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RESOLUTION REGARDING FEES FOR REVIEW OF HEALTH CARE <br />FACILITIES EMERGENCY MANAGEMENT PLANS <br />The Board reviewed a Memorandum of November 28, 1994: <br />TO: Board of County Commissioners <br />THROUGH: Jim Chandler, ounty Administrator <br />FROM: Doug Wright irector <br />Department of Emergency Services <br />DATE: November 28, 1994 <br />SUBJECT: Approval of Resolution Regarding Fees for Review of <br />Health Care Facilities Emergency Management Plans as <br />Established by Rule 9G-20, Florida Administrative Code, <br />and Chapter 93-211, Laws of Florida <br />It is respectfully requested that the information contained herein <br />be given formal consideration by the Board of County Commissioners <br />at the next scheduled meeting. <br />DESCRIPTION AND CONDITIONS: <br />In the aftermath of Hurricane Andrew, the 1993 Legislature enacted <br />initiatives to the Agency for Health Care Administration (AHCA) to <br />promulgate emergency planning criteria for nursing home facilities. <br />This means that each nursing home must develop and have its <br />comprehensive emergency management plan approved annually by the <br />County Emergency Management Agency. Prior rules only required <br />facilities to consult with local emergency management officials <br />regarding their facility emergency plans. <br />More than a year ago, the ARCA drafted its first -proposed Rule <br />amendment and began the public hearing process. Having completed <br />several modifications to the original draft and providing open <br />forums to receive public comments, the AHCA has instructed their <br />facility inspectors to implement the new review criteria. The <br />revised emergency management planning criteria for nursing home <br />facilities is eight (8) pages in length, compared to less than <br />one (1) page before. More importantly, the County is now <br />responsible to approve each of these disaster plans. <br />The companion document to Rule 59A-4.26, FAC, is Rule 9G-20, which <br />authorizes County Emergency Management'Agencies to charge a fee to <br />compensate for the costs of reviewing health care facility disaster <br />plans. During the rulemaking process, the state determined that <br />counties may charge $25 per hour and add to that number an amount <br />equal to not more that 25% of that figure to cover miscellaneous <br />and indirect costs. The rule also states that counties are <br />authorized to charge no more than $250 for a facility licensed for <br />16 beds or less and may charge $500 for a licensed facility of more <br />than 16 beds for the annual plan reviews. <br />13 <br />DECEMBER 6, 1994 859 � �. <br />BOOK MIA <br />