HomeMy WebLinkAboutResolutions - 1987.03.11 - 17997March 12, 1987 Miscellaneous Resolution # 87063
By: HEALTH AND HUMAN SERVICES COMMITTEE--Susan G. Kuhn,
Chairperson
DEPT. OF INSTITUTIONAL AND HUMAN SERVICES--
In Re: HEALTH CARE ACCESS PROJECT
To the Oakland County Board of Commissioners
Mr. Chairperson, Ladies, and Gentlemen
WHEREAS, Oakland County is required to appropriate money
each year to the Resident County Hospitalization Fundthrough the
local branch of the Department of Social Services; and
WHEREAS, the Robert Wood Johnson Foundation has given a
grant to the Michigan Human Services League to administer a pilot
program in an urban area to demonstrate that an insurance fund
can be developed and utilized to create accessible health care,
both inpatient and outpatient, for low income employees of small
business firms that do not have health insurance as a benefit;
and
WHEREAS, the fund is to be created in the pilot county
chosen by use of the Resident County Hospitalization Fund, along
with a matching amount from the State of Michigan's General As-
sistance Fund, as well as a combined matching amount from
employees and their employers; and
WHEREAS, this concept will assist people currently on AFDC
and General Assistance to move into an employment mode; and
WHEREAS, Public Act 134 of 1986 states that counties that
agree to participate in the pilot program shall not incur any ad-
ditional inpatient hospital costs under the Resident County
Hospital Program above those expected in the fiscal year im-
mediately preceding pilot implementation, the sum of which is
$2,104,216.
NOW THEREFORE BE IT RESOLVED that the Oakland County Board
of Commissioners state its agreement and enthusiasm with this
concept and request the County Executive to organize all county
resources necessary to prepare an application for the county to
compete for the urban pilot project; and
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Health and Human ces Committee
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BE IT FURTHER RESOLVED that the Board of Commissioners agree
to transfer the remainder of the 1987 Resident County Hospital
Fund, at the date the project begins, to the Health Care Access
Project Fund provided that the final rules and procedures for
this project have been declared and approved by the Board of Com-
missioners through its grant's acceptance process under Miscel-
laneous Resolution #86186; and
BE IT FURTHER RESOLVED that such approval is contingent upon
the approval of the Michigan Department of Social Services and
their written agreement that Oakland County's participation in
this project does not constitute an election by the County under
P.A. 255 of 1982 to reimburse hospitalization directly for
General Assistance clients and that Oakland County could elect to
return to its current arrangement with the Department of Social
Services.
Mr. Chairperson, on behalf of the Health and Human Services
Committee, I move the adoption of the foregoing resolution.
1 'E P,-FSOLUTION
REpoRT TO THE CHAIRPERSUE BOARD OF COISSIGNERS
BY: DEPARTMENT OF MANAGEMENT AND BUDGET
IN RE: HEALTH CARE ACCESS PROJECT (RCA?)
Pursuant to Miscellaneous Resolution #86186 the Department of
Management and Budget has reviewed the Health Care Access Project (HCAP)
and finds:
1) The Robert Wood Johnson Foundation has given a grant to the
Michigan Human Services League to administer a pilot program in
an urban area to demonstrate that an insurance fund can be
developed and utilized to create accessible inpatient and
outpatient health care for low income employees of small business
firms that do not have health insurance as a benefit.
2) Activities in the Health Care Access Project (HCAP) grant cover
the period January 1, 1987 to March 31, 1989.
3) The fund is to be created by use of the Resident County
Hospitalization fund, with a matching amount from the State of
Michigan's General Assistance fund and a combined matching amount
from, employees and their employers.
4) Per P.A. 134 of 1986, counties that agree to participate in the
pilot program will have inpatient hospital costs under the
Resident County Hospital program capped at the level experienced
in the fiscal year immediately preceding pilot implementation.
The County experienced a cost of $2,104,216 in 1986.
5) Should actual indigent hospitalization cost not reach the
$2,104,216 in future years, the County would not be required to
fund at the level of $2,104,216 but rather at the level of actual
cost.
Informational Copies:
Finance Committee (copy of application to Committee Reporter)
Health and Human Services Committee
Resolution No. 87063 March 12, 1987
March 12, 1987
Moved by Susan Kuhn supported by Aaron the resolution be adopted.
AYES:. Page, Perinoff, Pernick, Rewold, Rowland, Skarritt, Wilcox,
Aaron, Caddell, Calandro, Crake, Doyon, Gosling, Hobart, Jensen, Richard Kuh,u,
Susan Kuhn, Lanni, Law, Luxon, McConnell, Angus McPherson, Ruel McPherson. (23)
NAYS: None. (0)
A sufficient majority having voted therefor, the resolution was adopted.
STATE. OF MlCHtQAI4
COUNTY- OF OAKLAND)
Lynn D. Allen, Clerk of the County of Oakland and having a
seal, do hereby certify that I have compared the annexed copy of the attached .
Miscellaneous Resolution adopted by the Oakland County Board of Commissioners
at their meeting held on March 12, 1987
with the original record thereof now remaining in my office,
and that it is a true and correct transcript therefrom, and
of the whole thereof.
In Testimony Whereof, I have hereunto set my- hand and affixed
the seal of said County at F'ontlac, Michigan
this 12th day of March 198 7