Title
Health Services Department recommending the Board approve and authorize the Chair to sign Agreement 032-125-P-E2010 (074-S1111) with the County Medical Services Program Governing Board for a term through July 1, 2010 until terminated by either party, to provide health care services to indigent adults pursuant to California Welfare and Institutions Code Section 16809 et seq.
FUNDING: Realignment (sales tax and vehicle license fees).
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BUDGET SUMMARY:
Total Estimated Cost $3,768,780
Funding
Budgeted $3,535,288 FY 2010-11 Health Care pymt
New Funding $233,492 County Participation Fee
Savings $
Other $
Total Funding Available $3,768,780
Change To Net County Cost $0
Fiscal Impact/Change to Net County Cost: The County of El Dorado payment for health care services to indigent adults ($3,535,288) is taken from the County’s Health Realignment funds prior to realignment being transferred to the County. The County participation fee ($233,492) is specified in California Welfare and Institution Code 16809.5 (d), which notes that the participation fee payments "shall not be paid for with funds from the health account of the local health and welfare trust fund established pursuant to Section 17600.10." Accordingly, County General Funds are used to support payment of the County's participation fee. This payment is recorded in Health Services Department Index 406100; County General Funds are transferred to Index 406100 via Subobject 2020, Operating Transfer In.
Background: Pursuant to the California Welfare and Institution Code Section 17000, “every county and every city and county shall relieve and support all incompetent, poor, indigent persons, and those incapacitated by age, disease, or accident, lawfully resident therein, when such persons are not supported and relieved by their relatives or friends, by their own means, or by state hospitals or other state or private institutions.” ...
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