RESOLUTION NO. _____________

BOARD OF SUPERVISORS, COUNTY OF SAN MATEO, STATE OF CALIFORNIA

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RESOLUTION AUTHORIZING 1) AN AVERAGE RATE INCREASE OF 16% TO SAN MATEO MEDICAL CENTER’S CHARGE MASTER (FEE STRUCTURE, BY SELECTED LINE ITEM, FOR ALL HOSPITAL SERVICES 2) DELEGATING THE FOLLOWING TO THE CHIEF EXECUTIVE OFFICER (CEO) OF SAN MATEO MEDICAL CENTER: AUTHORITY TO IMPLEMENT THE FY 2007-08 RATE INCREASE; AUTHORITY TO ADJUST/ADD/DELETE RATES WITHIN THE MEDICAL CENTER’S RATE STRUCTURE AS DICTATED BY FEDERAL AND STATE REGULATION CHANGES OR REQUIREMENTS, WITH THE STIPULATION THAT ANY FUTURE ADJUSTMENT TO FY 2007- 08 RATES, NOT WITHSTANDING FEDERAL OR STATE REGULATION CHANGES OR REQUIREMENTS, GREATER THAN 15% REQUIRES PRIOR BOARD APPROVAL; AND AUTHORITY TO NEGOTIATE DISCOUNTS WITH NON-FEDERAL, NON-STATE, NON-CONTRACTED THIRD PARTY HEALTH CARE INSURANCE CARRIERS AND SELF PAY INDIVIDUALS

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RESOLVED, by the Board of Supervisors of the County of San Mateo, State of California, that

WHEREAS, in order to achieve these ends, it is necessary to implement an overall rate increase to the San Mateo Medical Center Charge Description Master of 16% by selected line item; and

WHEREAS, San Mateo Medical Center should maintain competitive pricing for its services for the following reasons: 1) to meet the revenue target for San Mateo Medical Center’s FY2007-08 Budget, 2) to avoid losing a significant amount of revenue from the federal and state government sources, and 3) to ensure recovery of appropriate reimbursement from commercial payors.

NOW THEREFORE, IT IS HEREBY RESOLVED that this Board of Supervisors has approved the said increase for and on behalf of the County of San Mateo; and

IT IS HEREBY FURTHER RESOLVED that the following powers are delegated to the Chief Executive Officer of San Mateo Medical Center: a) authority to implement the FY2007-08 rate increase b) authority to adjust/add/delete rates within the Medical Center’s rate structure as dictated by federal and state regulation changes or requirements, with the stipulation that any future adjustment to FY 2007-08 rates, not withstanding federal or state regulation changes or requirements, greater than 15% requires prior approval of this Board and c) authority to negotiate discounts with non-federal, non-state, non-contracted third party health care insurance carriers and self pay individuals