W. Va. Code R. § 64-67-4

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 64-67-4 - Formula; Allocation of Funds

4.1. The Commissioner shall distribute State funds for basic public health services to local boards of health as directed by the State Legislature, this rule and State law.

4.2. The amount of State funds for basic public health services available for distribution to local boards of health by the formula established by subsection 4.3. of this rule is the amount of funds appropriated by the Legislature for this purpose: Provided, that prior to applying the formula, the Commissioner may withhold no more than two percent (2%) of the funds, as shown in the appropriate line item in the State budget, for use in emergencies according to the provisions of Section 5 of this rule: and, provided, however, that prior to applying the formula, Commissioner shall subtract no more than 4.7% of the total funds appropriated by the legislature to be retained by the bureau for state support of local boards of health.

Provided, further; That prior to applying the formula, the Commissioner shall subtract and retain no more than 4.7% of state funds for basic public health services.

4.3. The Commissioner shall calculate the amount of State funds for basic public health services funds to be distributed to each local board of health according to the following formula, based upon the recommendations of the CBER Funding Study:

4.3.1. Step 1 Poverty: The "need factor" is the percentage of individuals in the county living below the level of income established by the federal government as being in poverty. Poverty is assigned a weight of forty percent.

4.3.1.a. Coefficients are percent living below the poverty line:

4.3.1.a.1. Less than 110% = 0.00;

4.3.1.a.2. 111 - 120% = 0.05;

4.3.1.a.3. 121 - 130% = 0.10;

4.3.1.a.4. Above 130% = 0.15.

4.3.2. Step 2 Health Status: The "need factor" is years of potential life lost in the county. Health status is assigned a weight of 20 percent.

4.3.2.a. Coefficients are the percent above the state average:

4.3.2.a.1. Less than 110% = 0.00;

4.3.2.a.2. 111-120% = 0.05;

4.3.2.a.3. 121- 130% = 0.10;

4.3.2.a.4. Above 130% = 0.15.

4.3.3. Step 3 Population Density: The "need factor" is density of individuals living in the county less than the state average. Population density is assigned a weight of 15 percent.

4.3.3.a. Coefficients are the percent below the state average:

4.3.3.a.1. Less than 77.0% = 0.15;

4.3.3.a.2. 77.1 - 82.4% = 0.10;

4.3.3.a.3. 82.5 - 90.0% = 0.05;

4.3.3.a.4. Above 90.0% = 0.00.

4.3.4. Step 4 Interventions: The "need factor" is the number of interventions per thousand population above the state average in the county total. Interventions are assigned a weight of 10 percent.

4.3.4.a. Coefficients are the percent above the state average:

4.3.4.a.1. Less than 110% = 0.00;

4.3.4.a.2. 111- 120% = 0.05;

4.3.4.a.3. 121 - 130% = 0.10;

4.3.4.a.4. Above 130% = 0.15.

4.3.5. Step 5 Consolidation: While not a "need factor" this coefficient is included to encourage counties to merge in the provision of local public health services. The indicator is the number of counties served by the local board of health. Consolidation is assigned a weight of 15 percent;

4.3.5.a. Coefficient is the number of counties in the district served by the local board of health:

4.3.5.a.1. One County = 0.00;

4.3.5.a.2. Two to four counties = 0.10;

4.3.5.a.3. Five or more counties = 0.15.

4.3.6. Step 6: Weighted population calculation: The weighted population for each local board of health is determined by:

4.3.6.a. Multiplying each coefficient from steps 1 through 5 by the factor weight for that coefficient;

4.3.6.b. Adding the results for each calculation in paragraph 4.3.f.1. of this subdivision to the number one;

4.3.6.c. Multiply the number of people in the county by the result of paragraph 4.3.6.b. of this subdivision to obtain the weighted population of the county.

4.3.7. Step 7: Base Amount: The determination of the base amount of funds per county shall be calculated as follows:

4.3.7.a. Twenty-two percent (22%) of the amount of state funds for basic public health services available for distribution to local boards of health;

4.3.7.b. Divide the base amount calculation by fifty-five counties to determine the base amount for each county; and

4.3.7.c. The base amount shall not exceed the amount needed to pay for four full time staff; a nurse, a sanitarian, an administrator and a clerical worker, using statewide average salaries for each position, plus 30% for benefits and 20% for overhead.

4.3.8. Step 8: Per Capita Distribution: Per capita distribution is determined by;

4.3.8.a. Subtracting the total base amount allocation from the funds available for distribution;

4.3.8.b. Then dividing the weighted population of each county into the amount remaining to determine the per capita distribution for each local board of health.

4.3.9. Step 9: Hold Harmless: This step is included to provide that each local board of health receives no less in state funds than it received in the 2009 budget year for a minimum of three years from the effective date of this rule. To implement the hold harmless provision, the Commissioner shall make the following calculations:

4.3.9.a. Determine the sum of all amounts lost;

4.3.9.b. Determine the sum of all amounts gained;

4.3.9.c. Divide the sum of the amounts lost by the sum of the amounts gained to find the percent to be subtracted from local boards of health with gains to fund those with a loss to achieve the hold harmless funding level;

4.3.9.d. Redistribute the amounts determined by paragraph 4.3.9.c. of this subdivision to bring each local board of health back to at least its 2009 funding level;

4.4. In performing the calculations described in subsection 4.3. of this rule, the Commissioner shall use the most recent federal, state and county population figures available.

4.5. The Commissioner shall complete the calculations as soon as possible, but not more than two (2) weeks after the budget is passed and the legislative budget instructions are approved.

4.6. After completing the calculations described in subsection 4.3. of this rule, the Commissioner shall inform local boards of health in writing of their allocation as quickly as possible, but in any case not more than four (4) weeks after the Legislature has passed the budget and approved the legislative budget instructions.

4.7. The Commissioner shall cause State funds for basic public health services to be distributed to eligible local boards of health according to standard State procedures beginning the first day of July of the fiscal year for which the funds have been appropriated or as soon as possible after the Legislature has passed the budget and approved the legislative budget instructions.

W. Va. Code R. § 64-67-4