Resolution 046-1963
EXHIBIT B
RES 0 L UTI 0 N # 46-1963
Regarding
HOSPITAL SERVICE FOR THE INDIGENT
~JHEREAS, Chapter 401, Florida Statutes, creates a program known as I'Hospital
Service for the Indigent" for the purpose of providing essential hospitalization for
acutely ill or injured persons in this State who are medically indigent; and,
WHEREAS, the legislature appropriates funds for the administration of this
program and for the purpose of allotting State funds to each County in proportion to
Its population to augment County funds which may be provided for these purposes; and,
WHEREAS, Section 401.08 (2), supra, authorizes each Board of County Commiss-
ioners or other local official agency of this State to budget for and provide County
funds as may be necessary to match, on a formula basis, the County's part of the cost
of this program; and,
WHEREAS, Section 401.06 (2) (a), supra, provides that the financial partici-
pation required of each County each year shall be equal to at least one-half dollar
for each inhabitant of said County according to the estimate of the population of
said County for such year by the Bureau of Vital Statistics of this State; and,
\JHEREAS, the es t i mated popu 1 at i on of Monroe
County for the current year
;, . c
made by the Bureau of Vital Statistics of this State is 47,921
inhabitants; now,
therefore,
BE IT RESOLVED by the BoarQ of County Commissioners of Monroe County meeting
?,
in Key \\est , Florida, this 23rd day of July
I
, 19 63
, that effective
Oct.1, 1963 . County participate in said State-wide program, designed to provide
"Hospital Service for the Indigent" as provided by Chapter 401, supra, and for these
purposes there is herby established as an item in th~ County Budget the II
County I ndi gent Hospi tal i zat i on Fund" i Ii the amount of $~.?~"~ whi ch amount is
not less than fifty cents ($.50) per capita of County Funds based on the above es-
timated population of Monroe
County; and,
BE IT FURTHER RESOLVED, that the" Montoe County Indigent Hospitalization
Fundll shall be administered as follows:
1. Expenditures from this fund will be made only for the provision of
essential hospital care for indigent and medically indigent residents
of County who are acutely ill or injured:
2. The indigency or medical indigency of all recipients of hospitalization
under this program will be determined through an investigation made by
the County Health Department or its duly authorized representative,
except that when it is determined a patient is a recipient of benefits
under the State Department of Welfare, no further check as to his
indigency shall be necessary;
'leA.
B.
County Funds (50~ per capita) $
State Matching Funds
Total County Indigent Hospitalization Fund $
26..,950.00
0,831.50
35,781. 50
EXHIBIT B
Page 2
. 4
3. A determination that the patient is acutely ill or injured and that
hospitalization is essential to the patient's treatment will be made for
each recipient of hospitalization under this program by a physician, duly
licensed to practice medicine in this State;
4. Authorizations for hospitalization under this program shall be made
by the Monree County Health Department;
5. Payments for hospitalization from the '1 Monroe County Indigent
Hospitalization Fun~' will be limited to the non-profit basic cost to
the hospital for providing essential hospital care to the medically
indigent patient;
6. Payments for hospitalization from the ; Monroe County Indigent
Hospitalization Fund:' will be made by this Board to the hospital providing
essential hospital care to medically indigent and acutely ill or injured
residents of Monroe County whose hospitalization has been authorized
under the provisions of this program by the MonreeCounty Health
Department.
7. A record will be maintained by this Board of all expenditures made from
the I 'Monroe County I ndi gent Hosp ita 1 i zat i on Fund" and these records
shall include:
a. The patient's name, age, sex and race; and, if married, the full
name of the patient's spouse.
b. The parents' full names if the patient is a minor.
c. Patient's address.
d. Name of physician who diagnosed patient and certified hospitaliza-
tion essential to his treatment.
e. Physician's diagnosis.
f. The calendar days of hospitalization received.
g. A record of payment to this hospital;
and,
BE IT FURTHER RESOLVED, that this Board will make all medical and financial
records supporting direct expenditures from the "Monroe County Indigent Hospitali-
zation Fundi' available for review by the State Board of Health, and this Board will
submit ~ least monthly to the State Board of Health a certification identifying
hospitalized cases and the payments for the case of each made from the "Monroe
County Indigent Hospitalization Fund," together with a statement of expenditures
certifying that all such payments were made in accordance with the provisions of
Chapter 401, supra. and on the basis of such requisition this Board will request the
State Board of Health to authorize direct payments to the Monroe County Board of
County Commissioners or other local official aqency from Monroe County's share of
the State appropriation for this program, less any charges that may have been paid to
hospitals outside of Monroe County by the State Board of Health for necessary
emergency treatment of indigent Monroe County residents; and.
BE IT FURTHER RESOLVED, that all payments received from the State of Florida
through this program shall augment the Monroe County Indigent Hospitalization Fund,
and shall be expended in addition to County Funds herein appropriated in accordance
with County Annual Budget Statute, Chapter 129, Florida Statutes; and.
BE IT FURTHER RESOLVED. that a certified copy of this Resolution be submitted
to the Monroe Medical Society. the Monroe
County Health Department and the
State Board of Health.
FSBH/Div. Hosp. & Nurs. Homes.