Title
a. Approve a transfer of $1,303,373 from CAO-Other Financing Uses to CAO-Medical Care Services to fund increased Vehicle License Fee-Local Realignment for Public and Mental Health for FY 2013-14 revenue (4/5th vote required); and
b. Approve and authorize the Auditor-Controller to decrease appropriations by $1,303,373 in CAO-Other Financing 001-1050-8038-CAO017 and increase appropriations by $1,303,373 in CAO-Medical Care Services 001-8037-CAO016 to fund FY 2013-14 VLF-Local Realignment revenue increases (4/5th vote required).
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve a transfer of $1,303,373 from CAO-Other Financing Uses to CAO-Medical Care Services to fund increased Vehicle License Fee-Local Realignment for Public and Mental Health for FY 2013-14 revenue (4/5th vote required); and
b. Approve and authorize the Auditor-Controller to decrease appropriations by $1,303,373 in CAO-Other Financing 001-1050-8038-CAO017 and increase appropriations by $1,303,373 in CAO-Medical Care Services 001-8037-CAO016 to fund FY 2013-14 VLF-Local Realignment revenue increases (4/5th vote required).
SUMMARY/DISCUSSION:
The Medical Care Services unit originally provided a General Fund payment to NMC and the Health Department to cover costs associated with indigent medical care. In addition, the State-Local Program Realignment that occurred in FY 1991-92 replaced the Medically Indigent Services Program (MISP) annual allocation of State General Funds with Realignment Trust Funds-Health Account (the addition of a one-half cent sales tax and increased County General Fund revenues attributable to additional Vehicle License Fees designated for health care).
Effective in FY 2012-13, a change in accounting for realignment dollars resulted in the Medical Care Services unit being used to appropriate Vehicle License Fees (VLF) for the Health Department and the Department of Social of Social Services; the County's portion of the Sales Tax Revenue match for health services; and the Sales Tax Revenue match for Mental Health services. In FY 2013-14, the Mental Health Services match is administered in Fund 023-Behavioral Health and the VLF and County portion of the Sales Tax Revenue match for Health and Social Services are administered in Fund 025-Health Realignment.
The VLF revenue growth in FY 2012-13 and FY 2013-14 impacted appropriations in the Medical Care Services unit, requiring the need to increase appropriations.
OTHER AGENCY INVOLVEMENT:
Auditor-Controller and County Counsel have reviewed the Report.
FINANCING:
This recommendation does not increase the net appropriations approved by the Board of Supervisors for the CAO. The recommendation utilizes available appropriations in CAO-Other Financing Uses (001-1050-8038-CAO017) to address the appropriations deficit in CAO-Medical Care Services (001-1050-8037-CAO016). The appropriations deficit occurred based on higher VLF revenue.
Prepared by: Rod Walker, Principal Administrative Analyst, x5344
Approved by: Dewayne Woods, Assistant County Administrative Officer, x5309