HomeMy WebLinkAboutMINUTES - 06211988 - 1.8 (2) THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on June 21 , 1988 by the following vote:
AYES: Supervisors Powers , Fanden, McPeak, Torlakson, Schroder.
NOES: None.
ABSENT: None.
ABSTAIN: None.
RESOLUTION NO. 88/371
SUBJECT: RESOLUTION OF THE BOARD OF SUPERVISORS OF THE COUNTY OF CONTRA COSTA
ORDERING THE ESTABLISHMENT OF AN EMERGENCY MEDICAL SERVICES FUND
WHEREAS pursuant to Chapter 2.5, Part 1, Division 2.5 of the California Health
and Safety Code (commencing with Section 1797.98a) , as added by Chapter 1240
(Statutes of 1987) , a county, upon adoption of a resolution by its board of
supervisors, may establish after January 1 , 1988, an emergency medical services
fund; and
WHEREAS, the money in a county's emergency medical services fund must be used to
pay for certain unreimbursed emergency medical service costs with the county.
NOW, THEREFORE, BE IT RESOLVED as follows :
1. Effective July 1, 1988, an Emergency Medical Services Fund of the County of
Contra Costa is established.
2. Pursuant to Penal Code Section 1465, on July 1, 1988, and thereafter, there
shall be levied, and the courts shall collect, in addition to the assessments or
surcharges prescribed by Penal Code Section 1464, an assessment in the amount of
one dollar ($1) on fines, penalties, or forfeitures imposed and collected by the
courts of Contra Costa County for criminal offenses .
3. All such assessments shall be transferred to the County Auditor-Controller
for deposit to the Health Services Department' s Emergency Medical Services Fund.
Payments from the Emergency Medical Services Fund shall comply with the disbur-
sement requirements of California Health and Safety Code Sections 1797.98a, et
seq., and shall further satisfy all disbursement conditions which may hereafter
be imposed by the'- Board of Supervisors .
thereby certify that this 19.4 true and correct copy of
An action taken and entered on the minutes of the
Board of Supervisors a shown.
ATTESTECk
Ard1988
PHIL BATCHELOR, Clerk of the Board
at&IpWftors mW County Administrator
@y , Deputy
Orig. DeptHealth Services
CC: Emergency Medical Services
County Administrator
County Auditor
AG-LBRES RESOLUTION NO. 88/371
1-090
Tcr BOARD OF SUPERVISORS
FROM: Mark Finucane, G,ntra
Health Services Director C )sta
DATE: June 2, 1988 County
SUBJECT: Establishment of the Emergency Medical Services Fund (SB 12) � ��``��
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION
° Approve and adopt the Resolution establishing the Emergency Medical Services Fund.
° Direct the Health Services Department to develop a plan for implementation and dis-
bursement of the Emergency Medical Services Fund.
° Support SB 1328•, clean-up legislation to SB 12.
FINANCIAL IMPACT
The Emergency Medical Services Fund allowable under Chapter 1240,1987 Statutes, SB 12
permits an assessment of one dollar ($1) to be imposed on certain fines, penalties, and
forfeitures in addition to the assessments prescribed by Penal Code Section 1464. It
is estimated that this assessment will yield $563,000 annually for the Emergency
Medical Services Fund, 10% of which can be used to administer the program. This -
fund is intended to provide reimbursement to private physicians for uncompen-
sated emergency care (2/3 of the Fund) and the County' s emergency medical care
needs (1/3 of the Fund).
BACKGROUND/REASON FOR RECOMMENDATION
Senate Bill 12 enacted by the 1987 Legislature provides a county board of supervisors
the option to add $1 for certain fines, penalties, and forfeitures imposed and
collected by the courts. To preclude a conflict with the Courts Funding Legislation
SB 709 (1987), Senator Maddy has sponsored SB 1328 which would specify that all funds
collected by a county for an SB 12 Emergency Medical Services Fund would remain with
the county if and when the State assumes financial responsibility for the courts.
SB 1328 further clarifies the Legislative intent of imposing $1 per $10 of the imposed
fine.
SB 12 provides for reimbursement of losses to physicians who provide emergency care to
patients who do not make any payment for services and for whom no responsible third
party payor makes any payment. Reimbursement is limited to 40% of those losses.
Although these monies will help alleviate the problem of uncompensated care, it is
anticipated that the claims for reimbursement will far exceed the funds. Physicians
employed by county hospitals or district hospitals are precluded from reimbursement
from the Emergency Medical Services Fund.
CONTINUED ON ATTACHMENT: YES SIGNATURE; 144,4
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
ykvSIGNATURE S :
ACTION OF BOARD ON 161.K 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.
J
CC: ATTESTED UN 2 1 1989
Health Services Director - - - ------- --
Emergency Medical Services PHIL BATCHELOR, CLERK OF THE BOARD OF
County Administrator SUPERVISORS AND COUNTY ADMINISTRATOR
County Auditor
MA6291DSB12A BY A_ DEPUTY
' 2.
The Health Services Department recommends the adoption of the attached resolution at
this time to initiate the assessment of $1 on fines, penalties, and forfeitures to
establish the Emergency Medical Services Fund. Prior to the July 1 implemen-
tation of the program, the Department will develop policies and procedures for
management of the Fund and submit to your Board for approval .
AG-BOSB12b