HomeMy WebLinkAboutMINUTES - 07242001 - C.37 ..
T0: . BOARD OF SUPERVISORS f =
/f '' CONTRA COSTA
3� COUNTY
FROM: William B.Walker, M.D. q�---- -J
Health Services Director
DATE: July 5, 2001
SUBJECT: TOBACCO TAX(AB-75)
SPECIFIC REQUEST(S)OR RECOMMENDATION (S) &BACKGROUND AND JUSTIFICATION:
Recommendation:
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 2001 / 02.
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.
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 C.H.I.P. 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.
CONTINUED ON ATTACHMENT: X YES STATURE
RECOMMENDATION OF COUNTY ADMINISTRATOR REC®IMENDATION OF BOARD COMMITTEE
----APPROVE OTHER
SIGNATURE (S):
ACTION OF BOARD N APPROVED AS RECOMMENDED x OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
7� UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AND ENTERED ON THE MINUTES OF THE BOARD
AYES: NOES: OF SUPERVISORS ON THE DATE SHOWN.
ABSENT: ABSTAIN:
Contact Person: Patrick G)dley,370-5005
ATTESTED
CC: County Administrator
Health Services Administration
Attn: George Washnak
Auditor Controller
JOHN R.SWEETEN,CLERK OF THE BOARD OF
SUPERVISORS AND COUNTY ADMINISTRATOR
BY:�� DEPUTY
c, 1
II. - Financial Impact:
The County estimates it will receive State revenues as follows:
FOR COUNTY OPERATED SERVICES:
C.H.I.P. - Hospital $1,073,000
C.H.I.P. - Other Health Care 117,000
Subtotal — County Operation $1,190,000
FOR NON-COUNTY OPERATED SERVICES:
C.H.I.P. - Hospital $ 124,000
C.H.I.P. — Physician 82,000
Subtotal — Non-County Operation $ 206,000
ESTIMATED 2001 / 02 REVENUES $1,396.000
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 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 condition 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 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 any other program
requiring a county match.
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 able 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.
9. All interest earned on the Fund and on each account or sub-account will be accrued to the
benefit of the Fund, account, or sub-account, respectively.