Title
Support the request to:
a. Authorize the Auditor-Controller to execute an operating transfer of $250,000 from the 1991 Social Services Realignment Subaccount (025-0255-5010-SOC012-CMS) to the 1991 Health Realignment Subaccount (025-0254-4000-HEA013-PH) to fund the Bright Beginnings program; and
b. Authorize the Auditor-Controller to execute an operating transfer of $1,218,318 from the 1991 Social Services Realignment Subaccount (025-0255-5010-SOC012-CMS) to the 1991 Health Realignment Subaccount (025-0254-4000-HEA013-PH) to fund Children's Medical Services programs; and
c. Authorize the Auditor-Controller to execute an operating transfer of $374,986 from the 1991 Social Services Realignment Subaccount (025-0255-5010-SOC012-CMS) to the 1991 Health Realignment Subaccount (025-0254-4000-HEA013-PH) to fund the Nurse Family Partnership (NFP) and Maternal, Child, and Adolescent Health (MCAH) programs.
Report
RECOMMENDATION:
It is recommended that the Budget Committee support the request to:
a. Authorize the Auditor-Controller to execute an operating transfer of $250,000 from the 1991 Social Services Realignment Subaccount (025-0255-5010-SOC012-CMS) to the 1991 Health Realignment Subaccount (025-0254-4000-HEA013-PH) to fund the Bright Beginnings program; and
b. Authorize the Auditor-Controller to execute an operating transfer of $1,218,318 from the 1991 Social Services Realignment Subaccount (025-0255-5010-SOC012-CMS) to the 1991 Health Realignment Subaccount (025-0254-4000-HEA013-PH) to fund Children's Medical Services programs; and
c. Authorize the Auditor-Controller to execute an operating transfer of $374,986 from the 1991 Social Services Realignment Subaccount (025-0255-5010-SOC012-CMS) to the 1991 Health Realignment Subaccount (025-0254-4000-HEA013-PH) to fund the Nurse Family Partnership (NFP) and Maternal, Child, and Adolescent Health (MCAH) programs.
SUMMARY/DISCUSSION:
The Health Department requests approval by the Board of Supervisors to transfer $1,843,304 from the 1991 Social Services Realignment subaccount to the 1991 Health Realignment subaccount. Amounts will then be transferred to operational programs in Fund 001.
Health does not request increased appropriations or estimated revenue in the 1991 Health Realignment Subaccount for these transfers because these appropriations and estimated revenue are included in the FY 2023-24 Adopted Budget.
Bright Beginnings is an opportunity for the community to work together to ensure that children from the prenatal stage through age eight have what they need to succeed.
Children’s Medical Services (CMS) provides services to improve health status, mitigate morbidity, and reduce health disparities by ensuring access to quality preventive and specialty medical care for all Monterey County children.
Nurse Family Partnership (NFP) has been shown to improve health outcomes among participants, including decreased prenatal cigarette smoking, reduced hypertensive disorders of pregnancy, decreased childhood injuries, reduced subsequent pregnancies, and increased intervals between births. Maternal, Child, and Adolescent Health (MCAH) provides resources and information about reproductive health, family planning, and pregnancy. The focus is on the individual’s physical, emotional, and mental health.
The requested transfer is summarized below.
Bright Beginnings $250,000
Children’s Medical Services $1,218,318
NFP and MCAH $374,986
$1,843,304
This transfer of funds supports the County of Monterey Health Department 2018-2024 Strategic Plan Goals: 3) Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services; and 4) Engage Monterey County Health Department workforce and improve operational functions to meet current and developing population health needs.
OTHER AGENCY INVOLVEMENT:
Social Services has reviewed this request and concurs with the recommendations.
FINANCING:
The requested action provides for the technical accounting needed to transfer the funding from the 1991 Social Services Realignment subaccount first to the 1991 Health Realignment subaccount, and then to the operational programs in Fund 001. Programs include $250,000 for Bright Beginnings, $1,218,318 for Children's Medical Services, and $374,986 for Nurse Family Partnership (NFP) and Maternal, Child, and Adolescent Health (MCAH).
There is no impact to the General Fund contribution.
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: Joe Ripley, Finance Manager, 796-1250
Approved by:
____________________________Date__________________
Elsa Mendoza Jimenez, Director of Health Services, 755-4526
Attachment:
Staff Report