(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.

(c) Moneys received by a county under this chapter shall be accounted for as revenue in the plan and budget which is required pursuant to Section 16800 and shall not be used as county matching funds for any other program requiring a county match.

(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.

(Amended by Stats. 1996, Ch. 6, Sec. 6. Effective January 1, 1997.)