The URL can be used to link to this page

Home My WebLink AboutAgenda 10-17-23; 8-c - Fiscal Year 2023-24 Budget Amendment #2 1 ORD-2023-039 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: October 17, 2023 Action Agenda Item No. 8-c SUBJECT: Fiscal Year 2023-24 Budget Amendment #2 DEPARTMENT: County Manager's Office ATTACHMENT(S): INFORMATION CONTACT: Attachment 1. Year-to-Date Budget Kelly Guadalupe, (919) 245-2156 Summary Attachment 2. Health Department Fee Schedule Revisions PURPOSE: To approve budget, grant, and capital project ordinance amendments for Fiscal Year 2023-24. Housing Department 1. The Housing Department has deferred Emergency Housing Voucher Funds unspent in FY 2022-23. These funds will be used to provide additional emergency vouchers in the wake of the COVID-19 Pandemic. This amendment reauthorizes $17,454 in the Housing Choice Voucher Fund, outside of the General Fund. SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goals are applicable to this item: • GOAL: FOSTER A COMMUNITY CULTURE THAT REJECTS OPPRESSION AND INEQUITY The fair treatment and meaningful involvement of all people regardless of race or color; religious or philosophical beliefs; sex, gender or sexual orientation; national origin or ethnic background; age; military service; disability; and familial, residential or economic status. • GOAL: ENSURE ECONOMIC SELF-SUFFICIENCY The creation and preservation of infrastructure, policies, programs and funding necessary for residents to provide shelter, food, clothing and medical care for themselves and their dependents. Health Department 2. The Health Department requests to amend the County Fee Schedule to include the new fees detailed in Attachment 2. These changes to the fee schedule do not affect revenues budgeted for FY 2023-24. The proposed modifications are to more accurately reflect administration cost, update the Medicaid reimbursement rate, remove services no longer 2 offered, and to recognize new services for which a fee will be charged. The COVID-19 fees that are additions or increases are billed to private insurance in cases where patients have insurance, and in cases where patients are uninsured or underinsured, they do not pay a fee. These fees were approved by the Board of Health on August 23 and September 20, 2023. SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goals are applicable to this item: • GOAL: ENSURE ECONOMIC SELF-SUFFICIENCY The creation and preservation of infrastructure, policies, programs and funding necessary for residents to provide shelter, food, clothing and medical care for themselves and their dependents. Sheriff's Office 3. One of the Sheriff's Office vehicles was totaled in a motor vehicle accident in June 2023. The County's insurance policy provided $26,502 to purchase a replacement vehicle. The Sheriff's Office has also received $22,570 in proceeds from sales of surplus vehicles. These funds will be utilized to purchase future vehicles. This amendment recognizes this revenue in the County Capital Fund, amending the following Capital Ordinance: Vehicle Replacements ($49,072) - Project# 12000 Revenues for this project: Current FY 2023-24 FY 2023-24 FY 2023-24 Amendment Revised Alternative Financing $1,781,130 $0 $1,781,130 Contribution from Hillsborough $9,000 $0 $9,000 Insurance Reimbursement $0 $26,502 $26,502 Sale of Fixed Assets $0 $22,570 $22,570 Total Project Funding $1,790,130 $49,072 $1,839,202 Appropriated for this project: Current FY 2023-24 FY 2023-24 FY 2023-24 Amendment Revised Vehicle Replacement Project Expenditures $1,790,130 $49,072 $1,839,202 Total Costs $1,790,130 $49,072 $1,839,202 SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goals are applicable to this item: • GOAL: CREATE A SAFE COMMUNITY The reduction of risks from vehicle/traffic accidents, childhood and senior injuries, gang activity, substance abuse and domestic violence. Department of Social Services 4. The department has received additional funds of $12,855 for Supplemental Nutrition Assistance Program (SNAP) American Rescue Plan Act (ARPA) from the State for 3 administrative expenses. This budget amendment provides for the receipt and appropriation of these additional funds. SOCIAL JUSTICE IMPACT: The following Orange County Social Justice Goal is applicable to this item: • GOAL: ENSURE ECONOMIC SELF-SUFFICIENCY The creation and preservation of infrastructure, policies, programs and funding necessary for residents to provide shelter, food, clothing and medical care for themselves and their dependents. ENVIRONMENTAL IMPACT: There are no Orange County Environmental Responsibility Goal impacts associated with these items other than as noted otherwise above. FINANCIAL IMPACT: Financial impacts are included in the background information above. This budget amendment provides for the receipt of these additional funds in FY 2023-24 and increases the General Fund by $12,855, the Housing Choice Voucher Fund by $17,454 and the County Capital Fund by $49,072. RECOMMENDATION(S): The Manager recommends the Board approve the budget, grant, and capital project ordinance amendments for Fiscal Year 2023-24. 4 Year-To-Date Budget Summary Fiscal Year 2023-24 Housing Fund Budget Summary General Fund Choice County Voucher Capital Fund Original Budget Revenue $271,114,238 $6,858,632 $28,888,432 Interfund Transfer Revenue $1,391,290 Fund Balance Appropiation $7,000,000 Total Original Budget $279,505,528 $6,858,632 $28,888,432 Additional Revenue Received Through Budget Amendment#2(October 17,2023) Grant Funds $679,598 $17,454 Non Grant Funds $16,241 $49,072 Additional Interfund Transfer Revenue $66,088 Additional Fund Balance Appropriation Total Amended Budget $280,267,455 $6,876,086 $28,937,504 Dollar Change in 2023-24 Approved Budget $761,927 $17,454 $49,072 Change in 2023-24 Approved Budget 0.28%1 0.25% Authorized Full Time Equivalent Positions Original Approved Full Time Equivalent Positions(includes Permanent and Time Limited) 1,001.800 5.850 Changes to Full Time Equivalent Positions Amended Approved General Fund Full Time Equivalent Positions 1,001.800 5.850 0.000 Total Approved Full-Time-Equivalent Positions for Fiscal Year 2023-24 1,001.800 5.850 0.000 Attachment 2. Health Department Fee Schedule Revisions 5 CPT Code Description Current Fee Proposed Change Last Revision Notes 96158 Health Behavior Ivntj Indiv 1st 30 minutes $0.00 $56.94 N/A NEW 96159 Health Behavior Ivntj Indiv Each Additional 15 minutes $0.00 $19.86 N/A NEW Diphtheria,tetanus toxoids,acellular pertussis vaccine,haemophilus influenza Type B, 90697 inactivated poliovirus vaccine and Hep B DTaP-IPV/Hib 6 weeks through 4 years-Vaxelis $0.00 $134.53 N/A NEW 90380 1 RSV,monoclonal antibody,seasonal dose,0.5 mL dosage for intramuscular-BeyFortus $0.00 $99.75 N/A NEW 90381 RSV,monoclonal antibody,seasonal dose,1.0 mL dosage for intramuscular-BeyFortus $0.00 $99.75 N/A NEW 87324 Clostridium Difficile Toxin(UNC Lab $0.00 $14.57 N/A NEW 87449 Infectious Agent Detection by Enzyme Immunoassay Tech,Qualitative(UNC Lab) $0.00 $14.57 N/A NEW 87426 Detection Test by Immunoassay Tech for SARS Coronovirus(UNC Lab) $0.00 $38.13 N/A NEW Infectious Agent Dection by DNA or RNA for SARS-COV-2 and Influenza Virus Types A&B 87637 and RSV(UNC Lab $0.00 $142.63 N/A NEW Immunization Administration by Intramuscular Injection of SARS-Coronovirus-Booster 0134A Dose $0.00 $65.00 N/A NEW 87484 Ehrlichia PCR(UNC Lab $0.00 $35.09 N/A NEW 86666 Ehrlichia IGG Titers(UNC Lab $0.00 $10.18 N/A NEW 87563 M coplasma Genitalium(UNC Lab $0.00 $35.09 N/A NEW Revise:New Medicaid 59430 Postpartum Care Only $175.00 $181.66 2012 reimbursement rate as of 7/23 0020A Novavax COVID-19 Vaccine 12 years and older,5 dose vial $0.00 $113.00 N/A NEW 0001A 1Pfizer COVID-19 Vaccin Adult 12 years and older,single dose vial $65.00 $115.00 2022 Revise to reflect administration cost 0002A Pfizer COVID-19 Vaccin Adult 12 years and older,prefilled syringe) $65.00 $115.00 2022 Revise to reflect administration cost 0003A Pfizer COVID-19 Vaccin Pediatric 5 to 12 years,single dose vial $65.00 $77.00 2022 Revise to reflect administration cost 0004A Pfizer COVID-19 Vaccin Pediatric 6 months to 5 years,3-dose vial) $65.00 $58.00 2022 Revise to reflect administration cost 0051A $65901 $0.00 2022 Remove 0062 $6590 $0.00 2022 Remove 0063 $65 00 $0.00 2022 Remove 0054A $65 00 $0.00 2022 Remove 0074A OVID 19Va.e'n Add(1st) o that.,,. $66-.00 $0.00 2022 Remove 0072A Pfizer GOVID19v..,.oin Add(2nd��a $66-.00 $0.00 2022 Remove 0011A Moderna COVID-19 Vaccine Aft)Adult(12 years and older,single dose vial) $65.00 $115.00 2022 Revise to reflect administration cost 0012A Moderna COVID-19 Vaccine Ada)Adult(12 years and older,prefilled syringe) $65.00 $115.00 2022 Revise to reflect administration cost 0013A Moderna COVID-19 Vaccine Adman(3rd)Pediatric(6 months to 11 years,single dose vial) $65.00 $115.00 2022 Revise to reflect administration cost 0044A $609 $0.00 2022 Remove