Drafter
Clerk 07/23/2009
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AN ORDINANCE making a supplemental appropriation of $1,186,710 to the public health fund; and amending the 2009 Budget Ordinance, Ordinance 16312, Section 92, as amended.
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BE IT ORDAINED BY THE COUNCIL OF KING COUNTY:
SECTION 1. From the public health fund there is hereby approved and adopted an appropriation of $1,186,710.
SECTION 2. Ordinance 16312, Section 92, as amended, is hereby amended by adding thereto and inserting therein the following:
PUBLIC HEALTH - From the public health fund there is hereby appropriated to:
Public health $1,186,710
ER1 Expenditure Restriction:
Of this appropriation, the following amounts shall be expended or encumbered only to maintain the following services in the second half of 2009: $278,109 for Safe Communities funded through the children and families commission; $184,797 for sexually transmitted disease control; $30,000 for chronic disease and injury prevention; $57,144 for immunizations. Further, of this appropriation, not less than $60 million shall be used solely to operate the county's ten current public health centers in 2009.
ER2 Expenditure Restriction:
Of this appropriation, $20,000 shall be expended from the environmental health designated fund balance solely for the inclusion of septic and plumbing permits into the scope of the Envision Public Portal CIP project (CIP Project number 377226).
ER3 Expenditure Restriction:
Of this appropriation, $180,187 shall be expended solely to fund veterinary services at King County animal care and control shelters for the purposes of providing veterinary medical care and controlling the spread of zoonotic disease.
ER4 Expenditure Restriction:
Of this appropriation, $5,000 shall be expended or encumbered only for a contract related to the Tyee school-based health center for the second half of 2009.
ER5 Expenditure Restriction:
Of this appropriation, $20,000 shall be expended or encumbered only for the purposes of a contract for analysis of the state and federal health care reform proposals in relation to the principles adopted in BOH Resolution 08-10 and activities related to the board of health's support for the public health operational master plan's health provision policy development strategies regarding health care reform.
Of this appropriation, $320,383 shall not be expended from Washington state 5930 local public health funding until a business case for the communicable disease database project (CIP Project number 377225) has received a positive recommendation from the project review board and the business case has been approved by motion by the council.
The executive shall file business case and proposed motion by April 10, 2009, in the formof 11 copies with the clerk of the council, who shall retain the original and will forward copies to each councilmember and to the lead staff for the law, justice and human services committee, or its successor.
P2 PROVIDED FURTHER THAT:
Of this appropriation, no funds shall be expended to implement a centralized telephone interpretation call center until the project review board has made a positive recommendation on a business case for the call center or until the project review board determines that the call center does not require Project Review Board oversight.
P3 PROVIDED FURTHER THAT:
Of this appropriation, $250,000 shall only be expended or encumbered for activities related to tuberculosis control. Further, $150,000 of this $250,000 shall only be expended or encumbered if, by March 2, 2009, the department of public health submits to the council a report on tuberculosis control activities. The report shall include an overview of tuberculosis infection in King County and the department's tuberculosis control activities planned in 2009 as well as a recommended plan for how the additional $250,000 shall be expended on tuberculosis control.
The report must be filed in the form of 12 copies with the clerk of the council, who shall retain the original and will forward copies to each councilmember and to the lead staff for the board of health and the law, justice and human services committee, or their successors.
P4 PROVIDED FURTHER THAT:
Of this appropriation, $300,000 shall only be expended or encumbered for the purposes of operating the county's nine family planning service centers for at least the first nine months in 2009. Due to the ongoing public health structural financial crisis and the county's general fund challenge, family planning services are in jeopardy of complete elimination in 2010 if additional revenue support for these services is not found. Options for an alternative structure for delivering family planning services in 2009 shall be proposed by the executive by July 15, 2009. The development of any such options for 2009 and options for delivery of family planning services in 2010 shall be reflected in the 2009 health provision work plan required by Proviso P-5 of section 92 of this ordinance.
The executive shall file any legislation or reports related to this proviso in the form of 12 copies with the clerk of the council, who shall retain the original and will forward copies to each councilmember and to the lead staff for the board of health and the committee of the whole, or their successors.
P5 PROVIDED FURTHER THAT:
Of this appropriation, $100,000 shall only be expended or encumbered if, by January 31, 2009, the department of public health submits to the King County board of health and the King County council a 2009 health provision work plan. The health provision work plan shall include the scope and schedule for activities and deliverables in 2009 for accelerating the implementation of the adopted public health operational master plan strategies for health provision. Due to the ongoing public health structural financial crisis and the county's general fund challenge, the council finds that the current model for delivery of health provision services offered through the county's public health centers is not financially sustainable in the near term. Further, opportunities exist to achieve improved and more equitable health outcomes by coordinating with other community providers to produce a more effective system of health care. Therefore, the work plan shall include as a primary deliverable the transmittal to the council by July 15, 2009, of any financially viable options that would be proposed for implementation in 2010 for restructuring the delivery of health provision services through the public health centers, including family planning as referenced in Proviso P-4 of section 92 of this ordinance. The work plan shall also include specific recommendations for a process to engage the community in the development of these options, including a recommended schedule for a series of briefings to the council in the first half of 2009.
The work plan must be filed in the form of 12 copies with the clerk of the council, who shall retain the original and will forward copies to each councilmember and to the lead staff for the board of health and the committee of the whole, or their successors.
P6 PROVIDED FURTHER THAT:
The council recognizes that the H1N1 influenza pandemic continues to evolve and may have a heightened, but as yet unknowable, impact on King County during the 2009-2010 winter influenza season. It is the intent of the council that the Seattle-King County department of public health continue to prepare for and respond to the H1N1 influenza pandemic. ((The department shall continue the portions of the child care health, zoonotics, and communicable disease programs related to H1N1 preparation and response by reprioritizing other programs and utilizing existing appropriation authority in the 2009 adopted budget.)) By August 17, 2009, the executive shall transmit to the council a written update outlining the known essential costs associated with preparedness for an H1N1 influenza outbreak during the 2009-2010 winter influenza season. The update shall also detail the department's capacity to fund these costs within the existing resources of the public health fund that either may be appropriated for known essential costs or placed in reserve to be appropriated for future essential costs as the disease evolves and those costs become known. The report shall also include information related to potential federal funding for H1N1 preparation and response.
The update must be filed in the form of 12 copies with the clerk of the council,
who shall retain the original and will forward copies to each councilmember and to the lead staff for the budget and fiscal management committee, or its successor.