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BOA ALTERNATIVES AND ANALYSIS: The companion Florida Administrative Codes does not give the Indian River County Emergency Management Division an option as to whether we choose to participate in the review and approval process. As the ARCA inspectors make their annual visit to the local health care facilities, they are required to review the County's compliance letter supporting concurrence with. the facility administrator's disaster plan before they can issue another annual certificate of licensure. The aforementioned Florida Administrative Codes were filed with the Secretary of State's Office on November 14, 1994 and will be effective on December 5, 1994. Indian River County is eligible to charge reimbursement fees for review of plans received after the rule's effective date. There are approximately 20 facilities in Indian River County that will be impacted by. the new planning review criteria when completed by AHCA including hospitals, nursing homes, and other type facilities. It is estimated that overall, staff will spend the minimum of eight (8) hours in staff time per facility the first year helping the health care administrators meet the new criteria. It is also anticipated that the staff time required for review and approval of the annual submittal of the facility plan will be reduced in subsequent years. Funds received from fees paid are required to be deposited in a separate fund or account. Unspent, monies may be carried forward at the end of the fiscal year and a report must be submitted to the state within 60 days of the end of the fiscal year regarding funds collected for the annual plan reviews. Based on the above information, it appears the following alternatives are available to the Board: Alternative No. 1: Do not establish any fee schedule for the required plan reviews as provided for by Rule 9G-20 and Chapter 93-211, Laws of Florida. Alternative No. 2: Authorize staff to charge a fee of $25 per hour as authorized by the rule plus any miscellaneous or indirect cost for the required annual facility plan review as authorized by the authorities cited above. Alternative No. 3: Authorize staff to charge an hourly fee of an amount less than provided for in the rule to conduct the required facility plan review. RECOMMENDATION: Staff recommends that the Board of County Commissioners approve Alternative No. 2 as well as the attached Resolution and fee exhibit regarding plan review fees for reviewing and approving health care facilities emergency management plans as described in 9G-201 Florida Administrative Code, and Chapter 93-211, Laws of Florida. 14 DECENMER 6, 1994