HomeMy WebLinkAboutMINUTES - 09191995 - SD9 -Sb 9
TO: BOARD OF SUPERVISORS
• Contra
FROM: Mark Finucane, Director Costa
Health Services Department
County
DATE: June 23, 1995
SUBJECT: TOBACCO TAX (AB-75)
SPECIFIC REQUESTS(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
1. 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 1995/96.
2. Authorize the Health Services Director to execute and submit the Standard Agreement for County Health Services.
3. Authorize the Health Services Director to execute and submit the Description of Proposed Expenditure of C.H.I.P. Fund
forms.
4. Authorize the Health Services Director to execute and submit any application, Standard Agreement or Proposed
Expenditure form amendments which may be required that have no fiscal consequences.
5. Authorize the Health Services Director to disburse CHIP funds based upon State approval of the Standard Agreement.
6. Direct the Health Services Director to report to the Finance Committee on the block grant distribution of any non-County
hospital discretionary funding in excess of$25,000.
11. Financial Impact:
The County estimates it will receive State revenues as follows:
FOR COUNTY OPERATED SERVICES:
CHIP-Hospital $1,677,000
CHIP-Other Health Care 475.000
Subtotal-County Operation $2,152,000
FOR NON-COUNTY OPERATED SERVICES:
CHIP-Hospital $ 513,000
CHIP-Physician 241.000
Subtotal Non-County Operation $ 754,000
ESTIMATED 1995/96 REVENUES $2.906 000
CONTINUED ON ATTACHMENT: X YES SIGNATURE: •� ,..�
RECOMMENDATION OF COUNTY ADMWISTRATOR RECOMMENDATION OF BOARD CONO IITTEE
APPROVE _OTHER
SIGNATURE(S):
ACTION OF BOARD ON v.,li"a . _.l&A A2�9J C)C/ APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE
AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN
ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
County Administrator
CC: Health Services Administration Ar1ESTED '--- ) gam-
PHIL BATCHELOR,OLERK OF THE BOARD OF
Attn:George Washnak SUPERVISORS AND COUNTY ADMINISTRATOR
Auditor-Controller
Contact: Patrick Godley,370-5005
M382(10/88) BY AA Q Q4 DEPUTY
-2-
111. 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 1988189 fiscal year.
4. Monies will be accounted for as revenue to 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.