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HomeMy WebLinkAboutMINUTES - 03312009 - D.1Addendum March 31, 2009 D.1 Recommended Budget for FY 2009/10 Mr. Twa, County Administrator, presented the staff report. He noted that the anticipated federal stimulus funds for the Vasco Road Overlay Project (page 7) should read be corrected to read $10 billion. Mr. Twa said that the position resolution scheduled to come before the Board on April 7, 2009 in accordance with the recommended budget contained the elimination of 499 positions of which slightly over 200 are funded positions, approximately 120 are filled positions. He added that the hiring freeze would continue. He said the state had recently concluded that the $10 billion trigger amount of federal stimulus funds it formulated would be necessary to prevent further reductions in funding would not be achieved, resulting in cuts to individuals in programs such as SSI and InHome Social Services. He said that while these reductions did not immediately impact the County, there would be future impacts to the hospital due to the reduction in Medi-Cal reimbursement rates. Dr. Walker, Health Services Director, said that the reduction would amount to approximately $1.5 million, and that when it goes into effect on July 1st, 2009 optional Medi-Cal benefits including all adult dental care, optometry services, audiology and chiropractic and various other services, would cease to be available throughout the state of California. He would return to the Board to propose further reductions and layoffs in the affected clinics. Dr. Walker noted that the $1 million annually over six years pledged by Chevron would begin to be distributed in a few weeks, but that it would require county funding to get through to next year. He requested the Board consider one-time only funding in the amount of $1.5 million from reserves to fund increased access to the community clinics from May 2009 to June 2010, at which time the Chevron monies would be implemented fully. Chair Bonilla requested that Dr. Walker return to the Board with a written report on how the requested $1.5 million dollars would be utilized. Chair Bonilla called for public comment. The following people spoke: BHC for immigrants Father Donald MacKinnon, GRIP; Jeff O.; Tereso Flores, St. Anthony’s Church & CCISCO; Janet Marshall Wilson, Mental Health Consumer Concerns, Inc.; Linda Salinas, resident of CCC; Carolina Garcia on behalf of Pablo Cardenas Jr., CCISCO; Teresa Flores, Executive Board member of CCISCO; Andres Soto, Concilio Latino; Antonio Medranos, West County school board; Lee Lawrence, American Civil Liberties Union; Roberto Reyes, Concord Clinic; Tanir Ami, Community Clinic Consortium; Charles Rachis, resident of CCC; Mariana Moore,Contractors’ Alliance of Contra Costa; Valerie Jameson, Macehvalli; Rudeen Monte, Sutter Delta Medical Center; Angel G. Luevano, League of United Latin American Citizens; Argentina Davila-Luevano, League of United Latin American Citizens; Maria Alegria, for Richmond Vision. University of California Cooperative Extension Al Courchesne, BALT and Frog Hollow Farm, Agricultural Extension program; Peggy Hauk, Ph.D, UCCE; Steve Nation, UCCE; Janet Caprile, Vice Chair, County Agricultural Task Force; Bethallyn Black, manager of urban horticultural program; Jodi Cassell, ,UCCE Sea Grant marine advisor; Mark Maggiore, Maggiore and Sons; Robert Whalen, 4-H volunteer; Mary Louise Williams, Master Gardener program; Harriett Burt, Master Gardner program; Patrick McKenzie, MidValley Ag Service, Inc.; John Veitch, Contra Costa Farm Bureau; Thomas Brumleve, Cattlemen’s Association; John Viano, resident of CCC;, General Rollie Katz, Public Employees’ Union Local 1; places to make cuts, so mbrs knowthat sacrifices are made by all; contracting out detention is very problematic Written material was provided by the following: Robert Whalen: (brochures from UCCE) Robert J. and Jeanne M. Lewis, resident of Moraga (letter) Alice E. Schofield, Master Gardener (letter) Art Hatchett, Co-chair, Richmond Vision (letter) Robert Taylor, Mayor, City of Brentwood (letter) Lee Helena, Mt. Diablo Chapter, American Civil Liberties Union of Northern California (letter); Teresa Flores (copy of letter from Gene Rogers, M.D. dated 3-17-09); Karen Luckhurst, Briones 4H Club (letter) Jeff O.: (comments, list of related information resources, and dvd “Illegal Immigration Crisis- Correlation to Budget Crisis) Fidela Cardenas, comments; Juana Sanches, comments; Isaac Menashe, California Immigrant Policy Center, comments; Maria Diaz, comments; Eneyda Rivera, comments; Blanca Collin, comments. Chair Bonilla invited Sheriff-Coroner Rupff to comment. Sheriff Rupf noted that there was little that could be done about declining property values and the resulting loss of revenue, and encouraged the Board to consider all sources of savings and revenue. Mr. Twa said that in regard to the use of reserves that in addition to there being little available and that it was a policy decision to be made by the Board, that the County Administrator’s Office would not recommend it. Supervisor Uilkema said she believed that the Board needed to move forward today though she expected to revisit the budget many times due to future shifts and refinements in reductions and possible revenues. Supervisor Piepho requested the support of the Board in amending today’s action to continue funding the Cooperative Extension program through June 30, 2009 to provide the program time to seek alternative funding. Chair Bonilla requested the language in reference to the “undocumented” as stated in item number four be modified going forward. County Counsel Silvano Marchesi said that the statute referred to stated a requirement to provide medical care to indigents lawfully resident of the County and he believed the language could be phrased without the word undocumented. Chair Bonilla said that the budget is an ongoing process. She said that it was important to recognize the there is a crisis in regard to the hospital and clinic system and that it was questionable whether that system was sustainable. She requested direction be added to today’s actions to perform a sustainability audit. By unanimous vote, with all Supervisors present the Board: CLOSED the hearings; ADOPTED the recommendations as amended to continue funding of the Cooperative Extension program; DIRECTED the Health Services Director review the language used in reference to the Basic Health Care Program (BHC); DIRECTED there be ongoing negotiations in regard to the BHC to formulate a transition plan to build capacity with the community clinics in the financial parameter set today; and DIRECTED the Finance Committee Health Services Department perform a sustainability study of the operational and fiscal soundness of the health system within the context of Contra Costa County. * * * * * ATTACHMENT A Beilenson Notice 2009/10 Page 1 of 12 pages March 2, 2009 NOTICE OF PUBLIC HEARING The Board of Supervisors of the County of Contra Costa will conduct a PUBLIC HEARING pursuant to Health and Safety Code Section 1442.5, on the elimination of and/or reductions in the level of medical services provided by the County, and/or the closing of County health facilities. The hearing will be held at the following time and place: March 17, 2009 9:30 a.m. Board of Supervisors Chambers Room 107, Administration Building 651 Pine Street Martinez, CA 94553 At the hearing, the Contra Costa County Board of Supervisors will consider the impact on the health care needs of the County’s indigents of the implementation of the changes set forth in the attached notice. The Board does not consider all of the program changes in the attached notice to be within the required coverage of Health and Safety Code Section 1442.5. Its scheduling of this Hearing, giving this Notice of Public Hearing, the holding of a Hearing, and the making of any findings, shall not be construed as an admission by the County of Contra Costa, or the Board of Supervisors, that any of the actions included in the attached notice are subject to the hearing provisions of Health and Safety Code Section 1442.5. ATTACHMENT A Beilenson Notice 2009/10 Page 2 of 12 pages CONTRA COSTA COUNTY HEALTH SERVICES DEPARTMENT BEILENSON NOTICE FISCAL YEAR 2009/10 1. Reduce Public Health Laboratory Services (Item No. 28 on HSD Budget Reduction List) The Public Health Laboratory supports Public Health programs and provides specimen laboratory services for the Contra Costa Regional Medical Center and Health Centers. The Public Health Laboratory also provides lab services for non-county operated hospitals in Contra Costa County. Site: Countywide Nature of Reduction: Eliminate one Public Health Microbiologist. Staff reductions: 1.0 Full Time Equivalent (FTE) Public Health Microbiologist Patient services affected: The elimination of one Public Health Microbiologist will increase the time needed to test lab specimens, including but not limited to HIV and hepatitis testing. Also, test results will not be as quickly available to patients or providers. Expected annual savings: $116,218 ATTACHMENT A Beilenson Notice 2009/10 Page 3 of 12 pages 2. Reduce Communicable Disease Tuberculosis (TB) Program Services (Item No. 29 of HSD Budget Reduction List) The Tuberculosis (TB) program conducts investigations, follows up on potentially active TB cases, provides direct observational therapy to active TB cases to ensure compliance with treatment, and provides nurse case management to patients with TB. Sites: Concord Health Center 3052 Willow Pass Road Concord Martinez Health Center 2500 Alhambra Avenue Martinez Antioch Health Center 3505 Lone Tree Way Antioch Bay Point Family Health Center 215 Pacifica Avenue Bay Point Brentwood Health Center 171 Sand Creek Road, Suite A Brentwood Pittsburg Health Center 2311 Loveridge Road Pittsburg North Richmond Center for Health 1501 3rd Street North Richmond Richmond Health Center 100 38th Street Richmond Nature of reduction: Eliminate one Disease Intervention Technician. Staff reductions: 1.0 FTE Disease Intervention Technician ATTACHMENT B 2009-2010 GENERAL FUND LINE ITEM CHANGES APPROPRIATIONS / REVENUES Budget Unit Name & Number: General Fund Departments (Fund 100300) Proposed Final OrgObject/ Budget Budget No. Account Description Amount Change Amount Notes 2505 1011 Permanent Salaries 9,650,186 577,947 10,228,133 2535 1011 Permanent Salaries 2,584,231 175,982 2,760,213 2805 1011 Permanent Salaries 1,708,082 1,333,971 3,042,053 3340 1011 Permanent Salaries 3,630,311 149,928 3,780,239 5101 1011 Permanent Salaries 5,444,872 5,718,564 11,163,436 5214 1011 Permanent Salaries 1,402,409 -95,916 1,306,493 5330 1011 Permanent Salaries 4,018,987 -32,184 3,986,803 5336 1011 Permanent Salaries 13,754,906 -263,244 13,491,662 5452 1011 Permanent Salaries 19,886,334 -67,272 19,819,062 2501 1013 Temporary Salaries 275,000 -35,998 239,002 2805 1013 Temporary Salaries 495,164 -165,684 329,480 2505 1014 Permanent Overtime 2,400,000 -50,000 2,350,000 5101 1015 Deferred Comp 67,980 -4,140 63,840 5214 1015 Deferred Comp900-24 876 5330 1015 Deferred Comp 10,380 -12 10,368 5336 1015 Deferred Comp 15,420 -48 15,372 5452 1015 Deferred Comp 24,420 -12 24,408 1103 1042 FICA/Medicare 32,538 384 32,922 2505 1042 FICA/Medicare 89,476 11,246 100,722 2535 1042 FICA/Medicare 38,981 3,749 42,730 2805 1042 FICA/Medicare 268,069 -95,336 172,733 3340 1042 FICA/Medicare 302,689 -11,472 291,217 5101 1042 FICA/Medicare 841,663 -22,654 819,009 5214 1042 FICA/Medicare 107,302 -7,332 99,970 5330 1042 FICA/Medicare 306,562 -2,460 304,102 5336 1042 FICA/Medicare 1,052,343 -20,148 1,032,195 5452 1042 FICA/Medicare 1,521,212 -5,148 1,516,064 2505 1044 Retirement Expense 5,991,686 201,722 6,193,408 2535 1044 Retirement Expense 1,827,962 67,241 1,895,203 2805 1044 Retirement Expense 1,228,532 -497,035 731,497 3340 1044 Retirement Expense 1,153,783 -43,104 1,110,679 5101 1044 Retirement Expense 3,554,121 -93,360 3,460,761 5214 1044 Retirement Expense 415,909 -30,036 385,873 5330 1044 Retirement Expense 1,211,105 -9,216 1,201,889 5336 1044 Retirement Expense 4,057,735 -79,356 3,978,379 5452 1044 Retirement Expense 5,928,820 -20,052 5,908,768 2505 1060 Employee Group Insurance 1,145,442 45,223 1,190,665 ATTACHMENT B 2009-2010 GENERAL FUND LINE ITEM CHANGES APPROPRIATIONS / REVENUES Budget Unit Name & Number: General Fund Departments (Fund 100300) Proposed Final OrgObject/ Budget Budget No. Account Description Amount Change Amount Notes 2535 1060 Employee Group Insurance 416,405 15,074 431,479 2805 1060 Employee Group Insurance 434,339 -154,893 279,446 3340 1060 Employee Group Insurance 746,340 -47,904 698,436 5101 1060 Employee Group Insurance 1,786,602 -40,128 1,746,474 5214 1060 Employee Group Insurance 255,672 -28,128 227,544 5330 1060 Employee Group Insurance 817,416 -11,976 805,440 5336 1060 Employee Group Insurance 2,902,236 -47,904 2,854,332 5452 1060 Employee Group Insurance 3,749,325 -16,152 3,733,173 1103 1063 Unemployment Insurance1,331-84 1,247 2505 1063 Unemployment Insurance 27,751 1,030 28,781 2535 1063 Unemployment Insurance 8,749 343 9,092 2805 1063 Unemployment Insurance 12,161 -4,645 7,516 3340 1063 Unemployment Insurance 11,489 -456 11,033 5101 1063 Unemployment Insurance 33,265 -924 32,341 5214 1063 Unemployment Insurance4,059-288 3,771 5330 1063 Unemployment Insurance 11,770 -96 11,674 5336 1063 Unemployment Insurance 39,671 -756 38,915 5452 1063 Unemployment Insurance 57,388 -192 57,196 1103 1070 Workers Comp Insurance4,913-300 4,613 2505 1070 Workers Comp Insurance 518,763 4,831 523,594 2535 1070 Workers Comp Insurance 162,314 1,610 163,924 2805 1070 Workers Comp Insurance 42,813 -16,378 26,435 3340 1070 Workers Comp Insurance 199,457 -7,560 191,897 5101 1070 Workers Comp Insurance 509,735 -14,112 495,623 5214 1070 Workers Comp Insurance 59,497 -4,272 55,225 5330 1070 Workers Comp Insurance 178,926 -1,428 177,498 5336 1070 Workers Comp Insurance 585,393 -11,712 573,681 5452 1070 Workers Comp Insurance 878,076 -2,988 875,088 0015 2100 Office Expense 40,160 -8,124 32,036 1000 2100 Office Expense 6,192 747 6,939 1151 2100 Office Expense 0 1,706 1,706 1151 2103 Postage 0 500 500 0630 2110 Communications 0 1,850 1,850 1151 2110 Communications 0 656 656 0630 2111 Telephone Exchange Service 0 9,288 9,288 1151 2111 Telephone Exchange Service 0 1,238 1,238 5101 2131 Minor Funiture/Equipment 75,000 250,000 325,000 ATTACHMENT B 2009-2010 GENERAL FUND LINE ITEM CHANGES APPROPRIATIONS / REVENUES Budget Unit Name & Number: General Fund Departments (Fund 100300) Proposed Final OrgObject/ Budget Budget No. Account Description Amount Change Amount Notes 2578 2150 Food 1,100,000 -300,000 800,000 2580 2150 Food 1,100,000 -300,000 800,000 0630 2262 Building Occupancy 0 70,889 70,889 4334 2262 Building Occupancy 70,889 -70,889 0 1000 2303 Other Travel Employees 13,855 -747 13,108 0359 2310 Non Cnty Prof/Spclzd Svcs 600,000 -400,000 200,000 1151 2310 Non Cnty Prof/Spclzd Svcs 0 21,100 21,100 1200 2310 Non Cnty Prof/Spclzd Svcs 550,610 -27,265 523,345 2500 2310 Non Cnty Prof/Spclzd Svcs 200,000 -20,000 180,000 5452 2310 Non Cnty Prof/Spclzd Svcs 1,445,536 -268,440 1,177,096 0630 2315 Data Processing Services 0 438 438 0630 2326 Information Security Charges 0 189 189 0630 2335 Other Telecom Charges 0 500 500 1151 2340 Other Intrdptmntl Charges 0 1,200 1,200 5220 2340 Other Intrdptmntl Charges 0 2,500,000 2,500,000 1200 2467 Training & Registrations 5,000 -2 4,998 1151 2477 Ed Supplies and Courses 0 3,600 3,600 5700 2490 Misc Services & Supplies-2,600,000 2,600,000 0 5273 3313 County Aid Basic 16,487,766 1,755,192 18,242,958 0465 3570 Contribution to Enterprise Fund 50,992,839 -2,600,000 48,392,839 5101 5022 Intrafund-Trans-Services-29,858,776 492,394 -29,366,382 5220 5022 Intrafund-Trans-Services 8,957,633 -147,718 8,809,915 5330 5022 Intrafund-Trans-Services 8,957,631 -147,718 8,809,913 5452 5022 Intrafund-Trans-Services-2,671,615 -196,958 -2,868,573 TOTAL EXPENDITURES 1,178,814,419 9,467,952 1,188,282,371 3340 9070 Animal Licenses 623,121 39,432 662,553 1200 9122 Franchise-Landfill Surcharge 15,002 -215,000 5307 9258 Admin State - Other 662,916 130,230 793,146 5316 9258 Admin State - Other 9,007,839 15,288 9,023,127 5220 9263 State Aid Realignmnt-Sales Tax 10,824,692 2,305,345 13,130,037 5330 9263 State Aid Realignmnt-Sales Tax 4,971,704 -2,305,345 2,666,359 5307 9281 Admin - State Health Misc 951,837 71,607 1,023,444 5336 9281 Admin - State Health Misc 39,406,400 1,475,250 40,881,650 1151 9435 Miscellaneous State Aid 0 15,000 15,000 2805 9446 St Aid - Public Safety Svcs 10,018,608 400,000 10,418,608 ATTACHMENT B 2009-2010 GENERAL FUND LINE ITEM CHANGES APPROPRIATIONS / REVENUES Budget Unit Name & Number: General Fund Departments (Fund 100300) Proposed Final OrgObject/ Budget Budget No. Account Description Amount Change Amount Notes 5316 9465 Admin Federal - Other 12,494,574 20,352 12,514,926 5452 9465 Admin Federal - Other 49,763,738 2,803,727 52,567,465 5273 9569 Other Federal Aid 3,781,364 4,505,192 8,286,556 0015 9607 Comm for Tax & Assess Coll 2,097,124 -8,124 2,089,000 TOTAL REVENUE 1,178,814,419 9,467,952 1,188,282,371 TOTAL NET COUNTY COST 00 0 Explanation: These line-item changes are necessary to align the Recommended Budget with the placeholder (Proposed) budget adopted by the Board on March 17, 2009. ATTACHMENT B 2009-2010 FUND 112000 CONSERVATION & DEVELOPMENT LINE ITEM CHANGES APPROPRIATIONS / REVENUES Budget Unit Name & Number: Conservation & Development (0280) Proposed Final OrgObject/ Budget Budget No. Account Description Amount Change Amount Notes 2606 1011 Permanent Salaries 1,845,045 -269,471 1,575,574 2657 3611 Interfund Exp - Gov/Gov 0 50,000 50,000 TOTAL EXPENDITURES 37,112,309 -219,471 36,892,838 2606 9660 Planning & Engineering Svcs 3,000,000 -269,471 2,730,529 2657 9877 Administrative Services 0 50,000 50,000 TOTAL REVENUE 30,112,309 -219,471 29,892,838 TOTAL NET FUND COST 7,000,000 0 7,000,000 Explanation: These line-item changes are necessary to align the Recommended Budget with the placeholder (Proposed) budget adopted by the Board on March 17, 2009. ATTACHMENT B 2009-2010 FUND 113000 DA ENVIRON/OSHA LINE ITEM CHANGES APPROPRIATIONS / REVENUES Budget Unit Name & Number: DA ENVIRON/OSHA (0251) Proposed Final OrgObject/ Budget Budget No. Account Description Amount Change Amount Notes 0251 2310 Non Cnty Prof/Spclzd Svcs 37,754 -37,754 0 0251 2340 Other Intrdptmntl Charges 200,000 -200,000 0 0251 2479 Other Special Dept Exp 1,464,421 -1,464,421 0 0251 5011 Reimbursements-Gov/Gov 335,500 24,500 360,000 TOTAL EXPENDITURES 2,037,675 -1,677,675 360,000 TOTAL NET FUND COST 2,037,675 -1,677,675 360,000 Explanation: These line-item changes are necessary to align the Recommended Budget with the placeholder (Proposed) budget adopted by the Board on March 17, 2009. ATTACHMENT B 2009-2010 FUND 113400 CCC DEPT OF CHILD SUPPORT SERVICES LINE ITEM CHANGES APPROPRIATIONS / REVENUES Budget Unit Name & Number: CCC Dept of Child Support Services (0249) Proposed Final OrgObject/ Budget Budget No. Account Description Amount Change Amount Notes 1780 1013 Temporary Salaries 241,024 448,307 689,331 1790 2100 Office Expense3,763-2,332 1,431 1790 2132 Minor Computer Equipment 20,700 483 21,183 TOTAL EXPENDITURES 18,443,725 446,458 18,890,183 1780 9553 Fed Aid Family Support 17,870,997 448,307 18,319,304 1790 9553 Fed Aid Family Support 572,728 -1,849 570,879 TOTAL REVENUE 18,443,725 446,458 18,890,183 TOTAL NET FUND COST 00 0 Explanation: These line-item changes are necessary to align the Recommended Budget with the placeholder (Proposed) budget adopted by the Board on March 17, 2009. ATTACHMENT B 2009-2010 FUND 115600 DNA IDENTIFICATION FUND LINE ITEM CHANGES APPROPRIATIONS / REVENUES Budget Unit Name & Number: DNA Identification Fund (0275) Proposed Final OrgObject/ Budget Budget No. Account Description Amount Change Amount Notes 0275 2100 Office Expense 432,596 -146,444 286,152 0275 2479 Other Special Departmental Exp 344,796 -344,796 0 TOTAL EXPENDITURES 777,392 -491,240 286,152 0275 9175 Misc Forfeits & Penalties 182,325 103,827 286,152 TOTAL REVENUE 182,325 103,827 286,152 TOTAL NET FUND COST 595,067 -595,067 0 Explanation: These line-item changes are necessary to align the Recommended Budget with the placeholder (Proposed) budget adopted by the Board on March 17, 2009. ATTACHMENT B 2009-2010 FUND 145000 HEALTH SERVICES - HOSPITAL ENTERPRISE LINE ITEM CHANGES APPROPRIATIONS / REVENUES Budget Unit Name & Number: Health Services - Hospital Enterprise (0540) Proposed Final OrgObject/ Budget Budget No. Account Description Amount Change Amount Notes 6200 2889 Other Expenses-12,788,282 -2,600,000 -15,388,282 TOTAL EXPENDITURES 343,857,688 -2,600,000 341,257,688 6200 8381 Hospital Subsidy 47,319,745 -2,600,000 44,719,745 TOTAL REVENUE 343,857,688 -2,600,000 341,257,688 TOTAL NET FUND COST 00 0 Explanation: These line-item changes are necessary to align the Recommended Budget with the placeholder (Proposed) budget adopted by the Board on March 17, 2009.