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Health department budget, fees and 'single standard of care' spark debate; Community Justice Center reports early use

Budget and Finance Committee of the Board of Supervisors · June 22, 2009
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

DPH outlined budget pressures, proposed patient-rate increases and fee items; the department's proposal to change indigent mental-health standards (the 'single standard of care' amendment) drew objections from advocates. The new Community Justice Center reported early patient contacts and on-site services.

Department of Public Health officials told the Budget & Finance Committee the department’s total budget is $1.447 billion, with hospitals accounting for $822 million and general fund support of approximately $319 million. DPH said it met much of its target through revenue increases and federal stimulus FMAP changes but still proposed limited reductions to direct services (about $12 million) and asked supervisors to consider restorations where possible.

Among the administrative items DPH proposed were annual patient-rate adjustments (used primarily to recover costs from insured and out-of-county patients) and new fee proposals for…

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