Ore

gon

Hea

lth A

utho

rity

Pub

lic H

ealth

2015

–20

17 G

over

nor’s

Bud

get

Pre

sent

ed to

the

Hum

an S

ervi

ces

Legi

slat

ive

Sub

com

mitt

ee o

n W

ays

and

Mea

ns

Mar

ch 3

1, 2

015

Lynn

e S

axto

n, O

HA

Dire

ctor

Lynn

e S

axto

n, O

HA

Dire

ctor

Lilli

an S

hirle

y, B

.S.N

., M

.P.H

., M

.P.A

.P

ublic

Hea

lth D

irect

or

•F

ound

ed in

190

3 to

res

pond

to in

fect

ious

dis

ease

s

•T

oday

: Pop

ulat

ion-

base

d ap

proa

ch to

pro

mot

e he

alth

and

pre

vent

di

seas

e, r

each

ing

Ore

goni

ans

whe

re th

ey li

ve, w

ork,

pla

y an

d le

arn

•E

nsur

ing

a sa

fepu

blic

hea

lth e

nviro

nmen

t for

alm

ost 4

mill

ion

Ore

goni

ans

•20

15–2

017

budg

et: $

528.

7 m

illio

n

OH

A P

ublic

Hea

lth

2•P

ositi

ons/

FT

E: 7

15/6

95.3

5

Pub

lic H

ealth

Res

ults

3

Vis

ion,

mis

sion

and

goa

ls

Vis

ion:

Li

felo

ng h

ealth

for

all p

eopl

e in

Ore

gon

Mis

sion

: P

rom

otin

g he

alth

and

pre

vent

ing

the

lead

ing

caus

es o

f de

ath,

dis

ease

and

inju

ry in

Ore

gon

2015

–201

9 S

trat

egic

Pla

n go

als

1.Im

prov

e qu

ality

of l

ife a

nd in

crea

se y

ears

of h

ealth

y lif

e

2.P

rom

ote

and

prot

ect s

afe,

hea

lthy

and

resi

lient

env

ironm

ents

3.S

tren

gthe

n pu

blic

hea

lth c

apac

ity to

impr

ove

heal

th o

utco

mes

4.In

tegr

ate

our

wor

k w

ith h

ealth

care

sys

tem

tran

sfor

mat

ion

4

Offi

ce o

f the

Sta

te P

ublic

Hea

lth D

irect

orS

tate

Hea

lth O

ffice

r &

Dep

uty

Dire

ctor

Cen

ter

for

Hea

lth P

rote

ctio

n

Cen

ter

for

Pre

vent

ion

and

Hea

lth

Pro

mot

ion

Cen

ter

for

Pub

lic H

ealth

Pra

ctic

e

Sci

ence

and

Eva

luat

ion

Sta

te E

pide

mio

logi

st

Pol

icy

and

Pla

nnin

g

Com

mun

icat

ions

Per

form

ance

M

anag

emen

t

Fis

cal a

nd P

rogr

am

Sup

port

Com

mun

ity L

iais

on

5

Pro

mot

ion

Hea

lth C

are

Reg

ulat

ion

and

Qua

lity

Impr

ovem

ent

Ore

gon

Med

ical

Mar

ijuan

a P

rogr

am

Rad

iatio

n P

rote

ctio

n

Env

ironm

enta

l Pub

lic H

ealth

Drin

king

Wat

er

Ado

lesc

ent,

Gen

etic

and

R

epro

duct

ive

Hea

lth

Mat

erna

l and

Chi

ld H

ealth

WIC

Pro

gram

Hea

lth P

rom

otio

n an

d C

hron

ic

Dis

ease

Pre

vent

ion

Inju

ry a

nd V

iole

nce

Pre

vent

ion

Acu

te a

nd C

omm

unic

able

D

isea

se E

pide

mio

logy

Imm

uniz

atio

n

HIV

, ST

D a

nd T

B P

reve

ntio

n

Cen

ter

for

Hea

lth S

tatis

tics

Ore

gon

Sta

te P

ublic

Hea

lth

Libr

ary

Hea

lth S

ecur

ity, P

repa

redn

ess

and

Res

pons

e

2015

–202

0:S

tate

heal

th im

prov

emen

t pla

n pr

iorit

ies

•P

reve

nt a

nd r

educ

e to

bacc

o us

e*

•R

educ

e ha

rms

asso

ciat

ed w

ith

subs

tanc

e us

e*

•S

low

the

incr

ease

of o

besi

ty*

•Im

prov

e or

al h

ealth

6

•Im

prov

e or

al h

ealth

•P

reve

nt d

eath

s fr

om s

uici

de

•E

limin

ate

the

burd

en o

f vac

cine

pr

even

tabl

e di

seas

es

•P

rote

ct th

e po

pula

tion

from

co

mm

unic

able

dis

ease

s

•*

Bas

ed u

pon

the

Epi

dem

iolo

gy

Pre

vent

and

red

uce

toba

cco

use

Per

cap

ita c

igar

ette

pac

k sa

les,

Ore

gon

vs. r

est o

f U

nite

d S

tate

s,F

Y 1

993

thro

ugh

2013

7

Orz

echo

wsk

iand

Wal

ker

(201

3). T

he T

ax B

urde

n on

Tob

acco

.

17.0

%

33.7

%

21.4

%

33.3

%35

.3%

14.1

%

20.8

%

20%

25%

30%

35%

40%

Per

cent

age

of A

dult

Ore

goni

ans

who

sm

oke

amon

g va

rious

gro

ups,

and

teen

sm

okin

g ra

tes

8

14.1

%

9.8%

4.3%

0%5%10%

15%

ST

AT

EW

IDE

AV

ER

AG

ELO

W*

SO

CIO

-E

CO

NO

MIC

S

TA

TU

S

WH

ITE

**A

FR

ICA

N**

A

ME

RIC

AN

AM

ER

ICA

N**

IN

DIA

N/

ALA

SK

A

NA

TIV

E

AS

IAN

/**

PA

CIF

IC

ISLA

ND

ER

LAT

INO

11T

HG

RA

DE

8TH

GR

AD

E

Slo

w th

e in

crea

se o

f obe

sity

•M

ore

than

100

Wom

en,

Infa

nts

and

Chi

ldre

n (W

IC)

clin

ics

stat

ewid

e

•V

ouch

ers

for

heal

thy

food

s,

incl

udin

g fr

uits

and

veg

etab

les

9

incl

udin

g fr

uits

and

veg

etab

les

give

n to

167,

000

part

icip

ants

WIC

Ret

aile

rs in

Ore

gon

•A

tota

l of $

64.7

mill

ion

spen

t ann

ually

at o

ver

550

loca

l gro

cery

st

ores

, cor

ners

sto

res

and

phar

mac

ies

acro

ss O

rego

n•

Far

m D

irect

Nut

ritio

n P

rogr

am p

rovi

des

$1.1

mill

ion

in s

uppo

rtto

loca

l far

mer

s

10

Red

uce

subs

tanc

eab

use

heal

th is

sues

Uni

nten

tiona

l and

und

eter

min

ed p

resc

riptio

n op

ioid

po

ison

ing

deat

hs a

nd d

eath

rat

es, O

rego

n 20

00-2

013

11

Red

uce

suic

ide

Sui

cide

rat

e by

cou

nty,

Ore

gon,

200

3–20

12

Rat

e ra

nge

(dea

ths

per

100,

000)

Low

er th

an s

tate

12

Low

er th

an s

tate

av

erag

e

Sta

te a

vera

ge

(95%

Cl:

16.0

–16.

8)

Hig

her

than

sta

te

aver

age

Pre

pare

for

emer

genc

ies

Ore

gon’

s P

ublic

Hea

lth H

azar

dV

ulne

rabi

lity

Ass

essm

ent (

PH

-HV

A)

13

Str

ateg

ic c

halle

nges

and

opp

ortu

nitie

s

Cha

lleng

es•

Pop

ulat

ion

chan

ges

in th

e st

ate

and

chan

ging

driv

ers

of p

oor

heal

th•

Str

esse

s on

the

loca

l pub

lic h

ealth

sys

tem

, de

clin

ing

reso

urce

s, c

ateg

oric

al fu

ndin

g•

Sig

nific

ant n

atur

al d

isas

ters

or

dise

ase

outb

reak

s (e

.g. m

enin

gitis

)•

Incr

ease

d di

vers

ity•

Fas

test

agi

ng p

opul

atio

n in

the

natio

n•

Lack

of s

kille

d w

orkf

orce

Opp

ortu

nitie

s•

Mod

erni

zatio

n of

the

publ

ic h

ealth

sys

tem

(H

ouse

Bill

310

0)

•O

rego

n’s

heal

th c

are

tran

sfor

mat

ion

•E

xpan

ded

part

ners

hips

with

cou

nty

publ

ic h

ealth

and

thei

r C

CO

s•

Pub

lic h

ealth

acc

redi

tatio

n•

For

mal

ized

par

tner

ship

with

Dep

artm

ent o

f Edu

catio

n, D

ept.

of T

rans

port

atio

n•

Alig

nmen

t with

Ear

ly L

earn

ing

Cou

ncil

14

Pub

lic H

ealth

and

CC

Os

Pub

lic H

ealth

sup

port

s 29

CC

O in

cent

ive

and

core

mea

sure

s

CC

O m

easu

reE

xam

ples

of s

tate

and

cou

nty

PH

sys

tem

effo

rts

Den

tal s

eala

nts

on p

erm

anen

t m

olar

s fo

r ch

ildre

nP

rovi

ding

den

tals

eala

nts

in s

choo

ls w

here

50%

of s

tude

nts

are

elig

ible

for

FR

L, p

rovi

ding

trai

ning

and

cer

tific

ate

prog

ram

s

Dev

elop

men

tals

cree

ning

Fun

ding

loca

lhea

lth d

epar

tmen

ts to

pro

vide

MC

H a

nd n

urse

hom

e-vi

sitin

g se

rvic

es, m

anag

ing

gran

t pro

gram

to C

CO

and

loca

l pub

lic

heal

th p

artn

ersh

ips

Dep

ress

ion

scre

enin

gC

olla

bora

ting

with

AM

Hon

qua

lity

impr

ovem

ent p

roje

ct to

inte

grat

e

16

Dep

ress

ion

scre

enin

gC

olla

bora

ting

with

AM

Hon

qua

lity

impr

ovem

ent p

roje

ct to

inte

grat

e S

BIR

T a

nd d

epre

ssio

n sc

reen

ing

into

wel

l-chi

ld v

isits

, inc

reas

ing

scre

enin

g th

roug

h sc

hool

-bas

ed h

ealth

cen

ters

and

nur

se h

ome

visi

ting

prog

ram

s

Con

trol

ling

high

blo

od p

ress

ure

Pro

vidi

ngch

roni

cdi

seas

e se

lf-m

anag

emen

t pro

gram

s, p

rom

otin

g us

e of

clin

ical

gui

delin

es to

mon

itor

and

cont

rol h

igh

bloo

d pr

essu

re

OH

A P

ublic

Hea

lth20

15–1

7 G

over

nor’s

bud

get

$252

.448

%F

eder

al F

unds

lim

ited

$41.

98%

Gen

eral

Fun

d

Pub

lic H

ealth

$252

.448

%F

eder

al F

unds

$41.

98%

Gen

eral

Fun

d

17

$91.

717

%O

ther

fund

s lim

ited

Pub

lic H

ealth

2015

-201

7G

over

nor’s

bud

get

$528

.7M

$102

.719

%F

eder

al F

unds

nonl

imite

d

$40

8%O

ther

Fun

ds

nonl

imite

d

$91.

717

%O

ther

Fun

ds

715

pos.

/ 69

5.35

fte

Pub

lic H

ealth

Tot

al F

unds

by

Cen

ter

$122

.623

%C

ente

r fo

r P

ublic

H

ealth

Pra

ctic

e

$28.

25%

Offi

ce o

f the

Sta

te

Pub

lic H

ealth

D

irect

or $46.

79%

18

$528

.7M

(t

otal

fund

s)

9%C

ente

r fo

r H

ealth

P

rote

ctio

n

$331

.263

%C

ente

r fo

r P

reve

ntio

n an

d H

ealth

Pro

mot

ion

Pub

lic H

ealth

Bud

get b

y C

ente

r an

d by

fund

type

Offi

ce o

f

$12.

7MG

ener

al F

unds

19

Offi

ce o

f th

e S

tate

P

H D

irect

or

$28.

2M

37 p

os. /

36.

50 ft

e

$12M

Fed

eral

Fun

ds

$3.5

MO

ther

Fun

ds

Cen

ter f

or

$77.

4MF

eder

al F

unds

Pub

lic H

ealth

Bud

get b

y C

ente

r an

d by

fund

type

20

Cen

ter f

or

PH

Pra

ctic

e$1

22.6

M

290

pos.

/ 28

3.33

fte

$10M

Gen

eral

Fun

ds

$35.

2MO

ther

Fun

ds

Cen

ter f

or

$16.

3MG

ener

al F

unds

$102

.7M

Fed

eral

Fun

ds n

onlim

ited

$15.

1M

Pub

lic H

ealth

Bud

get b

y C

ente

r an

d by

fund

type

21

Cen

ter f

or

PH

Pre

vent

ion

$331

.2M

211

pos.

/ 20

2.27

fte

$144

.1M

Fed

eral

Fun

ds

$13.

MO

ther

Fun

ds

$40M

Oth

er F

unds

N

onlim

ited$1

5.1M

Toba

cco

Tax

Non

-lim

ited

fund

s ar

e W

IC fo

od v

ouch

ers,

and

infa

nt fo

rmul

a re

bate

s

$2.9

M

$18.

9MF

eder

al F

unds

Pub

lic H

ealth

Bud

get b

y C

ente

r an

d by

fund

type

22

Cen

ter f

or

PH

Pro

tect

ion

$46.

7M

177

pos.

/ 17

3.25

fte

$2.9

MG

ener

al F

unds

$24.

9MO

ther

Fun

ds

Pub

lic H

ealth

sta

te a

nd lo

cal f

undi

ng

$102

.7M

WIC

vou

cher

s to

indi

vidu

als

Fed

eral

F

und

N-L

$121

.1M

Pas

s th

roug

h to

par

tner

sF

eder

al F

unds

$40M

WIC

vou

cher

s to

indi

vidu

als

Oth

er F

und

N-L

$9.9

MP

ass

thro

ugh

Sta

te a

nd

23

Pas

s th

roug

h to

par

tner

sO

ther

Fun

ds

$25.

7MP

ass

thro

ugh

to p

artn

ers

Gen

eral

Fun

d$1

31.3

MS

tate

-leve

l F

eder

al F

unds

$81.

8MS

tate

-leve

l O

ther

Fun

ds$1

6.2M

Sta

te-le

vel

Gen

eral

Fun

d

Sta

te a

nd

loca

l fun

ding

Gen

eral

Fun

d in

the

OH

A P

ublic

Hea

lth20

15–1

7 G

over

nor’s

bud

get

Sta

te s

uppo

rt fo

r P

H to

LH

Ds

$8.9

M

Imm

uniz

atio

n$2

.3M

Dis

ease

out

brea

k$1

.2M

HIV

/ST

D/T

B$3

.5M

Labo

rato

ry s

ervi

ces

$2.9

M

WIC

$0.3

M

Mat

erna

l Chi

ld H

ealth

$3.1

M

24

Mat

erna

l Chi

ld H

ealth

$3.1

M

Ado

lesc

ent H

ealth

& G

enet

ics

$11.

3M

Bre

ast a

nd C

ervi

cal C

ance

r Scr

eeni

ng$1

.0M

Inju

ry p

reve

ntio

n$0

.6M

Env

ironm

enta

l pro

tect

ion

$0.9

M

Pat

ient

Saf

ety

Com

mis

sion

$2.1

M

Pla

nnin

g an

d re

spon

se p

ublic

hea

lth d

isas

ters

$1.0

M

Offi

ce o

f the

Sta

te P

ublic

Hea

lth D

irect

or$2

.8M

Tota

l$4

1.9M

2015

–17

Oth

er F

unds

lim

ited

–$

91.7

Mfe

es, t

obac

co ta

x an

d ot

her

reve

nues

whi

ch s

uppo

rts

220

FT

E

(32%

of t

otal

FT

E)

26%

Oth

er

16%

25

2015

–17

Oth

er F

unds

58%

Fee

s

16%

Toba

cco

Tax

Pub

lic H

ealth

his

toric

al b

udge

t by

fund

sMillions

26

Millions

2015

–17

fund

ing

incl

uded

in th

e G

over

nor’s

bud

get

Inve

stm

ents

:•

Sup

port

for

plan

ning

and

ope

ratio

nal r

eadi

ness

to p

repa

re, r

espo

nd,

and

miti

gate

pub

lic h

ealth

dis

aste

rs -

$1.0

M G

F

•S

uppo

rt fo

r H

ouse

Bill

234

8 (2

013)

rec

omm

enda

tions

-$0

.5M

GF

•

Incr

ease

d su

ppor

t to

the

Pat

ient

Saf

ety

Com

mis

sion

(pa

ss th

roug

h do

llars

for

PS

C. 2

013

SB

-483

) -

$0.5

M G

F

dolla

rs fo

r P

SC

. 201

3 S

B-4

83)

-$0

.5M

GF

Red

uctio

ns:

•R

emov

es G

F s

uppo

rt to

the

CC

are

Pro

gram

to r

efle

ct a

n an

ticip

ated

de

crea

se in

cas

eloa

d th

roug

h A

CA

impl

emen

tatio

n ($

2.8M

)•

Red

irect

s 20

13–1

5 T

MS

A in

vest

men

t for

toba

cco

cess

atio

n ($

4.0M

)

27

2015

–17

othe

r bu

dget

cons

ider

atio

ns a

nd in

vest

men

ts

Fee

bill

to

mai

ntai

npu

blic

ser

vice

and

saf

ety

prog

ram

s, a

nd p

ublic

he

alth

pro

gram

s th

at p

rovi

de r

equi

red

regu

latio

n of

Ore

gon

busi

ness

es (

e.g.

, tan

ning

, x-r

ay,

heal

th c

are

faci

litie

s)

OR

ELA

P e

nviro

nmen

tal l

ab a

ccre

dita

tion

OR

ELA

P e

nviro

nmen

tal l

ab a

ccre

dita

tion

rela

ted

to im

plem

enta

tion

of M

easu

re 9

1 (c

ertif

y la

bora

torie

s to

do

mar

ijuan

a te

stin

g)

28

Fut

ure

of p

ublic

hea

lthC

once

ptua

l fra

mew

ork

for

gove

rnm

enta

l pub

lic h

ealth

ser

vice

s

Ad

dit

ion

alp

rog

ram

s

Fo

un

dat

ion

alp

rog

ram

s

Communicable disease control

Environmentalhealth

Prevention andhealthpromotion

Access to clinical revention

services29

•A

sses

smen

ts a

nd e

pide

mio

logy

•E

mer

genc

y pr

epar

edne

ss a

nd r

espo

nse

•C

omm

unic

atio

ns•

Pol

icy

and

plan

ning

•Le

ader

ship

and

org

aniz

atio

nal c

ompe

tenc

ies

•H

ealth

equ

ity a

nd c

ultu

ral r

espo

nsiv

enes

s•

Com

mun

ity p

artn

ersh

ip d

evel

opm

ent

Fo

un

dat

ion

al

cap

abili

ties

Communicable disease control

Environmentalhealth

Prevention andpromotion

Access to clinical prevention services

= P

rese

nt a

t eve

ry h

ealth

dep

artm

ent

Fac

tors

that

affe

ct h

ealth

Exa

mpl

es fr

om H

ealth

Pro

mot

ion

and

Chr

onic

Dis

ease

P

reve

ntio

n

Incr

easi

ng

indi

vidu

alef

fort

Clin

ical

in

terv

entio

ns

Cou

nsel

ing

and

educ

atio

n

Pub

lic H

ealth

leve

l of I

nves

tmen

t F

eder

al: $

3.4

mill

ion

Oth

er F

unds

: $81

2,00

0•

Wor

ksite

wel

lnes

s be

nefit

s: W

eigh

t Wat

cher

s,

Livi

ng W

ell w

ith C

hron

ic C

ondi

tions

•C

olor

ecta

l scr

eeni

ng a

nd p

rom

otio

n ca

mpa

igns

•Q

uit t

obac

co c

oach

ing

and

cess

atio

n ca

mpa

igns

30

Frie

den

TR

. A

fram

ewor

k fo

r pu

blic

hea

lth a

ctio

n: th

e he

alth

impa

ct p

yram

id.

Am

J P

ublic

Hea

lth.

2010

;100

:590

–595

Incr

easi

ng

popu

latio

n im

pact

Pov

erty

, edu

catio

n, h

ousi

ng,

ineq

ualit

yS

ocio

econ

omic

fact

ors

Cha

ngin

g th

e co

ntex

t to

mak

ede

faul

t dec

isio

ns h

ealth

y

Long

-last

ing

prot

ectiv

e in

terv

entio

ns

Pub

lic H

ealth

leve

l of I

nves

tmen

tF

eder

al: $

3.5

mill

ion

Oth

er F

unds

: $9

mill

ion

•To

bacc

o-fr

ee w

ork

and

publ

ic p

lace

s

•H

ealth

y fo

od s

tand

ards

•To

bacc

o pr

even

tion

med

ia c

ampa

ign

•R

aisi

ng th

e pr

ice

of u

nhea

lthy

prod

ucts

•Lo

wer

ing

the

pric

e of

hea

lthy

prod

ucts

2015

–17

maj

or b

udge

t iss

ues

•D

epen

denc

y on

Fed

eral

Fun

ds to

sup

port

cor

e pu

blic

he

alth

pro

gram

s•

Dep

ende

ncy

on M

edic

al M

ariju

ana

fee

supp

ort f

or c

ore

(but

unr

elat

ed)

publ

ic h

ealth

pro

gram

s, u

ncer

tain

ty

of s

usta

inab

ility

•Lo

ss o

f som

e F

eder

al F

unds

dur

ing

2013

–15

•U

ncer

tain

ty o

f Fed

eral

Fun

ds d

urin

g 20

15–1

7•

Unc

erta

inty

of F

eder

al F

unds

dur

ing

2015

–17

•C

hang

es in

the

heal

th c

are

deliv

ery

syst

em•

Red

esig

n of

fee-

base

d re

venu

e st

ruct

ures

nec

essa

ry b

ased

up

on c

urre

nt d

eman

ds (

e.g.

, vita

l rec

ords

, lab

orat

ory

test

ing

and

othe

r lic

ensi

ng fe

es)

31

•S

B 2

27 –

Tra

umat

ic B

rain

Inju

ry R

egis

try

to e

nabl

e P

ublic

Hea

lth e

pide

mio

logi

cal a

naly

sis

•S

B 2

28 –

Rad

iatio

n P

rote

ctio

n S

ervi

ces

fees

OH

A P

ublic

Hea

lth20

15 le

gisl

ativ

e co

ncep

ts

32

Thi

ngs

to k

eep

in m

ind

durin

g bu

dget

re

view

and

app

rova

l …

•In

vest

ing

in p

reve

ntio

n re

duce

s th

e to

tal c

ost o

f hea

lth c

are

•M

ore

than

56

perc

ent o

f the

201

5–17

PH

D b

udge

t is

pass

thro

ugh

dolla

rs to

indi

vidu

als

and

part

ners

in th

e fo

rm o

f WIC

vou

cher

s an

d su

ppor

t for

loca

l pub

lic h

ealth

•O

HA

Pub

lic H

ealth

pro

vide

s po

pula

tion-

base

d se

rvic

es th

at to

uch

•O

HA

Pub

lic H

ealth

pro

vide

s po

pula

tion-

base

d se

rvic

es th

at to

uch

alm

ost 4

mill

ion

Ore

goni

ans

whe

re th

ey li

ve, w

ork,

lear

n an

d pl

ay

33

Hea

lth L

icen

sing

Offi

ce (

HLO

) 20

15-1

7 G

over

nor’s

Bu

dget

* V

alue

s in

par

enth

eses

in

the

boar

d st

ruct

ure

refl

ect t

he c

urre

nt li

cens

e vo

lum

e (F

eb15

)

Hea

lth L

icen

sing

Offi

ce 2

015-

17 G

over

nor’s

Bud

get

How

HLO

is F

unde

d

•H

LO is

100

% O

ther

Fun

ds –

•H

LO is

sel

f-su

ppor

ting

via

fees

ch

arge

d to

app

lican

ts a

nd li

cens

ees

for

appl

icat

ions

, exa

min

atio

ns,

auth

oriz

atio

ns a

nd r

enew

als,

and

ot

her

char

ges

for

serv

ices

.

HLO

$7.

4M

Bud

get b

y

$1.6

M

22%

Ser

vice

s &

Sup

plie

s

othe

r ch

arge

s fo

r se

rvic

es.

•F

ee r

even

ues

supp

ort o

pera

tiona

l co

sts

for

HLO

div

isio

ns

(Adm

inis

trat

ive

Ser

vice

s, F

isca

l S

ervi

ces,

Lic

ensi

ng, a

nd th

e R

egul

ator

y O

pera

tions

), a

nd c

osts

ar

e pr

opor

tiona

tely

and

equ

itabl

y al

loca

ted

betw

een

boar

ds.

35 P

ositi

ons

/ 35.

00 F

TE

Bud

get b

y C

ateg

ory

$5.8

M

78%

Per

sona

l Ser

vice

s