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MAR 2 1983 <br />945 <br />Commissioner Wodtke brought up the fact that neither <br />the physicians nor the dentists in this group will have <br />privileges at the local hospital, and Mr. Diaz confirmed <br />that they refer their surgical patients on to other <br />physicians; they are strictly an ambulatory service. <br />Chairman Bird asked who their Board of Directors <br />answers to, and Mr. Diaz replied that they are a legally <br />constituted corporation within the state; they do answer to <br />their funding sources - the federal and state governments, <br />the DHRS, etc. They also have contracts with the Department <br />of Corrections, to whom they supply health services. He <br />noted that they started out as a migrant health service in <br />the Belle Glade area and spread to St. Luci�;County. Mr. <br />Diaz further explained that people from any county or state <br />can use their services, and they do not necessarily have to <br />be migrants or indigents. Sometimes tourists avail <br />themselves of their dental services, and they pay according <br />to a sliding fee scale; these are federal dollars and they <br />work by federal guidelines. <br />Commissioner Lyons stated that he would like to pursue <br />having this group supply services to the jail, and Mr. Diaz <br />agreed this could be done. <br />Commissioner Wodtke stated that one of the major <br />problems he had with going along with the concept presented <br />is the uncertainties of the funding, particularly if we are <br />talking about deeding the property. He still felt the <br />School Board should be handling this. <br />Commissioner Lyons noted that, regardless of who should <br />be handling this, we made a commitment to the community and <br />the League; they now have come to us in good faith with a <br />proposal as discussed previously, and on that basis, he <br />would go along with it. <br />Commissioner Wodtke believed the Board had stated that <br />we would give this facility to the Civic League, but now <br />91 <br />