COUNTY OF SAN MATEO

Inter-Departmental Correspondence

Health Services Agency

DATE:

March 12, 2004

BOARD MEETING DATE:

April 6, 2004

TO:

Honorable Board of Supervisors

FROM:

Margaret Taylor, Director of Health Services

Lisa L. Mancini, Director of Aging and Adult Services

SUBJECT:

Amendment 1 to the Agreement with the California Department of Aging for Title III/VII of the Older Americans Act (OAA) of 1965

Recommendation

1.

Adopt a resolution authorizing the President of the Board of Supervisors to execute Amendment 1 to Agreement No. FF-0304-08 for Title III/VII with the California Department of Aging (CDA) for Fiscal Year 2003-2004

2.

Approve an Appropriation Transfer Request in the amount of $387,691 for the funding of Supportive Services, Ombudsman, Home Delivered Meals, Congregate Nutrition, and Preventive Health and Elder Abuse programs.

Background

Every four years the Area Agency on Aging (AAA) is required to submit a Planning and Service Area Plan for aging services to CDA. The state also requires that counties submit annual updates identifying revised goals and objectives for the coming fiscal year in order to claim their allotted OAA funds, which are determined through a statewide funding formula. The plan provides a profile of the County's senior population, identifies activities to improve and expand existing services as well as to develop new programs designed to address current countywide needs, and recommends services to be funded with San Mateo's OAA allocation.

On August 21, 2001, your Board approved the Strategic Plan for Services to Older Persons and Adults with Disabilities for 2001-05. This plan, together with the annual budget, fulfills CDA's requirements and generates a contract from CDA for funding.

Discussion

CDA distributes additional funds or reduces allocations periodically throughout the fiscal year as funds become available or are decreased. Amendment 1 to the Title III/VII agreement provides an additional $324,433 in State and Federal dollars. These funds will be used to increase reimbursements for Supportive Services, Ombudsman, Home Delivered Meals, Congregate Nutrition, and Preventive Health and Elder Abuse programs.

The Commission on Aging and County Counsel have approved this amendment.

Vision Alignment

This amendment to the existing agreement with CDA for Title III/VII keeps the commitment of ensuring basic health and safety for all and goal number 8: People-Help vulnerable people-the aged, disabled, mentally ill, at-risk youth and others-achieve a better quality of life. Funds for Title III/VII programs will contribute to this commitment and goal by providing transportation, home-delivered meals, congregate nutrition and adult day health care.

Fiscal Impact

There is no change to the term of this agreement. The original agreement with CDA for Title III/VII was for $2,412,679. Amendment 1 adds $324,433 to this agreement ($44,268 in State funds and $280,165 in Federal funds) for a total of $2,737,112. The Appropriation Transfer Request (ATR) adds these State and Federal funds to the adopted budget. In addition, the 2003-04 budget was based on a planning estimate from the Department of Aging, which was less than the eventual contract amount. Consequently, the budgeted revenues and appropriations for Title III/VII were short by $63,258. In order to bring the budgeted revenues and appropriations in line with the final amended agreement, this ATR adds another $58,564 in State funds and $4,694 in Federal funds. The total amount of revenues and appropriations added through this ATR is $387,691. Any ongoing expenditures will be reduced if funds are not available in future years. There is no impact on the County General Fund as a result of this amendment or the ATR.