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RESOLUTION NO. 2015 - <br />WHEREAS, Florida counties have been required to participate in a Medicaid cost- <br />sharing relationship with the state since 1972; and <br />WHEREAS, during the 2013 Legislative Session, SB 1520 passed changing the way <br />counties are charged for their portion of costs — eliminating the monthly billing process and <br />establishing a formula -based county Medicaid contribution; and <br />WHEREAS, for the two years following the passage of SB 1520, the total county <br />contribution and each county's percentage share of the total county contribution have been fixed <br />in statute; and <br />WHEREAS, beginning in FY 2015-16, the individual county percentage shares will <br />begin a four-year transition period to an enrollment based formula - after which each county's <br />share will be based solely on each its respective share of the state's Medicaid enrollees; and <br />WHEREAS, this formula shift has a significant range of impact on the 67 counties. <br />Some counties will see their costs go down over or remain relatively stable over the transition <br />period, while others are expected to experience significant, and unsustainable, growth in their <br />mandatory Medicaid costs; and <br />WHEREAS, Santa Rosa County, with a growth rate of 69.03%, will end up shouldering <br />too large a burden particularly during the transition period; and <br />WHEREAS, the Florida Legislature is requested to establish an annual growth rate cap <br />of three percent (3%) to protect those counties that are disproportionately affected. <br />NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY <br />COMMISSIONERS OF SANTA ROSA COUNTY, THAT: <br />The County of Santa Rosa supports establishing a 3% cap on growth in individual county <br />Medicaid costs under Section 409.915, F.S., to address the anticipated cost shifts that result from <br />the transition to a Medicaid enrollee based cost-sharing system. <br />PASSED AND ADOPTED by the Santa Rosa County Board of County Commissioners, <br />on a vote of _ yeas, and _ nays, and _ absent, in regular session, this _ day of April, 2015. <br />ATTEST: <br />CLERK OF COURT <br />BOARD OF COUNTY COMMISSIONERS <br />SANTA ROSA COUNTY, FLORIDA <br />BY: <br />CHAIRMAN <br />169 <br />