(a) For each fiscal year commencing with the 2013â14 fiscal year, the amount to be redirected in accordance with Section 17613.1 shall be determined for each county as set forth in this section. (1) The countyâs revenues and other funds paid or payable for the fiscal year shall be comprised of the total of the following: (A) Indigent program revenues. (B) Special local health funds. (C) The county indigent care health realignment amount. (D) The imputed county low-income health amount. (2) Indigent program costs incurred by the county for the fiscal year, not to exceed in total the cost containment limit, shall be subtracted from the sum in paragraph (1). (3) The resulting amount shall be multiplied by 0.80, except for the 2013â14 fiscal year where the resulting amount 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 17613.1, 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 a 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 the 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) Starting with the 2014â15 fiscal year, the department shall calculate an interim redirected amount for each 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 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 17613.1. (c) The predetermined amounts or historical percentages described in subdivisions (j), (m), and (r) of Section 17613.2 shall each be established in accordance with the following procedure: (1) By October 31, 2013, each county shall determine the amount or percentage described in the applicable subdivision, and shall provide this calculation to the department, supported by verifiable data and a description of how the determination was made. (2) If the department disagrees with the countyâs determination, the department shall confer with the county by December 15, 2013, and shall issue its determination by January 31, 2014. (3) If no agreement between the parties has been reached by January 31, 2014, the department shall apply the countyâs determination when making the interim calculations pursuant to subdivision (b), until a decision is issued pursuant to paragraph (6). (4) If no agreemen
‹ 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.