To: Board of Supervisors
From: Dr. Ori Tzvieli, Interim Health Services Director
Report Title: Approve Budget Amendment No. BDA-25-00106
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee

RECOMMENDATIONS:
APPROVE Budget Amendment No. BDA-25-00106 authorizing an increase to the Health Services Department (HSD), Health, Housing and Homeless (0463) expenditure and revenue budgets in the amount of $22,350,000 as part of HSD's FY2024-25 year-end budget balancing.
FISCAL IMPACT:
The Health Services Department, as part of the FY 2024/25 budget rebalancing, has identified the need for updates to the FY 2024/25 budget to better align the expenditure and revenue expectations for FY 2024/25. There is a redistribution in the expenditure and revenue budget within Health, Housing, and Homeless; an increase in revenues of $22,350,000 and an increase in expenditures of $22,350,000. There is no change to the net county cost for FY 2024/25.
BACKGROUND:
This action is to adjust the revenue and expenditure budgets to more accurately reflect budgetary requirements for Health, Housing, and Homeless (0463) for FY 2024/25. The Health Services Department, as part of the FY 2024/25 budget rebalancing, has identified the need for updates to the FY 2024/25 budget to better align the expenditure and revenue expectations for FY 2024/25, specifically aligning to the expenditures for the El Portal capital project and the associated State grant revenue.
CONSEQUENCE OF NEGATIVE ACTION:
Appropriations will not be properly reflected in the FY 2024/25 budget.