BOARD OF SUPERVISORS

Good morning everybody. We'll go ahead and call to order this regular session of the Santa Barbara County Board of Supervisors of November 13th, 2012. Mr. Allen would you call the roll please?

Ms. Wolfe Ms. Gray, Mr. Lavagnino, Mr. Carbajal, Ms. Farr.

Here. Would you all

Yeah just one thing I'd like to note on item A20 which is on the agenda today, on the administrative agenda This is from Public Works. The recommendations are to consider the recommendations regarding the Tahequs Landfill Resource Recovery Project, contracts for preparation of a subsequent environmental impact report and air quality technical report first, second and third districts. And there's a request that we trail this item to the end of the day today to be heard as a departmental agenda item when we can make that as part of the motion on the administrative agenda.

Okay. Supervisor Wolf, why don't we wait until we get to the A agenda and then we

can speak to that? I just wanted to comment on 820 just real quickly. I just wanted to thank staff for moving that to the departmental agenda because of the significance of this item so I appreciate that and look forward to having a further discussion on that.

Thank you. And Mr. Allen, I'm sorry did you say something about D3 and that we would also trail that to the end of the D agenda?

Madam Chair, members of the Board. Item D3 is from the County Executive Office and Human Resources. The request that the board approve a memorandum of understanding with the Service Employees International Union Local 721 regarding terms and conditions of employment. This is effective from November 13th 2012 through June 22nd 2014. And we would also request that the board trail this item to be heard at the afternoon session After return from closed session so in the afternoon. I think the plan would be to Hear item number three and then here item number 20 after Adam a20 after that in the afternoon

All right, thank you all right now We'll move into public comment do we have any members of the public that wish to speak?

We have no request to speak

All right, well before we move on to the A agenda then. We do have a volunteer today that I want to recognize and it's some... Yes? Oh, I'm sorry. Mr.

Caldwell. Sorry, we didn't get a slip. You should've gotten a slip. I sent one down. I sent three down. Did you get any of them?

No, I don't have them so we'll try to resend those if you could try to re-send

them. Alright. I'll do that after public comment because I scribbled out the numbers on there. Thank you Madam Chair, members of the board. I'm Andy Caldwell representing CoLab. I think one of the most interesting subjects or controversies that's come up in a long time has to do with the events ordinance or having events And we acknowledge and recognize that nobody wants to live next door to a party house.

We realize that some people would like to subvert ag zoning, and create an event center in the middle of agricultural area that could disrupt the neighbors and agriculture even. So we realized there's a need for balance. Well, the Cattlemen's Association. I came up with a pretty darn good proposal that actually measured impacts in terms of lighting, traffic, sound, noise, everything else like that.

And it was so well received by the community that people in the events industry asked if it could be expanded to be a countywide proposal and a very efficient attorney, a smart attorney Brownstein, Hyatt, Farber and Schreck or whatever the heck their name is. Beth Gardner came up with basically a ready-made ordinance and it was presented at the Planning Commission last week and much to our chagrin staff kind of wanted to back out saying well you know this thing's bigger than we thought. We don't have the money. We don't have the time. We don't have the budget and when pressed We said, we want you to go from subjective complaint to objective standards that are easy to enforce.

And how much work could it be if in fact you have a ready-made ordinance that could be tweaked through the hearing process? I said all of that to say this, this is a multimillion dollar business primarily in the urban areas with some spillover in the rural areas. Are you not concerned? Is this not, are we not in the throes of a recession and should we not be looking to create a balance between the need for revenue and the need to protect urban and even rural neighborhoods from unforeseen impacts and or abuse.

The other issue that got brought up is people have a constitutional right to assemble in their home. And they have a constitutional right to private property and government has to present a compelling need to try to regulate what happens on private property, and we believe if there's no offsite consequences, there's no compelling need.

Madam Chair, members of the board, this is a resolution recognizing November 2012 to be National Adoption and Permanency Month. Whereas the Santa Barbara County Board of Supervisors does hereby recognize that it is every child's basic right to belong to a nurturing, loving permanent family. And whereas in 2011 approximately 107,000 children in foster care nationwide were waiting for adoption and whereas in 2010 4800 children were adopted from foster care and finalized on adoption day And whereas in 2011, 105 adoptions were finalized in Santa Barbara County and it is anticipated that at least 95 adoptions will be finalized this year. Santa Maria Juvenile Court will celebrate Adoption Day on November 28th when at least 20 adoptions will be finalized.

And whereas, adopted children feel whole as they have the stability and permanency and will not have to wonder where their home is during the holidays. And whereas advocates and organizations both locally and nationally support programs that promote permanency. And whereas those children waiting for adoptive parents as well as the families who've adopted these children deserve community and public agency support in Adoption and Permanency Month applauds the dedication of relatives, foster families, and adoptive families social workers public and private adoption services, and community partners who've worked together to ensure a better life for the children of Santa Barbara County. Now therefore be it hereby ordered and resolved that this Board of Supervisors recognizes the month of November 2012 as National Adoption and Permanency Month.

Passed and adopted today.

Madam Chair, members of the board. This is I think our most exciting meeting here at the Board where we get to celebrate all the work that our staff and our foster families do for the health and welfare of our children in our county. This is going to be 95 this year. We are so excited about it. We are going to have our celebration at Juvenile Court in Santa Maria on November 28th and everybody's welcome to attend.

And I want to take a moment to recognize Penny and Jeff, but also recognize some of our adoptive staff that we have here. Some of the social workers. These are the folks that work with both with the natural family and the adoptive family to get this finalized and get this all worked out. But I also want to take this special moment to recognize the person who provided the leadership for all this. For the last nine years, and this is her last adoption month with us. And I think, I believe our last board meeting with us. And this is our director Kathy Gallagher who's gone on to a new opportunity and she has inspired us and led us. And I think every year that she's been here has led to increase in our adoptions every year. So like to take the thank everybody for this day and hope to see you on the 28th.

Thank you.

Miss Gallagher, we're gonna give you an opportunity to say something. You can't get away that easily.

Oh darn. Thank you very much. Yes this is indeed my last appearance before your board. Very bittersweet for me I have been in Santa Barbara County now for 15 years and I tell my folks that you know I wish I could just pick up my entire department and take them with me. There's no better group of people than the staff and the leadership in the Department of Social Services. They've done, they give me credit that I truly don't deserve. The work of the department comes from those folks. They've done an absolutely excellent job.

I leave them in very good hands and under very good leadership, CEO Waller and your board. I will continue to be here in the county through the end of the year And we'll be in touch with my staff and with some of you. But I do want you to know that this is a very bittersweet decision on my part, and much of it is personal to return to where I have close family and friends while I take care of my elderly mother. So it's not an issue that Came lightly, a decision that came lightly on my part. So I want to thank each and every one of you. I've appreciated your support and leadership in that of Sean Rewaller the CEO and thank you all very much.

Well Kathy actually I think Supervisor Carvajal wants to say something.

Kathy, since this is your last public meeting with the board I just want to share with you that I am really going to miss you. I think the entire county family's going to miss you. You've been an extraordinary executive for the county. You've been a great leader for your department. A great leader for all of those that we serve in the community especially those most in need And I just can't speak enough about your competence and everything about you. You're just always so professional, so respectful with everyone and I think you embody what public service is all about. So I just want to wish you the best and thank you for your service.

Thank

you, Supervisor Carbajal. Supervisor Wolf? Thank you, Madam Chair. Of all days this is not the day to have laryngitis because maybe everyone else is happy. I just want to thank Supervisor Carabajal for what he said because I want to say the same thing and also tell you that I've learned a great deal from you. You are an amazing teacher. You know so much about what you do, and this county is so better off for having you. And I know personally, I'm going to miss you, but I wish you all the best.

Thank

you so

much. Thank you, Supervisor Wolf. Supervisor Gray?

Yes, I can speak for the state level in how much you're respected at the state level and just what a tremendous administrator you are. Best wishes. They're lucky in Contra Costa, and you'll find them to be a very interesting board.

Supervisor Levin.

Did you know that before you took the job? You didn't tell her? Well, Kathy I also want to thank you for as being the new person up here of walking me through your department and teaching me exactly what you do and how you do it. You've been a great resource for me and I'm going to miss you as well. And I just know that up in the Santa Maria area You know, on behalf of all of our constituents that in this time of the recession how you guys pulled together and we had so many more people coming to us for help and how your department stepped up and was there to take care of people.

We appreciate it. Thank you so

much. And I just have to say that working with you since I've been in office there hasn't been one moment when I haven't thought that you were doing just a sterling job And for those of you that are not familiar with the social services department, it's a very large. You have what? Over 600 I think staff in social services doing an amazing array providing an amazing array of services that are so vitally important to the people of this county particularly the most vulnerable.

The homeless seniors disabled children and foster care And you and your staff, and I think that some of your staff are here. Is the foster care and adoption staff here? Why don't you go ahead and stand too so we can see you. Providing miracles every day that we so appreciate but don't always know are even going on. And today we're recognizing those miracles to do with adoption.

But thank you so much for helping to work those miracles for Santa Barbara County through your staff.

Thank you all so much too. I really enjoyed your support and your friendship and collegiality that you bring to this job. Thank you all very much.

Thank you. Kathy, before you leave... Madam Chair? You know they say that one of the signs of a great leader is how their subordinates perceive them. And I want to tell you that from all the folks that I've spoken to You are not only respected, but you're greatly liked. So I just wanted to share that with you.

Thank you, Supervisor Carbajal. Thank you all very much.

Right, we're now going to turn to the balance of our administrative agenda. And Mr. Allen you've already made some comments on that and I think that there are some items that members of the board want to pull. Supervisor Carbajal?

Thank you Madam Chair. Item A10 and A12. Can you read that Mr. Allen?

Madam Chair, members of the board. Item A-10 comes to the board from the County Executive Office and is to approve the appointment of Terry Nisich, Assistant County Executive Officer, to the SenCal Health Board as the Santa Barbara County Representative. And item A-12 from General Services is regarding the Elwood Pipeline's consent to assignment assumption of performance and this is the first amendment to a lease agreement and this is in the First District.

Thank you Madam Chair. First of all I think this is a great idea, 8-10 to make sure Ms. Nisic can step in now that Ms. Gallagher's in transition but the one word that was glaringly omitted was interim. I think once we get our social services person back we need to make sure that post goes back to that individual Having sat on SEMCAL, the reason that social services director is so important is that the population that it serves are much of the indigent and those who are uninsured and under-insured.

And have Medi-Cal actually. So that's why that perspective is so vital. I just want to make sure that interim is in the board letter and we all have that understanding.

Just a moment, Supervisor Carpel before you go to the next item. CEO Waller did you want to comment on that?

Certainly that's the board's decision. However, the reason that we thought Ms. Nitchish would be extremely beneficial to that organization is the fact that she does have the broad oversight of not only social services but also mental health and public health and we thought that would bring a very good balance to the organization and also help with the leveraging but Typically this is a board decision and so I'd be looking to your guidance.

Well, I suppose we could make it as an interim and then once the new social service director is hired go ahead and decide at that time whether we wanted to make a change or whether we wanted to keep it the same.

Madam Chair. Supervisor

Wolf?

Yeah, I sit on the CENCAL board and I did discuss this with staff and I don't see any reason why we can't make it as an interim appointment and do as you said when when we bring someone else on staff at that point we can decide if Ms. Nesich remains or we move to the standard that we have right now

Okay. Any other comments on A-10? Supervisor Carball, did you want to go to the next item then?

Sure. Do we need to make a motion on that or no? Just leave it

as is?

I'll move to make it interim and we'll revisit it later.

Mr. Nesbitt, thank you for being here. Can you go ahead and speak to that?

Sure. The insurance that Veneco or Elwood Pipeline has is actually $2 million of pollution insurance. The $100,000 bond is for performance on top of the insurance.

Thank you. I would just like to counsel If even that is adequate again if there's a big rupture it's two million dollars enough to cover. Such a mess and should we request more what would be the appropriate level of indemnification so if you. That tells me everything the fact that we don't know I would really like to look at that issue there's no timing issue that's it.

Can can we continue this or that could be looked into because I would hate to have some Major catastrophe in the future and then we're like, well we thought it was enough.

Madam Chair, Supervisor Carbajal, we could certainly continue the item and look into that.

Thank you and I apologize for not catching this sooner. It just dawned on me after I was reading the staff report again, I thought God it just doesn't

Sit well. I began to look at the requirements just as you spoke and there's two million per occurrence, it's kind of specific how it's specified and I'd hesitate to make a call right here on the spot so probably better that we just continue it and come back and explain that.

I would like to step in here

and give you the other part of what you need to know. I can't see the number, but D on page 3 shows grantees shall carry pollution liability coverage with limits of not less than $10 million per occurrence. Is that adequate? Maybe it is. We're just one of several pieces of this link so that's ten million dollars for ours. Is it adequate? You can't tell until after the fact but it is a very significant amount of insurance that's on this.

That's for pollution cleanup which is specifically what you asked for.

Well, Mr. Reddy, I think Supervisor Carbajal, I don't know that it hurts to continue this a couple of weeks- Just to look at this hypothetically. Because I think now that I'm looking at it closer to existing submerged, I would be interested to know how old the pipelines are and when they've been worked on because that would get, I think, to the issue of how likely it is that something might happen and we would want more insurance.

Madam Chairwoman, I just wanna make it clear, I want this to move forward. I didn't see any other issue but Again, this is one of those things that when something happens usually hindsight is 20-20. So all I'm trying to do is just make sure that the taxpayers are taken care of. Other than that if you come back to us and tell us it's adequate fine and if not then you'll let us know what we need to do.

So continue to December 4th will that work? Gives you a couple of weeks

okay

All right. And let's see, we had Supervisor Wolf, were there some items that you wanted to pull?

No Madam Chair, it was just the issue with item A-20 and the clarification on A-13 that Mr. Allen read. That was it.

OK. Supervisor Lavinino?

Thank you Madam Chair. I'd like to pull item A3 please.

Madam Chair, members of the board. Item A3 is from the Agricultural Commissioner and the request that the board consider recommendations regarding the expenditure of weights and measures revenue. And I also would note that Mr. Caldwell has a speaker slip in on this item as well. Supervisor

Lavinia?

Thank you madam chair and I apologize with the weekend, the holiday weekend that I didn't get with our Ag commissioner before but just one question on it is in adopting The resolution, do we know when these individuals would be hired? And I guess my point is we are starting a new pension tier starting January 1st. So I want to hire as few people between now and January 1st as possible but where are we on that?

Madam Chair, Supervisor Lavin, you know with the recruitment process we are scheduled to hire them after the first of the

year. Okay thank you That was one part of it for me. The other part is, I'd just like to pull this and do a separate vote. I've been opposed to this program before and I'll be voting against this. So if we could just pull it for a separate vote.

Ms. Wolfe? Aye. Ms. Gray? Aye! Mr. Labunino? No. Mr Carbajal? Aye Miss Farr?

Aye

Passes 4-1

And actually, you know what? I think that Mr. Caldwell wanted to speak to it. I'm sorry, Mr. Caldwell.

Madam Chair, members of the board... You know, I noticed this one required a four-fifths vote I was kind of hoping that we could get another vote besides Supervisor Labadino to hold off. This is one of those issues, again, we're in the middle of a recession. Some of the businesses have been hit the hardest are family owned businesses such as the guy that testified in front of you that has a water vending machine or the guy that owns a shoe store.

This is one of those programs where you're gonna spend over $400,000 when you could accomplish the same exact thing without spending a penny or hardly a penny. This program is going to send inspectors out to check price scanners, maybe once a year. So once out of 365 days you're gonna have an inspector go in there and see at that moment in time does the scanner and the price on the shelf match?

You don't know what happened the day before, and you don't know what's going to happen the day after because especially in grocery stores and other things these prices can change pretty quickly. Shoe store not so much. What we had suggested is you put a sticker on the cash register or a sign on this, you know, cash stand saying advising and alerting consumers that if the price on the shelf and the price on the scan didn't match please call the Ag Commissioner.

How hard is that? That way you've got literally the public inspecting 365 days a year. There's nobody more motivated than them to report this thing and to make their claim that they've gotten ripped off in some way, shape or form. And it doesn't cost you anything. And why in this day and age when you can't pay your bills And business is struggling to survive. Do you just willy nilly dump $400,000 of new program fees into our community?

And I believe at the end of the year, you're going to have nothing to show for it. I wish he'd re-vote and I wish that at least one other board member would join Supervisor Lavagnino and say this is not what we need right now. Thank you.

Thank you, Mr. Caldwell. Mr. Allen, we have other items that the public has pulled?

Madam Chair, members of the board, we have requests to speak on A9 and A13. First off on item A9, this is from the county executive office. The recommendations that the board consider co-sponsoring the 2012 Toys for Tots campaign in the Holiday Unity Food Drive from Santa Barbara County employees. And Tom Reed and Jeff Havlick have a speaker slip in to talk about it.

Madam Chair and members of the board, gosh it's an honor to address you this morning. Unity has been around for 95 years we are the largest direct distributor of food and clothing school supplies and toys in the county and we're very excited about this holiday season It's grown to about 23,000 people that we're taking care of during the year. You may not know that the role of the Unity Shop is to catch people as quickly as possible that are in a struggling mode and crisis.

And so we have 300 agencies in the county, social service agencies, schools, churches, hospitals, all of the people from food stamps to unemployment that will send people to us as quickly as they are identified as people struggling. We get them back on their feet and our goal is to get themselves efficient as quickly as possible. The average client that comes to us of the 23,000 they only come about six times a little less than seven times they're back on their feet we don't see them again however usually if they're struggling during the year they have extra problems when it comes to the holiday season sometimes less working hours less work days the added burden of toys in the holidays So we're going to see probably 3,500 families and households coming to us between now and Christmas Eve.

We appreciate your efforts on the Toys for Tots. The Marine Reserves, we work collaboratively with them. We are the distribution arm for Toys For Tots so the Marine Reserves are all about Toys For Tots. Unity Shop is the distribution mechanism at least in South County. We're countywide. We take care of about 3,000 people in North County, 850 seniors But from a Toys for Tots mechanism and program, Unity Shop is the distribution mode. So we're so thankful for all of the help and all the county employees that will help with those boxes apparently for toys all over. Food is a almost emergency status for us this year. The economy hasn't helped for sure.

If you've been over to parking lot number five, And our warehouse has been severely impacted by the demolition of their call Donations are currently down over 80% Over 80 percent and not to be honest. I'm not sure how we're going to take care of these families from a position of food so the food boxes that are around in the county buildings and all of them The assistance from them when the county is really really helpful this year We have hundreds of families right now coming for Thanksgiving soon-to-be thousands and the sad News is we don't have enough food. We don't have the money to buy it We would buy it in bulk put it on the shelves and so we really need help So that's that's kind of the mode and we're thankful for all of your help and your assistance And we're trying to do all we know to do to get the word out We have designated parking, and we have signage to try to get around the fact that our donation place has been obliterated but it's not working very well to kind of Fight all the construction over there.

So we really need the help of the community, and we thank you for the opportunity to speak this morning. Thanks.

Thank you. Thank you so much for this effort that we do need to all do our part not only to help but to get the word out. And I think particularly at this time of the year. So thank you for all of that. Mr. Havlick, did you want to make any comments?

No. I see there's some toys here. Is it all right if I pick

them up?

Absolutely. All

right. Thank you, Sloot. Thank you for all your help. Madam

Chair, I was just going to ask what's that branch that does this Toys for Tots? It's a

little-known branch of the military. It's the Marines.

I just wanted to be clear. I understood correctly. As

an Air Force pilot during Vietnam, I have the highest regard for you Marines and we thank you for all your help with Toys for Tots.

And are there bins in county buildings for food donations?

These boxes will be down in the lobby here on the third floor and I'll put one of them up so you can get to the

courthouse.

Okay, so but they're not just for toys. They're also for food if people wanted to donate food.

Correct. There'll be full food and toy boxes next to each other.

Okay great. So everybody knows thank you all right and then we had another request on the A agenda Mr. Allen?

Madam Chair our speaker Mr. Kiriakou has indicated he no longer needs to speak so that was our final speaker okay

Then we have no other requests to speak. We'll go ahead and vote it on one of the items, but we'll go ahead and have a motion for approval of the balance of the administrative agenda including continuing 8-12 to December 4th. Supervisor Carbajal that was your request right? About the Oakwood Pipeline. All right Supervisor

Wolff. Thank you Madam Chair I'll make the motion with the amendments as you so stated.

Yes, Madam Chair. Item number one is from the Sheriff. It's a hearing to approve the project delivery and construction agreement in Board of State and Community Corrections Construction Agreement. And this item is going to be withdrawn at this time and will come back as appropriate.

Okay, so do I have a motion to withdraw this item? Motion by Supervisor Carbajal. Second by Supervisor Lavinino. All those in favor say aye. Aye. Opposed? Motion carries. Okay and then we will go to departmental agenda item number two.

Madam Chair, would you like to just go ahead and make a motion at this point to continue the Goals B and Goals BK appeal?

Yes. Why

don't we go ahead and do

that? And that's a departmental agenda item number eight.

Mr.

Allen, you want to go ahead and read that into the record?

Madam Chair, members of the board, Item 8 is from Planning & Development, and the item is requesting that the board consider recommendations regarding the Goals B and Goals BK appeal Of the Montecito Planning Commission's approval of a Verizon wireless facility at the Montecito switch station. This is located in the Montecito area and the first district, and the request is that the board continue this item to your meeting on March 5th 2013.

March 5th? Yes. Is that normally do we do continuance for that long or do we normally just drop it and then re-agendize it?

I think you're permissible to continue it so that we can forego further noticing.

Okay, Supervisor Carball this is in your district?

Yes Madam Chair and I guess I just wanted to recognize the parties. I appreciate them continuing to work together to try to find an amicable solution that meets everybody's interests. So I appreciate their continuance. I'll move to continue this item for March 5th.

Okay, we have a motion. We have a second? Second. Supervisor Labanino all those in favor say aye. Aye. Opposed? Motion carries. Okay, now we will go back to departmental agenda item number two and also just to remind everybody that we are going to trail a departmental agenda item number three on the SEIU memorandum of understanding until this afternoon or after closed session and we have Trailed the admin item 20. I think it was to the very end of the D agenda today Okay, so we'll go ahead. I'm sorry supervisor wolf. I

just have a question madam chair If if time permits is there a reason why we can't hear item three before? I'm just wondering does it have to be after closed session

Yes. I think the idea was since it would be an opportunity to discuss in closed session, is that not correct?

Chair, that's correct. We did receive some correspondence from the union that we wish to share with you before you make your final decision. Okay. Thank you very much.

All right, Mr. Allen item number two.

Madam Chair members of the board, Item 2 is from Supervisor Carbajal. It's a hearing to receive and file the Children Health Initiative, Senator Barbara County progress report and presentation for fiscal year 2011 and 2012. OK. Good morning.

Good morning. Chair of the Board of Fire and Supervisors Carbajal, Gray, Lavagnino and Wolf. Without the county support for this year in the past five fiscal years there would not be a Children's Health Initiative and we thank you. You can be proud of what your support has accomplished. As you know in 2001 Santa Barbara County had the highest percentage of uninsured children in California and the Children's Health Initiative was formed in response to that Since 2006 with state, county and foundation funding we have focused on increasing the number of children identified as uninsured. Linking those parents of uninsured children to a certified application assister for health insurance enrollment assistance and then further assisting the parents as necessary in making health appointments.

Also at enrollment, parents were informed as to the importance of preventive medical and dental visits as well as the importance of having a primary care provider. Since 2006 when we began our enhanced outreach enrollment retention efforts, Santa Barbara County has had a decrease in the number of uninsured children by 94%. Here's a chart showing the dramatic drop in the number of uninsured children in Santa Barbara County.

The reduction in uninsured children in Santa Barbara County is dramatic, and it's not present in other comparable benchmark counties such as Monterey, Tulare and Solano where there were no or few outreach enrollment retention activities. As you can see, Santa Barbara County with more outreach enrollment and retention activities than other counties did significantly better when it came to reducing the number of uninsured children.

Nearly 11,000 Santa Barbara County children have been enrolled in public health insurance since 2006 which is a 24% increase in the number of covered children. 42% of Santa Barbara County children and youth aged 0 to 20 were receiving Medi-Cal services, compared to 20% in 2000. Comparing 2012 enrollment to that of 2005, enrollment in Medi-Cal increased by 21%, and healthy families enrollment increased by 28%.

How does increased health insurance enrollment benefit the county? There has been augmented state and federal revenue to Santa Barbara County medical providers due to the increased enrollment in the public insurance products of Medi-Cal and healthy families. The 21% increase in Medi-Cal enrollment in our county since 2005 has resulted in an estimated more than $9 million dollars in additional medical services reimbursement to community clinics, hospitals, and private providers in 2011.

The 28% increase in healthy families enrollment in our county since 2005 has resulted in an estimated more than $2 million of additional medical services reimbursement and community clinics, hospitals, and private providers in 2011. Since the implementation of Healthy Kids Santa Barbara in 2006 there's been an estimated nearly $5 million of additional medical services reimbursement provided to previously uninsured children.

This means that more federal and state dollars are supporting the care of our local children And has resulted in a total estimate of over 12 million dollars of enhanced county medical providers revenue just in 2011 alone due to increased Medi-Cal and Healthy Families insurance enrollment, and the implementation of Healthy Kids Santa Barbara. When more children have health insurance there are fewer children accessing the public healthcare center, the healthcare center system, and the hospitals as uncompensated care or at a reduced reimbursement rate.