Indiana's Public Health Initiatives and Funding Requirements
Governor Holcomb established the Governor's Public Health Commission (GPHC) in August 2021 to improve Indiana's public health system. The commission's report highlights key areas for enhancement, including funding allocation, workforce development, and emergency preparedness. Legislative bills Senate Bill 4 and House Bill 1001 address funding for local health departments (LHDs) and prioritize core public health services. Funding requirements mandate at least 60% of funds be allocated to core services, with no more than 40% for other essential services. Counties have the option to participate in the funding allocation strategy.
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GOVERNORS PUBLIC HEALTH COMMISSION (GPHC) THE GOAL IS TO ENSURE THAT EVERY HOOSIER HAS THE GOAL IS TO ENSURE THAT EVERY HOOSIER HAS ACCESS TO THE CORE PUBLIC HEALTH SERVICES THAT ACCESS TO THE CORE PUBLIC HEALTH SERVICES THAT ALLOW THEM TO ACHIEVE THEIR OPTIMAL HEALTH ALLOW THEM TO ACHIEVE THEIR OPTIMAL HEALTH AND WELLBEING AND WELLBEING
GPHC GPHC Governor Holcomb established the Governor s Public Health Commission in August 2021 and charged it with examining the strengths and weaknesses of Indiana s public health system and making recommendations for improvement. The commission s report released in July 2022 focuses on six workstreams: funding; governance; infrastructure and services; emergency preparedness; workforce; data and information integration; and childhood and adolescent health The centerpiece of the recommendations is a state investment in local public health to support consistent delivery of local public health services across the state.
PUBLIC HEALTH LEGISLATURE PUBLIC HEALTH LEGISLATURE Senate Bill 4 https://iga.in.gov/legislative/2023/bills/senate/4/details Core public health services defined Provides a method of state funding allocation GPHC legislation Requires LHDs to post a new position for the provision of core public health services for at least 30 days Allows LHDs to approve grants for core public health services Requires public health trainings for new local health officers
PUBLIC HEALTH LEGISLATURE PUBLIC HEALTH LEGISLATURE House Bill 1001 https://iga.in.gov/legislative/2023/bills/house/1001/details Addresses GPHC funding for LHDs $75 million in year 1 for LHDs in Indiana State budget bill Allows for 13.75M in year 1 and 18M in year 2 to address Emergency Preparedness at the state level Allows for regional staff to support LHD services $150 million in year 2 for LHDs in Indiana
FUNDING REQUIREMENTS FUNDING REQUIREMENTS At least 60% of funding must be spent on these core services
FUNDING REQUIREMENTS FUNDING REQUIREMENTS No more than 40% of funding may be spent on these core services
OTHER FUNDING INFORMATION OTHER FUNDING INFORMATION Counties may opt-in or opt-out in any fiscal year by the county commissioners Counties must set up new standardized non-reverting local public health services fund to receive state dollars County match: in 2024, an average of county tax-levy-related funds distributed to the LHD in the preceding three years County match: in 2025 and beyond, a minimum of 25% of the local public health services funds received Capital expenses paid for with state funds are capped at 10% each year. This includes purchase, construction, or renovation of building or other structures, land acquisition, and purchase of vehicles and other transportation equipment
ACCOUNTABILITY & ACCOUNTABILITY & TRANSPARENCY TRANSPARENCY Counties will be required to submit an annual financial report before funding is approved and dispersed each year Local health departments will be required to submit an annual report demonstrating how dollars were spend Semi-annual reporting of key performance indicators to measure delivery of core public health services If a county is found to out of compliance, there will be required correction action, with the ability to suspend funding going further
BOONE BOONE COUNTY COUNTY STATE STATE FUNDING FUNDING Opting In 2024: Minimum amount: $690,417.00 Maximum amount: $920,556.00 County match: $503,902.00 2025: Minimum amount: $1,380,834.00 Maximum amount: $1,841,112.00 County match: $345,208.50 $460,278.00 Opting out: Legacy amount funding from Local Health Maintenance fund/Trust account remains: $80,565.34
