Resolution 419-2001
Commissioner Dixie Spehar
RESOLUTION NO. 419 -2001
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE
COUNTY, FLORIDA, 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
WHEREAS, the State of Florida elected to participate in the Federal 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. ~ 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 assistance and related
services under Title XIX of the Social Security Act (Medicaid);and
WHEREAS, the Agency for Health Care Administration has proposed increasing the
county contribution for Medicaid nursing home costs sixfold; and
WHEREAS, for Year 2002-2003, the Agency for Health Care Administration proposes an
$169.1 million to be contributed by the counties; and
WHEREAS, said proposal would increase Monroe County'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 a $1.6
million reduction for in-home care for the elderly, proposed by the Department of Elder
Affairs; and
WHEREAS, the in-home services program of Monroe County is already in crisis with the
Medicaid waiver reimbursement ranging from about 30% to over 50% less than the actual costs
to the County; and
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WHEREAS, the shifting of nursing home costs to the County through legislation revising
the formula of the computation for the County's share of nursing home and health care costs
would require ad valorem taxation in Monroe County to be increased by almost 2%; and
WHEREAS, other proposed reduction and 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 taxes 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:
Section 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 representatives and that the Florida
Association of Counties be encouraged to make every effort to inform and promote opposition
of such legislation throughout the counties.
Section 2. The Clerk is directed to send copies of this Resolution to the Governor, the
County'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 a regular meeting of said Board held on the 17th day of October, 2001.
Mayor George Neugent
r Pro Tem Nora Williams
ioner Murray Nelson
'oner Dixie Spehar
ner Charles McCoy
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yes
yes
yes
yes
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BOARD OF COUNTY COMMISSIONERS
/ OF MONROE COUNTY, FLORIDA
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