fy 2016-17 cao recommended operational plan · 2019. 11. 13. · economy 9 $0m $200m $400m $600m...

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


EXPENDITURES BY AGENCY FY2016-17 GOVERNOR’S PROPOSED BUDGET $170.7 BILLION

14


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

16


OPERATIONAL PLAN STRUCTURE CHANGE

CURRENT STRUCTURE

Aging & Independence Services




Regional Operations


FY2016-17 STRUCTURE

Aging & Independence Services




Self-Sufficiency Services


17


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%


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


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


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

21


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

22


BUDGETED HHSA STAFFING LEVELS

5.0K

5.3K

5.5K

5.8K

6.0K

6.3K

FY 07-08AdoptedBudget









FY16-17CAO

RecomdBudget

23


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

24


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


26

CalWORKS Recipients General Relief Recipients

$189.4M

$15.0M decrease

$14.0M

$3.4M increase


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.


PROGRAM EXPANSIONS – BEHAVIORAL HEALTH SERVICES

28


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.

29


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.


31

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

[email protected]

(619) 515-6548

Amy Thompson, Assistant Finance Director, HHSA

[email protected]

(619) 338-2100

Ardee Apostol, Revenue and Budget Manager, HHSA

[email protected]

(619) 338-2602

QUESTIONS

33

mailto:[email protected]



fy 2016-17 cao recommended operational plan · 2019. 11. 13. · economy 9 $0m $200m $400m $600m...

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