established in 2021, the LLPF to assist local hospitals in covering unreimbursed
Medicaid expenses through the Florida Agency for Health Care Administration
(AHCA). The proposed assessment were as follows: Cleveland Clinic $2,281,523;
Encompass Health $216,606; and Steward Health Care System $667,846.
Attorney Reingold stated his concern this program could negatively impact the
County’s Medicaid reimbursements and the legislative language still needed
clarification. Commissioner Susan Adams sought and received confirmation that
the County had not been negatively impacted so far.
Chairman Peter O’Bryan opened the Public Hearing.
The following people addressed the Board in favor of the Resolution:
Colleen Ernrst, Adelanto Healthcare Ventures
Ron Bierman, President, Sebastian River Medical Center
Warren Fuller, Chief Financial Officer, Cleveland Clinic Indian River Hospital
There being no further comments, the Chairman closed the public hearing.
A motion was made by Commissioner Adams, seconded by Commissioner
Moss, to approve staff's recommendation and Resolution 2022-056,
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:
5 -
Aye:
Chairman O'Bryan, Vice Chairman Earman, Commissioner Adams,
Commissioner Flescher, and Commissioner Moss
B. PUBLIC DISCUSSION ITEMS
C. PUBLIC NOTICE ITEMS
11. COUNTY ADMINISTRATOR MATTERS
12. DEPARTMENTAL MATTERS
A. Community Development
12.A.1.
Amendments to the Variance criteria and application fees
Recommended Action:
Staff recommends that the Board of County Commissioners review the proposed
changes to Land Development Regulations and provide direction to Staff.