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Legislative Appropriations Request for Fiscal Years 2022-2023 Volume 1 - Submitted October 9, 2020

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Legislative Appropriations Request for Fiscal Years 2022-2023 Volume 1 - Submitted October 9, 2020 Legislative Appropriations Request for Fiscal Years 2022-2023 Volume 1 - Submitted October 9, 2020 Administrator's Statement Organizational Chart Dual Certification Summaries of Request Budget Overview Strategy Request Program Level Request Rider Revisions & Additions Request Special Provisions Relating to all Health and Human Services Agencies Sub-Strategy Request Exceptional Items Request Capital Budget Schedules LEGISLATIVE APPROPRIATIONS REQUEST For Fiscal Years 2022 and 2023 VOLUME 1 Submitted to the Office of the Governor, Budget Division, and the Legislative Budget Board by TEXAS DEPARTMENT OF STATE HEALTH SERVICES October 9, 2020 TEXAS DEPARTMENT OF STATE HEALTH SERVICES FY 2022-2023 Legislative Appropriations Request TABLE OF CONTENTS VOLUME 1 Administrator's Statement Organizational Chart Certificate of Dual Submission Summaries of Request Budget Overview 2.A. Summary of Base Request by Strategy 2.B. Summary of Base Request by Method of Finance 2.C. Summary of Base Request by Object of Expense (OOE) 2.D. Summary of Base Request Objective Outcomes 2.E. Summary of Exceptional Items Request 2.F. Summary of Total Request by Strategy 2.G. Summary of Total Request Objective Outcomes 3.A. Strategy Request 01-01-01 Public Health Preparedness and Coordinated Services 01-01-02 Vital Statistics 01-01-03 Health Registries 01-01-04 Border Health and Colonias 01-01-05 Health Data and Statistics 01-02-01 Immunize Children and Adults in Texas 01-02-02 HIV/STD Prevention 01-02-03 Infectious Disease Prevention, Epidemiology and Surveillance 01-02-04 TB Surveillance and Prevention 01-02-05 Texas Center for Infections Disease 01-03-01 Chronic Disease Prevention 01-03-02 Reduce Use of Tobacco Products Page 1 of 3 01-04-01 Laboratory Services 02-01-01 Maternal and Child Health 02-01-02 Children with Special Needs 02-02-01 EMS and Trauma Care Systems 02-02-02 Texas Primary Care Office 03-01-01 Food (Meat) and Drug Safety 03-01-02 Environmental Health 03-01-03 Radiation Control 03-01-04 Texas.Gov 04-01-01 Agency Wide Information Technology Projects 05-01-01 Central Administration 05-01-02 Information Technology Program Support 05-01-03 Other Support Services 05-01-04 Regional Administration 3.A.1 Program Level Request 3.B. Rider Revisions and Additions Request Special Provisions Relating to all Health and Human Services Agencies Request 3.D. Sub-Strategy Request 01-01-01 Public Health Preparedness and Coordinated Services 01-01-01-01 Regional and Local Health Services 01-01-01-02 Preparedness 01-01-01-03 Disaster Response 01-01-03 Health Registries 01-01-03-01 Environmental Epidemiology & Toxicology 01-01-03-02 Birth Defects Epidemiology & Surveillance 01-01-03-03 Cancer Epidemiology & Surveillance 01-01-03-04 Blood Lead Epidemiology & Surveillance 01-01-03-05 EMS Trauma Registry 01-02-01 Immunize Children and Adults in Texas 01-02-01-01 Immunize Adults in Texas Page 2 of 3 01-02-01-02 Immunize Children in Texas 01-02-02 HIV/STD Prevention 01-02-02-01 HIV/STD Medications 01-02-02-02 HIV/STD Services 01-02-02-03 HIV/STD Prevention and Surveillance 01-02-04 TB Surveillance and Prevention 01-02-04-01 TB Prevention & Control 01-02-04-02 TB Surveillance 02-01-01 Women and Children’s Health Services 02-01-01-01 Health and Social Services for Children 02-01-01-02 Population Based Services 02-02-01 EMS and Trauma Care Systems 02-02-01-01 System Development 02-02-01-02 Provider Regulation Request for Exceptional Items 4.A. Exceptional Item Request Schedule 4.B. Exceptional Item Strategy Allocation Schedule 4.C. Exceptional Item Strategy Request Capital Budget Schedules 5.A. Capital Budget Project Schedule 5.B. Capital Budget Project Information 5.C. Capital Budget Allocation to Strategies (Baseline) 5.E. Capital Budget Project-OOE and MOF Detail by Strategy Capital Budget Project Schedule – Exceptional Capital Budget Allocation to Strategies – Exceptional Page 3 of 3 Administrator's Statement 10/9/2020 10:41:25AM 87th Regular Session, Agency Submission, Version 1 Automated Budget and Evaluation System of Texas (ABEST) 537 State Health Services, Department of Protecting every Texan is at the heart of the Department of State Health Services’ (DSHS) mission. We are charged with improving the health, safety and well-being of Texans, and never has that been clearer than in these unprecedented times. Since its emergence in late 2019, the COVID-19 global pandemic has challenged all aspects of life in our state. As the state’s public health agency, DSHS has been on the frontline of Texas’ response working to slow the spread of COVID-19 in our communities, preserve the state’s healthcare system, and provide clear and actionable guidance to the public about this new disease. Our dedicated public health professionals, in coordination with local health departments across the state and our partner agencies, work tirelessly every day to safeguard Texans. DSHS is administratively organized into divisions covering Laboratory and Infectious Disease Services, Regional and Local Health Operations, Consumer Protection, and Community Health Improvement that fulfil our mission by: • preventing, detecting and responding to infectious diseases, • providing public health and medical response during disasters and emergencies, • developing evidence-based public health interventions through data analysis and science, • reducing health risks and threats through consumer protection, and • promoting healthy lifestyles through disease and injury prevention. Throughout the pandemic, DSHS has been fully committed as an agency to responding to COVID-19, while remaining vigilant against other infectious diseases, biological or chemical threats, and emerging public health issues. I am proud of the many ways DSHS staff have risen to the challenge of combating COVID-19. The hard work and sacrifice shown by staff embody the very best of public service. We began taking actions to fight COVID-19 shortly after the US Centers for Disease Control and Prevention confirmed the first case of the novel coronavirus in the United States. Ten days later, on January 31, we officially activated the State Medical Operations Center to prepare for the coming crisis, and by February 17, we activated our Regional Medical Operations Centers. On March 4, we announced the first positive test result for COVID-19 in Texas, and a shortly after we confirmed on March 17 the first fatality of a Texas resident who had tested positive for COVID-19. Since early spring of 2020, the range of our response efforts during the pandemic have covered: • Coordination of local and state public health efforts; • Statewide management and provision of lab testing and capacity; • Data collection, analysis and reporting; • Health care system support and deployment of medical staffing to hospitals and nursing facilities; • Statewide public awareness; • Public Health guidance for individuals and businesses and consultation with local elected leaders; and • Sourcing and consulting on medical supplies and personal protective equipment. • Developing the infrastructure to safely and appropriately disseminate vaccine The scale and scope of COVID-19 necessitated an unprecedented statewide public health response encompassing all parts of DSHS. Staff have been redeployed throughout the agency as we prioritized our COVID-19 response efforts, while still performing other ongoing important public health work Texans expect of us, including vaccinations, newborn screening, chronic disease prevention, vital statistics, food safety, and consumer protection activities. DSHS developed its 2022–2023 Legislative Appropriations Request in light of its ongoing pandemic response and additional public health obligations . The DSHS appropriations request complies with the guidance provided by the Legislative Budget Board and the Governor’s Office of Budget and Policy . DSHS conducts criminal history background checks on a wide variety of positions, such as statewide users of the electronic vital statistics registration system, regional dental teams who work in Page 1 of 707 Page 1 of 2 Administrator's Statement 10/9/2020 10:41:25AM 87th Regular Session, Agency Submission, Version 1 Automated Budget and Evaluation System of Texas (ABEST) 537 State Health Services, Department of schools to provide oral health screenings, staff at the Texas Center for Infectious Disease, and certain laboratory personnel as a requirement of the CDC Select Agency Program Registration. Additionally, DSHS conducts background checks through the consumer protection program on license applicants, such as EMS personnel, EMS provider, Prescription or Non-Prescription Drug Wholesaler Distributor, and Consumable Hemp product applicants. As the pandemic unfolded, DSHS received over $1.5 billion in federal funding to support the state’s COVID-19 public health needs. While these additional federal funding sources allow DSHS to address COVID-19, DSHS LAR reflects unmet current and future critical public health funding needs across DSHS’ responsibilities aimed at protecting Texans beyond this one infectious disease. Our request focuses on those activities at the core of public health. Based on the guidelines for developing the LAR, DSHS’ baseline request includes a 5% reduction of General Revenue Funds and General Revenue–Dedicated Funds budget. Post-Health and Human Services transformation, DSHS has been fully focused on public health. While these reductions are difficult, the agency understands the changing economic environment in Texas and has prioritized core public health programs.
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