File #: 15-0810    Name: FY 2014-15 Non-Program Rev for Med Care Srvcs - BoS 7-28-15
Type: General Agenda Item Status: Passed
File created: 7/14/2015 In control: Board of Supervisors
On agenda: 7/28/2015 Final action: 7/28/2015
Title: a. Approve and authorize the Auditor-Controller to increase revenue in the amount of $2,444,273.87 for Fiscal Year 2014-15 for Fund 001-1050-8041-CAO019-4820 (Non-Program Revenue) funded through increased Vehicle License Fees-Local Realignment for Public and Mental Health (4/5th vote required); and b. Approve and authorize the Auditor-Controller to increase appropriations in the amount of $2,444,273.87 for FY 2014-15 for Fund 001-1050-8037-CAO016-7614 (Medical Care Services) funded by Unassigned Fund Balance for increases in FY2014-15 Vehicle License Fees-Local Realignment for Public and Mental Health (4/5th vote required).
Attachments: 1. Board Report, 2. Completed Board Order
Title
a. Approve and authorize the Auditor-Controller to increase revenue in the amount of $2,444,273.87 for Fiscal Year 2014-15 for Fund 001-1050-8041-CAO019-4820 (Non-Program Revenue) funded through increased Vehicle License Fees-Local Realignment for Public and Mental Health (4/5th vote required); and
b. Approve and authorize the Auditor-Controller to increase appropriations in the amount of $2,444,273.87 for FY 2014-15 for Fund 001-1050-8037-CAO016-7614 (Medical Care Services) funded by Unassigned Fund Balance for increases in FY2014-15 Vehicle License Fees-Local Realignment for Public and Mental Health (4/5th vote required).
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors:
a. Approve and authorize the Auditor-Controller to increase revenue in the amount of $2,444,273.87 for Fiscal Year 2014-15 for Fund 001-1050-8041-CAO019-4820 (Non-Program Revenue) funded through increased Vehicle License Fees-Local Realignment for Public and Mental Health (4/5th vote required); and
b. Approve and authorize the Auditor-Controller to increase appropriations in the amount of $2,444,273.87 for FY 2014-15 for Fund 001-1050-8037-CAO016-7614 (Medical Care Services) funded by Unassigned Fund Balance for increases in FY2014-15 Vehicle License Fees-Local Realignment for Public and Mental Health (4/5th vote required).

SUMMARY/DISCUSSION:
The Medical Care Services unit originally provided a General Fund payment to Natividad Medical Center 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 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 ...

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