Mendocino County Municipal Code Ch. 8.69 County Commission on Medical Care

The Board of Supervisors of the County of Mendocino makes the following findings:

1. Pursuant to Welfare and Institutions Code Section 14087.54, any county or counties may establish a special Commission in order to meet the problems of the delivery of publicly assisted medical care in the county or counties and to demonstrate ways of promoting quality care and cost efficiency.

2. Partnership HealthPlan of California Commission ("Commission") is a multi-county Commission currently composed of the counties of Solano, Napa, Yolo and Sonoma that has created a managed health care plan for Medi-Cal recipients.

3. This Board deems it appropriate to join the Commission and the Commission wishes to expand to include Mendocino County. The Commission may expand to other counties in the future.

(Ord. No. 4274, 5-3-2011; Ord. No. 4310, 7-30-2013)

This ordinance shall be known as the COUNTY COMMISSION ON MEDICAL CARE.

(Ord. No. 4274, 5-3-2011; Ord. No. 4310, 7-30-2013)

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 Mendocino to join the existing Commission. This will allow the implementation of a county organized health system in Mendocino County as authorized by Welfare and Institutions Code Section 14087.54.

The purpose of the Commission is to negotiate exclusive contracts with the California Department of Health Care Services and to arrange for the provision of health care services to qualifying individuals, as well as other purposes set forth in the enabling ordinances established by the respective counties.

(Ord. No. 4274, 5-3-2011; Ord. No. 4310, 7-30-2013)

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 ordinance is to authorize the County of Mendocino to join the existing Commission. This will allow the implementation of a county organized health system in Mendocino County as authorized by Welfare and Institutions Code Section 14087.54. The Mendocino County Board of Supervisors hereby authorizes Mendocino County to join the Commission. The Commission shall continue to represent Mendocino County until the Mendocino County Board of Supervisors terminates the representation. To terminate representation, the Mendocino County Board of Supervisors or its designee shall provide ninety (90) day notice to the other participating counties and will provide notice to the State Department of Health Care Services as set forth in Welfare and Institutions Code Section 14087.54(g).

(Ord. No. 4274, 5-3-2011; Ord. No. 4310, 7-30-2013; Ord. No. 4348, 12-8-2015)

The Commission shall be comprised of Commissioners appointed by the Board of Supervisors of each member county. Unless and until the Commission, by formal action, establishes a different formula or system of membership, Commission representation for each member county shall be based on the number of Medi-Cal beneficiaries enrolled in the Commission's health plan in each county according to the following formula:

1. Zero (0) to forty-five thousand (45,000) Medi-Cal beneficiaries within the county equals one (1) Commission seat.

2. Forty-five thousand and one (45,001) to sixty thousand (60,000) Medi-Cal beneficiaries within the county equals two (2) Commission seats.

3. Sixty thousand and one (60,001)+ Medi-Cal beneficiaries within the county equals three (3) Commission seats.

Persons appointed to the Commission by the Mendocino County Board of Supervisors shall serve at the pleasure of the Board.

(Ord. No. 4274, 5-3-2011; Ord. No. 4310, 7-30-2013; Ord. No. 4348, 12-8-2015; Ord. No. 4513, § IV, 10-18-2022; Ord. No. 4529, § 1, 12-19-2023)

The terms of office for each of the members of the Commission appointed by the Mendocino County Board of Supervisors shall be four (4) years. Nothing herein shall prohibit a person from serving more than one (1) term. Each Commission member shall remain in office at the conclusion of that member's term until a successor member has been elected and installed into office. An office shall become vacant if a board member discontinues to function in the area from which appointed, or fails to attend three (3) meetings in a row of the Commission.

(Ord. No. 4274, 5-3-2011; Ord. No. 4310, 7-30-2013)

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. 4274, 5-3-2011; Ord. No. 4310, 7-30-2013)

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 of Mendocino.

(Ord. No. 4274, 5-3-2011; Ord. No. 4310, 7-30-2013)

This ordinance shall take effect thirty days (30) after adoption by the Board.

(Ord. No. 4274, 5-3-2011; Ord. No. 4310, 7-30-2013)