To: Board of Supervisors
Department or Agency Name(s): Human Services Department
Staff Name and Phone Number: Paul Dunaway 565-3673, Tracy Repp 565-5982, Katie Parrish 565-5930
Vote Requirement: Majority
Supervisorial District(s): Countywide
Title:
Title
Human Services Department Revenue Standard Agreement for Supplemental Nutrition Assistance Program Education (SNAP-Ed) and Medicare Improvement for Patients and Providers Act (MIPPA)
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Recommended Action:
Recommended action
A) Adopt a resolution authorizing the Director of the Human Services Department to execute the Supplemental Nutrition Assistance Program Education Agreement SP-2021-27 with the California Department of Aging, to accept $92,732 in revenue to fund evidence-based nutrition education and obesity prevention for older adults, and to execute future amendments to adjust for revenue changes.
B) Adopt a resolution authorizing the Director of the Human Services Department to execute the Medicare Improvement for Patients and Providers Act Agreement MI-2021-27 with the California Department of Aging, to accept $65,257 in revenue to fund Medicare support services for older adults, and to execute future amendments to adjust for revenue changes.
end
Executive Summary:
The Human Services Department Adult and Aging Division is requesting that the Board of Supervisors adopt a resolution and authorize the Director of the Human Services Department to sign a contract to accept funding from the California Department of Aging to fund the Supplemental Nutrition Assistance Program Education and Medicare Improvement for Patients and Providers Act for older adults beginning on October 1, 2020. Funding will enhance healthy lifestyles through increased physical activity and nutritional education and promote Medicare prevention and wellness benefits.
Discussion:
Supplemental Nutrition Assistance Program Education
Supplemental Nutrition Assistance Program Education (SNAP-ED), now referred to as CalFresh Healthy Living, is the nutrition education and obesity prevention component of SNAP (formerly known as Food Stamps). The overarching goal of SNAP-ED is to promote healthy living through increased physical activity and nutritional education. The California Department of Aging is the recipient of the SNAP-ED funding from the United States Department of Agriculture, and is a pass-through for contracting with statewide Area Agencies on Aging for implementing local evidence-based interventions.
SNAP-ED funding is based on the federal fiscal year(FFY) funding cycle and allocated based on the state fiscal year cycle, resulting in $92,732 in funding for FFY 2020-21 (10-1-20 through 9-30-21).
The SNAP-ED funding will be used to provide A Matter of Balance and Bingocize programs. A Matter of Balance is a nationally recognized evidence-based program designed to help older adults avoid falls and increase activity levels. A Matter of Balance is intended for older adults (age 60 and older) whose fear of falling compromises their level of social and physical activity. Trained coaches support older adults in learning how to identify fall risks by addressing issues regarding medications; providing problem-solving strategies to address behavior and habits that contribute to falls; incorporating simple exercises to promote strength, flexibility and balance; and advising older adults on how to access community resources for added support.
Bingocize is an evidence-based fall prevention program from the University of Western Kentucky, designed for older adults (age 60 and older). The program combines the fun of Bingo with progressively difficult fall prevention exercises, consisting of one-hour games played weekly over four weeks. Session are led by a certified instructor, and the prescribed exercises can be done sitting or standing.
Additionally, A Matter of Balance coaches and Bingocize instructors provide nutritional education handouts highlighting local produce and other healthy food sources using “Harvest of the Month” materials, as well as identifying local Farmers’ Market locations. The handouts are used to promote the consumption of fresh local fruits and vegetables, and to reinforce how nutrition plays a key role in overall good health.
The Sonoma County Area Agency on Aging has received SNAP-ED funding for the previous five federal fiscal year (FFY) cycles in the following amounts:
FFY 2019-20 - $98,171
FFY 2018-19 - $97,295
FFY 2017-18 - $29,569
FFY 2016-17 - $30,452
FFY 2015-16 - $26,630
Medicare Improvement for Patients and Providers Act
The Medicare Improvement for Patients and Providers Act (MIPPA) funding supports activities to expand Medicare beneficiary enrollment in the Prescription Drug Low Income Subsidy Program and the Medicare Savings Program, provides outreach to those living in rural areas, provides enrollment efforts for Medicare Part D, and promotes Medicare prevention and wellness benefits. Funding will be used locally to achieve these goals for Sonoma County residents. The funding is allocated on a year-by-year basis and is not guaranteed each year. MIPPA funding is based on the federal fiscal year funding cycle with modification to reflect the state fiscal year, resulting in $65,257 in funding for FFY 2020-21.
The Area Agency on Aging has received MIPPA funding for the previous five FFY cycles in the following amounts:
FFY 2018-20: $120,332
FFY 2017-18: $63,960
FFY 2015-17: $37,763
FFY 2014-15: $39,317
Prior Board Actions:
September 17, 2019: Board approved Resolution #19-0369 authorizing the Director of Human Services to execute an agreement for SNAP-ED funding.
October 16, 2018: Board approved Resolution #18-0434 authorizing the Director of Human Services to execute an agreement for SNAP-ED.
October 16, 2018: Board approved Resolution #18-0433 authorizing the Director of Human Services to execute an agreement for MIPPA funding.
August 15, 2017: Board approved Resolution #17-0295 authorizing the Director of Human Services to execute an agreement for SNAP-ED funding.
Fiscal Summary
|
Expenditures |
FY 20-21 Adopted |
FY 21-22 Projected |
FY 22-23 Projected |
|
Budgeted Expenses |
$158,051 |
$35,048 |
|
|
Additional Appropriation Requested |
$30,237 |
|
|
|
Total Expenditures |
$188,288 |
$35,048 |
0 |
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Funding Sources |
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General Fund/WA GF |
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State/Federal |
$188,288 |
$35,048 |
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Fees/Other |
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Use of Fund Balance |
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Contingencies |
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Total Sources |
$188,288 |
$35,048 |
0 |
Narrative Explanation of Fiscal Impacts:
The Human Services Department will request to adjust the FY 20-21 budgeted amount to increase appropriations during the County Budget Adjustment Process for FY 20-21. FY 20-21 will be adjusted by $30,237: SNAP-Ed for $22,247 and MIPPA for $7,990. FY 21-22 will increase by $35,048: SNAP-Ed for $23,183 and MIPPA for $11,865. For the period of July through September 2020 the amount of $14,764 was previously Board approved Resolution #18-0433 for MIPPA, the total amount budgeted in FY20-21 for MIPPA is $60,166. For the period of July through September 2020 the amount of $50,583 was previously Board approved Resolution #19-0369 for SNAP-Ed, the total amount budgeted in FY20-21 for SNAP-Ed is $97,885. The total budgeted amount in FY20-21 for MIPPA and SNAP-Ed is $158,051. Program expenses are fully covered by funds from the California Department of Aging. There is no match required from county General Fund.
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Staffing Impacts: |
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Position Title (Payroll Classification) |
Monthly Salary Range (A-I Step) |
Additions (Number) |
Deletions (Number) |
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Narrative Explanation of Staffing Impacts (If Required):
None
Attachments:
Attachment 1 - Supplemental Nutrition Assistance Program Education Resolution
Attachment 2 - Medicare Improvement for Patients and Providers Act Resolution
Related Items “On File” with the Clerk of the Board:
California Department of Aging Standard Agreement for Supplemental Nutrition Assistance Program Education (SNAP-Ed) - Agreement # SP-2021-27
California Department of Aging Standard Agreement for Medicare Improvement for Patients and Providers Act (MIPPA) - Agreement MI-2021-27