To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Approve Budget Amendment Nos. BDA-26-00648, BDA-26-00650, BDA-26-00684, BDA-26-00685, BDA-26-00689, BDA-26-00701, and BDA-26-00702
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE Budget Amendment No. BDA-26-00648 authorizing the appropriation of $279,096 in new revenue to the Health Services Department (HSD), Emergency Medical Services (0471); APPROVE Budget Amendment No. BDA-26-00650 authorizing expenditure and revenue adjustments and the appropriation of $1,194,600 in fund balance for County Service Area EM-1 (7406); APPROVE Budget Amendment No. BDA- 26-00684 authorizing the appropriation of $10,312,133 in new revenue to CCHP Community Plan (0861); APPROVE Budget Amendment No. BDA-26-00685 authorizing the appropriation of $320,738,919 in new revenue to the Contra Costa Health Plan (0860); APPROVE Budget Amendment No. BDA-26-00689 authorizing the appropriation of $1,586,242 interdepartmental transaction between West Contra Costa HealthCare District (7135) revenue increase and West Contra Costa HealthCare District Debt Svc (7136); and APPROVE Budget Amendment No. BDA-26-00701 authorizing expenditure adjustments in Mental Health (0467) and the transfer of $650,000 in appropriations from Mental Health to Detention Health Services (0301) and the transfer of $350,000 from Mental Health to Conservatorship (0451); APPROVE Budget Amendment No BDA-26-00702 authorizing a decrease in expenditure and revenue of $19,800,000 to the Hospital Enterprise Fund I (0540) as part of the HSD's FY 2025-26 year-end budget balancing process.
FISCAL IMPACT:
The Health Services Department, as part of the FY 2025/26 budget rebalancing, has identified the need to update its budget to better align revenue and expenditure appropriations projected year-end activity.
There is an appropriation of $279,096 in new revenue to the Health Services Department, Emergency Medical Services (0471). There is no impact to the net county cost for FY 2025/26. (BDA-26-00648)
There is an adjustment to expenditure appropriations and estimated revenue and the appropriation of $1,194,600 in fund balance for County Service Area EM-1 (7406). There is no impact to the net county cost for FY 2025/26. (BDA-26-00650)
There is an appropriation of $10,312,133 in new revenue to the CCHP Community Plan (0861). There is no impact to the net county cost for FY 2025/26. (BDA-26-00684)
There is the appropriation of $320,738,919 in new revenue to the Contra Costa Health Plan (0860). There is no impact to the net county cost for FY 2025/26. (BDA-26-00685)
There is an interdepartmental transfer between West Contra Costa HealthCare District (7135) revenue increase and West Contra Costa HealthCare District Svc (7136) transfers gov/gov expense increase. There is no impact to the net county cost for FY 2025/26. (BDA-26-00689)
There is an adjustment in Mental Health (0467) and the transfer of $650,000 in appropriation from Mental Health to Detention Health Services (0301) and the transfer of $350,000 from Mental Health to Conservatorship (0451). There is no impact to the net county cost for FY 2025/26. (BDA-26-00701)
There is an adjustment to decrease the expenditure and revenue appropriations of $19,800,000 to the Hospital Enterprise Fund I (0540). There is no impact to the net county cost for FY 2025/26. (BDA-26-00702)
BACKGROUND:
The recommended budget amendments adjust revenue and expenditure appropriations to accurately reflect FY 2025/26 budgetary requirements for Emergency Medical Services (0471); EM-1 (7406); CCHP Community Plan (0861); Contra Costa Health Plan (0860); West Contra Costa HealthCare District (7135); West Contra Costa HealthCare District Svc (7136); Mental Health (0467); Conservatorship (0451); and Hospital Enterprise Fund I (0540).
These adjustments are part of the Health Services Department’s FY 2025/26 budget rebalancing process and ensure that appropriations are aligned with anticipated revenues, expenditures and operational funding needs.
CONSEQUENCE OF NEGATIVE ACTION:
Appropriation will not be properly reflected in the FY 2025/26 budget