Title
Adopt a Resolution to:
a. Amend the Health Department Fiscal Year 2021-22 Adopted Budget to increase appropriations and estimated revenue by $1,794,902 in the Health Administration Bureau 001-4000-8438-HEA014, funded by the augmentation of grant revenues from the VIDA: A Community Health Worker COVID-19 Outreach and Education Project to Improve Health Literacy in Monterey County, California grant (4/5ths vote required); and
b. Direct the Auditor-Controller and County Administrative Office to incorporate the changes in the Fiscal Year 2021-22 Health Department Adopted Budget 001-4000-8438-HEA014.
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors Adopt a Resolution to:
a. Amend the Health Department Fiscal Year 2021-22 Adopted Budget to increase appropriations and estimated revenue by $1,794,902 in the Health Administration Bureau 001-4000-8438-HEA014, funded by the augmentation of grant revenues from the VIDA: A Community Health Worker COVID-19 Outreach and Education Project to Improve Health Literacy in Monterey County, California grant (4/5ths vote required); and
b. Direct the Auditor-Controller and County Administrative Office to incorporate the changes in the Fiscal Year 2021-22 Health Department Adopted Budget 001-4000-8438-HEA014.
SUMMARY/DISCUSSION:
On October 19, 2021, the Board of Supervisors (Board) accepted Notice of Award (NOA) No. 1-CPIMP211281-01-00 in the amount of $3,952,437 from the Department of Health and Human Services, Office of the Secretary for the Monterey County Health Department (Health) to provide COVID-19 health literacy services through the Health Literacy grant from July 1, 2021, through June 30, 2023. As the Notice of Award NOA was received after the beginning of Fiscal Year (FY) 2021-22, Health Administration’s Adopted Budget did not include appropriations for the associated grant expenditures in the current FY.
Health successfully competed for grant funding from the US Department of Health and Human Services as part of its Advancing Health Literacy to Enhance Equitable Community Response to COVID-19 initiative. Monterey County’s VIDA: A Community Health Worker COVID-19 Outreach and Education Project to Improve Health Literacy in Monterey County, California (Health Literacy grant) is partnership between Health and the Community Foundation for Monterey County (CFMC) and community-based organizations in the Black and Latino communities that have experienced higher case rates of COVID-19. The project builds upon the existing VIDA: Virus Integrated Distribution of Aid project and will develop and implement COVID-19 health literacy strategies focused on these subpopulations using evidence-based and culturally and linguistically responsive practices.
The notice of award was received on July 1, 2021. Accordingly, the FY 2021-22 Adopted Budget included no provision for this grant’s revenue and expenditures. Health estimates that the full amount of $1,794,902 budgeted for the current FY will be expended; thus, additional appropriations are required to accommodate the grant’s expenditures and increased grant revenue to finance them.
This report was presented and received the support of the Budget Committee on March 30, 2022.
OTHER AGENCY INVOLVEMENT:
No other agencies were involved.
FINANCING:
There will be no impact to the General Fund from this action. The additional expenditures in FY 2021-22 will be financed with grant funds. The anticipated revenue and expenditures for FY 2022-23 have been included in the Requested Budget.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.
☒Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services; promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☐Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared by: Miriam Y. Mendoza-Hernández, Finance Manager III, 755-4622
Approved by:
______________________________Date:___________
Elsa Mendoza Jimenez, Director of Health, 755-4526
Attachments:
Resolution
Board Order - Legistar File ID No. A 21-506 Agenda Item No. 31