Title
a. Support the request to authorize the Auditor-Controller to increase revenue in the amount of $2,204,000 for Fiscal Year 2015-16 for Fund 001-1050-8041-CAO019 CAO-Non-Program revenue funded through increased Vehicle License Fees-Local Realignment for Public and Mental Health; and
b. Support the request to authorize the Auditor-Controller to increase appropriations in the amount of $2,204,000 for FY2015-16 for Fund 001-1050-8037-CAO016 Medical Care Services funded by Unassigned Fund Balance for increases in FY2015-16 Vehicle License Fees-Local Realignment for Public and Mental Health.
Report
RECOMMENDATION:
It is recommended that the Budget Committee:
a. Support the request to authorize the Auditor-Controller to increase revenue in the amount of $2,204,000 for Fiscal Year 2015-16 for Fund 001-1050-8041-CAO019 CAO-Non-Program revenue funded through increased Vehicle License Fees-Local Realignment for Public and Mental Health; and
b. Support the request to authorize the Auditor-Controller to increase appropriations in the amount of $2,204,000 for FY2015-16 for Fund 001-1050-8037-CAO016 Medical Care Services funded by Unassigned Fund Balance for increases in FY2015-16 Vehicle License Fees-Local Realignment for Public and Mental Health.
SUMMARY/DISCUSSION:
The Medical Care Services unit originally provided a General Fund payment to NMC and the Health Department to cover costs associated with indigent medical care. In FY 1991-92, the State-Local Program Realignment occurred replacing 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. As of 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.
VLF revenue growth in FY 2015-16 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 2015-16 County General Fund contribution for the associated indigent medical/health related services.
OTHER AGENCY INVOLVEMENT:
No other agencies were involved in this report.
FINANCING:
The increase in appropriations in Medical Care Services (CAO016) is funded through the increase in Unassigned General Fund Balance resulting from the increased revenue in Non-Program Revenue (CAO019). The recommendation results in no net increase in County cost.
Prepared by: Kimberly Drabner, Finance Manager II, x5121
Approved by: Dewayne Woods, Assistant CAO, x5309