The Budget Hearing for Monday, June 15, 2009, will begin at 1:30 p.m., and the evening session will begin at 6:30 p.m.

Roll Call.

Pledge of Allegiance.

Public Comment. (This item is reserved for persons desiring to address the Board on any matter not on this agenda.) Members of the public who wish to address the Board on any item not listed on the agenda should complete a request to speak form and place it in the tray near the podium. The President will call individuals to the podium in turn. Speakers are limited to one minute. The law does not permit Board action or extended discussion of any item not on the agenda except under special circumstances. If Board action is requested, the Board may place the matter on a future agenda. All statements that require a response will be referred to staff for reply in writing.

Overview of the Acting County Executive's Fiscal Year (FY) 2010 Recommended Budget. (G. Graves/L. Crowell)

Possible action:

Accept new and/or updated information relating to the Acting County Executive's FY 2010 Recommended Budget.

Consider recommendations relating to the Harvey M. Rose Accountancy Corporation review of the Fiscal Year (FY) 2010 Acting County Executive's Recommended Budget. (R. Mialocq)

Possible action:

1. Accept report from the Harvey M. Rose Accountancy Corporation on findings from the review of the FY 2010 Acting County Executive's Recommended Budget

2. Accept Acting County Executive response to Harvey M. Rose Accountancy Corporation findings from the review of the FY 2010 Acting County Executive's Recommended Budget.

Accept information relating to the Fiscal Year 2010 Inventory of Budget Proposals.

Consider funding proposals from members of the Board of Supervisors.

Possible action:

Refer item for final consideration and approval on June 19, 2009 (see Item No. 111).

Accept report from the Health and Hospital Committee (L. Kniss, Committee Chairperson)

Consider the Acting County Executive's Fiscal Year 2010 Recommended Budget for Senate Bill 12 and Intergovernmental Transfer Payments. (Budget Unit 409) (N. Kaatz and M. Skehan)

Possible action:

Refer item for final consideration and approval on June 19, 2009 (see Item No. 111).

Consider the Acting County Executive's Fiscal Year 2010 Recommended Budget for Children's Health Initiative. (Budget Unit 612) (N. Kaatz and M. Skehan)

Possible action:

Refer item for final consideration and approval on June 19, 2009 (see Item No. 111).

Consider the Acting County Executive's Fiscal Year 2010 Recommended Budget for Proposition 99 Non-County Hospitals. (Budget Unit 721) (N. Kaatz and M. Skehan)

Possible action:

Refer item for final consideration and approval on June 19, 2009 (see Item No. 111).

Consider the Acting County Executive's Fiscal Year 2010 Recommended Budget for Children's Shelter and Custody Health Services. (Budget Unit 414) (M. Barry)

Possible action:

Refer item for final consideration and approval on June 19, 2009 (see Item No. 111).

Consider the Acting County Executive's Fiscal Year 2010 Recommended Budget for Department of Alcohol and Drug Services. (Budget Unit 417) (R. Garner)

Possible action:

Refer item for final consideration and approval on June 19, 2009 (see Item No. 111).

Consider Fiscal Year 2010 Inventory Proposal No. 16. (G. Shirakawa/K. Yeager)

Possible action:

1. Restore one Psychiatric Social Worker II position and one Marriage Family Therapist II position for the Drug Treatment Court, restoring ongoing General Fund appropriations for salaries and benefits of $245,587 and restoring ongoing General Fund appropriations for services and supplies of $12,369.

2. Refer item for final consideration and approval on June 19, 2009 (see Item No. 111).

Consider the Acting County Executive's Fiscal Year 2010 Recommended Budget for Community Health Services. (Budget Unit 418) (M. Maida)

Possible action:

Refer item for final consideration and approval on June 19, 2009 (see Item No. 111).

Consider the Acting County Executive's Fiscal Year 2010 Recommended Budget for Valley Health Plan. (Budget Unit 725) (R. Roche)

Possible action:

Refer item for final consideration and approval on June 19, 2009 (see Item No. 111).

* * * * * * * *

Recess to 6:30 p.m.

* * * * * * * * *

Public Comment. (This item is reserved for persons desiring to address the Board on any matter not on this agenda.) Members of the public who wish to address the Board on any item not listed on the agenda should complete a request to speak form and place it in the tray near the podium. The President will call individuals to the podium in turn. Speakers are limited to one minute. The law does not permit Board action or extended discussion of any item not on the agenda except under special circumstances. If Board action is requested, the Board may place the matter on a future agenda. All statements that require a response will be referred to staff for reply in writing.

Consider proposed revisions to, and discuss possible solutions, for the Fiscal Year 2010 Acting County Executive's Recommended Budget based on new and/or updated information. (G. Graves/ L. Crowell)

Possible action:

Refer item for final consideration and approval on June 19, 2009 (see Item No. 111).

Consider funding proposals from members of the Board of Supervisors.

Possible action:

Refer item for final consideration and approval on June 19, 2009 (see Item No. 111).

Accept report from the Health and Hospital Committee (L. Kniss, Committee Chairperson)

Consider the Acting County Executive's Fiscal Year 2010 Recommended Budget for the Public Health Department. (Budget Unit 410) (D. Peddycord)

Possible action:

1. Restore ongoing General Fund revenues of $50,000 in the Maternal, Child, and Adolescent Health (MCAH) Program.

2. Refer item for final consideration and approval on June 19, 2009 (see Item No. 111).

Consider Fiscal Year 2010 Inventory Proposal No. 12. (L. Kniss)

Possible action:

1. Restore ten Public Health Nurse II or Public Health Nurse I positions, two Public Health Assistant positions, one Office Specialist III position, and add one Public Health Nurse Manager I position for Regional Services and approve associated expenditures of $2,057,942 and estimated revenues of $410,000.

2. Refer item for final consideration and approval on June 19, 2009 (see Item No. 111).

Consider Fiscal Year 2010 Inventory Proposal No. 13. (L. Kniss)

Possible action:

1. Provide $23,000 one-time General Fund appropriation for transfer to the Health Trust for the purpose of a report on fluoride delivery systems development, and capital, operations, and management costs related to extending fluoridated water in Santa Clara County.

2. Refer item for final consideration and approval on June 19, 2009. (see Item No. 111)

Consider Fiscal Year 2010 Inventory Proposal No. 14. (L. Kniss)

Possible action:

1. Maintain the current level of Public Health Nurse staffing for the Perinatal Hepatitis B Communicable Disease service in the Public Health Department.

2. Refer item for final consideration and approval on June 19, 2009 (see Item No. 111).

Consider Fiscal Year 2010 Inventory Proposal No. 15. (K. Yeager)

Possible action:

1. Restore $55,000 ongoing General Fund appropriation for County support for Neil A. Christie Living Center.

2. Refer item for final consideration and approval on June 19, 2009 (see Item No. 111)

Consider the Acting County Executive's Fiscal Year (FY) 2010 Recommended Budget for the Mental Health Department. (Budget Unit 412) (Dr. N. Pena)

Possible action:

1. Patients' Rights and Legal Advocacy Services: Transfer one half-time Director of Nursing position and $102,911 from Acute Psychiatry Services to Nursing Administration, reduce appropriations for services and supplies by $177,574 in the Mental Health Department, and restore $280,485 in contract services for patients' rights and legal advocacy, with no net fiscal impact on the FY 2010 Recommended Budget.

2. Office of Homeless and Housing Support Services: Approve additional revenues of $778,400 in Mental Health Services Act (MHSA) revenue and $40,000 in reimbursements, and allocate $296,559 unencumbered MHSA funds and $296,559 in Affordable Housing fund balances of the Housing Plus Fund to the Office of Homeless and Housing Support Services, and restore $688,337 for homeless client programming at Innvision, Mental Health Advocacy and Momentum, and approve increased expenses of $678,400 for a new Full Service Partnership Program for homeless clients and $44,781 for Office of Homeless and Housing Support Services operations, with no net fiscal impact on the FY 2010 Recommended Budget.

3. Adult Crisis Residential Services: Accept proposal to mitigate General Fund reductions in Crisis Residential Services provided by contract agency Momentum for Mental Health by redirecting existing MHSA funding.

4. Refer item for final consideration and approval on June 19, 2009 (see Item No. 111).

Consider the Acting County Executive's Fiscal Year 2010 Recommended Budget for Santa Clara Valley Medical Center (SCVMC). (Budget Unit 921) (N. Kaatz and M. Skehan)

Possible action:

1. Withdraw recommendation to add eight Health Coding Specialist positions and allocate $666,667 originally recommended to fund the Health Coding Specialists to a Salary Reserve in the SCVMC budget pending development of appropriate job specifications by the Employee Services Agency, Human Resources Department.

2. Approve new job specification for the Director, AMC Financial Services and Operations Support classification.

3. Approve new job specification for the Director, Primary and Community Health classification.

4. Approve new job specification for the Director, Care Continuum Performance Analysis classification.

5. Approve new job specification for the Management Information Services Manager III classification.

6. Approve new job specification for the Infection Control Nurse Manager classification.

7. Approve new job specification for the Director, Patient Access classification.

8. Refer item for final consideration and approval on June 19, 2009 (see Item No. 111).

Consider items of concern and refer to Administration for review and report.

* * * * * * * * *

Recess to Tuesday, June 16, 2009, at 1:30 p.m.

* * * * * * * * *