(a) For each fiscal year, commencing with the 2013â14 fiscal year, the amount to be redirected in accordance with Section 17612.1 shall be determined for each public hospital health system county as follows: (1) The public hospital health system countyâs revenues and other funds paid or payable for the state fiscal year shall be comprised of the total of the following: (A) Medi-Cal revenues. (B) Uninsured revenues. (C) Medicaid demonstration revenues. (D) Hospital fee direct grants. (E) Special local health funds. (F) The county indigent care health realignment amount. (G) The imputed county low-income health amount. (H) Imputed gains from other payers. (I) The amount by which the public hospital health system countyâs costs exceeded the cost containment limit for the fiscal year, expressed as a negative number, multiplied by 0.50. (2) The following, incurred by the public hospital health system county for the fiscal year, not to exceed in total the cost containment limit, shall be subtracted from the sum in paragraph (1): (A) Medi-Cal costs. (B) Uninsured costs. (C) The lesser of the other entity intergovernmental transfer amount or the imputed other entity intergovernmental transfer amounts. (D) New mandatory other entity intergovernmental transfer amounts. (3) The resulting amount determined in paragraph (2) shall be multiplied by 0.80, except that for the 2013â14 fiscal year the resulting amount determined in paragraph (2) shall be multiplied by 0.70. (4) If the amount in paragraph (3) is a positive number, that amount, subject to paragraph (5), shall be redirected in accordance with Section 17612.1, except that for the 2013â14 fiscal year the amount to be redirected shall not exceed the amount determined for the county for the 2013â14 fiscal year under subdivision (c) of Section 17603, as that amount may have been reduced by the application of Section 17610.5. If the amount determined in paragraph (3) is a negative number, the redirected amount shall be zero. (5) Notwithstanding any other law, the amount to be redirected as determined in paragraph (4) for any fiscal year shall not exceed the county indigent care health realignment amount for that fiscal year. (6) (A) The redirected amount shall be applied until the later of the following: (i) June 30, 2023. (ii) The beginning of the fiscal year following a period of two consecutive fiscal years in which both of the following occur: (I) The total interim amount determined under subdivision (b) in May of the previous fiscal year is within 10 percent of the final, reconciled amount in subdivision (d). (II) The final, reconciled amounts under subdivision (d) are within 5 percent of each other. (B) After the redirected amount ceases as provided in subparagraph (A), a permanent redirected amount shall be established to be an amount determined by calculating the percentage that the redirected amount was in the last fiscal year of the operation of this article of the countyâs health realignment amount of that same fiscal year, multiplied by the countyâs health realignment amount of all subsequent years. (b) Commencing with the 2014â15 fiscal year, the department shall calculate an interim redirected amount for each public hospital health system county under subdivision (a) by the January immediately prior to the starting fiscal year, using the most recent and accurate data available. For purposes of the interim determinations, the cost containment limit shall not be applied. The interim redirected amount shall be updated in the May before the start of the fiscal year in consultation with each public hospital health system county and based on any more recent and accurate data available at that time. During the fiscal year, the interim redirected amount will be applied pursuant to Section 17612.1. (c) The predetermined amounts or historical percentages described in subdivisions (i), (l), (m), (n), and (w) of Section 17612.2 shall each be established in accordance
‹ Prev All California sections Next ›
Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.