Resolution 440a-2011I
Mayor David Rice
RESOLUTION NO. 440a - 2011
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA
SUPPORTING THE CONTINUATION OF EXISTING
MEDICAID TRANSPORTATION SERVICES FOR
MEDICAID -ELIGIBLE CLIENTS THROUGHOUT
MONROE COUNTY, FLORIDA AND DISCOURAGING
IMPLEMENTATION OF SENATE MEDICAL REFORM
BILL 1972 WHICH WOULD MERGE THESE SERVICES
INTO HMO'S THAT CURRENTLY PROVIDE NO
MEDICAL SERVICES IN THE FLORIDA KEYS.
WHEREAS, currently Monroe County and Miami -Dade Counties are considered one
region; and
WHEREAS, Monroe County has very minimal Medicaid providers and no HMO's; and
WHEREAS, with the passage of Senate Medicaid Reform Bill 1972, Monroe County
will no longer provide Medicaid Transportation Coordination to residents of Monroe County;
and
WHEREAS, as a result, Monroe County residents are at a greater disadvantage to
receiving quality, efficient and timely transportation services to life -sustaining medical
treatment; and
WHEREAS, last year, the Guidance/Care Center, Inc., Monroe County's Community
Transportation and Medicaid Coordinator, coordinated over 23,000 trips for Medicaid -eligible
clients; and
WHEREAS, nearly 30% of these trips were to out -of -county providers and specialists
that are not available locally; and
WHEREAS, another estimated 2,000 trips were coordinated with Medicaid riders to
dialysis treatment alone that may not otherwise have been able to transport themselves to this
life -sustaining treatment; and
WHEREAS, as efforts go forward under this new Medicaid Reform Bill, Monroe
County's Community Transportation and Medicaid Coordinator continues to discourage
implementation of this piece of reform through education by relating the devastating impact
implementation of this reform would have on the residents of Monroe County, Florida; and
WHEREAS, it is critical, and possibly life -threatening, to the residents of Monroe
County, Florida that the coordination of transportation services continue as they are currently
being provided and not merged into HMO's that currently provide no medical services in the
Keys; and
Page Iof 2 Pages
Mayor David Rice
WHEREAS, to go forward with implementation of this Medicaid Reform legislation will
dismantle the integrity of the entire coordination of transportation services to the Medicaid -
eligible residents of Monroe County and leave many Monroe County residents without the life -
sustaining medical treatment needed; and
WHEREAS, the data and facts gathered for FY 2010/2011 reflect the critical need and
dependency on these services by the residents of Monroe County, FL; and
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA, THAT:
1. The Board supports continuation of the coordinated Medicaid Transportation Services
as they are currently being provided in Monroe County, Florida.
2. The Board discourages implementation of Senate Medicaid Reform Bill 1972 as it
relates to coordinated transportation services for Medicaid -eligible residents in
Monroe County, Florida as it would deny residents access to critical life -sustaining
medical services.
3. The Clerk is directed to immediately transmit a certified copy of this Resolution
forthwith to Florida Governor Rick Scott, Representative Ileana Ros-Lehtinen,
Representative Ron Saunders, Senator Bill Nelson, and Senator Marco Rubio.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida at a regular meeting of said Board on the 14`h day of December, A.D., 2011.
Mayor David Rice
Mayor Pro Tem Kim Wigington
Commissioner George Neugent
Commissioner Sylvia Murphy
,Commissioner Heather Carruthers
L. Kolhage, CLERK
Abstained ^'
Yes
Yes C->
Yes N
Yes a 70
CD
BOARD OF COUNTY COMNMSI(TEI04
OF MONROE COUNTY, FLORIDA
By: By:
eputy Clerk Mayor Arrid Rice
Y a AS
Page 2of 2 Pages
December 22, 2011
Florida Agency for Health Care Administration Center for Medicare & Medicaid Services
2727 Mahan Drive 7500 Security Boulevard
Tallahassee, FL 32308 Baltimore, MD 21244
Dear Sirs,
Enclosed please find a certified copy of Resolution No. 440a-2011 supporting the
continuation of coordinated Medicaid transportation services as they are currently being provided
in Monroe County, Florida and discouraging implementation of Medical Reform legislation
which would merge these services into HMO's that currently provide no medical services in the
Keys.
This Resolution was adopted by the Monroe County Board of County Commissioners at a
Regular Meeting, held in formal session, on December 14, 2011. Should you have any questions
please feel free to contact me at (305) 295-3130.
Respectfully submitted,
Danny L. Kolhage
Clerk of the Circuit Court
and ex officio Clerk to the
Board of County Commissioners
by: Isabel C. DeSantis
cc: File
MONROE COUNTY COURTHOUSE 41Q BRANCH OFFICE:
b COUNTY
500 WHITEHEAD STREET,SUITE 101 �1 co PLANTATION KEY
"
J ••.mow co,QU' G
KEY WEST, FLORIDA 33040 ce• ,. .. GOVERNMENT CENTER
TEL. (305)294-4641 *• :1 * 88820 OVERSEAS HIGHWAY
FAx (305)295-3663 ;: _�:Iql� Q PLANTATION KEY,FLORIDA 33070
°1*•.. ... •.•°a° TEL. (305) 852-7145
BRANCH OFFICE: ° cour+-1"'F FAX(305)852-7146
MARATHON SUB COURTHOUSE
3117 OVERSEAS HIGHWAY CLERK OF THE CIRCUIT COURT ROTH BUILDING
MARATHON,FLORIDA 33050 MONROE COUNTY 50 HIGH POINT ROAD
TEL. (305)289-6027 PLANTATION KEY,FLORIDA 33070
FAx(305)289-1745 www.clerk-of-the-court.com TEL. (305) 852-7145
FAX (305)853-7440
December 21, 2011
Governor Rick Scott
Office of the Governor
The Capitol
400 S Monroe Street
Tallahassee FL 32399
Honorable Governor Scott,
Enclosed please find a certified copy of Resolution No. 440a-2011 supporting the
continuation of existing Medicaid Transportation Services for Medicaid-Eligible clients
throughout Monroe County, Florida and discouraging implementation of Senate Medical Reform
Bill 1972 which would merge these services into HMO's that currently provide no medical
services in the Florida Keys.
This Resolution was adopted by the Monroe County Board of County Commissioners at a
Regular Meeting, held in formal session, on December 14, 2011. Should you have any questions
please feel free to contact me at(305) 295-3130.
Respectfully Submitted,
Danny L. Kolhage, Clerk
of Court and ex-officio Clerk
to the Board of County Commissioners
by: Pamela G. Hancock, D.0
cc: File
MONROE COUNTY COURTHOUSE COUNT BRANCH OFFICE:
500 WHITEHEAD STREET,SUITE 101 r"'�b••.••••. BRANCH
PLANTATION KEY
J . 0 cmu�• G
KEY WEST, FLORIDA 33040 t `'••P GOVERNMENT CENTER
TEL. (305) 294-4641 *I ,7.wa (I) 88820 OVERSEAS HIGHWAY
FAx (305) 295-3663 ;. .•,11111 r Q% PLANTATION KEY,FLORIDA 33070
°tip•, °o-°� TEL. (305)852-7145
BRANCH OFFICE: ,1 �` . FAX(305)852-7146
MARATHON SUB COURTHOUSE
3117 OVERSEAS HIGI-IWAY CLERK OF THE CIRCUIT COURT ROTH BUILDING
MARATHON, FLORIDA 33050 50 HIGH POINT ROAD
TEL. (305)289-6027 MONROE COUNTY PLANTATION KEY, FLORIDA 33070
FAX(305)289-1745 www.clerk-of-the-court.com TEL. (305)852-7145
FAX (305)853-7440
December 21, 2011
U.S. Congresswoman Ileana Ros-Lehtinen
2160 Rayburn House Office Building
Washington DC 20515-3931
Honorable Congresswoman Ros-Lehtinen,
Enclosed please find a certified copy of Resolution No. 440a-2011 supporting the 1
continuation of existing Medicaid Transportation Services for Medicaid-Eligible clients
throughout Monroe County, Florida and discouraging implementation of Senate Medical Reform
Bill 1972 which would merge these services into HMO's that currently provide no medical
services in the Florida Keys.
This Resolution was adopted by the Monroe County Board of.County Commissioners at a
Regular Meeting, held in formal session, on December 14, 2011. Should you have any questions
please feel free to contact me at (305) 295-3130.
Respectfully Submitted,
Danny L. Kolhage, Clerk
of Court and ex-officio Clerk
to the Board of County Commissioners
by: Pamela G. Hancock, D.0
cc: File
r' • s
MONROE COUNTY COURTHOUSE BRANCH OFFICE:
b�o�H�1
500 WIlITEIIEAD STREET,SUITE 101 i%�c e PLANTATION KEY
J ••.�u cu.Qo' �G
KEY WEST,FLORIDA 33040 �. GOVERNMENT CENTER
TEL. (305)294-4641 *. :do * 88820 OVERSEAS HIGHWAY
FAx(305)295-3663 ;k. PLANTATION KEY,FLORIDA 33070
p•. :••'oc`°i TEL. (305)852-7145
BRANCH OFFICE: 1‘�°"�.;y— FAx(305)852-7146
MARATHON SUB COURTHOUSE
3117 OVERSEAS HIGHWAY CLERK OF THE CIRCUIT COURT ROTH BUILDING
MARATHON, FLORIDA 33050 50 HIGH POINT ROAD
TEL. (305)289-6027 MONROE COUNTY PLANTATION KEY,FLORIDA 33070
FAx (305)289-1745 www.clerk-of-the-court.com TEL. (305)852-7145
FAx(305)853-7440
December 21, 2011
Representative Ron Saunders
1402 The Capitol
402 South Monroe Street
Tallahassee FL 32399-1300
Honorable Representative Saunders,
Enclosed please find a certified copy of Resolution No. 440a-2011 supporting the
continuation of existing Medicaid Transportation Services for Medicaid-Eligible clients
throughout Monroe County, Florida and discouraging implementation of Senate Medical Reform
Bill 1972 which would merge these services into HMO's that currently provide no medical
services in the Florida Keys.
This.Resolution was adopted by the Monroe County Board of County Commissioners at a
Regular Meeting, held in formal session, on December 14,,2011. Should you have any questions
please feel free to contact lne at (305) 295-3130.
Respectfully Submitted,
Danny L. Kolhage, Clerk
of Court and ex-officio Clerk
to the Board of County Commissioners
by: Pamela G. Hancock, D.0
cc: File
MONROE COUNTY COURTHOUSE ��t� BRANCH OFFICE:
500 WHITEHEAD STREET,SUITE 101 r�b•couNr a�•yc PLANTATION KEY
�u cui OG
KEY WEST, FLORIDA 33040 :'S° �. `''•,P GOVERNMENT CENTER
•
TEL. (305) 294-4641 *• ,7"►� * 88820 OVERSEAS HIGHWAY
FAx (305) 295-3663 ' PLANTATION KEY, FLORIDA 33070
f's.Fo•....
•.•.� TEL. (305)852-7145
BRANCH OFFICE: FAX(305)852-7146
MARATHON SUB COURTHOUSE
3117 OVERSEAS HIGHWAY CLERK OF THE CIRCUIT COURT ROTH BUILDING
MARATHON, FLORIDA 33050 50 HIGH POINT ROAD
TEL. (305)289-6027 MONROE COUNTY PLANTATION KEY,FLORIDA 33070
FAX (305) 289-1745 www.clerk-of-the-court.com TEL. (305) 852-7145
Fax(305) 853-7440
December 21, 2011
U.S. Senator Bill Nelson
716 Hart Office Building
Washington DC 20510
Honorable Senator Nelson,
Enclosed please find a certified copy of Resolution No. 440a-2011 supporting the
continuation of existing Medicaid Transportation Services for Medicaid-Eligible clients
throughout Monroe County, Florida and discouraging implementation of Senate Medical Reform
Bill 1972 which would merge these services into HMO's that currently provide no medical
services in the Florida Keys.
This Resolution was adopted by the Monroe County Board of County Commissioners at a Regular Meeting, held in formal session, on December 14, 2011. Should you have any questions
please feel free to contact me at (305) 295-3130.
Respectfully Submitted,
Danny L. Kolhage, Clerk
of Court and ex-officio Clerk
to the Board of County Commissioners
by: Pamela G. Hancock, D.0
cc: File
MONROE COUNTY COURTHOUSE \\ BRANCH OFFICE:
500 WI-IITEHEAD STREET,SUITE 101 ' .....•Y00 PLANTATION KEY
J •'.oM cuio„' G
KEY WEST, FLORIDA 33040 �' �• `'•,per GOVERNMENT CENTER
TEL. (305)294-4641 *: :1 ,N *
'� 88820 OVERSEAS HIGHWAY
FAx(305) 295-3663 3%. , P Q - PLANTATION KEY, FLORIDA 33070
TEL. (305)852-7145
Oy�OFCOVNTY.fyO�'
BRANCH OFFICE: FAX(305)852-7146
MARATHON SUB COURTHOUSE
3117 OVERSEAS HIGIIwAY CLERK OF THE CIRCUIT COURT ROTH BUILDING
MARATHON, FLORIDA 33050 50 HIGH POINT ROAD
TEL. (305)289-6027 MONROE COUNTY PLANTATION KEY, FLORIDA 33070
FAX(305) 289-1745 www.clerk-of-the-court.com TEL. (305)852-7145
FAX(305)853-7440
December 21, 2011
Senator Marco Rubio
317 Hart Senate Office Building
Washington, DC 20510
Honorable Senator Rubio,
Enclosed please find a certified copy of Resolution No. 440a-2011 supporting the
continuation of existing Medicaid Transportation Services for Medicaid-Eligible clients
throughout Monroe County, Florida and discouraging implementation of Senate Medical Reform
Bill 1972 which would merge these services into HMO's that currently provide no medical
services in the Florida Keys.
This Resolution was adopted by the Monroe County Board of County Commissioners at a
Regular Meeting, held in formal session, on December 14, 2011. Should you have any questions
please feel free to contact me at (305) 295-3130.
Danny L. Kolhage, Clerk
of Court and ex-officio Clerk
to the Board of County Commissioners
by: Pamela G. Hancock, D.C.
cc: File