Title
HEARING - Consider recommendations regarding Affordable Care Act (ACA) and State budget actions implications for the Public Health Department, as follows: (EST. TIME: 20 MIN.)
a) Receive and file a report and presentation on the Patient Protection and Affordable Care Act's (ACA) effect on State budget funding for the Public Health Department including mitigation of the existing and projected budget gap due to the redirection of 1991 Health Realignment funds;
b) Approve and authorize the Public Health Department Director to notify the State of its intention to tentatively select the State's option of a "Set Percentage Calculation" for the 1991 Health Realignment funding which will redirect 60 percent of the funding to the State and 40 percent of the funding to the County, starting in Fiscal Year 2013/2014;
c) Authorize and direct the Public Health Department Director to enter into the Agreement with the California Health Benefit Exchange as part of an application process that will allow the Public Health Department and the Alcohol, Drug and Mental Health Services Department to become Certified Enrollment Entities; and
d) Determine that these activities are exempt from California Environmental Quality Act review per CEQA Guideline Section 15378(b)(4), since the recommended actions are government fiscal activities which do not involve commitment to any specific project which may result in a potentially significant physical impact on the environment.
COUNTY EXECUTIVE OFFICER'S RECOMMENDATION: APPROVE