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Agency 107
Washington State
Health Care Authority
RCW 41.05
Current Law Budget
Return to Governor Lowry's Proposed Budget
| Request | $397,961,240 | ||||||||||||||||||
| Net change from current biennium | $43,852,489 | Increase | |||||||||||||||||
| Percent change from current biennium | 12.4% | Increase | |||||||||||||||||
The Health Care Authority assures access to quality and affordable
health care coverage for public employees, retirees, Basic Health
enrollees, and others authorized by the Legislature. The Health
Care Authority offers choice of coverage, models effective purchasing
and equitable payment practices, effectively advises the state
of Washington in its employer role regarding health care purchasing
issues, strengthens health care policy formulation, and enhances
the quality of health care delivery and primary care access in
Washington State.
The goals of the Health Care Authority are to: provide choices
among a range of health care options to meet customers' needs;
improve processes that most significantly impact customer service,
access, and satisfaction; develop and implement the technology
infrastructure to support the agency and its programs; develop
and use health outcome measures to improve the health of our enrollees;
promote the financial health of the agency's programs and keep
premium rates affordable through effective financial management;
reach out to diverse populations and assure access to health care;
build partnerships to provide service, meet mutual goals, leverage
resources and relationships, and emphasize public-private partnerships;
and communicate effectively to customers.
| Operating Budget: Summary
| |||||||||||||||||||||
| 1995-97 Appropriations | Appropriated Funds | Expenditures | |||||||||||||||||||
| Amount | Estimated Balance | 1993-95 Actual | 1995-97 Estimated | 1997-99 Proposed | |||||||||||||||||
| 6,818,866 | 4,497 | General Fund - Basic Account - State | 6,796,079 | 6,814,369 | 6,818,670 | ||||||||||||||||
| 16,030,925 | 1,298,011 | St Health Care Authority Admin Acct - State | 10,027,207 | 14,732,914 | 14,922,900 | ||||||||||||||||
| 247,555,977 | 97,492 | Health Services Account - State | 81,961,921 | 247,458,485 | 209,057,789 | ||||||||||||||||
|
270,405,768 |
1,400,000 | Total Appropriated Funds |
98,785,207 |
269,005,768 |
230,799,359 | ||||||||||||||||
| Non-Appropriated Funds | |||||||||||||||||||||
| Basic Health Plan Trust Account - Non-Appropriated | 16,295,719 | 41,654,187 | 58,194,234 | ||||||||||||||||||
| WA State Group Purchase Association - Non-Appropriated | 126,516 | ||||||||||||||||||||
| Retired School Employees' Insurance - Non-Appropriated | 1,400,362 | ||||||||||||||||||||
| Basic Health Plan Subscription Acct - Non-Appropriated | 3,377,497 | 43,448,796 | 108,967,647 | ||||||||||||||||||
| Total Non-Appropriated Funds |
21,200,094 |
85,102,983 |
167,161,881 | ||||||||||||||||||
| Total All Funds |
119,985,301 |
354,108,751 |
397,961,240 | ||||||||||||||||||
| Operating Budget: Summary by Object
| ||||||||||||||||||
| 1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||
| Salaries And Wages | 6,262,098 | 8,040,233 | 9,300,963 | 11,317,994 | 11,720,217 | |||||||||||||
| Employee Benefits | 1,664,574 | 2,095,265 | 2,554,803 | 2,932,391 | 3,035,216 | |||||||||||||
| Personal Service Contracts | 523,357 | 793,386 | 5,625,506 | 3,387,230 | 3,187,230 | |||||||||||||
| Goods And Services | 4,586,532 | 7,585,886 | 8,760,546 | 8,974,584 | 8,442,582 | |||||||||||||
| Travel | 65,109 | 86,484 | 141,383 | 117,626 | 117,626 | |||||||||||||
| Capital Outlays | 1,053,877 | 567,722 | 730,428 | 390,701 | 334,001 | |||||||||||||
| Grants, Benefits & Client Services | 57,932,695 | 92,962,425 | 216,627,044 | 136,878,798 | 209,525,044 | |||||||||||||
| Interagency Reimbursements | (805,998) | (896,312) | (867,011) | (1,200,000) | (1,200,000) | |||||||||||||
| Annual Total |
71,282,244 |
111,235,089 |
242,873,662 |
162,799,324 |
235,161,916 | |||||||||||||
| Operating Budget: Program Summary
| ||||||||||||||||||
| 1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||
| Administration | 3,076,343 | 2,436,691 | 2,844,368 | 2,940,048 | 2,990,041 | |||||||||||||
| Basic Health Plan | 57,599,335 | 96,615,962 | 226,314,193 | 146,603,429 | 219,252,865 | |||||||||||||
| Community Health Clinics | 6,150,087 | 6,059,702 | 6,288,955 | 6,287,486 | 6,288,456 | |||||||||||||
| PEBB Administration | 4,456,479 | 6,122,734 | 7,426,146 | 6,968,361 | 6,630,554 | |||||||||||||
| Annual Total |
71,282,244 |
111,235,089 |
242,873,662 |
162,799,324 |
235,161,916 | |||||||||||||
| Fiscal Year 1993-94 | 48,703,057 | |||||||||||||||||
| Biennium Total |
119,985,301 |
354,108,751 |
397,961,240 | |||||||||||||||
| Operating Budget: Change from Preceding Biennium
| ||||||||||||||||||||||||||
| 1993-95 Actual | 1995-97 Estimated | 1997-99 Proposed | ||||||||||||||||||||||||
| Amount | Percent | Amount | Percent | Amount | Percent | |||||||||||||||||||||
| Administration | 2,096,042 | 99.4% | 1,075,995 | 25.6% | 649,030 | 12.3% | ||||||||||||||||||||
| Basic Health Plan | 44,456,316 | 89.4% | 228,720,667 | 242.8% | 42,926,139 | 13.3% | ||||||||||||||||||||
| Community Health Clinics | 11,704,926 | 643,731 | 5.5% | 227,285 | 1.8% | |||||||||||||||||||||
| PEBB Administration | 1,189,115 | 13.7% | 3,683,057 | 37.3% | 50,035 | 0.4% | ||||||||||||||||||||
| Total |
59,446,399 |
98.2% |
234,123,450 |
195.1% |
43,852,489 |
12.4% | ||||||||||||||||||||
| Employment Summary
| ||||||||||||||||||||
| 1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||||
| FTE Staff Years | 183.0 | 228.1 | 288.2 | 323.0 | 337.1 | |||||||||||||||
| Average FTE Staff Year Costs | 34,219 | 35,249 | 32,273 | 35,040 | 34,768 | |||||||||||||||
Program Level Detail
This program provides overall leadership, policy direction, and
general administrative services for the agency's operations.
Objectives are to promote innovation in health care delivery that increases access and consumer choices and to control costs through efficiency and coordination of health care programs.
| Program Employment
| ||||||||||||||||||||
| 1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||||
| FTE Staff Years | 50.0 | 40.1 | 42.0 | 44.4 | 45.6 | |||||||||||||||
| Average FTE Staff Year Costs | 36,105 | 39,622 | 43,891 | 43,231 | 43,041 | |||||||||||||||
| Expenditure Detail
| ||||||||||||||||||
| 1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||
| Salaries and Benefits | 2,271,480 | 1,990,467 | 2,322,734 | 2,418,504 | 2,472,937 | |||||||||||||
| Other Operating Costs | 804,863 | 446,224 | 521,634 | 521,544 | 517,104 | |||||||||||||
| Annual Total |
3,076,343 |
2,436,691 |
2,844,368 |
2,940,048 |
2,990,041 | |||||||||||||
| Fiscal Year 1993-94 | 1,128,721 | |||||||||||||||||
| Biennium Total |
4,205,064 |
5,281,059 |
5,930,089 | |||||||||||||||
| Source of Funds
| |||||||||||||||||||
| 1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | |||||||||||||||
| General Fund - Basic Account - State | 67,654 | 27,711 | 28,002 | 28,364 | 28,364 | ||||||||||||||
| St Health Care Authority Admin Acct - State | 1,517,848 | 1,040,543 | 1,190,393 | 1,195,192 | 1,191,293 | ||||||||||||||
| Retired School Employees' Insurance - Non-Appropriated | 59,002 | ||||||||||||||||||
| Health Services Account - State | 1,399,901 | 1,318,297 | 1,347,606 | 1,432,851 | 1,486,743 | ||||||||||||||
| Basic Health Plan Subscription Acct - Non-Appropriated | 31,938 | 50,140 | 278,367 | 283,641 | 283,641 | ||||||||||||||
| Annual Total |
3,076,343 |
2,436,691 |
2,844,368 |
2,940,048 |
2,990,041 | ||||||||||||||
This program assures access to quality and affordable health care
insurance coverage for the state's uninsured residents through
the Basic Health Plan. Uninsured Washington residents with family
incomes below 200 percent of federal poverty level are charged
a sliding scale premium under the subsidized Basic Health Plan.
The nonsubsidized Basic Health Plan is supported entirely by subscriber
premiums.
Objectives include reducing the number of uninsured Washington State residents by making health care coverage more affordable, achieving a reduction in the number of hard-to-reach uninsured Washington State residents, improving customer service, and making a choice of high quality health care plans available to Basic Health Plan enrollees.
| Program Employment
| ||||||||||||||||||||
| 1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||||
| FTE Staff Years | 79.0 | 124.4 | 154.5 | 200.0 | 212.8 | |||||||||||||||
| Average FTE Staff Year Costs | 31,875 | 32,528 | 31,711 | 32,514 | 32,245 | |||||||||||||||
| Expenditure Detail
| ||||||||||||||||||
| 1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||
| Salaries and Benefits | 3,207,193 | 5,130,226 | 6,241,709 | 8,186,457 | 8,637,908 | |||||||||||||
| Grants and Subsidies | 51,939,544 | 87,096,420 | 210,625,370 | 130,877,298 | 203,523,544 | |||||||||||||
| Other Operating Costs | 2,452,598 | 4,389,316 | 9,447,114 | 7,539,674 | 7,091,413 | |||||||||||||
| Annual Total |
57,599,335 |
96,615,962 |
226,314,193 |
146,603,429 |
219,252,865 | |||||||||||||
| Fiscal Year 1993-94 | 36,610,153 | |||||||||||||||||
| Biennium Total |
94,209,488 |
322,930,155 |
365,856,294 | |||||||||||||||
| Source of Funds
| |||||||||||||||||||
| 1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | |||||||||||||||
| Basic Health Plan Trust Account - Non-Appropriated | 10,038,692 | 12,595,581 | 29,058,606 | 26,702,269 | 31,491,965 | ||||||||||||||
| WA State Group Purchase Association - Non-Appropriated | 60,428 | ||||||||||||||||||
| Health Services Account - State | 44,803,894 | 77,191,769 | 160,963,910 | 78,062,067 | 121,199,628 | ||||||||||||||
| Basic Health Plan Subscription Acct - Non-Appropriated | 2,696,321 | 6,828,612 | 36,291,677 | 41,839,093 | 66,561,272 | ||||||||||||||
| Annual Total |
57,599,335 |
96,615,962 |
226,314,193 |
146,603,429 |
219,252,865 | ||||||||||||||
Community Health Clinics promote and assure access to primary
health care services for the underinsured, uninsured, and special
populations with unique health care barriers. Services include
both medical and dental prevention and illness care and are provided
in an appropriate cultural setting by community health clinics.
Objectives include providing dental and medical services to diverse low income populations in a cost effective manner and increasing the number of primary health care service contractors providing these services.
| Program Employment
| ||||||||||||||||||||
| 1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||||
| FTE Staff Years | 2.5 | 2.3 | 2.7 | 2.6 | 2.6 | |||||||||||||||
| Average FTE Staff Year Costs | 49,831 | 48,377 | 48,560 | 49,878 | 49,878 | |||||||||||||||
| Expenditure Detail
| ||||||||||||||||||
| 1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||
| Salaries and Benefits | 154,688 | 138,439 | 164,637 | 163,252 | 163,222 | |||||||||||||
| Grants and Subsidies | 5,975,568 | 5,866,005 | 6,001,674 | 6,001,500 | 6,001,500 | |||||||||||||
| Other Operating Costs | 19,831 | 55,258 | 122,644 | 122,734 | 123,734 | |||||||||||||
| Annual Total |
6,150,087 |
6,059,702 |
6,288,955 |
6,287,486 |
6,288,456 | |||||||||||||
| Fiscal Year 1993-94 | 5,554,839 | |||||||||||||||||
| Biennium Total |
11,704,926 |
12,348,657 |
12,575,942 | |||||||||||||||
| Source of Funds
| |||||||||||||||||||
| 1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | |||||||||||||||
| General Fund - Basic Account - State | 2,726,576 | 3,376,701 | 3,381,955 | 3,380,486 | 3,381,456 | ||||||||||||||
| Health Services Account - State | 3,423,511 | 2,683,001 | 2,907,000 | 2,907,000 | 2,907,000 | ||||||||||||||
| Annual Total |
6,150,087 |
6,059,702 |
6,288,955 |
6,287,486 |
6,288,456 | ||||||||||||||
This program includes administration of Public Employee Benefits
Board (PEBB) programs for employees of state government, school
districts, and political subdivisions that choose to join PEBB,
retirees, and dependents. The PEBB program assures access to quality
and affordable health care coverage for its enrollees through
a variety of choices of health care options, including a full
freedom of choice preferred provider plan (the Uniform Medical
Plan). These health care offerings are delivered through the PEBB.
Objectives include providing choices among a range of health care options and different delivery models, improving the efficiency and quality of customer service, and continuing to promote and model efficient and effective purchasing methodologies.
| Program Employment
| ||||||||||||||||||||
| 1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||||
| FTE Staff Years | 51.5 | 61.3 | 89.0 | 76.0 | 76.1 | |||||||||||||||
| Average FTE Staff Year Costs | 35,226 | 37,417 | 27,271 | 36,396 | 36,348 | |||||||||||||||
| Expenditure Detail
| ||||||||||||||||||
| 1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | ||||||||||||||
| Salaries and Benefits | 2,293,311 | 2,876,366 | 3,126,686 | 3,482,172 | 3,481,366 | |||||||||||||
| Grants and Subsidies | 17,583 | |||||||||||||||||
| Other Operating Costs | 2,145,585 | 3,246,368 | 4,299,460 | 3,486,189 | 3,149,188 | |||||||||||||
| Annual Total |
4,456,479 |
6,122,734 |
7,426,146 |
6,968,361 |
6,630,554 | |||||||||||||
| Fiscal Year 1993-94 | 5,409,344 | |||||||||||||||||
| Biennium Total |
9,865,823 |
13,548,880 |
13,598,915 | |||||||||||||||
| Source of Funds
| |||||||||||||||||||
| 1994-95 Actual | 1995-96 Estimated | 1996-97 Estimated | 1997-98 Proposed | 1998-99 Proposed | |||||||||||||||
| St Health Care Authority Admin Acct - State | 3,622,518 | 5,827,171 | 6,674,807 | 6,437,111 | 6,099,304 | ||||||||||||||
| Retired School Employees' Insurance - Non-Appropriated | 339,914 | ||||||||||||||||||
| Health Services Account - State | 494,047 | 295,563 | 751,339 | 531,250 | 531,250 | ||||||||||||||
| Annual Total |
4,456,479 |
6,122,734 |
7,426,146 |
6,968,361 |
6,630,554 | ||||||||||||||