16990. (Amended by Stats. 1996, Ch. 6, Sec. 6.)

(a) (1) Any county receiving an allocation pursuant to this chapter and Chapter 4 (commencing with Section 16930) shall, at a minimum, maintain a level of financial support of county funds for health services at least equal to the total of the amounts specified in this subdivision. The amounts specified in paragraph (1) shall be adjusted on July 1 of each year equal to the growth in the sales tax and vehicle license fees allocated to the trust fund accounts and the county general fund pursuant to Chapter 6 (commencing with Section 17600) of Part 5. Each of the following counties shall maintain a realignment financial maintenance of effort according to the following schedule: Jurisdiction Amount Alameda $ 62,950,138 Alpine 150,781 Amador 1,702,152 Butte 8,378,036 Calaveras 1,286,374 Colusa 1,362,787 Contra Costa 31,188,063 Del Norte 1,305,412 El Dorado 5,626,036 Fresno 32,555,212 Glenn 1,368,045 Humboldt 8,995,114 Imperial 8,526,220 Inyo 2,320,718 Kern 23,025,845 Kings 4,310,952 Lake 1,767,837 Lassen 1,555,628 Los Angeles 510,082,064 Madera 3,523,697 Marin 11,349,537 Mariposa 766,751 Mendocino 2,782,024 Merced 4,711,969 Modoc 939,453 Mono 1,673,165 Monterey 11,816,218 Napa 4,751,422 Nevada 2,669,976 Orange 66,846,735 Placer 3,009,967 Plumas 1,143,704 Riverside 33,598,282 Sacramento 33,012,993 San Benito 1,601,614 San Bernardino 27,576,793 San Diego 49,373,333 San Francisco 106,622,954 San Joaquin 12,646,288 San Luis Obispo 5,888,487 San Mateo 21,788,027 Santa Barbara 12,659,559 Santa Clara 47,316,403 Santa Cruz 8,373,710 Shasta 6,521,122 Sierra 327,339 Siskiyou 2,401,825 Solano 8,942,768 Sonoma 16,146,306 Stanislaus 13,403,954 Sutter 4,872,252 Tehama 3,257,915 Trinity 1,599,409 Tulare 8,593,714 Tuolumne 2,525,076 Ventura 17,042,243 Yolo 4,396,875 Yuba 3,083,423 Total $1,278,014,696

(2) A county may, upon notifying the department of the transfers authorized by this paragraph, reduce the level of financial maintenance of effort required of the county by paragraph (1) by the amount of the funds transferred from the Health Account pursuant to Section 17600.20.

(b) For purposes of this section, if a county desires to use any of its allocation pursuant to this chapter or Chapter 4 (commencing with Section 16930) for programs and costs not reported as part of the plan and budget required by Section 16800, the county, as a condition of using its allocation for these purposes, must maintain an amount of county funding for those programs and costs at least equal to the 1988–89 fiscal year levels.

(d) If a county fails to maintain financial maintenance of effort at least equal to the total of the amounts specified in paragraph (1) of subdivision (a), the department shall recover funds allocated to the county under this part sufficient to bring the county into compliance with the financial maintenance of effort provisions. Funds shall be recovered proportionately from the Hospital Services Account, the Physician Services Account, and the Unallocated Account.

(e) The participation fee specified in Section 16809.3 shall not be included in determining a county’s compliance with the maintenance of effort provisions of this section.

(f) For the purposes of determining the level of financial support required for the 1991–92 fiscal year, the amounts specified in paragraph (1) of subdivision (a) shall be reduced to reflect shortfalls in revenue to local health and welfare trust fund health accounts due to shortfalls in receipts of sales tax revenue and county deposits required pursuant to subdivision (b) of Section 17608.10, compared to the amounts of these funds originally anticipated, as determined by the Director of Health Services.

(g) For the purposes of determining the level of financial support required in the 1992–93 fiscal year, the amounts specified in paragraph (1) of subdivision (a) shall be reduced by 7 percent.

(h) For the purposes of determining the level of financial support required in the 1993–94 fiscal year and subsequent fiscal years, the amounts specified in paragraph (1) of subdivision (a) shall be reduced to reflect shortfalls in revenue to local health and welfare trust fund health accounts due to shortfalls in receipts of sales tax revenue and county deposits required pursuant to subdivision (b) of Section 17608.10, compared to the amounts of these funds originally anticipated for the 1991–92 fiscal year, as determined by the Director of Health Services.