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2023-338-Resolution No. 2023-058 Recorded 10/24/2023Recorded in Deschutes County CJ2023-338 Steve Dennison; County Clerk Commissioners' Journal 10/24/2023 11:26:23 AM REVIEWED C 1111111111111111111111111111111111 2023-338 LEGAL COUNSEL For Recording Stamp Only BEFORE THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY, OREGON A Resolution to Increase Appropriations Within the 2023-24 Deschutes County Budget * RESOLUTION NO. 2023-058 * WHEREAS, Deschutes County Health Services staff presented to the Board of County Commissioners on 10/18/2023 with regards to an Amendment to Iris Telehealth, and WHEREAS, ORS 294.471 allows a supplemental budget adjustment when authorized by resolution of the governing body, and WHEREAS, it is necessary to recognize Transfers In revenue and increase Program Expense appropriations by $280,000 in the Health Services Fund, and WHEREAS, it is necessary to reduce Reserves and increase Transfers Out appropriations by $280,000 in the Health Services Reserve Fund (legally adopted with Health Services Fund), now, therefore; BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY, OREGON, as follows: Section 1. That the following revenue be recognized in the 2023-24 County Budget: Health Services Transfers In — Fund 270 $ 280,000 Total Health Services 2 Section 2. That the following expenditures be budgeted in the 2023-24 County Budget: Health Services Program Expense $ 280,000 Transfers Out — Fund 274 280,000 Health Services Reserves (280,000) Total Health Services 2 Page 1 OF 2-Resolution no. 2023-058 Section 3. That the Chief Financial Officer make the appropriate entries in the Deschutes County Financial System to show the above appropriations: DATED this 1 day of October, 2023. ATTEST:-� Recording Secretary Page 2 OF 2-Resolution no. 2023-058 BOARD OF COUNTY COMMISSIONERS OF DESCHUTES COUNTY, OREGON EBONE, PATTI ADAIR, Vice -Chair — 4k-,- ay/"" PHIL CHANG, CoinLssiorler m w m m v o Ln o m oA oa m eo a+ o I M m as W M N � N Co � tR fR O O O O O O O O O O O 0 W C 0 00 V N N N N O F HT yr m w m �a a O co In m O oo �a at N 6i Ln p b4 LLn tNn W aOj _p E 0] vi IA Q F- N v � uo 3 -o g � c c v ra E °- x o = w Q ~ N N v bA N Q N O N o E V u- o '� LL a V N =O D � v o O O vOi F' vC V F IF O V ro C V O y°A v 4,� °6 V O N U un N � � m N o^0 O Ln 4 O yQ N In O N N NO w. cm v E v Q � ) E V J Z z O N U_ v F O O Q w Q d LU = O a Q F- �vTES CO BOARD OF COMMISSIONERS MEETING DATE: October 18, 2023 SUBJECT: Amendment to a contract with Iris Telehealth and Resolution 2023-058 which increases appropriations and reduces reserves within the Health Services Fund RECOMMENDED MOTION: 1. Move approval of Board Signature of Document No. 2023-871, amending a contract with Iris Telehealth for tele-psychiatric services. 2. Move approval of Resolution No. 2023-058 reducing reserves and increasing appropriations within the Health Services Fund and the 2023-24 Deschutes County Budget. BACKGROUND AND POLICY IMPLICATIONS: Iris Telehealth provides services as a Licensed Medical Provider (LMP) and documents these medical services using Deschutes County's electronic medical record in manners consistent with professional and community standards of care. The County has contracted with Iris Telehealth to provide tele-psychiatric treatment for individuals obtaining services at Deschutes County Health Services. This amendment increases funding by $280,000 to include services of a Psychiatric Mental Health Nurse Practitioner at the North County (Kingwood) clinic. County shall pay Iris Telehealth on a fee -for -service basis in accordance with the fee schedule provided. BUDGET IMPACTS: This adjustment to the contract will increase program expense appropriations by $280,000 in the Health Services Fund and increase appropriations and reduce reserves in the Health Services Reserve Fund (legally adopted with the Health Services Fund) by $280,000. ATTENDANCE: Chandra Mola, Program Supervisor Dan Emerson, Budget & Financial Planning Manager