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RESOLUTION NO. 2015 -052 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS URGING THE FLORIDA LEGISLATURE TO ESTABLISH A THREE PERCENT (3%) CAP ON THE ANNUAL GROWTH RATE FOR INDIVIDUAL COUNTY MEDICAID COSTS UNDER SECTION 409.915, FLORIDA STATUTES WHEREAS, Florida counties have been required to participate in a Medicaid cost- sharing relationship with the state since 1972; and WHEREAS, during the 2013 Legislative Session, SB 1520 passed changing the way counties are charged for their portion of costs — eliminating the monthly billing process and establishing a formula-based county Medicaid contribution; and WHEREAS, for the two years following the passage of SB 1520, the total county contribution and each county's percentage share of the total county contribution have been fixed in statute; and WHEREAS, beginning in FY 2015-16, the individual county percentage shares will begin a four-year transition period to an enrollment based formula - after which each county's share will be based solely on each of its respective share of the state's Medicaid enrollees; and WHEREAS, this formula shift has a significant range of impact on the 67 counties. Some counties will see their costs go down over or remain relatively stable over the transition period, while others are expected to experience significant and unsustainable growth in their mandatory Medicaid costs; and WHEREAS, Indian River County's Medicaid expenses are expected to increase by 7.88% next year; and WHEREAS, the Florida Legislature is requested to establish an annual growth rate cap of three percent (3%) to protect those counties that are disproportionately affected; and WHEREAS, the three percent (3%) cap would provide a savings of approximately $53,680 to Indian River County for fiscal year 2015-2016, and would continue to provide a savings to Indian River County in future years based upon the compounding of annual increases that could exceed 3%per year. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF INDIAN RIVER COUNTY, THAT: Section 1: The above "WHEREAS" clauses are true and correct, and are hereby adopted as findings of the Board.