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Authorize the Auditor-Controller to re-budget in FY2019/20 the non-county contribution of $197,500 to fund the community health clinics’ primary care services to uninsured clients, funded by excess fund balance, as part of the year end closeout process for FY2018/19
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Published Notice Required? Yes ____ No _X _
Public Hearing Required? Yes ____ No _X _
DEPARTMENTAL RECOMMENDATION:
The County Administrator’s Office and the Department of Health and Social Services (H&SS) recommend the Board of Supervisors authorize the Auditor-Controller to re-budget in FY2019/20 the non-county contribution of $197,500 to fund the community health clinics’ primary care services to uninsured clients, funded by excess fund balance, as part of the year end closeout process for FY2018/19
SUMMARY/DISCUSSION:
In FY2018/19, the Board authorized a one-time bridge funding contribution of $197,500 to the community health clinics. The funding was to be used to provide primary care services to uninsured clients. The individual health clinic contracts were not executed in FY2018/19 and the unspent funds will be included in the year end excess fund balance. A technical adjustment to the year end closeout for FY2018/19 is necessary to re-budget the funds so the contracts may be executed in FY2019/20. The County Medical Services Program (CMSP) approved a revised and expanded pilot to cover undocumented/uninsured clients effective January 2019. The re-budget is to fund, on a one time basis, primary care for the uninsured not included in the pilot program.
FINANCIAL IMPACT:
The source of the FY2018/19 non-county contribution of $197,500 to the community health clinics was County General Fund and the request is to re-budget these unspent funds to FY2019/20. The costs associated with preparing the agenda item are nominal and absorbed by the County Administrator’s FY2018/19 Adopted Budget.
ALTERNATIVES:
The Board could choose not to approve the re-budget of the non-county contribution to the community health clinics; however, the funds will be used to provide primary care to uninsured clients.
OTHER AGENCY INVOLVEMENT:
The County Administrator’s Office and the Department of Health and Social Services worked with the Auditor-Controller’s Office to prepare the agenda item.
CAO RECOMMENDATION:
APPROVE DEPARTMENTAL RECOMMENDATION