HomeMy WebLinkAboutMINUTES - 05021989 - 2.2 I AW a-
THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on May 2, 1989 , by the following vote:
AYES: Supervisors Powers, Fanden, Schroder, Torlakson
NOES: None
ABSENT: Supervisor McPeak
ABSTAIN: None
RESOLUTION NO. 89/290
SUBJECT: Mental Health Cuts Proposed In the State Budget
WHEREAS, State law requires counties to provide local mental health services; and
WHEREAS, the State funds local mental health programs with a 90 percent allocation, requiring
a 10 percent match from the counties with populations over 110,000; and
WHEREAS, California was a national leader in "deinstitutionalization" of the State hospital
during the 1960's and 1970's. Mental patients were to be moved from large State institutions
to live in their own communities where they would receive more humane and. cost-effective
treatment. The closure of the State hospitals would realize considerable State savings which
were to have been transferred to the counties; and
WHEREAS, the patients were transferred to the counties; but only a fraction of the savings
and necessary cost was transferred with them; and
WHEREAS, the transfer of the mental health program began underfunded, and has been steadily
eroded by population growth and inflation; and
WHEREAS, the lack of cost-of-living adjustments, coupled with underfunded mandates, has
placed a signiicant burden on counties; and
WHEREAS, the State's Legislative Analyst estimates that county match and overmatch has grown
from $8.4 million in 1980-81 to $102 million in 1986-87; and
WHEREAS, the California local mental health system is currently in an emergency situation;
and
WHEREAS, the Governor's proposed budget suggests the possibility of a $209 million reduction
in local mental health services if certain legislative measures are not passed by the State
Legislature; and
WHEREAS, this cut would reduce the current level of state resources for the local care and
treatment of the mentally ill by more than 40 percent which is five times the largest cut
ever sustained in a single year in local mental health programs since 1957;p
NOW, THEREFORE, BE IT RESOLVED that the Board of Supervisors opposes any reduction to local
mental health programs.
BE IT FURTHER RESOLVED that because there is a severe crisis in the California public mental
health system, the Board of Supervisors will explore legislation or legal means to disengage
from the mandates of the Short-Doyle (local mental health) Act.
BE IT FURTHER RESOLVED that the Board of Supervisors authorized the Chair of the Board to
sign this resolution on their behalf.
Tom Torlakson, Chair, Contra Costa County
Board of Supervisors
I HEREBY CERTIFY THAT THIS IS A TRUE
AND CORRECT COPY OF AN ACTION TAKEN
AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED- . . eZ /9 S J
PHfC�ATCLERK OF-TRE BOARD
OF SUPERVISORS AND COUNTY ADMINISTRATOR
Orig. Dept.: Health Services
cc: County Administrator
BY �� , DEPUTY
4
THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on -May_ 2, 1989 , by the following vote:
AYES: Supervisors Powers, Fanden, Schroder, Torlakson
NOES: None
ABSENT: Supervisor McPeak
ABSTAIN: None
RESOLUTION NO. 89/291
SUBJECT: IHSS CUTS PROPOSED IN THE 'STATE BUDGET
WHEREAS, the Board of Supervisors recognizes the importance of In-Home Supportive Services
in keeping many blind, aged, and disabled persons safely in their own homes rather than
in institutions; and
WHEREAS, the primary services available through the In-Home Supportive Services program
are domestic and related services; non-medical personal services, such as bathing and
dressing, and essential transportation; protective supervision, such as observing the
recipient's behavior to safeguard against injury; and paramedical services, which are
performed under the direction of a licensed health care professional and are necessary
to maintain the recipient's health; and
WHEREAS, the FY 1989-90 Governor's Budget proposes to reduce the In-Home Supportive
Services Program by $63.9 million, consisting of two parts: (1) a reduction of $31
million due to a limit on provider payments at the minimum wage rate, and (2) a reduction
of $33 million due to a proposed cap on each county's average hours of services per case;
and
WHEREAS, the In-Home Supportive Services Program is a State/Federal mandated program with
open-ended eligibility; and
WHEREAS, the factors that influence the growth in the In-Home Supportive Services Program
are beyond the control of the counties; and
WHEREAS, these growth factors include: (1) the increasing frailty of recipients, (2)
advances in medical technology that allow more severely disabled persons to remain at
home, (3) the limited supply of nursing facility beds in the state, and/or (4) government
policies and programs that have channeled more severely disabled individuals into the In-
Home Supportive Services Program; and
WHEREAS, staff to administer the In-Home Supportive Services Program and the Adult
Protective Services Program are dependent on the County Services Block Grant; and
WHEREAS, the proposed reductions in the In-Home Supportive Services Program will increase
the institutionalization of frail persons;
NOW, THEREFORE, BE IT RESOLVED that the Board of Supervisors opposes any reductions in
the In-Home Supportive Services Program and urges the Governor and the Legislature to
provide a cost-of-living increase for the County Services Block Grant;
BE IT FURTHER RESOLVED that the Board of Supervisors wishes to express its concern over
any State Budget reductions which adversely impact the blind, aged, and disabled and
authorizes the Chair of the Board to sign this Resolution on their behalf.
/Om xV,
Tom Torlakson, Chair, Contra osta County
Board of Supervisors
I HEREBY CERTIFY THAT THIS IS A TRUE
AND CORRECT COPY OF AN ACTION TAKEN
AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED L2�� d /9B9PHI�BATCt�R`"GL BOARD
OF SUPERVISORS AND COUNTY ADMINISTRATOR
Orig. Dept.: Health Services
cc: County Administrator
BY .�a.� DEPUTY ti
THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on May 2, 1989 , by the following vote:
AYES: Supervisors Powers, Fanden, Schroder, Torlakson
NOES: None
ABSENT: Supervisor McPeak
ABSTAIN: None
RESOLUTION NO. 89/292
SUBJECT: MISP Cuts Proposed in the State Budget
WHEREAS, the Governor' s 1989-90 State budget proposes severe cuts in health care funds,
specifically the reduction of $359 million from the Medically Indigent Services Program
(MISP) , to the counties; and
WHEREAS, public and private hospitals are finding it increasingly difficult to provide health
care to indigent and uninsured (unsponsored) persons; and
WHEREAS, counties, whether they contract for indigent health care services or operate county
hospitals, provide nearly 70 percent of the total amount of uncompensated care in California;
and
WHEREAS, the original MISP program was established as a result of the State passing to the
counties the responsibility for the medically indigent adult, formerly a component of the
State Medi-Cal program;
WHEREAS, the MISP transfer was accomplished over county objections with approximately 70
percent of the funding that the State had been spending in the same area and since then there
has been a gradual erosion of the program costs, virtually no cost-of-living adjustments,
and disregard for the rising costs for provision of medical care for the indigent; and
WHEREAS, counties have attempted to respond to increasing health care access barriers by
absorbing an increasing share of the unsponsored into their facilities yet, capacity limits
and ever tighter resource limits are exhausting counties' ability to fill the increasing
access needs of the unsponsored population; and
WHEREAS, any reduction in the Medically Indigent Services Program will mean reductions in
critical local services and an acceleration of the fiscal crisis facing counties;
NOW, THEREFORE, BE IT RESOLVED that the Board of Supervisors opposes any reduction in State
General Fund dollars from the Medically Indigent Services Program; and
BE IT FURTHER RESOLVED that the Board of Supervisors authorizes the Chair of the Board to
sign this Resolution on their behalf.
Tom Torla son, Chair, Contra Costa County
Board of Supervisors
I HEREBY CERTIFY THAT THIS IS A TRUE
AND CORRECT COPY OF AN ACTION TAKEN
AND ENTERED ON THE MINUTES OF THE BOARD
OF SUPERVISORS ON THE DATE SHOWN.
ATTESTED � � a /4789
PHE-1 ATLHECOR, CLEHK UF THE BOARD
OF S ERVISORS AND COUNTY ADMINISTRATOR
BY , DEPUTY
Orig. Dept.: Health Services
cc: County Administrator
THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA
Adopted this Order on May 2, 1989 by the following vote:
AYES: Supervisors Powers, Fanden, Schroder, Torlakson
NOES: None
ABSENT: Supervisor McPeak
ABSTAIN: None
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SUBJECT: Mental Health Issues
It was brought to the attention of the Board during its
consideration of a resolution in support of mental health funding
that there are many individuals with mental health problems
incarcerated in the County' s detention facilities. Mark Finucane,
Health Services Director, commented on the need to be cognizant of
mental health problems and therefore recommended that Sheriff
Rainey be appointed as Honorary Mental Health Director to focus in
on the number of jail inmates with mental health problems who are
also incarcerated because of crimes.
Board members being in agreement, IT IS ORDERED that
Sheriff Richard Rainey is APPOINTED as Honorary Mental Health
Director.
I hereby certify that this to a true and correct copy of
cc: Sheriff Rainey an action taken end entered on the minutes of the
Health Services Director Board of Supervbora on the date shown.
County Administrator ATTESTED: /$09._.,.._
PHIL BAT OR.Cleric of the Board
of Sups vbm and County Administrate►