Creating the Department of Public Health

1. Creating the Department of Public Health Gregory Franklin Deputy Director Health Information and Strategic Planning California Department of Health Services “Protect and Improve the Health of all Californians”

2. Senate Bill 162 (Ortiz) • Governor signed September 14, 2006 • Establishes the California Department of Public Health (CDPH) • Re-names the Department of Health Services the Department of Health Care Services • Establishes an advisory committee for CDPH • Requires budget neutrality • All provisions effective July 1, 2007

3. Programmatic Allocation of the Current Department of Health Services Functions Department of Public Health Department of Health Care Services Medi-Cal Operations Public Health Emergency Preparedness Communicable Disease Control Long Term Care Drinking Water and Environmental Management Clinical Preventive Medicine Medi-Cal Procurement Environmental and Occ Disease Control Payment Systems Food, Drug and Radiation Safety AIDS Audits & Investigations Laboratory Science Health Information and Strategic Planning Medi-Cal Policy Primary Care and Family Health Chronic Disease and Injury Control Office of Binational Border Health Foster Care, Newborn Hearing , CMS: CHDP, GHPP, MTP, CCS Medi-Cal Managed Care Primary Care and Family Health Licensing and Certification *Office of Women’s Health (MOU with DPH) Program Key: CHDP – Child Health & Disability Prevention GHPP – Genetically Handicapped Persons MTP – Medical Therapy Program CCS – California Children’s Services MCAH/OFP-Maternal Child & Adolescent Health/Office of Family Planning WIC-Women’s, Infants & Children CMS-Children’s Medical Services *Office of Multicultural Health (MOU with DHCS) Genetic Disease, MCAH/OFP, WIC, CMS Note: Executive staff, Administration, Information Technology Services, Legislation, Public Affairs, Civil Rights, and Legal Services will be represented in both Departments. An internal audits unit will be in the Department of Public Health. Revised: July 25, 2006

4. The Mission of the Two Departments(Draft Revised) • The CDPH will be to protect and promote the health status of Californians through programs and policies that use population-wide interventions • The DHCS will be to protect and promote the health status of Californians through the financing and delivery of individual health care services

5. Required Activities to Create the Department of Public Health • Administrative • Information Technology • Structuring the Organization • Legal

6. Administrative • One Time Cost • Construction • New DPH executive suite • Equipment • Primarily for the Accounting Office • Change Management Contractor

7. Administrative • On going cost • Information Technology • New positions • 57 positions were needed to re-create critical admin functions in the two departments • Change in distributed administrative cost

8. Information Technology • Hardware infrastructure remains in place • Office of Project Management re-created in DPH • Office of Security re-created in DPH • DPH web-page • DPH e-mail address for all employees • Public still sees “DHS” address for the first year

9. Organizational Structure • Organization chart(s) development • Input from senior management • Internal/external vetting • Agency review • Department of Finance review

10. What Does Budget Neutrality Mean? • Senate Bill 162 defines budget neutrality as no increase in baseline state funding for both CDPH and DHCS above the total baseline state funding for the former California Department of Health Services (CDHS) • Senate Bill 162 provides for funding adjustments that may be required to align appropriation authority for anticipated expenditures to the appropriate funding sources • Senate Bill 162 recognizes that the Legislature will review the proposed budgets for CDPH and DHCS through the normal budget process The intent of budget neutrality is for the fiscal impact of the reorganization to be absorbed within the department’s current state funding.

11. Consist of 15 members 9 appointed by the Governor 3 appointed by Assembly Speaker 3 appointed by Senate Committee on Rules Convenes twice a year Open to the public Chaired by CDPH director Effective July 1, 2007 Sunsets June 30, 2011 Public Health Advisory Committee Purpose: To provide expert advice and make recommendations on the development of policies and programs that seek to prevent illness and promote the public's health. All appointees shall have experience or background working inacademia, biotechnology, business, community based organizations,emergency services, local government, health departments, medicine, nursing, public health laboratories, social marketing, consumers, and other sectors of the public health community.

12. Questions California Department of Health Services “Protect and Improve the Health of all Californians”