CHAPTER 10. LOCAL HEALTH MAINTENANCE FUND
IC 16-46-10
Chapter 10. Local Health Maintenance Fund
IC 16-46-10-1
Local health maintenance fund established
Sec. 1. (a) The local health maintenance fund is established forthe purpose of providing local boards of health with funds to providepublic health services. The fund shall be administered by the statedepartment and consists of:
(1) appropriations by the general assembly; and
(2) penalties paid and deposited in the fund under IC 6-8-11-17.
(b) The expenses of administering the fund shall be paid frommoney in the fund.
(c) The treasurer of state shall invest the money in the fund notcurrently needed to meet the obligations of the fund in the samemanner as other public funds may be invested. Interest that accruesfrom these investments shall be deposited in the fund.
(d) Money in the fund at the end of the state fiscal year does notrevert to the state general fund.
As added by P.L.82-1993, SEC.3. Amended by P.L.92-1995, SEC.3.
IC 16-46-10-2
Funding to local boards of health
Sec. 2. (a) Except as provided in subsections (b) and (d), the statedepartment shall provide funding each year from the local healthmaintenance fund under the following schedule to each local boardof health whose application for funding is approved by the statedepartment:
COUNTY POPULATION AMOUNT OF GRANT
over - 499,999 $ 60,000
100,000 - 499,999 50,000
50,000 - 99,999 30,000
under - 50,000 20,000
(b) For purposes of determining the amount of a grant to a multiplecounty board of health, the state department shall regard each countyof the multiple county health department as a separate county. Agrant to a multiple county board of health must equal the total ofgrants that would be made to the separate counties based on thepopulation of each county.
(c) A local board of health that desires to receive funding from thelocal health maintenance fund must file an application with the statedepartment before May 1 of each year. The application must statehow the funds will be spent. The state department may extend thedeadline for filing an application upon a showing of good cause bythe local board of health.
(d) If a county has more than one (1) local health department, thecounty fiscal body shall adopt an ordinance to allocate the fundsprovided to the county under subsection (a). This ordinance mustprovide that each local board of health in the county must receive anallocation of funds granted under subsection (a). The county fiscal
body shall file a copy of the ordinance with the state departmentbefore May 1 of each year.
(e) By June 1 of each year, the state department shall:
(1) allocate money in the local health maintenance fund (fordistribution the following January) to each local board of healthwhose application is approved in accordance with the schedulein subsection (a); and
(2) determine how much money in the local health maintenancefund has not been applied for.
The state department may use the money that has not been appliedfor or otherwise allocated to fund joint plans entered into by two (2)or more local boards of health or by a multiple county board asprovided in subsections (g) and (i).
(f) If two (2) or more local boards of health cooperate in providingany of the services set out in section 3 of this chapter, those boardsof health shall file a joint plan that must be approved by the statedepartment. The joint plan must specify the following:
(1) The services to be provided under the plan.
(2) The cost of each service to be provided under the plan.
(3) The percentage of the total cost of services to be providedunder the joint plan by each local board of health.
(g) If two (2) or more local boards of health join together toprovide services in accordance with a joint plan filed with the statedepartment of health under subsection (f), and the state departmentdetermines that the services to be provided under the joint plan areeligible for funding from the local health maintenance fund, the statedepartment shall grant (in addition to the funds provided to eachcounty in which the local boards of health are located undersubsection (a)) an amount not to exceed fifteen thousand dollars($15,000) to fund the joint plan. The state department shall grantmoney to fund joint plans that most effectively accomplish thefollowing goals in accordance with standards adopted by the statedepartment:
(1) Benefit the greatest number of people.
(2) Provide services in a cost effective manner.
(3) Address the most serious health care needs of the area served.
(4) Provide additional public health services in a medicallyunderserved or economically distressed area.
This money shall be allocated directly to each local board of healthparticipating in the joint plan in the same percentages specified in thejoint plan under subsection (f)(3).
(h) A multiple county health board may file a plan under thissection to provide any of the services set out in section 3 of thischapter. If the state department determines that the services to beprovided under the plan submitted by a multiple county health boardare eligible for funding from the local health maintenance fund, thestate department shall grant (in addition to the funds provided undersubsection (a) to each county in which the local boards of health arelocated) an amount not to exceed fifteen thousand dollars ($15,000)to fund the plan. (i) Services funded under this section must be in addition to, andnot in place of, services funded at the local level.
As added by P.L.82-1993, SEC.3.
IC 16-46-10-3
Use of funding by local boards of health
Sec. 3. (a) Funding provided a local board of health under section2 of this chapter may be used by the local board to provide any of thefollowing services:
(1) Animal and vector control.
(2) Communicable disease control, including immunizations.
(3) Food sanitation.
(4) Environmental health.
(5) Health education.
(6) Laboratory services.
(7) Maternal and child health services, including prenatal clinicsand well-child clinics.
(8) Nutrition services.
(9) Public health nursing, including home nursing visitation andvision and hearing screening.
(10) Vital records.
(b) Money granted a local board of health from the local healthmaintenance fund may not be used for any purpose other than for theservices listed in this section.
As added by P.L.82-1993, SEC.3.
IC 16-46-10-4
Provision of funded services; cost to recipient; use of fees
Sec. 4. (a) Except as provided in subsections (b) and (c), theservices funded under this chapter shall be provided without cost toa recipient.
(b) If a recipient has insurance or any type of publicindemnification that would in part pay for any services funded underthis chapter, then the recipient shall assign the recipient's rights tothat insurance or public indemnification to the local board of health.The insurer, upon notification from the local board of health, shallpay for those services covered under that recipient's insurance policyor public indemnification.
(c) The legislative body of the unit in which a local board of healthhas jurisdiction may adopt an ordinance that requires the local boardof health to do either or both of the following:
(1) Charge individuals for services on a sliding fee schedulebased on income that is adopted by the state board under rulesadopted under IC 4-22-2.
(2) Charge corporations, partnerships, and other commercialconcerns for services funded under this chapter.
(d) The fees for services collected under subsection (c) shall beused only for public health purposes and shall be used in addition to,and not in place of, funds allocated for public health purposes beforethe ordinance described in subsection (c) became effective.As added by P.L.82-1993, SEC.3.
IC 16-46-10-5
Adoption of rules by state board
Sec. 5. The state board shall adopt rules under IC 4-22-2 necessaryto carry out this chapter.
As added by P.L.82-1993, SEC.3.