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Consent-Health & Human Services # 20.
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| Board of Supervisors |
Administration |
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| Subject |
| Adopt budget resolution increasing the 2019-20 budget for the Health and Human Services Agency to allow for an increase in the Social Services Public Assistance Fund (0120-40-5522) in the amount of $3,850,186 and the Core Mental Health Fund (0401-40-4101) in the amount of $3,500,000. (No general fund impact) (4/5 vote required) (Larsen) |
| Recommended Action |
| Adopt budget resolution increasing the fiscal year 2019-20 budget for the Health and Human Services Agency to allow for an increase in the Social Services Public Assistance Fund (0120-40-5522) in the amount of $3,850,186 and the Core Mental Health Fund (0401-40-4101) in the amount of $3,500,000. |
| Strategic Plan Goal(s) |
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Thriving Residents |
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Safe Communities |
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| Reason for Recommended Action/Background |
The Health and Human Services Agency’s (HHSA) Social Services Public Assistance Fund and Core Mental Health Fund each will end in a deficit for fiscal year 2019-20. In the case of the Social Services Public Assistance Fund, this deficit is caused primarily by Statewide increases to the state minimum wage without corresponding increases in the Federal income threshold for mandated social services programs. This disparity has resulted in a significant increase in non-federally eligible caseload and the County receiving proportionately less federal revenue, thus increasing reliance on both the Support Services Account and the Social Services Account to fund related mandatory services.
In the case of the Core Mental Health Fund, the deficit is caused primarily by escalating costs associated with Institutes for Mental Disease (IMD), which are hospitals, nursing facilities, and other institutions that are primarily engaged in providing diagnosis, treatment, or care of persons with mental diseases. HHSA is required to fund placements in IMDs when needed by our mental health consumers, but costs associated with these placements continue to increase. Both of these funds are further financially impacted by a decrease in our allotment of realignment funding due to the resulting economic impacts of COVID-19.
Staff have identified two flexible funding sources that may be used to address this deficit in 2019-20 as described below.
1991 Realignment
Each year the County receives 1991 Realignment funding in accordance with California Government Welfare and Institutions Code, Division 9, Part 5, Chapter 6, Article 1 [17600]. The County is responsible for a creating a County Local Health and Welfare Trust Fund, which is comprised of several accounts and subaccounts. The amounts to be deposited within each account and subaccount are determined by the State of California on an annual basis.
The County may reallocate money among accounts in the Local Health and Welfare Trust Fund, not to exceed 10 percent of the amount deposited in the account from which the funds are reallocated for that fiscal year. Additionally, the County may reallocate up to an additional 10 percent of the money from the Health Account to the Social Services Account.
2011 Realignment
Each year the County receives 2011 realignment funding in accordance with California Government Code, Title 3, Division 3, Chapter 6.3 [30025 - 30029.12]. The County is responsible for creating a County Local Revenue Fund 2011, which includes multiple accounts and subaccounts that receive realignment funding. Within the Support Services Account, each County is responsible for creating a Protective Services Subaccount and a Behavioral Health Subaccount. The amounts to be deposited within each account and subaccount are determined by the State of California on an annual basis.
On December 9, 2019, the Secretary of the Health and Human Services Agency of the State of California granted the Yolo County Health and Human Services Agency approval to operate as an integrated and comprehensive health and human services system. This approval grants the authority to reallocate funds between the Protective Services Subaccount and the Behavioral Health Subaccount within the Support Services Account of the County Local Revenue Fund 2011 consistent with the provisions and restrictions contained in Chapter 12.991 (commencing with section 18991.4) of Part 6 of Division 9 of the Welfare and Institutions Code.
Next Steps
Staff recommends that the Board of Supervisors approve the recommended actions in this agenda item, which will allow the Agency to direct flexible funding sources towards the services where they are most needed and close the mental health and public assistance deficits in fiscal year 2019-20. |
| Collaborations (including Board advisory groups and external partner agencies) |
Yolo County Department of Financial Services
Yolo County Health and Human Services Agency
County Counsel reviewed the Budget Resolution as to form. |
| Competitive Bid Process |
| Not applicable for this agenda item. |
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| Fiscal Impact |
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| Source of Funds for this Expenditure |
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Explanation (Expenditure and/or Revenue) |
| Further explanation as needed: |
| There is no general fund impact associated with this action. These reallocations of realignment between accounts and subaccounts will ensure that HHSA can fund its mandated community services, and close the fiscal year 2019-20 budget without requiring an increase in financial support from the County General Fund. The budget resolution associated with this report (Att. A. Budget Resolution) provides the authority for these transfers into the Social Services Public Assistance Fund and Core Mental Health Fund. The current amount of appropriation authority within the 1991 and 2011 Realignment funds are sufficient to provide for the transfers out. |
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