Page 9 - laco20200427budget

The Honorable Board of Supervisors
April 28, 2020
Page 9

Public Health

 Health Facilities Inspection Services―Adds $21.1 million and 81 positions, fully
offset with State funding, to continue to transition the federal certification, State
licensing, and investigation of complaints and reported incidents from the State to
the Department of Public Health (DPH).

 Maternal, Child, and Adolescent Health―Provides $6.6 million, fully offset with
State funding, to oversee the medical and programmatic perinatal health programs
and to support the Medi-Cal Health Enrollment Navigators (MHEN) Project. The
MHEN Project connects uninsured residents to healthcare and assists in
navigating the healthcare system.

 Substance Abuse Prevention and Control (SAPC)―Adds 62 positions to DPH,
fully offset primarily with a reduction in contracted services, to expand SAPC
prevention services mainly through the establishment and operation of 50 student
well-being centers at schools across the County.

Health Services

 Patient-Centered Medical Homes (PCMH) Expansion―Reflects an increase of
$8.2 million and 71 positions, fully offset with the deletion of existing vacancies and
increased revenues from Health Homes Program/Medi-Cal managed care funding,
to enable the Department of Health Services (DHS) to integrate behavioral health
and social work services within the foundation of PCMH teams, as well as enhance
the care management services provided to the highest-risk adult patients.

 Specialty Health Care―Reflects an increase of $2.8 million and 5 positions to
assist the Chief Medical Officer in evaluating and improving specialty care
services, such as ophthalmology and radiology, to reduce wait times and improve
patient outcomes. The 5 positions are offset with existing vacancies.

 Housing for Health Programs―Provides $6.0 million in State grant funding to
add 75 beds and additional service capacity to the Bell Recuperative Care Center.
Also reflects $570,000 for expanded street-based homeless engagement services,
and the reversal of various one-time funding.