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Item P18 BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: March 20, 2002 Division: District 1 Bulk Item: Yes No Department: Commissioner Dixie M. Spehar AGENDA ITEM WORDING: Resolution to support a NO VOTE to House Bill 1975, which would shift $48 million dollars of the cost of Medicaid from the state to the counties and direction for staff to forward to State Representative Ken Sorensen ITEM BACKGROUND: Per LEGISLATIVE ALERT of March 6, 2002, HB 1975 was not heard on the House floor. This cost shift will increase the County's financial responsibility by $216,898. 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 Arty OMB/Purchasing _ Risk Management _ DIVISION DIRECTOR APPROVAL: 4~;- m ~J.J~_o (Commissioner Dl ie M. Spehar) DOCUMENTATION: Included X To Follow Not Required_ AGENDA ITEM # ~ DISPOSITION: Revised 2/27/0 I Page 1 of 1 From: Mary Kay Cariseo <mkcariseo@f1-counties.com> Date: Wednesday, March 06, 2002 6:22 PM Subject: Legislative Alert. Medicaid. Update - - LEGISLATIVE ALERT fiLE PLEASE DISTRIBUTE IMMEDIATEL YII TO: County Commissioners County Administrators County Attorneys County Lobbyists FROM: Mary Kay Cariseo, Executive Director DATE: March 6, 2002 RE: MEDICAID NURSING HOME COST SHIFT - UPDATE HB 1975 was not heard today on the House floor. FAC encourages all counties to continue the personal phone calls and the e-mails.ltis unclear at this time when the bill will be voted on, but we must keep the pressure on all House members to VOTE NO on HB 1975. Information was distributed today on the House floor that states: "Bottom Line: Counties must prioritize their budget issues just as the Legislature and Florida's families have prioritized since Sept. 11 th." County commissioners need to reinforce the message that "the state needs to prioritize its budget and fund state programs with state dollars _ not with local property taxes." Additionally, counties have prioritized their budgets since Sept. 11 th to ensure local communities are safe and secure. The Florida Legislature should not compromise the first line of defense - our county governments! KEEP THE PRESSURE ON! MKCI cc: FCF Circuit Riders 3/7/02 Proposed 2002-03 House Shift in Medicaid Nursing Home Costs 2002..()3 House 2002..()3 House Proposed Medicaid Proposed Medicaid Nursing Home Shift Nursing Home Shift State Fiscal Year Impact County Fiscal Year Impact Lee $895,697 $1,194,263 Leon $429,667 $572,889 LevY $116,091 $154,788 Liberty $35,869 $47,825 Madison $102,783 $137,044 Manatee $591,856 $789,141 Marion $706,318 $941,758 Martin $288,054 $384,072 Miami-Dade $3,980,450 $5,307,267 Monroe $162,674 $216,898 Nassau $122,895 $163,860 Okaloosa $413,775 $551,701 Okeechobee $97,377 $129,835 Oranae $1,851,703 $2,468,938 Osceola $383,794 $511,725 Palm Beach $2,219,515 $2,959,354 Pasco $960,380 $1,280,506 Pinellas $3,061,476 $4,081,969 Polk $1,447,932 $1,930,576 Putnam $271,243 $361,658 Saint Johns $277,554 $370,072 Saint Lucie $515,539 $687,385 Santa Rosa $196,174 $261,565 Sarasota $960,523 $1,280,697 Seminole $573,816 $765,087 Sumter $128,282 $171,043 Suwannee $171,570 $228,761 Taylor $87,909 $117,212 Union $21,326 $28,434 Volusia $1,386,569 $1,848,758 Wakulla $59,486 $79,314 Walton $141,957 $189,276 Washington $139,176 $185,568 Statewide $36,000,000 $48,000,000 The State Fiscal Year (SFY) runs from July 1 to June 30th. County Fiscal Year (CFY) runs from October 1 to September 30th. Should the House implement this shift on October 1, 2002, it would result in a shift for 9 months in the SFY and twelve months in the CFY. Data Compiled by Florida Association of Counties c...... "'i'. HAR-ls-e2 11,26 FROH,HONROE COUNTY ~TTV OFFice ID'3852923618 PAGE a,. , Conunlssfoner Spehar .~NO. -ZOO! A AESCLLJTION OF ~E ICARD ~ COUN'rI COMMISSlONEAS OF MONROE COUNTY, PLOAIDA 0flP0SlNI THE lEMSI ATUar, ATrEMn' TO 6HJfT $48,000,000 IN MEOU:AIb ~ IoCOME C05TS TO nE I'YVJt.ITTt:~ WHEREAS, Sec. 17 of H8 1975 propos., tD in,,"e.. the eounti..' pr patient Medicaid contribu1'lon far nursing home CQI"& fro", $" to $1<<); WHEREAS. the. Florida Association of Countiu atimcatu that such an Increase In eoun'ty con'trtbuttane will cost Florida's c.ounfiu GII utimated $48,000,000: and Wl-fEREA5. the Lef"1ature should diract it, efforts to managing the Stot. budgat. not raiding me ad wIorcm NVMU& of the eounties for 5tcatc purpotU, upeciGlly wh... ., many e>>untla eft financially prdsed to fund pisting local government serWcaI: MW, theretora IE IT RESOLVED IV THE 80ARD OF COUNTY COMMISSIONERS OF M~OE COUNl'Y. FLORIDA: .5ec:TfM t The Monroe County hard of Coun'ty c.ornmtaionen herebv cfcdcns its oppo.ition to any attempt by the LegiSIaturI to Ihlf' ttny Medicaid .....ing holM coats '0 the countiu, The Commi..ion further requests that 1'ha L-rI-1crhn fwtd State ~ out of State revenue end refrain from divarting courrty ad YClIoNIn dollars n..-ded for lOCAl goY8"l'\lMftt sarvtCd to State purpoMS. sed_ z.. The Clerk is di.-eetad '0 sn ca certified copy of this RaGlutfan to Monroe Counfy's legi.lative d...,IOft. PAsSED AND ADOPTED by the Soard of County CommiSS'onert of Monroe County. Florida, cat a rqular ",..ting of scaid Soard hdd an the 20th day of Mwch, 2002. Mayor a-tu MdAy MItfot' Pro TIM Dixie Spehar C.INft'..i.... Murrav NcltGft c.ftUft-.... fieerge NeugMt CoIftlftlaioMr NaN Willi_ (SEAL) Art_: OANNY L..KCLHA~. Clerk WARO OF lOUNTV COMMISsIONeRS OF MONROE COUNTY. fLOAIOA IV ay beputy Clerk ~ p/f