TO: Board of Supervisors
FROM: Sheryl L. Bratton - County Counsel
REPORT BY: Susan Altman - Deputy County Counsel
SUBJECT: Adoption of Ordinance Amending Chapter 2.70 of the Napa County Code
RECOMMENDATION
title
Adopt an Ordinance amending portions of Chapter 2.70.010 of the Napa County Code in order to ensure consistency among all participants of the Commission on Medical Care. (No Fiscal Impact)
[UNANIMOUS VOTE REQUIRED]
body
BACKGROUND
Welfare and Institutions Code Section 14087.54 authorizes the implementation of a county organized health system. Partnership Health Plan of California Commission (Commission) is a multi-county commission that has created a Medi-Cal managed health care plan for Medi-Cal recipients. Napa County has participated in the Commission since 1994. The Commission is expanding to include new Counties in 2024. Currently, the Commission serves 14 Northern California Counties, including; Del Norte, Humboldt, Lake, Lassen, Marin, Mendocino, Modoc, Napa, Shasta Siskiyou, Solano, Sonoma, Trinity, and Yolo. Beginning in 2024 the Commission will include ten new counties; Butte, Colusa, Glenn, Nevada, Placer, Plumas, Sierra, Sutter, Tehama, and Yuba. With the addition of ten Counties, the number of members serving on the Commission must be recalculated to ensure the Commission is a reasonable size. The recalculation is based on the Commission’s Bylaws and the Medi-Cal population across the new 24 member counties. This recalculation reduces Napa’s membership on the Commission from two members to one. The other requested Ordinance amendments are to ensure consistency among Commission member Counties.
On December 19, 2023, the Board of Supervisors announced an Ordinance concerning Welfare and Institutions Code Section 14087.54 which authorizes the implementation of a county organized health system. Partnership Health Plan of California Commission (Commission) is a multi-county commission that has created a Medi-Cal managed health care plan for Medi-Cal recipients. Napa County has participated in the Commission since 1994. The Commission is expanding to include ten new County members in 2024. The addition of these new member Counties requires a recalculation of Commission membership and will reduce Napa’s seats on the Commission from two to one. The additional changes to the ordinance are intended to create clarity and consistency among all Commission member Counties. After discussion, the Board unanimously passed a motion of intent to adopt the Ordinance. The Ordinance has now returned to the Board for formal adoption. Per Napa County Policy Manual Part I, Section 8, unanimous vote is required.
Recommendation: Staff and County Counsel recommend adoption of the Ordinance.
FISCAL & STRATEGIC PLAN IMPACT
|
Is there a Fiscal Impact? |
No |
|
Is it Mandatory or Discretionary? |
Discretionary |
|
Discretionary Justification: |
Recalculation of Commission membership reduces Napa County’s positions from two to one. This Ordinance clarifies the selection of member filling that position and makes other changes to ensure consistency among member Counties. |
|
Is the general fund affected? |
No |
|
Future fiscal impact: |
None |
ENVIRONMENTAL IMPACT
ENVIRONMENTAL DETERMINATION: The adoption of this ordinance is not subject to the California Environmental Quality Act (CEQA) because the activity is not a project and meets the “general rule” as defined in Sections 15378 and 15061(b)(3) of the CEQA Guidelines. Adoption of the ordinance has no potential for resulting in physical changes to the environment, either directly or indirectly.