Resolution 056-1966• EXHIBIT 0
R E S 0 L U -T i 0. N NO. 56-1966
Regarding
HOSPITAL SERVICE FOR THE INDIGENT
WHEREAS, Chapter 401, Florida'Statutes, creates.a program known,as "Hospital
Service for the lndi.gent"°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 their-loca-l-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, provi-des 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,
WHEREAS, the estimated population of MONROE County for the current year
made by the Bureau of Vital Statistics of this State is 5%500 inhabitants; now,
therefore,
BE IT RESOLVED by the Board of County Commissioners of MONROE County meeting
in KEY WEST , Florida, this 20th day of SEPT. , 19 66, that ..ef feet i ve OCT. 1,1966
MONROE County participate in said State-wide program, de.signed.to provide -
"Hospital Service for the Indigent" as provided by Chapter 401, supra, and for these
purposes°there is hereby established as an item in the County Budget the "
County Indigent Hospitalization Fund" in the amount of $ 39,837 which amount is
not less than fifty cents ($.50) per capita of County Funds based on the above es-
timated population of 59,500 County; and,
BE IT FURTHER RESOLVED., that the " Monroe County Indigent Hospitalization
Fund" shall be administered as follows:
Ui, 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:
TP The indigency or medical indigency of all recipients of hospitalization
- -- under- this- program will- be Aetermi ned through an -investigation made by
the'County Health:Oepartment or its duly authorized representative,
except that when it is determ i ned, a ,patient J s a recipient of benefits
under -the State Department of Welfare, no further check as, to his
• _EXHIBIT B •
Page 2
21 3. A determination that the patient is acutely i-I1 or injured and that
%? hospitalizationlis essential to the patient's treatment -will be made for
each .recipient of hospitalization under this program by a Rhysician, duly
licensed to practice medicine in this State;
4. Authorizations for hospitalization under this program shall be made
by the Monroe County Health Department;
5.I Payments for hospitalization from the " Monroe County Indigent
Hospitalization Fund" will be limited to -the non-profit basic cost to
the hospital for providing essential hospital care to the medically
indigent patient;
and,
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 Mo-nree.County Health
Department.
7. A record will be maintained by this Board of all expenditures made -from
the " Monroe County Indigent Hospitalization 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;
BE IT FURTHER RESOLVED, that this Board will make all medical and financial
records supporting direct expenditures from the " MonroECounty Indigent Hospitali-
zation Fund" available for review by the State Board of Health, and this Board will
submit at 'least monthly to the State Board of Health a certification identifyi-hg
hospitalized cases and the payments for the case of each made from the "
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 Monr oe County Board of
County Commissioners or other local official agency 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