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ORANGE COUNTY <br />BOARD OF COMMISSIONERS <br />ACTION AGENDA ITEM ABSTRACT <br />Meeting Date: <br />December 1, 1998 <br />Action Agenda <br />Item No. g...d <br />SUBJECT: Budget Amendment #4 <br />DEPARTMENT: Budget Office <br />PUBLIC HEARING: (Y/l~ Nc~ <br />BUDGET AMENDMENT: (Y/N) ~Vv , <br />ATTACHMENT(S): <br />Budget Amendment INFORMATION CONTACT: <br />Breast and Cervical Cancer Grant Project Donna Dean, extension 2151 <br />Ordinance <br />Smart Start Grant Project Ordinance TELEPHONE NUMBERS• <br />• <br />Intensive Home Visiting Grant Project Ordinance Hillsborough 732-8181 <br />Information Technology Capital Project Ordinance Chapel Hill 968-4501 <br /> Durham 688-7331 <br /> Mebane 227-2031 <br />PURPOSE: <br />To approve budget ordinance amendments, grant, and capital project ordinances. <br />BACKGROUND: <br />Department of Social Services <br />1) The Board of Commissioners approved a plan to implement the new children's health insurance <br />program, NC Health Choice, in Orange County on November 4. Two new full-time equivalent <br />positions were established for the program. Both positions are caseworkers -one is permanent full- <br />time and the other is time-limited for one year from the date of filling. The caseworkers will <br />provide outreach and intake for the estimated 1,000 or more uninsured children in Orange County. <br />State and federal funds of $37,652, along with client enrollment fees of $5,000, $4,244 in currently <br />budgeted DSS funds, and a Health Department grant of $1,497 (see #4, page 2 ofthis abstract) cover <br />the full cost of the program including personnel, operating and capital outlay expenses. The <br />attached budget amendment (column #l, page 3) provides for the unbudgeted DSS share of the <br />budget for this new initiative. <br />Health Department <br />2) On September I, the Board accepted additional funding of $45,334 from the Orange County <br />Partnership for Young Children on behalf of the Orange County Health Department. Two programs <br />received Smart Start funds -the Families in Focus: Intensive Home Visiting Program ($10,434) and <br />the Dental Screening Program ($34,900). The attached Smart Start Grant Project Ordinance and <br />Intensive Home Visiting Grant Project Ordinance provides for the receipt of these additional funds. <br />• Smart Start funding for the Families in Focus: Intensive Home Visiting Program for the current <br />fiscal year totals $45,612. This is $10,434 more than the original budget estimates received from <br />the State last spring. The program targets families with children ages 3 or younger who are at <br />