Item - 2024.HL16.2
Tracking Status
- This item was considered by Board of Health on September 9, 2024 and was adopted with amendments.
- See also Item HU3.1
HL16.2 - Toronto Public Health 2025 Operating Budget Submission
- Decision Type:
- ACTION
- Status:
- Amended
- Wards:
- All
Board Decision
The Board of Health:
1. Requested the Mayor to propose a 2025 Operating Budget to City Council for Toronto Public Health of $285,898.1 thousand gross, $82,868.7 thousand net, and 1,908.0 positions, which includes the following incremental changes from the Toronto Public Health 2024 Operating Budget:
a. an increase in revenue of $1,957.1 thousand to accept additional funds from the provincial government to support the delivery of Ontario Public Health Standards programs and services;
b. an increase in budget of $327.3 thousand to accept additional funds from the provincial government's Ministry of Children, Community and Social Services to support the delivery of the Healthy Babies Healthy Children Program;
c. an increase of $886.3 thousand gross and $886.3 thousand net for inflationary cost of food increases and projected growth in student participation in the Student Nutrition Program;
d. an increase of $1,621.7 thousand gross and $1,621.7 thousand net and 17.0 positions for salaries and benefits;
e. a decrease of $406.2 thousand gross, $453.0 thousand net and 3.0 positions for 2025 administrative and technical adjustments; and
f. a decrease of $68.0 thousand gross, $0.0 net for the Partnership for Healthy Cities one-time grant.
2. Requested the Medical Officer of Health to prioritize working towards increasing the municipal contribution of the Student Nutrition Program to 20 percent.
3. Reiterated its request in Item HL13.4, 2024 Student Nutrition Program Service Subsidies, that the Government of Canada expand the National School Food Program to urgently provide funding for a universal program which would provide nutritious meals for every school-aged child, and that the federal funding allocated for 2025 be brought forward so that the implementation of the school food program can begin in January 2025.
4. Requested the Province of Ontario to increase its grant funding investment to the Student Nutrition Program proportionally to match the increased City of Toronto investment and further request the Province of Ontario provide increased funding to address the inflationary cost of food.
5. Directed the Medical Officer of Health, in coordination with the City Manager, to engage the Government of Canada on the 2024 Federal Budget commitment of $79 million for 2024 and the $220 million for 2025 for student nutrition programs, which has not flowed, and negotiate with the Provincial and Federal Governments for Toronto's allocation of this funding.
6. Requested the Government of Ontario to protect community health, well-being and safety by continuing to fund, and permit the operation of, all currently operating Supervised Consumption Services and Consumption and Treatment Services Sites beyond March 31, 2025.
7. Requested the Government of Ontario to permit the co-location of Homelessness and Addiction Recovery Treatment Hubs (HART Hubs) and Supervised Consumption Services and Consumption and Treatment Services sites to provide for live-saving medical services, primary care, and increased pathways to treatment services.
8. Directed that this report be forwarded to the Budget Committee for consideration during the 2025 Budget process.
Decision Advice and Other Information
The Board of Health considered Items HL16.2 and HL16.3 together.
The Manager, Finance Services, Toronto Public Health gave a presentation on the Item.
Origin
Summary
This report outlines the Toronto Public Health 2025 Operating Budget Submission for consideration by the Board of Health. Toronto Public Health's 2025 Operating Budget Submission is $282,833.0 thousand gross, $79,803.6 thousand net and 1,887.0 positions.
This 2025 Operating Budget Submission is higher than the 2024 Operating Budget by $3.0 thousand gross, $98.0 thousand net with 1.0 fewer positions, due to the end of federal funding for the Injectable Opioid Agonist Treatment Program and the termination of provincial funding for Supervised Consumption Sites in 2025. Additional information on the change between the 2025 Operating Budget Submission and the 2024 Operating Budget is available in Table 1 in this report.
The 2025 Operating Budget Submission includes in-year changes, and base changes as detailed in the recommendations in this report.
Background Information
https://www.toronto.ca/legdocs/mmis/2024/hl/bgrd/backgroundfile-248504.pdf
(August 23, 2024) Report from the Medical Officer of Health on Toronto Public Health 2025 Operating Budget Submission
Presentation from the Manager, Finance Services, Toronto Public Health on Toronto Public Health 2025 Operating Budget and 2025-2034 Capital Budget and Plan Submissions
https://www.toronto.ca/legdocs/mmis/2024/hl/bgrd/backgroundfile-248505.pdf
Appendix A to the Presentation from the Manager, Finance Services, Toronto Public Health on Toronto Public Health 2025 Operating Budget and 2025-2034 Capital Budget and Plan Submissions
https://www.toronto.ca/legdocs/mmis/2024/hl/bgrd/backgroundfile-248546.pdf
Communications
https://www.toronto.ca/legdocs/mmis/2024/hl/comm/communicationfile-182693.pdf
(September 7, 2024) E-mail from Heath Soave (HL.New)
(September 7, 2024) E-mail from Kier Martin (HL.New)
(September 7, 2024) E-mail from Meg Olson (HL.New)
(September 7, 2024) E-mail from Justine Neira Ariza (HL.New)
(September 8, 2024) E-mail from Silvia Gonzalez (HL.New)
(September 8, 2024) E-mail from Jessica Westhead (HL.New)
(September 8, 2024) E-mail from Susie Berg (HL.New)
(September 8, 2024) E-mail from Jolanda Thomas (HL.New)
(September 8, 2024) E-mail from Dorianne Emmerton (HL.New)
(September 8, 2024) E-mail from Keira Grant (HL.New)
(September 8, 2024) E-mail from Mila Dzinic (HL.New)
(September 8, 2024) E-mail from The Reverend Canon Maggie Helwig (HL.New)
https://www.toronto.ca/legdocs/mmis/2024/hl/comm/communicationfile-182680.pdf
(September 8, 2024) E-mail from Emily Mani (HL.New)
https://www.toronto.ca/legdocs/mmis/2024/hl/comm/communicationfile-182681.pdf
(September 8, 2024) E-mail from Cory Silverberg (HL.New)
(September 8, 2024) Submission from Omar Khan (HL.New)
(September 8, 2024) E-mail from Elizabeth Patti (HL.New)
(September 8, 2024) E-mail from Justin Kwok (HL.New)
(September 9, 2024) E-mail from Jen Milroy (HL.New)
(September 9, 2024) E-mail from Dr. Kathryn Dorman (HL.New)
(September 9, 2024) Submission from Mary Jo Nabuurs (HL.New)
(September 9, 2024) Submission from Dan Werb, Director, Centre on Drug Policy Evaluation Chair in Mental Health and Substance Use Disorders, St. Michael’s Hospital/University of Toronto (HL.New)
(September 9, 2024) Submission from Louise Hidinger, Ph.D. and Heather Pun (HL.New)
(September 9, 2024) E-mail from Jordan Bond-Gorr (HL.New)
(September 9, 2024) E-mail from Kat Manica, PhD (HL.New)
(September 9, 2024) E-mail from Stephanie Niesner (HL.New)
Speakers
Gillian Evans, Marc Garneau Collegiate Institute
Sarah Watson, North York Harvest Food Bank (Submission Filed)
Melissa Wong, Social Planning Toronto
Susan Wright, Summer Lunch Plus
Omar Khan, Engaged Communities
Dr. Dan Werb, Director, Centre on Drug Policy Evaluation, St. Michael’s Hospital
Dayn Kent, Manger, Regent Park Community Health Centre
Marina Classen, Toronto Overdose Prevention Society
Serena Purdy, Board Chair, Friends of Kensington Market
Ola Skudlarska, Leslieville Harm Reduction Coalition
Mskwaasin Agnew, Toronto Indigenous Harm Reduction
Hannah Stahl, Toronto Metropolitan University
Sahar Raza, Daily Bread Food bank
Lindsay Jennings
Justine Ariza
Motions
That the Board of Health:
Amend Recommendation 1 by deleting 1.a. and 1.h. and updating the proposed Operating Budget values so that it now reads:
1. The Board of Health request the Mayor to propose a 2025 Operating Budget to City Council for Toronto Public Health of $282,833.0 $285,898.1 thousand gross, $79,803.6 $82,868.7 thousand net, and 1,887.0 1,908.0 positions, as summarized in Table 1, Overview of the TPH 2025 Operating Budget Submission, which includes the following incremental changes from the TPH 2024 Operating Budget:
a. a decrease of $1,115.7 thousand gross, $0.0 net and 7.0 temporary positions for the Injectable Opioid Agonist Treatment Program;
b. an increase in revenue of $1,957.1 thousand to accept additional funds from the provincial government to support the delivery of Ontario Public Health Standards programs and services;
c. an increase in budget of $327.3 thousand to accept additional funds from the provincial government's Ministry of Children, Community and Social Services to support the delivery of the Healthy Babies Healthy Children Program;
d. an increase of $886.3 thousand gross and $886.3 thousand net for inflationary cost of food increases and projected growth in student participation in the Student Nutrition Program;
e. an increase of $1,621.7 thousand gross and $1,621.7 thousand net and 17.0 positions for salaries and benefits;
f. a decrease of $406.2 thousand gross, $453.0 thousand net and 3.0 positions for 2025 administrative and technical adjustments;
g. a decrease of $68.0 thousand gross, $0.0 net for the Partnership for Healthy Cities one-time grant; and
h. a decrease of $1,242.4 thousand gross, $0.0 net and 14.0 temporary positions for the Supervised Consumption Site.
Vote (Amend Item) Sep-09-2024
| Result: Carried | Majority Required |
|---|---|
| Total members that voted Yes: 9 | Members that voted Yes are Alejandra Bravo, Ausma Malik, Chris Moise (Chair), Amber Morley, Charles Ozzoude, Gord Perks, Suman Roy, Anu Sriskandarajah, Michael Thompson |
| Total members that voted No: 0 | Members that voted No are |
| Total members that were Absent: 4 | Members that were absent are Abinaya Chandrabalan, Lindsay Kretschmer, Ramanjeet Singh, Stephanie Zhou |
That the Board of Health:
1. Request the Government of Ontario to protect community health, well-being and safety by continuing to fund, and permit the operation of, all currently operating Supervised Consumption Services and Consumption and Treatment Services Sites beyond March 31, 2025.
2. Request the Government of Ontario to permit the co-location of Homelessness and Addiction Recovery Treatment Hubs (HART Hubs) and Supervised Consumption Services and Consumption and Treatment Services sites to provide for live-saving medical services, primary care, and increased pathways to treatment services.
That the Board of Health adopt the following recommendations in the letter (July 23, 2024) from the Board of Health – Budget Committee, amended as follows:
1. The Board of Health request the Medical Officer of Health to prioritize working towards increasing the municipal contribution of the Student Nutrition Program to 20 percent.
2. The Board of Health reiterate its request in Item HL13.4 that the Government of Canada expand the National School Food Program to urgently provide funding for a universal program which would provide nutritious meals for every school-aged child, and that the federal funding allocated for 2025 be brought forward so that the implementation of the school food program can begin in January 2025.
3. The Board of Health request the Province of Ontario to increase its grant funding investment to the Student Nutrition Program proportionally to match the increased City of Toronto investment and further request the Province of Ontario provide increased funding to address the inflationary cost of food.
4. The Board of Health direct the Medical Officer of Health, in coordination with the City Manager, to engage the Government of Canada on the 2024 Federal Budget commitment of $79 million for 2024 and the $220 million for 2025 for student nutrition programs, which has not flowed, and negotiate with the Provincial and Federal Governments for Toronto's allocation of this funding.
2a - Preliminary Toronto Public Health 2025 Operating Budget and 2025-2034 Capital Budget and Plan
Origin
Summary
At its meeting on July 23, 2024, the Board of Health - Budget Committee considered Item HU3.1, Preliminary Toronto Public Health 2025 Operating Budget and 2025-2034 Capital Budget and Plan.
Background Information
https://www.toronto.ca/legdocs/mmis/2024/hl/bgrd/backgroundfile-248173.pdf