Title
Adopt a Resolution 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 amend the FY 2020-21 Health Department’s operating budget to increase appropriations (025-4000-HEA013-8424-7614) and estimated revenue (025-4000-HEA013-8424-5940) by $250,000, funded by an operating transfer from 1991 Social Services Realignment (025-0255-5010-SOC012-CMS) (4/5th’s vote required); and
c. 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
d. Authorize the Auditor-Controller to amend the FY 2020-21 Health Department’s operating budget to increase appropriations (025-4000-HEA013-8424-7614) and estimated revenue (025-4000-HEA013-8424-5940) 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
e. Authorize the Auditor-Controller to execute an operating transfer of $402,726 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 (NFP) and Maternal, Child, and Adolescent Health (MCAH) programs; and
f. Authorize the Auditor-Controller to amend the FY 2020-21 Health Department’s operating budget (025-4000-HEA013-8424-7614) to increase appropriations and estimated revenue (025-4000-HEA013-8424-5940) by $402,726, funded by an operating transfer from 1991 Social Services Realignment (025-0255-5010-SOC012-CMS) (4/5th’s vote required).
Report
RECOMMENDATION:
It is recommended that the Board of Supervisors Adopt a Resolution 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 amend the FY 2020-21 Health Department’s operating budget to increase appropriations (025-4000-HEA013-8424-7614) and estimated revenue (025-4000-HEA013-8424-5940) by $250,000, funded by an operating transfer from 1991 Social Services Realignment (025-0255-5010-SOC012-CMS); and
c. 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
d. Authorize the Auditor-Controller to amend the FY 2020-21 Health Department’s operating budget to increase appropriations (025-4000-HEA013-8424-7614) and estimated revenue (025-4000-HEA013-8424-5940) by $1,218,318, funded by an operating transfer from 1991 Social Services Realignment (025-0255-5010-SOC012-CMS); and
e. Authorize the Auditor-Controller to execute an operating transfer of $402,726 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 (NFP) and Maternal, Child, and Adolescent Health (MCAH) programs; and
f. Authorize the Auditor-Controller to amend the FY 2020-21 Health Department’s operating budget (025-4000-HEA013-8424-7614) to increase appropriations and estimated revenue (025-4000-HEA013-8424-5940) by $402,726, funded by an operating transfer from 1991 Social Services Realignment (025-0255-5010-SOC012-CMS) (4/5th’s vote required).
SUMMARY/DISCUSSION:
The Health Department (Health) requests approval by the Board of Supervisors to transfer $1,871,044 from the 1991 Social Services Realignment (SSR) subaccount to the 1991 Health Realignment subaccount for Health Department programs. Similar transfers have been approved by the Board of Supervisors in prior years.
The requested 1991 Realignment transfer consistently accounts for SSR revenue used to fund programs operated by the Health Department. If approved, SSR revenue utilized by Health will be accounted for in Health Realignment Fund 025 prior to being transferred to operational programs in Fund 001. Social Services and Health have a signed MOU supporting annual transfers, through June 30, 2022.
Health does not request increased appropriations or estimated revenue in the 1991 Health Realignment Subaccount for the $250,000 Bright Beginnings transfer because these appropriations and estimated revenue are included in the FY 2020-21 Adopted Budget.
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.
Children’s Medical Services (CMS) provides services to improve health status, mitigate morbidity, and reduce health disparities by ensuring access to quality preventive and specialty medical care for all Monterey County children.
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.
The requested transfer is summarized below.
|
Bright Beginnings |
$250,000 |
|
Children's Medical Services |
$1,218,318 |
|
NFP and MCAH |
$402,726 |
|
|
$1,871,044 |
|
|
|
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. This item was presented to and received the Budget Committee’s support on June 30, 2021.
FINANCING:
The requested action provides for the technical accounting needed to transfer the funding from the 1991 Social Services Realignment subaccount first to the 1991 Health Realignment subaccount, and then to the operational programs in Fund 001. Programs include $250,000 for Bright Beginnings, $1,218,318 for Children's Medical Services, and $402,726 for Nurse Family Partnership (NFP) and Maternal, Child, and Adolescent Health (MCAH). There is no impact to the General Fund contribution.
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, 796-1250
Approved by:
______________________________Date:___________
Elsa Mendoza Jimenez, Director of Health, 755-4625
Attachment:
Resolution