File #: 2025-0149   
Type: Consent Calendar Item Status: Agenda Ready
File created: 1/15/2025 In control: Health Services
On agenda: 3/11/2025 Final action:
Title: Measure O Annual Report for Fiscal Year 2023-2024
Department or Agency Name(s): Health Services
Attachments: 1. Summary Report, 2. Attachment 1 - Measure O Annual Report (English), 3. Attachment 2 - Measure O Annual Report (Spanish)

To: County of Sonoma Board of Supervisors

Department or Agency Name(s): Department of Health Services

Staff Name and Phone Number: Jennifer Solito, 707-565-4774

Vote Requirement: Majority

Supervisorial District(s): Countywide

 

Title:

Title

Measure O Annual Report for Fiscal Year 2023-2024

End

 

Recommended Action:

Recommended action

Receive the Measure O Annual Report for Fiscal Year 2023-2024 as approved by the Citizen’s Oversight Committee for Measure O

end

 

Executive Summary:

The Citizen’s Oversight Committee for the Measure O Transactions & Use Tax Ordinance is submitting the annual report for FY 2023-2024 associated with the ten-year measure to the Sonoma County Board of Supervisors. The Oversight Committee affirms that the expenditures meet the intent of the ordinance. The Measure O Annual Report provides the Board and voters with an update on the programmatic spending and accomplishments of Measure O funding achieved during FY 2023-2024 as administered by the Sonoma County Department of Health Services (hereinafter “DHS” or, “the Department”).

 

Discussion:

In November 2020 Sonoma County voters passed Measure O to provide essential funding for mental health and homeless services with 68.07 percent of the vote. Measure O, a one-quarter cent sales tax, was estimated to generate over $25 million each year for ten years to help protect essential mental health and homelessness services. The Measure O Sales Tax Ordinance identified five categories of services to be funded with the revenue: 1) Behavioral Health Facilities, 2) Emergency Psychiatric and Crisis Services, 3) Mental Health and Substance Use Disorder Outpatient Services, 4) Behavioral Health Homeless and Care Coordination, and 5) Transitional and Permanent Supportive Housing. The Measure O Expenditure Plan designates a set percentage of funding for each category.

This past fiscal year was the 3rd full year of Measure O funding. Tax revenues for the year again exceeded the initial projections made when voters considered Measure O. Tax receipts totaled $32 million as opposed to the initially projected $24 million (total revenues including interest and unrealized gains was $34.2 million). The surplus has provided capacity to pursue expanded opportunities within the established categories to support our community.

On December 7, 2021, the Board of Supervisors established a Citizen’s Oversight Committee to monitor the implementation of Measure O. On October 23, 2024, the committee voted to confirm that the Measure O expenditures for Fiscal Year 2023-2024 met the intent of the measure, and the annual report appropriately details remaining fund balances for behavioral health and homeless services in future years. The Annual Report includes a table that details Measure O revenue, expenditures, and fund balance ending June 30, 2024. The English version of the Measure O Annual Report is provided as Attachment 1 and the Spanish version is provided as Attachment 2.

The Annual Report is also a tool for communicating to the public the impact of these Measure O funds in providing essential services to the community. The Measure O Annual Report will be posted on the County’s website and emailed to the list of stakeholders and public who have joined the Measure O mailing list. Hard copies in English and Spanish are available through DHS by emailing requests to MeasureO@sonoma-county.org.

 

Strategic Plan:

This item directly supports the County’s Five-year Strategic Plan and is aligned with the following pillar, goal, and objective.

 

Pillar: Healthy and Safe Communities

Goal: Goal 2: Increase information sharing and transparency and improve County and community engagement

Objective: Objective 3: Increase investment in programs that treat underlying causes of homelessness, including substance abuse, mental illness, poverty, and lack of affordable housing.

 

Racial Equity:

 

Was this item identified as an opportunity to apply the Racial Equity Toolkit?

No

 

Prior Board Actions:

On December 10, 2024, the Board received an informational update on the status of Measure O. The update covered fiscal year 2023-2024 expenditures by category; estimated fund balance for fiscal year 2024-2025 and fiscal year 2025-2026; and provided a review of outcomes and numbers served from last fiscal year.

On November 5, 2024, the Board approved the Re-appointments of Edward Sheffield, Betzy Chavez, Shannon McEntee, Gregory Fearon, Shirlee Zane, Ben Ford, and Kevin McDonnell to the Measure O Citizens’ Oversight Committee for a term beginning December 7, 2024, and ending December 7, 2027.

On February 27, 2024, the Board received the Measure O Annual Report for Fiscal Year 2022-2023 as approved by the Citizen’s Oversight Committee for Measure O.

On April 18, 2023, the Board A) Received the Measure O Annual Report for Fiscal Year 2021-2022 as approved by the Citizen’s Oversight Committee for Measure O; B) Adopted a personnel resolution amending the allocation list for the Department of Health Services to add 4.00 full-time equivalent positions for the Measure O-funded Behavioral Health School Partnership as detailed in the attached resolution, effective April 18, 2023; and C) Adopted a resolution authorizing budgetary adjustments to the fiscal year 2022-2023 adopted budget, programming $250,502 in Measure O fund balance to support the requested position allocations.

On May 24, 2022, the Board received the Measure O Annual Report for Fiscal Year 2020-2021 as approved by the Citizen’s Oversight Committee for Measure O.

 

Fiscal Summary

 Expenditures

FY24-25 Adopted

FY25-26 Projected

FY26-27 Projected

Budgeted Expenses

 

 

 

Additional Appropriation Requested

 

 

 

Total Expenditures

 

 

 

Funding Sources

 

 

 

General Fund/WA GF

 

 

 

State/Federal

 

 

 

Fees/Other

 

 

 

Use of Fund Balance

 

 

 

General Fund Contingencies

 

 

 

Total Sources

 

 

 

 

Narrative Explanation of Fiscal Impacts:

There are no fiscal impacts associated with this item.

 

Staffing Impacts:

 

 

 

Position Title (Payroll Classification)

Monthly Salary Range (A-I Step)

Additions (Number)

Deletions (Number)

 

 

 

 

 

 

 

 

 

 

 

 

 

Narrative Explanation of Staffing Impacts (If Required):

None

 

Attachments:

Attachment 1 - Measure O Annual Report (English)

Attachment 2 - Measure O Annual Report (Spanish)

 

Related Items “On File” with the Clerk of the Board:

None