(

a) The board of supervisors in any county may adopt a general assistance standard of aid, including the value of in-kind aid which includes, but is not limited to, the monthly actuarial value of up to forty dollars ($40) per month of medical care, that is percent of a guideline that is equal to the federal official poverty line and may annually adjust that guideline in an amount equal to any adjustment provided under

Chapter 2 (commencing with

Section 11200) of Part for establishing a maximum aid level in the county. This subdivision is not intended to either limit or expand the extent of the duty of counties to provide health care. (

b) The adoption of a standard of aid pursuant to this

section shall constitute a sufficient standard of aid. (

c) For purposes of this section, “federal official poverty line” means the same as it is defined in subsection (2) of

Section of Title of the United States Code. (

d) For purposes of this section, “any adjustment” includes, and, prior to the addition of this subdivision, included statutory increases, decreases, or reductions in the maximum aid level in the county under the Aid to Families with Dependent Children program contained in

Chapter 2 (commencing with

Section 11200) of

Part 3. (

e) In the event that adjustments pursuant to

Section 11450.02 are not made, the amounts established pursuant to subdivision (

a) may be adjusted to reflect the relative cost of housing in various counties as follows:

(1) Reduced by 1.5 percent in the Counties of Alameda, Contra Costa, Los Angeles, San Diego, Santa Barbara, Sonoma, and Ventura.

(2) Reduced by percent in the Counties of San Luis Obispo, Nevada, Sierra, Monterey, Napa, Solano, Riverside, San Bernardino, Alpine, Amador, Calaveras, Inyo, Kern, Mariposa, Mono, and Tuolumne.

(3) Reduced by 4.5 percent in the Counties of Stanislaus, Imperial, El Dorado, Placer, Sacramento, Yolo, Humboldt, San Benito, Del Norte, Fresno, Lake, Mendocino, Shasta, Trinity, Butte, Merced, Tulare, San Joaquin, Lassen, Modoc, Plumas, Siskiyou, Tehama, Kings, Madera, Colusa, Glenn, Sutter, and Yuba.