Agenda

Return

D.2

To:	Board of Supervisors
From:	David Twa, County Administrator
Date:	March 17, 2009

Contra

Costa

County

Subject:

Elimination and/or Reduction in the Level of Medical Services Provided by the County

APPROVE	OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR	RECOMMENDATION OF BOARD COMMITTEE

Action of Board On: 03/17/2009

APPROVED AS RECOMMENDED

OTHER

Clerks Notes:

Considered jointly with D.1; see D.1 for detailed addendum

VOTE OF SUPERVISORS

AYE:

John Gioia, District I Supervisor
Gayle B. Uilkema, District II Supervisor
Susan A. Bonilla, District IV Supervisor
Federal D. Glover, District V Supervisor

ABSENT:

Mary N. Piepho, District III Supervisor

Contact:	Dorothy Sansoe, 335-1009
cc:	Pat Godley

I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board of Supervisors on the date shown.
ATTESTED: March 17, 2009
David Twa,

BY:	, Deputy

RECOMMENDATION(S):

1. OPEN and conduct a public hearing on the Health Services Department program changes in the attached notice in accordance with Health and Safety Code Section 1442.5 (Beilenson Act).



2. CONSIDER public testimony and the staff report on the Health Services Department program changes in the attached notice.

RECOMMENDATION(S): (CONT'D)

3. DECLARE that the Board of Supervisors has also considered public testimony and the staff report on the Health Services Department program changes in the attached notice.

4. RECOGNIZE that the Health Services Department is facing a $19.2 million shortfall for fiscal year 2009/2010, and that the Health Services Department program changes in the attached notice will result in $19.2 million savings.

5. AUTHORIZE the Health Services Director to initiate the Health Services Department program changes in the attached notice, as recommended by the Health Services Director.

6. RECOGNIZE that the Health Services Director will ensure that all appropriate State and federal laws and regulations are complied with in execution of the Health Services Department program changes in the attached notice.

FISCAL IMPACT:

Implementation of the Health Services Department program changes in the attached notice will result in $10.4 million County General Fund savings.

BACKGROUND:

Health and Safety Code Section 1452.5, also known as the Beilenson Act, requires that a public hearing be conducted and public testimony be considered any time reductions and/or elimination in the level of medical services provided by the County is considered.