HomeMy WebLinkAboutMINUTES - 09211993 - 1.3 (2) To: BOARD OF S1.'PI:RN'ISORS
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Mark Finucane Director - '• ..+.; Costa
Health Services Department County
DATE:
September 1, 1993 ( • 30
SUBJECT:
TOBACCO TAX (AB-75)
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND 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 1993/94.
2. Authorize the Health Services Director to execute and submit 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 2,094,436
CHIP - Other Health Care 798,764
Subtotal-County Operation $2,893,200
FOR NON-COUNTY OPERATED SERVICES:
CHIP - Hospital $ 532,006
CHIP - Physician 269,452
T Subtotal Non-County Operation ;,694'
01458
:ONTINUED ON ATTACHMENT: � 79TAL 1993/94 REVENUES SIGNATURE: ,658
-RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
IGNATURE S
•CTION OF BOARD ON Str
APPROVED AS RECOMMENDED OTHER
JTEIOF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS(ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: �,�11,AV•!/ NOES: ____ AND ENTERED ON THE MINUTES OF THE EOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED SEP 2 1 1993
-u..",; : Patrick Godley (5-5005) P"
cc: CAO
Mark Finucane
George Washnak (20 Allen St. )
BY DEPUTY
-2-
M. 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 levels of 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 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 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.