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_''RAFT <br /> N2009 <br /> Action Plan and Fiscal Impact Statement <br /> • FY 2009-10 BOCC Priorities <br /> 1. Priority Statement As Approved By BOCC <br /> Priority P-4. Review services to identify and protect"safety net"programs and services including services for shelter,food/clothing, medical care and programs <br /> that assist the most vulnerable <br /> 2. Submitting <br /> Department Social Services, Health 3. Collaborating Departments <br /> 4. Recommended Action Plan and Projected Fiscal Impact <br /> FY Annual Recommended Action Plan Impact on Department Service Delivery(i.e.what Department Annual <br /> exchanges are being recommended) Impacted Fiscal Impact <br /> Medical care <br /> DSS for enrollment <br /> An additional 500-1000 children may be able to receve which federal funds <br /> medical insurance through DSS if proposed federal legislation may support. Health, ,! <br /> 1. Maximize Federal resources to provide Health Choice is passed. Requires additional income maintenance time(est. ES and other' $)00,000 <br /> for eligible Orange Co.children 2 FTE's)or assignment of other staff from other divisions or providers positively <br /> departments. thrc Reflects County costs only; <br /> • rein assumes some portion will <br /> be offset by federal funds <br /> Continue funding for emergency assistance which also covers <br /> some prescriptions. Work with county agencies, hospital, DSS and nonprofits $2,000 <br /> other agencies on all to serve expected increase in uninsured <br /> 2. Increase community capacity to provide medical persons, particularly adults <br /> service to the uninsured <br /> Work with other safety net providers to determine ongoing Health, UNC, <br /> community need for medical and dental services. Strategize Staff Effort <br /> Piedmont Health <br /> plan to address increased need. <br /> Expand hours of service in Health Department • Health 300 0-Es <br /> Food/clothing Allows for 2 evening or Saturday hours at <br /> 2009-10 two County sites <br /> 1. Maximize food and nutrition services(food stamps) Temporary re-assignment of curren staff to other departmental Exchange of <br /> through outreach and assure adequate staffing for timely (e.g.Veteran's,Justice Partnership to food programs) DSS services <br /> handling of applciations <br /> 2. Expand and support supplemental food and clothing DSS and other staff will develop plan for better coordination to Exchange of <br /> distribution assure equitable coverage. Includes food banks,non profits DSS services <br /> and DSS <br /> 3. Investigate and expand supplemental weekend and Exchange of <br /> summer food programs for children such as backpack Redistribute current funding services <br /> buddies <br /> 4. Assist the elderly to access and utilize food and Existing DSS and Aging staff to educate elderly to use DSS and Aging $0 <br /> nutrition services. services • <br />