(A) The Commission shall consist of a maximum of 25 voting members who, with the exception of the Director or designee of the Health Department (or Health Services Agency), shall work in the respective county and be appointed by the respective Board of Supervisors, shall be legal residents of the County of Santa Cruz appointed by the Board of Supervisors of Santa Cruz County, legal residents of Monterey County appointed by the Board of Supervisors of Monterey County, legal residents of Merced County appointed by the Board of Supervisors of Merced County, legal residents of San Benito County appointed by the Board of Supervisors of San Benito County, and legal residents of Mariposa County appointed by the Board of Supervisors of Mariposa County. The Commission shall be generally representative of the diverse skills, backgrounds, interests, and demography of persons residing in each county.
(B) Each member of the Commission shall have a commitment to a health care system which seeks to improve access to high quality health care for all persons, regardless of their economic circumstances, and which in fact delivers high quality care, and which in fact is financially viable. Members of the Commission shall likewise have an abiding commitment to, and interest in, a quality publicly assisted health care delivery system.
(C) The number of voting members of the Commission shall be based upon the number of Medi-Cal beneficiaries within each county, and includes a maximum of five members within a county with the number of Commissioners within a county and Commission representation categories determined according to the following formula:
(1) Zero to 15,000 Medi-Cal beneficiaries within the county equals one Commission seat to be filled by the Director of the County Health Department (or Health Services Agency) or their designee;
(2) Fifteen thousand to 30,000 Medi-Cal beneficiaries within the county equals two Commission seats to be filled as follows:
(a) The Director of the County Health Department (or Health Services Agency) or their designee; and
(b) One at-large representative of either the health care provider population or the population of beneficiaries to be served by the Commission.
(3) Thirty thousand to 45,000 Medi-Cal beneficiaries within the county equals three Commission seats to be filled as follows:
(a) The Director of the County Health Department (or Health Services Agency) or their designee;
(b) One person representing health care providers; and
(c) One person from the public representing the population of beneficiaries to be served by the Commission.
(4) Forty-five thousand to 60,000 Medi-Cal beneficiaries within the county equals four Commission seats to be filled as follows:
(a) The Director of the County Health Department (or Health Services Agency) or their designee;
(b) One member of the Board of Supervisors;
(c) One person representing health care providers; and
(d) One person from the public representing the population of beneficiaries to be served by the Commission.
(5) 60,000 or more Medi-Cal beneficiaries within the county equals five Commission seats to be filled as follows:
(a) The Director of the County Health Department (or Health Services Agency) or their designee;
(b) One member of the Board of Supervisors;
(c) One person representing health care providers;
(d) One person from the public representing the population of beneficiaries to be served by the Commission; and
(e) One at-large representative of either the public representing the population of beneficiaries to be served by the Commission or one person representing health care providers.
(D) Any deletion of commissioners required based upon a change in the population of Medi-Cal beneficiaries within a county will be achieved through attrition, with a maximum of two years to come into compliance with the membership provisions of this chapter.
(E) Commissioners shall be appointed by majority vote of the Board of Supervisors of the respective county. Any Commission member may be removed from office by a four-fifths vote of the Board of Supervisors of the county originally appointing that member.
(F) Commissioners appointed by the San Benito County Board of Supervisors shall serve terms of four years, with the exception of the initial selection of members. The majority of the Commission members initially appointed by the San Benito County Board of Supervisors shall serve terms commencing on November 1 of the year in which the second district Supervisor began a full term. The remaining members initially appointed shall serve terms commencing on November 1 of the year in which the third district Supervisor began a full term. The initial appointment terms shall be drawn by lots. At the conclusion of a term, a member may be reappointed to a subsequent four-year term or terms.
(Ord. 1033, § 1, 2021)