Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Srija Srinivasan, Deputy Chief, San Mateo County Health
Subject: Return of Children's Health Initiative Funds to First 5 San Mateo County, Peninsula Health Care District and County Health
RECOMMENDATION:
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Adopt a resolution authorizing and directing the return of Children's Health Initiative funds in the amount of $286,053 to First 5 San Mateo County, $282,099 to the Peninsula Health Care District, and $851,387 to County Health.
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BACKGROUND:
In 2003, the County and key partners launched the Children's Health Initiative (CHI) to achieve universal health insurance coverage in San Mateo County. The County worked with many partners to further this aim through outreach to uninsured children and families, enrollment into public health coverage programs, and Healthy Kids, a locally supported health insurance program that was designed to serve children ineligible for federal and state programs.
In 2007, governance for this initiative was moved from the County to the San Mateo Health Commission, the governing body for the Health Plan of San Mateo, with the newly formed CHI Coalition serving as an advisory body.
When State policy actions expanded the State's role in health insurance coverage for children, the CHI Coalition took actions to align local responsibilities, accordingly, including a decision to close the local Healthy Kids program in 2019. The Coalition amended its Memorandum of Understanding (MOU) in 2020, stating that the Coalition would assure responsible stewardship of the financial resources originally contributed to support universal health coverage so that the funding is directed to address shared priorities related to children's health or returned to the contributing funders. The MOU further provided that County Health would oversee the financial stewardship of the restr...
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