Title
Consider recommendations regarding the County Health Department (CHD), Fiscal Year (FY) 2026-2027, Budget Revision and Staffing Allocation Request, as follows: (4/5 Vote Required)
a) Review and approve CHD’s Revised Budget to increase unanticipated revenue associated with the restoration of the Medi-Cal Prospective Payment System reimbursement rate for those with Unsatisfactory Immigration status (UIS) for the CHD’s Federally Qualified Health Centers in the amount up to $6,600,000.00, depending on reimbursable services rendered;
b) Adopt an amendment to the Salary Resolution to allocate $2,269,542.00 to the CHD to restore seven (7) 1.0 Full Time Equivalent (FTE) Staff Nurses, two (2) 1.0 FTE Administrative Office Professionals, two (2) 1.0 FTE Financial Office Professionals, one (1) 1.0 FTE Health Education Assistant, two (2) 1.0 FTE Medical Assistants, and one (1) 1.0 FTE Pharmacy Technician;
c) Approve Budget Revision Request No. 0011161 in the amount of $6,600,000.00 revenue and expenses, and to reduce use of fund balance by $3,800,000.00 for the CHD FY 2026-2027; and
d) Determine that the recommended actions do not constitute a “Project” within the meaning of the California Environmental Quality Act (CEQA) and are exempt pursuant to Section 158378(b)(4) of the CEQA Guidelines, since the recommended actions are the creation of government funding mechanisms or other government fiscal activities, which do not involve any commitment to any specific project which may result in a potentially significant physical impact on the environment.