Code Section Group

Welfare and Institutions Code - WIC

DIVISION 9. PUBLIC SOCIAL SERVICES [10000 - 18999.8]

  ( Division 9 added by Stats. 1965, Ch. 1784. )

PART 4.7. HEALTH CARE FOR INDIGENTS [16900 - 16996.2]

  ( Heading for Part 4.7 added by Stats. 1990, Ch. 50, Sec. 10.5. )

CHAPTER 5. California Healthcare for Indigents Program [16940 - 16995.1]

  ( Chapter 5 added by Stats. 1989, Ch. 1331, Sec. 9. )

ARTICLE 7. Financial Maintenance of Effort [16990 - 16990.9]
  ( Article 7 added by Stats. 1989, Ch. 1331, Sec. 9. )

16990.
  

(a) (1) Any county receiving an allocation pursuant to this chapter and Chapter 4 (commencing with Section 16930) shall, at a minimum, maintain a level of financial support of county funds for health services at least equal to the total of the amounts specified in this subdivision. The amounts specified in paragraph (1) shall be adjusted on July 1 of each year equal to the growth in the sales tax and vehicle license fees allocated to the trust fund accounts and the county general fund pursuant to Chapter 6 (commencing with Section 17600) of Part 5.

Each of the following counties shall maintain a realignment financial maintenance of effort according to the following schedule:

Jurisdiction

Amount

Alameda  ........................

$ 62,950,138

Alpine  ........................

150,781

Amador  ........................

1,702,152

Butte  ........................

8,378,036

Calaveras  ........................

1,286,374

Colusa  ........................

1,362,787

Contra Costa  ........................

31,188,063

Del Norte  ........................

1,305,412

El Dorado  ........................

5,626,036

Fresno  ........................

32,555,212

Glenn  ........................

1,368,045

Humboldt  ........................

8,995,114

Imperial  ........................

8,526,220

Inyo  ........................

2,320,718

Kern  ........................

23,025,845

Kings  ........................

4,310,952

Lake  ........................

1,767,837

Lassen  ........................

1,555,628

Los Angeles  ........................

510,082,064

Madera  ........................

3,523,697

Marin  ........................

11,349,537

Mariposa  ........................

766,751

Mendocino  ........................

2,782,024

Merced  ........................

4,711,969

Modoc  ........................

939,453

Mono  ........................

1,673,165

Monterey  ........................

11,816,218

Napa  ........................

4,751,422

Nevada  ........................

2,669,976

Orange  ........................

66,846,735

Placer  ........................

3,009,967

Plumas  ........................

1,143,704

Riverside  ........................

33,598,282

Sacramento  ........................

33,012,993

San Benito  ........................

1,601,614

San Bernardino  ........................

27,576,793

San Diego  ........................

49,373,333

San Francisco  ........................

106,622,954

San Joaquin  ........................

12,646,288

San Luis Obispo  ........................

5,888,487

San Mateo  ........................

21,788,027

Santa Barbara  ........................

12,659,559

Santa Clara  ........................

47,316,403

Santa Cruz  ........................

8,373,710

Shasta  ........................

6,521,122

Sierra  ........................

327,339

Siskiyou  ........................

2,401,825

Solano  ........................

8,942,768

Sonoma  ........................

16,146,306

Stanislaus  ........................

13,403,954

Sutter  ........................

4,872,252

Tehama  ........................

3,257,915

Trinity  ........................

1,599,409

Tulare  ........................

8,593,714

Tuolumne  ........................

2,525,076

Ventura  ........................

17,042,243

Yolo  ........................

4,396,875

Yuba  ........................

3,083,423

Total  ........................

$1,278,014,696

(2) A county may, upon notifying the department of the transfers authorized by this paragraph, reduce the level of financial maintenance of effort required of the county by paragraph (1) by the amount of the funds transferred from the Health Account pursuant to Section 17600.20.

(b) For purposes of this section, if a county desires to use any of its allocation pursuant to this chapter or Chapter 4 (commencing with Section 16930) for programs and costs not reported as part of the plan and budget required by Section 16800, the county, as a condition of using its allocation for these purposes, must maintain an amount of county funding for those programs and costs at least equal to the 1988–89 fiscal year levels.

(c) Moneys received by a county under this chapter shall be accounted for as revenue in the plan and budget which is required pursuant to Section 16800 and shall not be used as county matching funds for any other program requiring a county match.

(d) If a county fails to maintain financial maintenance of effort at least equal to the total of the amounts specified in paragraph (1) of subdivision (a), the department shall recover funds allocated to the county under this part sufficient to bring the county into compliance with the financial maintenance of effort provisions. Funds shall be recovered proportionately from the Hospital Services Account, the Physician Services Account, and the Unallocated Account.

(e) The participation fee specified in Section 16809.3 shall not be included in determining a county’s compliance with the maintenance of effort provisions of this section.

(f) For the purposes of determining the level of financial support required for the 1991–92 fiscal year, the amounts specified in paragraph (1) of subdivision (a) shall be reduced to reflect shortfalls in revenue to local health and welfare trust fund health accounts due to shortfalls in receipts of sales tax revenue and county deposits required pursuant to subdivision (b) of Section 17608.10, compared to the amounts of these funds originally anticipated, as determined by the Director of Health Services.

(g) For the purposes of determining the level of financial support required in the 1992–93 fiscal year, the amounts specified in paragraph (1) of subdivision (a) shall be reduced by 7 percent.

(h) For the purposes of determining the level of financial support required in the 1993–94 fiscal year and subsequent fiscal years, the amounts specified in paragraph (1) of subdivision (a) shall be reduced to reflect shortfalls in revenue to local health and welfare trust fund health accounts due to shortfalls in receipts of sales tax revenue and county deposits required pursuant to subdivision (b) of Section 17608.10, compared to the amounts of these funds originally anticipated for the 1991–92 fiscal year, as determined by the Director of Health Services.

(Amended by Stats. 1996, Ch. 6, Sec. 6. Effective January 1, 1997.)

16990.1.
  

Notwithstanding the first sentence of paragraph (1) of subdivision (a) of Section 16990, for the purposes of determining the level of financial support in the 1996–97 fiscal year, the amounts specified in subparagraph (A) of paragraph (1) of subdivision (a) of Section 16990 shall be added to 50 percent of the amounts specified in subparagraph (B) of paragraph (1) of subdivision (a).

(Added by Stats. 1996, Ch. 199, Sec. 17. Effective July 22, 1996.)

16990.5.
  

(a) The following definitions shall govern the construction of this section, unless the context requires otherwise:

(1) “Capital outlay” means net disproportionate share hospital revenues used for projects that involve the acquisition, construction, renovation, improvement, modernization, expansion, or replacement of a plant, building, or fixed or movable equipment, including debt service for facilities used in the provision of county health care services or mental health services.

(2) “County health care services” means those services described in subdivision (a) of Section 16801.

(3) “County financial maintenance of effort” means the level of financial support required of a county pursuant to Section 16990.

(4) “Net disproportionate share hospital revenues” means the amount determined by subtracting the total intergovernmental transfers made by a county pursuant to Sections 14163 and 14164 from the total amount of the payment adjustments paid to the county’s hospital or hospitals pursuant to Section 14105.98. This calculation shall reflect any amendment to Sections 14163 and 14164, including amendments to paragraph (2) of subdivision (d) of Section 14163.

(5) “Mental health services” means those programs transferred or otherwise financed pursuant to Chapters 89 and 91 of the Statutes of 1991.

(b) (1) Each county shall deposit all net disproportionate share hospital revenues into a fund or funds other than the county general fund, and shall retain those revenues until utilized for the purposes described in this section.

(2) All disproportionate share hospital revenues are intended to support health care services rendered by disproportionate share hospitals, including, but not limited to, health or mental health services and health or mental health capital outlays. Net disproportionate share hospital revenues shall not be used to supplant or offset county general funds or other funds that were expended or encumbered for those purposes prior to July 1, 1991.

(3) Net disproportionate share hospital revenues shall be included in computing county financial maintenance of effort only as set forth in subdivision (c).

(c) For the 1991–92 fiscal year, and for each fiscal year thereafter, for purposes of computing county financial maintenance of effort, net disproportionate share hospital revenues deposited in accordance with subdivision (b) shall be treated as follows:

(1) Net disproportionate share hospital revenues utilized for a county for mental health services, or for capital outlay for health or mental health services, shall not be counted as revenue in the computation of county financial maintenance of effort.

(2) Net disproportionate share hospital revenues that are not utilized as described in paragraph (1) shall be counted as revenue in the computation of a county’s financial maintenance of effort only to the extent that by not counting those revenues for a particular fiscal year, a county’s net county costs for county health care services exceeds the amount of county funds required to satisfy the requirements of Section 16990 for the particular fiscal year.

(3) Net disproportionate share hospital revenues counted as revenue in the calculation of county financial maintenance of effort for a particular year pursuant to paragraph (2) shall not be counted as revenue in the calculation of county financial maintenance of effort relating to any subsequent fiscal year.

(d) Net disproportionate share hospital revenues may not be used for deposits required by Sections 17608.05 and 17608.10 or as county funds required by Section 16990.

(Amended by Stats. 1997, Ch. 294, Sec. 82. Effective August 18, 1997.)

16990.9.
  

The level of financial maintenance of effort required of a county that contracts with the department pursuant to Section 101300 of the Health and Safety Code during the 1991–92, 1992–93, 1993–94, 1994–95, and subsequent fiscal years may be reduced by the amount of local public health service funds retained by the county for that fiscal year that are unexpended as a result of vacant contracted positions.

(Amended by Stats. 1996, Ch. 1023, Sec. 497. Effective September 29, 1996.)

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