In 2014 the Board of Supervisors delegated authority under Charter Section 9.118 to the Director of Health to enter into managed care contracts where the City will be reimbursed for health care services provided at Department of Public Health (DPH) facilities by insurance companies and other health care providers.

Ordinance amending the Administrative Code to extend the Board of Supervisors' delegation of authority under Charter Section 9.118 to the Department of Public Health to approve managed care contracts to include contracts ending on December 31, 2028; and to exclude from the requirement of Controller review those managed care contracts that are based on rates set by the California Department Health Care Services or on actual healthcare delivery costs.

The impact would potentially include increased flexibility for the Department of Public Health in managing contracts without Controller review for specific types of rates, and an extension in the timeframe for these contracts to be active and approved, until December 31, 2028.

The rationale behind the change was not explicitly stated in the provided excerpts from the document. It would typically relate to operational efficiency, administrative flexibility, or alignment with state-level healthcare policy or rates, but this would be speculative without further context from the document.

The ordinance went through the Budget and Appropriations Committee on June 15, 2023, and was scheduled for the Board of Supervisors Meeting on July 11, 2023. The process would include motions, resolutions, and ordinance as per the legislative steps of the Board of Supervisors.

The Director of Health shall provide quarterly and annual reports to the Health Commission and the Mayor and the Board of Supervisors identifying the contracts approved under this section and the aggregate amount of reimbursement and revenue generated.