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HomeMy WebLinkAboutMINUTES - 09212004 - D.2 TO: BOARD OF SUPERVISORS Contra .'•`._„-!`� `. `W. FROM- William B. Walker, M.D., Director Coma MI � Contra Costa Health Services County ATE: September 21, 2044 . t3 p : SUBJECT: Reduce $1.6 Million in Mental Health Services as a result of passage of the State Budget Recommendation: 1. Authorize abolishing two positions vacated in the last ninety days ($266,000) 2. Authorize abolishing one position to be vacated October 1,2004 ($105,000) 3. Authorize abolishing one filled position and reducing the hours of one filled position($74,000) 4. Authorize cancellation notices for consulting contracts($111,000) 5. Authorize the elimination of two temporary agency clerks($46,1100) 6. Authorize the reduction in Net County Cost from Community Based Organization contracts and replace it with FFPJEPSDT revenue($635,000) Fiscal Impact• Approval of these recommendations will reduce fiscal year 2004-05 Mental Health expenditures by approximately $1,200,000 million and when combined with$400,000 of other internal Department actions, will maintain budgeted Net County Cost within the level currently appropriated by the Board. BacUround: When the Board approved the Phase 2 County Budget Reductions on August 17, 2004,the Department advised that further reductions would be required once the States 2004-05 Budget was enacted. On July 31, 2004,the Governor signed the State's Fiscal 2004-05 Budget. In signing the State Budget,the Governor used his"line item veto"powers to eliminate funding for the"Children's System of Care"Program. This action reduces funding to the Mental Health Division by$651,300. The Governor also eliminated the"Mental Health Community Services"allocation of$20,505. Further, on October 1, 2004,the Federal Financial Participation(FFP)ratio,the percentage of Medi-Cal revenue funded by the Federal Government, will decline from 53%to 50%resulting in a$900,000 loss of Medi-Cal revenue to the Mental Health Division. The combination of the above three items creates a budget shortfall of $1,600,000. The proposed expenditure reductions are necessary to maintain Net County Cost at the level currently approved by the Board. CONTINUED ON ATTACHMENT x Yes —No SIGNATURE: -,"'R ECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE i­-"'APPROVE OTHER SIGNATURE(S).�', ACTION OF BOAON sFPTFMBFg 21 , 2 Qc 4 APPROVED AS RECOMMENDED x OTHER x VOTE OF SUPERVISORS SEE ATTACHED ADDENDUM. UNANIMOUS(ABSENT_NE ? I HEREBY CERTIFY THAT THIS IS A TRUE AND AYES: _ DOES: CORRECT COPY OF AN ACTION TAKEN AND ABSENT: ABSTAIN: ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. ATTESTED T FmF,v. 11 ,-" Contact Person. William Walker,M.D. JOF.*SWEETEN,CLERK OF THE BOARD OF S RVISORS AND COUNTY ADMIN! TOR cc: Health Services Department Admin. Patrick Godley,CCHS Admin. BY:' DEPUTY Service-Impaet Statement: Approval of the proposed reductions to eliminate certain filled and vacant county employee positions will result in an increased workload spread among the remaining staff, or to the extent the workload is unable to be borne by the remaining staff,will result in increased waiting times to mentally ill children and adults. Recommendation one will reduce$85,000 from Central County Children's services, $84,044 from East County Adult services; and $97,000 is from Children's Administration. Recommendation two will reduce$105,000 from Central County Adult Administration. Recommendation three will reduce $50,400 from Central County Children's Administration and$20,400 from East County Children's Services. Approval of the proposed reductions to reduce or eliminate certain individual service contracts will result in a reduction in administrative support to the program management staff. Recommendation four and five will reduce Central County Children's Administration by$87,000, East County Children's Administration by $16,400, West County Children's Administration by$8,400 and Central Administration by$46,000. Approval of the proposed amendments to agency provider contracts,recommendation six,will result in a decrease in the level of services provided to indigent clients, off set by an increase in the level of services provided to fedi-Cal clients. Attachment 1 1. (A) Abolish the following vacant positions: Position# 7606,Mental Health Clinical Specialist $85,000 9270,Mental Health Specialist H 84,000 (B) Recognize savings from: Not replacing temporary clerk: 22,000 Not filling vacant Program Supervisor position for 6 months $ 75,000 Total Recommendation#1 $266,000 2. Abolish the following position: Position#8702,Mental Health Program Manager $105,000 3. (A) Abolish the following filled position: Position#9535,Mental Health Education Liaison Estimated Savings $50,000 (B) Reduce position#9549,Clinical Specialist-Unlicensed, from 40 hours to 30 hours Estimated Savings $ 20,000 Total Recommendation#3 $70,000 4. (A) Cancel the following contracts effective 10-1-04: Contract# Contractor Estimated Savings 74-097 Wylder $22,000 24-953 Guerra 20,000 74-125 McGuire 8,000 74-127 Pointdexter 16,000 Total of Item#4(A) $66,000 (B) Reduce the following contracts effective 10-1-04: Contract# Contractor Amount 74-179 Stoner $35,200 24-880 Miles 10,000 Total of Item#4(B) 45,200 Total Recommendation##4 $111,200 5. Eliminate two temporary help agency clerks Estimated Savings $46,000 6. Amend the following contracts to reduce County subsidy/realignment funds and increase required minimum.Medi-Cal FFP/EPSDT funds effective 10-1-04: Contract Contractor Amount 740-058 Seneca $110,000 74-164 Sunnyhills 50,000 24-315 Y-Team 80,000 24-820 Edgewood 5,000 74-031 Sumitview 70,000 24-927 Asian Pacific 35,000 74-107 Family Stress Center 142,695 24-879 Recovery Management Services 42,000 24-4751 Phoenix Programs 70,000 24-728 Rubicon Programs 30,000 Total Recommendation#6 $634,695 Grand Total 1.232 -3- THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this order on 21 September 2004, by the following vote: AYES: SUPERVISORS GIOIA,UILKEMA, GREENBERG,DeSAULNIER AND GLOVER NOES: NONE ABSENT: NONE ABSTAIN: NONE RESOLUTION NO.20041q�.2 SUBJECT: Abolishing Positions and Laying Off Employees in Health Services Department WHEREAS, the Board has considered the financial impact on County departments of reduced funding and increased funding requirements, and has considered the position and staff reduction/retention plans submitted by departments; and WHEREAS', department heads have issued layoff or displacement notices, as the case may be, and have given notice to the affected employees of the Board's action; and WHEREAS, budget hearings were conducted by the Board of Supervisors June 14-- 17, 2004, including Beilenson hearings which were conducted Monday June 14, 2004; and WHEREAS, to the extent that the subjects of this Resolution are within the scope of representation pursuant to the Meyers-Milias-Brown Act (Government Code Section 3500 et seq.), this Board has offered to meet with recognized employee organizations upon request concerning this resolution, THE CONTRA COSTA COUNTY BOARD OF SUPERVISORS, in its capacity as governing Beard of the County and all of its dependent districts RESOLVES THAT: 1. In order to keep expenditures within available funding, it is necessary to abolish the positions and reduce the hours described in the lists attached hereto, and to lay off employees accordingly. Said list is incorporated herein by reference, and said positions are hereby abolished effective on the dates indicated thereon. 2. The Employee Relations Officer shall give notice of this Resolution to recognized employee organizations representing employees impacted by this action. 3. Recognized employee organizations may submit to the Employee Relations Officer written requests to meet and confer on specific proposals with respect to this Resolution or resulting layoffs. This authorization and direction is given without prejudice to the Board's right to reduce or terminate the operations and services of the County and of districts governed by this Board, and to eliminate classes of employees or positions as involving the merits, necessity, or organization of services or activities of the County or districts governed by the Board and not within the scope of representation. 4. This action is taken without prejudice to pending consulting, meeting, and meeting and conferring with recognized employee organizations. I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown: ATTESTED:,r,FPT F,MRF,R 21 s 2004 JOHN SWEETEN,Clerk of the Board of Supervisors and County Administrator By: Deputy Cc: HSD CAO RESOLUTION NO. 2004/ 5 2 2 Attachment 2 CONTRA COSTA COUNTY POSITIONS TO BE ABOLISHED DEPARTMENT; Health Services EFFECTIVE: 1011104 Clams Vacant/ Position # Claw Code 0!9,# Fitted 7606 Mental Health Clinical Specialist VQSB 5948 Vacant 9270 Mental Health Specialist 11 VQVA 5985 Vacant * 8702Mental Health Pro ram Marra er VQDC 5971 Filled 9535 Mental Health Education Liaison - Exempt VQS1 5997 Filled *Incumbent retiring 9/30/04 PosAbOMH2004 Attachment 3 CONTRA COSTA COUNTY POSITIONS HOURS T4 BE REDUCED DEPARTMENT: Health Services EFFECTIVE: 1011104 Clasp Hours Hours Vacant[ Position'# Classy Cade Org # From To Filled 9549 , Mental Health Clinical Specialist VQSB 5975 40140 30140 Filled E i E � I f PosRedMH2004 ADDENDUM TO D.2 September 21, 2004 This day the Board CONSIDERED authorizing the Health Services Director to reduce $1.6 million in Mental Health Services and 4.25 full time equivalent positions as a result of the passage of the State budget and the loss of program revenue. The Board discussed the history of the issue. After conclusion of further discussions,the Board took the following action. APPROVED recommendations;but REFERRED this to Family and Human Services specifically the Mental Health Education Liaison position and also the mobile response team; In addition,the Board DIRECTED the Health Services Director to report back on the viability of EPSDT funds replacing General Fund. The Board also questioned the time frame this could be done in a way that would not result in discontinuing some of the services. Motion was made by Supervisor Mark DeSaulnier,which was seconded by Supervisor John Gioia.