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18. NON-OPERATING CONTINGENCY TRANSFER TO CORRECTIONAL HEALTH SERVICES Pursuant to A.R.S. § 42-17106(B), authorize the following amendments to the FY 2015 budget: a) Increase the expenditure appropriation for Correctional Health (260) Detention Fund (255) Non-Operating (0001) appropriation by $2,925,000 to address medication expense and staffing related cost overruns in FY 2015. b) Increase the expenditure appropriation for Correctional Health (260) General Fund (100) Non-Operating (0001) appropriation by $25,000 to address medication expenses in FY 2015. c) Decrease the expenditure appropriation for the Non Departmental (470) Detention Fund (255) Non-Operating (0001) Contingency (4711) in the line "Unreserved Contingency" by $2,925,000. d) Decrease the expenditure appropriation for the Non Departmental (470) General Fund (100) Non-Operating (0001) Contingency (4711) in the line "Unreserved Contingency" by $25,000. These actions will have a countywide net impact of zero. Also, direct OMB to include the following in the final FY 2016 budget: a) Include an adjustment of $2,500,000 in the FY 2016 Correctional Health (260) Detention Fund (255) Operating (0000) budget to fund the annualized operating cost associated with this action as well as the anticipated inflation of pharmaceuticals and administration costs. b) Include a reserved contingency in the amount of $868,000 in the FY 2016 Non-Departmental (470) Detention Fund (255) Operating budget (0000) which will be reserved to address clinical staffing costs after an analysis of the necessary staffing is completed. Correctional Health Services has experienced a 55% increase in pharmaceutical costs over the prior year and is over budget primarily due to the drug costs in four major categories: HIV, psych, atypical psych and rare specialty drugs. Further, CHS has experienced a higher than anticipated use of clinical contract staff due to the NCCHC accreditation that occurred in FY 2015 as well as mandates stemming from Graves v. Arpaio. Based on the results of a multi-disciplinary assessment, an administrator positions is being requested to assist to streamline and improve processes, including administration and the procurement of medication. (C-26-15-008-M-00)