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The Board agreed to move this item up on the priority list. 3. Health Department Programs Health Director Rosemary Summers said these three programs are currently in existence and have need for supplemental County funding. This information is on page H-9 through H-11 in the budget document. • Public Health Reserve Corps Program This was athree-year grant project that was received in 2003. The grant ended September 30, 2006, and there has been same unexpended grant funds that enabled the grant to be carried for a partial year. Last year the department collaborated with Emergency Services to take an the development of the CERT program. Sa bath public health preparedness volunteer programs have been combined to have one person coordinating and managing them both. There are no more grant funds available. Emergency Services has agreed to allocate $10,000 from its Emergency Management Performance Grant from the State. There are 199 volunteers in the Medical Reserve Corps, and 123 of them are nurses. The CERT program has three active community groups. The most active community is Cornwallis Hills. The teams would be used to do rapid assessments in the case of an emergency. The Health Department needs additional general fund support this coming fiscal year in the amount of $17,075 to support this one position. In the following year, the $10,000 grant will not be available, so this would be an additional amount in 2008-09. • Families In Focus Program Rosemary Summers said that this program was started in 1998 and it is a child abuse prevention program. In 2003, the State reduced the grant funding for this project. The original project had 3.5 positions, and one position was taken out. There is now one full-time nurse, one full-time social worker, and ahalf-time office assistant. This has been a very successful project and it has a nationally recognized model with Healthy Families USA. Over time, the allowable Medicaid billable units of service have been reduced. In this program, the services offered to families exceed the billable units, so the Health Department cannot recover all of the costs of the services provided. In the past, there has been a shift from the County general fund to cover the amount of funds that have not been earned in this program. This year, the Manager wanted these programs that had a general shift in County funding to have a decision one way or another from County Commissioners before committing to the general fund shift. This program would require another $26,653 in County funding to maintain the entire program. • Primary Care Program Rosemary Summers said that the Primary Care Program was started in Hillsborough in January 2005. This was done with County support from the general fund as well as from a State grant that is renewable for three years, and then after that on a competitive basis. This program in Hillsborough has been very successful. The strategic plan also has expansion to the Southern Human Services Site slated for last year. Primary care was started at Southern Human Services Center in January 2007. This was offered through an increase in staff filling temporary positions. It is very hard to keep health care staff in temporary positions. The grant was for the first six months, and she applied far another grant, and just last week she received notice that the County will be awarded both grants for next year -bath for Southern and Whiffed.