Item Coversheet

REPORT TO SHASTA COUNTY BOARD OF SUPERVISORS


BOARD MEETING DATE:  February  27, 2018
CATEGORY:  Consent - Health and Human Services-10.

SUBJECT:

HHSA MID-YEAR BUDGET AMENDMENTS

DEPARTMENT: Health and Human Services Agency-Business and Support Services
Administrative Office

Supervisorial District No. :  All

DEPARTMENT CONTACT:  Tracy Tedder, HHSA Branch Director, (530) 229-8425

STAFF REPORT APPROVED BY:  Tracy Tedder, HHSA Branch Director, and Terri Howat, County Chief Financial Officer

Vote Required?

4/5 Vote
General Fund Impact?

General Fund Impact 

RECOMMENDATION

Approve the following Fiscal Year 2017-18 Health and Human Services Agency mid-year budget amendments to align projected appropriations and revenue: (1) Decrease appropriations by $25,000 and decrease revenue by $50,000 in the In-Home Supportive Services (IHSS) Public Authority budget, offset with the use of fund balance; (2) increase appropriations and revenue by $203,500 in the Mental Health Services Act budget; (3) decrease revenue by $345,034 in the Mental Health budget, offset with use of Mental Health-Restricted State Realignment 1991/2011 fund balance; (4) increase appropriations and revenue by $340,000 in the Alcohol and Drug Programs budget; (5) increase appropriations and revenue by $35,988 in the Perinatal budget; (6) decrease revenue by $766,426 in the Public Health budget, offset with use of fund balance; (7) decrease appropriations and revenue by $294,369 in the Healthcare budget; (8) decrease appropriations by $294,369 in the General Revenue budget; (9) transfer appropriations by $300,000 and decrease revenue by $1,864,540 in the Social Services Administration budget, offset with use of Social Services-Restricted State Realignment 1991/2011 fund balance; (10) increase appropriations and revenue by $176,075 in the Opportunity Center budget; and (11) decrease appropriations by $439,940 and increase revenue by $473,705 in the Welfare Cash Aid budget.

SUMMARY

A mid-year budget amendment is recommended to align the Health and Human Services Agency (HHSA) FY 2017-18 budgeted revenue and expenditures with those reported in the mid-year budget analysis and FY 2017-18 budget projections.

DISCUSSION

The IHSS Public Authority budget (BU 851) is projecting expenditures lower than the current budget due to salary savings and lower legal costs from the completion of labor negotiations.  However, state revenue is lower than projected due to the administrative cap attached to the new IHSS Maintenance of Effort (MOE). This decrease in expenditures and revenue results in a projected net county cost, and additional use of fund balance, in the amount of $25,000.

 

The Mental Health Services Act budget (MHSA) (BU 404) is projecting to be under budget in overall expenditures, primarily due to estimated underspending in salaries and benefits.  However, expenses are projected higher than budgeted in Other Charges related to an increase in Adult Residential Support and Care.  This increase will be offset by an increase in Intergovernmental Revenue.

 

The Mental Health budget (BU 410) is projecting to be under budget in overall expenditures, primarily due to salary savings.  Mental Health is projecting to be under budget in revenue predominantly due to the state-mandated transfer of Realignment growth from Mental Health to support the IHSS MOE.  This decrease in Realignment revenue results in additional use of fund balance in the amount of $345,034.

 

The Alcohol and Drug Program budget (BU 422) is projecting revenues and expenditures to be consistent with the current budget with the exception of Other Charges, which are projected to be over budget due to an increase in client contract services for methadone.  This increase will be offset by an increase in Intergovernmental Transfer Revenue.

 

The Perinatal Substance Abuse Program budget (BU 425) is projecting revenues and expenditures to be consistent with the current budget with the exception of Other Charges, which are projected to be over budget due to an increase in adult residential stays.  This increase will be offset by an increase in Intergovernmental Transfer Revenue.

 

The Public Health budget (BU 411) is projecting to be under budget in overall expenditures, primarily due to salary savings.  Public Health is projecting to be under budget in revenue predominantly due to the state-mandated transfer of Realignment growth from Public Health to support the IHSS MOE.  This decrease in Realignment revenue results in additional use of fund balance in the amount of $766,426.

 

The Shasta County Healthcare budget (BU 412) is projecting a slight increase in the contribution to fund balance, and projected revenues and expenditures are consistent with the current budget with the exception of the County Medical Services Program (CMSP) participation fee.  The CMSP participation fee was waived for the current fiscal year, saving the General Fund $294,369.

 

The Social Services Administration budget (BU 501) is projecting to be under budget in overall expenditures, primarily due to savings in services and supplies, however, salaries and benefits are projected over budget due to leave payouts and lower staff turnover rates.  Although Realignment revenues are expected to be higher than budgeted, federal revenue for Child Welfare and health related entitlement programs are projected under budget.  The increase in salaries and benefits is offset with a corresponding decrease in services and supplies. The decrease in federal revenue results in a projected net county cost, and additional use of fund balance, in the amount of $1,864,540.

 

The Opportunity Center budget (BU 530) is projecting overall expenditures and revenue to be under or consistent with the current budget.  However, expenses are projected higher than budgeted in Services and Supplies due to an increase in equipment rentals and administrative charges, as well as an increase in capital assets for the purchase of a replacement truck and vehicle.  This increase will be offset by an increase in Contract Services Revenue.

 

The Welfare Cash Aid budget (BU 541) supports the cost of CalWORKs, foster care, group home, adoptions assistance, and In-Home Supportive Services (IHSS) provider payments.  Expenditures within this budget are anticipated to be under budget due to lower actual IHSS expenditures from the new IHSS (MOE) being lower than what was budgeted before the IHSS financing was negotiated with the state in 2017.  However, adoptions, foster care, and CalWORKs expenditures are projected to exceed budget authority at the line item level due to an increase in caseload, program mandates in foster care related to Continuum of Care Reform (CCR), and other costs. Although the foster care and adoptions programs are funded primarily through 2011 realignment and generally not offset with other state revenue, the new mandates do include additional funding; the CalWORKs state revenue is projected to be flat.  Additionally, with the new IHSS MOE structure additional Realignment growth from Mental Health and Public Health programs are projected to increase revenues in this budget. This decrease in expenditures and increase in revenues results in a projected net county savings in the amount of $913,645.


ALTERNATIVES

The Board could choose not to approve the budget amendment.

OTHER AGENCY INVOLVEMENT

The Auditor-Controller has reviewed the proposed transfers and accompanying budget amendments.  The recommendation has been reviewed by the County Administrative Office.


FINANCING

Sufficient fund balances exist to support each of the recommendations.  There is a positive General Fund impact with the recommended action to decrease appropriation authority within the Shasta County Healthcare (BU 412) budget. There is no additional General Fund impact with the remainder of the recommendations.


ATTACHMENTS:
DescriptionUpload DateDescription
HHSA Mid-Year Budget Amendment Memo2/14/2018HHSA Mid-Year Budget Amendment Memo
HHSA Mid-Year Budget Amendment Worksheet2/20/2018HHSA Mid-Year Budget Amendment Worksheet