Health, Department of
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Mission
The Department of Health is charged with the protection and promotion of the health of New Yorkers through prevention, science and the assurance of quality health care delivery. The Department is the principal State agency that oversees the Medicaid Program and other public health insurance programs.
The Department operates health care facilities including Helen Hayes Hospital, four veteran’s nursing homes, and the Wadsworth Laboratories. In addition, DOH conducts oversight of health professionals and all other health care facilities to ensure that high quality, cost effective, health care alternatives are provided throughout the State.
Budget Highlights
The Executive Budget recommends $128.2 billion for the Department of Health, including $121.6 billion for Medicaid and $6.6 billion for remaining health program spending. This reflects an increase of $9 billion from the FY 2014 Budget primarily reflecting the continuation of two-year appropriations for Medicaid, the expansion of Medicaid under Federal Health Care Reform, as well as anticipated funding under Federal waiver amendments.
The Executive Budget recommends a workforce of 5,213 FTEs for the Department. This is an increase of 323 FTEs from the FY 2014 budget, which is intended to provide staff to support the third year of the phased takeover of local government administration of the Medicaid program and the continued operations of the New York health benefit exchange -- New York State of Health.
Major Budget initiatives include:
- Continuing Medicaid Redesign Team (MRT) reforms. A cost neutral package of initiatives are proposed that include investments in supportive housing, community behavioral and increased payments to essential community providers. These investments are balanced with savings from targeted Medicaid integrity initiatives, greater controls on pharmaceuticals and compliance with Federal law that requires spousal support.
- Advancing a new $1.2 billion capital program to support projects that improve financial stability and increase efficiency through greater provider collaboration.
- Providing $65 million to continue operational support for the State Health Information Network of New York (SHIN-NY), establish a statewide electronic medical record system, and create an All Payer Claims Database. In addition, the Budget includes $7.0 million to establish 11 new Regional Health Improvement Collaboratives (RHICs), including support for the Fingerlakes Health System Agency to provide technical assistance to other regions.
- Encouraging better linkages to health insurance coverage for uninsured women receiving prenatal care services under the General Public Health Work program.
- Reflecting additional insurance revenues and modifying budgets for the AIDS Drugs Assistance Program (ADAP), Family Planning and Cancer Services Programs.
- Deferring the planned FY 2015 2.0 percent cost of living increase for certain providers.
- Shifting Child Health Plus rate setting to the Department of Health from the Department of Financial Services.
For more information on this agency's budget recommendations located in the Executive Budget Briefing Book, click on the following link:
Briefing Book – Health Care (PDF)
| Category | Available 2013-14 |
Appropriations Recommended 2014-15 |
Change From 2013-14 |
Reappropriations Recommended 2014-15 |
|---|---|---|---|---|
| State Operations | 3,065,820,400 | 3,228,146,600 | 162,326,200 | 5,015,413,964 |
| Aid To Localities | 116,039,174,154 | 123,557,992,354 | 7,518,818,200 | 120,239,678,396 |
| Capital Projects | 85,600,000 | 1,360,600,000 | 1,275,000,000 | 624,608,000 |
| Total | 119,190,594,554 | 128,146,738,954 | 8,956,144,400 | 125,879,700,360 |
| Program | 2013-14 Estimated FTEs 03/31/14 |
2014-15 Estimated FTEs 03/31/15 |
FTE Change |
|---|---|---|---|
| Administration | |||
| General Fund | 1,090 | 1,090 | 0 |
| Special Revenue Funds - Federal | 46 | 46 | 0 |
| Special Revenue Funds - Other | 135 | 120 | (15) |
| Child Health Insurance | |||
| Special Revenue Funds - Other | 30 | 30 | 0 |
| Center for Community Health | |||
| Special Revenue Funds - Federal | 385 | 415 | 30 |
| Special Revenue Funds - Other | 78 | 78 | 0 |
| Elderly Pharmaceutical Insurance Coverage | |||
| Special Revenue Funds - Other | 26 | 26 | 0 |
| Center for Environmental Health | |||
| Special Revenue Funds - Federal | 111 | 111 | 0 |
| Special Revenue Funds - Other | 66 | 66 | 0 |
| Capital Projects Funds - Other | 56 | 56 | 0 |
| Health Care Financing | |||
| Special Revenue Funds - Other | 19 | 19 | 0 |
| Office of Health Insurance Programs | |||
| Special Revenue Funds - Federal | 130 | 130 | 0 |
| Office of Health Systems Management | |||
| Special Revenue Funds - Other | 208 | 206 | (2) |
| Institution Management | |||
| Special Revenue Funds - Other | 1,510 | 1,510 | 0 |
| Wadsworth Center for Laboratories and Research | |||
| Special Revenue Funds - Federal | 69 | 69 | 0 |
| Special Revenue Funds - Other | 171 | 171 | 0 |
| Medical Assistance Administration | |||
| General Fund | 380 | 535 | 155 |
| Special Revenue Funds - Federal | 380 | 535 | 155 |
| Total | 4,890 | 5,213 | 323 |
Note: Most recent estimates as of 01/20/2014