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County Administrator's Report 13. 2.

BCC Regular Meeting

Discussion

Meeting Date:	04/23/2015
Issue: Resolution to Support Establishing a 3% Cap on Growth in Individual Counties for Medicaid Costs
From:	Grover Robinson
Department:	Board of County Commissioners
CAO Approval:

RECOMMENDATION:

Recommendation Concerning a Resolution to Support Establishing a 3% Cap on Growth in Individual Counties for Medicaid Costs - Commissioner Grover C. Robinson, IV, District 4

That the Board adopt and authorize the Chairman to sign the Resolution to support establishing a 3% Cap on growth in individual counties for Medicaid costs under Section 409.415, Florida Statutes, requesting the Florida Legislature to establish an annual growth rate cap of 3% to protect those counties that are disproportionately affected by the enrollment based formula beginning in Fiscal Year 2015/2016. (Next year the State average for Medicaid increase is less than 3%; however, a significant number of counties will be over 3%. Escambia County, with a growth rate of 5.22%, will have a 5.22% increase.)

BACKGROUND:

For the two years following the passage of SB 1520, which passed during the 2013 Legislative Session, the total county contribution and each county's percentage share of the total county contribution have been fixed in statute. Beginning in Fiscal Year 2015/2016, 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.

This formula shift has a significant range of impact on the 67 counties. Some counties will see their costs go down or remain relatively stable over the transition period, while others are expected to experience significant and unsustainable, growth in their mandatory Medicaid costs.

BUDGETARY IMPACT:

N/A

LEGAL CONSIDERATIONS/SIGN-OFF:

The Resolution has been approved as to form and legal sufficiency by Alison Rogers, County Attorney.

PERSONNEL:

N/A

POLICY/REQUIREMENT FOR BOARD ACTION:

N/A

IMPLEMENTATION/COORDINATION:

N/A

Attachments
Resolution