AB 75

History & Mandates

The SF Department of Public Health established the AB 75 Project in 1989 to implement programs created by Prop 99, the Tobacco Tax and Health Protection Act of 1988, and its implementing legislation, AB 75 (Isenberg) Chapter 1331, Statutes of 1989. In accepting Prop 99 Tobacco Tax funds, counties are required to comply with certain State mandates. Funding for project administration is derived from the State allocations for the CHIP and EMSA, and local revenues from SB 12 Maddy funds (see Funding Sources).

The following are State mandates and local laws governing AB 75 Project programs:

• State law requires that the hospital and/or physician services funds contained in the annual State (CHIP and EMSA) allocations be distributed to local hospitals and physicians for uncompensated health services provided to indigent persons.
• Local Ordinance No. 316-00, passed by the Board of Supervisors and effective December 28, 2000, amends the City Administrative Code to allow for payment of claims for indigent health services to private hospitals and physicians from State tobacco tax funds. SB 12 Maddy funds are also distributed under this authority.
• The State requires counties to report demographic, utilization, and financial information to the State through its Medically Indigent Care Reporting System (MICRS) as a condition of receiving CHIP and EMSA funds.
• The Child Health Disability Prevention (CHDP) Follow-up Treatment Mandate provisions of Prop 99, set out in the CA Welfare and Institutions Code, require counties to provide or pay for follow-up treatment services for CHDP-screened children or risk losing all or part of their annual CHIP grant allocation.