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Action   16.
Regular Board of Supervisors Meeting
Board of Supervisors
Meeting Date:
09/10/2013
Title:
IGA with City of Douglas providing for reimbursement of local match in IGA with AHCCCS to benefit SAMC
Submitted By:
Britt Hanson, County Attorney
Department:
County Attorney
Presentation:
No A/V Presentation
Recommendation:
Approve
Document Signatures:
BOS Signature Required
# of ORIGINALS
Submitted for Signature:
2
NAME
of PRESENTER:
Britt Hanson/Mike Ortega
TITLE
of PRESENTER:
Chief Civil Deputy/County Administrator
Mandated Function?:
Not Mandated
Source of Mandate
or Basis for Support?:
Docket Number (If applicable):

Information

Agenda Item Text:

Approve an Intergovernmental Agreement (IGA) with the City of Douglas for reimbursement of the local match outlined in the Intergovernmental Agreement with AHCCCS for Supplemental Payments to Disproportionate Share Hospitals and Safety Net Care Pool to benefit Southeast Arizona Medical Center in an amount of up to $480,366.03 over a period of six fiscal years.

Background:

The Couty has agreed to provide the local match in an amount of up to $480,366.03 under an AHCCCS program that will result in a total amount of assistance for Southeast Arizona Medical Center in excess of $1.4 million; provided, however, that the County's match is conditioned on the City of Douglas reimbursing the County for the entire amount of the match.  The Board recently approved an IGA with Douglas that provided for reimbursement, but the terms of the reimbursement were not finalized.  Under this IGA, Douglas would reimburse the County for the entire amount of the match in five equal installments over five fiscal years beginning in the next fiscal year after the County makes the match.

Department's Next Steps (if approved):

Pay the local match to AHCCCS, when the amount is determined.

Impact of NOT Approving/Alternatives:

There will be no mechanism in place for Douglas to reimburse the County for the match.

To BOS Staff: Document Disposition/Follow-Up:

Have the Board Chair sign two originals of the IGA, forwarding one to the City of Douglas.

Fiscal Impact

Fiscal Year:
2013-14
One-time Fixed Costs? ($$$):
480,366.03
Ongoing Costs? ($$$):
NA
County Match Required? ($$$):
NA
A-87 Overhead Amt? (Co. Cost Allocation $$$):
NA
Source of Funding?:
General Fund

Fiscal Impact & Funding Sources (if known):

General Fund

Attachments