R380-50-3. Allocation Procedures

(1) The amount of funds the department allocates to each local health department shall be determined by the Governance Committee as described in Section 26B-1-207. (2)(a) By a three-fourths vote of the local health officers, the local health officers may, in cooperation with and subject to the approval of the department, allocate a portion of the funds as necessary to support public health programs within each participating local health department and to be available to eligible residents of the state. (b) Population is not the sole relevant factor in determining need. (3) The department adopts the following formula pursuant to Section 26A-1-116 for reallocating to local health departments any increases or decreases in funds: (a) a minimum share, which is 32% of the funds divided into equal shares for each participating local health department; (b) 50% of the funds are divided among the local health departments based on the percentage of the total state population living within the geographical boundaries of the local health department according to the most current estimate from the Governor's Office of Planning and Budget. At a minimum, this factor will be evaluated after the official Census of the Population is released and four years after the official census is released; and (c) 18% of the funds are divided among multicounty local health departments using a multicounty factor made up of two equal parts, as follows: (i) half of the multicounty dollar amount is divided by the total number of counties that make up the multicounty local health departments, multiplied by the number of counties in each multicounty local health department; and (ii) each multicounty local health department's population, based upon population figures provided by the Governor's Office of Planning and Budget, is divided by the total population of the counties that make up the multicounty health departments, multiplied by half of the multicounty dollar amount. (4)(a) Funds shall go through the formula, unless made exempt by a three-fourths vote of the local health officers. (b) A local health department may not receive more than ten times the per capita amount calculated under this formula compared to any other local health department. (5) The department may, after consulting with the Governance Committee, alter the formula to address documented need established by valid and accepted data in one or more local health department jurisdictions.