HomeMy WebLinkAboutMINUTES - 12121990 - 1.74 TO: { BOARD Of SUPERVISORS
- Contr
FRCM,t^d 1 Mark Finucane, Director Costa
*. Health Services Department
f Count
DATE: December 12, 1989
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SUBJECT: TOBACCO TAX (AB-75)
OR RECCUMENDAT i ON(S) A BACKG#KXjND AND JUST 1 F 1 CAT 1 ON
SPEC I F 1 C PLUAST(S I
I. RECOMMENDED ACTION:
Approve and authorize the Health Services Director to
execute and submit to the State Department of Health
Services the Application for California Health Care for
Indigents Program (CHIP) funds for fiscal year 1989/90.
II. FINANCIAL IMPACT:
The County will receive State revenues as follows:
FOR COUNTY OPERATED SERVICES:
Uncompensated Care Assistance One-Time $ 468,457
Capital Outlay One-Time 1,335,435
CHIP - Hospital 2,766,940
CHIP - Other Health Care 1,718,792
Subtotal-County Operation $6,289,624
FOR NON-COUNTY OPERATED SERVICES:
CHIP - Hospital $ 840,794
CHIP - Physician 741,097
CHIP - Physician One-Time 449 ,267
Subtotal Non-County Operation $2,031,158
TOTAL 1989/90 REVENUES $8,320,782
III. DISCUSSION/BACKGROUND:
The passage of the Tobacco Tax and Health Protection Act of
1988 (Proposition 99 ) and its implementing legislation,
Assembly Bill 75 and Senate Bill 960 made available monies to
reimburse hospitals, physicians, and other providers for
uncompensated care costs, for making capital improvements, and
for implementing data systems . These monies are available to
the County for distribution to both county operated and non-
county operated entities, upon applicat�Jio//n.� ��t//o the State.
CONTfHU/SCP ON ATTACMMENT3 YEs SIGNATURE: /��'Nit.C�'l..a ` ✓�VW"v"'" �`
nWCINIMENDATION OF COUNTY ADMINISTRATOR �- RECOMMENDATION Or ■GARP COMMITTEE
APPMOV C OTHER
SIG TUIZE S
D
ACTION /W GOARD ON e embr 12 . 1989. APPROVED AS RECOMMENDED X 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
ASSENT: _ ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
cc: County Admani�trator_ ATTESTED .
December 1.2 , 1939
Health Services PHIL BATCHELOR, CLERK OF THE BOARD OF
Auditor-Controller SUPERVISORS AND COUNTY ADMINISTRATOR
By .DEPUTY
m382 7-V:
�A
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M Contained within the application are assurances by the County
regarding use of these funds . These assurances apply to both
the county operated services as well as the privately operated
services . The funding conditions are as follows:
1 . Funds must be used to supplement existing levels of
services provided and shall not be used to fund existing
levels of service.
2 . Counties will be required to provide, or arrange and pay
for, medically necessary follow up treatment, including
prescription drugs for any condition detected as part of
a child health and disability prevention screen.
3. A county will have to maintain a level of financial
support of county funds for health services that is at
least equal to its county match and any overmatch of
county funds in the 1988/89 fiscal year.
4. Monies will be accounted for as revenue in the County
Health Services Plan Update and Budget Supplement and
cannot be used as county matching funds for other funds
received from County Health Services Branch.
5 . A county will not be able to impose more stringent
eligibility standards for the receipt of benefits under
Section 17000 or to reduce the scope of benefits compared
to those which were in effect on November 8, 1988 .
6 . Funds will not be available for the support of health
services provided to persons detained in a county or city
jail or other correctional facilities .
7 . Receipt of funding shall not relieve a county of its
obligation to provide indigent health care as required
by Section 17000 .
8. Counties will have to maintain at least the same number
of outpatient visits in the 1989/90 and 1990/91 fiscal
years as were provided, either directly or through
contract, in the 1988/89 fiscal year.
9 . Reports will be required on indigent health care program
demographic, expenditure, and utilization data in a
manner that will provide an unduplicated count of users
for the fiscal year.
With the approval of this Application by the Board and acceptance
by the State County Health Services Branch, a payment equal to
approximately fifty percent of the CHIP allocation will be made,
$3, 258,445, during the month of January 1990 .
The Health Director will return to your Board during the month of
January with a detailed expenditure plan related to these revenues .
* Note: Payment Received