HomeMy WebLinkAboutMINUTES - 08141990 - 1.43 DUAI(U yr avrcR11 JZUK5
FRCM: W
Conti
Mark Finucane, Director Costa
GATE: Health Services Department Coun
!JB„IECT:
August 7 , 1990
TOBACCO TAX (AB-75 )
SPECIFIC REQUESTIS) OR RECOWENDATION(S) • aWja0 OUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
1 . Approve and authorize the Health Services Director to
execute and submit to the State Department of Health
Services the Application for California Health Care for
Indigents Program (CHIP) funds for fiscal year 1990/91 .
2 . Authorize the Health Services Director to execute the
Standard Agreement for County Health Services .
II. FINANCIAL IMPACT:
The County estimates it will receive State revenues as
follows :
FOR COUNTY OPERATED SERVICES:
CHIP - Hospital 21610,989
CHIP - Other Health Care 1 ,598 ,591
Subtotal-County Operation $41209,580
FOR NON-COUNTY OPERATED SERVICES:
CHIP - Hospital $ 793,435
CHIP - Physician 692 ,465
Subtotal Non-County Operation $1,485,900
TOTAL 1990/91 REVENUES $5,695,480
coNTlNvse oN wTTACNMCNT: TCS •IeNATuwC:
NKcomma"DAT/ON Or cow".Y AOM IN IWrWATOw WWCOMMCNOATION Or OpARD COMMITTlt
APPWOV6 OTUOI
IGNA'RAIE S :
wcTlen eF aewwo ON APPwoVCD AS NCCOMMCNOCD
OT"C"
YOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
UPIANIMIOUS IA84ENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINITES OF THE BOARD
ABSENT: ABSTAIN: CF SUPERVISORS ON THE DATE SHOWN.
C. : 9EALTH SERVICES (CONTRACTS) ATTESTED AUG 1 4 1990
AUDITOR-CONTROLLER (CLAIMS) — --—
STATE DEPARTMENT OF HEALTH SERVICES PHIL BATCHELOR. CLERK OF THE BOARD OF
SUPERVIScOOR(S�AND COUNTY ADMINISTRATOR
M382 743 BY (G�'�Ypii�
- .DEPUTY
-^-
III. DISCUSSION/BACKGROUND:
The passage of the Tobacco Tax and Health Protection Act of
1988 (Proposition 99) and its implementing legislation,
Assembly Bill 75 and Senate .Bill 960 and Assembly Bill 1154
made available monies to reimburse hospitals, physicians, and
other providers for uncompensated care costs, for making
capital improvements, and for implementing data systems.
These monies are available to the County for distribution to
both county operated and non-county operated entities, upon
application to the State.
Contained within the application are assurances by the County
regarding use of these funds. These assurances apply to both
the county operated services as well as the privately operated
services. The funding conditions are as follows:
s
1. Funds must be used to supplement existing levels of
services provided and shall not be used to fund existing
levels of service.
Z. Counties will be required to provide, or arrange and pay
for, medically necessary follow up treatment, including
prescription drugs for any condition detected as part of
a child health and disability prevention screen.
3. A county will have to maintain a level of financial
support of county funds for health services that is at
least equal to its county match and any overmatch of
county funds in the 1988/89 fiscal year.
4. Monies will be accounted for as revenue in the County
Health Services Plan Update and Budget Supplement and
cannot be used as county matching funds for other funds
received from County Health Services Branch.
5. A county will not be able to impose more stringent
eligibility standards for the receipt of benefits under
Section 17000 or to reduce the scope of benefits compared
to those which were in effect on November S. 1988.'-
6.
988.'6. Funds will not be available for the support of health
services provided to persons detained in a county or city
jail or other correctional facilities.
7. Receipt of funding shall not 'relieve a county of its
obligation to provide indigent health care as required
by Section 17000.
8. Counties will have to maintain at least the same number
of outpatient visits in the 1989/90 and 1990/91 fiscal
years as were provided, either directly or through
contract, in the 1988/89 fiscal year.
9. Reports will be required on indigent health care program
demographic, expenditure, and utilization data in a
manner that will provide an unduplicated count of users
for the fiscal year.