Resolution 090-2024 RESOLUTION NO. 090 -2024
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY,
FLORIDA AUTHORIZING THE MONROE
COUNTY HEALTH DEPARTMENT TO
ESTABLISH FEES SPECIFICALLY FOR VITAL
STATISTICS AND THE HEALTH CLINIC AS SET
FORTH IN EXHIBIT "A" ATTACHED HERETO
("AMENDED AND REVISED FEE SCHEDULE").
WHEREAS,F. S. 154.01(2)requires counties to establish and maintain full-time
county health departments to provide environmental health, communicable disease
control and primary care services; and
WHEREAS, F.S. 154.01(3) requires the Department of Health to enter into
contracts with counties for this purpose; and
WHEREAS, on July 19, 2022, the Board approved the annual core contract
between Monroe County and the Florida Department of Health for public health services;
and
WHEREAS, F. S. 154.06(1) authorizes each county and each county health
department to collect fees for Vital Statistics and Health Clinic services rendered through
the county health departments provided that a schedule of such fees is established by
resolution of the Board of County Commissioners or by rule of the department; and
WHEREAS, F.S. 154.06(2) requires all funds collected under this section to be
expended solely for the purpose of providing health services and facilities within the
county served by the county health department and pursuant to the rules and regulations
cited therein and pursuant to all other applicable rules and regulations; and
WHEREAS, the Monroe County Health Department has indicated the need to
re-define and re-establish fees for Vital Statistics documents and other Health Clinic
services offered at the Monroe County Health Department; and
WHEREAS, on December 13, 2023, the Monroe County Board of County
Commissioners passed and adopted Resolution No. 634-2023, establishing a fee schedule
for vital statistics and other Health Department services; and
WHEREAS,subsequent to adoption,the Health Department was advised that the
computer system used by the Health Department for fees for two vital statistics
documents (birth certificate and death certificate) was unable to process the fee as it was
set up in Resolution No. 634-2023; and
WHEREAS, the Health Department wishes to amend the fee in order to show a
single lump sum fee for birth certificates and death certificates; and
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WHEREAS, the Health Department also wishes to add nominal fees for notary
services($10),expediting($10),and a plastic sleeve for the cards($5)to cover administrative
costs; and
WHEREAS, the Board is satisfied with the justification provided by the Monroe
County Health Department and wishes to approve the fee schedule.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF
COUNTY COMMISSIONERS OF MONROE COUNTY,FLORIDA that;
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1. The Monroe County Health Department shall collect fees for Vital
Statistics and Health Clinic services as specified in the Amended and
Revised Fee Schedule attached hereto as Exhibit A and made a part of
this Resolution.
2. The Monroe County Health Department is solely responsible for ensuring
effective notice is provided to the general public and other impacted
agencies and organizations of the specific service fee increases.
3. The Monroe County Health Department is solely responsible for ensuring
the County's compliance with all financial and transitional rules and
regulations, and any other factors that may be impacted by the service
fee increases at all levels; local, state, and federal.
4. Any prior resolution, ordinance, or contract inconsistent herewith is
hereby repealed.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe
County, Florida, at a regular meeting of the Board held on February 21, 2024.
Mayor Holly Merrill Raschein Yes
Mayor Pro Tem James K. Scholl Yes
Commissioner Craig Cates Yes
Commissioner Michelle Lincoln Yes
,.�. . =�-,..,, Commissioner David Rice Yes
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OmT,.',;:ii, " E^1t���a' p } BOARD OF COUNTY COMMISSIONERS
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MADOK, CLERK OF MONROE COUNTY,FLORIDA
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,'''yr...,, As,beputy Cl k Mayor
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-`,,,:': Approved as to form and legal sufficiency:
Cam' eL .,. ,.,"
Monroe County Attorneys Office 2-21-2024
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EXHIBIT A
MONROE COUNTY HEALTH DEPARTMENT
VITAL STATISTICS & CLINIC SERVICES
AMENDED AND REVISED COUNTY FEE SCHEDULE
The Fee Schedules for Vital Statistics and Health Clinic Services in Monroe County have not been updated in
many years. As such,the Monroe County Health Department conferred with neighboring counties and senior
leadership in Tallahassee to prepare a Fee Schedule aligned and comparable to those with more recent updates.
Revenue generated from Vital Statistics and Health Clinic services, once approved,will provide additional
support for departmental functions and provision of services. Thank you for your consideration.
(Revisions shown with underlines.)
Program Service Current Fee Proposed Fee Details r/t service and fee
Vital Statistics Birth Certificate $16.00 $22_00� Certification of a registered birth.
Adjusted fee aligned with Monroe
County Tax Collector.
Vital Statistics Death Certificate $13.00 1 o ou Official certification of death with or
without cause.
Adjusted fee aligned with neighboring
counties.
Additions Plastic,
0.00 $V 0 00
ll?x�rn dit_n:d 0.00 $Q t1_00
Clinic Medicare Rates Unchanged All clinical visits with provider are
General Clinical Services Non-Medicare Unchanged adjusted based on a sliding scale
Rates 160%of established by the Federal Poverty
Medicaid Rate Guidelines.
($163.27)
Clinic Medicare Rates Unchanged All laboratory services are adjusted
General Lab Services 160%of Unchanged based on a sliding scale established by
Medicaid Rate the Federal Poverty Guidelines.
($163.27)
Clinic School Health New Svc. $75.00 Comprehensive physical exam for
Physicals(ages school completed by physician or
5-18) APRN,completion of required forms,
and evaluation of immunization status.
Clinic Occupational New Svc. $95.00 Comprehensive physical exam for
Health Physicals work placement completed by
physician or APRN,completion of
required forms, and evaluation of
immunization status.
Clinic Consultation for New Svc. $50.00 Medical staff review of immunizations
Travel for travel and completion of required
Immunizations forms.
Clinic Civil Surgeon New Svc. $300 Comprehensive physical exam for
Refugee Health adjustment of status completed by
Physical physician or APRN,completion of
required forms, and evaluation of
immunization status.
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