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ORANGE COUNTY <br /> BOARD OF COMMISSIONERS <br /> ACTION AGENDA ITEM ABSTRACT <br /> Meeting Date: December 1, 1998 <br /> Action Agenda <br /> Item No. <br /> SUBJECT: Budget Amendment#4 <br /> DEPARTMENT: Budget Office PUBLIC HEARING: (Y/N) <br /> BUDGET AMENDMENT: (YIN} <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 /> Intensive Home Visiting Grant Project Ordinance Hillsborough 732-8181 <br /> Information Technology Capital Project Ordinance Chapel Hill %84501 <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 /> I 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 of this abstract)cover <br /> the full cost of the program including personnel, operating and capital outlay expenses. The <br /> attached budget amendment (column #1, page 3) provides for the unbudgeted DSS share of the <br /> budget for this new initiative. <br /> Health Department <br /> 2) On September 1, 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 />