(a) For the 2013â14 fiscal year and each year thereafter, the amount to be redirected in accordance with Section 17612.1 for the County of Los Angeles shall be determined in accordance with Section 17612.3, except that the formula in subdivision (a) of Section 17612.3 shall be replaced with the following formula: (1) The total revenues as defined in paragraph (7) of subdivision (b) paid or payable to the County of Los Angeles, Department of Health Services, for the fiscal year, which shall include special local health funds and as adjusted in accordance with Section 17612.6, shall be added together. (2) The sum of three hundred twenty-three million dollars ($323,000,000), which represents the imputed county low-income health amount trended annually by 1 percent from the 2012â13 fiscal year through the applicable fiscal year, and the county indigent care health realignment amount, as determined in accordance with subdivision (e) of Section 17612.2 for the fiscal year. (3) The amount by which the countyâs total costs exceeded the cost containment limit for the fiscal year, expressed as a negative number, multiplied by 0.50. (4) (A) The total costs, as defined in paragraph (6) of subdivision (b), incurred by or on behalf of the County of Los Angeles, Department of Health Services, for the fiscal year shall be added together, but shall not exceed the cost containment limit determined in accordance with paragraph (3) of subdivision (b). (B) The costs in paragraph (A) shall be subtracted from the sum of paragraphs (1) to (3), inclusive. (5) The resulting amount determined in subparagraph (B) of paragraph (4) shall be multiplied by 0.80, except that for the 2013â14 fiscal year, the resulting amount determined in subparagraph (B) of paragraph (4) shall be multiplied by 0.70. (6) If the amount in paragraph (5) is a positive number, that amount, subject to paragraph (7), shall be redirected in accordance with Section 17612.1 of this article, except that for the 2013â14 fiscal year the amount to be redirected shall not exceed the amount determined for the County of Los Angeles 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 (5) is a negative number, the redirected amount shall be zero. (7) Notwithstanding any other law, the amount to be redirected as determined in paragraph (6) for any fiscal year shall not exceed the county indigent care health realignment amount for that fiscal year. (8) (A) The redirected amount shall be applied until the later of: (i) June 30, 2023. (ii) The beginning of the fiscal year following a period of two consecutive fiscal years that both of the following occur: (I) The total interim amount determined under subdivision (b) of Section 17612.3 in May of the previous fiscal year is within 10 percent of the final, reconciled amount in subdivision (d) of that section. (II) The final, reconciled amounts under subdivision (d) of Section 17612.3 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) Except as otherwise provided in this section, the definitions in Section 17612.2 apply. For purposes of this section, and for purposes of the calculations in Section 17612.3 that apply to the County of Los Angeles, the following definitions apply: (1) âAdjusted patient dayâ means LA County DHSâs total number of patient days multiplied by the following fraction: the numerator that is the sum of the county public hospital health systemâs total gross revenue for all services pro
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