|
OPERATING EXPENSE BY CORE BUSINESS |
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|
$000 |
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|
|
|||
|
|
Estimates |
|
Estimates |
|
|
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|
|
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VOTE 29 - MINISTRY OPERATIONS |
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This vote provides for ministry programs and operations described in the voted appropriations under the following four core businesses: Services Delivered by Partners, Services Delivered by Ministry, Recoveries from Health Special Account, and Stewardship and Corporate Management. |
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SERVICES DELIVERED BY PARTNERS |
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|
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|
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|
Voted Appropriations |
|
|
|
|
Regional Health Sector Funding |
6,348,689 |
|
6,419,004 |
|
Medical Services Plan |
2,515,599 |
|
2,551,892 |
|
Pharmacare |
701,903 |
|
614,014 |
|
Debt Service Costs |
178,790 |
|
172,300 |
|
Amortization of Prepaid Capital Advances |
126,500 |
|
133,100 |
|
|
9,871,481 |
|
9,890,310 |
|
|
|
|
|
|
Statutory Appropriations |
|
|
|
|
Medical and Health Care Services Special Account |
15,000 |
|
|
|
Less: Transfer from Ministry Operations Vote |
(15,000) |
|
|
|
|
9,871,481 |
|
9,890,310 |
|
|
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Voted Appropriations Description: This sub-vote provides funding for, or on behalf of, system partners who are responsible for the administration, operation and delivery of health programs and services in the province. Regional Health Sector Funding provides for the management and delivery of health services, including mental health services to adults, public and preventive health services, acute care services, provincial programs and home and community care services. This includes funding for operations, minor equipment and minor capital improvements. Transfers are provided and services delivered to, or on behalf of, health authorities, individuals, and other organizations such as Canadian Blood Services. Recoveries are received from other levels of government and other organizations for services provided by the ministry.
Medical Services Plan provides transfers for eligible services provided by medical practitioners, health care practitioners and diagnostic facilities, on a fee-for-service basis or alternative contractual basis and other recruitment, retention, training and planning initiatives with respect to physicians. Payments for these services and initiatives are in accordance with the Medicare Protection Act and agreements with professional associations and health authorities. Recoveries are received to reimburse theMedical Services Plan for claims that are the responsibility of the Insurance Corporation of British Columbia, Workers Compensation Board and other third parties and from other levels of government for services provided by the ministry.
Pharmacare provides transfers to individuals, agencies or other organizations for the full or partial cost of designated prescription drugs, dispensing fees, ostomy supplies, prosthetic appliances and other approved items, as well as for services that complement Pharmacare programs.
Debt Service Costs provides for the provincial governments share of debt servicing costs related to health facility and equipment capital projects. Sinking fund assets, which are used to retire existing debt obligations, earn interest that is netted against debt service costs. Amortization of Prepaid Capital Advances provides for the amortization of funds advanced for health facility and equipment capital projects. |
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Statutory Appropriations Description: This statutory appropriation provides for the Medical and Health Care Services Special Account which is governed under the Medical and Health Care Services Special Account Act. |
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SERVICES DELIVERED BY MINISTRY |
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Voted Appropriations |
|
|
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|
Emergency Health Services |
187,566 |
|
190,540 |
|
Health Benefits Operations |
15,094 |
|
13,594 |
|
|
202,660 |
|
204,134 |
|
|
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Voted Appropriations Description: This sub-vote provides funding for the administration, operation and delivery of specified services delivered directly to the public. Emergency Health Services provides for the administration, operation and delivery of emergency health services, including ground and air ambulance services, as well as for training, examination of emergency medical personnel, and amortization expense related to capital assets. Transfers are provided to agencies for ambulance services to the public on behalf of the Emergency Health Services Commission. Recoveries are received from organizations for the use of ambulances and attendants and from the Medical Services Plan for medical services provided on a contractual basis.
Health Benefit Operations provides for the administration of the Medical Services Plan and Pharmacare programs, including the enrolment of eligible British Columbia residents to ensure they have access to publicly funded health care, managing the premium assistance program, processing claims for medically required services provided by physicians, diagnostic and laboratory facilities, certain supplementary benefits practitioners, and eligible prescription drugs and designated medical supplies. Central financial and operational management, including information systems, is funded within the Stewardship and Corporate Management sub-vote. Recoveries are received from other agencies and ministries, such as the Workers Compensation Board and Ministry of Human Resources, for the processing costs of claims covered by these parties.
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RECOVERIES FROM HEALTH SPECIAL ACCOUNT |
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Voted Appropriation |
|
|
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Recoveries from Health Special Account |
(144,500) |
|
(147,250) |
|
|
(144,500) |
|
(147,250) |
|
Statutory Appropriation |
|
|
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|
Health Special Account |
144,500 |
|
147,250 |
|
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Voted Appropriation Description: This sub-vote provides for recoveries from the Health Special Account.
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Statutory Appropriation Description: This statutory appropriation provides for the Health Special Account which is governed under the Health Special Account Act. |
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STEWARDSHIP AND CORPORATE MANAGEMENT |
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Voted Appropriations |
|
|
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|
Ministers' Office |
1,042 |
|
1,042 |
|
Program Management and Corporate Services |
110,783 |
|
89,861 |
|
|
111,825 |
|
90,903 |
|
|
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Voted Appropriations Description: This sub-vote provides for the office of the Minister of Health Services and includes salaries, benefits, allowances and operating expenses of the minister and the ministers staff; salaries, benefits and allowances for the Minister of State for Mental Health, the Minister of State for Intermediate, Long Term and Home Care and the ministers staff. This sub-vote also provides for stewardship and corporate management functions such as: direction to health authorities and other health providers; support to partners in delivering healthcare services; monitoring of health authority compliance and performance; central financial and operational management services of the ministry; general services to support program delivery; and assistance to the Ministry of Health Planning. Transfers are provided to agencies and organizations complementing ministry-funded programs. Recoveries are received from other levels of government for services provided by the ministry.
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VOTE 29 MINISTRY OPERATIONS |
10,041,466 |
|
10,038,097 |
|
STATUTORY HEALTH SPECIAL ACCOUNT |
144,500 |
|
147,250 |
|
STATUTORY MEDICAL AND HEALTH CARE SERVICES SPECIAL ACCOUNT |
15,000 |
|
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MINISTRY GROUP ACCOUNT CLASSIFICATION SUMMARY |
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GROUP ACCOUNT CLASSIFICATION |
|
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Salaries and Benefits |
191,225 |
|
178,305 |
|
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Operating Costs |
255,060 |
|
254,919 |
|
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Government Transfers |
9,680,092 |
|
9,696,563 |
|
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Other Expenses |
338,636 |
|
319,896 |
|
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Internal Recoveries |
(159,820) |
|
(147,573) |
|
|
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External Recoveries |
(119,227) |
|
(116,763) |
|
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TOTAL OPERATING EXPENSE |
10,185,966 |
|
10,185,347 |
|
|
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SPECIAL ACCOUNT1 |
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|
$000 |
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HEALTH SPECIAL ACCOUNT |
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This account was established by the Health Special Account Act, 1992. Administered by the Ministry of Health Services, the account provides for the allocation of a portion of British Columbia Lottery Corporation revenues and may include revenues from the winding down of the Healthcare Labour Adjustment Society, to fund the administration, operation, and delivery of health care, health research, health promotion and health education services. Expenditures of the Special Account represent transfers to the Ministry Operations Vote. No financing transactions are provided for under this account. |
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Estimates |
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Estimates |
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SPENDING AUTHORITY AVAILABLE AT THE BEGINNING OF THE FISCAL YEAR |
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|
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OPERATING TRANSACTIONS |
|
|
|
|
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|
Revenue |
|
144,500 |
|
147,250 |
||||
|
Expense |
|
(144,500) |
|
(147,250) |
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Net Revenue (Expense) |
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FINANCING TRANSACTIONS |
|
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Loans, Investments and Capital Acquisitions |
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Receipts |
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Disbursements - Capital |
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Disbursements - Other |
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Net Cash Source (Requirement) |
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PROJECTED SPENDING AUTHORITY AVAILABLE AT THE END OF THE FISCAL YEAR2 |
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NOTES |
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1 A Special Account is an account in the General Fund where the authorization to spend money from the account is located in an Act other than the Supply Act. 2 The Projected Spending Authority Available represents the cash and temporary investments projected to be available at the end of the fiscal year. |
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SPECIAL ACCOUNT1 |
||||||||
|
$000 |
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|
|
||||||||
|
|
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|
MEDICAL AND HEALTH CARE SERVICES SPECIAL ACCOUNT |
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This account was established by the Medical and Health Care Services Special Account Act, 1994,and is administered by the Ministry of Health Services. The purpose of the account is to facilitate arrangements to manage year-to-year fluctuations in payments by theMedical Services Plan to members of various health care professions. These arrangements are established by regulation or are contained in agreements between the government and the professions under the authority of the Medicare Protection Act. Revenue is provided from voted appropriations and consists of unused portions of the available amount for each profession and from any amount specified by an agreement. Expenses may be made where savings from under-utilization in prior years are applied to offset over-utilization in a subsequent year or specified by an agreement. No financing transactions are provided for under this account. |
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|
Estimates |
|
Estimates |
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|
||||
|
|
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SPENDING AUTHORITY AVAILABLE AT THE BEGINNING OF THE FISCAL YEAR |
|
6,248 |
|
306 |
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|
OPERATING TRANSACTIONS |
|
|
|
|
||||
|
Revenue |
|
15,000 |
|
|
||||
|
Expense |
|
(15,000) |
|
|
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|
Net Revenue (Expense) |
|
|
|
|
||||
|
Difference Between 2002/03 Estimates and Projected Actual Net Revenue (Expense) |
|
(5,942) |
|
|
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FINANCING TRANSACTIONS |
|
|
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|
||||
|
Loans, Investments and Capital Acquisitions |
|
|
|
|
||||
|
Receipts |
|
|
|
|
||||
|
Disbursements - Capital |
|
|
|
|
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|
Disbursements - Other |
|
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|
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|
Net Cash Source (Requirement) |
|
|
|
|
||||
|
|
|
|
|
|
||||
|
PROJECTED SPENDING AUTHORITY AVAILABLE AT THE END OF THE FISCAL YEAR2 |
|
306 |
|
306 |
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|
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|
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|
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|
NOTES |
||||||||
|
1 A Special Account is an account in the General Fund where the authorization to spend money from the account is located in an Act other than the Supply Act. 2 The Projected Spending Authority Available represents the cash and temporary investments projected to be available at the end of the fiscal year. |
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|
LOANS, INVESTMENTS AND OTHER REQUIREMENTS BY CORE BUSINESS |
|||
|
$000 |
|||
|
|
|
|
|
|
|
Estimates |
|
Estimates |
|
|
|||
|
|
|||
|
SERVICES DELIVERED BY PARTNERS |
|||
|
|
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|
HEALTH INNOVATION INCENTIVE PROGRAM Loans (disbursements) are no longer provided to health authorities or other health agencies. Receipts represent repayment by health authorities of the loans (disbursements) made in previous years. Administration costs are funded through the ministry's voted appropriations. |
|||
|
|
|
|
|
|
Receipts |
1,362 |
|
2,034 |
|
Disbursements |
|
|
|
|
Net Cash Source (Requirement) |
1,362 |
|
2,034 |
|
PREPAID CAPITAL ADVANCES BY CORE BUSINESS |
|||
|
$000 |
|||
|
|
|
|
|
|
|
Estimates |
|
Estimates |
|
|
|||
|
|
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|
SERVICES DELIVERED BY PARTNERS |
|||
|
|
|||
|
PREPAID CAPITAL ADVANCES Disbursements are provided for approved health facilities and equipment capital projects. |
|||
|
|
|
|
|
|
Receipts |
|
|
|
|
Disbursements |
272,900 |
|
202,500 |
|
Net Cash Source (Requirement) |
(272,900) |
|
(202,500) |