fy 2016-17 cao recommended operational plan · 2019. 11. 13. · economy 9 $0m $200m $400m $600m...
TRANSCRIPT
FY 2016-17 CAO RECOMMENDED OPERATIONAL PLAN
May 2016
1
HEALTH AND HUMAN SERVICES AGENCY
MISSION STATEMENT
To make people’s lives healthier, safer, and self-sufficient by delivering
essential services in San Diego County.
DIVISIONS
Aging and Independence Services
Behavioral Health Services
Child Welfare Services
Public Health Services
Self-Sufficiency Services
Administrative Support
2
AGENDA
ECONOMY
GOVERNOR’S PROPOSED BUDGET
FY 2016-17 CAO RECOMMENDED BUDGET
NEXT STEPS
3
ECONOMY
4
ECONOMY
UNEMPLOYMENT RATE
5.6%
6.7% 6.8%
7.4%
6.8%
4.6%
5.4% 5.1%
5.6% 5.8% 5.4%
5.8%
4.0%
4.7%
United States California SanBernardino
County
Los AngelesCounty
RiversideCounty
OrangeCounty
San DiegoCounty
March 2015 March 2016
Source: State of California, Employment Development Department, Labor Market Division, April 15, 2016 5
ECONOMY
100
105
110
115
120
125
130
135
140
145
150
Feb-06 Feb-07 Feb-08 Feb-09 Feb-10 Feb-11 Feb-12 Feb-13 Feb-14 Feb-15 Feb-16
1. Index components: building permits, unemployment insurance, stock prices, consumer confidence, help wanted advertising, national economy.
2. Source: USD Index of Leading Economic Indicators for San Diego County, March 31, 2016; Burnham-Moores Center For Real Estate, University of San Diego.
INDEX OF LEADING ECONOMIC INDICATORS FOR SAN DIEGO COUNTY
6
ECONOMY
MEDIAN PRICE OF EXISTING HOMES SOLD – SAN DIEGO
$0K
$100K
$200K
$300K
$400K
$500K
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016
Source: California Association of Realtors/Core Logic 7
ECONOMY
8
ECONOMY
9
$0M
$200M
$400M
$600M
$800M
$1,000M
$1,200M
GENERAL PURPOSE REVENUE HISTORY
General Purpose Revenue for Fiscal Years 2003-04 through 2014-15 represents actual revenue. Fiscal Year 2015-16 represents the 2nd quarter estimate produced in December
2015. For Fiscal Years 2016-17 and 2017-18, the projections are included in the Fiscal Years 2016-18 Recommended Operational Plan.
*Projected
ECONOMY
STATE PERSONAL INCOME TAX REVENUE
$0B
$15B
$30B
$45B
$60B
$75B
$90B
FY06-07 FY07-08 FY08-09 FY09-10 FY10-11 FY11-12 FY12-13 FY13-14 FY14-15 FY15-16* FY16-17*
Source: State of California, Governor’s Proposed Budget schedules for fiscal years 2008-09 through 2016-17
*Projected
$0.0B
$0.4B
$0.8B
$1.1B
$1.5B
$1.9B
$2.3B
FY06-07 FY07-08 FY08-09 FY09-10 FY10-11 FY11-12 FY12-13 FY13-14 FY14-15 FY15-16* FY16-17*
ECONOMY
MENTAL HEALTH SERVICES ACT REVENUE
Source: State of California, Governor’s Proposed Budget schedules for Fiscal Years 2008-09 through 2016-17
*Projected 11
ECONOMY
CALIFORNIA ANNUAL TAXABLE SALES1 TREND
$400B
$435B
$470B
$505B
$540B
$575B
$610B
2007 2008 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017*
Taxable sales stated in calendar year 2009 dollars.
*2014 through 2017 projected by UCLA Anderson Forecast, December 2015 12
ECONOMY
CALIFORNIA SALES & USE TAX
REVENUE
$20.5B $22.3B
$23.7B $25.2B $25.9B
FY12-13 FY13-14 FY14-15 FY15-16*FY16-17*
1991/2011 HEALTH & HUMAN
SERVICES REALIGNMENT REVENUE
$8.3B $8.7B
$9.3B $9.8B
$10.2B
FY12-13 FY13-14 FY14-15 FY15-16*FY16-17*
Source: State of California, Governor’s Proposed Budget Summary FY2016-17, 2015-16, 2014-15
*Projected 13
GOVERNOR’S PROPOSED BUDGET
EXPENDITURES BY AGENCY FY2016-17 GOVERNOR’S PROPOSED BUDGET $170.7 BILLION
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GOVERNOR’S PROPOSED BUDGET
Expanded Medi-Cal Health Insurance For All Low-income Children
Medi-Cal Growth/Expansion/1115 Waiver
In-Home Supportive Services Fair Labor Standards Act (FLSA)
Child Welfare Services Continuum of Care Reform
15
FY2016-17 CAO RECOMMENDED BUDGET
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FY2016-17 CAO RECOMMENDED BUDGET
OPERATIONAL PLAN STRUCTURE CHANGE
CURRENT STRUCTURE
Aging & Independence Services
Behavioral Health Services
Child Welfare Services
Public Health Services
Regional Operations
Administrative Support
FY2016-17 STRUCTURE
Aging & Independence Services
Behavioral Health Services
Child Welfare Services
Public Health Services
Self-Sufficiency Services
Administrative Support
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FY2016-17 CAO RECOMMENDED BUDGET
Budget by Program: $1.8 billion
18
In-Home Supportive
Services ($92.1M) 5.0%
Administrative Support ($159.6M) 8.7%
Behavioral Health Services ($500.6M) 27.2%
Self-Sufficiency
Services ($539.5M) 29.3%
Public Health Services (129.2M) 7.0%
Child Welfare
Services ($354.0M) 19.2%
Office of Military and
Veterans Affairs ($2.5M) 0.1%
Adult Protective
Services ($10.0M) 0.5%
Aging Programs ($37.2M) 2.0%
Other Funds ($17.5M) 0.9%
FY2016-17 CAO RECOMMENDED BUDGET
HHSA EXPENDITURES: $1.8 billion
Salaries & Benefits ($588.5M) 31.9%
Services/Supplies
(non-contracts) ($182.1M) 9.9%
Contracts ($622.9M) 33.8%
Other Costs ($26.0M) 1.4%
Assistance Payments ($402.6M) 21.9%
Management Reserves ($20.0M) 1.1%
19 Decrease of $162.1M from FY2015-16 Adopted Budget
FY2016-17 CAO RECOMMENDED BUDGET
Intergovernmental
Funds ($1.0 billion) 56.6%
Realignment ($586.8M) 31.9%
Tobacco Settlement
Funds ($14.0M) 0.8%
Other Funds ($75.9M) 4.1%
Fund Balance ($52.9M) 2.9%
General Purpose Revenue ($69.7M) 3.8%
HHSA REVENUES: $1.8 billion
20 Decrease of $162.1M from FY2015-16 Adopted Budget
FY2016-17 CAO RECOMMENDED BUDGET
Program FY2015-16
Adopted
Budget
FY2016-17
CAO Recomd
Budget
Change % Change
Self-Sufficiency Services 2,363.00 2,519.00 156 6.6%
Aging Programs 149.00 148.00 -1 -0.7%
Adult Protective Services 68.00 69.00 1 1.5%
In-Home Supportive Services 160.00 211.00 51 31.9%
Behavioral Health Services 789.00 818.00 29 3.7%
Child Welfare Services 1,364.00 1,364.00 0 0.0%
Public Health Services 643.50 645.50 2 0.3%
Administrative Support 427.00 426.00 -1 -0.2%
Office of Military and Veterans Affairs 13.00 16.00 3 23.1%
Total 5,976.50 6,216.50 240 4.0%
STAFFING CHANGES – BY PROGRAM
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FY2016-17 CAO RECOMMENDED BUDGET
Self-Sufficiency Services: 150.00 staff years
Addresses State’s expansion of full-scope Medi-Cal to all low-income children
In-Home Supportive Services: 50.00 staff years
Responds to caseload growth and new FLSA compensation requirements
Behavioral Health Services: 30.00 staff years
Supports growth in BHS programs and contracted services
Administrative Support Services: 8.00 staff years
Supports overall program growth, primarily in Self-Sufficiency Services
Office of Military and Veterans Affairs: 3.00 staff years
Provides for increased counseling and outreach services
ADDITION OF 240 STAFF YEARS
Additions offset by transfer of one position from Child Welfare Services to County Counsel
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FY2016-17 CAO RECOMMENDED BUDGET
BUDGETED HHSA STAFFING LEVELS
5.0K
5.3K
5.5K
5.8K
6.0K
6.3K
FY 07-08AdoptedBudget
FY 08-09AdoptedBudget
FY 09-10AdoptedBudget
FY 10-11AdoptedBudget
FY 11-12AdoptedBudget
FY 12-13AdoptedBudget
FY 13-14AdoptedBudget
FY 14-15AdoptedBudget
FY 15-16AdoptedBudget
FY16-17CAO
RecomdBudget
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FY2016-17 CAO RECOMMENDED BUDGET
HHSA MAJOR BUDGET CHANGES
Decreases
$250.3M – Transferred In-Home Supportive Services Collective Bargaining
$15.0M - CalWORKs Payments
Increases
$44.7M - Expanded Behavioral Health Services Programs
$33.7M – Added 240 Staff Years, Negotiated Labor Agreements, Increased
Retirement Contributions
$11.8M - Program Enhancements/Adjustments
$9.6M - Operational Excellence (IT and Facilities)
$3.4M – General Relief Payments
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FY2016-17 CAO RECOMMENDED BUDGET
IN-HOME SUPPORTIVE SERVICES (IHSS) CASELOAD
20,000
22,000
24,000
26,000
28,000
30,000
FY12-13Actual
FY13-14Actual
FY14-15Actual
FY15-16Estimated
FY16-17Projected
Monthly Average Authorized Cases
25
50,000
60,000
70,000
80,000
90,000
Mar-07
Mar-08
Mar-09
Mar-10
Mar-11
Mar-12
Mar-13
Mar-14
Mar-15
Mar-16
0
500
1,000
1,500
2,000
2,500
3,000
3,500
Mar-07
Mar-08
Mar-09
Mar-10
Mar-11
Mar-12
Mar-13
Mar-14
Mar-15
Mar-16
FY2016-17 CAO RECOMMENDED BUDGET
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CalWORKS Recipients General Relief Recipients
$189.4M
$15.0M decrease
$14.0M
$3.4M increase
FY2016-17 CAO RECOMMENDED BUDGET
27
0
100,000
200,000
300,000
400,000
500,000
600,000
700,000
800,000
Mar-07
Mar-08
Mar-09
Mar-10
Mar-11
Mar-12
Mar-13
Mar-14
Mar-15
Mar-16
0
50,000
100,000
150,000
200,000
250,000
300,000
350,000
Mar-07
Mar-08
Mar-09
Mar-10
Mar-11
Mar-12
Mar-13
Mar-14
Mar-15
Mar-16
Medi-Cal Recipients CalFresh Recipients
Increase of $44.7M proposed to expand contracted services
Highlights include:
Initiatives to address homelessness including permanent supportive
housing for homeless individuals with serious behavioral health conditions
and Project One For All.
Expansion of Psychiatric Emergency Response Teams (PERT).
Increase in support services to Full Service Partnerships.
Expansion of hospital-based crisis stabilization services.
Expansion of mental health services for underserved communities and
populations.
FY2016-17 CAO RECOMMENDED BUDGET
PROGRAM EXPANSIONS – BEHAVIORAL HEALTH SERVICES
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FY2016-17 CAO RECOMMENDED BUDGET
PROGRAM ENHANCEMENTS / ADJUSTMENTS $11.8M
$5.0M for Child Welfare Services programs to:
Support foster parents and caregivers.
Prevent commercial sexual exploitation of children.
Strengthen efforts to improve child well-being.
$2.8M for Public Health Services preventive health and HIV prevention
activities and ambulance transports.
$1.5M for Community Action Partnership community improvement
projects and social services programs.
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FY2016-17 CAO RECOMMENDED BUDGET
PROGRAM ENHANCEMENTS / ADJUSTMENTS $11.8M
30
$1.0M for Self-Sufficiency Services related to Subsidized Employment
& Family Stabilization.
$0.7M for home- or community-based assistance with activities of daily
living for Veterans.
$0.4M for Self-Sufficiency Services Medi-Cal Renewal Grant Activities.
$0.4M for Alzheimer’s programs.
FY2016-17 CAO RECOMMENDED BUDGET
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OPERATIONAL EXCELLENCE $9.6M INFORMATION TECHNOLOGY
FACILITIES
BEFORE
AFTER
FINANCIAL PLANNING CYCLE NEXT STEPS
JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
Finance Plan Op Plan Development
Strategic Planning
5-Year Forecast
Advisory
Board
Meetings
BOS
Public
Hearings
Legislative
Program
build-out
begins
Board
Adopts
Budget
Advisory
Chair
Meeting
Legislative
Program
brought
before BOS
Legislative
Program
goes into
effect
Governor’s
Proposed
Budget
Release
Advisory
Chair
Meeting
CAO
submits Op
Plan to
BOS
State May
Revise
Budget
Board
Deliberations
Key Dates
May 3, 2016 BOS accepts CAO Recommended Operational Plan
May 2016 Advisory Board presentations
June 13-22, 2016 Public Hearings
June 22, 2016 Last Day for Citizen Advisory Committees to Submit Budget Statements
June 28-29, 2016 BOS Deliberations
Aug 2, 2016 BOS adopts Operational Plan 32
Andrew Pease, Executive Finance Director, HHSA
(619) 515-6548
Amy Thompson, Assistant Finance Director, HHSA
(619) 338-2100
Ardee Apostol, Revenue and Budget Manager, HHSA
(619) 338-2602
QUESTIONS
33