HomeMy WebLinkAboutMINUTES - 05212013 - D.2RECOMMENDATION(S):
CONSIDER approving Appropriation Adjustments No. 5090 and 5091 authorizing appropriations of $300,000 for
reimbursement to the Brookside and La Clinica community clinics for the provision of primary care services to adults
who are no longer eligible for the Basic Health Care Program, through December 31, 2013.
FISCAL IMPACT:
$300,000 in County General Funds will be allocated to the Community Clinics.
BACKGROUND:
On April 21, 2009 the Board of Supervisors adopted Resolution No. 2009/187 which revised the standards for the
provision of health care services to eligible indigents effective on May 1, 2009. The Board also authorized the
appropriation and expenditure of up to $1.5 million to assist the non-profit community clinics to build capacity,
bridge the services by expanding accepting more indigent patients, and allowing time for transition purposes. These
funds were fully expended in 2012.
Since that time, the Health Services Department has provided funding to the clinics for these patients out of
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 05/21/2013 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I Supervisor
Candace Andersen, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Dorothy Sansoe,
925-335-1009
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the
Board of Supervisors on the date shown.
ATTESTED: May 21, 2013
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc:
D.2
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:May 21, 2013
Contra
Costa
County
Subject:Community Clinic Safety Net Funding
BACKGROUND: (CONT'D)
their current budget to continue bridging the services.
The Health Services Department no longer has sufficient appropriations to be able to continue with this funding
bridge without additional appropriations. The requested appropriation adjustment will allow the department to
provide reimbursement to the community clinics through December 31, 2013. The Department is convening a
countywide group of stakeholders (including local hospitals, Alameda-Contra Costa Medical Association, and
businesses) to explore broader funding sources for indigent care in Contra Costa County.
CONSEQUENCE OF NEGATIVE ACTION:
Indigent patients in the community may not be able to obtain necessary low cost health care in the community and
may end up at the County's emergency rooms.
CHILDREN'S IMPACT STATEMENT:
N/A
CLERK'S ADDENDUM
Speakers: Joan Hoffman, La Clinica Oakley; Viola Luja, La Clinica de la Raza; Chris Kiefer, Lifelong Medical
Care; Rebecca Rozen, Hospital Council; Claudia Vazquez, resident of Concord; Blanca Colin, resident of
Concord; Adam Kruggel, CISCO; Ana Martinez (with interpreter Claudia) Celia , and Maria, Lifelong Health
Partners & Patients; Marty Lynch, Director of Lifelong Medical Care; Melvin Willis, ACCE; John M. Wolson,
ACCE; Jane Garcia.
ATTACHMENTS
Appropriation Adjustments #5090 and 5091