Agenda - 06-01-1981 - Laserfiche WebLink

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OW- Comment on 5ecend Draft of Sudaet On May 19, 1981 , the County Manager indicated that the budget should be recalculated with a proposed 5% increase in employee salary and a decrease in the personal vehicle mileage reimbursement to 22d per mile. Economy County vehicles will cost the department 250 per mile. On May 16, 1981, the Director discussed Federal/State Funding guidance with various persons in O.H.S. The product of those meetings was an under- standing as to which Federal/State Funds were Federal and which were State.. in the MCH program, the mix of Federal/State is variable per department and non-Formula. As there is no present reason to predict a decrease in the State funds (which during the past 35 years have been a. small portion of local health) the immediate Fund cut attention was focused an the Federal level. The Family Planning Title X(564,337) should not be cut until Fiscal '32-'33,as this coming year is funded from the '20-'31 Federal appropriation. Probably, there are those in the Federal administration who will try to apply the block grant and 25% cut ex post Facto, due to their philosophical opposition to Family Planning. However, the OHS guidance is to assume this will not happen and to budget at a continuation level. Lastly, regards the eamaining portion of Funds identified as Federal, the Director would advise cutting those 53,170. In summary, assuming the State Funds will not be cut and that Family planning will not be cut until FY '82-'93, the total State/Federal cut is 55,170. Most important to the budget is a special aid-to-counties State grant of 536,000. This money was originally obtained From the State Legislature two years ago due in significant part to the Local Health Oirecter's Asacciation and with help of others such as the Orange County Ccmmissioners. Next year, this money is included in a general State-to-County revenue shoeing bill which locks very good For passage. This budget assumes the bill will pass and the Orange County Commissioners All continue the 536,000 per year to the health department, even though the money would lose specific identity for local health in the present bill_ At the beginning of this fiscal year the department reduced its eteff by one nurse and one sanitarian. Mid-year, a vacant health educator peeition was converted to a clerk in reaction tc an oceerations crisis. This budget, additionally, dces not replace a Frozen clerk and a second health educator position. However, the total drop appears as two less, since two Accounts Clerk III are transferred in Frcm another county deeerteent due to the dictates of logic; they wctked fell time at the health department. This transfer is seen as an increase in the health budget offset by a decrease in another county departs budget. The department will be hard pressed by increased demand next year, as general. economic problems result in more people expecting service. The department already has had to cap clinic growth and reorient nursing activities, The buogec does not include staff expansion necessary to increase the eent=1 program to more than 1/4 time at each effice . Lastly, the general community based health education effort of the department will only be able to coerste at approximately 1/3 of its level of six months ago. ee. , , _