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� Resolution No. 17-156
A RESOLUTION OF THE BUTTE COUNTY BOARD OF SUPERVISORS ENCOURAGING THE STATE DEPARTMENT OF
HEALTH CARE SERVICES (DHCS)TO ALLOW BUTTE COUNTY TO LEAVE THE REGIONAL EXPANSION MODEL AND
AUTHORIZING STAFF TO WORK WITH OTHER REGIONAL EXPANSION MODEL COUNTIES TO JOIN PARTNERSHIP AS
SOON AS POSSIBLE
WHEREAS, California has been transitioning the Medi-Cal program from fee for service payment plans to
managed care plans since the early 1970s; and
WHEREAS, Medi-Cal Mlanaged Care was expanded to Butte and 28 other rural California counties in 2013;
and
WHEREAS, California also expanded Medi-Cal eligibility requirements under the Affordable Care Act in 2013
which increased the number of Medi-Cal beneficiaries in Butte County from roughly 28,000 to 64,000; and
WHEREAS, the State assigned Butte County to the Regional Expansion Model with Anthem Blue Cross and
California Health and Wellness as providers; and
WHEREAS,after several years of experience,there is nearly universal discontent with the Regional Expansion
Model by both clients and health care providers, and
WHEREAS, some of the other approved state plans have demonstrated better capacity to meet the needs of
rural counties; and
WHIEREAS,the initial 5-year contracts with Anthem Blue Cross and California Health and Wellness are due to
expire in 2018 and Butte County should make an informed decision regarding its contract with a managed care plan.
NOW,THEREFORE, BE IT RESOLVED that the Butte County Board of Supervisors hereby:
1. Urges the California Department of Health Care Services to find a resolution to its contract dispute with
Anthem Blue Cross allowing Butte County to leave the Regional Expansion Model in 2018;
2. Strongly encourages the California Department of Health Care Services to allow Butte County to join the
County Organized Health System (COHS) called Partnership;
3. Endorses the County joining Partnership and requests assistance from Partnership to facilitate the
process;
4. Authorizes County staff to work with other Regional Expansion (Model counties to join Partnership as
soon as possible; and
5. Authorizes County staff to explore developing a CORS for the Regional Expansion Model counties if
joining Partnership isn't possible.
PASSED AND ADOPTED by the Butte County Board of Supervisors this 121h day of September, 2017, by the
following vote:
AYES: Supervisors Wahl, Kirk, Lambert, Teeter, and Chair Connelly
NOES: None
ABSENT: None 0
NOT VOTING: None B&"
Bill Connelly, Chair
Butte County Board of Supervisors
ATTEST:
Paul Hahn, Chief Administrative Officer
and Clerk of the Board of Supervisors
By: C
Depu