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File #: 13-1355    Version: 1
Type: Agenda Item Status: Approved
File created: 10/18/2013 In control: Board of Supervisors
On agenda: 12/3/2013 Final action: 12/3/2013
Title: Health and Human Services Agency recommending that the Board adopt Resolution 181-2013 confirming redirection of 60 percent of the portion of Health Realignment revenues previously provided to counties who participate in the County Medical Services Program to the new Family Support Services Subaccount at the State level beginning January 2014, in accordance with Welfare and Institutions Code Section 17600.50(a). FUNDING: Health Realignment.
Attachments: 1. A - Approved Contract Route Sheet for Resolution 12/3/13, 2. B - Resolution re CMSP Funding 12/3/13, 3. Executed Resolution 181-2013
Title
Health and Human Services Agency recommending that the Board adopt Resolution 181-2013 confirming redirection of 60 percent of the portion of Health Realignment revenues previously provided to counties who participate in the County Medical Services Program to the new Family Support Services Subaccount at the State level beginning January 2014, in accordance with Welfare and Institutions Code Section 17600.50(a).

FUNDING: Health Realignment.
Body
Fiscal Impact/Change to Net County Cost
This Resolution ____ has no impact on Net County Cost.

Background
In 1983, California law transferred responsibility for providing health care services for indigent adults to the counties. The law recognized that smaller, rural counties were not in a position to assume this responsibility; therefore, the law also provided that counties with a population of 300,000 or less could contract back with the State to provide health care services for indigent adults. The organization created to provide oversight and management of funds for indigent care services for adults in these rural communities was the County Medical Services Program (“CMSP”); the County of El Dorado is one of 35 participating rural and semi-rural counties. In 1991, the State/Local Program Realignment resulted in the State General Fund contribution for CMSP being capped at $20.2 million each fiscal year, at which point Program Realignment revenue (vehicle license fees and sales tax) became the primary revenue source supporting the program.

The Affordable Care Act actually refers to two separate pieces of legislation, the Patient Protection and Affordable Care Act, and the Health Care and Education Reconciliation Act of 2010. Together these two legislative acts expand Medicaid (known as Medi-Cal in California) coverage to low income Americans, including those who were previously ineligible for Medi-Cal and were covered under CMSP. Effective January 2014, the majority of CMSP beneficiaries either will...

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