Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief of Health
Srija Srinivasan, Deputy Chief
Subject: FY 19-21 Budget Planning for Health - Update
RECOMMENDATION:
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Health Budget Study Session Report Back.
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BACKGROUND:
On September 25, 2018, we held a study session regarding the Health FY 19-21 budget projected gap and planning process. At that session, we confirmed that Health will meet its FY 18-19 responsibilities within our budgeted resources; however, we face challenges for the FY 19-21 cycle that will need to be addressed with advanced planning. We received your input to guiding principles, a planning process and timeline:
PROCESS & TIMELINE:
1. Outline developed and shared with Health leaders, July 2018 - Completed
2. Preview with San Mateo Medical Center (SMMC) Board, August - Completed
3. Assignments to Health divisions, August - Completed
4. Engage divisional staff and partners, September - Completed
5. BOS Study Session, September - Completed
6. Brief labor partners, late September/October - Completed
7. Brief other County department partners, October - Completed
8. Conclusion of preliminary planning, late November/early December - Completed
9. Checkpoint with County Manager's Office, December - Completed
10. Checkpoint with SMMC Board, January 2019 - Completed
11. Follow-up BOS Study Session, January - In progress
Work to continue through FY 19-20:
1. Follow-up with divisional staff and partners, January/February 2019
2. Development of 2-year budget plan, aligned with County budget schedule (completed by BOS budget hearings, June 2019)
3. Second-round planning and refinement for budget year 2, April-Fall 2019
4. Follow-up BOS Study Session for budget year 2, January 2020
5. Complete budget year 2 changes (completed by BOS budget hearing, June 2020)
As a reminder, Health revenues are largely flat and declining while costs for both directly ...
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