Item F42
Revised 2/95
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: November 21, 2000
Division: Management Services
Bulk Item: Yes cgj No D
Department: Grants Administration
AGENDA ITEM WORDING: Approval of financial agreement between Florida Healthy
Kids Corp. and Monroe County in which County agrees to provide $38.370.00 in
matching funds for the period October 1. 2000 through June 30, 2001.
ITEM BACKGROUND: Matching funds are used by Florida Healthy Kids in obtaining
federal grant funds to provide health insurance coverage and preventive health care
services to Florida children.
PREVIOUS RELEVANT BOCC ACTION: Approval of FY 2000 agreement at BOCC
meeting October 13, 1999.
STAFF RECOMMENDATION: Approval
TOTAL COST: 38.370.00
COST TO COUNTY: 38.370.00
REVENUE PRODUCING: Yes D No cgj AMOUNT PER MONTH
YEAR
APPROVED BY:COUNTY ATTYD OMBIPU~INGD RISK MANAGEMENT~[,N
DIVISION DIRECTOR APPROVAL: - - ~~
James L. Roberts. County A inistrator
BUDGETED: Yes cgj No D
n
}'- .
DOCUMENTATION: INCLUDED: cgj TO FOllOW: D NOT RE~un~~:~
DISPOSITION: AGENDA ITEM #: rt:'i ,.,
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract #
Contract with:Florida Healthy Kids Corp Effective Date: 1 % 1 /00
Expiration Date: /30/01
Contract Purpose/Description:Financial agreement with Florida Healthy Kids Corp in which
county agrees to provide matching funds.
Contract Manager:David P. Owens
(Name)
4482
(Ext. )
OMB/Grants
(Department)
for BOCC meeting on 11/21/00
Agenda Deadline: 11/7/00
CONTRACT COSTS
Total Dollar Value of Contract: $38,370.00 Current Year Portion: $38,370.00
Budgeted? Yesl:8J No D Account Codes: 001-03211-530340-
Grant: $0.00
County Match: $
ADDITIONAL COSTS
Estimated Ongoing Costs: $ _/yr For:
(Not included in dollar value above) (ego maintenance, utilities, janitorial, salaries, etc.)
CONTRACT REVIEW
Division Director
Changes
Date In Needed~ ~~~~~
~ YesDNo~ A- 4:
#0 YeSDNo~Cl.LJ~ ~-t..,",
YeSDNO~~~ () ,~v
II/IS/"" YeSDNO~
I I
Date Out
County Attorney
'#
4400
1/- 9-&0
It-/J -a,
Risk Mana1~~nt
O.M.B./P~ing
Comments:
OMB Form Revised 9/11/95 MCP #2
FINANCIAL AGREEMENT
AGREEMENT
BETWEEN
FLORIDA HEALTHY KIDS CORPORATION "FHKC"
AND
MONROE COUNTY GOVERNMENT
This Agreement is made and entered into this _ day of , 2000 by and between Monroe
County Government, hereinafter called MCG and the Florida Healthy Kids Corporation hereinafter called
'FHKC', a Florida not-for-profit corporation under the provisions of Chapter 617, Florida Statutes.
WHEREAS, the Florida Legislature enacted Chapter 624.91, Laws of Florida, creating the Florida
Healthy Kids Corporation, a Florida not-for-profit corporation organized to facilitate a program to provide
comprehensive health insurance coverage and preventative health care services to Florida children;
WHEREAS, FHKC has been specifically empowered to receive federal funds available under Title XXI
of the Social Security Act and said Act requires matching dollars;
WHEREAS, FHKC implementing statute provides for the provision of local matching funds from the
participating county and that said local match must be secured prior to the enrollment of applicants above any
base enrollment allocation in the participating county by a Financial Agreement with local contributors to
provide the required local match on an agreed periodic basis;
WHEREAS, MCG has agreed to participate in the FHKC program for Monroe County by providing
funds eligible for federal matching dollars under Title XXI to be applied to the local match for Monroe County;
NOW THEREFORE, in consideration of the premises and as an inducement to FHKC to commence or
continue a FHKC program in Monroe County:
I. MCG agrees to provide matching funds for the provision of the FHKC program in Monroe County as
follows:
A. MCG agrees to provide local matching funds which comply with all applicable state and federal
laws or regulations in the amount of$38,370 for the period of October 1,2000 through June 30,
2001.
B. MCG understands that FHKC will create an enrollment pool for counties who contribute local
matching funds. MCG agrees that the total number of enrollment slots allocated to each county
will be apportioned based on the number of slots available in the FHKC's local match enrollment
pool and the percentage oflocal match committed by MCG to the total amount collected by
FHKC on a statewide basis.
C. MCG agrees to be invoiced on a monthly basis for one-twelfth of the local match amount listed
in paragraph I. A.
D. MCG agrees to remit payment within thirty (30) days of receipt of an invoice from FHKC.
Revised 5/00 Page 1 of 3
E. MCG agrees to provide documentation that all local matching funds covered under this
Agreement meet federal Title XXI guidelines and understands that FHKC may conduct an audit
of these funds to ensure compliance. Should FHKC determine that an audit is necessary, MCG
agrees to cooperate with the audit and to respond to all requests for information within thirty (30)
days of receipt of such request. Failure to cooperate by MCG is considered a breach of this
Agreement.
II. FHKC in consideration of the funds paid by MCG and to provide local matching funds for the
Monroe County FHKC program agrees as follows:
A. To provide comprehensive health insurance coverage to each participant who has paid the
required premium and has met the other eligibility standards for enrollment established by
FHKC.
B. To invoice MCG on a scheduled basis in accordance with paragraphs. I.C. and I.B. Invoice shall
be sent to:
COUNTY OF MONROE - OMB
5100 COLLEGE ROAD
KEY WEST, FL 33040
III. The Parties understand that local matching funds must meet the eligibility criteria set by federal law or
regulation under Title XXI of the Social Security Act or by state law or regulation.
IV. The Parties agree that the non-payment of local matching funds may result in the termination of the
Monroe County Healthy Kids program at the sole discretion of the FHKC. Additionally, the Parties
agree that if County fails to maintain its local match commitment, FHKC must enforce the provisions of
Line 192A of the 2000-2001 General Appropriations Act which requires FHKC to freeze enrollment and
to also reduce enrollment through attrition to reach the equivalent value of lost state, federal and local
matching funds.
V. MCG understands that FHKC will commence the expenditure of state and federal funds to develop a
FHKC program in Monroe County based upon the assurances by MCG to provide local matching funds
that are eligible under state and federal law, to assume the responsibilities and duties set forth herein and
to provide the local matching funds in accordance with the terms hereof. In the event the local matching
funds provided herein are not forthcoming in the amounts and upon the dates scheduled, FHKC is
entitled to enforce the obligations of this agreement in accordance with the laws of the state of Florida
and in such event shall be entitled to additional reimbursement for its costs and attorneys fees necessarily
incurred in order to enforce the completion of the obligations herein. It is understood that the intent of
this provision is to protect the children who will receive health insurance benefits through the FHKC
program in Monroe County and who will thereafter rely upon the continuation of the program.
VI. The parties agree that the provisions of this agreement are not subject to assignment without the express
written consent of the other party.
Revised 5/00
Page 2 of 3
vn. Any amendments to this Agreement shall be in writing and approved by both parties.
vm. This Agreement shall be in effect from the date of its execution by both parties..... and shall remain in
effect until all obligations under this Agreement have been satisfied.
IN WITNESS WHEREOF, the Parties have caused this agreement to be executed by their undersigned officials
as duly authorized.
DONE this
day of
, 2000.
MONROE COUNTY GOVERNMENT
Witness
NAME
TITLE
FLORIDA HEALTHY KIDS CORPORATION
Witness
ROSE M. NAFF, Executive Director
Florida Healthy Kids Corporation
B
Revised 5/00
Page 3 of 3
Nor 1. 200D 3: 22PM
NO. 4754 P. ~
THE FLORIDA LEGISLATURE
TONI JENNINGS
PnsiJ,nloJllr. S.rallte
June 14.2000
JOHN THRASHER
Sin.' of ,''' HOUR o{
&pru'lIU1liva
Ms. Donna Arduin, Director
Office of Policy and Budget
Office of the Governor
1602 The Capitol
Tallahassee, Florida 32399-0001
Dear Ms. Arduin:
This is in response to your inquiry dated 1une 6, regarding proviso language associated
with Specific Appropriations 192A and 193 of the 2000-2001 General Appropriations
Act Specifically. you asked for clarification regarding ,the definition and amount.ofloc!.ll
.'-.. matching tunds, and restrictions related to the non-Title XXI portion of the program. The
. . feillowing 'is 'provided to c1arity UgislafiVEliUeiiriCgarillii'g me issuesolitlii1ea iIi-your
letter.
~ Local Match
The tenns "commitment" and "current local match -levels" refer to the FY 1999-00'lcvels-'- --'- ...- .
of match pledged by local entities, which on a statewide basis are approximately $11.3 .
million. This is the level of match required for FY 2000-01 for most counties.
Counties are not required to provide local match to participate in KidCare in excess of
this amount; however, countiC$ may contribute additional local funds specifically for
non-Title XXI enrollees or Title XXI enrollees at their own discretion.
It is the intent of the LegislatllIe that local match be capped at a maximum level of S 14.4
million. CountiC$ whose local matching funds do not meet Title XXI eligibility
guidelines may continue to meet their "eonunitment" or "current local match"
requirements by allowing these funds to be used for non-Title XXI coverage even if these
enrollees are not in their respective COWlty. The Florida Healthy Kids Corporation may
accept local matching .funds that do not meet Title XXI eligibility guidelines; however,
such funds shall not be used as state matching funds for the pUlpose of drawing down
Title XXI federal funds. .
'-.... Non-Title XXJ. Coverage
The legislative intent as stated in Section 409.813, Florida Statutes, is clear regarding the
non-entitlement nature of the KidCare program. The program is subject to fiscal limits as
. NOV, 1. 2000 3: 22FM
Nr:} 4 75~ P. 4.
('-
Ms. Donna Arduin
June 14,2000
Page Two
specified annually in the General Appropriations Act. It is the intent of the legislature
that only $13,500,000 of state funds appropriated for FY 2000.01 shall be used for non.
Title XXI enrollees and that no additional state funded non-Title XXJ children be
enrolled in the program after July 1,2000.
'-..
It is the intent of the Legislature that non-Title XXI coverage be available for non-
citizens, state employee dependents and children over 19 years of age to the extent state
funds arc specifically provided in Specific Appropriation 193 and to the extent local
matching funds, grant funds, or other funds are legally av~iIable.
It is not the intent of the Legislature to dis~oll non-Title XXI eligible children for
reasons other than the failure to comply with the family payment provisions within the
allowable 30-day grace period or voluntary disemollment. However, state funded non.
Title XXI enrollees whose coverage is canceled for any reason shall not be reinstated and
the as$oc~ated state funds shall be used to increase the availability of coverage to Title
XXI eligible cliiIdreii and to maximiie federal funds.
Of the $11.3 million in local match commitment, up to $1.6 million in local matching
funds may be used for non-Title XXI match. These local match funds must be in
addition to the $9.7 million local match commitment required for Title XXI match and
shall not impair federal Title XXI match earnings..
In the event an entity contributing local match funds agrees to provide local match for the
purpose of increasing the number of non-Title XXI children served, such funds must be
provided on an annualized basis. Any non-Title XXI child enrolled after July 1, 2000
with local match funds may not be shifted to state funding.
Sincerely,
~~
kW
Ken Pruitt, Chair
Fiscal Responsibility Council
Locke Burt, Chair
Senate Budget Committee
KP:LB;sc
'-'
NOV,
20 D IJ
3:22PM
CONFERENCE REPORT ON HOUSE BILL 2US, GBNERA1. Ai'PROPRlATIOlIS M:r Py 2000.2001
SECTIOlI 3 - HmWl siRvrCES
"qu1rell :by ~e GoveXJllllent. PerfOr1ll&DeB ;aDd AccOl.U\1:aI:l111t.y ACt of uJt:
......._...-----~......~._.....s.........._..._..._______.........:....
I;;;;;~;:::_------------_....__...._---_.._------------~_;;;;~;;;_.I
OOTPUTS ,
To~a1 n~.~ of YAin.ured children carollell in X1dCa~... ... ..400,'82
HUmber of chl1dren age. 1-20 enroll.d in Medic.id....... ...1,179,141
N~r ot elder. enrolled in 10ft9 term care waiver............13,614
~er of eld.~ pre.cribed drug.......... ................10,044,125
AdcUt.lonal API' roved perfoZ1llal1ee _nure. aDd atau4ard$ are
'..t.abli.bed 1D ~e py 2000-2001 Impl~~iDg Bill and are
iDco~o..ated herein by referece. .
...___.......................................____.....==a========..==
CHILPRP'S SPECIAL KEAI.TH CAa!
Ul SDZHSES
FROM TOBACCO SETTLEHEtlr TRtl'ST FVND
PROM MEDICAL 0Jl.E TtlUST nnm . . .
"', '40
1.71'.J60
U2A Lt1MP SlIM
n.ORIDA JaDCARE PROGRAM
FROl'l TOU.CCO SETTLEHElfT Tltt7ST FWll .
PROM GlWlTS AHD IlOlllATIOlB TltUST FUlfI)
PROM MEt)ICAL ClUlE nun I'UND .
40,461,663
666.661
54,956.656
Funds in S~e~1fie Appropriat.ion 1J2A ar. provided t.o expand tbe
Plorida KidCa~. P~09~am for children eligible under the State Children'c
H.&l~ Insurance P~ogram (Tlt.le XXII. Of the.. funda, $18,400.000 from
the Taba~co S.~tl.~nt Truat FUnd is tranBferred from the LAwcon Chile.
EDclo_n~ Pund. The otUc. of t.hIo QQyemor 1lI&Y lluthorize _V.IIl.nt of
t.h..c re~ourc.~ ~ecw.en prog~'" or &g.n~i.a bll30d on ~onaensu.
est.imat.e$ of the Soelal serviee. Estimating Conference and pu~cuanc to
Chap~er 216, Plodda Scacuee.. The agency, in cooper.~:i.OIl with the
Department of Health and the Florida Healtby Kida Corporation, shall
CODtnet for an evalua1:ioD of t.h. Florida XidCare P~ogralll anei shall
provide ~ 6valuaclon que.tions aDd ~he dat.ll ~equi~ite ~or tbe requl~.d
ana1y~e~. Addieional local lIlat~hing fund. beyond $14,...,150 are not
required for program part.icipation in t.he health ineuraace portion of
the pro9r.~. Local mat.chiDf funds provided ~ tha count.l.. and
submitt.d to the Florlda Healt.hy Kid. Corpora~ion $h&11 ba used eo match
the Title XXI federal fund..
In the event cunent local uteh levels are not. _t ~ ~ount.ie.. dle
a.althy Kid. Progralll .hall f~e..e .~i..ion. in tboee ~ountie~ whi~h do
noe ...t. t.heir .at~h eceMi~-.nts and requirements aDd begin ~.dueing
enrollment t.hro~h atcritlon to reach the equivalent. value of the lost
local, state aU a..oelated federal ...eching fun4:i. Funclc are aho
provided to Aepl..-at a claDtal benefi~ package for an e.eiaated 160,000
childree enrolled in tbe Florida Healthy Kid. progra. ~o counties that
_~iaue eheir c:urrent level of lOClll _~ch, or will in tohe future.
COftt.l:ibuee local maeching funds t.o t.hC' beAl~ 11Ulurence p~og~&II\. Th.
clantal program shall tie made available to countie. wbich provide or
eona1e ~o provide local 1ftli.~ch in exe.as of $&,000.
The Florida Healthy Kid# COrpor~t.ion .hall conduct. a review of c~rrent
local mat.ch requirement~ and davelop . reeommendation fo~ a ~ulti-yea~
p~opo.al rela~.d to the reo\lction of local lIIaech. 11I1a report. shall ~e
prlYf'1clad to the Governor, SDealeer of the Hauee of llaprellent.Oltive:l. alld
pre.ident of the Senate no latee than NC9cmber 1. 2000.
193
SPECIAL CATEGORIES
GJl>>ITS J\IID AIDS - FLOIlIDA ImALTHY Jal)S
c:oa'OltATIOlf
ROM CEN!lAI. REVENOE FlJRl)
FJlOK l'OaACCO SB1'TLIHENT TRU$T F'lJlIIl)
ROM HEDICAL CME TRtl'ST PVIlD .
14.430.481
'O,434,"~
111,018,952
1'Imd. iD Specific Appeopriaeian 1.113 are fo~ the open~ion of !:Aa
Florida Ki4~ar. PrOgram. General Ilavenua F\lnde and Tobacco Setele_Dt.
Tru.t. P~ are ellgible to match the State Children" Healt.h In8urance
p~gra~ (Tl~l. XXI). The plorida Hea1~hy KidD Corporation i. authorized
to ~e ~ eo 513,500,000 r~ ehe General Revenue Fund for health
iuuraftee coverage for .eate f\lndecl (nOft-Title XXII eligible children
u
NO. 47:,4
F. :.
RURAL HEALTH NETWORK OF MONROE COUNTY, FLORIDA, INC.
P.O.BOX 4966, KEY WEST, FL 33041-4966
Funded in part by the Florida Department of Health
May 8, 2000
Mr. James Roberts
County Administrator
Stock Island Government Complex
College Road
Key West, FL 33040.
Dear Jim:
Each year the state requires the Rural Health Network of Monroe County Florida as the lead
agency for the Florida KidCare Program, to provide local match funding for the Florida Healthy
Kids Program. The local match is required to maintain the current enrollment and add additional
children to the state's affordable health care initiative. Based on the current participation in the
program, the forecast for program year 2000-2001 is for 1,500 children to be enrolled.
The local match for the upcoming fiscal year is scheduled to remain at the current 15% rate,
and not increase to the 20% capped rate, as originally established by the legislature. Fortunately,
the legislature heard the pleas from rural counties concerning the challenge of securing local
match dollars plus being penalized with a local match rate increase to factor against an increased
number of enrolled children, due to the success of outreach efforts.
The Healthy Kids monthly premium cost currently is $72.00 (up from $59.00 in 1999), for
each child enrolled, with 48.5% of that total to be provided by the Monroe County and 51.5%
provided by the Lower Florida Keys Hospital District. The totals are based on enrollment
distribution, The County historically covers the portion of the current enrollment living from
Marathon to Key Largo. The formula used to determine the local match figures is calculated as
follows:
1. The total number of enrollment slots forecast is 1,500.
2. The state gives each KidCare region 500 free enrollment slots, reducing the number to 1,000.
3. The total cost of the program is $864,000 ($72/child/month x 12 months x 1,000 children).
4. The totallocaI match requirement is $129,600 ($864,000 x 0.15).
5. The Monroe County portion is $62,856 ($129,600 x 0.485).
6. An additional $20,000 is-needed for outreach to be divided equally between both local match
sources, or $10,000 from Monroe County.
7. Total request is $72,856 ($62,856 + $10,000).
exeetmVe DIRECTOR-VOICE 305-293-7570; FAX 305-293-7573; EMA~ RHNED:~~~~~~LCOM
COMMUNITY OUTREAOf DIRECTOR-VOICE 305-293-7570; FAX 305-293-7573, EM~pcceAOL COM
PRIMARY CARE DIRECTOR-VOICE 305-872-5522; FAX 305-872~2i:~RE@lKEmiCONNECTION.COM
HEAlTHY KIDS/KIDCARE DIRECTOR-VOICE 305-517-9002; FAX 305-517-9004,
-2-
Hopefully, a portion of the savings realized by the effort to keep the local match at 15% can
be used to provide outreach to uninsured children and service the needs of currently enrolled
families. Thus the Rural Health Network of Monroe County Florida, Inc. asks the Monroe County
Commission to plan to allocate $77,856 to meet its portion of the local match required to provide
the Healthy Kids Program to 1,500 children. Thank you for your continued support of this
program vital to the health of our community.
~ie[~
~. '"
/. (/
. :~ tY"......-
.. KeithDOuglas~
v KidCare Director
..
nov 10 UU 11:Ula
~U~AL HEALTH NETWORK
(305)293-7570
p.2
~_'~~tb .
~....'?'
L . . '<.... ..'
. ;, .:
1i, /
RURAL HEALTH NETWORK OF MONROE COUNlY, FLORIDA, INC.
P.O.BOX 4966, KEY WEST, FL 33041-4966
Funded in part by the Florida Department of Health
MEMORANDUM
To:
from:
Re:
David Owens ~ ~
Keith Douglass ~Y/~
Rural Heahh Network of Monroe County
Request for KidCare Program Local Match Revision
November 16, 2000
Date:
The Florida legislature acted during its last session to freeze the local match dollar
requirements for the KidCare Program this year in each region at the previous year's
amount. As a result, the portion required of Monroe County (Region 17) provided
through funds within the County budget is reduced from the original request of $62,856,
to $38,370, for the contract period ending June 30, 2001. The local match issue is
currently under review by the state to determine the local match requirement for future
years. Thank you for your assistance in this matter.
EXECUTIVE DIRECroR-VOICE 305-293-7570; FAX 305-293-7573; EMAIL RHNFIl8AQUDM
COMMUNnY OUTREAQt DIRECTOR-VOICE 305-293-7510; FAX 305-293-7573; EMAlL RHNOCeAOL.COM
PRIMARY CARE DIRECTOR-VOICE 305-872-5522; FAX 305-872-4802; EMAIl RHNPCCAanLCOM
HEALTHY KIDS/KIDCARE DIRECTOR-VOICE 305-517-9002; FAX 305-517-9004; EMAIl KIDCARE@KEITHCONNECTION.CQM
/- PIt