Special Notice / Hearing: None__
Vote Required: Majority
To: Honorable Board of Supervisors
From: Louise F. Rogers, Chief, San Mateo County Health
Michael del Rosario, Director, Correctional Health Services
Subject: Authorizing the Controller to Pay Non-Contract Medical Service Providers at Non-County Facilities to Provide Services to County Incarcerated Persons
RECOMMENDATION:
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Adopt a resolution authorizing the Controller to pay non-contract medical service providers at non-County facilities to provide services to County incarcerated persons not available at a County site for the term of July 1, 2023, to June 30, 2028, in an amount not to exceed $2,100,000.
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BACKGROUND:
Since 1980, this Board has authorized the Controller to pay non-contract medical service providers at non-County facilities to provide services to County incarcerated persons when San Mateo Medical Center (SMMC) or a contracted medical care provider is unable to provide the necessary level of care.
Specific to Correctional Health Services (CHS), California Assembly Bill 658 (AB658), enacted July 16, 2015, authorizes hospitals that do not contract with the county sheriff's police chief or other public agency to provide emergency health care services to local law enforcement patients at a rate equal to 110 percent of the hospital's actual costs according to the most recent Hospital Annual Financial Data report issued by the Office of Statewide Health Planning and Development, as calculated using a cost-to-charge ratio.
DISCUSSION:
As a result of criminal justice realignment and changes in sentencing laws, incarcerated persons are staying in correctional facilities longer, requiring more medical care for which the County is financially responsible. Related to these longer stays, CHS is seeing an increase in patient acuity, such as oncology treatment, stroke, and neurological cases. Due to these factors, CHS continues to need to access non-contract, non-Count...
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