To: Board of Supervisors
From: DHHS: Public Health
Agenda Section: Consent
SUBJECT:
title
Public Health Fiscal Year (FY) 2021-2022 Supplemental Budgets (Requires 4/5 Vote)
end
RECOMMENDATION(S):
Recommendation
That the Board of Supervisors:
1. Approve the attached supplemental budget in the amount of $997,794 for FY 2021-2022 Department of Health and Human Services - Public Health Fund 1175, Budget Unit 428;
2. Approve the attached supplemental budget in the amount of $27,996 for FY 2021-2022 Department of Health and Human Services - Public Health Fund 1175, Budget Unit 470;
3. Approve the attached supplemental budget in the amount of $247,473 for FY 2021-2022 Department of Health and Human Services - Public Health Fund 1175, Budget Unit 455007
Body
SOURCE OF FUNDING:
Public Health Fund 1175
DISCUSSION:
Due to the COVID-19 pandemic, the Department of Health and Human Services (DHHS) - Public Health received additional Federal allocations for their Immunization, Housing Opportunities for People with AIDS (HOPWA), and COVID-19 response programs to provide additional services to the community during the pandemic. Supplemental budgets in several Public Health Budget Units are required to reflect these unexpected increases in allocations.
428 Immunization Program
The supplemental budget request for Fund 1175, Budget Unit 428, Immunization Program, is necessary as the Program received additional state allocations to respond and deliver vaccinations in the community. The Immunization Program receives funding from the Center for Communicable Disease (CDC) through the California Department of Public Health (CDPH) annually to assist in detecting, preventing, and controlling vaccine-preventable disease and to immunize against childhood diseases prior to school admittance, per Health and Safety Code section 120325-120380. In June of 2021, “Amendment #17-10318, A03” was executed which awarded an additional allocation of $997,794 to Local Health Departments (LHDs) to conduct COVID-19 immunization activities beginning in Fiscal Year (FY) 2020-21. These funds were allowed to roll over into FY 2021-22. These are additional allocations that were formalized by a third amendment to Grant Agreement #17-10318, executed by the Public Health Director with authority granted by your Board on 1/30/2018.
470 Housing Opportunities for People With AIDS
The supplemental budget request for Fund 1175, Budget Unit 470, Housing Opportunities for People with AIDS (HOPWA), is necessary as this Program received additional state allocations from the California Department of Public Health, Office of AIDS. HOPWA assists clients who are at risk of becoming homeless with emergency rent and utility payments. Additional funds were awarded by the State in the amount of $27,996, which were unanticipated at the time of budget submission. This additional allocation was formalized by a first amendment to Grant Agreement #19-10513, executed by the Public Health Director with authority granted by your Board on 11/19/2019.
455007 Public Health Emergency Preparedness COVID
On May 12, 2021, CDPH allocated the AB86 Safe Schools for all funding in the amount of $105,000 to DHHS - Public Health to provide technical assistance, to engage, and to educate schools in responding to COVID-19. Additionally, on September 9, 2021, CDPH awarded COVID-19 Strengthening PHL Preparedness through Laboratory Response Network (LRN) funding in the amount of $142,473 to DHHS - Public Health to strengthen laboratory preparedness, implement new technologies, and modernize reporting. As these fundings were directly allocated by the State, with no agreement to bring to your Board, DHHS-Public Health is bringing these supplemental budget requests forward to account for the additional funds received.
FINANCIAL IMPACT:
For the Immunization Program additional allocation from CDPH Amendment #17-10318, A03, Fund 1175, Budget Unit 428 - Immunization Program will be increased by $997,794 for FY2021-22. For the HOPWA additional allocation from CDPH, Office of AIDS Grant Agreement #19-10513 A01, Fund 1175, Budget Unit 470 - HOPWA will be increased by $27,996 for FY2021-22. For the Safe Schools and Public Health Laboratory-Laboratory Response Network allocations from CDPH, Fund 1175, Budget Unit 455007 - PHEP COVID will be increased by $247,473 for FY2021-22. These supplemental budgets do not impact the County General Fund.
STRATEGIC FRAMEWORK:
This action supports your Board’s Strategic Framework by protecting vulnerable populations and providing community-appropriate levels of service.
OTHER AGENCY INVOLVEMENT:
N/A
ALTERNATIVES TO STAFF RECOMMENDATIONS:
The Board may choose not to approve the supplemental budget requests; however, this alternative is not recommended since it would impact DHHS - Public Health’s ability to accurately represent additional allocations in DHHS - Public Health’s budgets.
ATTACHMENTS:
428 FY2021-22 supplemental budget
470 FY2021-22 supplemental budget
455007 FY2021-22 supplemental budget
State Standard Agreement #17-10318 Third Amendment
State Standard Agreement #19-10513 First Amendment
PREVIOUS ACTION/REFERRAL:
Board Order No.: C-14, C-11,
Meeting of: 1/30/2018, 11/19/2019
File No.: N/A, 19-1608