TITLE
Title
GUILFORD COUNTY HEALTH AND HUMAN SERVICES - DEPARTMENT OF PUBLIC HEALTH - CONSOLIDATED AGREEMENT BUDGET ALIGNMENT $183,614
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SPONSOR
Sponsor
Courtney McFadden
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BACKGROUND
Background
The North Carolina Department of Health and Human Services (NCDHHS), Division of Public Health, works with local health departments to administer state and federal funding and establish requirements for public health programs and services. Funding and program requirements are communicated through the State Consolidated Agreement and individual Agreement Addenda (AAs).
An Agreement Addendum establishes the specific funding, scope of work, service requirements, and other conditions associated with an individual public health activity. By accepting these funds, the Guilford County Health and Human Services Agency - Department of Public Health is responsible for providing or assuring the services identified in the applicable Agreement Addenda.
Because final Agreement Addenda and funding revisions are received from NCDHHS at different times throughout the year, the County develops its annual Department of Public Health budget using prior-year Agreement Addenda, preliminary allocations, and other funding communications received from the State. Additionally, some Agreement Addenda have service or funding periods that do not align directly with the County’s July 1 through June 30 fiscal year.
Once final Agreement Addenda and funding allocations are available, HHS - DPH and Budget staff perform an annual reconciliation to align the County’s budget with the final State awards. For FY2026-27, this reconciliation results in a net increase of $183,614 in Federal/State revenue and Department of Public Health appropriations compared with the amounts included in the adopted budget.
Details of the individual Agreement Addenda and funding adjustments are included in the attached FY2026-27 Public Health Consolidated Agreement Budget Alignment.
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BUDGET IMPACT
Budget ...
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