Item K09
. .
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: October 17 - 18, 2001
Division:
District 1
Bulk Item: Yes
No
Department: Commissioner Dixie M. Spehar
AGENDA ITEM WORDING:
Approval of a Resolution of the Monroe County Board of County Commissioners objecting to any
state budgetary bills or other proposed state legislation which would result in Medicaid, Juvenile
Justice and other costs being shifted from the state to the counties
ITEM BACKGROUND:
Florida Association of Counties put out an alert to all counties of the adverse impact of these cost shifts
and funding reductions and the need for each county to voice their opposition.
PREVIOUS REVELANT BOCC ACTION:
CONTRACT/AGREEMENT CHANGES:
STAFF RECOMMENDATIONS:
TOTAL COST:
BUDGETED: Yes
No
COST TO COUNTY:
REVENUE PRODUCING: Yes
No
AMOUNT PER MONTH
Year
APPROVED BY: County Atty ~ OMB/Purchasing _ Risk Management_
DIVISION DIRECTOR APPROVAL:
Ljt~ >no ~d-tJ
Commissioner Di ie M. Spehar)
DOCUMENTATION:
Included X
To Follow
Not Required_
DISPOSITION:
AGENDA ITEM #
/-7( /'
Revised 2/27/01
OCT-03-01 14,08 FROM,MONROE COUNTY ATTY OFFICE 10,3052823518
PAGE
1/2
Commissioner I)lxfa spehar
RESOLUTION NO.
..2001
A RESOUITION OF THE BOARD OF COUNTY COMMISSIONERS Of MONROE
COUNTY. FLOJUDA. OBJECT1N& TO ANY STATE BVDBE'rAAY an.L5 OR OTHER
PROPOSED STATE LEGISLAnON WHICH WOUlJ) IlESULT IN MEI>UAID,
JUVENILE JU5TtCE. ANt> OTHER COSTS 8EtN& SHlFT'!D FROM THE STATE
TO THE ~s
WHEReAS, the State of Florida elected to participate in th~ Ft'.deral Medicaid Program
requiring matching fundS from the State; and
WHEREAS. the State has passed on a portion of the matching fund requirements to the
counties pursuant to Fla. Stat. i 409.915; and
WHEREAS. the Agency for Health Care Administration has been designated by the
State of Florida as the single state agency to make payments for medical ~istance and related
services under Title XIX of the Social Security Act (Medicclid);and
WHEREAS. the Agency for Health Care Administration has proposed increasing the
coun1y contribution for Medicaid nursing home costs sixfold; and
WHERE.4S, for YetJl' 2002-2003, the Agency for Health CGre Administration proposes an
$169.1 million to be contributed by the counties; and
WHEREAS. said proposal would increase Monroe Cowaty's share $764.037; and
WHEREAS, the Department of Juvenile Justice is propoSing to shift $15.8 million in
predisposition detention costs to counties, of which Monroe County's additional costs are
estimated at $29,318; and
WHEREAS, additional cuts have been proposed by other State agencies. including Q $1.6
million reduction for in-home C4re for the elderly, proposed by the Department of Elder
A ffairs; and
WHEREAS, the in-home services program of Monroe County is olready in crisis with the
Medicaid waiver l'eimbursement ranging from about 30% to over 50% less than the actual costs
to the County; and
OCT-03-01 14,08 FROM,MONROE COUNTY ATTY OFFICE 10,3052823518
PAGE 2/2
WHEREM, the shifting of nursing home costs to the County through legislation revising
the formula of the computation for the County's share of nur~ing home and hec:llth care costs
would require ad VCllorem taxation in Monroe County to be increased by almost 2%; and
WHEREAS. other proposed reduction (It'\d termination of program funding would
exacerbate the burden on Monroe County to the extent that the County might not legally be
able to increase its ad valorem taxe5 to sufficiently to cover these increased costs resulting
from State reduction, eliminations of programs, and shifting of burdens from State to County;
now, therefore
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE
COUNTY, FLORIDA, that:
~on 1~ Any and all proposed State legislation and budget requests which would
shift the burden of nursing home costs, hospitalization costs and other health care costs under
the Medicaid program as well as in-home care, juvenile justice predisposition detention costs
and any other government services essential to the well being of the citizens of Monroe County
be opposed strenuously by our lobbyists and legislative representa.tives and thclt the Florida
Association of Counties be encoLlraged to make every effort to inform and promote opposition
of such legislation throughout the counties.
5cction 2. The Clerk is direct&d to send copies of this Resolution to the Governor, the
eo....ty's legislative representatives and lobbyists and to the Executive Director of the Florida
Association of Counties.
PASSED AND ADOPTED by the Board of County Commissioners of Monroe County,
Florida, at Q regular mating of said BoGrd held Oft the __ doy of October, 2001.
Mrqor &eot-te Neugent
Moyoro Pro Tem Noro WIIlIcm\S
Commintoner Murrey Nelson
Con.missioMr Dbde Spehar
CommissioMt' Charles 1kCf1y
(SEAl.)
Attaf; DANNY L.kOUMSE, Clerk
BOARD OF COUNTY COMMI55IONEAS
OF MONROE COUNTY, FLORl:I)A
By
8y
Deputy CJwk
M4yorlChoirperson
Jdru$cuts