Budget Trends and Highlights (2022-2025)

Position Growth

• Overall Trend: Positions increased from 449.2 in 2022-23 to 449.7 in 2024-25 (0.1% growth)
• Staffing Adjustments: Net increase of 0.5 positions in 2024-25 through workload adjustments
• Technical Changes: Reduction of 8.5 positions in OTSI (Office of Technology and Solutions Integration)
• New Initiatives: Addition of 9.0 positions for new workload requirements

Budget Fluctuations

• Total Budget: Increased from $727.2 million in 2022-23 to $947.6 million in 2024-25 (30.3% growth)
• General Fund: Increased from $120.0 million to $271.5 million (126.3% growth)
• Federal Trust Fund: Remained relatively stable at $13.2 million in 2024-25
• Automation Fund: Grew from $563.2 million to $644.1 million (14.4% growth)

Program Funding (2024-25)

• Administration and Policy Leadership: $271.5 million (General Fund)
• Health Information Systems: $644.1 million (CA Health and Human Services Automation Fund)
• Federal Programs: $13.2 million (Federal Trust Fund)
• Central Services: $11.4 million (Central Service Cost Recovery Fund)

Major Funding Codes and Sources

Program Codes

• 0280 - Secretary for Health and Human Services: Core leadership and policy direction
• 0285 - California Office of Health Information Integrity: HIPAA compliance and health information oversight
• 0286 - Office of Youth and Community Restoration: Youth justice services
• 0290 - Office of Technology and Solutions Integration: Technology systems and integration

Funding Source Codes

• 0001 - General Fund: Primary state funding ($271.5 million)
• 0890 - Federal Trust Fund: Federal program support ($13.2 million)
• 0995 - Reimbursements: Inter-agency services ($5.0 million)
• 3085 - Mental Health Services Fund: Mental health initiatives
• 9740 - Central Service Cost Recovery Fund: Administrative services ($11.4 million)
• 9745 - California Health and Human Services Automation Fund: Technology systems ($644.1 million)

Major Projects and Initiatives

Health Information Technology

1. HIPAA Compliance and Oversight:

   • Statewide leadership for federal HIPAA requirements
   • Policy formation and implementation monitoring
   • Technical assistance to state entities

2. Health Information Systems Modernization:

   • California Automated Response and Engagement System
   • Health information exchange infrastructure
   • Data integration across health and human services programs

3. Technology Solutions Integration:

   • Enterprise architecture development
   • System interoperability standards
   • Technology procurement oversight

Youth and Community Services

1. Youth Justice Transformation:

   • Transition of justice-involved youth to local communities
   • Trauma-responsive service delivery
   • Cultural competency programs

2. Community Support Programs:

   • Youth development initiatives
   • Family engagement services
   • Rehabilitation and reentry support

Health and Human Services Innovation

1. Policy Leadership:

   • Strategic planning for health and human services
   • Cross-departmental coordination
   • Program evaluation and improvement

2. Data-Driven Decision Making:

   • Performance metrics development
   • Outcome tracking and reporting
   • Evidence-based policy recommendations

Administrative Structure

The California Health and Human Services Agency oversees numerous departments and offices:

1. Executive Leadership:

   • Office of the Secretary
   • Policy and Program Development
   • Legislative Affairs
   • Communications

2. Specialized Offices:

   • California Office of Health Information Integrity
   • Office of Youth and Community Restoration
   • Office of Technology and Solutions Integration
   • Center for Data Insights and Innovation

3. Departments Under CalHHS:

   • Department of Health Care Services
   • Department of Public Health
   • Department of Social Services
   • Department of State Hospitals
   • Department of Developmental Services
   • Department of Aging
   • Department of Community Services and Development
   • Department of Child Support Services
   • Department of Rehabilitation
   • Emergency Medical Services Authority

Funding Allocation Process

1. Budget Development:

   • Annual needs assessment
   • Program performance review
   • Stakeholder consultation
   • Cost-benefit analysis

2. Resource Distribution:

   • Formula-based allocations
   • Competitive grant programs
   • Federal funding requirements
   • Performance-based funding

3. Oversight and Monitoring:

   • Program outcome tracking
   • Financial auditing
   • Compliance monitoring
   • Performance reporting

4. Innovation and Improvement:

   • Pilot program development
   • Best practice identification
   • System optimization
   • Technology enhancement

Sources: [1] California State Budget 2024-25 [2] Government Code, Title 2, Division 3, Part 2.5, Section 12800 [3] Health and Safety Code Division 110, Section 130300 [4] Health and Safety Code Division 109, Section 130200 [5] CalHHS Strategic Plan [6] HIPAA Implementation Guidelines [7] Youth Justice Transformation Framework