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Agenda Item Id: Item Title Appropriation Adjustment for Inmate Health Services Fund C Number: Action Requested: In accordance with A.R.S. §42-17106(B), approve the following budget adjustments for Fiscal Year 2024: Increase the expenditure authority for the Sheriff (D500) Inmate Health Services Fund (254) Non- Recurring Non-Project (NRNP) budget by $900,000. Decrease the expenditure authority in Non-Departmental (D470) Non-Departmental Grants Fund (249) Non-Recurring Non-Project (NRNP) Contingency (4711) budget in the “Unassigned” line by $900,000. CHS has experienced substantial increases in both patient claims ($1.2M) and pharmaceutical costs ($1.4M) compared to the previous fiscal year(s). Dealing with rising expenses in both these areas has posed a challenge for our department. While we are implementing cost-saving measures and developing solutions for cost containment for Fiscal Year 2025 we are in need of utilizing the Inmate Health Services Fund to pay for unexpected services/costs in Fiscal Year 2024. These actions will have a County-wide net impact of zero and they do not alter the budget constraining the expenditures of local revenue duly adopted by the Board pursuant to A.R.S. §42-17105. Additional Information: Item Notes: Is there a Financial Impact? Yes General Item Information Department: Contact Name: Meeting Date: