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Human Services shifts some programs to opioid‑settlement fund, asks recurring support for sexual‑assault services
Summary
Human Services proposed shifting some care funding onto the opioid abatement settlement to reduce general‑fund pressure and recommended a recurring $340,120 decision package to sustain 24/7 forensic sexual‑assault services through Suncoast Center; staff told commissioners hospitals have a statutory role in exam services and county funding is intended as payer of last resort.
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Pinellas County Human Services told commissioners on Friday that it expects to use opioid‑settlement proceeds strategically in FY27 while pressing hospitals to share responsibility for forensic sexual‑assault exams.
Tony Merrill (OMB) outlined that Human Services manages four primary funds and that the department’s total across funds is budgeted at $481.8 million for FY27, driven in part by the hospital direct‑payment program and opioid settlement receipts. Karen Yatcham, human services director, said the department proposes shifting certain care funding onto the opioid abatement settlement to lower general‑fund exposure; the change would move approximately $1.4 million off the general fund and change the department’s net general‑fund ask.
Victim‑services decision package: Human Services requested recurring funding to close a gap for Suncoast Center’s 24/7 victim advocacy, forensic exam and crisis response program. Yatcham said Suncoast Center faces a remaining funding gap of about $176,000 after losing a grant and that the county administrator is recommending a recurring allocation to increase the county’s contribution to $340,120. Yatcham said, however, that state rules and hospital statutory responsibilities mean the department expects hospitals to be the "payer of last resort" only after hospital contributions, grants and fundraising are applied.
Why it matters: Yatcham highlighted sizable unfunded state mandates facing the department (estimated at about $20 million) including Medicaid match and behavioral health obligations, which constrain local discretionary spending. The department also cited a decline in drug‑related deaths countywide (266 in 2025 versus 597 in 2022) and a drop in suicide deaths — metrics Yatcham attributed to increased access to care and naloxone saturation.
What’s next: Commissioners pressed for clarity on hospital contributions and statutory duties. County administration and Human Services staff said they will present final budget language and a recommended package during the August budget presentation.

