Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise Rogers, Chief of Health
Srija Srinivasan, Deputy Chief
Subject: FY 2019-21 Budget Planning for Health
RECOMMENDATION:
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Accept this report and offer guidance regarding the Health FY 2019-21 budget planning process, timeline, and budget balancing principles.
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BACKGROUND:
Health will meet its Fiscal Year 2018-19 responsibilities within our budgeted resources; however, we face challenges for the FY 2019-21 cycle that will need to be addressed with advanced planning. In June, your Board appointed Supervisors Canepa and Groom to a sub-committee to guide the planning, given their roles co-chairing the San Mateo Medical Center (SMMC) board of directors. Given the expectation that County financial risks will require a plan to meet a 2.5 percent reduction in Net County Cost (NCC), and our need to also address structural financial risks in State and federal funding sources, we have embarked on an early planning process to develop thoughtful recommendations for your Board that incorporate feedback from stakeholders. We expect to use a phased approach to address these challenges in each year of the FY 2019-21 cycle. We have expanded on the existing County of San Mateo Budget Balancing Principles and developed a set of additional principles to guide our planning.
PROCESS AND TIMELINE:
We have initiated our planning early and propose to include these milestones:
? Outline developed and shared with Health leaders, July 2018
? Preview with San Mateo Medical Center (SMMC) Board, August
? Assignments to Health divisions, August
? Engage divisional staff and partners, September
? BOS Study Session, September
? Brief labor partners, late September/October
? Brief other County department partners, October
? Conclusion of preliminary planning, late November/early December
? Checkpoint with C...
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