Resolution 061-2014f ,
RESOLUTION NO. 061 - 2014
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY, FLORIDA
URGING THE GOVERNOR AND SECRETARY OF THE
AGENCY FOR HEALTH CARE ADMINISTRATION TO
DELAY ANY CHANGE TO THE MONROE COUNTY
COORDINATED SYSTEM, INCLUDING SERVICES FOR
THE TRANSPORTATION DISADVANTAGED AND
MEDICAID, UNTIL THE POTENTIAL IMPACT OF
MEDICAID MANAGED CARE ON OUR RESIDENT'S
RIDERSHIP IS DETERMINED.
WHEREAS, Sec. 417.011 - 417.017, Florida Statutes establishes the Florida
Commission for the Transportation Disadvantaged ( "Commission ") to accomplish the
coordination of transportation services to be provided to the transportation disadvantaged
throughout the State of Florida; and
WHEREAS, the Commission approves a Designated Official Planning Agency
( "Agency ") who is responsible for creating a Local Coordinating Board ( "Board ") and for
providing technical assistance to that Board; and
WHEREAS, the Commission also approves a Community Transportation Coordinator
( "Coordinator "), who is recommended by the Board, for five (5) years for each county in the
state who is responsible for arranging cost - effective, efficient, unduplicated, and un- fragmented
transportation disadvantaged services within its respective service area; and
WHEREAS, the Transportation Disadvantaged Service Plan is developed and annually
updated by the Community Transportation Coordinator and the Designated Official Planning
Agency under the guidance and approval of the Local Coordinating Board in accordance with
requirements set out in Rule 41 -2, Florida Administrative Code; and
WHEREAS, the first Monroe County Transportation Disadvantaged Service Plan was
prepared in 1993 with subsequent annual updates; and
WHEREAS, local control of the Transportation Disadvantaged Service Plan has been
instrumental in solidifying the working relationship of the Monroe County Local Coordinating
Board and the Monroe County Community Transportation Coordinator; and
WHEREAS, the coordinated system includes Medicaid transportation; and
WHEREAS, over the past 16 years Monroe County has developed and managed an
effective, cost efficient and coordinated transportation system that meets the needs of our
residents; and
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WHEREAS, the current system's operations may be substantially impacted due to the
possible change in State oversight moving the system from the Department of Transportation to
the Medicaid Managed Care providers; and
WHEREAS, this change in oversight may result in the disruption of the current effective
and cost efficient system mainly due to a lack of information, negotiation of multiple contracts
with HMO's, additional layers of communication and reporting, increased expense and overall
devolution of our program;
NOW THEREFORE, BE IT RESOLVED that the Board of County Commissioners of
Monroe County, Florida hereby:
1. Urges the Governor and the Secretary of the Agency for Health Care Administration to
delay any change to the Monroe County Coordinated System, including services for the
Transportation Disadvantaged and Medicaid, until the potential impact of Medicaid
Managed Care on our resident's ridership is determined.
2. Directs the Clerk to forward this resolution to Governor Rick Scott, AHCA Secretary;
Elizabeth Dudek, Secretary of Transportation; Ananth Prasad, State Representative;
Holly Merrill Raschein, District 120; Senator Dwight Bullard, District 39; Senator Jeff
Brandes, Senate Committee on Transportation; Representative Daniel Davis, House
Transportation and Highway Safety Subcommittee; Senator Denise Grimsley, Senate
Appropriations Subcommittee on Health and Human Services; and Representative Matt
Hudson, House Healthcare Appropriations Subcommittee.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at a regular meeting of said Board held on the 19 day of March, 2014.
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Mayor Sylvia Murphy
Yes
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Mayor pro tem Danny L. Kolhage
Yes
Commissioner Heather Carruthers
Yes
Commissioner George Neugent
Yes
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Commissioner David Rice
Yes
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BOARD OF COUNTY COMMISSIONERS
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OF MONROE COUNT FLORIDA
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By:—
Mayor Sylvia Murphy
AMY HEAVILIN,
X/V v MONROE COIJW ATTORNEY
Deputy Clerk APPRO A O FORM:
ROBERT 3. StiIt.L1W)ER,
0OU Nry, TT
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