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HomeMy WebLinkAboutMINUTES - 08041998 - C26-C30 TO: BOARD OF SUPERVISORS - Contra FROM: William Walker, M.D., Director Costa Health Services Department County DATE: July 21, 1998 SUBJECT: TOBACCO TAX {AB-75) SPECIFIC REQUESTS(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION Recommended Action: `. 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 1998/99. 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 farms. 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. Financial I g a : The County estimates it will receive State revenues as follows: FOR COUNTY OPERATED SERV Q : CHIP-Hospital $1,950,090 CHIP-Other Health Care 5io.000 Subtotal-County Operation $2,460,000 FOR NON-CO-QNTY SRA, TED SERVICES: CHIP-Hospital $291,000 CHIP-Physician 218.000 Subtotal Non-County Operation $ 509,000 ESTIMATED 1997/98 REVENUES $2,969,000 CONTINUED ON AT°i"ACHMENT, X YES SIGNATURE:_ RECOMMENDATION OF CO'tJNTY ADMINISTRATOR _RECOMMENDATION CSF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S): ACTION OF BOARD ON APPROVED AS RECOMMENDED Q L-3 -- VOTE OF SUPERVISORS UNANIMOUS (ABSENT_. I HEREBY CERTIFY THAT THIS IS A TRUE: AYES:,_�- NOES: AND CORRECT COPY OF AN ACTION TAKEN ASSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE S;IOWN, CC: County Adni nismator ATTESTED v. — Health Services Administration PHIL BATCHELOR,CL OF THE BOARD CX Attn: George Washnak SUPERVISORS AND C` NTY ADMINISTRATOR Ae,ditot7-Contro;#er Contact:Patrick Godley,3705005 p f M382(10;88) BY ,'^ ,�c`�" F� -2- W. 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, ►rade available cronies 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. I 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 5O%of any overmatch of county funds in the 1998/99 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 170001, 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. TO: BOARD OF SUPERVISORS 60",$ ,ter_ , Arthur C. Miner,Executive Director Contra .- Costa FROM, Contra Costa County Private Industry Council DATE: July 15, 1998 County + SUI ACT. AUTHORIZE AMERICOR.PS* VISTA PROJECT APPLICATION SPECIFIC REOUEST(S)OR RECOMMENDATION($)A BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Authorize the Executive Director, Contra Costa County Private Industry Council, to submit an ArneriCorps* VISTA Project Application to the Corporation for National Service for two positions. II. FINANCIAL IMPACT: None, direct costs paid for by the corporation for National Service; support costs to be paid for by Federal and State Welfare Development Grant funds. III. CHILDREN IMPACT STATEMENT: If awarded, one of these two positions will support the EASTBAY Works job placement program., the other will assist in maintenance of the electronic infrastructure of the County PIC EASTBAY Works One Stop Career Centers. This will support the third outcome — Families that are economically self sufficient. Iii. REASONS FOR RECOMMENDATION: Contra Costa PIC staff, as part of the training for a special federal Welfare to Work Grant awarded to the Oakland, Alameda and Contra Costa PIC(SDAs, recently attended a DOL training institute in Baltimore. One of the suggestions at that institute was to apply for AmeriCorp* VISTA workers. One position would be assigned to assist in coordination of the EASTBAY Works job development effort in Contra Costa and Alameda Counties. The second. Position would act as a technical resource for the Centra Costa PIC One Stop Center, assisting PC users through training and trouble-shooting operator initiated problems. CONTINUED ON ATTACHMENT; ->In SIGNATURE: .w�... RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE, ACTION OF BOARD CSN X s �ry c °s`+ APPROVED AS RECOMMENDED. 4.� VOTE CBF SUPERVISORS I HERESY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT AND CORRECT COPY CSF AN ACTION TAKEN AYES: Not&- AND ENTERED ON THE MINUTES Of THE BOARD ABSTAIN; CSF SUPERVISORS ON THE DATE SHOWIN Private Industry Council ATTESTED County Administrator PML BATC14LOA,CLERK OF TiiE BOARD OF County Auditor-Controller S PERVISORS AND COUNTY ADMINISTRATOR y:\picofrz;e\diskette\bderders\amen corps BY .DEPUTY V,382t�s�re�S � TO: BOARD OF SUPERVISORS Contra FROM. John Cullen,Director ?� Costa :. 1 County � s �,.• J�y �sr SATE: July 21, 1998 `r'riunC` SUBJECT. APPROVE and AUTHORIZE 1998/99 County Plan for Refugee Services and ISSUE Request for Interest SPECIFIC REQUEST(S)OR RECOM MENDATiON(S)&BACKGR'OUND AND JUSTIFICATION RECOMME'TNDED ACTION=S: 1. APPROVE and ACCEPT the 1998/99 County Plan for Refugee Services. 11. APPROVE and AUTHORIZE the Director of Social Service, or his designee to accept Federal Refugee Program funding and execute the following State Agreement: Funding Program Anticipated Source Period Funding Amt. Refugee Employment Social Services(RESS) 10/1/98 w 9/30/99 $ 83,860 1I1. APPROVE and AUTHORIZE the Social Service Director or his designee,to prepare and execute amendments for subsequent increased funding allocations or adjustments as they are received, on the condition that no general funds are required. (continued) Af CONTINUED ON ATTACHMENT: -Z-YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR -RECOMMENOX ION OF HOARD COMMITTEE APPROVE OTHER SiGNATUAE S: APPROVED AS RECOMMENDED � ACTION OF BOARD ON - - - VOTE OF SUPERVISORS I HEREBY CERTIFY THAI THIS IS A TRUE UNANIMOUS(ABSENT AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ASSTA:W OF SUPERVISORS�ON THE DATE SHOWN. Robert Hoft-c`nn 3-1093 and ATTESTED Contact- Kareen Morgan 3-1605 PHIL BATeI LOH,CLERK OF THE BOARD OF cc: SOCTAi SERVICE (CONTRACT UNIT) SUPERVISORS AND COUNTY ADMINISTRATOR COTLWrY AD INIiS'TRA'OR A ITOR-CONTIROUER /'l�';�,{ +T+/�) • ` ; /�� CC,}iV l�'�E4 r31J1\ By ' ;c'"...... ,.•.,: .. ..'rem'.,.<,.--w-- ,DEPUTY IV. AUTHORIZE the Social Service Director or his designee,to issue Request for Interest to prospective public or private non-profit bidders to deliver services to refugees under the following program components: SERVICE AMOUNT OF RESS FUNDS Employment Services-West County..............................................................$ 33,141 Employment Services -Central/East.............................................................. $ 33,141 Refugee Cash Assistance Case Management....................................................$ 3,000 Refugee Cash Assistance Support Services.......................................................$ 2,000 Note: An additional component may be authorized if the County receives Federal Refugee Targeted Assistance Discretionary Funds. FISCAL: Funding for all of the above is from the Federal Office of Refugee Resettlement. No County funds are involved. The preliminary allocation for KESS 1998/99 is $ 83,860 according to an allocation letter from the State Refugee Program Bureau dated 5/13/98. BACKGROUND: On March 20, 1984, the Board designated the Social Service Department as the agency responsible for planning and writing County Plans for programs funded by the Federal Office of Refugee Resettlement (ORR). Every year since then, the Social Service Department has submitted its plan for Board approval, and subsequent State and Federal approval. During the 1980's, the funding level from ORR was about$500,000. However, as the overseas refugee program winds down, fewer refugees are being resettled in Contra Costa County. Consequently the funding level has progressively decreased each year to its present level of $83,860. It is anticipated that FFA' 1998/99 will be the final year the County will receive REBS funding, To receive KESS funds, Contra Costa County is submitting the present County Plan to the State Refugee Programs Bureau(RPB)for their approval. This County Plan was prepared according to guidelines issued by RPB and with input from the Refugee Services Advisory Council and from members of the community at a Public Hearing held on June 24, 1998. The Executive Summary of the 1998/99 Refugee Services County Plan is attached. y� EXECUTIVE SVS RY -IL 19 a •- � � Contra Costa County has an estimated refugee population of 10,000 persons, and approximately 3 ,000 of them are receiving some type of Public Assistance. Because of this, Contra Costa is one of 12 California counties designated by the Federal Office of Refugee Resettlement (ORR) as being "impacted" by refugee resettlement. As an impacted county, Centra Costa has been receiving federal funds since 1984 to provide services to its refugee residents. Services are intended to help refugees acculturate quickly, find jobs as soon as possible after their arrival in the United States, and avoid protracted use of public welfare programs. The anticipated county allocation this year from the federal Refugee Employment Social Services (RESS) Program is $83 ,860, a 1.5 1/2% reduction in funding from FY 1.997/98. Since many refugees have become U.S. citizens during the past year and the incoming flow of refugees is steadily decreasing, Contra Costa County is not expected to have a large enough refugee population next year to qualify for continued funding. Consequently, it is anticipated that FY 1998/99 will be the final year REBS funds will, be available. Acknowledging this financial reality, the Refugee Services Advisory Council 's major task this year was to design a phase out plan which would accomplish the following three goals: 1 . To preserve basic employment services with reduced funds 2 . To transition as many refugees as possible into the labor market 3 . To prepare refugees to utilize mainstream services by the end of the year when specialized programs are no longer available. The Refugee Services Advisory Council is made up of 9 knowledgeable, individuals who have been meeting and developing County Plans for several years. The Advisory Council makes funding recommendations to the Social Service Department Director who, in turn, requests approval of the County Plans by the Board of Supervisors. The Advisory Council is composed of representatives from refugee organizations, public and private agencies involved in refugee resettlement, and local labor and business groups such as the Employment Development Department (EDD) and the Private Industry Council (PIC) . Since funds under consideration are minimal and options are limited, the Advisory Council completed the planning process in one meeting. The Council met on Tune 24, 1998 in Richmond and a Public Hearing was held on the same night. The speakers at the Public Hearing spoke in favor of the plan although they expressed regret that RESS funds could not be used to finance programs benefiting elderly refugees. This is a subject of great concern to the Laotian Community in West County. Based upon the Advisory Council's recommendations and testimony obtained at the Public Hearing, the Social Service Department Director recommends that the following programs be funded with RESS funds: r EXECUTIVE SUMMARY ace, COUNT' PIS FOR RESS SERVICES - 1998/99 REFUGEE EMPLOYMENT S0CJj&L SERVICES , (10/1/98 - 9/30/99) Anticipated Allocation $ 83 ,8507 Less County Administration (15%) 12,598 Total available for Direct Services: $ 71,282 1998/99 RESS SERVICES PROGRAMS: COMPONENT REGION CONTRACT AMOUNT j i { Employment Services Central/East $33,141 RCA Case Management Countywide 3 ,000 RCA Support Countywide 2,000 Services Employment Services West County 33,141 Total $ 71,282 The Social Service Director requests that the Board approve acceptance of these federal funds, approve the funding recommendations, and authorize the issuance of Request for Proposals (RFPs) to select service providers for the above program components. Mote: This County Plan was developed on the basis of preliminary allocation figures .issued by the State on 5/18/98. Slight adjustments will be made later when final allocation amounts are determined. a is $C3t1,�13 �` 5U�"E£�VItlR � .• . T Contra. Arthur P. finer, Executive Director r l Contra Costa Count Private Indus Council ry Costa July , County DATE: Authorize Ion-Financial Agreement with WestAmerica Bank and acceptance o $5,000 SBDC SUBJECT: Donation SPECIFIC REQUESTS)OR RECOMMENDATION($)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION: Authorize the Executive Director, Contra Costa County Private Industry Council, or his designee to execute, on behalf of the County, a non-financial agreement with WestAmerica Bank to establish a procedure to provide Small Business Development Center (SBDC) assistance and referral to applicants and customers of the WestAmerica Bank micro enterprise loan program during calendar year 1998. Authorize the Executive Director, Contra Costa County Private Industry Council to accept up to a $5,000 donation from WestAmerica Bank. II< FINANCIAL IMPACT: None, SBDC funding is 100%federal and state grants, the donation will assist the SBDC in meeting the required cash match for the SBDC.. III. CHILDREN IMPACT STATEMENT: This MOD is targeted to assist low to moderate income borrowers and/or businesses within low to moderate income census tracts. Therefore it supports the third. (Families that are economically self sufficient) and the fifth (Communities that are safe and provide high quality of life for children and families)goals. CONTINUED ON ATTACHMENT: YES SIGNATURE: :.�� c ✓" €3ECOMMENDAT4,ON OF COLNTY ADMINISTRATOR —RECOMMENDATION-RECOIUIMENDATION OF BOARD COMMITTEE - APPROVE OTHER SIGNATURE S': ACTION OF BOARD ON . � z d y�J•. —. APPROVED AS RECOMMENDED � VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(A'SSEN'T" } AND CONFECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ASSENT: ABSTAIN: OF SUPERVISORS ON THE GATE SHOWN, } ATTESTED - Contact: Maurice Williams (646-5088) PH;LBAT H, CR,CLERK OFTWE BOARD OF cc: Private Industry Council/SBDC SUPERVISORS AND COUNTY ADMINISTRATOR County Administrator , County Auditor-Controller Y _DEPUTY y:\pico�"�iice\d�skettePooardorders/wwstarner casbdcdonation\ ry F IV. REASONS FOR RECOMMENDATION: WestAmerica Bank has a micro enterprise loan program targeted for 10 loans by December 31, 1998 to assist low or moderate income individuals or to revitalize low or moderate income areas. They would provide a referral source for SBDC clients that need micro- enterprise loans on an expidited basis. WestArmerica Bank also wants to establish a referral process for recipients of its micro-enterprise loan program to receive SBDC technical support, enhancing the prospect of timely loan repayment. The Contra Costa SBDC, hosted by the County PIC, is charged by the State Department of Trade and Commerce with assisting small business development and supporting micro- enterprise loan programs. The $5000 donation will strengthen the SBDC and assist it in meeting its cash ;Hatch grant obligation to the state. Its receipt has no corresponding requirements for the SBDC other than it be used for SBDC activity. There are no reporting or docurnentation requirements unposed by the Bank on the SBDC. TO, BOARD OF SUPERVISORS i FROM, William Walser, M.D. , Health Services Director � �� ;. �.(�ntra BY: Ginger Mar�eiro, Contracts Administrator Costa DATE. July 22, 1998 County SUBJECT: Approve Standard Agreement #29-250-37 with. the State Department of ws:NAI ,-h } r­rl-Nn-ni-lonErnry-rAm SPECIFIC REQUEST(S)OR RECOMMENDATIGNIS)&BACKGROUND AND JUSTIFICATION RECQMMENDA'TI£JN(S}e Approve and authorize the gealth Services Director, or his designee (Wendel Brunner, M<D. ) , to execute on behalf of the County, Standard Agreement #29-250-37 with the State Department of Health Services, in the amount of $95, 202, fox' the period from July 1998 through June 30, 1999, for the Dental Disease Prevention Program. FISCAL IMPACT Approval of this agreement will resu" t in $95, 202 of State funding for the Dental Disease Prevention Program during fiscal year 1998- 99 . No County match is required. EA,CKGROUND 1'REAS ON(S) FOR RECOMMENDATION(S} ; The Dental Disease Prevention .Program is a State-mandated program, designed to prevent and control dental disease found in children at selected school districts and to provide a comprehensive community- supported and school-based dental disease prevention program. The program serves approximately 21, 156 children in elementary schools and preschool sites in Contra Costa County. Approval, of Standard Agreement #29-250-37 will provide State funding to continue this program through June 30, 1999 . Three certified/sealed copies of this Board Order should be returned to the Contracts and Grants Unit for submission to the State Department of Health Services. CONTINUED NATTACHMENT-. SIGNATURE ��y��` RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE APPROVE OTHER SIGNATURE(S�: ACTION OF BOARD ON �„� ��f� � � r ;�; � APPROVED AS RECOMMENDED �"`j y " VOTE OF SUPERVISORS y� I HEREBY CERTIFY THAT THIS IS A TRUE II UNANIMOUS (ABSENT 3 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. ATTESTED PHIL BATC s7R,CI.ERI{t31” HE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR Contact Person; 'Kendel Brunner, M.D. (313-6712) CC: Health Services (Cont- Cts) State Dept. of Health Services ` BY ;w. �;>' DEPUTY t�'z