To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Report from the Healthcare Options Workgroup
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
ACCEPT report from the Healthcare Options Workgroup on healthcare coverage expansion and DIRECT on next steps.
FISCAL IMPACT:
There is no fiscal impact for this action.
BACKGROUND:
In 2015 the Contra Costa Health Plan (CCHP) established a pilot program, Contra Costa CARES, for the purpose of providing primary care services to adults not covered by the Affordable Care Act. CCHP has coordinated the program for primary care services via three providers: La Clínica de la Raza, Lifelong, and Brighter Beginnings. Due to the State expansion of Medi-Cal eligibility for low-income residents of all ages regardless of documentation status on January 1, 2024, Contra Costa CARES ended on December 31, 2023.
At the September 19, 2023 Board Meeting, the Board of Supervisors requested a follow up report to include the following:
• Data on the number of people who remained uninsured in Contra Costa County.
• Options for providing care with lessons learned from other counties with health coverage programs.
The report from Rachel Metz Consulting includes a summary of the research, analysis, and recommendations of the stakeholder group. There were four Stakeholder Meetings held between December and March [December 21, 2023, January 29, 2024, February 27, 2024, and March 1, 2024] and additional subgroup meetings to review information, discuss options, and align on recommendations.
CONSEQUENCE OF NEGATIVE ACTION:
If this action is not approved, next steps will not be provided in consideration of the Healthcare Options Workgroup report.