HomeMy WebLinkAboutMINUTES - 10162007 - C.53 TO: BOARD OF SUPERVISORS
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FROM: William B. Walker, M.D., Director ' _
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Contra Costa Health Services County
DATE: October 16, 2007
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SUBJECT: TOBACCO TAX (AB-75)
SPECIFIC REQUEST(S)OR RECOMMENDATION(S)& BACKGROUND AND JUSTIFICATION
Recommendation:
1. 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 2007/2008.
2. AUTHORIZE the Health Services Director to execute and submit the Standard Agreement for County
Health Services.
3. AUTHORIZE the Health Services Director to execute and submit the Description of Proposed
Expenditure of CHIP.
4. AUTHORIZE the Health Services Director to execute and submit any application, Standard Agreement
or Proposed Expenditure form amendments which may be required that have no fiscal consequences.
5. AUTHORIZE the Health Services Director to execute and submit the State Public Health Subvention
Certification form.
6. AUTHORIZE the Health services Director to disburse CHIP funds based upon State approval of the
Standard Agreement.
CONTINUED ON ATTACHMENT x Yes No SIGNATURE:
f/RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
_�PPROVE OTHER
SIGNATURE(S): r
ACTION OF BOAD N 1 d t!� r APPROVED AS RECOMMENDED HER
VOT OF SUPERVISORS
UNANIMOUS(ABSENT I HEREBY CERTIFY THAT THIS IS A TRUE AND
AYES: NOES: CORRECT COPY OF AN ACTION TAKEN AND
ABSENT: ABSTAIN: ENTERED ON THE MINUTES OF THE BOARD OF
SUPERVISORS ON THE DATE SHOWN.
Contact Person: Patrick Godley, 957-5405 ATTESTED
JOHN CULLEN,CLERK OF THE BOARD OF
cc: County Administrator JUPERVISORS AND COUNTY ADMINISTRATOR
Health Services Administration 0
Patrick Godley, CCHS COO/CFO BY:
George Washnak, CCHS Controller DEPUTY
Steve Ybarra, Auditor-Controller
Fiscal Impact:
The County estimates it will receive State revenues as follows:
For County Operated Services:
CHIP— Hospital $ 470,641
CHIP—Other Health Care 0
Subtotal —County Operation $ 470,641
For Non-County Operated Services:
CHIP — Hospital $ 23,836
CHIP — Physician 12,749
Subtotal — Non-County Operation $ 36,585
ESTIMATED 2007/2008 REVENUES $ 507 226
Background:
The passage of the Tobacco Tax and Health Protection Act of 1988 (Proposition 99) and its implementing
legislation, Assembly Bill 75, Senate Bill 960, and Assembly Bill 1154 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 application to the State.
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 plus any overmatch of county funds in the 1988/89 fiscal year.
4. Monies will be accounted for as revenue to the County Health Services Plan Update and Budget,
Supplement and cannot be used as county matching funds for any other program requiring a county
match.
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 that 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.
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7. Receipt of funding shall not relieve a county of its obligation to provide indigent health care as
required by Section 17000.
8. 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.
9. All interest earned on the Fund and on each account or sub-account will be accrued to the benefit of
the Fund, account, or sub-account, respectively.
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