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MINUTES-Draft ORANGE COUNTY BOARD OF HEALTH February 22, 2017 S:\Managers Working Files\BOH\Agenda & Abstracts\2017 Agenda & Abstracts/ February Page 3 VI. Action Items (Non Consent) A. 2017-18 Budget Proposal 2017-2018 Budget, Fee Schedule & Requested Changes Dr. Bridger presented the Board with a summary of the proposed FY 2017-2018 budget for the Health Department which shows an increase in expenditures of $1,037,687; $228,173 of which are expenditure increases related to the FY 16-17 wage increase and county-initiated increases to the staff salaries for compression adjustments, market rate changes, FLSA wage increases, and a temporary position made permanent, which are outside of the control of the department. The remaining $809,514 of the total increase is the amount the Health Department requests from the county, which is made up of increases to staffing and service levels increases such as for the Family Success Alliance (FSA) and enhanced medical services. This also includes budget increases approved during the FY 16-17 budget process for the FY 15-16 wage increases, a Public Health Educator, a men’s Primary Care program, and FSA-related programming among others. Staff projects a $525,116 increase in revenues for FY 17-18, which will offset much of the $809,514 requested expenditure increase. The total FY17-18 Health Department request for County General Funds is $512,571. The proposed total budget is $10,101,460 which includes $32,168 in grant funding for the Susan G. Komen program. In relation to new staff requests, the Health Department requests a total of 4.5 FTE; a new 1.0 FTE Data Systems Manager to provide ongoing data analysis for FSA and Personal Health Services, a 1.0 FTE Senior Public Health Educator to assist FSA, and a 1.0 FTE Public Health Program Manager to Coordinate Behavioral Health Services for the county. In addition, the Health Department requests to make a temporary 0.5 FTE Communications Specialist permanent (as recommended by HR), and to make a time limited 1.0 FTE Property Development Tech permanent. The Health Department will fund all of these new positions with non-County funds except for the Property Development Tech. In relation to state funding, the state has provided us with the FY 17-18 Consolidated Agreement Addenda. Even though we will no longer receive funding for Ebola or Prescription Drug Prevention as we did in FY 16-17, we will receive additional funding for Family Planning and Speech and Hearing. Changes in funding for all other, ongoing Health Department programs equals out to the prior fiscal year. In relation to fee changes, the FY 2016-2017 requested budget includes fee changes for the Personal Health, Dental Health, and Environmental Health divisions. Staff recommends multiple fee changes for Personal Health to add three new fees for Child Health as required by DHHS and Medicaid, and adjust the fees for 340B drugs according to changes in the state and federal policies around 340B drugs. In addition, Medicaid has recently added a new Dental fee to their allowable fee schedule for scaling, which staff would like added to the Dental Health fee schedule. Also, during the FY 15-16 budget cycle, the Board of Health voted to enact Phase I of a three year phased Environmental Health fee increase in order to reach full cost recovery for Environmental Health. Staff recommends enacting Phase III of the three year fee increase by raising fees an additional 11% over last year’s increases. All proposed fee increases are described in more detail in a separate Fee Change abstract.