HomeMy WebLinkAboutMINUTES - 01131987 - 1.2 (3) TO BOARD OF SUPERVISORS
FROM: Phil Batchelor Contra
County Administrator Costa
DATE: December 31, 1986 County
SUBJECT: Legislation: Senate Bill 57 (Marks)
SPECIFIC. REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDATION:
Adopt a position of support for SB 57 by Senator Milton Marks
which would incorporate in the rate adjustment made subsequent to
enactment of the Budget Act a disproportionate provider factor
for outpatient services.
BACKGROUND:
In 1986? Assemblyman Bates carried AB 1159 which would have
incorporated in the Medi-Cal rate adjustment a disproportionate
provider factor for outpatient services. This factor would
provide a higher level of reimbursement for those hospitals which
serve a disproportionate number of Medi-Cal and indigent patients
on an outpatient basis. This augmentation level would be limited
to $10 million.
AB 1159 passed the Legislature, but was vetoed by the Governor on
the basis that the Legislature had not provided sufficient
revenue to fund these additional expenditures. In addition, the
Governor objected to singling out one provider group for a
"preferential" rate increase.
Senator Marks has now introduced SB 57 which in this regard is
essentially identical to AB 1159. The Board of Supervisors was
in support of AB 1159 during the 1986 Session. The fact that
Contra Costa County' s Merrithew Memorial Hospital is a
disproportionate provider of outpatient services means that the
County would benefit from passage of SB 57 . It is, therefore,
recommended that the Board of Supervisors support SB 57 .
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CONTINUED ON ATTACHMENT: YES SIGNATURE; WAO ze
X RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
X APPROVE OTHER
S 1 GNAT URE S 6Attdt W i�%n�Q`ti"`"�
ACTION OF BOARD ON January 13, 1737 APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
� 1 HEREBY CERTIFY THAT THIS IS A TRUE
7�/ UNANIMOUS (ABSENT -- ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVI S ON THE DATE SHOWN.
CC: County Administrator ATTESTED
Health Services Director P L BATCHELOR, LERK OF THE BOARD OF
CSAC (RoQer King) SUPERVISORS AND COUNTY ADMINISTRATOR
Senator Pili 1 ton Marks
BY ,DEPUTY
/A382/7-83