HomeMy WebLinkAboutMINUTES - 09011987 - 2.2 TO' BOARD OF SUPERVISORS ri
FROM: Mark Finucane , Health Services Director Contra
By : Elizabeth A. Spooner , Contracts Administrator
Costa
DATE; August 19, 1987 County
SUBJECT; County Health Services Plan and Budget for Fiscal Year 1987-88
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION :
Approve and authorize the Health Services Director to execute
and submit to the State Department of Health Services the
County Health Services Plan and Budget for Fiscal Year 1987-88 .
II . FINANCIAL IMPACT :
$22 , 171 , 658 revenue from the State ( $9, 980, 476 MISP; $8, 859, 292
AB-8; and $3 , 331 , 890 per capita) . These funds are included in
the Health Services Department 1987-88 Budget .
III . REASONS FOR RECOMMENDATIONS/BACKGROUND :
SB 409 (Chapter 1005 , Statutes of 1981) requires the governing
body of each County or local health jurisdiction to adopt and
submit a multiyear county health services base plan and budget .
Additionally, all MISP counties must provide Medically Indigent
Services Program related information with the plan and budget
submission.
Following the passage of Proposition 13 , the Legislature pro-
vided a variety of vehicles to "bail out " local government . One
of those was the establishment of the County Health Services
Fund by AB-8 (Chapter 282 Statutes 1979 ) . Welfare and
Institutions Code Sections 16700 provide that the State will
reimburse the County a maximum of 50% of the County' s cost of
providing health and medical services up to a maximum limit .
CONTINUED ON ATTACHMENT: X YES SIGNATURE: 0-9_/.�
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMM NDATI N OF BOARD C MMITTEE
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON September 1, 1987 APPROVED AS RECOMMENDED X OTHER X
APPROVED the recommendation and AUTHORIZED the Health Services Director to submit under protest
the County Health Services Plan and Budget for Fiscal Year 1987-88. The Health Services
Director is further INSTRUCTED to articulate the reasons for the protest to the Department
of Health Services and County Legislative Delegation. Further, the Health Services Director
is REQUESTED to prepare for Supervisor Torlakson's signature letters to the Central Costal
Region Counties explaining the board's position on this matter.
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
X UNANIMOUS (ABSENT 3 ) AND CORRECT COPY OF AN ACTION TAKEN
AYES*.— NOES:_ AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
cc: Health. Services (Contract) ATTESTED __See.tember _1..__1987
County Administrator PHIL BATCHELOR. CLERK OF THE BOARD OF
Auditor-Controller SUPERVISORS AND COUNTY ADMINISTRATOR
State Dept. of Health Services
E3Y � ,DEPUTY
M382/7-83 -
�I
' +n # .. 2
BOARD ORDER
COUNTY HEALTH SERVICES PLAN AND BUDGET
FOR FISCAL YEAR 1987-88
PAGE 2
The County applies for its AB-8 allocation from the Health
Services fund by identifying the budgeted net County costs for
the fiscal year . In order to receive the maximum allocation
from the AB-8 County Health Services Fund , a County must show
that it will spend twice its allocation of State matching funds
plus the amount of the per capita grant . To receive our maximum
allocation , we must , therefore , show that we have AB-8 allowable
County costs as follows :
Per Capita Grant $ 3 , 331 , 890
State Matching Funds 8 , 859, 292
County Matching Funds 8, 859 , 292
Required County Contribution $210050, 474
The amount of funds currently budgeted to the Health Services
Department is sufficient to meet the match requirement at the
50/50 level and to maximize the total State dollars available .