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Board of County Commissioners Meeting Minutes - Final September 21, 2021 The Chairman opened the public hearing. The following people addressed the Board in favor of the Resolution: Colleen Emrst, Adelanto Healthcare Ventures Warren Fuller, Chief Financial Officer, Cleveland Clinic Indian River Hospital Ron Bierman, President, Sebastian River Medical Center Steven Snyder, Chief Financial Officer, Sebastian River Medical Center In response to questions from the Board, Ms. Ernst offered assurance that the Resolution had been modified to protect taxpayers from potential increases to the County's Medicaid contribution, that the process was legally compliant, and that the program was guaranteed through this first year; the LPPF required annual approval from the State and Federal governments. County Administrator Jason Brown anticipated the County would be well positioned to cover any unforeseen increase in Medicaid contributions, and felt comfortable that there would not be a tax increase. There being no further speakers, the Chairman closed the public hearing. Under discussion, the Commissioners expressed their rationales for approval of the Resolution, with the exception of Vice Chairman O'Bryan who opted to wait and see how the first year worked out. A motion was made by Commissioner Moss, seconded by Commissioner Adams, to approve staffs recommendation and approve Resolution 2021-054, authorizing and adopting a non -ad valorem special assessment within the County limits for the purpose of benefiting assessed properties through enhanced Medicaid payments for local services; finding and determining that certain real property is specially benefited by the assessment; collecting the assessment against the real property; establishing a public hearing to consider imposition of the proposed assessment and the method of its collection; authorizing and directing the publication of notices in connection therewith; providing for certain other authorizations and delegations of authority as necessary; and providing an effective date. The motion carried by the following vote: Aye: 4- Chairman Flescher, Commissioner Adams, Commissioner Earman, and Commissioner Moss Nay: 1 - Vice Chairman O'Bryan The Chairman called for a recess at 10:15 a.m., and reconvened the meeting at 10:26 a.m. with all members present. Indian River County Florida Page 9