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HomeMy WebLinkAbout01/08/2002, PRESENTATION BY DAVID EDGE - INVESTMENT OF NATIONAL TOBACCO SETTELMENT WNG AGENDA DAA E ITEM#®� LE PEOPLE.OF THE COUNTY OF SAN LUIS OBISPO ORDAIN AS.FOLLOWS: .(1 apter 8.3J6f'1 n 8 of the San Luis Obispo County Code is added to read: ltS� apter 8.80,VVESTIMENTS OF NATIONAL TOBACCO SETTLEMENT FUNDS IN HEALTH.AND SAFETY SERVICFS .tion 8.80.10. Tobacco Settlement Funds The San Luis Obispo Tobacco Settlement Fund is hereby created in the County Treasury,Commencing in the first fiscal year following adoption of this Chapter.the county's share of all Funds received from the tobacco litigation Master Settlement Agreement of 1998 and the Memorandum ofUndastandidg entered into by the County and the State on August 5, 1998,and any funds received from any source to replace funds the County would have been entitled to receive under the Master Settlement Agreement and Memorandum of Understanding,shall be deposited n the San Luis Obispo County Tobacco Settlement Fund :tion 8.8020. Allocation ofTobacco Settlement Funds (a) Moneys shall'be annually allocated and appropriated from the San Luis Obispo County Tobacco Settlement Fund as follows: (1) Nineteen percent(1990)to provide health care services for seniors and persons with disabilities including,but not limited to,community based long team tare,transportation services and in-home support services; (2) Twenty-three percent(23%)to fiord emergency medical services provided by emergency room physicians and emergency room on-call physician specialists to pay for non-paying patients,so that emergency rooms and trauma centers are not closed; (3) Twelve percent(12%)to tobacco prevention and control,including cessation services,for youth and adults to.reduce smoking and the consumption of tobacco.other addiction programs,and community menial health programs and facilities; (4) Twenty percent(20%)to non-profit community clines,mobile health clinics,and hospital-affiliated clinics,so that children and families receive immunizations.primary,specialty and dental health care services; (5) Six percent(6%)to hospitals within San Luis Obispo County maintaining basic or comprehensive emergency services or trauma centers to cover the costs of providing charity care,proportionate to each hospital's charity cue and bad debts as reported to the California Office of Statewide Health Planning and Development;and (6) Five percent(5%)to the Sheriffs Department for public safety programs and services,which may include expansion of existing facilities and programs that provide mental,alcohol.and drug abuse treatment programs under the direction or supervision of the Sheriff. (7) Fifteen percent(15%)to Preventive Health Grants. (b) The County may retain an amount to administer any service or program funded by this Article,not to exceed one pereem(1%)of the amount allocated and appropriated for that service or progr.®. (c) The County may fiance capital construction projects in la therance of any program or service ideatified in subdivision(a)(6)by dedicating or pledging all or a portion of futufunds nds that could be allocated for that program or service for the repayment of debt incurred to finance such capital construction projects. ction 8.80.30. tmftitiom and Interoretations (a) For the purposes of this Article,the Master Settlement Agreement of 1998 means the agreement entered into between the State's Attorney General and the tobacco industry on November 23,1998,in settlement oflitigation,as defined in California Health and Safety Code Section 104556(e). (b) For the purposes of this Article.the Memorandum of Understanding means.the agreement entered into between the State and several cities and counties on August 8, 1998,distributing the proceeds of the Master Settlement Agreement. (c) Funds allocated and appropriated pursuant to Section 8.80.20(a)of this Article shall be used to supplement existing levels of federal.state and local funding for each service described in Section 8.8020(a)and not to supplant existing levels of funding based on the 1999-2000 fiscal year. Z (d) Funds allocated for emergency medical services pursuant to Section 8.80.20(a)(2)shall be available to physicians.who would p :1D n otherwise qualify for reimbursement under California Health and Safety Code Section 1797.98a only o pay for emergency �_ � medical services(as defined in California Health and Safety Code Section 1317.1)provided by emergency physicians to non- w paying patients,and to pay on-call physician specialists called upon to provide emergency medical services during the first twenty-four(24)hours of emergency medical cue provided to non-paying patients. -Non-paying Parients"means Parents do not make any payment for the emergency medical services and for whom no responsible third party nukes any Payment.The 00000000 County shall continue to maintain and administer the lvluddy Emergency Medical Services Fund authorized by Hcalth and m O Z O Safety Code Section 1798a and may not reduce the amount of the penalty assessment that funds the Maddy Emergency Medical tm �0 F n r- m 0 Services Fund as provided by Health and Safety Code Section 1793a(c)and California Government Code Section 76104. T3 3)L3 2 m _ 2 O m (e) If any provision of the Chapter,or part thereof.is For any reason held to be invalid or uncoastimnanal the remaining provisions T not be affected but shall remain in hill force and effect and to this end the provisions of this chapter are severable. RECEIVED JAN Q .7 2612 SLO CITY COUNCIL (ENDORSED) I 1=i "DEC 10 200: Mecsure A - 02 All -LM By,Mr- HaH OEM aex ARGumm IN FAVOR OF I Ltsuu A-02 Measure A will direct tobacco settlement money where it's needed most—to real Iocal healthcare programs as opposed to more government bureaucracy. Following national recommendations made by the federal Centers for Disease Control.this measure will allocate funds to the most needed areas of healthcare—emergency room coverage in hospitals, in clinics,for disease prevention programs, and for other programs used primarily by people who most need them. Our county is on the brink of a major healthcare crisis. We are losing doctors and can't recruit new ones. Our emergencv rooms are too full and getting busier as the county cuts back on healthcare services and programs. Measure A will assure that tobacco settlement money—which is dispersed yearly for the next 25 years—is used for the sole purpose of supporting countywide health services, facilities, and programs. Big Tobacco doesn't want tq see this money spent on healthcare. They sttaate2ically organized the settlements so that citizens would have to fight to keep it out of the hands of bureaucracy,where it would likely be added to general finds to pay for programs that ought to be funded as a normal course of government operations. Bureaucrats don't provide healthcare. Doctors,nurses. hospitals and clinics do. Don't let Big Tobacco win.Vote ves on Measure A! Q 3. The undersigned proponents of the primary argument in favor of ballot Measure A-02 at the Consolidated Primary Election to be held on March 5, 2002, hereby state that such argument is true and correct to the best of their knowledge and belief Citizens for a Healthier San Luis Obispo County Dated: i; beta t Dr. Rene Bravo, President Proponent and Author Heart Association of San Luis Obispo Dated: i Z 0/0 Mr. GarTanner,President Ameri er Society, San o Unit Dated Mr. W Le resident a AARP Dated: .12 -1c - c, / Mr. Bill Storm, Vice President and Legislative Chair Chapter 3213 San Luis Obispo Lung ciation of the Central Coast Dated: r Ms. CharM. erim Executive Director r 4t This initiative is unfair to the taBpayer.worse, it would actually mean slas>m1g dollars _ now used is healthcare. Tobacco settlement money is already clearly fidin the county budget fbr healthcare.The initiatiye.would regmre these programs be CUL by 290/a is Order to subsidize the bad debts of special interest groups providing the flMding far the m itiatim It is opposed by the Economic opportunity Commission and others who see its rigid rales taking money from programs that help the most vulnerable and needy COM31y residents and putting it in the pockets of special interest groups. The largest cuts would be in the Preventive.Health Grant program that receives$1 million per year-.1-he initiative slashes that by 55%.The results — • 2709 fewer meals served by the Senior Nutrition Program • 2600 high risk individuals not getting hepatitis tests 300 cof Atascadero Loaves and Fishes not gettmg groceries Fdiminating Friday Night Live anti-drag programs at 6 schools • aminating two programs dedicated to Latino community health needs This initiative also forces arts in existing public and mental Health programs and it ply ties specific percentages to particular programs meaning no dollars would be available for health emergencies—no esceptionsi Finally the initiative probit fs the Board from using tobacco settlement funds.to reduce the imps t of any state.or federal government dollar cuts in local healthcare programs, despite the announcement of such cuts at the Federal level.and the fact that cmaent state EnancW problems make further.take-aways by.Sacramento inevitable. Don't be fooled by special interests. Look at what this initiative would really do and vote NO.: ( 4. Wt LeY PRDIA'RY AI2Gi NT AGAINST MMASURE A 2002 The undersignedprogoneut(S.or authors)of the meat A . ... . .. . .-� .. .��the . ballot Measure A-200 at the Guberaational kdon to be held an I ^ March 5 2002 ' hereby state that such argument is true and coned to the best of th ' loiu ledge and belief . Date: / Sipab= PriaOed Name )Pzr6 .y ink Additional Sig es can be attached,however,only the first five signatures i�.be printed is Sample Ballot Booklet. ' i t NIB, RF, =AL To ARGUmyr AGAmsr MLAs'un A-02 DEC 2C 2001 AWEL D,CC1W CLQ Don't be fooled by scare tactics! w1I If county bureaucrats have no objection m using tobacco-fwuis for healthcare,why. .oppose the Measure?Ibey have one reason:they want.complete control over tobacco funds to do things hke funding their new, vuravagant administration building. The County began receiving tobaccofunds only rwo years ago;it's impossible to believe allocating tobacco ftmds towards hcslthmre will force the County" to-Joh programs. Measure A-Q2 does not cut fimding. It merely assures tobacco settlement money,will be used for health care programs the county can cru whenever it runs out of tax money. Every program the Board plans to cut can be funded under Measure A-a uWt=the Board decides otherwise. The County alleges special interests will unduly belief t from the Measure,for instance Physicians;the only way physicians can receive funds is after they bavc provided emergency room related are to patients unable to pay for such services. We believe patients forced to visit emergency rooms, including visits due to disasters. would rather be treated by qualified physicians and hospital staff—not county bmvaucrats- Only a minority of physicians in this county can apply for finds under Measure A-02., However,every medical group in the County suppuns iL The reward for.physiciaw.. healthier patients and communities. Measure A-02 is supported by: AARP American Lung Association American Heap Aasuciarion The Arthritis Foundation Don't leave tobacco:money to the btreaucrats. Let's use it for its best use—saving money and lives. /s/ Dr. Rene Bravo,. President, Citizens for a Healthier San Luis Obispo County (s/ Gary Tanner, President, Heart Associazion of Sen Luis Obispo /s/ Bill Storm, .Vice—President, AARP] ChnptfeR,32X3 'tyc p�apouruts of tlxc `'Rcbutsal to A%Macut Against M A ir2 at the Consoruratm Pzk=y Elwtion to be held on March 5, 2002,hereby state that such rebuttal wr,=md is true and correct to the.best of thea knowledge and bclkf . Ck==far a Healthier Sia Luis Obispo County Dated: ,- e o Dr.Ream Brave,President Heag Association of San Luis Obispo Dated:. (I: -LO 0 k . Ms. aane2',President .' , AARP Dated: E 1 Zn of BM Storm,Vim-PresiBim,Chapter 3213 I LE U Rebuttal Argument Iu Favor.Of Measure A-260� . AIZ L RMBW&A=WIY MBK c Tobacco settlement money already goes into health care. The people finding this . initiative know that but they want to redirect that money into programs that will put more money in their pockets.(29%°paying for their medical bad debts). The plain truth is that this initiative will require a 65%cut to real health care programs—a factthat supporters desperately hope you will forget. We will all.be subject to a well-financed campaign funded bythis special interest. You will see advertisements,carefully crafted"letters'to the editor", and radio or TV shows staffed by their employees claiming to "talk about issues": But theymill ignore the details of their plan and talk about"bureaucracy",`politicians", and"Big Tobacco'. Don't be fooled. Demand the real story—and see for yourself the massive 65% cut in. existing preventive health care programs that will result from this initiative in order to increase hospital and doctor's profits(29%paying for their medical bad debts): The existing preventive health care programs were established in response to.the. expressed needs and desires of the public. This initiative does not recognize, and severely limits, community-based organizations that provide needed preventive health care programs. The special-interest group says they`know better".:But we've seen-what happens when groups with no accountability to the public get control-don't let it happen here. Vote NO on Measure A. T RIMMAL ARGUNMW '! iii T FAVOR OF 11 SSM A-2002 The uader3igned proponents)ar author(s)of the RebuttalIn Favor Of the ballot Measure A-2002 of the Crabernatl Election to be held-on March 5 2 .hereby state that such argument is tragi and correct to the best of :. r knowledge and belie£ Printed Name -j— Pew PrAIA-AJD Additional Signatures can be attached,however,only the first five signatures win be primo in Sample Ballot Booklet . h A s•1 1 San Luis Obispo County Tribune September 11, 2001 STEPHEN L. HANSEN, M.D. ON SLO COUNTY'S HEALTH Tobacco addiction and addiction to Big Tobacco's m This is a response to The Tri cannot be legally denied. bune s recent editorial in which W INDl15IRl STIIlTARC�EIS IUDS "Ile county budget is a shell the paper rightly reiterated its opm- — game,"one supervisor told me, ion that dollars coming to the coon- — and advised that the MSA monies. ty from the multistate Master Set I CAOT DB= could go anywhere unless speci- tlement Agreement MW with the lF��l' ( MAW fied.Accordingly,these new dol- major tobacco companies should all Mp lars could go entirely to only one be spent on healthcare and disease 4i1� category in the budget and be la. prevention issues Citizens for a I G"UP.. —_ beled 0100 percent for healthcare. Healthier San Luis Obispo County General Hospital,for instance will on Wednesday will deliver such a - in this initiative,benefit propor- ram ballot initiative proposal to the ,;v,. tionately to its share of delivered county.This is what the tobacco services But it would be a shame cartel feared most—that the sel- for money not to go to services in dament money would be used to `� D other parts of the county and to tc help promote health care and to � � � bacco prevention,where$1 spent prevent new falling victim the enslavement of $8 in costs.Thm This is accord to the AHA,ALA.ACS and AARP, tobacm who did a year 2000 poll showing The'Ihbune's one concern was t 84 percent of Californians support that certain percentages were ified for dollar m the mfr using MSA money to battle easily g Legislature easilyy dative.But first a little background: local coalition petitioned the super- to meet Centers for Disease Con ped a bill(AB100)to allocate The tobacco company lawyers suc- visors to use this settlement for trol and Prevention guidelines, the state's share of MSA money to ceeded in senting all the money to healthcare and disease prevention whilecontinuing to recognize the healthcare;the bill was vetoed. the general funds,where they Over 40 local organizations joined emergency care and access to care Now the lean and hungry county hoped it would not be used against in this effort crisis so well documented in this administrator wants to squelch their lucrative business interests, The current initiative builds on publication in recent months this local initiative. Maybe he and where,indeed,government this effort and is similar to an initia. According to the 2001 Action for wants to use this precious trust to would beoome even more addicted five passed by a nearly 2-to•1 mar- Healthy Communities local survey, build the new Taj Mahal"county to tobacco money. gin in Orange County last year.The there was a 61-percent increase building.I say let's put it to use in After the 19%settlement,which Orange County initiative met two from 1999 in households which re- a visible and effective way:saving showed that Big Tobacco con• court challenges by that county's sponded that they had forgone money and saving lives. spired,lied,sponsored false re- Board of Supervisors and soundly needed healthcare in the past year Stephen L Hansen,M.D.,is a search,covered up,pandered to defeated a ballot counteranitiative. because they could not afford it. member of the SLO County Tobacco children,manipulated nicotine The tobacco control and prevention This burden falls disproportionate- Control Coalition and a Children drug levels and perpetrated other percentages have been adjusted up• ly on those providing emergency and Families(Proposition 10)com. behaviors unbefitting non-felons,a ward in San Luis Obispo's initiative, services at ER's—where care migioner.