HomeMy WebLinkAboutMINUTES - 09101996 - C75 TO: BOARD OF SUPERVISORS
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FROM: William Walker, M.D., Director Costa
Health Services Department `s County
DATE:
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DATE: August 12, 1996
SUBJECT: TOBACCO TAX (AB-75)
SPECIFIC REQUESTS(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
1996/97.
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 execute and submit the State Public Health Subvention
Certification form.
6. Authorize the Health Services Director to disburse CHIP funds based upon State approval of the Standard
Agreement.
7. 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.
Il. FinanciallmDact:
The County estimates it will receive State revenues as follows:
FOR COUNTY OPERATED SERVICES:
CHIP-Hospital $1,696,000
CHIP-Other Health Care 573.000
Subtotal-County Operation $2,269,000
FOR NON-COUNTY OPERATED SERVICES:
CHIP-Hospital $ 395,000
CHIP- Physician 218.000
Subtotal Non-County Operation $ 613,000
ESTIMATED 1996/97 REVENUES $2.882.000
CONTINUED ON ATTACHMENT: YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE _OTHER
SIGNATURE(S):
ACTION OF BOARD ON - D 9 APPROVED AS RECOMMENDED OTHER
VOT 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.
CC: County Administrator ATTESTED N 2-tL ern�.�2�2 /D � u
Health Services Administration 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 WJa X ec C4a Y w _,DEPUTY
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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 plus 50%of any overmatch of county funds in the 1988/89 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.