ADOPTED - JUNE 12, 2001

Agenda Item No. 26

Introduced by the Human Services and Finance Committees of the:

INGHAM COUNTY BOARD OF COMMISSIONERS

RESOLUTION TO AUTHORIZE THE TRANSFER OF APPROPRIATED FUNDS FROM OTHER GOVERNMENTAL UNITS, INCLUDING COLLEGES AND UNIVERSITIES AND TO AUTHORIZE THE TRANSFER OF SUCH FUNDS TO THE STATE OF MICHIGAN TO SUPPORT INDIGENT HEALTH CARE SERVICES THROUGH THE INGHAM HEALTH PLAN CORPORATION

RESOLUTION #01-185

WHEREAS, one of Ingham County's goals is to assure that all County residents have access to an organized system of health care; and

WHEREAS, the County has supported the development of the Ingham Health Plan Corporation to serve as a vehicle for health care plans to serve Ingham County residents, including, 1) Low-income, employed individuals and dependants who are uninsured, 2) Newly-employed Medicaid clients and dependants who have exhausted traditional Medicaid benefits, 3) Newly-employed individuals and dependents formerly receiving forms of public assistance other than Medicaid who are uninsured, and 4) Other indigent individuals and dependents; and

WHEREAS, Ingham County, the State of Michigan and the Federal Government contribute to the funding that supports the Ingham Health Plan Corporation's health benefit plan, the IHP's subsidized health insurance plan, the IHP's health plan for children and other IHP health service plans; and

WHEREAS, the State of Michigan has issued a Medicaid Policy Bulletin to authorize a special Disproportionate Share Hospital (DSH) Program to facilitate payments to Ingham County hospitals that meet the federal minimum requirements for Medicaid DSH and have a signed Indigent Care Agreement with the Ingham Health Plan Corporation; and

WHEREAS, the Medicaid Policy Bulletin establishes the mechanism whereby the special DSH payments will be funded by local funds supplied using an intergovernmental transfer to the State, State funds which represent its contribution for services provided to persons eligible for the State Medical Program in Ingham County, and Federal matching funds; and

WHEREAS, Michigan State University is preparing to transfer appropriated funds to Ingham County with the intent that the Ingham Health Plan Corporation provide financial support to an expanded set of health services to low-income students and their families; and

WHEREAS, the City of East Lansing is preparing to transfer funds to Ingham County with the intent that the Ingham Health Plan Corporation provide financial support to Gateway Community Services for the operation of a medical clinic serving low-income persons; and

WHEREAS, colleges and universities and other subdivisions of the State may legally appropriate funds and transfer them to the State (either directly or indirectly) with the purpose of supporting Disproportionate Share Payments to Ingham County hospitals that meet the federal minimum requirements for Medicaid DSH and have a signed Indigent Care Agreement with the Ingham Health Plan Corporation; and

ADOPTED - JUNE 12, 2001

Agenda Item No. 26

RESOLUTION #01-185

WHEREAS, the Controller and the Health Officer recommend that the Board of Commissioners authorize the acceptance of appropriated funds from colleges and universities and other governmental units in Ingham County for the purpose of providing low-income Ingham County residents with access to organized systems of health care; and

WHEREAS, the Controller and the Health Officer recommend that the Board of Commissioners authorize the intergovernmental transfer of such appropriated funds to the State of Michigan for the purpose of supporting the special Disproportionate Share Hospital payments with the condition that all such funds be paid to the Ingham Health Plan Corporation to purchase services for low-income, uninsured and underinsured Ingham County residents, in addition to supporting the cost of operating the administrative services of the Corporation.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes the County Treasurer and the County Controller to accept appropriated funds from colleges and universities and other governmental units in Ingham County, for the purpose of providing low-income Ingham County residents with access to an organized health care system.

BE IT FURTHER RESOLVED, that the Ingham County Board of Commissioners authorizes the County Controller and the County Treasurer to transfer the funds received from other governmental units to the State of Michigan with the purpose of contributing to the special Disproportionate Share Hospital pool which will be used to assure access to medical care for the indigent population in Ingham County, said funds to be added to other Ingham County funds transferred for the same purpose, to State funds budgeted for the State Medical Program in Ingham County and to Federal matching funds, all of which are to be paid to hospitals that have signed Indigent Care Agreements with the Ingham Health Plan Corporation in the form of special Disproportionate Share Hospital payments.

BE IT FURTHER RESOLVED, that the intergovernmental transfer is authorized only if the following conditions are in place:

• the State has a policy bulletin to direct State Medical Program benefits in Ingham County to be provided through the Ingham Health Plan Corporation, and to create a disproportionate share hospital pool for hospitals that meet federal minimum requirements and have signed Indigent Care Agreements to purchase managed health care for indigent patients;
• the hospital(s) participating have signed Indigent Care Agreement with the Ingham Health Plan Corporation; and
• the Ingham Health Plan Corporation has executed an agreement with Ingham County to purchase administrative support services for the Corporation and an agreement with Ingham County to provide primary care services to a minimum of 11,000 enrolled persons.

BE IT FURTHER RESOLVED, that the Board of Commissioners authorizes any contractual agreements that are required between Ingham County and any college, university or other governmental unit in

Ingham County, in order to process the appropriated funds or to implement any other condition of this resolution.

BE IT FURTHER RESOLVED, that the Controller is authorized to adjust the 2002 Health Department Budget to implement this resolution.

JUNE 12, 2001

Agenda Item No. 26

RESOLUTION #01-185

BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign any contracts authorized in this resolution after review by the County Attorney.

HUMAN SERVICES COMMITTEE: Yeas: Czarnecki, Severino, Hertel, Celentino

Nays: None Absent: Dedden Approved 6/4/01

FINANCE: Yeas: Czarnecki, Hertel, Schafer, Minter, Swope, Lynch, Krause

Nays: None Absent: None Approved 6/6/01