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AN ORDINANCE relating to best starts for kids appropriation; making a supplemental appropriation of $5,081,000 and 8.00 FTE to the department of community and human services and $2,667,000 and 11.45 FTE to the department of public health; amending the 2015/2016 Biennial Budget Ordinance, Ordinance 17941, Sections 95 and 95, as amended; and adding a new section to Ordinance 17941.

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                     BE IT ORDAINED BY THE COUNCIL OF KING COUNTY:

                     NEW SECTION.  SECTION 1.  There is hereby added to Ordinance 17941 a new section to read as follows:

                     BEST STARTS FOR KIDS - From the best starts for kids fund there is hereby appropriated to:

                     Best starts for kids                     $5,081,000

The maximum number of FTEs for best starts for kids shall be:                     8.00

                     ER1 EXPENDITURE RESTRICTION:

                     Of this appropriation, $1,593,000 shall be expended solely to support 6.0 FTE planning positions for best starts for kids levy activities. Of that amount, no funds may be expended for implementation of best starts for kids levy activities related to the youth and family homelessness prevention initiative until the implementation plan relating to the youth and family homelessness and prevention initiative described in Ordinance 18088, Section 5.A.1., is approved by ordinance and no funds may be expended for implementation of best starts for kids levy activities related to the activities described in Ordinance 18088, Section 5.C., until the implementation plan that identifies the strategies to be funded and outcomes to be achieved with the use of levy proceeds described in Ordinance 18088, Section 5.C., is approved by ordinance.

                     SECTION 2.  Ordinance 17941, Section 95, as amended, is hereby amended to read as follows:

                     PUBLIC HEALTH - From the public health fund there is hereby appropriated to:

                     Public health                      $((332,992,000)) 332,921,000

                     SECTION 3.  The council directs that section 2 of this ordinance takes effect before section 4 of this ordinance.

                     SECTION 4.  Ordinance 17941, Section 95, as amended and as amended by section 3 of this ordinance, is hereby amended to read as follows:

                     PUBLIC HEALTH - From the public health fund there is hereby appropriated to:

                     Public health                      $((332,921,000)) 335,659,000

The maximum number of FTEs for public health shall be:                      ((865.38)) 876.83

                     ERl EXPENDITURE RESTRICTION:

                     Of this appropriation, no more than $2,464,000 in state or county flexible funds or state or county funds allocated to Public Health - Seattle & King County that are not restricted to any more specific purpose or program, shall be expended or encumbered to support activities related to tobacco prevention or healthy eating and active living to prevent chronic disease.

                     The amount of this reduction in flexible funds may be offset by reprioritization of flexible funds or other means that do not affect public health center operations, subject to council approval by motion before implementation of any other direct service reductions or full-time equivalent position reductions.

                     ER2 EXPENDITURE RESTRICTION:

                     Of this appropriation, $591,000 shall be expended solely to fund 5.50 FTE planning positions for best starts for kids levy activities.  Of that amount, no funds will be expended for implementation of best starts for kids levy activities related to the youth and family homelessness prevention initiative until the implementation plan relating to the youth and family homelessness and prevention initiative described in Ordinance 18088, Section 5.A.1., is approved by ordinance and no funds will be expended for implementation of best starts for kids levy activities related to the activities described in Ordinance 18088, Section 5.C., until the implementation plan that identifies the strategies to be funded and outcomes to be achieved with the use of levy proceeds described in Ordinance 18088, Section 5.C., is approved by ordinance.

                     P1 PROVIDED THAT:

                     Of this appropriation, $150,000 shall not be expended or encumbered until the executive transmits a letter to the council certifying that revenues in the amount of $150,000 have been contractually obligated by or received from cities in King County, other community partners or other sources unique to the Northshore public health center, to support continued operation of the Northshore public health center through December 31, 2015.

                     The executive must file the letter required by this proviso by October 31, 2015, in the form of a paper original and an electronic copy with the clerk of the council, who shall retain the original and provide an electronic copy to all councilmembers, the council chief of staff, the policy staff director and the lead staff for the budget and fiscal management committee, or its successor.

                     P2 PROVIDED FURTHER THAT:

                     Of this appropriation, $790,000 shall not be expended or encumbered until the executive transmits a letter to the council certifying that revenues in the amount of $790,000 have been contractually obligated by or received from the city of Auburn, other cities in King County, the Muckleshoot Indian Tribe and other community partners, to support continued operation of the Auburn Public Health Center.

                     The executive must file the letter required by this proviso by October 31, 2015, in the form of a paper original and an electronic copy with the clerk of the council, who shall retain the original and provide an electronic copy to all councilmembers, the council chief of staff, the policy staff director and the lead staff for the budget and fiscal management committee, or its successor.

                     P3 PROVIDED FURTHER THAT:

                     Of this appropriation, $800,000 shall not be expended or encumbered until the executive transmits a letter to the council certifying that revenues in the amount of $800,000 have been contractually obligated by or received from the city of Seattle to support continued operation of the Greenbridge public health center and other public health services through December 31, 2016.

                     The executive must file the letter required by this proviso by October 31, 2015, in the form of a paper original and an electronic copy with the clerk of the council, who shall retain the original and provide an electronic copy to all councilmembers, the council chief of staff, the policy staff director and the lead staff for the budget and fiscal management committee, or its successor.

                     P4 PROVIDED FURTHER THAT:

                     Of this appropriation, $221,000 shall not be expended or encumbered until the executive transmits a letter to the council certifying that revenues in the amount of $221,000 have been contractually obligated by or received from cities in King County to support continued operation of the Federal Way public health center through December 31, 2016.

                     The executive must file the letter required by this proviso by October 31, 2015, in the form of a paper original and an electronic copy with the clerk of the council, who shall retain the original and provide an electronic copy to all councilmembers, the council chief of staff, the policy staff director and the lead staff for the budget and fiscal management committee, or its successor.

                     P5 PROVIDED FURTHER THAT:

                     Of this appropriation, $100,000 shall not be expended or encumbered until the executive transmits a report on options related to the Northshore public health center operations and facility, a plan for the continued delivery of the services currently provided at the Northshore public health center at a fixed location and a motion that approves the report and plan and the motion is passed by the council.  The motion shall reference the subject matter, the proviso's ordinance, ordinance section and proviso number in both the title and body of the motion.

                     The report shall be prepared with the assistance of real estate experts with expertise in real estate sales and medical office space leasing in the north and east King County markets.  The real estate expert shall be retained no later than January 2, 2015.  The report shall also include input from Professional & Technical Employees Local 17 and the Washington State Nurses Association regarding operational issues at the Northshore public health center.  The report shall include, but not be limited to, an analysis of options related to the Northshore public health center operations and facility including:

                     A.  The potential for, revenue from, and expenses associated with leasing the unused portion of the Northshore clinic to either an internal King County agency or outside tenant or tenants, or both.  The analysis should also include the potential for pledging the revenue stream from a lease to a third-party tenant, to secure debt financing to address the department's current deficit;

                     B.  The potential revenue from the sale of a fully leased Northshore clinic, including a lease with Public Health - Seattle & King County to continue its maternity support services ("MSS") and special supplemental nutrition program for women, infants, and children ("WIC");

                     C.  The potential revenue from the sale of the Northshore clinic with King County executing a commercially reasonable lease for sufficient space to continue MSS and WIC and the expected costs to King County for such a lease;

                     D.  A comparison of the options in subsections A. through C. of this proviso with a potential sale of the Northshore public health center property in vacant, as-is condition, including all costs to vacate the space, prepare it for sale, and maintain the vacated property until an estimated closing of a sale of the property;

                     E.  Analysis of the space requirements, one-time and ongoing expected costs and operational impacts, including any adverse impacts to the delivery of client services, to continue the provision of MSS and WIC as provided currently to north and east King County with substantially equivalent or better market saturation and efficacy compared to the current level of service, if public health is required to vacate the current clinic;

                     F. Feasibility of charging rent to the agencies providing other King County services at the clinic, or other county agencies, and the impacts, savings and other issues associated with the cessation or relocation of the community service center currently providing those services; and

                     G.  Analysis of the racial and social justice impacts of closure of the clinic.

                     All analyses regarding the potential sale of the property shall address requiring C.C. 4.56.130, which requires a portion of sales proceeds to be paid into the fund for arts and culture, as well as leasehold excise taxes where applicable, and any other factors such that the analysis provides for as close-to-actual financial impact to the health department and the county as a whole, as possible.

                     At the same time as delivery of the report on options related to the Northshore public health center operations and facility, the executive shall transmit to the council a plan for the continued delivery of services currently provided at the Northshore public health center in an integrated, comprehensive manner from a fixed location, whether directly or in partnership with outside entities.

                     The executive must file the report, motion and plan required by this proviso by May 1, 2015, in the form of a paper original and an electronic copy with the clerk of the council, who shall retain the original and provide an electronic copy to all councilmembers, the council chief of staff, the policy staff director and the lead staff for the budget and fiscal management committee, or its successor.

                     P6 PROVIDED FURTHER THAT:

                     Of this appropriation, $200,000 shall not be expended or encumbered until the executive transmits a report on the sustainability of public health clinic services in future biennia.  The report shall identify the potential models for continuing public health clinic services in future biennia as the current funding model is unsustainable.  The report shall identify major services provided by the clinics and identify any services that are unsustainable. 

                     The executive must file the report and motion required by this proviso by October 31, 2015, in the form of a paper original and an electronic copy with the clerk of the council, who shall retain the original and provide an electronic copy to all councilmembers, the council chief of staff, the policy staff director and the lead staff for

the budget and fiscal management committee and the law, justice, health and human services committee, or their successors.