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Board approves updated Measure C pediatric spending plan, directs reporting and targeted staffing grants
Summary
The Alameda County Board of Supervisors adopted an updated expenditure plan for the Measure C pediatric health account, directing roughly 80% of pediatric funds to Benioff Children’s Hospital, 20% to Alameda County Health and earmarking 5% of the hospital allocation for grants to address staffing, training and diagnostic equipment; the vote was unanimous.
Alameda County supervisors voted unanimously April 1 to adopt an updated expenditure and oversight plan for the pediatric health care account created under Measure C.
Aaron Armstrong, director of policy and strategic initiatives for Supervisor Nate Miley, told the board the board letter aligns the county’s direction with Ordinance Section 2.08.302 and preserves the ordinance’s required consultation and oversight. "Section a reads, '...the board of supervisors shall, in consultation with the local pediatric hospital and specialty provider representatives, expend monies from the pediatric health care account based on demonstrated need,'" Armstrong read to the board as part of his presentation.
Under the plan approved by the board, approximately 80% of the subaccount funds would be disbursed through direct grants to Benioff Children’s Hospital in Oakland, with 20% directed to Alameda County Health. Of the 80% allocated to Benioff, the board letter specifies that roughly 5% be targeted to direct grants addressing "critical staffing shortages, enhanced comprehensive medical training, and to acquire essential diagnostic equipment." The plan also requires annual reports to the Health Committee and designates the Measure A oversight committee to serve as the citizens’ oversight committee for Measure C expenditures.
Supervisor Nate Miley, who pulled the item for discussion, said the changes were intended to provide clarity and oversight: "We've done a lot of work on this, and we're bringing this back to the board to provide further clarification and refinement on what took place at the end of last year," he said. Armstrong told the board that the recommendations mirror the substance of Supervisor Carson’s earlier motion while adding language to ensure annual consultation and reporting are explicit.
Supervisor Marquez and others praised the emphasis on oversight and the staffing grants, with Marquez asking staff to set a target timing for the first annual report. County counsel and staff noted the plan was reviewed for legality and alignment with the ordinance adopted by voters in March 2020.
The motion to adopt the board letter was made by Supervisor Meili and seconded by Supervisor Fortunato‑Bass. The roll call vote was recorded as: Marquez — Aye; Tam — Aye; Meili — Yes; Fortunato‑Bass — Aye; President Halbert — Aye. The motion passed.
