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Resolution 080-1968•r� • EXHIBIT* R .E S 0 L U T 1 0 N NO. 80-1968 Regarding HOSPITAL SERVICE FOR THE INDIGENT WHEREAS, Chapter 401, Florida Statutes, creates a program known as "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 Commissioners or their 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 participation 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 AeS'1VW dG County for the current year made by the Bureau of Vital Statistics of this State is 62.900 inhabitants; now, therefore, BE IT RESOLVED by the Board of County Commissioners of Monroe County meeting in Key v4est , Florida, this 26tiday of Sept. ,.19 68 that effective 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 hereby established as an item in the County Budget the " Monroe County Indigent Hospitalization Fund" in the amount of $ 41,431.,O%hich amount is not less.than fifty cents-($.50) per capita of County Funds based on the above estimated population of Monroe County; -and, BE IT FURTHER RESOLVED, that the " Monroe County Indigent Hospitalization Fund" 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; %A County Funds (50C per capita) $ 31,4.50.00 B. State Matching Funds 39951!.00 Total County Indigent Hospitalization Fund $ • 00 and, • • ® EXHIBIT 139 Page 2 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 Monroe County Health Department; 5. 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; 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 County whose hospitalization has been authorized under the provisions of this program by the Monroe 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 namesif the patient .is a minor. c. Patient's address.. d. Name of physician who diagnosed patient and certified hospitalization 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 -expendituresfrom the " Monroe County 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 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 td the Monroe County Board of - County Commissioners or other local official agency.from Monroe County's share.of the State appropriation for this propgram,-less any charges that may have been paid to hospitals outside of 4nnroe 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 Hospital.izat.ion 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. Dated September 26th, 1968.