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0 <br /> Orange Tountg Department af *mites <br /> 360 WTRYON STREET <br /> HILLSE3OROLIGH.NORTH CAROLINA 27278 <br /> BOARD; <br /> - :I , rEt.""°"eMAE MUBMONe.nrrmo Hl.-50012VGH ORPICE 9604301,967.9251 <br /> SAM eNcLms 1981 - 1982 Budget HILLSBOROUGH orruce 935.901.,73241191 <br /> JANICE SCHOALEPI CHAPEL HILL 0991GB.929-0441 <br /> ANNE BARNES <br /> R J,MURPHY.M D. • <br /> • <br /> OMEGTOR: ADDENDUM B <br /> THOMAS AA WARD <br /> .' <br /> Impact of Federal Cuts on Social Serftce Programs <br /> This addendum assumes proposed (March 1981) Federal and State Cuts in <br /> funding of Social Service programs will be passed on to counties. The <br /> following is a projection of the impact of these cuts. <br /> A. Title XX program cuts of 18.75%: (Note 18.757. is used as it represents <br /> a 257. reduction for 3/4 of county budget year (Oct. - June). <br /> I. Day Care Reductions <br /> (a) Day Care (XX) Federal $19,875; State $3,312; County $3,312. <br /> (b) Day Care (100XX) Federali$8,386 <br /> (c) Day Care Expansion (XX) :Federal $2,162; State.$361; County $361. <br /> The cuts at current day care rates would result in 35 fewer children <br /> receiving day care services each month. Loss of day care may impact <br /> on need for AFDC, Food Stamps and Protective Services for families of <br /> these children. <br /> II. Chore Services Reductions <br /> (a) Chore (XX) Federal $13,129; County $4,376. <br /> These cuts will reduce the current number receiving chore service by <br /> 14 Per month., These cuts will impact on Medicaid through placements in <br /> nursing and Intermediate Care and increased rest home placements. <br /> Increased level of Adult Services from our staff will be required. <br /> Note: County reductions shown in chore and day care will not be a <br /> savings unless State Maintenance of effort rule is deleted. <br /> III. Family Planning <br /> (a) Family Planning freedom of choice Federal $460; State $26; County $26. <br /> Al]. low income clients have freedom of choice of medical providers, <br /> therefore, funding must be available for those not choosing Health Dept. <br /> Balance of funds are for'sterilization. The reduction will reduce <br /> by one, the number of sterilizations available. <br /> IV. Foster Care - Special Needs (IX) <br /> (a) Boarding Home Care-Federal $577; County $192. <br /> These funds are to pay foster parents for care and training needed to <br /> provide 24 hour room and board for children with multiple handicapps, <br /> etc. 25% cut will result in loss of 6 months care for one child. <br /> V. Staff and Administration (XX) <br /> (a) Personnel and administrative overhead cost - Federal $97,247 <br /> County $32,415. <br /> The 18.75% cut will result in the loss of the equivalent of 6 (title XX <br /> and administrative) positions. The actual loss of personnel may be <br /> greater because majority of personnel administrative overhead such as <br /> rents, legal services, county services, postage, etc., are fixed costs. <br /> These fixed costs will not reduce proportionately to staff reductions. <br /> Note: Inflation in the DSS budget without increases in Federal and State <br />