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l' —042
BOARD or SUPERVISORS
Mark Finucane , Health Services Director
FROM By: Elizabeth A. Spooner , Contracts Administrator Contra
Costa
DATE', County
SUBJECT;
County Health Services Plan and Budget for Fiscal Year 1989-9011 IIL�/
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
I . RECOMMENDED ACTION :
Approve and authorize the Health Services Director to execute
and submit to the State Department of Health Services the
County Health Services Plan and Budget for Fiscal Year 1989-90 .
II . FINANCIAL IMPACT :
$20 , 908 ,447 revenue from the State ( $7 , 427 , 292 MISP; $9 ,647 , 302
AB-8; and $3, 833 , 853 per capita) . These funds are included in
the Health Services Department 1989-90 Budget .
III . REASONS FOR RECOMMENDATIONS/BACKGROUND :
SB 409 (Chapter 1005 , Statutes of 1981) requires the governing
body of each County or local health jurisdiction to adopt and
submit a multiyear county health services base plan and budget .
Additionally, all MISP counties must provide Medically Indigent
Services . Program related information with the plan and budget
submission .
Following the passage of Proposition 13 , the Legislature pro-
vided a variety of vehicles to "bail out" local government . One
of those was the establishment of the County Health Services
Fund by AB-8 (Chapter 282 Statutes 1979) . Welfare and
Institutions Code Sections 16700 provide 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 .
CONTINUED ON ATTACHMENT; YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEND AT O Or' BOARD C MMI TTEE
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
I HEREBY CERTIFY THAT THIS IS A TRUE
x UNANIMOUS (ABSENT ) AND CORRECT COPY OF AN ACTION TAKEN
AYES: _ NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
q
CC: Health Services (Contracts) ATTESTED OCT 1 O 1989
County Administrator PHIL BATCHELOR, CLERK OF THE BOARD OF
Auditor-Controller (Claims) SUPERVISORS AND COUNTY ADMINISTRATOR
State Department of Health Services
QY
M382/7-83 •____i —,DEPUTY
ry
BOARD ORDER
COUNTY HEALTH SERVICES PLAN AND BUDGET
FOR FISCAL YEAR 1989-90
PAGE 2
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 , a County must show
that it will spend twice its allocation of State matching funds
plus the amount of the per capita grant . To receive our maximum
allocation , we must , therefore , show that we have AB-8 allowable
County costs as follows :
Per Capita Grant $ 3 ,833 ,853
State Matching Funds 9 , 647 ,302
County Matching Funds 9 , 647 ,302
Required County Contribution $23 , 128 ,457
The amount of funds currently budgeted to the Health Services
Department is sufficient to meet the match requirement at the
50/50 level and to maximize the total State dollars available .