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C. 33
To: Board of Supervisors
From: INTERNAL OPERATIONS COMMITTEE
Date: June  7, 2022
The Seal of Contra Costa County, CA
Contra
Costa
County
Subject: RECOMMENDATION FOR APPOINTMENT TO THE LOS MEDANOS HEALTH ADVISORY COMMITTEE
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On:   06/07/2022
APPROVED AS RECOMMENDED OTHER
Clerks Notes:

VOTE OF SUPERVISORS

AYE:
John Gioia, District I Supervisor
Candace Andersen, District II Supervisor
Diane Burgis, District III Supervisor
Karen Mitchoff, District IV Supervisor
Federal D. Glover, District V Supervisor
Contact: Julie DiMaggio Enea (925) 655-2056
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:     June  7, 2022
Monica Nino, County Administrator
 
BY: , Deputy

 

RECOMMENDATION(S):

  
APPOINT Dennisha Marsh to the At Large seat of the Los Medanos Health Advisory Committee for an initial term to commence June 8, 2022 and end on December 31, 2023.

FISCAL IMPACT:

  
No fiscal impact. Advisory Committee members are not compensated.

BACKGROUND:

  
BACKGROUND: (CONT'D)
    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 (Advisory Committee). The Board formed the Advisory 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 Advisory Committee initially consisted of five members and its formation is contingent upon the dissolution of the District.  
      
    On September 12, 2018, LAFCo voted unanimously to dissolve the District in support of the County’s application. As part of that action, LAFCo imposed certain terms and conditions on the County as successor agency, including expansion of the Advisory Committee from five to seven members. The Board of Supervisors subsequently adopted Resolution No. 2018/543 on November 6, 2018 expanding the Advisory Committee and making related adjustments to the terms of office for those seats. The current composition of the Advisory Committee calls for (1) one At Large seat, to be interviewed by the Internal Operations Committee and recommended to the Boardof Supervisors for appointment.  
      
    The Los Medanos Community Health Advisory Committee (the "LMHAC") was created by the Board of Supervisors in 2018 as pursuant to the terms and conditions approved by LAFCo to dissolve the LMCHD. The purpose of the LMHAC is to:
    1. Develop an area health plan that identifies the major health disparities that impact residents of the former LMCHD service area, and establishes priorities for improving health outcomes. The plan will be presented to the Board of Supervisors for review and will not be final unless adopted by the Board of Supervisors. The LMHAC may engage an outside consultant to assist in developing the plan. The LMHAC shall submit an updated plan for approval by the Board of Supervisors no less than every five years.
    2. Solicit proposals from service providers that are interested in participating the Los Medanos Area Health Plan Grant Program (the "Grant Program") and are capable of addressing the priorities outlined in the adopted plan. Funding for grants will be provided from (i) a special fund established by the Auditor-Controller, at the direction of the Board of Supervisors, that is used to segregate the property tax revenue received by the County as a result of the dissolution of the District, and (ii) any other funds made available to the grant program (e.g. through restricted donations, grants, etc.).
    3. Monitor the efficacy of the programs funded by the grant program.
    4. Report to the Board of Supervisors no less than once per year on the execution of the adopted plan, the grants provided under the grant program, the results achieved through the adopted plan and the grant program, and other matters that relate to the LMHAC's purpose and duties.
      
    In January 2019, Contra Costa County Superior Court Judge Steven Austin issued a temporary stay to prevent the LAFCo from dismantling the healthcare district before a February 2019 protest hearing. The District Board filed a petition to compel LAFCo to hold an election over whether the District should dissolve instead of ordering the dissolution without an election. The trial court granted the District's petition but, in December 2021, the appellate court overturned the trial court's decision and found in favor of the County and LAFCo .  
      
    The District appealed the appellate court decision to the California Supreme Court. On March 9, 2022, the Supreme Court declined to hear an appeal, effectively dissolving the District.  
      
    In anticipation of the dissolution of the District, the Internal Operations Committee, on January 24, 2022, opened a four-week recruitment to fill the At Large seat on the Advisory Committee. The County received four applications, however, one applicant was deemed ineligible due to the requirement that members must reside or work in the District. Applications for the three applicants who were deemed qualified and who were interviewed by the Internal Operations Committee on March 14, 2022 are attached.  
      
    On April 12, 2022, the Board of Supervisors made appointments to the six agency seats on the Health Advisory Committee: two representing Pittsburg, two representing the Bay Point area, and two from the County Health Services Department.   
      
    As a result of its March 14 interviews, the Internal Operations Committee recommends the appointment of former Los Medanos Healthcare District Board member Dennisha Marsh to the At Large seat for a term to commence the day following Board of Supervisors action through December 31, 2023.

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