Health, Department of

skip breadcrumbs

Agency Web Site: http://www.health.ny.gov/Link to External Website

Mission

The mission of the Department of Health (DOH) is to ensure high quality health services are available to all New Yorkers. The Department is also the principal State agency that administers the Medicaid Program, the New York State of Health (NYSOH) Exchange, and other public health and health insurance programs.

The Department operates health care facilities including Helen Hayes Hospital, four veteran’s nursing homes, and the Wadsworth Centers for Laboratories and Research. 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.

Organization and Staffing

DOH is headed by a Commissioner, who is appointed by the Governor subject to Senate confirmation. The agency is organized into four major business units: the Office of Public Health; the Office of Primary Care and Health Systems Management; Institutional Management; and the Office of Health Insurance Programs which houses Medicaid. Each of these business units contains multiple centers, divisions, and bureaus that work together to carry out DOH’s mission.

The workforce is spread out across the state, encompassing employees of the central office in Albany, four regional offices (located in Syracuse, New York City, Long Island, and Buffalo), the Wadsworth Center Public Health Laboratories, Helen Hayes Hospital (located in Haverstraw) as well as employees of the New York State Veterans’ Homes (located in Oxford, Queens, Batavia, and Montrose).

Budget Highlights

The FY 2018 Executive Budget recommends $148 billion for DOH, including $137 billion for Medicaid (represents two year appropriation authority), including $4.2 billion for the Essential Plan, and $6.8 billion for remaining health program spending. This reflects an increase of $10.7 billion from the FY 2017 Budget primarily reflecting the continuation of two-year appropriations for Medicaid, Medicaid program changes under the Affordable Care Act, the continued implementation of the Essential Plan, as well as anticipated funding under Federal waiver amendments.

The Budget recommends a workforce of 5,082 full time equivalent employees (FTEs) for the Department. This is an increase of 163 FTEs from the FY 2017 Budget, which is intended to provide staff to support the sixth year of the phased State takeover of local administration of the Medicaid program.

Major Budget initiatives include:

  • Continuing Medicaid Redesign Team (MRT) reforms. A fiscally-neutral package of new MRT initiatives is proposed to make critical investments in health care delivery and support health care transformation. This package provides continued support to essential community providers. Investments are balanced by improvements in benefits design, greater pharmaceuticals controls to protect consumers from the health and economic consequences of the rapidly rising cost of prescription drugs, efficiencies within the Medicaid transportation benefit and compliance with the Federal spousal support law.
  • Supporting $3.3 billion in capital investments to make infrastructure improvements and provide additional tools to stabilize health care providers to further advance transformation goals. This includes $500 million in new bonded and hard dollar funding to support capital projects and debt relief for health care institutions. A minimum of $50 million in funding will be reserved for Montefiore Medical Center and $30 million will be made available to community based providers.
  • Consolidating 39 public health programs into four pools, achieving $24.6 million in savings.
  • Reducing General Public Health Work reimbursement to New York City, saving $11 million.
  • Saving $3.9 million in the Early Intervention program through a series of reforms that increase reimbursement from third-party insurers.
  • Expanding public water testing to require every covered public water system in the State to test drinking water for the presence of emerging contaminants once every three years, require the testing of private wells for emerging contaminants for new wells, require testing prior to the sale of any residential property, and require testing of leased residential property once every five years. Testing results will be reported to DOH.
  • Providing $150 million to support a life sciences laboratory public health initiative which will develop life science research, innovation and infrastructure through a joint effort between Empire State Development and the Department of Health.
  • Providing $40 million to continue operational support for the State Health Information Network of New York (SHIN-NY) and continue to develop the All Payer Claims Database (APD).
  • Establishing a stakeholder engagement process to make recommendations toward a fundamental restructuring of the statutes, policies and regulations that govern the licensure and oversight of health care facilities, home health care and community based 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)

Program Highlights

Child Health Plus (CHP)

CHP provides comprehensive health coverage for children up to age 19 with family incomes above Medicaid eligibility levels. Like Medicaid, CHP is administered by states with guidance from the Centers for Medicare and Medicaid Services (CMS) and is jointly funded by the Federal government and states. Currently, approximately 300,000 New York children receive health coverage through CHP. Families with incomes below 160 percent of the Federal Poverty Level (FPL) can receive free coverage for their children while families with incomes over that threshold pay on a sliding scale from about $9-$60/month per child. Enrollees in CHP receive primary, preventive, specialty and inpatient care.

Elderly Pharmaceutical Insurance Coverage (EPIC)

The EPIC program provides drug coverage to income-eligible seniors aged 65 and older to supplement out-of-pocket Medicare Part D costs. This program serves approximately 300,000 seniors annually and is financed entirely with State funds, which are offset by revenues from fees paid by EPIC members and rebates from drug manufacturers for generic drugs.

Essential Plan (EP)

The EP provides health coverage for individuals with family incomes between 138 and 200 percent of the Federal Poverty Level (FPL) and for individuals from 0-200 percent FPL who are lawfully present in the United States but do not qualify for Medicaid due to their immigration status. The EP currently has enrollment of approximately 620,000 individuals statewide. The State receives Federal funding through the Essential Plan Trust Fund equal to 95 percent of what would have been provided to EP eligibles had they enrolled in the second lowest cost Silver Plan through the NYSOH. The EP offers a comprehensive package of benefits which include primary, preventive, specialty and inpatient care.

Medicaid

Medicaid is a means-tested program that finances health care services for over 6 million low-income individuals and long-term care services for the elderly and disabled, primarily through payments to over 80,000 health care providers and more than 90 managed care plans. The Medicaid program is financed jointly by the State, the Federal government, and local governments. Eligible services include inpatient hospital care, outpatient hospital services, clinics, nursing homes, managed care, prescription drugs, home care and services provided in a variety of community-based settings (including mental health, substance abuse treatment, developmental disabilities services, school-based services and foster care services).

New York State of Health (NYSOH)

NYSOH serves as a centralized marketplace to shop for, compare, and enroll in a health plan. The health plans offered through NY State of Health are, on average, 50 percent less expensive than those available in 2013, prior to the creation of the marketplace. To date, over 3.4 million New Yorkers have enrolled in coverage through the marketplace. The Executive Budget includes $553 million in total funding for the operation of the NY State of Health.

Public Health

DOH promotes and protects the health of people and the communities where they live, learn, work, and play. These efforts work to prevent people from getting sick or injured, and promote wellness. DOH staff are responsible for a wide range of public health issues including tracking disease outbreaks, educating the public about the health risks caused by alcohol and tobacco, and developing school nutrition programs. Major programs include:

  • General Public Health Work (GPHW). The GPHW program, authorized under Article 6 of Public Health Law, provides reimbursement to counties and NYC for six mandated core public health services (Family Health, Communicable Disease Control, Chronic Disease Prevention, Community Health Assessment, Emergency Preparedness, and Environmental Health) by providing base grants and covering 36 percent of the remaining net costs.
  • Early Intervention (EI). The EI program provides a comprehensive array of therapeutic and support services to children under the age of three with confirmed disabilities (e.g., autism, cerebral palsy) or developmental delays. The program serves approximately 68,000 children annually and is jointly financed by Federal, State and local governments.
ALL FUNDS
APPROPRIATIONS
(dollars)
Category Available
FY 2017
Appropriations
Recommended
FY 2018
Change From
FY 2017
Reappropriations
Recommended
FY 2018
State Operations 3,471,360,000 3,567,414,000 96,054,000 3,634,036,500
Aid To Localities 134,817,702,254 143,393,833,100 8,576,130,846 142,915,644,000
Capital Projects 358,100,000 687,621,000 329,521,000 2,711,443,000
Total 138,647,162,254 147,648,868,100 9,001,705,846 149,261,123,500

ALL FUND TYPES
PROJECTED LEVELS OF EMPLOYMENT BY PROGRAM
FILLED ANNUAL SALARIED POSITIONS
Program FY 2017
Estimated FTEs
03/31/17
FY 2018
Estimated FTEs
03/31/18
FTE Change
Administration
General Fund 979 924 (55)
Special Revenue Funds - Federal 29 29 0
Special Revenue Funds - Other 110 116 6
Capital Projects Funds - Other 0 31 31
Essential Plan
General Fund 6 6 0
Child Health Insurance
Special Revenue Funds - Other 24 23 (1)
Center for Community Health
Special Revenue Funds - Federal 371 371 0
Special Revenue Funds - Other 81 79 (2)
Elderly Pharmaceutical Insurance Coverage
Special Revenue Funds - Other 13 13 0
Center for Environmental Health
Special Revenue Funds - Federal 96 96 0
Special Revenue Funds - Other 30 30 0
Capital Projects Funds - Federal 40 40 0
Capital Projects Funds - Other 56 56 0
Health Care Financing
Special Revenue Funds - Other 12 0 (12)
Office of Health Insurance Programs
Special Revenue Funds - Federal 41 41 0
Office of Primary Care and Health Systems Management
Special Revenue Funds - Federal 85 85 0
Special Revenue Funds - Other 210 197 (13)
Institutional Management
Special Revenue Funds - Other 1,523 1,472 (51)
Capital Projects Funds - Other 0 51 51
Wadsworth Center for Laboratories and Research
Special Revenue Funds - Federal 47 47 0
Special Revenue Funds - Other 142 139 (3)
New York State of Health
Special Revenue Funds - Federal 80 80 0
Medical Assistance Administration
General Fund 456 562 106
Special Revenue Funds - Federal 456 562 106
Medical Marihuana
Special Revenue Funds - Other 32 32 0
Total 4,919 5,082 163

STATE OPERATIONS
ALL FUNDS FINANCIAL REQUIREMENTS BY FUND TYPE
APPROPRIATIONS
(dollars)
Fund Type Available
FY 2017
Recommended
FY 2018
Change
General Fund 813,202,000 750,840,000 (62,362,000)
Special Revenue Funds - Federal 2,292,622,000 2,403,946,000 111,324,000
Special Revenue Funds - Other 365,536,000 412,628,000 47,092,000
Total 3,471,360,000 3,567,414,000 96,054,000
Adjustments:
Transfer(s) From
Special Pay Bill
General Fund (7,614,000)
Appropriated FY 2017 3,463,746,000

STATE OPERATIONS
ALL FUNDS FINANCIAL REQUIREMENTS BY PROGRAM
APPROPRIATIONS
(dollars)
Program Available
FY 2017
Recommended
FY 2018
Change
Administration
General Fund 144,354,000 136,287,000 (8,067,000)
Special Revenue Funds - Federal 11,886,000 11,490,000 (396,000)
Special Revenue Funds - Other 26,688,000 18,990,000 (7,698,000)
Essential Plan
General Fund 43,220,000 60,326,000 17,106,000
Child Health Insurance
Special Revenue Funds - Federal 139,240,000 138,500,000 (740,000)
Special Revenue Funds - Other 14,334,000 3,869,000 (10,465,000)
Center for Community Health
Special Revenue Funds - Federal 156,878,000 159,747,000 2,869,000
Special Revenue Funds - Other 4,790,000 4,611,000 (179,000)
Elderly Pharmaceutical Insurance Coverage
Special Revenue Funds - Other 13,000,000 13,224,000 224,000
Center for Environmental Health
Special Revenue Funds - Federal 19,287,000 18,413,000 (874,000)
Special Revenue Funds - Other 8,429,000 7,623,000 (806,000)
Health Care Reform Act Program
Special Revenue Funds - Other 15,300,000 15,300,000 0
Office of Health Insurance Programs
Special Revenue Funds - Federal 625,491,000 625,491,000 0
Special Revenue Funds - Other 10,627,000 6,517,000 (4,110,000)
Office of Primary Care and Health Systems Management
Special Revenue Funds - Federal 20,917,000 20,917,000 0
Special Revenue Funds - Other 48,259,000 37,113,000 (11,146,000)
Institutional Management
Special Revenue Funds - Other 148,347,000 161,448,000 13,101,000
Wadsworth Center for Laboratories and Research
Special Revenue Funds - Federal 13,401,000 13,401,000 0
Special Revenue Funds - Other 69,022,000 62,494,000 (6,528,000)
New York State of Health
Special Revenue Funds - Other 0 71,661,000 71,661,000
Medical Assistance Administration
General Fund 625,628,000 554,227,000 (71,401,000)
Special Revenue Funds - Federal 1,305,522,000 1,415,987,000 110,465,000
Medical Marihuana
Special Revenue Funds - Other 6,740,000 9,778,000 3,038,000
Total 3,471,360,000 3,567,414,000 96,054,000

STATE OPERATIONS - GENERAL FUND
SUMMARY OF PERSONAL SERVICE APPROPRIATIONS AND CHANGES
FY 2018 RECOMMENDED
(dollars)
Program Total Personal Service Regular
(Annual Salaried)
Amount Change Amount Change
Administration 87,440,000 (3,539,000) 85,218,000 (3,539,000)
Essential Plan 1,836,000 461,000 1,836,000 461,000
Medical Assistance Administration 74,420,000 (42,541,000) 73,800,000 (42,541,000)
Total 163,696,000 (45,619,000) 160,854,000 (45,619,000)
STATE OPERATIONS - GENERAL FUND
SUMMARY OF PERSONAL SERVICE APPROPRIATIONS AND CHANGES
FY 2018 RECOMMENDED CONTINUED
(dollars)
Program Temporary Service
(Nonannual Salaried)
Holiday/Overtime Pay
Amount Change Amount Change
Administration 329,000 0 1,893,000 0
Medical Assistance Administration 130,000 0 490,000 0
Total 459,000 0 2,383,000 0

STATE OPERATIONS - GENERAL FUND
SUMMARY OF NONPERSONAL SERVICE AND MAINTENANCE UNDISTRIBUTED
APPROPRIATIONS AND CHANGES
FY 2018 RECOMMENDED
(dollars)
Program Total Supplies and Materials
Amount Change Amount Change
Administration 48,847,000 (4,528,000) 6,553,000 (697,000)
Essential Plan 58,490,000 16,645,000 9,000 0
Medical Assistance Administration 479,807,000 (28,860,000) 720,000 0
Total 587,144,000 (16,743,000) 7,282,000 (697,000)
STATE OPERATIONS - GENERAL FUND
SUMMARY OF NONPERSONAL SERVICE AND MAINTENANCE UNDISTRIBUTED
APPROPRIATIONS AND CHANGES
FY 2018 RECOMMENDED CONTINUED
(dollars)
Program Travel Contractual Services
Amount Change Amount Change
Administration 1,869,000 (131,000) 38,330,000 (3,500,000)
Essential Plan 20,000 0 58,454,000 16,645,000
Medical Assistance Administration 474,000 0 478,433,000 (28,860,000)
Total 2,363,000 (131,000) 575,217,000 (15,715,000)
STATE OPERATIONS - GENERAL FUND
SUMMARY OF NONPERSONAL SERVICE AND MAINTENANCE UNDISTRIBUTED
APPROPRIATIONS AND CHANGES
FY 2018 RECOMMENDED CONTINUED
(dollars)
Program Equipment
Amount Change
Administration 2,095,000 (200,000)
Essential Plan 7,000 0
Medical Assistance Administration 180,000 0
Total 2,282,000 (200,000)

STATE OPERATIONS - OTHER THAN GENERAL FUND
SUMMARY OF APPROPRIATIONS AND CHANGES
FY 2018 RECOMMENDED
(dollars)
Program Total Personal Service
Amount Change Amount Change
Administration 30,480,000 (8,094,000) 14,966,000 (3,677,000)
Child Health Insurance 142,369,000 (11,205,000) 48,516,000 (2,822,000)
Center for Community Health 164,358,000 2,690,000 63,414,000 (181,000)
Elderly Pharmaceutical Insurance Coverage 13,224,000 224,000 2,275,000 0
Center for Environmental Health 26,036,000 (1,680,000) 12,573,000 (545,000)
Health Care Reform Act Program 15,300,000 0 0 0
Office of Health Insurance Programs 632,008,000 (4,110,000) 74,028,000 (2,145,000)
Office of Primary Care and Health Systems Management 58,030,000 (11,146,000) 20,484,000 (3,557,000)
Institutional Management 161,448,000 13,101,000 103,121,000 10,873,000
Wadsworth Center for Laboratories and Research 75,895,000 (6,528,000) 14,286,000 (1,555,000)
New York State of Health 71,661,000 71,661,000 6,034,000 6,034,000
Medical Assistance Administration 1,415,987,000 110,465,000 86,666,000 (45,336,000)
Medical Marihuana 9,778,000 3,038,000 3,670,000 1,678,000
Total 2,816,574,000 158,416,000 450,033,000 (41,233,000)
STATE OPERATIONS - OTHER THAN GENERAL FUND
SUMMARY OF APPROPRIATIONS AND CHANGES
FY 2018 RECOMMENDED CONTINUED
(dollars)
Program Nonpersonal Service
Amount Change
Administration 15,514,000 (4,417,000)
Child Health Insurance 93,853,000 (8,383,000)
Center for Community Health 100,944,000 2,871,000
Elderly Pharmaceutical Insurance Coverage 10,949,000 224,000
Center for Environmental Health 13,463,000 (1,135,000)
Health Care Reform Act Program 15,300,000 0
Office of Health Insurance Programs 557,980,000 (1,965,000)
Office of Primary Care and Health Systems Management 37,546,000 (7,589,000)
Institutional Management 58,327,000 2,228,000
Wadsworth Center for Laboratories and Research 61,609,000 (4,973,000)
New York State of Health 65,627,000 65,627,000
Medical Assistance Administration 1,329,321,000 155,801,000
Medical Marihuana 6,108,000 1,360,000
Total 2,366,541,000 199,649,000

AID TO LOCALITIES
ALL FUNDS FINANCIAL REQUIREMENTS BY FUND TYPE
APPROPRIATIONS
(dollars)
Fund Type Available
FY 2017
Recommended
FY 2018
Change
General Fund 37,294,602,254 39,302,134,100 2,007,531,846
Special Revenue Funds - Federal 85,533,796,000 91,997,098,000 6,463,302,000
Special Revenue Funds - Other 11,989,304,000 12,094,601,000 105,297,000
Total 134,817,702,254 143,393,833,100 8,576,130,846

AID TO LOCALITIES
ALL FUNDS FINANCIAL REQUIREMENTS BY PROGRAM
APPROPRIATIONS
(dollars)
Program Available
FY 2017
Recommended
FY 2018
Change
Administration
General Fund 266,000 266,000 0
AIDS Institute
General Fund 103,495,000 102,445,000 (1,050,000)
Essential Plan
General Fund 333,917,000 416,737,000 82,820,000
Special Revenue Funds - Federal 2,083,668,000 3,746,597,000 1,662,929,000
Child Health Insurance
Special Revenue Funds - Federal 1,000,000,000 1,149,819,000 149,819,000
Special Revenue Funds - Other 481,997,000 481,937,000 (60,000)
Center for Community Health
General Fund 670,923,054 641,175,100 (29,747,954)
Special Revenue Funds - Federal 907,117,000 904,117,000 (3,000,000)
Special Revenue Funds - Other 5,025,000 5,665,000 640,000
Elderly Pharmaceutical Insurance Coverage
Special Revenue Funds - Other 131,506,000 132,580,000 1,074,000
Center for Environmental Health
General Fund 6,889,800 5,017,000 (1,872,800)
Special Revenue Funds - Federal 3,687,000 3,687,000 0
Special Revenue Funds - Other 9,550,000 9,560,000 10,000
Health Care Reform Act Program
Special Revenue Funds - Other 430,024,000 340,299,000 (89,725,000)
Office of Health Insurance Programs
General Fund 22,855,000 18,835,000 (4,020,000)
Special Revenue Funds - Federal 320,000,000 320,000,000 0
Special Revenue Funds - Other 540,000 2,930,000 2,390,000
Office of Primary Care and Health Systems Management
General Fund 20,723,000 45,121,000 24,398,000
Special Revenue Funds - Federal 1,000,000 1,000,000 0
Special Revenue Funds - Other 12,560,000 12,560,000 0
Wadsworth Center for Laboratories and Research
General Fund 1,122,400 0 (1,122,400)
Special Revenue Funds - Federal 3,682,000 3,682,000 0
Special Revenue Funds - Other 9,500,000 11,080,000 1,580,000
Medical Assistance Administration
General Fund 1,347,500,000 1,377,500,000 30,000,000
Special Revenue Funds - Federal 1,441,300,000 1,441,300,000 0
Medical Assistance
General Fund 34,786,911,000 36,695,038,000 1,908,127,000
Special Revenue Funds - Federal 79,773,342,000 84,426,896,000 4,653,554,000
Special Revenue Funds - Other 10,908,602,000 11,097,990,000 189,388,000
Total 134,817,702,254 143,393,833,100 8,576,130,846

CAPITAL PROJECTS
ALL FUNDS FINANCIAL REQUIREMENTS BY PROGRAM
APPROPRIATIONS
(dollars)
Comprehensive Construction Program Available
FY 2017
Recommended
FY 2018
Change Reappropriations
FY 2018
All Payers Claims Database
Capital Projects Fund 10,000,000 10,000,000 0 0
Capital Restructuring Program for Health Care and Related Facilities
Capital Projects Fund - Authority Bonds 0 0 0 1,200,000,000
Health Care Facility Transformation Program
Capital Projects Fund - Authority Bonds 200,000,000 500,000,000 300,000,000 1,200,000,000
IT Initiatives Program
Health Care IT Capital 10,000,000 10,000,000 0 0
Laboratories and Research
Capital Projects Fund 8,000,000 8,000,000 0 44,464,000
Capital Projects Fund - Authority Bonds 0 0 0 2,800,000
Maintenance and Improvements of Existing Institutions
Capital Projects Fund 23,100,000 52,621,000 29,521,000 37,146,000
Statewide Health Information Network For New York
Capital Projects Fund 30,000,000 30,000,000 0 0
Water Resources
Federal Capital Projects Fund 77,000,000 77,000,000 0 227,033,000
Total 358,100,000 687,621,000 329,521,000 2,711,443,000

Note: Most recent estimates as of 1/17/2017

^ Top