HomeMy WebLinkAboutMINUTES - 04252006 - C.67 SE
TO: BOARD OF SUPERVISORS
Contra
FROM: William B. Walker, M.D., Director Costa
Contra Costa Health Services County
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DATE:
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 2006/2007.
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:
1
_RECOMMENDATION OF COUNTY ADMINISTRATOR ,RECOMMENDATION OF BOARD COMMITTEE
APPROVE _OTHER
SIGNATURE(S): l./
ACTION OF BOARD ON APPROVED AS RECOMMENDED_4 OTHER
VOTE OF SUPERVISORS
y- 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.
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ATTESTED ' 9:.- )IM 119
Contact Person: Patrick Godley, 957-5405 JOHN tULLEN,CLERK OF HE BOARD OF
SUPERVISORS AND
/COUNTY ADMINISTRATOR
cc: County Administrator ® i�JL—l1l
Health Services Administration BY:
Patrick Godley, CCHS COO/CFO DEPUTY
George Washnak, CCHS Controller
Steve Ybarra, Auditor-Controller
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Fiscal Impact:
The County estimates it will receive State revenues as follows:
For County Operated Services:
CHIP — Hospital $ 391,166
CHIP — Other Health Care 0
Subtotal — County Operation $ 391,166
For Non-County Operated Services:
CHIP — Hospital $ 41,942
CHIP — Physician 12,726
Subtotal — Non-County Opelration $ 54,668
ESTIMATED 2006/2007 REVENUES $ 445.834
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.
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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