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 realignment dollars resulted in the Medical Care Services being used to appropriate Vehicle License Fees (VLF) for the Health Department and the Department of Social Services; the County's portion of the Sales Tax Revenue match for health services; and the Sales Tax Revenue match for Mental Health services. In FY 2013-14, the Mental Health Services match is administered in Fund 023-Behavioral Health and the VLF and County portion of the Sales Tax revenue match for Health and Social Services are administered in Fund 025-Health Realignment.
The VLF revenue growth in FY 2014-15 impacted appropriations in the Medical Care Services unit requiring the need to increase appropriations. The increase in revenue and adjustment to appropriations off-set the FY 2014-15 County General Fund contribution for the associated indigent medical/health related services.
OTHER AGENCY INVOLVEMENT:
County Counsel has reviewed this report.
FINANCING:
The increase in appropriations in Medical Care Services (CAO016) is funded through the increase in Unassigned General Fund Balance resulting from increased revenue in Non-Program Revenue (CAO019). The recommendation results in no net increase in County cost.
Prepared by: Approved by:
___________________________________ _______________________________
Kimberly Drabner Dewayne Woods
Finance Manager Assistant County Administrative Officer
Dated: July 14, 2015