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Enhancing AHUC Tax Usage for After-Hours Urgent Care: Community Decision-Making

This document outlines a proposal presented to the Coast Life Support District Board of Directors in September 2011 regarding a potential ballot measure to remove the "After-Hours" restriction on spending AHUC tax funds. The background, current state of urgent care, tax committee proposal, and recommendations are discussed in detail. The proposal aims to support daytime urgent care services financially, redefine AHUC tax constraints, and seek partnership opportunities to improve healthcare access in the community.

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Enhancing AHUC Tax Usage for After-Hours Urgent Care: Community Decision-Making

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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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