KRS § 211.186 — KY Code / Title XVIII / Chapter 211 / Section 211.186
211.186 Funding for foundational public health programs -- Calculation of statewide base funding level and funding level for each public health service provider -- Eligibility for receipt of funds -- Administrative regulations -- Recordkeeping and submission of information
Status: in_force

211.186 Funding for foundational public health programs -- Calculation of

statewide base funding level and funding level for each public health service

provider -- Eligibility for receipt of funds -- Administrative regulations --

Recordkeeping and submission of information.

(1) In determining the total amount of funds to be allocated for the delivery of

foundational public health programs, the statewide base funding level shall be

calculated to ensure that:

(a) Each county in the Commonwealth that has fifteen thousand (15,000) or fewer

residents shall have a minimum of three (3) full-time equivalent foundational

public health service providers for foundational public health programs; and

(b) Each agency has sufficient funds to employ one (1) additional full-time

equivalent foundational public health service provider for each time that one

(1) additional person, in ranges of five thousand (5,000) persons, is residing in

the county beyond the first fifteen thousand (15,000) persons residing in the

county that the agency serves.

(2) The funding level for each full-time equivalent foundational public health service

provider shall be computed by dividing the total amount appropriated for this

purpose by the number of full-time equivalent foundational public health service

providers mandated by this section.

(3) Each agency shall be eligible to share in the distribution of funds appropriated for

foundational public health programs that meet the following requirements:

(a) Employs, or pledges to employ on receipt of funds, a minimum of one (1)

full-time equivalent foundational public health service provider pursuant to

the requirements of subsection (1) of this section;

(b) Provides or ensures the delivery of foundational public health programs

within the agency's jurisdiction; and

(c) Dedicates funding for full-time equivalent foundational public health service

providers in one (1) of the following ways:

1. By the implementation of the ad valorem public health tax authorized by

KRS 212.725 and 212.755 at a rate of at least one and eight-tenths cents

($0.018), per one hundred dollars ($100) of full value assessed

valuation; or

2. By the receiving of direct funding from the county or counties in which

the agency operates in amount that equals what the agency would

receive if the ad valorem public health tax had been levied in the county

or counties the agency serves at a rate of at least one and eight-tenths

cents ($0.018), or any higher rate established by the commissioner, per

one hundred dollars ($100) of assessed property valuation.

(4) An agency that meets the requirements established in subsection (3) of this section

shall be entitled to receive an amount equal to the base funding level for each full-

time equivalent foundational public health service provider, as evaluated by the

Cabinet for Health and Family Services. The base funding level shall be evaluated

using the following minimum factors:

(a) The amount of funds received by the agency under subsection (3)(c) of this

section;

(b) The statewide average costs of salary for each full-time equivalent

foundational public health service provider in the agency;

(c) The statewide average costs of benefits for each full-time equivalent

foundational public health service provider in each agency;

(d) The actual costs of the retirement liability contributions for each full-time

equivalent foundational public health service provider in each agency as

compared to other agencies throughout the state and whether the agency’s

equivalents participate in the Kentucky Employees Retirement System or

County Employees Retirement System; and

(e) The statewide average costs of operating expenses to the agency associated

with each full-time equivalent foundational public health service provider.

(5) The Cabinet for Health and Family Services shall determine, on or before May 1 of

each year preceding a biennial budget session of the General Assembly, the

estimated amount necessary to fund the salary, benefits, unfunded retirement

liability contribution, and operating expenses to the agency associated with each

full-time equivalent foundational public health service provider for all agencies as

calculated from the previous nine (9) month period.

(6) The department shall establish procedures to ensure that core public health

programs will be provided or ensured by one (1) or more agencies. The core public

health programs, excluding all foundational public health programs, may be

provided by another entity; however, the agency shall agree, as funding is available,

that it will remain responsible for ensuring that these programs are provided in the

event the other entity no longer provides the service.

(7) The department shall, within sixty (60) days of March 17, 2020, promulgate

administrative regulations to establish the process and procedures to ensure that

core public health programs, foundational public health programs, and local public

health priorities are identified and facilitated by one (1) or more agencies in the

Commonwealth.

(8) The department shall not require agencies to enter additional agreements beyond

the provisions of core public health programs. Agencies may enter into contractual

agreements with the department outside of programs and services defined in KRS

211.185.

(9) An agency shall maintain records and submit information as required by the

department to administer this section.

(10) Notwithstanding KRS 211.170 and 212.120, any moneys allocated pursuant to this

section for foundational public health programs is allowable.