Memorandum
Date: August 25, 2026
To: The Honorable Lake County Board of Supervisors
From: Elise Jones, Director of Behavioral Health Services
Subject: Adopt a Resolution amending Resolution No. 2025-118, as previously amended, to amend the FY 2025-26 Adopted Budget for Fund 141 (Substance Use Disorder), Budget Unit 4015, by increasing Medi-Cal/DMC-ODS revenue by $9,975,000, decreasing Opioid Settlement Fund reserves by $3,573,547.55, and increasing appropriations by $9,975,000 to finalize fiscal year-end obligations
Executive Summary:
As part of the fiscal year-end closing process, Lake County Behavioral Health Services reviewed the remaining appropriations and outstanding obligations in Fund 141 (Substance Use Disorder), Budget Unit 4015. The review identified that additional budget authority is required to process New Life Narcotic Treatment Program activity and other contracted services. The review also identified that the Opioid Settlement Fund reserve must be adjusted to reflect OSF amounts already expended under previously approved or authorized awards and contracts. The related expenditure appropriations were previously increased at midyear.
New Life obligations total approximately $9,033,633.33. New Life is a complete fiscal pass-through for the County: the County receives and transfers the applicable intergovernmental transfer or other non-federal share and receives and remits the corresponding Medi-Cal/DMC-ODS reimbursement. The County does not retain any portion of the revenue associated with New Life activity.
Other obligations charged to account 740.23-80 total approximately $890,000, and approximately $49,000 in appropriation authority remains available. The resulting minimum appropriation increase is approximately $9,874,633.33. To provide limited authority for final valid invoices and year-end adjustments, the Department requests a $9,975,000 increase to account 740.23-80, providing a contingency of approximately $100,366.67 above the cur...
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