HomeMy WebLinkAbout2015-052RESOLUTION NO. 2015 - 052
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS URGING THE FLORIDA
LEGISLATURE TO ESTABLISH A THREE PERCENT
(3%) CAP ON THE ANNUAL GROWTH RATE FOR
INDIVIDUAL COUNTY MEDICAID COSTS UNDER
SECTION 409.915, FLORIDA STATUTES
WHEREAS, Florida counties have been required to participate in a Medicaid cost-
sharing relationship with the state since 1972; and
WHEREAS, during the 2013 Legislative Session, SB 1520 passed changing the way
counties are charged for their portion of costs — eliminating the monthly billing process and
establishing a formula -based county Medicaid contribution; and
WHEREAS, for the two years following the passage of SB 1520, the total county
contribution and each county's percentage share of the total county contribution have been fixed
in statute; and
WHEREAS, beginning in FY 2015-16, the individual county percentage shares will
begin a four-year transition period to an enrollment based formula - after which each county's
share will be based solely on each of its respective share of the state's Medicaid enrollees; and
WHEREAS, this formula shift has a significant range of impact on the 67 counties.
Some counties will see their costs go down over or remain relatively stable over the transition
period, while others are expected to experience significant and unsustainable growth in their
mandatory Medicaid costs; and
WHEREAS, Indian River County's Medicaid expenses are expected to increase by
7.88% next year; and
WHEREAS, the Florida Legislature is requested to establish an annual growth rate cap
of three percent (3%) to protect those counties that are disproportionately affected; and
WHEREAS, the three percent (3%) cap would provide a savings of approximately
$53,680 to Indian River County for fiscal year 2015-2016, and would continue to provide a
savings to Indian River County in future years based upon the compounding of annual increases
that could exceed 3% per year.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF INDIAN RIVER COUNTY, THAT:
Section 1: The above "WHEREAS" clauses are true and correct, and are hereby adopted
as findings of the Board.
Section 2: Indian River County supports establishing a three percent (3%) cap on the
annual growth rate for individual county Medicaid costs under Section 409.915, F.S., to address
the anticipated cost shifts that result from the transition to a Medicaid enrollee based cost-sharing
system.
Section 3: A certified copy of this resolution shall be provided to the Speaker of the
House, the President of the Senate and the Indian River County Legislative Delegation.
The foregoing resolution was moved for adoption by Commissioner(), grTan , and
seconded by Commissioner Solari , and put to a vote. The vote was as follows:
Chairman Wesley S. Davis y
Vice Chairman Bob Solari Ate_
Commissioner Joseph E. Flescher Aye
Commissioner Tim Zorc Awn
Commissioner Peter D. O'Bryan Aye
The Chairman thereupon declared the resolution duly passed and adopted this 21s4ay of
April, 2015.
ATTEST: Jeffre . Smith, Clerk of ourt
2mptroller
By:
Deputy Cl c
Approved as to form and legal sufficiency:
By:
ylan Reingold, County Attorney
BOARD OF COUNTY COMMISSIONERS OF
INDIAN -RIVER COUNTY, FLORIDA
Wesley S. Davis, Chairman