The recommendations included in this report have the following impact: a one-time cost of $8.8 million, and a fiscal year 2022-23 cost of $6.734 million. All of these recommendations will be funded with sales tax revenues generated through Measure X, which are general purpose revenues.

On November 3, 2020, voters in Contra Costa County approved Measure X, a Countywide, 20-year, half-cent sales tax. The ballot measure language stated the intent of Measure X as “to keep Contra Costa’s regional hospital open and staffed; fund community health centers, emergency response; support crucial safety-net services; invest in early childhood services; protect vulnerable populations; and for other essential county services.”  
  
The Measure X Community Advisory Board was established on February 2, 2021, to advise the Board of Supervisors on the use of Measure X funds. The Advisory Board consists of 17 members, comprising 10 Supervisorial District appointees (2 per Supervisorial District) and 7 At-Large members.

  
The Advisory Board began meeting on April 13, 2021 and spent countless hours in 25 meetings receiving and reviewing information regarding unmet community needs, hearing from and listening to a multitude of organizations and individuals, and considering and developing processes to develop funding recommendations that aligned with their Vision Statement and conformed to their Operating Principles.  
  
On October 12, 2021, the Measure X Community Advisory Board presented their report to the Board of Supervisors to summarize the work of the Advisory Board over the previous six months (attached). The Advisory Board specifically recognized that the need for a strong hospital and clinic system was a key element in the Measure X ballot measure language. The Contra Costa Regional Medical Center and Health Centers (and related clinics) provide critical services to the most vulnerable members of our community, and it is imperative that they remain financially viable. As noted in the Operating Principles of the Advisory Board, “Sustaining a strong social safety net is important for the health and prosperity of all.” In addition, the “Healthy Communities,” goal specifies: “We strive to be a community in which all residents have access to affordable, timely, culturally-responsive healthcare; adequate housing; high-quality childcare; and nutritious food, all of which has become more urgent as we address the ravages of the pandemic.”  
  
On November 16, 2021, the Board adopted the first recommendations regarding Measure X, a reserve of $20 million, one-time allocations of $53,030,200 and on-going appropriations of $71,481,000. The initial on-going funding cycle is April 1, 2022 through June 30, 2023. The Board of Supervisors delayed allocating $75 million in hospital capital projects, which were subsequently allocated on December 14, 2021 (full Board reports are attached). This brought the total one-time allocation up to $128,030,200. The programs included in the adopted allocations identified below are categorized by the five goals of the Measure X Community Advisory Board. As noted by the Advisory Board, many programs fall into multiple goal areas (we’ve identified the main area).
• Goal #1: Mental Well-Being: We strive to be a community that supports the mental and behavioral health and well-being of all residents through prevention, crisis response services, intersectional supports, and innovative cross-sector approaches.
• Goal #2: Equity in Action: We strive to be a community that prioritizes equity and removes structural barriers that cause inequities and poverty, so that all residents can thrive. 
• Goal #3: Healthy Communities: We strive to be a community in which all residents have access to affordable, timely, culturally responsive healthcare; adequate housing; high-quality childcare; and nutritious food, all of which have become more urgent as we address the ravages of the pandemic. 
• Goal #4: Intergenerational Thriving: We strive to be a community that intentionally strengthens and provides support for all residents and for family members of all generations, including children, youth, and older adults.
• Goal #5: Welcoming & Safe Community: We strive to be a community where all residents feel safe and welcome and receive emergency help when they need it.
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  

  
Balance of Resources Unallocated  
Note that since the November 16, 2021, report, the reserved monies have been set at $20 million and the FY 2020-21 revenues have been changed (for tracking/accounting purposes) from collected to received. Also note that the on-going allocation of $71,481,000 for these recommendations total $100,266,000, beginning July 1, 2023.  
  
  
  
  
  
Program Priorities  
On November 16, 2021, staff requested that the Board provide additional direction regarding these remaining funds in a future meeting. As detailed above, a total of $15,567,000 million remains available for allocation. Of this amount, $8.833 million is one-time and $6.734 million is on-going.  
  
Individual Board members requested follow-up information on the following programs, which is included in the attachments identified:   

1. Family Navigators in each Board of Supervisor District (Attachment A.1)
2. Early Childhood Education/Childcare (Attachment A.2)
3. Development of Additional Childcare Providers (Attachment A.3)
4. Early Childhood Mental Health (Attachment A.4)
5. Children with Disabilities/Provider Support (Attachment A.5)
6. Library Building Improvements (Attachment A.6)
7. Library Literacy Program (Attachment A.7)
8. Library Foundation (Attachment A.8)
9. County Facility Deferred Maintenance in high foot traffic buildings (Attachment A.9)
10. Refugee Resettlement Resources (Attachment A.10)
11. Northern Waterfront Initiative/Ferry Service (Attachment A.11)
12. Assistance to Crime Victims (Attachment A.12)
13. Stand Together Contra Costa (Attachment A.13)
  
The MXCAB met on January 31, 2022, reviewed the unallocated funds available, and using their existing priority list, recommended using the unallocated one-time funds to 1) add to the existing Innovation Fund; 2) set aside funds for the guaranteed income pilot project; and 3) add funds to the Contra Costa Cares program to expand services. And recommended using the unallocated on-going funds for: Community Based Mental Health for At-Risk Populations Including AAPI, Latino, LGBTQ+, and African Americans; Services for Children with Disabilities; Tenant Legal Services and Support; Subsidized Childcare; Substance Abuse Treatment; Community Based Aging Services; Public Defender Front End-Advocacy Teams; and Stand Together Contra Costa - removal defense, social services.  
  
The majority of these priorities were funded in previous allocations and/or are recommended in this action. MXCAB's letter of February 3 is attached.  
  
  
Recommendations  
In the current funding cycle, allocating Measure X resources for all of these programs is not feasible due to insufficient funding. In consideration of the interest shared within the MXCAB membership, these proposals which reflect the Board’s values and goals, are included for consideration for remaining allocations. A summary of each of the proposals is attached, as identified above. The associated appropriation adjustments for the one-time recommendations, totaling $8.8 million, is attached. The on-going appropriations will be included in the Recommended Budget for FY 2022/23.  
  
  
  
  
  


CONSEQUENCE OF NEGATIVE ACTION:

Delay in providing additional services to the residents of Contra Costa County.

CLERK'S ADDENDUM

Speakers; Melvin Willis, ACCE, Budget Justice Coalition; Francisco Torres, Pittsburg ACCE; Rachel Rosekind, District I Library Commissioner; No Name Given; Susan, District II Library Commissioner; Patricia Aguilar, ACCE; Destiny Brisco, Pittsburg ACCE; Raul Vasquez; Edith Pastrano, Richmond ACCE; Lindy;  Ali, Healthy and Active Before 5; Hannah, Director Care Parent Network; Gigi, Measure X Advisory Board;  Lauren Herbig, Lafayette; Kiku Johnson, Executive Director Rainbow Community Center; Siri, Director Able Community Development; Laureen Lober; Tony, Monument Impact, Contra Costa Immigration Rights Alliance; Roxanne Creo-Garza, Healthy Richmond; Ruth Fernandez, Director First5 Contra Costa; Dante, San Pablo, Healthy Richmond; Veronica Benjamin, San Ramon;  Yehudi Lieberman, Pleasant Hill; Marianna Moore, One Contra Costa, Managing Director of Ensuring Opportunity Campaign; Flora Dalma, Richmond ACCE; Diana Hoenig, Multi-Faith Action Coalition; Jane; No name given;  Lisa Fulton;Shelby Gi, NAMI Contra Costa; Barbara Howard, NAMI Contra Costa; LIsa Kirk, Contra Costa SPCA.

Written commentary received from (attached):  Kristen Connelly, President & CEO East Bay Leadership Council; Fred Blackwell, CEO San Francisco Foundation; Dan Geiger, Budget Justice Coalition; Lisa Kirk, Contra Costa Society of Prevention of Cruelty to Animals; Cathy Coggins; Paula Skelton-RVT; Cynthia Burke, President Bee Holistic Cat Rescue and Care; Virginia Harrison; Renata Valencia, El Cerrito; Susan Mulloy;

To ADOPT the recommendations as presented today, excluding the recommendation for funding for deferred maintenance: 

(AYES: I, II, III, IV, V  NOES:None  ABSTAIN:  None  ABSENT: None)
To ADOPT the recommendation on funding allocation for deferred maintenance as presented today:
(AYES: II, III, IV, V  NOES: I  ABSTAIN:  None  ABSENT: None)