Item - 2022.HL39.2

The Board of Health:

1. Requested the Medical Officer of Health to report to the next meeting of the Board of Health on changes to service standards resulting from the proposed 2023 Operating Budget.

2. Requested the Medical Officer of Health to provide an orientation and update to the Board of Health on the 2023 Budget submission and process at the earliest possible board meeting in 2023, including:

a. an update on Appendix A "2023 Service Levels" in the report (October 28, 2022) from the Medical Officer of Health;

b. additional details comparing the proposed 2023 Budget to planned and delivered budgets prior to 2022; and

c. additional information on the planned resumption of regular services, COVID-19 recovery initiatives, and other specific programs and services of interest to the Board, in consultation with the Acting Chair of the Board of Health.

3. Requested the Medical Officer of Health to advocate to Health Canada and the Ontario Ministry of Health for funding for the six Budget Proposals below, as outlined in the presentation (October 5, 2021) from the Director, Finance and Administration, Toronto Public Health and the Medical Officer of Health, and to report to the next meeting of the Board of Health on the progress made to secure funding:

a.  enhance resources for the Toronto Drug Strategy Secretariat;

b.  enhance programming for The Works;

c.  an expanded Outreach Overdose Team;

d.  expand Injectable Opioid Agonist Treatment (iOAT);

e.  enhance data and improve data sharing; and

f.  Mobile Consumption Services.

4. Requested the Medical Officer of Health to report to the next meeting of the Board of Health on what elements of the six Budget Proposals in Part 3 above are recommended to be funded immediately by the City of Toronto in 2023 while funding and reimbursement of costs from other levels of governments is sought.

5. Requested the Medical Officer of Health to continue to advocate to the Province of Ontario to:

a. confirm its commitment to provide provincial cost-sharing mitigation funding to public health units for the duration of the COVID-19 Response and for a minimum of two years after the end of the COVID-19 Response;

b. continue to provide funding for COVID-19 extraordinary costs for the duration of the COVID-19 Response; and

c. provide an opportunity to request funding for COVID-19 Recovery efforts.

Confidential Attachment 1 to the report (October 28, 2022) from the Medical Officer of Health is now public and can be accessed under Background Information.  (See Item HL1.4.)

The Board of Health:

1. Directed that the report (October 28, 2022) from the Medical Officer of Health be forwarded to the appropriate Committee for consideration as part of the 2023 Budget Process.

The Board of Health considered Items HL39.2 and HL39.3 together.

The Director, Finance and Administration gave a presentation on the Item.

The Board of Health recessed its public meeting in order to meet in closed session to consider the item as it pertain to personal matters about identifiable individuals, including municipal or local board employees, and labour relations or employee negotiations.

This report outlines the Toronto Public Health (TPH) 2023 Operating Budget Submission for consideration by the Board of Health. Toronto Public Health's 2023 Operating Budget Submission is $369,555.4 thousand gross, $159,304.3 thousand net and 2,309.9 positions.

This 2023 Operating Budget Submission is $1,226.3 thousand gross lower, $30,958.5 thousand net higher and 423.9 positions lower than the 2022 Approved Operating Budget as outlined in Table 1 in this report.

The 2023 Operating Budget Submission includes in-year changes, base changes, and a confidential program efficiency pending City Council approval as detailed in the recommendations included in this report.

At its meeting on July 25, 2022, the Board of Health - Budget Committee considered Item HU8.1, 2022 Toronto Public Health's 2022 and 2023 Operating and Capital Budgets.