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TO' BOARD OF SUPERVISORS
�FRCM : . Mark Finucane , Health Services Director Contra
By : Elizabeth A. Spooner , Contracts Administrator Costa
DATE*. October 29, 1987
County
SUBJECT: Approval of Standard Agreement for County Health Services
(MISP/AB-8) with the . St.ate Department of Health Services
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION :
Approve and authorize the Chair to execute on behalf of the
County, . Standard Agreement for County Health Services
(MISP/AB--8 ) with the State Department of Health Services in the
amount of $22 , 171 , 658 for the period July 1 , 1987 - June 30,
1988 for County health services provided in accordance with the
County Health Services Plan and Budget .
II . FINANCIAL IMPACT :
Approval of this. agreement by the State will result in
$22 , 171 , 658 of State funding f-or County health services provided
in accordance with the County Health Services Plan and Budget .
Sources of funding are . as follows :
Per Capita Grant $ 3 , 331 , 890
State Matching Funds 8 , 859 , 292
Medically Indigent Service Program (MISP) 9 , 980 , 476
Total : State Funding $22 , 171 , 658
County Matching Funds $ 8 , 859 , 292
These funds are included in the Health Services Department
FY 1987-88 Budget .
III . REASONS FOR RECOMMENDATIONS/BACKGROUND :
Following the passage of Proposition 13 , the Legislature pro-
vided a variety of vehicles to "bail .out " local government . One
of these was the establishment of. the County Health Services
Fund by AB-8 (Chapter 282 Statutes. .1979 ) . Welfare and
CONTINUED ON ATTACHMENT. -X__- YES SIGNATURE;
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF LOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S): n /
ACTION OF BOARD ON v, APPROVED AS RECOMMENDED _ OTHER
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
]� UNANIMOUS (ABSENT _ -_ ) AND CORRECT COPY OF AN ACTION TAKEN
AYES. NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: - ABSTAIN: _-____ OF SUPERV 1 SORS ON THE DATE SHOWN.
SHOWN. /} �j �J
ATTESTED jP1111X-f�-� � I7 Qcc: f{ealtt�. Services (Contracts) ------- . ....--.---.--..-
County Administrator PHIL BATCHELOR. CLERK OF THE BOARD OF
Auditor-Controller SUPERVISORS AND COUNTY ADMINISTRATOR
State Debt. of Health Services
M3 2/ - E3Y... -1� tiKi �.._.__. DEPUTY
8 7 83
State Department of Health Services
Standard Agreement for County Health Services (MISP/AB--8)
Board Order
Page 2
Institutions Code Section 16700 provides that the State will
reimburse the County a maximum of 50% of the County' s cost of
providing health and medical services up to a maximum limit .
The County applies for its AB--8 ' allocation from the Health
Services fund by identifying the budgeted net County costs for
the fiscal year . In order to receive the maximum allocation
from the AB-8 County Health Services Fund , the County must show
that it will spend an amount equal to the State ' s allocation.
On May 28, 1987 , the Board authorized submission of an applica-
tion for Medically Indigent Services funding . On August 19,
1987 , the Board authorized submission of the County Health
Services Plan Update and Budget for Fiscal Year 1987--88 , as
required by SB 409 (Chapter 1005 , Statutes of 1981) .