File #: 2022-0292   
Type: Consent Calendar Item Status: Passed
File created: 3/14/2022 In control: Health Services
On agenda: 5/24/2022 Final action: 5/24/2022
Title: Measure O Annual Report for Fiscal Year 2020-2021
Department or Agency Name(s): Health Services
Attachments: 1. Summary Report, 2. Attachment 1 - Annual Report for Fiscal Year 20-21

To: County of Sonoma Board of Supervisors

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

Staff Name and Phone Number: Tina Rivera, 707-565-4774

Vote Requirement: Majority

Supervisorial District(s): Countywide

 

Title:

Title

Measure O Annual Report for Fiscal Year 2020-2021

End

 

Recommended Action:

Recommended action

Receive the Measure O Annual Report for Fiscal Year 2020-2021 as approved by the Citizen’s Oversight Committee for Measure O.

end

 

Executive Summary:

The Citizen’s Oversight Committee for the Behavioral Health and Homeless Services - Measure O, on May 13, 2022 approved and is submitting the first annual report for FY 2020-2021 associated with the ten-year measure. In addition, the Committee affirms that the annual report uses meet the intent of the ordinance. Due to a delay in implementing the Oversight Committee for Measure O, the Committee did not approve the FY 2020-2021 Annual Report until May 2022. Future Annual Reports will be submitted in December following the close of the fiscal year.

 

Discussion:

In November 2020 Sonoma County 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, generates $25 million each year for ten years to help protect essential mental health and homelessness services and is one of just two measures for mental health and homeless funding in the state (Mendocino County’s Measure B passed in 2017). 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 Expenditure Plan designates a set percentage of funding for each of the categories.

On December 7, 2021, the Board of Supervisors established a Citizens Oversight Committee <https://sonomacounty.ca.gov/measure-o-citizens-oversight-committee-meeting-may-13-2022> to monitor the implementation of this measure. Per the ordinance, the committee shall receive an annual report no later than six months after the conclusion of the fiscal year. However due to delays in implementing the Oversight Committee and scheduling committee members and staff, the committee received and approved the first annual report on May 13, 2022 The committee voted to confirm that the fiscal year 2020-2021 Annual Report meets the intent of the measure and conveys to the public how funds were spent, and what fund balances remain to spend on behavioral health and homeless services in future years.

The Annual Report is also a tool for communicating to the public the impact of these dollars in providing essential services to the community.

Revenue and Expenditures for Fiscal Year 2020-2021

The first fiscal year of Measure O was only a few months long, as sales tax measures passed in November do not begin collecting revenue until April of the following year. As such, fiscal year 2020-2021 covers only the time period of April 1, 2021 through June 30, 2021. The Annual Report for fiscal year 2021-2022 will show the first full year of Measure O’s impact in Sonoma County and will be brought to the Board in December, 2022. The programs, projects, and services utilizing Measure O funds were established in FY 21-22 so that fiscal year’s annual report will be more robust and provide details of those initiatives.

Total Revenues received as of June 30, 2021- $536,454.53*

Measure O Category

Revenue Received

Behavioral Health Facilities

$118,019.30

Emergency Psychiatric / Crisis Services

$236,038.58

Mental Health & Substance Use Disorder Outpatient Services

$96,561.23

Behavioral Health Homeless / Care Coordination

$75,103.19

Transitional & Permanent Supportive Housing

$10,732.23

Total

$536,454.53

*Cash received as of June 30, 2021 for April 2021; May and June received in July and August 2021

Total available Fund Balances as of June 30, 2021 from the result of the net reimbursement of election costs of $271,244.89.

Measure O Category

Fund Balance

Behavioral Health Facilities

$58,345.42

Emergency Psychiatric / Crisis Services

$116,690.83

Mental Health & Substance Use Disorder Outpatient Services

$47,737.15

Behavioral Health Homeless / Care Coordination

$37,128.91

Transitional & Permanent Supportive Housing

$5,307.33

Total

$265,209.64

Description of Expenditures: The County’s Registrar of Voters received reimbursement of $271,244.89 from the proceeds of the tax for the costs of the Election in accordance with the Expenditure Plan.

Looking ahead for Measure O

In January 2021 the Board of Supervisors created a Measure O Ad Hoc committee and appointed Supervisors Gore and Coursey to serve on this committee. The Measure O Ad Hoc Committee was formed to guide the Department of Health Services’ and Community Development Commission’s implementation of Measure O. The purpose of the Ad Hoc is to inform the Board of how Measure O funding will support the Behavioral Health budget in both existing and new programming, and provide homeless services support as defined in the measure. The Ad Hoc committee is supported by staff from the Department of Health Services (DHS), the County Administrator’s Office (CAO) and County Counsel. In August and October of 2021, the Board reviewed and approved recommendations from the Ad Hoc Committee for investments to make for new and redesigned programs using Measure O funds. These expenditures and program impacts will be reported in the fiscal year 2021-2022 Annual Report for Measure O which will be available to the Board and the public in December 2022.

References:

Expenditure Plan Measure O - <https://sonomacounty.ca.gov/health-and-human-services/health-services/divisions/behavioral-health/about-us/measure-o/expenditure-plan>

 

Strategic Plan:

N/A

 

Prior Board Actions:

On December 7, 2021 the Board adopted a resolution creating the Measure O Citizens’ Oversight Committee, appointed seven members to the Measure O Citizens’ Oversight Committee, and adopted bylaws to govern the responsibilities of the Citizens Oversight Committee.

On August 4, 2020 the Board A) adopted an Ordinance entitled the “Sonoma County Local Mental Health, Addiction and Homeless Services Measure Transaction and Use Tax Ordinance” imposing a countywide quarter-cent special transactions and use tax (sales tax) in Sonoma County for Sonoma County behavioral health and homeless services pursuant to Revenue and Taxation Code section 7285.5; B) authorized the Department of Health Services to coordinate with the County Administrator to contract with the California Department of Tax and Fee Administration to administer the tax, if approved by voters; and C) adopted a resolution calling a special election to submit to the voters of Sonoma County a one-quarter of one percent (0.25%) sales tax measure entitled “the Sonoma County Local Mental Health, Addiction and Homeless Services Measure Transaction and Use Tax Ordinance” and ordering that the special election be consolidated with the statewide general election to be conducted on November 3, 2020.

 

Fiscal Summary

 Expenditures

FY 21-22 Adopted

FY 22-23 Projected

FY 23-24 Projected

Budgeted Expenses

 

 

 

Additional Appropriation Requested

 

 

 

Total Expenditures

0

0

0

Funding Sources

 

 

 

General Fund/WA GF

 

 

 

State/Federal

 

 

 

Fees/Other

 

 

 

Use of Fund Balance

 

 

 

Contingencies

 

 

 

Total Sources

0

0

0

 

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):

N/A

 

Attachments:

Attachment 1 - Annual Report for Fiscal Year 20-21

 

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

None