Title
Authorize modifications to the FY 2014-15 Adopted Budget to provide budgetary authority for implementing a September 16, 2014 and March 17, 2015 staff reports pertaining to inmate medical care, as follows:
a. Increase appropriations by $2,037,736 in CAO016-001-1050-8037-7614, financed by increased revenue of $2,037,739 in CAO019-001-1050-8041-4820 (4/5th vote required);
b. Increase appropriations by $2,037,736 in HEA013-025-4000-8424-7614, financed by an operating transfer in of $2,037,736 to HEA013-025-4000-8424-5940 from CAO016 (4/5th vote required);
c. Increase appropriations by $1,350,110 in SHE004-001-2300-8237-6610, financed by an operating transfer in to SHE004-001-2300-8237-5940 of $2,037,736 from HEA013-025-4000-8424-7614 (4/5th vote required); and
d. Increase appropriations in SHE003-001-2300-8238-6111 by $1,687,626 financed by an operating transfer in to SHE003-001-2300-8238-5940 from PRO002 of $1,000,000 and General Fund unassigned fund balance of $687,626 (4/5th vote required). (ADDED VIA ADDENDUM)
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors authorize modifications to the FY 2014-15 Adopted Budget to provide budgetary authority for implementing a September 16, 2014 staff report pertaining to inmate medical care, as follows:
a. Increase appropriations by $2,037,736 in CAO016-001-1050-8037-7614, financed by increased revenue of $2,037,739 in CAO019-001-1050-8041-4820 (4/5th vote required);
b. Increase appropriations by $2,037,736 in HEA013-025-4000-8424-7614, financed by an operating transfer in of $2,037,736 to HEA013-025-4000-8424-5940 from CAO016 (4/5th vote required);
c. Increase appropriations by $1,350,110 in SHE004-001-2300-8237-6610, financed by an operating transfer in to SHE004-001-2300-8237-5940 of $2,037,736 from HEA013-025-4000-8424-7614 (4/5th vote required); and
d. Increase appropriations in SHE003-001-2300-8238-6111 by $1,687,626 financed by an operating transfer in to SHE003-001-2300-8238-5940 from PRO002 of $1,000,000 and General Fund unassigned fund balance of $687,626 (4/5th vote required).
SUMMARY:
On September 16, 2014 and March 17, 2015 the Board of Supervisors authorized the amendment of a Sheriff’s Office agreement with the California Forensic Medical Group (CFMG) to allow for increased medical staffing in the County Jail and approved an additional 11 correctional positions to provide inmate transportation for medical purposes. The September 16 staff report which clarified accounting information by March 17, 2015 report, increased appropriations to the Sheriff’s Office by $3,037,736 to finance the contract amendment and positions. The purpose of this report is to provide further technical revisions to clarify budget authority and accounting information pertaining to the September 16, 2014 and March 17, 2015 reports.
DISCUSSION:
The California Forensic Medical Group is the current medical services provider for inmates at the County Jail. The CFMG services include medical, mental health and dental services. The Public Safety Realignment Act of 2011 (AB 109) changed the County’s inmate population, causing an increase in the cost of providing inmate medical and mental health care. Because inmates are staying in the jail longer, the County has spent more time and money on inmates with chronic conditions such as diabetes and heart disease. The amendment to CFMG's contract was necessary to meet the need for increased inmate medical care. The September 16, 2014 staff report also authorized the Sheriff’s Office to add 11 corrections deputies to provide transportation to and from medical-related appointments. Proposed funding for the contract amendment and new positions included a combination of health and public safety realignment monies, subject to approval by stakeholders. Since that time, the various stakeholders responsible for these funding streams have met and agreed to the financing details. This report provides the specific actions needed to implement the financing agreement.
OTHER AGENCY INVOLVEMENT:
The County Administrative Office, Sheriff’s Office, County Counsel, Probation and the Health Department planned and secured financing for the CFMG amendment and additional 11 correctional positions.
FINANCING:
The cost for the amendment to the CFMG agreement and the 11 additional positions approved on September 16, 2014 total $3,037,736. This cost will be funded by $1,000,000 in public safety realignment (Fund 022) monies and $2,037,736 in health realignment (Fund 025) funds.
Approved by:
_____________________________
Steve Bernal, Sheriff-Coroner
Attachments: September 16, 2014 Board of Supervisor’s Report
March 17, 2015 Board of Supervisor’s Report