More cuts strike Napa County Health and Human Services Agency
By NATALIE HOFFMAN, Register Staff Writer
November 8th, 2009
October 29th, 2009
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County health officials are bracing for a new budget hit that strikes hardest at Napa County Health and Human Services Agency’s mental health division, alcohol and drug treatment programs and public health departments.
Health department Director Randy Snowden told the Napa County Board of Supervisors this week that the agency’s “extremely serious and challenging” financial situation includes a new $2.45 million hole in addition to the $7 million-plus in shortfalls identified last year.
Snowden and health department Chief Fiscal Officer Alice Hughey attributed the recent hits to state cuts, Gov. Arnold Schwarzenegger’s line item vetoes and continuing dips in vehicle license fee and state sales tax revenue, then unveiled strategies designed to help the agency withstand the latest round of dwindling funding.
Agency officials don’t anticipate additional layoffs as a result of recent cuts. However, Snowden said the agency already has eliminated “upwards of 20 positions” and left unfilled more than a dozen others.
Other efforts to rein in costs include eliminating or curtailing some programs.
For example, in the wake of the state eliminating funding for “community-based outpatient mental health counseling,” the health department plans to “substantially eliminate” the benefit in all but the most severe cases, according to a health department document. About 230 adults could lose services under this proposal.
Hughey said other proposals include reducing funds to help patients pay for psychiatric medications and scaling back the agency’s reliance on psychiatrists — instead depending on less expensive mental health professionals.
Other cost-saving measures include forgoing planned increases in financial assistance for foster children and “passing through a reduction in state funding for indigent care in hospital emergency rooms” from the state to the county, according to a health agency document.
In the agency’s public health division, cuts will hamper maternal and child health services, immunizations, medical therapy services and HIV/AIDS education, prevention, counseling and testing.
Meanwhile, health department officials are expecting about $575,000 in state and federal money to help launch local H1N1 vaccination efforts and other education designed to stave off the pandemic. The vaccine, not yet widely available, is expected to reach Napa County in substantial quantities by mid- to late November.
The health department has a total annual budget of about $73 million. Snowden acknowledged his agency is faring better than those in some neighboring counties, but said these cuts may not be the last. Another round of state budgeting is around the corner.
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jack27022003 wrote on Oct 29, 2009 3:19 AM:
Piquemyinterest wrote on Oct 29, 2009 5:02 AM:
GET REAL wrote on Oct 29, 2009 6:38 AM:
Cadence wrote on Oct 29, 2009 10:22 AM:
However, it's absolutely NO different than an insured hospital patient being charged high enough fees to cover both his care and the care of a non-paying, uninsured patient. "
danmonez wrote on Oct 29, 2009 10:22 AM:
I guess the State of California cut out all its non essential, non direct service agencies before it whacked these essential services, right? WRONG! I inquired with Senator Wiggins office and found that one State agency actually got a budget increase in the wake of all these serious service cuts. Was it public safety? Was it the environment? Was it Cal Trans?
The answer is that it was the California Housing and Community Development Department. You know, the agency that sits up in Sacramento and tells local communities how many more houses they must allow. It's the agency who administers the law that drives most of our land use decisions.
According to Logan Pitts of Wiggins' office, the State found $167,740 somewhere to give HCD a budget increase. Apparently, we don't have enough money to help mentally ill people get counseling that might save their life or the life of another, but, by-golly we can put more money into a "nanny" agency to tell us how we should grow.
Is anyone else troubled by this? "
LMW wrote on Oct 29, 2009 11:41 AM:
steph wrote on Oct 29, 2009 2:01 PM:
Did you see this story?
http://www.sacbee.com/politics/v-print/story/2281287.html
"Two of the state's largest departments spent more than $5.5 million on new cars and trucks this year only to leave them idle and gathering dust for months."
Where are all those "education candidates"? "
danmonez wrote on Oct 29, 2009 5:57 PM:
What the heck is wrong with our legislators to allow this to happen? What is wrong with those Department heads and managers to make them think this is O.K.? California's 58 counties need to unite and quit playing nice with our state legislators. Where is the leadership? "
LMW wrote on Oct 29, 2009 9:45 PM:
cab e-girl wrote on Oct 29, 2009 10:20 PM:
http://www.bloomberg.com/apps/news?pid=20601087&sid=aWFRYpFw7m.Q
I'm sorry, but where is the accountability here? And government wants to take over my medical care? "
vocal-de-local wrote on Oct 30, 2009 1:18 AM:
Just be very, very careful about implying any type of loyalty to anyone in this race. These developers are turning into, as some posters have suggested, community terrorists. The State is not the only problem we're dealing with. "
clean and serene wrote on Oct 31, 2009 6:25 PM:
Developers and the big machine are supporting the slate of candidates for ocal elections the developers are supporting Monez, Haley and Huether.
Voters BEWARE WATCH LIKE A HAWK! "