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Home My WebLink AboutMINUTES - 05172005 - C38 ADDENDUM TO ITEM C.38 May 17, 2005 On this day, the Board of Supervisors CONSIDERED accepting an informational report from the County Administrator on structural changes to County services in the Fiscal Year 2005/2006 Preliminary Recommended Budget. Lisa Driscoll,Deputy County Administrator, presented follow-up information from the May 10, 2005 workshop. Ms. Driscoll identified structural budget adjustments, and said a"structural"change would be a permanent budget adjustment that,once made,would permanently reduce the budget. Ms. Driscoll said that Employment and Human Services could not be included in the list, pending the Governor's May Revise. The Board of Supervisors took the following action by unanimous decision: ACCEPTED report identifying structural proposed budget adjustments in the FY 2005- 06 Preliminary Recommended Budget. • STRUCTURAL IDENTIFICATION OF PROPOSED FY 2005-2006 REDUCTIONS General Government Summary Agriculture/Weights & Measures Department Reference Strctl to Programs/ Services Number of Net County Impact Non Mand/Discr Budget Units Positions Cost Savings List No impact to Agriculture Elimination of GIS Department. However,the S 1 Agriculture contribution 0 $50,000 reduction may result in delaying the development of GIS. Agriculture Increased cost of$125,000 Carry-forward of$90,000 offset with 50%of the fund Measures N 1 and 2 and Weights& from FY'04-05 fund balance 0 $125,000 balance anticipated from FY 2004-05. Weaken the Agricultural S 1 Agriculture Cancel a Deputy Agricultural Commissioner position 1 $118,346 programs and flexibility of staff during surge activities. Weights& Increase Weights and S 2 Measures Measures device registration 0 $67,187 Increased fee revenue. fees Auditor-Controller Reference to Strct/ Programs/ Number of Net County Non Mand/Discr Budget Units Services Positions Cost Savings Impact List Required by law to Increased costs associated provide core financial with salary and benefits, Auditor- services to all County equipment maintenance, N 1-5 Controller's departments including , N/A $191,297 micro-imaging,and upgrades Office—all maintaining the County's to the Local-Area-Network divisions financial records and (LAN)offset with<50%of paying employees, fund balance anticipated from vendors and contractors. FY 2004-05. Central Support Reference to Strctl Mand/Discr Programs! Number of Net County Non List Budget Units Services Positions Cost Savings impact Hears and makes determinations on Increased salary and appeals of employees N 4 Merit Board and oversee the merit NIA $5,665 benefit costs are absorbed system to ensure that by reductions to operating merit principles are expenses. upheld. 1 Reference to Strct/ Mand/Discr Programs/ Number of Net County Non List Budget Units Services Positions Cost Savings Impact This action would eliminate the Productivity Investment Fund(PIF). This would be Management Productivity Investment a one-time savings of N 5 Information Fund N/A $250,000 $250,000. PIF has been Systems established as a revolving fund—with allocations paid back by departments within three years. Plant Undesignated Capital Available funding for N 6 Acquisition Projects N/A $150,000 undesignated capital projects. Reorganization of the Capital Facilities and Debt Management Division will Provides oversight for the consolidate staff with Plant planning,acquisition and Administration and,when S 6 N/A $ 89,368 combined with cost Acquisition construction of County buildings. reductions in CAO(0003), will result in a Net County Cost decrease of$75,000 (see County Administrator). Clerk-Recorder - Elections Department Reference Strct/ to Programs/ Services Number of Net County Impact Non Mand/Discr Budget Units Positions Cost Savings List Increased cost of$138,319 N 1 and 2 Elections and Carry-forward of fund balance 0 $138,319 offset with 5%of the fund Recorder from FY 2004-05 balance anticipated from FY 2004-05 S Elections and New Revenue 0 100,000 None Recorder County Administrator Strct/ Reference to Programs/ Number of Net County Non Mand/Discr Budget Units Services Positions Cost Savings List Impact Administrator of Increased salary and County County operations and benefit costs are partially N 1-4 Administrator advisor to the Board of N/A $ 18,500 offset by 50%of Supervisors anticipated fund balance from the current year. 2 Strctl Reference to programs/ Number of Net County Non MandlDiscr Budget Units Services Positions Cost Savings Impact List Reorganization of the Capital Facilities and Debt Management Division will Provides oversight for the consolidate staff with County planning,acquisition and Administration and,when S 3 Administrator, construction of County's 1 ($14,782) combined with cost reductions Capital Facilities buildings. in Plant Acquisitions(0111), will result in a Net County Cost decrease of$75,000 (see Central Support Services). County Counsel Strctl Reference to Programs/ Number of Net County Non Mand/Discr Budget Units Services Positions Cost Savings Impact List Increased cost of$86,671 offset N 112 All General Law,Social Service N/A $86,671 with 50%of the fund balance Probate anticipated from FY 2004-05 Reduce office expenses, resulting in more conscientious use of S 3 Tort Office Expense N/A $12,760 supplies,more recycling,less Litigation reliance on outside duplication services. Reorganize how the staff communicates with outside S 1 Admin Postage N/A $1,000 contacts. Utilize e-mail and facsimile transmission in lieu of US mail wherever possible. Re-evaluate priority in which equipment is replaced and/or N 1,2 Admin Minor Furniture/Equipment N/A $1,500 repaired. Utilize surplus as a resource to replace or provide staff with requested furniture items. Reduce the amount of publication time advertisements run,and/or S 1 Admin Publications&Legal Notices N/A $500 identify complimentary resources for job advertisements/ publications. Consolidate surplus requests and N 1,2 Admin Requested Maintenance N/A $2,000 limit discretionary General Services related requests. Reduce purchases of Audio/ Other Special Dept. Video material provided by S 1,2 Admin Expense N/A $3,500 outside counsel. Utilize in house services for photo duplication requests. Employee/Retiree Benefits Reference to Programs/ Number of Net County Strct/ Mand/Discr Budget Units Services Positions Cost Savings Impact Non List Reduces amount of Funds costs associated funding available for 1 Employee with maintaining the N/A $48,000 programming changes to N Benefits County payroll and the County payroll benefits system. system as the result of Labor negotiations. 3 General Services Reference Strct/ to Programs/ Services Number of Net County Impact Non Mand/Discr Budget Units Positions Cost Savings List User departments will have to Eliminate vehicle fund vehicle replacements from N 2 Fleet Services replacement for general 0 $225,000 accumulated depreciation, funded vehicles salvage value,and their own funds. User departments will not General Eliminate depreciation accumulate depreciation in N 3 Funded expense for general funded 0 $487,280 order to replace their vehicles Property vehicles in GSD budget in the future. This marks the third consecutive year for this reduction. Should not be a noticeable General Reduce Stationary Engineer change in service as the S 3 Funded hours at various facilities 0 $157,933 budget was based on actual Property experience from FY 04-05 when two FTEs were vacant. General Should not be a noticeable S 3 Funded Reduce Grounds Division 0 $25,615 change in service as the Property hours at various locations budget was based on actual experience from FY 04-05. Assumes installation of cogen General plant at West County Detention S 3 Funded Reduce electricity budget by 0 facility by Jan.2006,which is Property installing Cogen plant $50,000 planned in the Strategic Energy Plan for the County. Occupancy costs would be General decreased for two of the S 3 Funded Transfer court facilities to the 0 $174,743 County facilities to be Property State transferred to the State: 2970 Willow Pass and 751 Pine St. Occupancy costs would be General eliminated for two surplus S 3 Funded Disposal of surplus property 0 $7,935 properties: 630 Court Street Property and 550 School Street. Costs include insurance and utilities. Minimal reductions in General maintenance for Martinez, S 3 Funded Veterans Buildings reduced 0 $13,984 Concord,Lafayette,Walnut Property maintenance labor Creek,Antioch,Brentwood, and Pittsburg veterans buildings. Charge the Sheriff for 210 General Rental Space of Sheriff O'Hara Ave.used for City of S 3 Funded Substation in Oakley 0 $18,000 Oakley police services. City Property would pay for rental space in contract for services. General Reduce lease management S 3 Funded requests for Police Academy 0 Negligible impact of reduced and Probation Office at 2555 $17,423 building maintenance services. Property EI Portal Dr. Install Direct Digital Controls Greater energy efficiency will General and Variable Frequency reduce the electricity and S 3 Funded Drives at West County 0 $50,000 natural gas budgets with no Property Detention Facility for energy noticeable impacts. efficiency 4 Reference Strctl to Programs/ Services Number of Net County Impact Non Mand/Discr Budget Units Positions Cost Savings List Lighting retrofit projects, General Energy improvement projects implementation of Direct Digital S 3 Funded at various locations. 0 $129,980 Controls,Variable Frequency Property Implementation of Strategic Drives,and cogen plants will Energy Plan. improve energy efficiency and decrease costs Human Resources Strctl Reference to Programs/ Number of Net County Non Mand/Discr Budget Units Services Positions Cost Savings Impact List Eliminate funding for a vacant contractor position to provide technical assistance to Labor S 3 Labor Relations Cancel 1 contractor N/A $100,000 Relations. Department position has recently hired a Labor Relations Manager and is currently recruiting for Labor Relations Analysts. Assumes a 20%vacancy Reduce funding by 20% factor for one Human S 1 Administration for one vacant Human 0 2 $ 30,690 Resources Project Resources Project Manager position that will Manager be vacated in June 2005 due to a retirement. Treasurer-Tax Collector Strctl Reference to Programs/ Number of Net County Non Mand/Discr Budget Units Services Positions Cost Savings Impact List Collect all property taxes Increased cost of for cities school districts, compensation offset with N 1-4 Tax Collector special districts and N/A $67,346 50%of fund balance County Government anticipated from FY 2004-05. Law and Justice Summary Animal Services Department Reference Strctl to Programs/ Services Number of Net County Impact Non Mand/Discr Budget Units Positions Cost Savings List Eliminate vehicle Increased cost of N Various Various replacement for general 0 $200,000 compensation offset with 50% funded vehicles of fund balance estimate from FY 2004-05. 5 Child Support Services Strctl Reference to Programs/ Number of Net County Non Mand/Discr Budget Units Services Positions Cost Savings Impact List Reduce Building Occupancy The accumulated loss of staff S 1 Child Support from Costs by consolidating space N/A $358,943 over the past several years two floors to one at 50 allows for a consolidation of Douglas workspace Reduced capacity for ensuring compliance with Court ordered S 1 Child Support Eliminate 23 vacant positions 23 $1,515,796 child support payments will likely result in reduced collections District Attorney Strct/ Reference to Programs/ Number of Net County Non Mand/Discr Budget Units Services Positions Cost Savings Impact List Increased Proposition 172 S 2 District Attorney Revenue Increase N/A $343,000 revenues by 3%over current year budget. Increased cost of N 2 District N/A N/A $414,855 compensation offset with less Attorney than 50%of fund balance anticipated from FY 2004-05. District Eliminate funding for 3 Further challenge the District N 2 Attorney vacant administration 3 $190,000 Attorney to maintain core positions services. Justice Systems Development/Planning Strct/ Reference to Programs/ Number of Net County Non Mand/Discr Budget Units Services Positions Cost Savings Impact List Law& Increased cost of compensation N 1 Justice Installs automated N/A $ 19,227 offset with 50%of estimated FY Systems information systems 2004-05 fund balance Dev/Plannin Justice Trial Court Funding/Justice Impact will depend upon N 6 System System reserve N/A $ 200,000 revenues generated within Trial Programs Court Programs(dept 0202). Probation Department Strct/ Reference to programs/ Number of Net County Non Mand/Discr Budget Units Services Positions Cost Savings Impact List Reduced crime and Increased cost of compensation N Various Various enhanced public safety N/A $617,012 offset with 50%of fund balance estimate from FY 2004-05 Probation Cost increases offset with S Various Programs& Increased Revenues to Grant N/A $579,225 revenues from un-capped cost Juvenile Funded Programs reimbursed grant programs Facilities Probation Anticipated savings due to N Various Programs& Savings resulting from N/A $253,380 intermittent vacancies resulting Juvenile Vacancy Factor from staff turnover Facilities California Savings due to decrease in Anticipated savings in FY 05/06 S 31 Youth juveniles incarcerated in the N/A $141,000 based on YTD expenses in FY Authority Fees California Youth Authority 04/05 Probation Anticipated savings in FY 05/06 S Various Programs& Reduce Services&Supplies N/A $219,008 based on YTD expenses in FY Juvenile Facilities 04/05 6 Strct/ Reference to Programs/ Number of Net County Non Mand/Discr Budget Units Services Positions Cost Savings Impact List Savings due to decrease in Anticipated savings in FY 05/06 S 30 Out-of-Home cost of minors placed in N/A $276,000 based on YTD expenses in FY Placements private residential care by the 04/05 Juvenile Court Reduce Clerical Staff- S 27 Orin Allen Cancel 1 Clerk—Specialist 1 $83600 Reduce clerical services—2 , Youth Rehab. Level Clerks-Senior Level remaining Downgrade vacant Administrative Services Revert to entry level class of N 23 Administration Assistant III to Administrative 0 $40,313 flexibly staffed series Analyst Eliminate overmatch—Nine Eliminate overmatch in Prop Deputy Probation Officers S 8 Prop 36 36 program-Cancel 1 Deputy 1 $91,024 remain to supervise persons Probation Officer convicted of non-violent drug possession offenses and diverted into drug treatment Eliminate overmatch in Eliminate overmatch—One full Juvenile Drug Juvenile Drug Court-Cancel time Deputy Probation Officer S 20 Court 2 half-time Deputy Probation 1 $55,122 will cover two Juvenile Drug Officers Courts Eliminate overmatch while maintaining School and Eliminate overmatch—Close School and Community Probation Probation Office in East County S 17 and 21 Community Programs-Cancel 1 2 $253,755 and revert$318,223 of JJCPA Probation Probation Manager and 1 revenue from Summit Center to Officers Deputy Probation Officer at School and Community Orin Allen Youth Rehab. Probation Programs Close East County office Expenditure decrease of Withdraw Probation Staff $1,013,166 is offset by from collaborative Summit $367,200 increase in NCC for S 25 Summit Boys Center program—Cancel 1 out-of-home placement costs. 7 Center Institutional Supervisor and .6 $645,966 $318,223 of JJCPA revenue will 6.6 Probation Counselor be transferred from Summit positions Center to maintain School and Community Probation Programs. Withdraw Probation Staff from collaborative Chris Expenditure decrease of S 26 Chris Adams Adam Center program— 9 $649,940 $1,033,340 is offset by Girls Center Cancel 1 Institutional $383,400 increase in NCC for Supervisor and 8 Probation out-of-home placement costs. Counselor positions Eliminate placement services Tied to Probation staff S 15 Placement for Summit and Chris Adams 2 $156,177 withdrawing from Summit and Centers Cancel 2 Deputy Probation Officers Chris Adams Centers Eliminates discretionary Eliminate Placement Placement Diversion services to Placement Diversion Program-Cancel 1 minors in imminent risk of out- s 16 Diversion Probation Supervisor and 5 6 $485,571 of-home placement. The Deputy Probation Officers Diversion Program helps to reduce the costs of expensive group home placements. Out-of- Eliminate Out-of-Custody Eliminate discretionary Out-of- S 10 Custody Intake Program-Cancel 3 3 $326,779 Custody Intake Program— Intake Deputy Probation Officers services to be continued with Field Supervision staff Public Defender Strct/ Reference to Programs/ Number of Net County Non Mand/Discr Budget Units Services Positions Cost Savings Impact List Increased cost of N 1 Public Mandated legal N/A $450,783 compensation offset with 50% Defender representation of indigents of estimated FY 2004-05 fund balance 7 Strctl Reference to Programs/ Number of Net County Non Mand/Discr Budget Units Services Positions Cost Savings Impact List Replacing with permanent S 1 Public Cancel 1 Temporary Network 1 (temp) $121,000 position currently in Defender Administrator position recruitment—BOS approved 1/18/05 S 1 Public Reduce Services&Supplies 0 $149,662 Reduction based on CY Defender expenditures Current year salary savings N 1 Public Vacancy Factor 2 $352,506 and fund balance justify FY Defender 2005-06 vacancy factor(2 FTE estimated equivalency) Sheriff-Coroner Strct/ Reference to Programs/ Number of Net County Non Mand/Discr Budget Units Services Positions Cost Savings Impact List Increased Proposition Increase Proposition 172 S Various Various 172 revenue N/A $1,628,233 revenue by 3%over current year budget Field Increased P6 Zone Increase revenue by projected S 12 Operations revenue N/A $200,000 growth General Fund savings Increased cost of N Various Various resulting from prudent N/A $500,000 compensation offset with 50% management of of fund balance estimate from resources in FY 2004-05 FY 2004-05 Fund balance available within N 12 Field Transfer of revenue from N/A $1,365,802 P6 Zone,historically used for Operations P6 Zone unincorporated patrol (Department 7656) Field Eliminates the entire FY 2005- N 12 Operations New Vehicle Budget N/A $151,159 06 budget for new vehicles for the Department Eliminates the entire general N Various Various Vehicle Depreciation N/A $1,000,000 fund contribution for equipment replacement for the third year in a row Addition of 25 FTE to the Vacancy Factor/Position current vacancy factor of 46 S Various Various Elimination 25 $2,944,806 brings the total vacancy factor up to 71 positions Health and Human Services Community Services Department Strct/ Reference to Programs/ Number of Net County Non Mand/Discr Budget Units Services Positions Cost Savings Impact List Elimination of Family No impact to the services Advocates and addition of provided to children or parents. S 6 Head Start advocacy managers and 21 $1,050,621 Streamlines data entry clerical staff. workload. g Employment and Human Services Department 1. Impacts of State Budget and Policy Proposals Strct/ Programs/ Services Number of Dollar Impact Non Budget Units Positions Reduction Food Stamp $121,675 Loss of approximately 1.5 FTEs to process FS S State Cuts administration 1.5 18,251 eligibility and meet/sustain low error rate. reduced 2.4% In Home Supportive State would limit its funding to$6.75/hour of Services State $48,260,99 Provider wages and payroll taxes. State would S State Cuts Funding Reduced N/A g provide no share of cost for health,dental or for Provider Wages 9,596,424 Pension benefits for providers. County wage and Benefits currently$9.50/hour plus$1.45/hour benefit rate. Medi-Cal New allocation methodology could result in a S State Cuts Administration Base 10.0 1.500,000 6%reduction,or about 10 FTEs below the 04- Funding Changed 0 05 level, resulting in higher workloads,eligibility delays and errors. Reduce CaIWORKs $2,512,814 2004 monthly caseload average of 7,950 S State Cuts Caseload Est by N/A 50,256 families would be reduced by approximately 4.5% 358. Reduce CalWORKs $2,506,654 Lower eligibility allocation would result in S State Cuts Eligibility Funding 14.0 approximately 14 fewer FTE eligibility staff, by 16.2044to 2,506,654 compliance issues,and service access delays. Reduce CalWORKs Fewer dollars for delivery of Employment S State Cuts Employment 9 0 $1,524,929 Services would result in approximately 9 fewer Services Funding 1,524,929 FTEs and fewer people moving off aid. by 6.7% 7,101 families would have monthly grants Reduce CalWORKs $3,466,287 reduced an average of$62 per month,from S State Cuts Grants by 6.5% N/A 69,325 $589 to$527. 1,141 families with earned income would have monthly grants reduced by $46 per month,from$410 to$364. Reduce General Monthly grant levels for approximately 470 GA S State Cuts Assistance Grants N/A $72,788 persons will be reduced from$342 to$320 by 6.5% 72,788 average,as this program is tied to CaNVORKs rant levels. Grants to 1,141 working clients would be Earned Income $1,067,976 reduced by an average of 21%to$286 as S State Cuts Disregard N/A 21,360 opposed to$364 per month.Also,fewer Reduction applicants would be eligible for aid and fewer clients will be able to retain employment. Quarterly Reporting $962,000 Budget assumes that this methodology saves S State Cuts /Prospective N/A 19240 money,yet regional studies have failed to Budgeting , support this assumption. SB 1104 eliminates the 24 month limit on S State Cuts SB1104 N/A $170,000 Employment Services,which will result in more Implementation 0 funds spent on more components for extended periods of time. The budget assumes cost savings due to S State Cuts 60-Month Time N/A $4,760,000 people timing out.Experience demonstrates Limits 95,200 that caseloads are actually increasing,as are child-only caseloads. S State Cuts New Sanction N/A $240,000 The budget assumes savings based on Policy 4,800 anticipated changes to the sanction process. TANF funds are being transferred to supplant S State Cuts TANF Transfers NIA $6,330,000 State funds for support of other programs 0 including Foster Care, Department of Developmental Services,and County Probation Departments,versus dedicated to CaIWORKs. Budget assumes savings associated with two S State Cuts Child Care Reforms N/A $1,252,000 tiered reimbursement proposal and a separate 0 proposal to reduce rates for providers who serve only subsidized children. 9 I (a). Impacts of Federal Budget and Policy Proposal Pass Through to TANF and WIA Strct/ Programs/ Services Number of Dollar Impact Non Budget Units Positions Reduction Increase Work Participation Rates Redefinition of Work $521400,00 Many core CalWORKs policy areas would New Weekly 0 be changed under current versions of S TANF Participation NIA (Annual federal TANF reauthorization. Program Requirements Local requirements,service delivery design and Limits on Child Care Allocation) funding would also be expected to change. Drug Testing Requirements Family Sanctions Combine funding for Dislocated Workers,WIA adults,and Many of the core WIA programs and Wagner-Peyser $5,877,000 service delivery models would be changed S WIA Redefine youth N/A (Annual under current Federal reauthorization programs Local proposals. The outcome of this action will Revise allocation Allocation) impact our local program requirements, methodology service delivery design and funding. Mandate TANF partnership and funding 2. Discretionary Services and Levels Strctl Programs/ Number of Dollar Non Budget Units Services Positions Reduction Impact D/D-EHSD grant to Health Services S 3 Adult Shelter Care N/A $295,404 Department to help fund Homeless Supplement 295,404 program;impact of cut to be determined by HSD. MID-Provides assistance to Medi-Cal eligible adults to gain access to medical Adult Services Health services and information/referrals to S 4 Related and Information& 11 $1.402.517 service agencies. For each of the 11 Assistance 187,879 FTEs lost,approximately 350 service requests per month would go unanswered. M/D-Provides social worker response and investigation of reports that adults $2,294,691 are exploited, neglected or physically S 5 Adult Protective Services 21 265,017 abused. For each of the 21 FTEs lost, about 30 fewer allegations would be investigated per month,placing people at further risk. D/D-Provides assessments of individuals suffering from mental illness and alcoholism and offers S 6 Adult Conservatorship 3 5 $777,759 recommendations to Superior Court on Intake 104,188 Conservatorship. Consider transfer of program to HSD-Mental Health who will need to determine the impact of this program transfer w/o EHSD funding. D/M-Program provides health insurance Agency on Aging-Health counseling and community education S 7 Insurance Counseling and unknown $186,437 services to over 8,000 individuals. Assistance Program 37,536 Reduction/elimination of this expenditure (HICAP) would reduce contract employee oversight of volunteers. D/M-Provides assistance to 100 Agency on Aging- $343,112 disabled adults who without services S 9 Linkages unknown 121,476 would risk placement into nursing homes. Program also supports the local LTC Planning/Implementation effort. 10 Strctl Programs/ Number of Dollar Non Budget Units Services Positions Reduction Impact D/D-Community-based planning effort to develop a program of health and Agency on Aging-Long- $15,000 social services integration for elder and S 10 Term Care Integration unknown 15,000 disabled adults. Elimination would end EHSD progress on budding a LTC Program as directed by the Board of Su ervisors. D/M-Program provides case Agency on Aging-Multi- management services for 200 Medi-Cal S 11 Purpose Senior Services unknown 1,177,245 recipients age 65+to prevent Program(MSSP) 117,724 unnecessary nursing home placement. Program also supports our LTC program initiative. D/D-Provides employment program targeting able-to-work individuals S 26 Food Stamps Employment 2.5 $785,015 receiving food stamps. Loss of the 2.5 and Training 216,360 FTEs and services would result in 300 persons not participating in work and 45 to lose monthly Food Stamps benefits. M/D-Funds salary and benefits payments to providers of in-home In-Home Supportive $79.759.000 supportive services to eligible people S 36 Services Provider Costs N/A 13,826,022 who are unable to care for themselves at home. Any reduction in County funding is subject to a collective bargaining agreement with Local 250. M/D-Provides required registry and referral services,assists IHSS recipients $1,722,305 with hiring IHSS providers,trains S 38 Public Authority 13 409,809 providers and recipients and serves as employer of record. Reduction in any of the 13 FTEs would result in workload shifts and service delays. D/D-Provides contract Job Club and Job Search services to West County job CalWORKs Limited $18,000 seekers who are limited in their English S 18 English Proficiency Job Unknown 18,000 Proficiency. Services help participants Club/Job Search Services develop or strengthen job seeking, application, interviewing,and job retention skills. D/D-Provides same day,demand- response,employment-related transportation services. 67%of the 396 riders use the service daily to get to work S 18 CalWORKs Rides to Unknown $385,000 and 33%use the service to get to Job Success 385,000 Club. Elimination of program would terminate the most viable transportation option for clients without vehicles. Would negatively impact our ability to move people off aid. D/D-Service is designed to help remove the transportation barrier CalWORKs clients face while employed or in training by directly transporting their children to school or child care. Approximately 86% of the 756 children using the service are S 18 CaIWORKs Children's Unknown $374,000 going to school and 14%are going to Transportation 374,000 day care. Elimination of the program would force working parents to transport children via car(if available),walking,a multiple-stop bus ride,or school bus service(if available.) Elimination would negatively impact our ability to move people off aid. D/D-Provides one-time assistance to approximately 22 families to move closer CalWORKs Housing— $80,000 to work,child care,or public S 18 Relocation Unknown 80,000 transportation. Elimination would result in clients incurring greater transportation costs leading to additional barriers to employment and job retention. 11 Strct/ Programs/ Services Number of Dollar Impact Non Budget Units Positions Reduction D/D-One-time assistance to approximately 8 families to prevent the S 18 CaIWORKs Housing— NIA $28,000 loss of housing due to financial hardship. Emergency Assistance 28,000 Elimination of the program would result in clients in need of this service becoming homeless and possibly losing their'obs. D/D-One-time assistance to 13 families exiting publicly funded transitional S 18 CalWORKs Housing- N/A $8,000 housing to access permanent housing. Transitional $8,000 Elimination of the program would result in clients needing this service becoming homeless and possibly losing their'obs. D/D-Under this Public Defender contract,services are provided to expunge past criminal records or convictions for approximately 24 persons S 18 CaIWORKs Clean Slate N/A $85,000 per month. Elimination of the program 85,000 would result in greater barriers to employment and career advancement for clients with criminal records,and would result in continued reliance upon public assistance. M/D-Reimburses over 300 clients each month for miles driven in compliance with work activities. Reducing mileage S 18 CaIWORKs Mileage N/A $138,159 reimbursement from the IRS level of Reimbursement to Clients 138,159 40.5¢per mile to the juror reimbursement rate of 34¢per male would equate to approximately$38 fewer dollars for mileage per client per month. D/D-Services are provided every month to over 350 CalWORKs clients that have gone off aid to help them transition to self-sufficiency and reduce the likelihood CaIWORKs Ancillary of returning to aid. Provides average of $478,643 $50 for reimbursement for books, S 18 Services Associated with NIA 478,653 uniforms,clothing,licenses and other Job Retention ancillary expenses associated with job retention. Elimination of the program would make the transition from public assistance to self-sufficiency more challenging. D/D-Over 350 CalWORKs clients that have gone off aid are provided an average of$278 per month in CalWORKs Transportation $1,448,926 reimbursement for mileage,bus tickets, S 18 Services Associated with N/A 1BART,and other transportation costs Job Retention ,448,926 associated with job retention. Elimination of the program would make the transition from public assistance to self-sufficiency more challenging. D/D-Under this contract with Health Services,inpatient substance abuse Alternative General $274.656 treatment and recovery is provided to S 32 Assistance Program N/A 274,656 approximately 512 indigent people per (AGAP) year. The intent of this contract is to provide needed services which may result in fewer persons applying for GA. D/D-Provides psychological evaluations $2,000 and mental health assessments for all S 32 GA-Psych Assessment N/A 2,000 GA clients as a condition of eligibility. Elimination of this contract results in shifts to other providers. D/D-Provides mental health status GA-Mental Health $2,000 evaluations for all GA clients as a S 32 Evaluations N/A 2,000 condition of eligibility. A reduction in this contract could be achieved based upon caseload. 12 Strct! Programs/ Services Number of Dollar Impact Non Budget Units Positions Reduction D/D-Assists over 230 eligible GA clients annually with obtaining SSI/SSP benefits S 40 SSI Advocacy for General Unknown $210,546 and recovers GA funds expended on Assistance 49,393 those who successfully obtain SSI/SSP. Reduction in this program would result in higher GA costs over time. D/D-Assists over 120 eligible clients S 40 SSI Advocacy for Unknown $210,546 annually with obtaining SSI/SSP benefits,thus improving the clients' CaNVORKs 49,392 financial status and decreasing long term costs to CaIWORKs. D/M-Provides adoption services to children,including home studies of families. There were 135 home studies and 204 adoptions in CY 04. Elimination of this contract with CDSS would shift S 2 Adoptions Unknown $3.179.727 responsibility for public adoption services 171,609 in our County to the State of California. Depending on State performance,Contra Costa children would/could continue in foster care,which would impact foster care payment budget and our Performance Outcomes. D/M-Provides match funding for many community based child abuse prevention services,and supports Zero Tolerance $356,030 for Domestic Violence implementation S 19 Child Abuse Prevention N/A 25,849 plan. Eliminating match funds will close programs for abused and neglected children and child care programs for at- risk families and lose over$800,000 in leveraged funds. D/D-In child welfare areas,contract parent aides provide required transportation to medical and dental S 22 Child Welfare Parent Aides N/A $952,000 appointments,tutoring,visits with non- 952,000 custodial parent and supervising visits with parents. Absent this contract, responsibility would fall to CW social work staff. D/D-Two contract DV liaisons work with child welfare staff in making decisions on S 22 Child Welfare DV Liaison N/A $100,000 cases that involve domestic violence and 100,000 child placement. Service results in better casework decisions and decreases in out-of-home placement. D/D-Receiving Centers geographically located in Richmond,Concord and Antioch serve as assessment sites for children when they are removed from their homes due to abuse or neglect. S 22 Receiving Centers Unknown $560,000 Services include health screenings, 560,000 clothing and bathing,abuse/neglect assessments,follow-up for suitable placement and care transition. Prior to and without RCs,kids were assessed at the scene of abuse/neglect or in a police vehicle. D/D-Under a contract with Mental Health,2 staff work with child welfare families to link up treatment services. S 22 Mental Health Liaison N/A $137,523 974 children required over$1 million in 34,380 treatment services last year. Absent this activity,many child welfare families would not access services necessary to keep their families together. 13 Strctf Programs/ Number of Dollar Non Budget Units Services Positions Reduction Impact D/D-Via a contract with CCCOE,2 liaisons help Social Casework Specialists $75,000 get foster children into schools and get S 22 Education Liaison N/A 75,000 their Individualized Education Planning (IEP)evaluations. Absent this service, foster child educational needs may not be addressed. D/D-PHNs facilitate scheduling medical and dental appointments for foster S 22 Public Health Nurses Unknown $190,000 children and do screening for children in 50,105 Receiving Centers. Reduction in service would result in less access to services for abuse/neglect victims. D/D-Child Welfare Services is routinely ordered by the Juvenile Court to obtain $300,000 drug testing services for clients as part of S 22 Substance Abuse Testing N/A 300,000 reunification plans. Absent these contract resources,the courts will not approve reunification or recognize our reasonable efforts as required by law. D/D- Local six-bed group home developed jointly with Mental Health for foster children who are severely Rose Manning Youth NIA $96,000 emotionally disturbed and have 2 S 2 Center 96,000 experienced multiple changes of placement. These funds are used with EPSDT and FC dollars to provide care and prevent more costly out-of-county placements. D/D-Two local six-bed group homes were developed as part of our emergency shelter care system when the S 22 Youth Homes N/A $120,000 county-run shelter closed. Without these 120,000 24 hour emergency placement beds and services,kids would be placed in homes ill equipped to provide the level of care required. D/D-Social Casework Assistants provide a range of services including preparing S 22 Social Casework 2 $229,824 court petitions,scheduling appointments, Assistants 143,640 visits and processing forms. Reduction of two positions would shift workload to others. M/D-This contract with County Counsel provides legal services and representation S 22 County Counsel N/A $2.555,234 in Juvenile Court. County Counsel would 561,047 need to provide an assessment of workload impact with any reductions in this contract. D/D-This family support program for first- time parents in Contra Costa County S 22 Welcome Home Bab Unknown $1,462,000 Provides services resulting in a healthy Baby 362,429 start for approximately 2,000 infants yearly. Funding leverages First Five and TCM to provide these early intervention/preventive services. D/M-The required match allows these discretionary dollars to contract with Family Preservation $1,767,587 several community based service S 24 Program N/A 352,748 programs for children in out-of-home placement,or at-risk placement. Failure to provide these services would result in increased placement costs. D/M-Under contract with the State,we process applications for foster home $1,028,214 licenses and provide support services to S 31 Foster Home Licensing Unknown 136,389 the 349 licensed Foster Parents in the County. Absent this contract,we would use higher cost Foster Family Agency Homes and group homes. 14 Strctl Programs/ Number of Dollar Non Budget Units Services Positions Reduction Impact D/D-This program serves babies and older children with alcohol and drug exposure issues,who are in foster or S 22 Heritage N/A $675,900 relative care;and provides their 143,635 caregivers with respite care. Reduction in this contract service would negatively impact our number of homes available to care for these children. Agency Temp Cost 304.000 D/D-As workload requirements change N/A S 15 Reductions 60,800 is State and local budget reductions, fewer agency temps will be utilized. D/D-County PSOs and private security services currently provide service at most S 15 Security Services Unknown $1.495.000 EHSD buildings. Reduction in the 299,000 numbers will negatively impact response to emergencies or our ability to deter violence. M/D-Closing facilities during slower Service Hours and $4.132.500 Periods and utilizing mandatory furloughs 1 S 5 Furloughs Unknown o n 867,900 for all staff will negatively impact services to the public. (Cost example based on six days per ear. D/D-Recent court case decision and Severely Emotionally negotiations with CCCOE may relieve S 22 Disturbed(SED)Cash N/A 1,335.992 County of financial responsibility for Assistance 801,592 approximately 18 SED children per month. CCCOE would be responsible for'County- share'of board and care costs. D/D-Provides outcome oriented, integrated delivery of human services Service Integration Team $689,816 from EHSD,DOHS and Probation in S 41 (SIT) N/A 157,445 target communities of Bay Point and North Richmond. Reductions would require populations to seek services at various district offices. M/D-EHSD volunteer services unit in Central-East and West County provides $435,400 services that are unavailable to clients S 15 Volunteer Services N/A 87,080 through state and federal programs. This program adds to the department in cash, in-kind goods and volunteer hours valued at over$2.46 million. M/D-Staff to the Workforce Development Board provides services including administrative assistance,strategic S 43 Workforce Development Unknown 240.240 Planning,board committee support, Board 48,048 contract monitoring,consortium liaison, grant development and Board representation within Contra Costa. A reduction of twenty percent would seriously erode support to the Board. M/D-Reduction of one Early Fraud S 17 Earl Fraud 1 $97,800 investigator position will result in Early 56,235 approximately 25 fewer welfare fraud investigations per month and/or higher workloads for remaining staff. M/D-Reduction of one Appeals Officer $117,396 would result in claimants'cash,Food S 15 Appeals 1 56,083 Stamps,Medi-Cal assistance not reduced or stopped;overpayment decisions not upheld,and IHSS hours increased. M/D-Reduction of one IEVS worker will S 15 Income and Eligibility 1 $90,060 result in CalWORKs and Food Stamp Verification System(IEVS) 90,060 overpayments not being collected and/or workload shifts to others. D/D-Discontinuance of this oversight and S 15 CaIWIN oversight contract N/A $230,112 quality assurance contract will have 206,029 minimal impact as the CaIWIN Program should be into the implementation stage. S 15 CalWIN Project N/A $184,500 D/D-Discontinuance of this contract will Management Contract 165,195 have minimal impact as CaIWIN Program should be into the implementation stage. 15 Strctl Programs/ Services Number of Dollar Impact Non Budget Units Positions Reduction $44,100 D/D-Discontinuance of the GA System S 15 GA Systems Contract N/A 44,100 support contract is enabled by CaIWINs inclusion of GA support. M/D-Administrative,support,supervisory and line staff reorganizations and job S N/A Reorganization and Job Unknown ? consolidations could result in Consolidation compensation cost savings. This will be considered as part of any Federal,State or Local budget and program reduction. M/D-Consolidating operations and selling assets vs.continuing decentralized S N/A Facilities N/A ? approach could result in overhead/revenue savings,but would impact service access by the public. M/D-Service delivery changes are being implemented in 05-06 which should result in longer term savings and cost S N/A Structural and Service Unknown ? avoidance,as well as improvements in Delivery Changes service delivery. Current projects include: CaIWIN;Medi-Cal Service Center;CW System Improvement;Scanning and Imaging;and Long Term Care Integration. 3. New State and Local Revenue Possibilities Strct/ Revenue Source $Increase Impact Non The department is anticipating a positive fund balance of$1+ million from its operations this year. This will allow offsetting funds N 04-05 Year End Fund Balance $1 million against NCC in FY 05-06. The occurrence of a year end balance happens because of reallocations of prior year state funds,higher unanticipated revenues,offsetting grants,moving programs into lower county cost programs,and midyear cutbacks. As the state closes out its accounting records for FY 03-04, State Prior Year Revenue over$2 counties that have claimed costs will be paid in 05-06. Based on N past trends,the department can anticipate unaccrued State Reallocations million revenue above allocations for$2+million in various programs, which can help address 05-06 costs. $150,000 to The department has ongoing foundation grants of approximately N Grant Revenue $300,000 $2 million;we anticipate another$150,000 to$300,000 in new rant support in 05-06. Social Service Realignment EHSD State Social Service Realignment revenue has increased S Trust Fund Revenue Growth $1.6 million above current year budget projections. This revenue can be used 04-05 to offset local social service costs in this next year. Social Service Trust Fund Based on the previous year's receipts,a higher funding base will S Realignment Revenue 05-06 $1.6 million be established contingent upon continued sales tax growth. This dedicated funding can help fund increased costs in 05-06. N CalWORKs TANF Incentive $400,000 Saved TANF incentive funds from prior years will be rolled over Funds into 05-06 to help offset costs. S Medi-Cal Revenue $900,000 State Department of Health Services may raise EHSD's Medi-Cal allocation to cover current staffing levels. 16 w Health Services Department Reference to Programs/ Number of Net County StrctlNon Mand/Discr Budget Units Services Positions Cost Savings Impact List S 1-7 Hospital Increase Hospital ongoing $1,250,000 None Revenue forecast Increase Health Plan S 5-13 Health Plan ongoing Revenue forecast --- $1,000,000 None S 22-29 Public Health Increase Public Health $250,000 None ongoing Revenue forecast S 31-38 Substance Increase Substance Abuse $500,000 None Abuse Revenue forecast Implement CCHP county None;may require Labor Agreement;Co- S 10 Health Plan employee Pharmacy co-pay $150,000 pay($5 generic,$10 brand;$15 non- formulary). Implement CCHP county None;may require Labor Agreement;ER S 10 Health Plan employee ER and Clinic --- $200,000 Co-pay of$25,Outpatient visit Co-pay of visit co-pay $5. Reduce Hospital 5 With the elimination of these 1 Hospital SAdministrative positions $350,000 administrative positions,there will be a loss of efficiency in operations. This savings comes from several service Reduce Public Health and supply reductions,restructuring to S 27 Public Health Administration .5 FTE $112,000 maintain existing staffing levels for the Developmental Disabilities council. EHSD Nursing works in the Aging&Adult Services Bureau to provide skilled nursing assessments and clinical consultations to approximately 50 social workers serving older adults and persons living with disabilities. Programs supported include S 28 Public Health EHSD Nursing Support 1 FTE $145,000 Information&Assistance,Adult Protective Services,In-Home Supportive Services, Linkages,and Multi-purposes Senior Services Program. Reduction will eliminate approximately 300 assessments for alleged victims of elder abuse/neglect and approximately 300 assessments and consultations for IHSS clients. Reduce outreach staff working directly in the most underserved communities of east and west county. Staff work with residents to PH Outreach,Education& strengthen ties between high-risk communiti S 28 Public Health Collaborations(PHOEC) .5 FTE $52,000 and key Health Services programs,improve Unit access to health services,and build community skills to utilize county health services and to address community health problems. Reduce one therapist in the CCS Medical S 50 CCS California Children Services Therapy Units.This will restrict the times 1 FTE (CCS) $50,000 that medical therapy will be available to CCS clients and limit the availability of therapy scheduling to CCS children. CHAPE develops data on the health status and needs of Contra Costa County and its communities and evaluates the effectiveness of County health programs Community Assessment& and services. This reduction will decrease S 28 Public Health Program Evaluation 1 FTE $70,000 our ability to secure and maintain grant (CRAPE) funding,particularly in the areas of homelessness,diabetes and obesity,and chronic disease control. Decrease capacity to provide community health data and funder-required program evaluations. Reduce nursing time available to the First S 28 Public Health PH Clinic Services(PHCS) .3 FTE $45,000 5-funded home visiting consultation and response team to the amount directly funded by First 5. Eliminate all Hospital Elimination of transportation contracts will S 2 Hospital transportation contracts N/A $75,000 mean that patients will have great difficulty getting to and from their medical care. 17 Reference to Programs/ Number of Net County Strct/Non Mand/Discr Budget Units Services Positions Cost Savings Impact List Reduce requested Hospital The reduction in hospital maintenance will maintenance from the result in physical plants that are in some S 3 Hospital TBD $600,000 state of disrepair. Depending upon the General Services actual building problems,this.could Department prevent effective use of the facilities. The developing obesity epidemic threatens to decrease life expectancy in the U.S.for the first time in history. Reductions will decrease capacity to plan and implement programs that improve access to healthy food in low-income communities. Eliminates technical assistance and funds to small grocery owners in Richmond who Community Wellness& want to sell fresh fruit and vegetables,and S 23 Public Health Prevention Program 1.5 FTE $148,000 ends support to farm stands selling fresh (CWPP)—Food&Nutrition produce in North Richmond. Associated loss of federal matching funds will decrease nutrition education sessions for low-income residents and eliminate training for physicians at the Richmond and Pittsburg Health Centers on nutrition and physical activity counseling for their patients. End support for West County faith organizations that are working to improve the nutrition of their congregations. Savings come from the elimination of one shelter staff FTE in the 100-bed West County adult shelter,and the realization of some unanticipated grant revenue. The staff reduction places additional i S 54 Homeless Homeless Program 1 FTE $136,000 responsibility on the homeless sheltermanager to provide more direct supervision and to ensure there is no compromise in client or staff safety. If r there appears to be safety problems,we will reduce the number of beds operated in the shelter. The Homeless Hotline receives 14,000 to y 18,000 calls per year from homeless persons in need of shelter and information. The recent implementation of I Crisis Homeless Management Information Homeless Program— Center System will allow the emergency shelter S 57 Homeless Homeless Hotline Hotline $76,000 staff to operate the Homeless Hotline Contract service in addition to their other duties. The expanded Homeless Outreach Teams now provide a major source of shelter referrals as part of the Homeless Ten- Year Plan,and provide a connection to services for homeless individuals. The Program provides health education presentations in local high schools focusing on responsible decision making, substance abuse,tobacco prevention, reproductive health and contraception, drinking and driving risks,communication skills,etc.,that currently reach close to 16,000 students per year. This reduction S 23 Public Health TeenAge Program(TAP) 8 Staff $240,000 will eliminate presentations to about 9,000 students per year and close our youth development project,Empowerment Through Action,at Middle College High School campus in Richmond. Reduce staff to the Pegasus Mentoring Project,a joint effort with Richmond High School which links 60 to 75 high school students with mentors. 18 Reference to Programs/ Number of Net County Strct/Non Mand/Discr Budget Units Services Positions Cost Savings Impact List Eliminate specific pregnancy testing-only clinics. Pregnancy testing would be S 23 Public Health Pregnancy Testing Clinic 1 FTE $125,000 available in CCHS through Family Practice clinics or Women's Health clinics only,or through Planned Parenthood. The Children's Oral Health Program currently provides educational services to 20,000 children in preschool and Children's Oral Health elementary school settings and dental S 28 Public Health 2 FTE $164,000 screenings for 16,000 school children. Program This reduction would eliminate 9,000 dental screenings annually and reduce our educational classroom visits from twice a year to one yearly visit per class. The reduction will lead to an additional loss of$400,000 to$600,000 in matching funds. The major impact would be upon reaching children and families with the information and resources regarding Child Health&Disability 7 to 10 health care coverage,health access,and S 24 Public Health Prevention Program Positions $200,000 necessary health services,as well as (CHDP) providing translation services to facilitate access for non-English speaking families. Priorities of the remaining CHDP staff would be directed toward those activities, to the extent allowed by the State CHDP requirements. The reduction in hospital and clinics Reduce Hospital housekeeping will result in a physical S 1 Hospital Housekeeping staff by 20% 13 FTE $850,000 plants that are less sanitary and, therefore,more likely to promote infectious disease. This action would eliminate all of the public safety officers in the HSD. Police Eliminate Public Safety and security activities would,after this S 1 Hospital Officers and cancel Sheriff 28 FTE $2,300,000 action,be relegated to the appropriate Management contract police agencies covering the HSD facilities. This action would cause a delay in responses to emergencies. Reduce STAND Domestic This action would limit our ability to S 43 Detention Violence contract N/A $150,000 provide domestic violence education and training. This action would essentially ration the outpatient care that is available to patients Reduce available clinic who quality as Basic Health Care clients. appointment slots to Basic We can anticipate that this action would S 2 Hospital Adult Care(Indigent) N/A $2,000,000 cause individuals to use the Emergency patients by 15% Room more often and to report disease processes later in their course. This would result is inferior access to care for these patients. Reduce the ability to provide TB case management to persons with active TB, including visiting TB patients and testing their contacts,as well as decreased oversight of directly observed therapy S 28 Public Health Tuberculosis Control 1.3 Staff $150,000 (DOT)for TB patients at-risk of non- Program compliance. Some patients may not complete treatment,leading to the possibility of the emergence of multiple drug-resistant TB. Fewer contacts will be identified and given preventive treatment, with the risk of more TB cases developing. 19 Reference to Programs/ Number of Net County Strct/Non Mand/Discr Budget Units Services Positions Cost Savings Impact List State immunization funding of$250,000 and the provision of State-funded vaccine for children to CCHS and community providers requires very specific and extensive program oversight and community immunization promotion activities. Those activities would have to be redistributed Immunization Program to existing staff and would lead to a S 28 Public Health Oversight 1 FTE $143,000 deterioration in important activities, including providing technical assistance to public and private medical providers, daycare centers,and schools;outreach to under-immunized populations;and campaigns to promote immunizations in Contra Costa. No existing immunization clinics will be eliminated as the result of this reduction. Public Health currently operates 11 Immunization Clinics per week throughout the county. Some of these clinics would S 28 Public Health Immunization Clinics .8 FTE $100,000 be eliminated,maintaining services at the most heavily utilized clinics. There would still remain opportunities for targeted immunization clinics around school opening,or other times. MVIP provides long-term home visiting by specially trained pediatric nurses for over 250 infants throughout the county born in S 24 Public Health Medically Vulnerable Infant 1 FTE $100,000 neonatal intensive care units,and who are Program(MVIP) at-risk for developmental and other disabilities. This reduction would eliminate services to about 60 infants annually. Reduce 25 beds in the Concord Single Adult Shelter. This means that as many as 75 individuals per year will not be served at the shelters or placed in permanent supportive housing. Single adult shelters/transitional housing is the S 53 Homeless Homeless Programs Single 2 FTE $86,000 key link in the County's Ten-Year Plan to Adult Shelters end chronic homelessness,which is the basis for$7.7 million dollars annually in federal funding for County homeless services. Currently there are over 2,000 single adults on the waiting list to access a shelter bed. This program provides translation and services to newly arriving refugees and immigrants as well as others with limited English,to assure needed health care. These staff work in clinics at CCRMC and Public Health,as well as in the S 28 Public Health Limited English Access 4.5 FTE $303,000 community. These reductions will limit the Program(LEAP) ability to make services available to non- English speaking persons and decrease capability to provide outreach and client navigation to non-English speaking patients. This reduction will impact the Department's legal mandate to make language services available. Further reductions in MVIP will leave us unable to meet the State requirements for the$250,000 in State funding for this i Eliminate Medically program and will require the elimination of S 24 Public Health Vulnerable Infant Program 3 FTE $162,000 the program. The remaining 190 high-risk (MVIP) infants from neonatal intensive care units will not receive long-term home visiting services from the specially trained pediatric MVIP nurses. 20 Reference to Programs/ Number of Net County Strct/Non Mand/Discr Budget Units Services Positions Cost Savings Impact List The Pediatric Unit has an average daily census of less than two children. Its closure would mean that those patients S 6 Hospital Close the Pediatric Unit 8.5 FTE $500,000 would have to be transferred to an alternative hospital. Since we are the only Medi-Cal pediatric unit in the county,this would mean a reduction in access to care for these patients. This reduction would also involve a loss of $600,000 to$800,000 federal matching = funding and would require program concentration on the absolute mandated CHDP functions. CHDP efforts in working S 24 Public Health Child Health&Disability 5 to 8 $100,000 with children and families to enroll them in Program(CHDP) FTE health coverage would be severely curtailed. CHDP activities in the local schools to enroll children in health coverage,translation services for Spanish, Laotian,Vietnamese speaking clients would be eliminated. The Senior Nutrition Program currently provides 190,000 meals to seniors at group sites and 240,000 home delivered meals annually. This reduction eliminates essentially all the County funding from a S 29 Public Health Senior Nutrition Program 1 FTE $100,000 $3 million federally funded program and reduces the administrative oversight of this complex program. In addition,highly successful fundraising efforts would end, which would lead to the loss of funding for thousands of meals annually. Reductions in PH Clinic Services would lead to major loss of targeted case management or federally qualified health center revenue for an estimated decrease matching funding of$1 million to$2 Public Health Clinic million. There would be major reductions S 28 Public Health Services(PHCS) 17.5 $300,000 in nurses providing home visiting of mothers and babies just discharged from the hospital,pediatric clinic services,and women's health and family planning services. We are working on further quantifying the impact. Further loss of an additional 25 beds in Homeless Programs Single the shelters for single adults,with the S 54 Homeless 2 FTE $85,000 continued compromise of the Homeless Adult Shelters Ten-Year Plan and ability to maintain federal funding for homeless programs. Veteran's Services Strctl Reference to Programs/ Number of Net County Non Mand/Discr Budget Units Services Positions Cost Savings Impact List N Veteran's Assistance to veterans,their 0 $ 25Increased cost of compensation 1 Services dependents and survivors. ,000 offset with prior year fund balance. 21 4 • BOARD OF SUPERVISORS Contra TO. :•=�� = �� ,. _ :--- -; Costa • John Sweeten Count Administrator ........... �� FROM. Y . _ DATE: May 17, 2005 A covCounty SUBJECT: FOLLOW-U P INFORMATION F ROM MAY 10, 2005 FY 2005-06 BUDGET WORKSHOP SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: ACCEPT report identifying structural proposed budget adjustments in the FY 2005-06 Preliminary Recommended Budget. BACKGROUND: On May 10, 2005, the Board of Supervisors held a Budget Workshop to hear presentations from selected department heads regarding specific follow-up information, which was requested at the Budget Workshops on April 19th and 20th. At the May 10th workshop, Supervisor Uilkema requested that staff identify the proposed budget adjustments for FY 2005-06 which are `structural' in nature. A `structural' change is a permanent budget adjustment that can be maintained beyond the FY 05/06 fiscal year. Structural adjustments include both increases to revenue, and reductions or elimination of services. A structural budget reduction is on-going and would remain in-place until the Board authorizes additional appropriations to re-initiate the program or service. Conversely, a non-structural budget adjustment is not anticipated to be ongoing past FY 2005-06. Budget adjustments in FY 2005-06 that are not structural will reappear as shortfalls in preparation for FY 2006-07 and will need to be readdressed at that time. Attached is a revised Program Reduction List from the FY 2005-06 Preliminary Recommended Budget which identifies the structural proposed reductions for each department. The first column of the attachment identifies the proposed budget adjustment by an "S" for structural or an "N" for non- structural. Overall, 71%, or $26.9 million of the recommended budget adjustments for FY 2005-06 are structural. On the other hand, $10.8 million of the proposed adjustments will need to be revisited in FY 2006-07. While every attempt was made to insure the permanency of the proposed adjustments, the policy of encouraging departments to maximize their FY 2004-05 fund balance by allowing them to apply 50% towards their FY 2005-06 cost increases, contributed $2.7 million to the $10.8 million of non- permanent adjustments. It is important to note that budget adjustments for Employment and Human Services are not included in this analysis pending the Governor's May R e. CONTINUED ON ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF ZOARD COMMITTEE APPROVE OTHER SIGNATURE(S): ACTION OF BOARD ON ! j-00. APPROVED AS RECOMMENDED OTHER ,.a Cf 61 C,1L --' VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF AN ACTION TAKEN AND ENTERED ON MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. UNANIMOUS(ABSENT AYES: NOES: ABSENT: ABSTAIN: Contact: Lisa Driscoll(925)335-1023 Cc. Auditor-Controller ATTESTED o County Administration JOHN SWEETO,CLERK OF 1HE BOARD OFSUPERVISORS � l BY: , DEPUTY