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The Fiscal and Operations Division is tasked with overseeing the setting of budget priorities and their implementation.

Consistent with legislative discussions during the 2015 - 17 budget process, OHA has reorganized its programmatic structure to further integrate physical health, behavioral health, and oral health, as well as streamline health transformation activities. 

Due to the timing of the reorganization, the 2015 - 17 budget was adopted reflecting the old organizational model. 

The rebalance plan effectuates the budgetary changes necessary to align the budget structure with the organizational structure. Inclusive of transfers to OHA from the Department of Human Services, these changes are budget neutral and result in a net FTE increase of 9.25 and reduction of two positions.

The following are the key organizational changes reflected in the rebalance plan:

  • A position true-up represents an extensive departmental review of positions vis-à-vis healthcare transformation needs, Affordable Care Act implementation, and clean-up of legacy issues and of permanent staff not having position authority. The rebalance responds to this by establishing 48 permanent positions for staff who have been double-filled long-term.
  • Review of limited-duration (LD) status employees and establishing 48 full-time positions where LD status for key positions had been previously utilized. This includes addressing the staffing needs in the Office of Equity and Inclusion as required by a budget note in Senate Bill 5526 (2015).
  • Medical Assistance Programs and Addictions and Mental Health are now integrated in the new Health Systems Division.
  • Oregon State Hospital now has its own budget structure.
  • Health Licensing Office is now included in Public Health.
  • Office of Equity and Inclusion (OEI) moved from Health Policy and Analytics to Central Services but continues to operate as a functional division.

Reprinted from: Agency Report Item 10: Oregon Health Authority Rebalance Report, January 15, 2016.

Budget Q & A

Recent budget questions

Q & A reprinted from: OHA Stakeholder Meeting Synopsis, Sept. 15th, 2016

The proposed OHA budget will grow by 1 percent, or $228 million, from the previous biennium to account for inflation (as set by the state), phase-ins from previous legislative sessions, a reduction in federal funds for the expanded Medicaid program, changes in the Medicaid caseload, and changes in revenue streams.

The General Fund is expected to see a 48 percent growth, or about $1 billion, due to a reduction in federal match funds for the ACA (down to 95 percent in 2017 and continuing down every January until it reaches 90 percent in 2020), decline in Title 19 non-ACA match rate due to economic improvement, a decrease in tobacco tax revenue, phase-ins and phase-outs, inflation and other cost increases, caseload changes, the expiration of one time funds, and technical adjustments.

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