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IIIIIIIII Fiscal Approach and Limitations <br /> Objective: Provide fiscal evaluation of a City of Santa Ana public health agency <br /> 111111II,111111Relied upon the experience of the County of Orange and two peer <br /> municipalities that provide full-scope public health services, Long Beach <br /> and Pasadena <br /> 111111IIII111111Discretion afforded local health jurisdictions creates challenges and <br /> limitations in developing budget comparisons: <br /> Local health jurisdictions are not required to meet a fiscal maintenance of <br /> effort requirement <br /> Local health jurisdictions can provide a higher level and additional services <br /> beyond mandates <br /> Budgets are not tied to independent benchmarks or community conditions <br /> Local health jurisdictions can organize the function and related <br /> responsibilities in a variety of ways <br /> ............................................ <br /> I I M A...' <br />