Title
Adopt a Resolution to:
a. Amend the FY 2025-26 Adopted Budget for the Health Department’s Behavioral Health Bureau (023-8410-HEA012) to increase appropriations by $11,900,813 for operating expenditures to accommodate anticipated total costs, financed by an increase in Medi-Cal Federal Financial Participation revenue (023-8410-HEA012) of $11,900,813 (4/5ths vote required); and
b. Authorize and direct the Auditor-Controller and County Administrative Office to incorporate the changes in the FY 2025-26 Health Department’s Behavioral Health Bureau’s Adopted Budget (023-8410-HEA012) (4/5ths vote required).
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors Adopt a Resolution to:
a. Amend the FY 2025-26 Adopted Budget for the Health Department’s Behavioral Health Bureau (023-8410-HEA012) to increase appropriations by $11,900,813 for operating expenditures to accommodate anticipated total costs, financed by an increase in Medi-Cal Federal Financial Participation revenue (023-8410-HEA012) of $11,900,813 (4/5ths vote required); and
b. Authorize and direct the Auditor-Controller and County Administrative Office to incorporate the changes in the FY 2025-26 Health Department’s Behavioral Health Bureau’s Adopted Budget (023-8410-HEA012) (4/5ths vote required).
SUMMARY:
The Health Department’s Behavioral Health Bureau requests an amendment to the FY 2025-26 Adopted Budget to increase appropriations by $11,900,813, fully offset by increased Medi-Cal Federal Financial Participation (FFP) revenue. The requested adjustment addresses higher-than-budgeted personnel costs, Unfunded Accrued Liability (UAL) expense, increased hospitalization costs, and contract expenditures necessary to operate the County’s Medi-Cal Mental Health Plan and related behavioral health services. Approval of the recommendation will have no impact on the General Fund.
DISCUSSION:
The Monterey County Health Department’s Behavioral Health Bureau (BHB) requests an increase in approp...
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