Title
Adopt Resolution to:
Authorize and direct the Auditor-Controller to amend the FY 2020-21 Health Department budget (001-4000-HEA003-8124) to increase appropriations by $5,162,067 and estimated revenue by $5,162,067, financed by program revenue of $1,430,698 from lab testing of COVID-19 specimens, and $3,731,369 from CDPH ELC and other grant funds (4/5th vote required).
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors adopt a Resolution to:
Authorize and direct the Auditor-Controller to amend the FY 2020-21 Health Department budget (001-4000-HEA003-8124) to increase appropriations by $5,162,067 and estimated revenue by $5,162,067, financed by program revenue of $1,430,698 from lab testing of COVID-19 specimens, and $3,731,369 from CDPH ELC and other grant funds (4/5th vote required).
SUMMARY/DISCUSSION:
The Health Department (Health) requests approval from the Board of Supervisors to increase appropriations for Public Health (PH) by $5,162,067 for COVID-19 response efforts previously approved by the Board of Supervisors on February 9, 2021. The projected $5,162,067 gap is due to COVID-19 response efforts which were not included in the FY 2020-21 Adopted Budget. These include temporary staff, lab supplies, and equipment. The increase in appropriations will be financed by program revenue from lab testing of COVID-19 specimens in the amount of $1,430,698 and $3,731,369 from the California Department of Public Health Epidemiology and Laboratory Capacity (ELC) and other grants.
On March 2, the County received an award letter from the CDPH for $20,479,442 in ELC expansion monies. The Health Department has submitted the County’ proposed ELC grant spending plan which includes the expenditures for which the increase in appropriation is being requested. If any expenditures in the spending plan are not approved, American Rescue Plan Act (ARPA) funding will be used.
Health’s estimates are that ELC expansion monies and other PH grants, may eliminate the need to utilize any ARPA funds. Health continues to pursue additional COVID-19 grants and secure final approval from CDPH for the County’s proposed ELC grant spending plan.
Health, and other departments, will coordinate with the Budget Office on the COVID-19 FY 2020-21 year-end reconciliation report. This report will identify if any of the ARPA funds requested here were used by PH for the COVID-19 response costs.
This item was presented to the Budget Committee on May 26, 2021.
This request 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:
The Budget Committee supported this item on May 26, 2021.
FINANCING:
This report requests approval by the Board of Supervisors to increase appropriations for Public Health by $5,162,067 for COVID response efforts. The appropriations increase is financed with program revenue from lab testing of COVID-19 specimens in the amount of $1,430,698 and $3,731,369 from ELC and other grant funds.
Currently, the ELC spending plan is pending approval from the State. If approval is not secured prior to the close of FY 2020-21 or if any expenditures in the spending plan are not approved, Health may require the use of ARPA funds to bridge the funding gap.
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, 755-1250
Miriam Mendoza-Hernández, Finance Manager, 755-4622
Approved by:
______________________________Date:___________
Elsa Mendoza Jimenez, Director of Health, 755-4625
Attachment:
Resolution