HomeMy WebLinkAboutMINUTES - 09242013 - C.24RECOMMENDATION(S):
Approve and Authorize the Health Services Director or his designee, to execute, and submit to the State of California
Health Benefit Exchange (the “Exchange”), also known as Covered California, a government agency, a non-financial
agreement, for the County to act as a Certified Enrollment Entity for the In-Person Assistance Program (IPA), for the
period from October 1, 2013 through December 31, 2014.
FISCAL IMPACT:
Approval of the Agreement will result in a non-financial agreement to allow the County to support the Exchange IPA
Program. No County match required.
BACKGROUND:
The Exchange is a new marketplace created under the Affordable Care Act that will offer subsidized health insurance
coverage in the form of premium assistance and cost sharing reductions to individuals and families with incomes
between 138% - 400% of the Federal Poverty Level limits. Premium assistance and/or cost sharing reductions will
only be available to consumers in California through the Exchange. Consumers may enroll in one of the health plans
offered through the Exchange during the open enrollment period October 1, 2013 through March 31, 2014 with an
effective
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 09/24/2013 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: William Walker, M.D.
(925) 957-5403
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: September 24, 2013
David Twa, County Administrator and Clerk of the Board of Supervisors
By: Chris Heck, Deputy
cc: J Pigg, D Gary
C. 24
To:Board of Supervisors
From:William Walker, M.D.
Date:September 24, 2013
Contra
Costa
County
Subject:Agreement #28-358 with the State of California Health Benefit Exchange
BACKGROUND: (CONT'D)
date of January 1, 2014. Consumers will not be able to obtain premium assistance and/or cost sharing reductions
through the private health insurance market. Regardless of whether a consumer is determined to be eligible for
subsidies, the Exchange will provide access to coverage and premiums in an easy to access and understandable format
at the same price that is available outside the Exchange.
The mission of the Exchange is to increase the number of insured Californians, improve health care quality, lower
costs, and reduce health disparities through an innovative, competitive marketplace that empowers consumers to
choose the health plan and providers that give them the best value.
The goal and purpose of this agreement #28-358 is for the County to become an enrollment entity for Covered
California and to take advantage of training provided to certify county staff as enrollment counselors. Certified
Enrollment Counselors will help facilitate enrollment and retention into the insurance programs offered through the
Exchange through December 31, 2014.
By executing this Agreement, the County will indemnify and hold the State of California harmless if the County
breaches HIPAA with no damage limitations.
CONSEQUENCE OF NEGATIVE ACTION:
If this Agreement is not approved, the County will not be able to participate in this training offered by Covered
California, precluding county staff from earning the certification necessary to become enrollment counselors. Staff
will be unable to assist individuals and families with the application process or to provide other types of consumer
assistance related to covered California.
CHILDREN'S IMPACT STATEMENT:
Not Applicable