estimated Total of All Funds Outside the General Appropriations Act Bill Pattern ...... 122 J. Summary of Behavioral Health Funding...... 123

ii TABLE OF CONTENTS (Continued)

Higher Education Supporting Schedules Schedule 1A - Other Educational and General Income ...... 124 Schedule 1B - Health-Related Institutions Patient Income ...... 127 Schedule 2 - Selected Educational, General and Other Funds ...... 128 Schedule 3B - Staff Group Insurance Data Elements (UT/A&M) ...... 129 Schedule 3D - Staff Group Insurance Data Elements – (Supplemental)...... 132 Schedule 4 - Computation of OASI ...... 135 Schedule 5 - Calculation of Retirement Proportionality and ORP Differential ...... 136 Schedule 6 – Constitutional Capital Funding ...... 137 Schedule 7 - Personnel ...... 138 Schedule 8B – Tuition Revenue Bond Issuance History ...... 139 Schedule 8D – Tuition Revenue Bonds Request by Project ...... 140 Schedule 9 - Special Item Information: 1. Biomedical Informatics Research ...... 141 2. Harris County Hospital District ...... 144 3. Improving Public Health in Texas Communities ...... 146 4. Institutional Enhancement (Academic and Student Support) ...... 149 5. Integrated Care Study for Veterans with Post-Traumatic Stress Disorder...... 151 6. Psychiatry and Behavioral Sciences Research...... 154 7. Regional Academic Health Center – Public Health ...... 157 8. Service Delivery in the Valley/Border Region ...... 159 9. Trauma Care ...... 161

* * * * *

iii Schedules Not Included

Agency Code: Agency Name: Prepared By: Date: Request Level: 744 The University of Texas Health Science Scott Barnett October 2020 Baseline Center at Houston

For the schedules identified below, the U. T. Health Science Center at Houston either has no information to report or the schedule is not applicable. Accordingly, these schedules have been excluded from the U. T. Health Science Center at Houston Legislative Appropriations Request for the 2022- 23 biennium.

Number Name 2.C.1. Operating Costs Detail – Base Request

2.E. Summary of Exceptional Items Request

3.C. Rider Appropriations and Unexpended Balances Request

4.A-4.C. Exceptional Item Request Schedule

5.A. – 5.E. Capital Budget Project Schedule

6.B. Current Biennium One-time Expenditure Schedule

6.C. Federal Funds Supporting Schedule

6.D. Federal Funds Tracking Schedule

6.E. Estimated Revenue Collections Supporting Schedule

6.F. Advisory Committee Supporting Schedule

6.K. Budgetary Impacts Related to Recently Enacted State Legislation Schedule

6.L. Document Production Standards

7.A. – 7.B. Administrative and Support Costs

Schedule 8A Tuition Revenue Bond Projects

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!  #  # 9 9 High Priority Appropriations Requests 744 The University of Texas Health Science Center at Houston I 87th Regular Session, Agency Submission

UTHealth’s high priority appropriations requests for FY 2022 and FY 2023 concern the (1) Mission SpeciGic Formula, BOEthe (2 UTHealth Behavioral Sciences Center.

1 I MISSION SPECIFIC FORMULA

UTHealth proposes to make the UTHealth Mission Specific Formula (MSF) permanent rather than a “pilot” program. UTHealth has successfully used the funding generated by the MSF this biennium ($13 million) to invest in novel research approaches across the institution. Below is a snapshot of research projects funded by the MSF.

1A I EPILEPSY RESEARCH 1B I NEUROLOGICAL IMPACTS OF COVID-19 1C I BIG-ARC Funding generated by the new MSF helped fund The MSF is helping to fund research of neurological Another use of the MSF is BIG-ARC (Biomedical the UTHealth/Memorial Hermann Texas aspects of COVID-19. A new post-COVID-19 Informatics Group - Analytics Research Center) Comprehensive Epilepsy Program (TCEP) and syndrome, called Long COVID, has emerged in at UTHealth School of Biomedical Informatics. the UTHealth Texas Institute for Restorative which patients have persistent neurological BIG-ARC is part of the multi-institutional Center Neurotechnologies (TIRN). This partnership is symptoms for several months after infection – for Clinical and Translational Sciences for translating transforming epilepsy care through research including headache, impaired concentration, research into clinical practice across UTHealth, by leveraging big data, imaging, genetics, advanced weakness, fatigue, and diffuse pain. The UTHealth UT MD Anderson Cancer Center, UT Health Tyler, surgical treatments, machine learning, and Institute for Stroke and Cerebrovascular Disease UT Rio Grande Valley, and Rice University. neurotechnology. An exciting example is a novel has been studying COVID-19 associated BIG-ARC has developed an advanced big data multicenter trial to enhance accuracy and velocity strokes and microbleeds and has launched studies platform with millions of de-identified patient of epilepsy treatment by using deep brain to understand cause and prevention of stroke records and a large collection of advanced data electrodes, state-of-the-art wearable technologies, in COVID-19 positive patients, Long COVID, science and artificial intelligence methods and tools and the latest advances in machine learning incidence of stroke in infected patients, and how to support researchers to transform data into and artificial intelligence. Improved seizure care, COVID-19 increases risk for cognitive decline meaningful and actionable knowledge for biomedical reduced morbidity, and mortality prevention and dementia due to impacts on the immune discovery, patient care, and disease prevention. are the expected outcomes. Importantly, this research system and blood vessels. During the current COVID-19 pandemic, BIG-ARC will allow epilepsy patients to resume working, is playing an even more important role in the going to school, and participating in normal fight against the pandemic in all of the phases – events as simple as cooking or driving a car, activities including syndromic surveillance and early detection, that their severe seizures prevented them from doing. diagnosis, monitoring and tracing, development of treatments and therapeutics, and optimizing patient outcomes.

10 UTHealth I The University of Texas Health Science Center at Houston I page 1 10 High Priority Appropriations Requests

744 The University of Texas Health Science Center at Houston I 87th Regular Session, Agency Submission

 I UTHEALTH BEHAVIORAL SCIENCES CENTER

UTHealth requests funding necessary to successfully open the UTHealth Behavioral Sciences Center (BSC) and set a uniform bed rate for both UTHealth Harris County Psychiatric Center (HCPC) and the new UTHealth BSC. When complete, the combined campus will become the largest academic mental health complex in the nation.

CLOSING THE MENTAL HEALTH CARE GAP UTHealth HCPC is a 274-bed acute care psychiatric A I YEAR-OVER-YEAR INCREASE hospital staffed and operated by UTHealth. The physical building is equally owned by Harris FY21 FY22 FY22 FY23 FY23 Year and Increase County and the Texas Health and Human Services Supplemental Total Net Increase Total Net Increase Commission (HHSC). Next door to UTHealth UTHealth BSC HCPC, UTHealth, in partnership with HHSC, $500,000 ------is constructing the 264-bed UTHealth Behavioral Supplemental Sciences Center (BSC), formerly the Continuum UTHealth HCPC --- $40,522,300 $4,028,885 $40,522,300 $4,028,885 of Care Campus for Behavioral Health, which is set to open early next biennium. The new building UTHealth BSC --- $15,649,600 $15,649,600 $37,405,200 $37,405,200 was funded by the Legislature with $125 million that TOTALS $500,000 $56,171,900 $19,678,485 $77,927,500 $41,434,085 was approved by the Governor’s Office and the LBB in December 2017. The UTHealth BSC groundbreaking was on June 26, 2019, and B I TOTALS the final topping out concrete pour was on June 18, 2020. The substantial completion and Combined UTHealth HCPC and UTHealth BSC ribbon cutting are expected in late 2021 with YEAR NET TOTAL occupancy by early 2022. Supplemental FY21 $500,000 $500,000 In addition to acute beds, the new hospital will feature innovative stepdown/subacute beds FY 2022 $19,678,485 $56,171,900 to significantly impact the readmission rate and FY 2023 $41,343,085 $77,927,500 high utilization rates for mental health patients. TOTAL $61,612,570 $134,599,400 Like UTHealth HCPC, UTHealth BSC will be managed and staffed by personnel from McGovern Medical School at UTHealth.

11 UTHealth I The University of Texas Health Science Center at Houston I page  11 High Priority Appropriations Requests

744 The University of Texas Health Science Center at Houston I 87th Regular Session, Agency Submission

CONCLUSION These appropriations requests represent UTHealth’s highest priorities to directly support the needs of Texans as we recover from the health and economic consequences of the COVID-19 pandemic. These requests were not made in a vacuum, but measured the economic realities of the state against how UTHealth can serve and benefit Texas coming through the pandemic. Continuing our research programs through the new Mission Specific Formula including COVID-19 research, and opening the largest academic mental health campus in the nation to help those in mental health crisis due to the pandemic.

12 UTHealth I The University of Texas Health Science Center at Houston I page  12 The University of Texas Health Science Center at Houston Executive Organization

The University of Texas System Board of Regents

Giuseppe N. Colasurdo, MD Rose Hochner, MBA President Vice President, Marketing and Communication 9,88.3 FTEs Chief of Staff to the President

Michael R. Blackburn, PhD Kevin Dillon, MBA, CPA Scott Forbes Dean Senior Executive Vice President Vice President, Governmental Relations Graduate School of Biomedical Sciences &KLHI2SHUDWLQJ )LQDQFLDO2I¿FHU 3.0 FTEs 8. FTEs 6.4 FTEs

Kevin Foyle, CFRE Vice President, Development & Public Affairs Eric Boerwinkle, PhD Michael R. Blackburn, PhD 7. FTEs Dean Senior Executive Vice President School of Public Health &KLHI$FDGHPLF2I¿FHU 6. FTEs 16 FTEs Karen K. Spillar, JD Vice President, Enterprise Risk Management &KLHI&RPSOLDQFH2I¿FHUad interim Diane M. Santa Maria, DrPH, MSN, RN, APHN-BC 7.0 FTEs Dean Cizik School of Nursing 18.FTEs LaTanya Love, MD Vice President, Diversity & Leadership Development 1.0 FTEs Richard Andrassy, MD Executive Dean ad interim McGovern Medical School Melissa K. Pifko, JD 7,4. FTEs 9LFH3UHVLGHQW &KLHI/HJDO2I¿FHU 12. FTEs

John A. Valenza, DDS Dean Daniel Sherman, MBA, CPA School of Dentistry $VVLVWDQW9LFH3UHVLGHQW &KLHI$XGLW2I¿FHU 4. FTEs 9.0 FTEs

Jiajie Zhang, PhD Andrew Casas Dean Senior Vice President School of Biomedical Informatics &KLHI2SHUDWLQJ2I¿FHU873K\VLFLDQV 15. FTEs . FTEs

13 13 The University of Texas Health Science Center at Houston Executive Organization Descriptions

Office of the President President – Giuseppe N. Colasurdo, M.D., holds primary responsibility for the health science center’s success in educating students, conducting groundbreaking research, and maintaining a reputable and financially secure clinical practice.

Senior Executive Vice President, Chief Operating Officer – Kevin Dillon, M.B.A. C.P.A., provides financial oversight to each of the health science center’s six schools, the Harris County Psychiatric Center and the Brown Foundation Institute of Molecular Medicine as well as the medical practice plan. Mr. Dillon is also responsible for the health science center’s central financial and administrative services and campus-wide strategic planning efforts.

Executive Vice President and Chief Academic Officer – Michael Blackburn, Ph.D., manages the collaboration among researchers at the university’s schools of medicine, nursing, public health, biomedical informatics, biomedical sciences, and dentistry, as well as providing strategic leadership for the university’s research efforts.

Deans Medical School – Richard Andrassy, M.D., directs the school’s academic, research, clinical, and outreach activities.

School of Dentistry – John A. Valenza, D.D.S. directs the school’s academic, research, clinical, and outreach activities.

School of Public Health – Eric Boerwinkle, Ph.D., directs the school’s academic, research, and outreach activities.

School of Biomedical Informatics – Jiajie Zhang Ph.D., directs the school’s academic, research, and outreach activities.

Graduate School of Biomedical Sciences – Michael Blackburn, Ph.D., co-directs the school’s academic, research, and outreach activities.

School of Nursing – Diane M. Santa Maria, Ph.D., MSN, RN, APHN-BC, directs the school’s academic, research, clinical, and outreach activities.

14 14 Vice Presidents

Diversity and Leadership Development – LaTanya Love, M.D. develops strategic initiatives, accountability systems and partnerships that promote a diverse and inclusive climate. She also leads initiatives to improve student well-being, leadership development and overall success.

Governmental Relations – Scott Forbes is the health science center’s liaison to local, state, and federal government entities. He also advises executive leadership on issues of interest to elected officials.

Internal Audit – Dan Sherman, M.B.A., C.P.A., is responsible for ensuring that all academic and business operations comply with university policies and applicable regulations.

Legal – Melissa Pifko, J.D. serves as the on-campus resource for general legal counsel, coordinates legal action either in defense of or on behalf of the health science center.

Development – Kevin Foyle, CFRE coordinates the development program including principal, planned, major and annual gifts, corporate and foundation relations and administrative and information services.

Enterprise Risk Management and Chief Compliance Officer ad interim – Karen K. Spillar, JD leads the approach to identify, mitigate, and manage risks that have the potential to interfere with the institution’s operations and objectives. As chief compliance officer ad interim she is responsible for promoting compliance with all applicable legal and regulatory requirements.

Chief Operating Officer, UT Physicians – Andrew Casas provides financial and operational oversight of UT Physicians, the clinical component of the institution’s physician practice plan.

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114 114 3.A.1. Program Level Request Schedule 87th Regular Session, Agency Submission, Version 1

Agency Code: 744 Agency: The University of Texas Health Science Center at Houston Prepared By: Scott Barnett Date: Program 2020-21 Requested Requested Biennial Total Biennial Difference Strategy Strategy Name Priority Program Name Legal Authority Base 2022 2023 2022-23 $% 1.1.1 Medical Education 2 Medical Education STATE: Education Code, Chapter 73 $100,451,804 $0 $0 $0 $(100,451,804) -100.0 1.1.2 Dental Education 3 Dental Education STATE: Education Code, Chapter 73 $49,249,422 $0 $0 $0 $(49,249,422) -100.0 1.1.3 Graduate Training in 6 Graduate Training in Biomedical STATE: Education Code, Chapter 73 $10,236,758 $0 $0 $0 $(10,236,758) -100.0 Biomedical Sciences Sciences 1.1.4 Allied Health Professions 7 Allied Health Professions Training STATE: Education Code, Chapter 73 $6,701,552 $0 $0 $0 $(6,701,552) -100.0 Training 1.1.5 Nursing Education 5 Nursing Education STATE: Education Code, Chapter 73 $39,527,831 $0 $0 $0 $(39,527,831) -100.0 1.1.6 Graduate Training in Public 4 Graduate Training in Public STATE: Education Code, Chapter 73 $44,645,993 $0 $0 $0 $(44,645,993) -100.0 Health Health 1.1.7 Graduate Medical Education 8 Graduate Medical Education STATE: Education Code, Chapter 73 $12,560,622 $0 $0 $0 $(12,560,622) -100.0

1.2.1 Staff Group Insurance 26 Staff Group Insurance Premiums STATE: Insurance Code, Chapter 1601 $4,970,914 $2,559,615 $2,559,615 $5,119,230 $148,316 3.0 Premiums 1.2.2 Workers' Compensation 24 Workers' Compensation STATE: Labor Code, Section 503.01 $758,694 $360,380 $360,380 $720,760 $(37,934) -5.0 Insurance Insurance 1.2.3 Unemployment Insurance 25 Unemployment Insurance STATE: Labor Code, Section 503.01 $73,968 $35,136 $35,135 $70,271 $(3,697) -5.0 1.3.1 Texas Public Education Grants 27 Texas Public Education Grants STATE: Education Code, Section 56.033 $3,714,889 $1,869,929 $1,871,799 $3,741,728 $26,839 0.7

1.3.3 Dental Loans 28 Dental Loans STATE: Education Code, Section 61.910 $93,669 $47,539 $47,587 $95,126 $1,457 1.6

2.1.1 Research Enhancement 11 Research Enhancement STATE: Education Code, Chapter 73 $8,485,990 $0 $0 $0 $(8,485,990) -100.0 2.1.2 Performance Based Research 10 Performance Based Research STATE: Education Code, Chapter 73 $25,476,160 $0 $0 $0 $(25,476,160) -100.0 Operations Operations 3.1.1 E&G Space Support 9 E&G Space Support STATE: Education Code, Chapter 73 $49,070,199 $0 $0 $0 $(49,070,199) -100.0 3.2.1 Tuition Revenue Bond 1 Tuition Revenue Bond Retirement STATE: Education Code, Chapter 55 $37,499,000 $18,749,450 $18,748,900 $37,498,350 $(650) 0.0 Retirement 4.1.1 Dental Clinic Operations 19 Dental Clinic Operations STATE: Education Code, Chapter 73 $1,275,166 $605,704 $605,704 $1,211,408 $(63,758) -5.0 5.1.1 Improving Public Health in 13 Improving Public Health in Texas STATE: Education Code, Chapter 73 $6,048,000 $2,872,800 $2,872,800 $5,745,600 $(302,400) -5.0 Texas Communities Communities 5.1.2 Biomedical Informatics 16 Biomedical Informatics Research STATE: Education Code, Chapter 73 $2,918,400 $1,386,240 $1,386,240 $2,772,480 $(145,920) -5.0 Research and Education and Education Expansion Expansion 5.2.1 Regional Academic Health 21 Regional Academic Health Center -STATE: Education Code, Chapter 73 $935,712 $444,463 $444,463 $888,926 $(46,786) -5.0 Center - Public Health Public Health 5.3.5 Psychiatry and Behavioral 12 Psychiatry and Behavioral STATE: Education Code, Chapter 73 $12,000,000 $6,000,000 $6,000,000 $12,000,000 $0 0.0 Sciences Research Sciences Research 5.3.7 Integrated Care Study For 15 Integrated Care Study For STATE: Education Code, Chapter 73 $4,000,000 $2,000,000 $2,000,000 $4,000,000 $0 0.0 Veterans With Post-traumatic Veterans With Post-traumatic Stress Disorder Stress Disorder 5.4.1 Harris County Hospital District 14 Harris County Hospital District STATE: Education Code, Chapter 73 $6,026,916 $2,862,784 $2,862,784 $5,725,568 $(301,348) -5.0

5.4.2 Service Delivery in the 23 Service Delivery in the STATE: Education Code, Chapter 73 $785,214 $372,977 $372,977 $745,954 $(39,260) -5.0 Valley/Border Region Valley/Border Region 5.4.3 Trauma Care 22 Trauma Care STATE: Education Code, Chapter 73 $912,000 $433,200 $433,200 $866,400 $(45,600) -5.0 5.5.1 Institutional Enhancement 20 Research STATE: Education Code, Chapter 73 $1,164,668 $553,217 $553,217 $1,106,434 $(58,234) -5.0 7.1.1 Tobacco Earnings for the UT 18 Tobacco Earnings for the UT STATE: Education Code, Section 63.001 $3,341,031 $1,637,500 $1,637,500 $3,275,000 $(66,031) -2.0 Health Science Center at Health Science Center at Houston Houston 7.1.2 Tobacco Earnings from the 17 Tobacco Earnings from the STATE: Education Code, Section 63.001 $3,924,104 $1,881,658 $1,881,658 $3,763,316 $(160,788) -4.1 Permanent Health Fund for Permanent Health Fund for Higher Ed. No. 810 Higher Ed. No. 810 Program Prioritization: Highest priority was given to Tuition Revenue Bond (TRB) debt service followed by Instruction and Operations formula strategies that are the primary funding source for the education mission of the institution. The remaining formulas were next in priority followed by non-formula items. 115 115 3.B. Rider Revisions and Additions Request

Agency Code: Agency Name: Prepared By: Date: Request Level: 744 The University of Texas Health Science Scott Barnett September 2020 Baseline Center at Houston

Current Page Number Rider in 2020–21 Number GAA Proposed Rider Language 3 III-181 Estimated Appropriation and Unexpended Balance. Included in the amounts appropriated above are: (1) estimated appropriations of amounts available for distribution or investment returns out of the Permanent Endowment Fund for the University of Texas health Science Center at Houston No. 815 and 92) estimated appropriations of the institution's estimated allocation of amounts available for distribution out of the Permanent health Funds for Higher Education No. 810.

a. Amounts available for distribution or investment returns in excess of the amounts estimated above are also appropriated to the institution. In the event that amounts available for distribution or investment returns are less than the amounts estimated above, this Act may not be construed as appropriated funds to makeup the difference.

b. All balances of estimated appropriations from the Permanent Endowment fund for The University of Texas Health Science Center at Houston no. 815 and of the institution's allocation from the amounts available for distribution out of the Permanent Health Fund for Higher Education No. 810 except for any General Revenue, at the close of the fiscal year ending August 31, 2019 2021, and the income to said fund during the fiscal years beginning September 1, 2019 2021, are hereby appropriated. Any unexpended appropriations made above as August 31, 2020 2022, are hereby appropriated to the institution for the same purposes for fiscal year 2021 2023.

This rider has been changed to reflect the 2022-2023 Legislative Appropriations Request.

4 III-181 Unexpended Balances Between Fiscal Years: Regional Academic Health Center - Public Health. Any unexpended balances of August 31, 2020 2022, from the appropriations identified in Strategy E.2.1, Regional Academic Health Center-Public Health, are hereby appropriated to The University of Texas Health Science Center at Houston for the same purpose for the fiscal year beginning September 1, 2020 2022.

This rider has been changed to reflect the 2022-2023 Legislative Appropriations Request.

3.B. Page 1

116 116 3.B. Rider Revisions and Additions Request (continued)

Current Page Number Rider in 2020-21 Number GAA Proposed Rider Language Special III-269 Pilot Program: Mission Specific Support - Performance Based Research Operations Formula. To Provisions enhance research capacity at The University of Texas Health Science Center at Houston, assist the Relating institution in leveraging research grants and gifts, and support expansion of the institution’s research Only to operations, additional research formula funding shall be provided based on the following criteria: State Agencies a. General Revenue Research Operations Formula funding provided to The University of Texas of Higher Health Science Center at Houston in Strategy B.1.2, Performance Based Research Operations Education, Formula, shall be allocated to the institution through two mechanisms. Rider 11 1) Base Match allocations shall be based on the institution’s average annual research expenditures from federal sources for the previous three-year period as reported to the Higher Education Coordinating Board. The Base Match rate shall be 10.0 percent for each fiscal year of the 20220-231 biennium.

2) Performance Incentive Tiered Match allocations shall be based on the increase of the institution’s average annual research expenditures from federal sources since the prior biennium. The calculation of this increase shall be based on the average annual research expenditures from federal sources for the two-year base period preceding each biennium, as reported to the Higher Education Coordinating Board. The Tiered Match shall allocate funding in three tiers that increase on a sliding scale. Tier 1 shall provide matching General Revenue funds at a rate of 20.0 percent for any increase in the institution’s average annual research expenditures from federal sources between $0 and $5,000,000. Tier 2 shall provide matching General Revenue funds at a rate of 40.0 percent for any increase in the institution’s average annual research expenditures from federal sources between $5,000,000 and $10,000,000. Tier 3 shall provide matching General Revenue funds at a rate of 60.0 percent for any increase in the institution’s average annual research expenditures from federal sources greater than $10,000,000.

The institution’s Performance Based Research Operations Formula shall be expended for the purpose of research operations, expanding research capacity, and pursuing excellence in its research mission. Any unexpended balances of August 31, 20220, are hereby appropriated for the same purpose for the fiscal year beginning September 1, 20220.

3.B. Page 2

117 117 3.B. Rider Revisions and Additions Request (continued)

Current Page Number Rider in 2020-21 Number GAA Proposed Rider Language

For formula funding purposes, the amount of growth in total funding for the Performance Based Research Operations Formula from one biennium to another may not exceed 5.0 percent of the institution’s total General Revenue appropriations in the prior biennium, excluding tuition revenue bond debt service. The Legislative Budget Board shall implement the funding in accordance with this limitation. The mission specific Performance Based Research Operations formula established in this subsection is a pilot formula for the 2020-21 biennium that expires at the end of the fiscal year ending August 31, 2021.

The institution requests the Performance Based Research Operations Formula become a permanent formula.

The NEW X. Benefits Costs for Harris County Psychiatric Center. Notwithstanding any other provision of this Act, University contract services funds appropriated to the Health and Human Services Commission (HHSC) and of Texas provided to the University for the operation of the Harris County Psychiatric Center (HCPC) are eligible to Health receive state-paid general revenue benefits support for Retirement, Group Insurance, and Social Security Science from funds appropriated elsewhere in this Act. For purposes of the requirements of Article IX, Sec. 6.08 Center at Benefits Proportional by Method of Finance of this Act, contract services funds appropriated to HHSC and Houston provided to the University for the operation of HCPC shall be treated as if the funds received are appropriated by this Act and are not required to be held in the state treasury.

U. T. System and U.T. Health Science Center at Houston request the addition of this rider to clarify the long- established practice of HCPC contract funds being eligible for state-paid benefits. This position is supported by various other riders in the GAA including the explicit appropriation of funds for group insurance in Higher Education Group Insurance Rider 6(f).

3.B. Page 3

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=1=  !  121 121 6.HEstimatedFundsOutsidetheInstitution'sBillPattern TheUniverstiyofTexasHealthScienceCenteratHouston(744) EstimatedFundsOutsidetheInstitution'sBillPattern 2020Ͳ21and2022Ͳ23Biennia

2020Ͳ21Biennium 2022Ͳ23Biennium FY2020 FY2021 Biennium Percent FY2022 FY2023 Biennium Percent Revenue Revenue Total ofTotal Revenue Revenue Total ofTotal APPROPRIATEDSOURCESINSIDETHEBILLPATTERN StateAppropriations(excludingHEGI&StatePaidFringes) $188,280,861 $188,280,561 $376,561,422 $188,000,000 $188,000,000 $376,000,000 TuitionandFees(netofDiscountsandAllowances) 22,280,596 23,721,532 46,002,128 23,750,000 24,000,000 47,750,000 EndowmentandInterestIncome 2,778,597 2,928,216 5,706,813 2,900,000 2,900,000 5,800,000 SalesandServicesofEducationalActivities(net) ͲͲ ͲͲͲͲ SalesandServicesofHospitals(net) ͲͲ ͲͲͲͲ OtherIncome ͲͲ ͲͲͲͲ Total 213,340,054 214,930,309 428,270,363 11.6% 214,650,000 214,900,000 429,550,000 11.2%

APPROPRIATEDSOURCESOUTSIDETHEBILLPATTERN StateAppropriations(HEGI&StatePaidFringes) $39,056,805 $47,195,345 $86,252,150 $47,500,000 $47,500,000 $95,000,000 HigherEducationAssistanceFunds ͲͲ ͲͲͲͲ AvailableUniversityFund ͲͲ ͲͲͲͲ StateGrantsandContracts 29,161,930 29,161,930 58,323,860 29,000,000 29,000,000 87,000,000 Total 68,218,735 76,357,275 144,576,010 3.9% 76,500,000 76,500,000 182,000,000 4.7%

NONͲAPPROPRIATEDSOURCES TuitionandFees(netofDiscountsandAllowances) 36,560,429 38,391,091 74,951,520 38,775,002 39,162,752 77,937,754 FederalGrantsandContracts 161,269,862 173,911,440 335,181,302 175,650,554 177,407,060 353,057,614 StateGrantsandContracts 24,309,371 32,821,539 57,130,910 33,149,754 33,481,252 66,631,006 LocalGovernmentGrantsandContracts 649,485,520 677,862,271 1,327,347,791 684,640,894 691,487,303 1,376,128,196 PrivateGiftsandGrants 15,010,000 9,180,000 24,190,000 9,271,800 9,364,518 18,636,318 EndowmentandInterestIncome 60,142,692 57,559,429 117,702,121 58,135,023 58,716,374 116,851,397 SalesandServicesofEducationalActivities(net) 23,783,726 22,155,203 45,938,929 22,376,755 22,600,523 44,977,278 SalesandServicesofHospitals(net) 52,842,647 56,342,840 109,185,487 56,906,268 57,475,331 114,381,599 ProfessionalFees(net) 409,190,875 439,415,543 848,606,418 443,809,698 448,247,795 892,057,494 AuxiliaryEnterprises(net) 29,234,607 31,367,430 60,602,037 31,681,104 31,997,915 63,679,020 OtherIncome 48,146,544 54,787,649 102,934,193 55,335,525 55,888,881 111,224,406 Total 1,509,976,273 1,593,794,435 3,103,770,708 84.4% 1,609,732,379 1,625,829,703 3,235,562,082 84.1%

TOTALSOURCES$ 1,791,535,062 $1,885,082,019 $3,676,617,081 100.0%$ 1,900,882,379 $1,917,229,703 $3,847,112,082 100.0%

6.H. Page 1 of 1

122 122 6.J. Summary of Behavioral Health Funding

Agency Code: 744 Agency: The University of Texas Health Science Center at Houston Prepared by: Scott Barnett

Date: 2022-23 2022-23 Requested for Program Fund 2022-23 Total Biennial Percentage Requested for # Service Type Summary Description 2020-21 Base Substance Name Type Request Difference Change Mental Health Abuse Services Services GR 12,000,000 12,000,000 - 0.0% 10,852,000 1,148,000 Psychiatry Faculty Recruitment and Clinical Research - Faculty GR-D - - - - - and recruitment and clinical research into the causes and FF - - - - - 1 Behavioral Research treatments of mental illness. From the investigation of Sciences basic biological mechanisms to development of new IAC - - - - - Research treatment methods. Other - - - - - Subtotal 12,000,000 12,000,000 - 0.0% 10,852,000 1,148,000 GR 4,000,000 4,000,000 - 0.0% 2,000,000 - GR-D - - - - - Veterans Integrated care study for veterans with post-traumatic FF - - - - - 2 Research PTSD Study stress disorder IAC - - - - - Other - - - - - Subtotal 4,000,000 4,000,000 - 0.0% 2,000,000 - GR - - - - - GR-D - - - - - FF - - - - - 3 IAC - - - - - Other - - - - - Subtotal - - - - - GR - - - - - GR-D - - - - - FF - - - - - 4 IAC - - - - - Other - - - - - Subtotal - - - - - GR - - - - - GR-D - - - - - FF - - - - - 5 IAC - - - - - Other - - - - - Subtotal - - - - - GR - - - - - GR-D - - - - - FF - - - - - 6 IAC - - - - - Other - - - - - Subtotal - - - - - Total 16,000,000 16,000,000 - 0.0% 12,852,000 1,148,000

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)  "  " 139 139 Schedule 8D: Tuition Revenue Bonds Request by Project 86th Regular Session, Agency Submission, Version 1

Agency Code: 744 Agency Name: The University of Texas Health Science Center at Houston

Authorization Estimated Final Payment Project Name Requested Amount 2022 Requested Amount 2023 Year Date

HHS Brownsville Public Health Div. Of the RAHC 1997 8/15/2022 $ 189,000.00 $ - HHS Nursing and Student Community Center 1997 8/15/2023 $ 1,237,750.00 $ 745,500.00 HHS Purchase of Hermann Professional Building 2001 8/15/2023 $ 1,850,500.00 $ 1,485,750.00 HHS MSB Perimeter Berm 2003 8/15/2023 $ 234,750.00 $ 189,000.00 HHS Repair of the Medical School Building, Ph. I 2003 8/15/2023 $ 2,216,000.00 $ 1,774,500.00 HHS Replacement Research Facility 2003 8/15/2023 $ 1,670,200.00 $ 698,250.00 HHS Research Expansion Project 2003 8/15/2023 $ 1,073,600.00 $ 627,900.00 HHS UT Research Park Complex 2006 8/15/2024 $ 4,088,600.00 $ 7,039,250.00 HHS Renovation of Educational and Research Facil 2015 8/15/2026 $ 6,189,050.00 $ 6,188,750.00 $ 18,749,450.00 $ 18,748,900.00

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