Agenda - 04-20-2010 - 4i - Laserfiche WebLink

Browse Search

ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: April 20, 2010 I Action Agenda Item No. + — I SUBJECT: Renewal of Consolidated Agreement Between Health Department and NC Department of Health and Human Services DEPARTMENT: Health ATTACHMENT(S): Consolidated Agreement Funding by Program Spreadsheet PUBLIC HEARING: (Y /N) No INFORMATION CONTACT: Wayne Sherman, 245 -2402 PURPOSE: To approve the annual consolidated agreement between the NC Department of Health and Human Services and the Orange County Health Department, which provides State and Federal funds to the Health Department to partially support mandated services. BACKGROUND: The attached agreement stipulates the provisions for receiving State and Federal support for the programs noted below. At this point in time, all but two programs are funded at the same levels as the current budget year. There is a reduction in refugee health assessment funding since the incoming number of refugees is lower. Also, the Health Check Program was transferred to Community Care Networks this past January representing a reduction of $35,000. The staff member in that position was transferred to another vacant position in the Department. Availability of Federal public health preparedness funds is unknown but anticipated to be at the same level as this current year. The General Aid to County funds from the "Random Moment Time Study" has not been determined, but is anticipated to be the same or greater than this current year ($24,994). The Division of Environmental Health with the Department of Environment and Natural Resources has not sent budgetary estimates, but has indicated that there will be cuts in the amount allocated to counties. Orange County receives approximately $6,000 for the Wastewater Program and receives basic funds for the Food and Lodging Program of $2,000 with supplements determined by performance throughout the year. In addition to these core funds identified at the beginning of the year, supplemental funds become available during the fiscal year in various programs depending on State and Federal action and on performance by the County. The total anticipated amount of core State and Federal funding as of July 1, 2010 represents between 8 % -10% of the overall Health Department budget. Amounts for specific program areas will not be finalized until after July 1 and will depend on budget discussions at the State level.