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Board of County Commissioners Meeting Minutes - Final <br />June 17, 2025 <br />Commissioner Earman thanked the team for their excellent management of the <br />system. <br />A motion was made by Commissioner Earman, seconded by Chairman <br />Flescher, to approve staffs recommendation and Resolution 2025-028, <br />authorizing the filing of applications for grant funding assistance from the <br />Federal Transit Administration. The motion carried by the following vote: <br />Aye: 5- Chairman Flescher, Vice Chairman Loar, Commissioner Adams, Commissioner <br />Earman, and Commissioner Moss <br />11.C. 25-0627 Local Provider Participation Fund Approval (Legislative) <br />Recommended action: County staff recommends that the Board open the public hearing, take public <br />comment and then vote whether to approve the Local Provider Participation Fund <br />Resolution and the FY 25-26 Letter of Agreement. <br />Attachments: 09-24-2024 Agenda Item Number 10-A-2 <br />Assessment Roll 2025 <br />Final Indian River County - Resolution <br />Affidvit of Publication - LPPF June 17th Hearing.pdf <br />Deputy County Attorney Susan Prado presented the Renewal of Agreement letter <br />for the Local Provider Participation Fund (LPPF) which helped local hospitals <br />recover greater reimbursement for Medicaid services. Ms. Prado informed the <br />Board the renewal was being brought forward earlier than in previous years due <br />to impending state legislation. <br />The Chairman opened the public hearing. <br />Colleen Ernst, Adelanto Healthcare Ventures, expressed thanks for the Board's <br />support the past five years. Ms. Ernst informed the Board that hospitals were able <br />to increase reimbursement for Medicaid services from 60 percent to 80 percent, <br />and up to a full 100 percent this coming year, at no cost to taxpayers. <br />Cortez Whatley, Orlando Health, thanked the Board for supporting the hospital in <br />improving patient quality of care. <br />Joseph Ianotti, Cleveland Clinic Indian River County, thanked the Board for their <br />support. <br />There being no further comments, the Chairman closed the hearing. <br />A motion was made by Commissioner Moss, seconded by Chairman Flescher, <br />to approve staffs recommendation and Resolution 2025-029, authorizing and <br />adopting a non -ad valorem special assessment within the County limits for <br />the purpose of benefiting assessed properties through enhanced Medicaid <br />Indian River County, Florida Page 10 <br />