Department of State Health Services

Salary savings are derived from actual vacancies. Also includes anticipated savings from a temporary freeze on one-time merits and hiring for certain positions implemented January 20, 2010.

Includes one-time savings related to Ike/Dolly reimbursement and available revenue collected for print shop services. Funds available in Fiscal Year 2010 only.

Assumes cost reductions resulting from changes in contracts related to parcel postage, laptop costs, and cost of the subscription for the Microsoft Enterprise agreement.

Assumes delay in replacing a number of desktops and laptops for which DSHS has received full funding for the current biennium. Extended negotiation of a new contract resulted in delay of the agency's ability to replace the equipment.

DSHS will hire an employee to bill Medicaid for laboratory kits for children enrolled in Medicaid. This will increase federal funding and reduce state funding needed to provide services.

DSHS projects that some counties will spend less than 8 percent of their general tax levy on the indigent health care programs, which is the threshold that qualifies the counties for state assistance. 

Texas received additional federal stimulus funds for immunizations. General revenue for these services will be needed in the 2012-13 biennium after the stimulus funding ends. This item would require DSHS to submit a modified grant proposal and seek CDC approval.

Most of this funding represents one-time settlements on vendor drug rebates. DSHS anticipates that in 2012-13 biennium program funding needs will increase due to increases in prices and drug costs.

This reduction assumes that UTMB will not serve as many indigent individuals as a result of Hurricane Ike.  Restoration of facilities and services are underway.

Reduces funds for the UTMB/Stark Diabetes Center. Total of $3 million was appropriated each year for the diabetes center. The reduction will be implemented during the start-up of the project.

Reduces contract with Texas Medical Foundation for site visits to Texas Vaccine for Children Providers. DSHS will mitigate the impact by concentrating on visiting new providers or those providers with performance issues.

Eliminates general revenue  funding for expansion of existing and development of new Federally Qualified Health Clinics. The Federal American Recovery and Reinvestment Act provided significant funding to existing FQHCs for construction, expansion and workforce.

Reduces trauma funds available for allocation to trauma centers. This amount represents a 10 percent of the funds available to allocate to hospitals for indigent care.

Reduces funds for temporary staff to assist with contract monitoring and review. Reduction in methadone education media campaign.  Eliminates training for Microsoft Assist to providers.

Reduces funding for DSHS regional offices. In some cases, these offices also serve as local health departments by working on immunization capacity, tuberculosis control and the investigation of certain diseases. This could affect the state's ability to meet the higher match requirement for CDC  preparedness funding. The match requirement increases from 5 percent in FY09 to 10 percent in FY10.

Implementation of the new regulatory functions related to laser hair removal and dyslexia will be delayed until 2011. Revenues for these functions will also be delayed until 2011.

Reductions in funding will mean that the agency is not able to remove approximately 285 clients from the waiting list in FY 2011.

Reduces administrative and support staff and operating costs at state hospitals, such as grounds keeping, administrative and data support services.

Delays filling vacancies and hiring of additional staff authorized during the 81st Texas Legislature to improve inspections which protect the public's health.  Workload in most regulatory programs has continued to increase, therefore delay in implementation of the new compliance FTEs will result in inspection intervals and complaint turnaround remaining at current extended timeframes and possibly increasing.

Reduces funding for including vehicle maintenance, fuel costs, building security and other contracted services. Also reduces available funds for temporary staffing in vital records. This option also relies on gaining additional efficiencies at the central office in licensing, collecting and analysis of healthcare information, specimen processing, development of rules and vital records.

Delays hiring of additional staff authorized during the 81st Texas Legislature to improve compliance with state regulations which protect the public's health.  Workload in most regulatory programs has continued to increase, therefore delay in implementation of the new compliance FTEs will result in inspection intervals and complaint turnaround remaining at current extended timeframes and possibly increasing.

Delays hiring of additional staff authorized during the 81st Texas Legislature to improve compliance with regulations which protect the public's health.  Workload in most regulatory programs has continued to increase, therefore delay in implementation of the new compliance FTEs will result in inspection intervals and complaint turnaround remaining at current extended timeframes and possibly increasing.  

Delays hiring of additional staff authorized during the 81st Texas Legislature to improve compliance with regulations which protect the public's health. Workload in most regulatory programs has continued to increase, therefore delay in implementation of the new compliance FTEs will result in inspection intervals and complaint turnaround remaining at current extended timeframes and possibly increasing.

Eliminates 50 beds in each of these hospitals. This will result in the 207 fewer patients served in Fiscal Year 2010 and 1,240 in Fiscal Year 2011. In addition, hospital staff would be decreased by 270 FTEs in Fiscal Year 2010 and 360 in Fiscal Year 2011.