1. Adopt a budget resolution amending the Health and Human Services 2015-16 budget by $509,440 for unanticipated expenses and revenue;
    
2. Authorize the Chief Financial Officer or Chief Budget Official to take action as needed to implement the amendment

With the ongoing integration of the Health and Human Services agency, along with budget check requirements being different within the new county financial system, a number of unanticipated expenses and revenue situations have been identified.  Additional appropriations are required to authorize the use of these funds for their intended purpose.  The California Home Visiting Program (CHVP) has received notification of a $35,000 funding increase in their federally funded grant for the current year.  The maintenance and repair costs for the building in which the Adult Day Healthcare program operates has been higher than historical amounts and will require the use of the final remaining fund balance.  The Emergency Medical Services "Maddy" Fund program continues to expend funds on pediatric trauma capability expansion in local hospitals, along with providing partial payment for uncompensated care delivered by local emergency physician groups for uncompensated claims.  The use of the "Maddy" funds is restricted by their designated purpose set in legislation and requires additional use of fund balance in the current year.

Department of Financial Services, County Counsel, local hospitals and emergency physicians groups, Adult Day Healthcare

The California Home Visiting Program (CHVP) has received an increase of $35,000 in their Federal grant for the current year.  The Maddy fund receives funding each year with restricted purposes (pediatric, hospitals, physicians, etc) and continues to expend funds from earlier years for their intended purpose, necessitating the appropriation of fund balance.  The operations of the Maddy fund are required to stay positive from a cash perspective and are not allowed to spend in deficit.  The county owned building in which the Adult Day Healthcare program operates is requiring higher than average repairs and maintenance in the current year, requiring the use of the last remaining fund balance in that program area.