HomeMy WebLinkAboutMINUTES - 08041992 - 1.36 E. , -- ® 3 6
TC? BOARD OF SUPERVISORS s
Mh Contra
CostaFROM: Mark Finucanei Director
Health Services Department Cou�/
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DATE: �srgcoun�i
July 22 , 1992 �:',
SUBJECT: TOBACCO TAX (AB-75)
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
I. RECOMMENDED ACTION:
i;
1. Approve and authorize the Health Services Director to
execute and submit to the State Department of Health
Servicesithe Application for California Health. Care for
_,. . Indigents- Program_ (CHIP) funds for fiscal year 1992/93 .
2 . Authorize the Health Services Director to execute and
submit the Standard Agreement for County Health Services.
i.
II. FINANCIAL IMPACT:
The County estimates it will receive State revenues as
follows:
FOR COUNTY OPERATED SERVICES:
CHIP - Hospital 1, 919 , 151
CHIP - Other Health Care 914 , 601
Subtotal-County Operation $2 , 833 , 752
FOR NON-COUNTY OPERATED SERVICES:
CHIP - Hospital $ 420, 229
CHIP - Physician 278 , 198_
d 4
Subtotal Non-County Operation $ 698, 427
TOTAL 1992/93 REVENUES $A,532,179
CONTINUED ON ATTACHMENT: RYES SIGNATURE: 'Lz_�
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS(ABSENT 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. (� / Gj r�
CC: Health Services Administration ATTESTED / `1 ` ;Z-
PHIL BATCHELO ,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
BY
M382 (10/88)
,DEPUTY
�i
-2-
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:
1. Funds must be used to supplement existing levels of
services provided and shall not be used to fund existing
levelsof service.
2 . 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 .
countyfunds 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 8, 1988 .
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 . 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.