File #: 17-0241    Version: 1
Type: Agenda Item Status: Approved
File created: 2/22/2017 In control: Board of Supervisors
On agenda: 3/21/2017 Final action: 3/21/2017
Title: HEARING - Health and Human Services Agency recommending the Board: 1) Consider a reduction, elimination, and/or transfer of management of public health services provided by El Dorado County Public Health Laboratory in fiscal year 2016-17, as required by State law (Beilenson Act); 2) Authorize the Health and Human Services Agency Director to negotiate and execute an Agreement with Sacramento County for Public Health Laboratory services, effective July 1, 2017 with a maximum obligation up to $65,000, and contingent upon approval by County Counsel and Risk Management; and 3) Authorize the Health and Human Services Agency Director to execute further documents relating to said Agreement with Sacramento County, including amendments which do not increase the maximum dollar amount or term of the Agreement, and contingent upon approval by County Counsel and Risk Management. (Est. Time: 30 Min.) FUNDING: Fee for Service.
Attachments: 1. A - Public Health Lab Presentation 3/21/17, 2. B - Health and Safety Code References 3/21/17, 3. C - Notice of Hearing 3-21-17
Related files: 18-0228
Title
HEARING - Health and Human Services Agency recommending the Board:
1) Consider a reduction, elimination, and/or transfer of management of public health services provided by El Dorado County Public Health Laboratory in fiscal year 2016-17, as required by State law (Beilenson Act);
2) Authorize the Health and Human Services Agency Director to negotiate and execute an Agreement with Sacramento County for Public Health Laboratory services, effective July 1, 2017 with a maximum obligation up to $65,000, and contingent upon approval by County Counsel and Risk Management; and
3) Authorize the Health and Human Services Agency Director to execute further documents relating to said Agreement with Sacramento County, including amendments which do not increase the maximum dollar amount or term of the Agreement, and contingent upon approval by County Counsel and Risk Management. (Est. Time: 30 Min.)

FUNDING: Fee for Service.
Body
DEPARTMENT RECOMMENDATION
Health and Human Services Agency (HHSA) recommending the Board consider a reduction, elimination, and/or transfer of management of Public Health Laboratory services in fiscal year (FY) 2016-17, as required by California Health and Safety Code Section 1442.5 (notices appropriately posted). HHSA also recommending the Board authorize the HHSA Director to negotiate, and execute an agreement with Sacramento County for the provision of Public Health Laboratory services, to ensure availability of services in accordance with Health and Safety Code Section 101150.

BACKGROUND
During the period between fiscal year (FY) 2004-05 and 2007-08, Public Health (PH) Realignment revenues available to supplement public health programs decreased by 19%, State revenues were flat, and A87 charges for public health services increased from $0 to $850,000, thereby resulting in the need to prioritize programs to be supported. At the time, 50% of annual health realignment for programs was projected to be dedicated to support clinic and la...

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