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3 <br /> Funds may be expended for a vans ry of public health needs and activities or they <br /> maybe held in reserve for future needs of the department:and <br /> Funds are not to replace current budget allocations for these program areas. <br /> The Health Department recently received its annual settlement of M6Eioaid maximization <br /> funds from the State. The settlement totals $92,637 and brings the total Medicaitl <br /> minamization reimbursements received by Orange County over the last several years to <br /> more than $498000. The department plans to use these funds for non-recurring items such <br /> as replacement of older equipment, meeting OSHA requirements, and potentially offsetling <br /> costs of redesigning clinical space at the Whiffed Human Services Center. Attachment 3 of <br /> this spatial Horde Department Medicaid Maximization Capital Proper! Ordinance, provides <br /> for the receipt of the additional funds. No County poll are required in order to receive <br /> these funds. <br /> Solid WaetelLandfll Operations <br /> ]. The Rogers Road Waterline is currently being installed and OWASA is managing the <br /> Installation. On January 16,2002, the Beam of County Commissioners received Information <br /> regarding three change orders associated with the installation project. At that time, the <br /> Board approved an appropriation of $40,000 in reserves from the Solid Waste <br /> 0perationsTandfill Enterprise Fund to cover the cost of three change orders (am column 6, <br /> attachment f). <br /> FINANCIAL IMPACT: Financial impacts ere included in the baclground information above. <br /> RECOMMENDATION(S): The Manager recommends that the Boats of County <br /> Commissioners approve the attached budget ordinance amendments, and the grant and capital <br /> project amendments. <br />