Resolution 634-2023 RESOLUTION NO. 634 - 2023
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF MONROE COUNTY,
FLORIDA AUTHORIZING THE MONROE
COUNTY HEALTH DEPARTMENT TO
ESTABLISH FEES SPECIFICALLY FOR VITAL
STATISTICS AND THE HEALTH CLINIC AS SET
FORTH IN EXHIBIT "A" ATTACHED HERETO
AND MADE A PART OF THIS RESOLUTION.
WHEREAS, F. S. 154.01(2) requires counties to establish and maintain full-
time county health departments to provide environmental health, communicable
disease control and primary care services; and
WHEREAS, F.S. 154.01(3) requires the Department of Health to enter into
contracts with counties for this purpose; and
WHEREAS, on July 19, 2022, the Board approved the annual core contract
between Monroe County and the Florida Department of Health for public health
services; and
WHEREAS, F. S. 154.06(1) authorizes each county and each county health
department to collect fees for Vital Statistics and Health Clinic services rendered
through the county health departments provided that a schedule of such fees is
established by resolution of the Board of County Commissioners or by rule of the
department; and
WHEREAS, F.S. 154.06(2) requires all funds collected under this section to
be expended solely for the purpose of providing health services and facilities within
the county served by the county health department and pursuant to the rules and
regulations cited therein and pursuant to all other applicable rules and regulations; and
WHEREAS, the Monroe County Health Department has indicated the need
to re-define and re-establish fees for Vital Statistics and certain aspects of Health
Clinic services offered at the Monroe County Health Department as set forth in
Exhibit 'A"attached hereto and made a part of this Resolution; and
WHEREAS, the Board is satisfied with the justification provided by the Monroe
County Health Department;
1
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF
COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA that;
I 1"he Monroe County Health Department shall collect fees for Vital
Statistics and Health Clinic set-vices as specified in Exhibit 'A" attached
hereto and made a part ofthis Resolution.
2. The Monroe County Health Department is solely responsible for ensuring
effective notice is provided to the general public and other impacted
agencies and organizations of the specific service fee increases.
3. 'rhe Monroe County Health Department is solely responsible for ensuring
the County's compliance with all financial and transitional rules and
regulations, and any other factors that may be impacted by the service
fee increases at all levels; local, state, and federal.
4. Any prior resolution, ordinance, or contract inconsistent herewith is
hereby repealed,
PASSED AND ADOPTED by the Board of County Commissioners of Monroe
County, Florida, at a regular meeting of the Board held on the I day of December 2023.
Mayor Holly Merrill Raschein Yes
Mayor Pro Tem James K. Scholl Yes
"'75 (7omajissioner Craig Cates Yes
Commissioner Michelle Lincoln Yes
Commissioner David Rice Yes
EVIN MADOK., CLERK BOARD OF COUN'FY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
...... .......
B By:
.....................
As Deputy Clerk Mayor
Approved as to form and legal sufficiency:
Monroe County Attorney's Office 12-5-2023
C)
2
EXHIBIT A
MONROE COUNTY HEALTH DEPARTMENT
VITAL STATISTICS & CLINIC SERVICES COUNTY FEE
SCHEDULE
The Fee Schedules for Vital Statistics and Health Clinic Services in Monroe County have not been
updated in many years. As such, the Monroe County Health Department conferred with neighboring
counties and senior leadership in Tallahassee to prepare a Fee Schedule aligned and comparable to
those with more recent updates. Revenue generated from Vital Statistics and Health Clinic services,
once approved, will provide additional support for departmental functions and provision of services.
Thank you for your consideration.
Program Service Current Fee Proposed Details r/t service and fee
Fee
Vital Statistics Birth $16.00 $16.00 + Certification of a registered
Certificate $6.25 birth.
administrative
fee Adjusted fee aligned with
Monroe County Tax Collector.
Vital Statistics Death $13.00 $16.00 + Official certification of death
Certificate $6.25 with or without cause.
administrative
fee Adjusted fee aligned with
neighboring counties.
Clinic Medicare Unchanged All clinical visits with provider
General Clinical Services Rates are adjusted based on a sliding
Non- Unchanged scale established by the Federal
Medicare Poverty Guidelines.
Rates 160%
of Medicaid
Rate
$163.27
Clinic Medicare Unchanged All laboratory services are
General Lab Services Rates adjusted based on a sliding
160% of Unchanged scale established by the Federal
Medicaid Poverty Guidelines.
Rate
$163.27
Clinic School Health New Svc. $75.00 Comprehensive physical exam
Physicals for school completed by
(ages 5-18) physician or APRN,
completion of required forms,
and evaluation of immunization
status.
3
Clinic Occupational New Svc. $95.00 Comprehensive physical exam
Health for work placement completed
Physicals by physician or APRN,
completion of required forms,
and evaluation of immunization
status.
Clinic Consultation New Svc. $50.00 Medical staff review of
for Travel immunizations for travel and
Immunizations completion of required forms.
Clinic Civil Surgeon New Svc. $300 Comprehensive physical exam
Refugee for adjustment of status
Health completed by physician or
Physical APRN, completion of required
forms, and evaluation of
immunization status.
4