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Time to Implement One concern about utilizing the Share Care system is the uncertainty of the timing for implementation of the system in Indian River County. As this is a statewide system, dozens of counties must be supported and the State is unable to roll out the program in all counties at once. Since the meeting on January 19th, County staff has been advised that the State intends to roll out the Share Care system out to the county by mid to late next week. This is faster than was previously thought at the time of the Board meeting, however, there is still some uncertainty with this timeline based upon everything that the State must contend with at this time. Waitlist Functionality & Timing The Board has expressed a desire to provide a waitlist for our residents to reduce some of the anxiety based upon the current system. Due to extreme lack of supply, most residents that are eligible for a vaccine and desire to receive one are unable to schedule one of the few appointments available. The goal of the waitlist is to provide some certainty to residents that they "have a place in line" for a vaccine and that they will be provided an appointment time when a vaccine becomes available for them. Staff's understanding is that the Share Care system does not currently have a waitlist capability, but that they are working to develop this and roll out the functionality in the coming weeks. The option that the County is considering (Luminare Inoculate) would have a waitlist functionality upon rollout of the system. Cost and Commitment for Luminare Option As presented on January 19th, the Luminare system would cost about $150,000 as opposed to Share Care, which would be provided by the State at no cost to the County. One concern that staff has had about the Luminare option is that the cost is substantial. While this would be a worthwhile investment to help manage the vaccination effort, it would not be beneficial to spend these funds only to switch to the State system in a matter of weeks. Staff has worked with Luminare since the meeting, and they have agreed to provide their system on a trial basis for 60 days. We would pay Luminaire $10,000 for implementation of the program and the remaining $140,000 would only be due if the County continues to use Luminare following the 60 -day trial period. This provides an option for the County to implement Luminare and switch to Share Care later in the process with a much smaller commitment (initial $10,000 payment). Florida Residency Requirement Since the BCC meeting on Tuesday, State officials had stated publicly that the vaccine could be provided only to Florida residents to discourage the "vaccine tourism" from other states. This was formalized in a Public Health Advisory by the State Surgeon General yesterday (January 21St). The order provides that, "Prior to providing the first dose of the COVID-19 vaccine to the intended recipient, every vaccine provider in Florida should (emphasis added) ensure the recipient of the vaccine is either: 1) A resident of the State of Florida able to demonstrate residency consistent with the criteria set forth in Section 381.986(5)(b), Florida Statutes; or 2) An individual present in Florida for the purpose of providing health care services involving direct contact with patients." �d®