Legislation Details

File #: 26-596   
Status: Agenda Ready
In control: County Commission
Agenda Date: 5/26/2026 Final action:
Title: MOTION TO DIRECT County Attorney's Office to prepare an Ordinance amending the Broward County Local Provider Participation Fund Ordinance to update the assessment structure to address potential Centers for Medicare and Medicaid Services ("CMS") waiver-related hospital exemptions and to expand the authorized use of assessment proceeds for additional Medicaid Supplemental Payment programs, including CMS-authorized managed care quality incentive programs. (Commissioner Rich)
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Broward County Commission Regular Meeting                               

Director's Name:                     Nan H. Rich 

Department:                                           County Commission 

 

Information

Requested Action

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MOTION TO DIRECT County Attorney’s Office to prepare an Ordinance amending the Broward County Local Provider Participation Fund Ordinance to update the assessment structure to address potential Centers for Medicare and Medicaid Services (“CMS”) waiver-related hospital exemptions and to expand the authorized use of assessment proceeds for additional Medicaid Supplemental Payment programs, including CMS-authorized managed care quality incentive programs. (Commissioner Rich)

 

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Why Action is Necessary

Board direction is required for the County Attorney’s Office to prepare an Ordinance.

 

What Action Accomplishes

Directs the County Attorney’s Office to prepare a proposed Ordinance for future Board consideration that would update the Broward County Local Provider Participation Fund Ordinance to address potential CMS waiver-related hospital exemptions and authorize the use of assessment proceeds for additional Medicaid Supplemental Payment programs, including managed care quality incentive programs authorized by CMS.

 

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Previous Action Taken

 

 

Summary Explanation/Background

In 2022, Broward County established the Local Provider Participation Fund Ordinance to authorize the imposition of a non-ad valorem special assessment against qualifying private hospital properties to fund the nonfederal share of Medicaid supplemental payment programs. In 2024, the Board amended the Ordinance to expand the program to include the Low Income Pool (“LIP”) Program.

 

Representatives of participating hospitals have requested additional amendments to address recent developments in Florida’s Hospital Special Assessment program. Specifically, the proposed amendments would update the assessment structure to address potential hospital exemptions associated with CMS waiver requests and would expand the authorized use of assessment proceeds for additional Medicaid Supplemental Payment programs, including managed care quality incentive programs authorized by CMS.

 

This item directs the County Attorney’s Office to prepare a proposed Ordinance incorporating these concepts for future Board consideration.

 

Source of Additional Information

Harrison Grandwilliams, Chief of Staff, District 1, 954-357-7001

 

Fiscal Impact

Fiscal Impact/Cost Summary

To be determined by the Office of Management and Budget upon presentation of a draft Ordinance.