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Expanding the AHUC Tax Definition

Expanding the AHUC Tax Definition. Presented to the Coast Life Support District Board of Directors 19 September 2011. The Question. Should CLSD place a ballot measure before the voters asking to remove the “After-Hours” restriction on spending After Hours Urgent Care tax funds?.

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Expanding the AHUC Tax Definition

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  1. Expanding the AHUC Tax Definition Presented to the Coast Life Support District Board of Directors 19 September 2011

  2. The Question Should CLSD place a ballot measure before the voters asking to remove the “After-Hours” restriction on spending After Hours Urgent Care tax funds?

  3. BackgroundCommunity Healthcare Working Group • CHWG formed in 2009 to explore 24/7 Urgent Care • Exploring two primary options • Community Hospital with 24/7 Emergency Room • Stand-alone Urgent Care Center • Any option will involve partnership with a major medical center • AHUC Taxes currently supporting • Exploration of alternatives • After-hours medical advice telephone service • Building a start-up fund for new services or partnership

  4. BackgroundCurrent State of Urgent Care • RCMS is sole local urgent care provider • Current RCMS urgent care services • Mon-Fri 8am to 6pm • Annual cost $725K • Medicare and Medi-Cal cover only 60% • Federal and state funding support recently eliminated • Annual losses $325K • Daytime urgent care services are now financially unsustainable

  5. Tax Committee Proposal • Support daytime urgent care at RCMS with tax funds • $150K/yr available from current AHUC tax rates • RCMS Commitment • Raise a minimum of $170K annually through fundraising • Diligently seek grant funding • Re-define AHUC tax constraints through election • Eliminate “After-hours” restriction • Requires only simple majority of votes cast

  6. Recommendation • CLSD commits to Spring 2012 election • Re-define AHUC tax measure constraints • RCMS commits to making UC fundraising first priority • CLSD-RCMS develop contract • Scope of services • Quality Assurance • Implement 01 July 2012

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