Sec. 34-2. - Designation of commission.
Sec. 34-5. - Powers and duties of commission.
Partnership HealthPlan of California Commission ("commission") is a multi- county commission that has created a managed health care plan for Medi-Cal recipients. The purpose of this chapter is to authorize the County of Sonoma to join the existing commission. This will allow the implementation of a county organized health system in Sonoma County as authorized by Welfare and Institutions Code Section 14087.54.
The commission has a proven record of improving health care access to its members, who are Medi-Cal recipients, and improving Medi-Cal reimbursement rates to health care providers. The commission links each member with a primary care provider and has been successful in reducing inappropriate use of emergency rooms, providing appropriate levels of inpatient care for its members, developing innovative case management programs and arranging for the provision of an enhanced level of local health care services.
(Ord. No. 5966, § I, 2-7-2012; Ord. No. 5927, § I, 4-5-2011; Ord. No. 5849, § I, 9-1-2009.)
Sec. 34-2. - Designation of commission.
Pursuant to Welfare and Institutions Code section 14087.54, the county board of supervisors hereby authorizes the county to join the commission in conjunction with the provisions of the Napa County Code, the Solano County Code, the Yolo County Code, the Marin County Code, and the Mendocino County Code. Other counties also are considering joining the commission. The commission shall continue to represent the county until the county board of supervisors terminates the representation. To terminate representation, the county board of supervisors or its designee shall provide ninety-day notice to the other participating counties and provide notice to the state department of health care services as set forth in Welfare and Institutions Code Section 14087.54(g).
(Ord. No. 5966, § I, 2-7-2012; Ord. No. 5927, § I, 4-5-2011; Ord. No. 5849, § I, 9-1-2009.)
The commission shall consist of two (2) members appointed by each of the participating counties' board of supervisors. In addition, each county board of supervisors shall appoint one (1) commission member for every fifteen thousand (15,000) Partnership HealthPlan of California Medi-Cal members in the county. Commission membership entitlements are determined annually on July 1st of each year. Any additions of commissioners shall be implemented as soon as reasonably possible. Any deletion of commissioners will be achieved through attrition, with a maximum of two (2) years to come into compliance.
The commissioners appointed by the county board of supervisors shall serve at the pleasure of the board and shall be selected as follows:
Members from the community (public representative). The county department of health services may make recommendations based on the following criteria:
(1)
Legal resident of the county;
(2)
Knowledge of the healthcare needs of children, the aged, and disabled;
(3)
Business experience;
(4)
Political experience; and
(5)
Finance experience.
(Ord. No. 5966, § I, 2-7-2012; Ord. No. 5927, § I, 4-5-2011; Ord. No. 5849, § I, 9-1-2009.)
Members of the commission shall serve four-year terms of office. Nothing herein shall prohibit a person from serving more than one term. Vacancies shall be filled in accordance with the procedures set forth in section 34-3.
(Ord. No. 5966, § I, 2-7-2012; Ord. No. 5927, § I, 4-5-2011; Ord. No. 5849, § I, 9-1-2009.)
Sec. 34-5. - Powers and duties of commission.
Pursuant to the provisions of Section 14087.54 of the Welfare and Institutions Code, the commission shall:
(a)
Have the power to negotiate the exclusive contract with the California Department of Health Care Services as specified in Section 14087.5 of the Welfare and Institutions Code, and to arrange for the provision of health care services provided under Chapter 7, Part 3, Division 9 of the Welfare and Institutions Code;
(b)
Be considered an entity separate from the county;
(c)
File the statement required by Section 53051 of the Government Code;
(d)
Have the power to acquire, possess, and dispose of real or personal property, as may be necessary for the performance of its functions, to employ personnel and contract for services required to meet its obligations, and to sue or be sued; and
(e)
Have all the rights, powers, duties, privileges, and immunities conferred by Article 2.8 of Chapter 7, Part 3, Division 9 of the Welfare and Institutions Code in addition to those previously specified in this section.
(Ord. No. 5966, § I, 2-7-2012; Ord. No. 5927, § I, 4-5-2011; Ord. No. 5849, § I, 9-1-2009.)
Pursuant to the provisions of Section 14087.54(d) of the Welfare and Institutions Code, any obligations of the commission, statutory, contractual, or otherwise, shall be the obligations solely of the commission and shall not be the obligations of the county.
(Ord. No. 5966, § I, 2-7-2012; Ord. No. 5927, § I, 4-5-2011; Ord. No. 5849, § I, 9-1-2009.)
The commission may establish committees from time to time for any purpose that will be beneficial in accomplishing the work of the commission.
At a minimum, two (2) standing advisory committees shall be established:
(1)
The physicians advisory committee, and
(2)
The consumers' advisory committee.
(Ord. No. 5966, § I, 2-7-2012; Ord. No. 5927, § I, 4-5-2011; Ord. No. 5849, § I, 9-1-2009.)