In November 2017, the County submitted an application to the Contra Costa Local Agency Formation District (LAFCO) to dissolve the Los Medanos Community Healthcare District (District). On July 10, 2018, the Board of Supervisors adopted a resolution amending its original application to LAFCO to include a plan for providing comprehensive health-related services within the District’s territory. As part of that amended application, the Board adopted Resolution No. 2018/436, which created the Los Medanos Health Advisory Committee. The Board formed the committee to identify health disparities within the District’s borders and to make recommendations related to a grant program to be conducted in the District’s territory. The committee consisted of five members. The formation of the committee was contingent upon the dissolution of the District
The County’s amended application was considered by LAFCO on September 12, 2018. The LAFCO Commission voted unanimously to approve the County’s application with the following three conditions:
1. The number of members on the Los Medanos Health Advisory Committee is to be increased from five to seven.
2. At least 85% of the tax revenue received by the County from the relevant property tax increment is to be expended on programs and grants in the District’s territory.
3. If the real property currently owned by the District is sold or otherwise transferred by the County, any profits generated by such sale or transfer are to be directed to healthcare-related service programs within the District’s territory.
The only LAFCO condition that requires Board action at this time is to increase the number of members on the Los Medanos Health Advisory Committee. Resolution No. 2018/543 establishes a seven-member committee consisting of the following members:
- Two members nominated by the City of Pittsburg
- Two members nominated by the Bay Point Municipal Advisory Committee
- One member nominated by the County’s Public Health Division
- One member nominated by the County’s Behavioral Health Division
- One member nominated by the Board of Supervisors, based on a recommendation from the Internal Operations Committee of a resident of Pittsburg or Bay Point (an at-large representative)
Resolution No. 2018/543 supersedes Resolution No. 2018/436.