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File #: 14-0918    Version:
Type: Agenda Item Status: Approved
File created: In control: Board of Supervisors
On agenda: 9/23/2014 Final action: 9/23/2014
Title: Health and Human Services Agency recommending the Board consider final passage (Second Reading) of Ordinance 5011 adding Chapter 2.17 to Title 2 of the El Dorado County Ordinance Code to formalize the consolidation of the former Health Services and Human Services Departments into the Health and Human Services Agency. (Cont. 9/9/14, Item 24)
Attachments: 1. 2A - CRS HHSA Ordinance 9-9-14, 2. 2B - Summary Ord 2.17 HHSA 9-9-14, 3. 2C - Ordinance 2.17 HHSA 9-9-14, 4. A - HHSA Draft Ordinance 7-29-14, 5. Public Comment Revd 7-29-14 BOS 7-29-14, 6. Executed Ordinance 5011 (BOS 9-23-14)
Title
Health and Human Services Agency recommending the Board consider final passage (Second Reading) of Ordinance 5011 adding Chapter 2.17 to Title 2 of the El Dorado County Ordinance Code to formalize the consolidation of the former Health Services and Human Services Departments into the Health and Human Services Agency. (Cont. 9/9/14, Item 24)
Body
Fiscal Impact/Change to Net County Cost
There is no Net County Cost associated with this agenda item.
 
Background
On September 9, 2014 (Item 24), the Board approved the Introduction (First Reading) of Ordinance 5011 and contined the item to September 23, 2014 for final passage.
 
On July 29, 2014, the Board of Supervisors conceptually approved a proposed Health and Human Services Agency Ordinance to formalize the November 4, 2011 consolidation of the former Health Services and Human Services Departments into the El Dorado County Health and Human Services Agency.
 
Government Code §33200 states "the board of supervisors of any county may organize, pursuant to ordinance or charter, the delivery of health and human services for which county government is responsible under state law into departments that provide human assistance, human services, and medical systems. Any county board of supervisors which elects to organize the delivery of health and human services may consolidate, integrate, and separate duties and functions of county offices, and organizational units within departments, to the extent deemed necessary by the board of supervisors, consistent with the provisions of this division."    
 
Welfare and Institutions Code §18986.86 authorizes counties, as determined by the Secretary of the California Health and Human Services and with approval of the board of supervisors, to implement a program for the funding and delivery of services and benefits through an integrated and comprehensive county health and human services system.  Goals of service integration include, but are not limited to, implementation and evaluation of a system that provides:
1) A universal intake for those seeking services
2) An integrated and coordinated service plan for families and individuals eligible for multiple services
3) Administration of coordinated management and support of clients
4) Reporting and accountability for combined provision of services without the loss of federal or state funds
5) Any additional goals identified in consultation with the appropriate state departments (identified by the Secretary of Health and Human Services) to achieve an integrated and comprehensive county health and human services agency
 
El Dorado County does not have an ordinance regarding the consolidation and delivery of health and human services.
 
Reason for Recommendation
The establishment of an El Dorado County ordinance regarding the organization of the Health and Human Services Agency (HHSA) is in accordance with Government Code §33200.  
 
HHSA plans to request determination by the Secretary of the California Health and Human Services Department for its integrated and comprehensive county health and human services system for continued and expanded service integration and will include the ordinance with the request.
 
Clerk of the Board Follow Up Actions
Continue item to September 23, 2014, for final passage.
 
Contact
Don Ashton, M.P.A., Director
 
Concurrences
County Counsel