Title
a. Authorize the Auditor-Controller to execute an operating transfer of $250,000 from the 1991 Social Services Realignment Subaccount (025-0255-5010-SOC012-CMS) to the 1991 Health Realignment Subaccount (025-0254-4000-HEA013-PH) to fund the Bright Beginnings program; and
b. Authorize the Auditor-Controller to execute an operating transfer of $1,218,318 from the 1991 Social Services Realignment Subaccount (025-0255-5010-SOC012-CMS) to the 1991 Health Realignment Subaccount (025-0254-4000-HEA013-PH) to fund Children's Medical Services programs; and
c. Authorize the Auditor-Controller to amend the FY 2018-19 Health Department’s operating budget (025-4000-HEA013-8424-7614 and 5940) to increase appropriations and estimated revenue by $1,218,318, funded by an operating transfer from 1991 Social Services Realignment (025-0255-5010-SOC012-CMS); 4/5th’s vote required; and
d. Authorize the Auditor-Controller to execute an operating transfer of $243,148 from the 1991 Social Services Realignment Subaccount (025-0255-5010-SOC012-CMS) to the 1991 Health Realignment Subaccount (025-0254-4000-HEA013-PH) to fund the Nurse Family Partnership and Maternal, Child, and Adolescent Health programs; and
e. Authorize the Auditor-Controller to amend the FY 2018-19 Health Department’s operating budget (025-4000-HEA013-8424-7614 and 5940) to increase appropriations and estimated revenue by $243,148, funded by an operating transfer from 1991 Social Services Realignment, 4/5th’s vote required
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors Support the request to:
a. Authorize the Auditor-Controller to execute an operating transfer of $250,000 from the 1991 Social Services Realignment Subaccount (025-0255-5010-SOC012-CMS) to the 1991 Health Realignment Subaccount (025-0254-4000-HEA013-PH) to fund the Bright Beginnings program; and
b. Authorize the Auditor-Controller to execute an operating transfer of $1,218,318 from the 1991 Social Services Realignment Subaccount (025-0255-5010-SOC012-CMS) to the 1991 Health Realignment Subaccount (025-0254-4000-HEA013-PH) to fund Children's Medical Services programs; and
c. Authorize the Auditor-Controller to amend the FY 2018-19 Health Department’s operating budget (025-4000-HEA013-8424-7614 and 5940) to increase appropriations and estimated revenue by $1,218,318, funded by an operating transfer from 1991 Social Services Realignment (025-0255-5010-SOC012-CMS); 4/5th’s vote required; and
d. Authorize the Auditor-Controller to execute an operating transfer of $243,148 from the 1991 Social Services Realignment Subaccount (025-0255-5010-SOC012-CMS) to the 1991 Health Realignment Subaccount (025-0254-4000-HEA013-PH) to fund the Nurse Family Partnership and Maternal, Child, and Adolescent Health programs; and
e. Authorize the Auditor-Controller to amend the FY 2018-19 Health Department’s operating budget (025-4000-HEA013-8424-7614 and 5940) to increase appropriations and estimated revenue by $243,148, funded by an operating transfer from 1991 Social Services Realignment, 4/5th’s vote required
SUMMARY/DISCUSSION:
In order to establish a consistent matter in which funding from the 1991 Social Services Realignment (SSR) subaccount is passed on to the Health Department for existing programs, The Health Department (Health) requests approval by the Board of Supervisors to transfer $1,711,466 from the 1991 Social Services Realignment (SSR) subaccount to the 1991 Health Realignment subaccount. This is similar to transfers made in prior years.
This requested action consistently accounts for SSR revenue used to fund programs operated by the Health Department. If approved, all SSR revenue used to fund programs operated by the Health Department will be accounted for in Health Realignment Fund 025 prior to being transferred to operational programs in Fund 001. This will eliminate the direct transfers from SSR in Fund 025 to the Health Department operational units in Fund 001.
Bright Beginnings is an opportunity for the community to work together to ensure that children from the prenatal stage through age eight have what they need to succeed. Bright Beginnings has been funded with both direct transfers from SSR in Fund 025 to Health in Fund 001 and with transfers from SSR to Health Realignment and then to Fund 001. An increase of appropriations or estimated revenue in Health Realignment is not needed for the $250,000 Bright Beginnings transfer because the Board already approved Bright Beginnings appropriations and estimated revenue in the FY 2018-19 Adopted Budget for Health Realignment.
Children’s Medical Services (CMS) provides services to improve health status, mitigate morbidity and reduce health disparities by assuring access to quality preventive and specialty medical care for all Monterey County children. CMS his historically been funded with direct transfers from SSR in Fund 025 to Health in Fund 001.
Nurse Family Partnership (NFP) has been shown to improve health outcomes among participants, including decreased prenatal cigarette smoking, reduced hypertensive disorders of pregnancy, decreased childhood injuries, reduced subsequent pregnancies, and increased intervals between births. Maternal, Child, and Adolescent Health (MCAH) provides resources and information about reproductive health, family planning, and pregnancy. The focus is on the individual’s physical, emotional, and mental health. NFP and MCAH have historically been funded with transfers from SSR to Health Realignment and then to Health in Fund 001.
The total Social Services Realignment funding used for programs operated by the Health Department in FY 2018-19 is summarized below.
|
Bright Beginning |
$250,000 |
|
Children's Medical Services |
$1,218,318 |
|
NFP and MCAH |
$243,148 |
|
|
$1,711,466 |
This transfer of funds supports the Monterey County Health Department 2018-2022 Strategic Plan Initiatives: 3) Ensure access to culturally and linguistically appropriate, customer-friendly, quality health services; and 4) Engage Monterey County Health Department workforce and improve operational functions to meet current and developing population health needs.
OTHER AGENCY INVOLVEMENT:
Social Services has reviewed this request and concurs with the recommendations. Report presented at February 27, 2019 Budget Committee.
FINANCING:
This report requests approval by the Board of Supervisors to transfer $1,711,466 from the 1991 Social Services Realignment subaccount to the 1991 Health Realignment subaccount to fund existing programs in the Health Department. There is no impact to the General Fund contribution.
The recommended action provides for the technical accounting needed to transfer the funding from the 1991 SSR Realignment subaccount to the 1991 Health Realignment subaccount and then out to the operational programs in Fund 001 which include $250,000 for Bright Beginnings program, $1,218,318 Children's Medical Services programs, and $243,148 Nurse Family Partnership (NFP) and Maternal, Child, and Adolescent Health (MCAH) programs.
BOARD OF SUPERVISORS STRATEGIC INITIATIVES:
Check the related Board of Supervisors Strategic Initiatives:
☐Economic Development:
• Through collaboration, strengthen economic development to ensure a diversified and healthy economy.
☐Administration:
• Promote an organization that practices efficient and effective resource management and is recognized for responsiveness, strong customer orientation, accountability and transparency.
☒Health & Human Services:
• Improve health and quality of life through County supported policies, programs, and services; promoting access to equitable opportunities for healthy choices and healthy environments in collaboration with communities.
☐Infrastructure:
• Plan and develop a sustainable, physical infrastructure that improves the quality of life for County residents and supports economic development results.
☒Public Safety:
• Create a safe environment for people to achieve their potential, leading businesses and communities to thrive and grow by reducing violent crimes as well as crimes in general.
Prepared by: Joe Ripley, Finance Manager II, x1250
Approved by: Ezequiel Vega, Assistant Director of Health, x4622
Attachment:
Resolution is on file with the Clerk of the Board