Broward County Commission Regular Meeting
Director's Name: Tara Williams
Department: Human Services Division: Community Partnerships
Information
Requested Action
title
A. MOTION TO AUTHORIZE County Administrator to execute Letter of Agreement between the State of Florida Agency for Health Care Administration and Broward County (subject to review for legal sufficiency by the Office of the County Attorney) in the amount of $226,136, effective October 1, 2024 through September 30, 2025, to provide matching funds for the State of Florida Medicaid Low Income Pool program that will be distributed to federally qualified health centers, such as Broward Community and Family Health Centers, Inc.; and authorize the County Administrator to take all necessary administrative and budgetary actions to implement the Agreement.
ACTION: (T-11:07 AM) Approved.
VOTE: 8-0. Commissioner Ryan was not present.
B. MOTION TO APPROVE waiver of conflict under Section 112.313(7)(a), Florida Statutes, for the following Broward County advisory board member holding an employment or contractual relationship with an entity receiving funds for the performance of services under this agenda item: Rosalyn Frazier.
ACTION: (T-11:07 AM) Approved.
VOTE: 8-0. Commissioner Ryan was not present.
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Why Action is Necessary
A. Section 409.915, Florida Statutes, requires local governmental entities to provide matching funds for the Medicaid Low Income Pool (“LIP”) program.
B. A waiver of conflict arising under Section 112.313(7)(a), Florida Statutes, requires two-thirds approval by the Broward County Board of County Commissioners (“Commission”).
What Action Accomplishes
Approval of Motion A provides required matching funds to the LIP program for uninsured residents who receive medical services at federally qualified health centers (“FQHC”).
Approval of Motion B waives the existence of any conflicts arising under Section 112.313(7)(a), Florida Statutes, as authorized under applicable law.
Goal Related Icon(s)
☒County Commission
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Previous Action Taken
None
Summary Explanation/Background
THE HUMAN SERVICES DEPARTMENT AND THE COMMUNITY PARTNERSHIPS DIVISION RECOMMEND APPROVAL OF THE ABOVE MOTIONS.
These actions support the Commission’s value of “building partnerships and working collaboratively with others to meet shared objectives” and the goal of “delivering accessible human services that holistically address the whole person collaboratively and compassionately.” Approval allows Broward County to provide required matching funds for the LIP program.
Commission approval allows Broward County to meet the local match requirements for the LIP program. Funding will go to the Agency for Health Care Administration (“AHCA”) to distribute to FQHCs for the delivery of medical services to uninsured residents and allow for compliance with Section 409.915, Florida Statutes. The Letter of Agreement with AHCA must be signed by October 1, 2024, and funding must be disbursed to the state by October 31, 2024. The Letter of Agreement will be in the state’s format and will be reviewed by the Office of the County Attorney for legal sufficiency prior to execution by the County Administrator.
AHCA has established that certain hospitals, medical school physician practices, FQHCs, and rural clinics are eligible to receive LIP funding for uncompensated care provided in the respective facilities. LIP funding will allow Broward Community and Family Health Centers, Inc., (“BCOM”) to deliver primary health care services to new patients in four clinical sites: Hollywood, West Park, Lauderhill, and Pompano Beach. During the period from July 1, 2023, to April 30, 2024, BCOM served 687 new patients, which exceeds BCOM’s original estimate to serve 564 new patients for their entire fiscal year. For the period of July 1, 2024, to June 30, 2025, BCOM anticipates that it will increase its total new patients served by at least 230 patients.
Approval of this item would give rise to certain employment conflicts under Section 112.313(7)(a), Florida Statutes, which provides that "no public officer... shall have or hold any employment or contractual relationship with any business entity... which is... doing business with an agency of which he or she is an officer or employee." In accordance with 112.313(12), Florida Statutes, Commission approval is required to waive any conflict of interest arising under Section 112.313(7)(a), Florida Statutes. An effective waiver requires two-thirds vote of the Commission after disclosure of the conflicting relationship (Motion B) in accordance with Section 112.313(12), Florida Statutes. Form 4A, Disclosure of Business Transaction, Relationship, or Interest, is attached to this report as Exhibit 1 and constitutes full disclosure of any existing conflicts.
Source of Additional Information
Efrem Crenshaw, Director, Community Partnerships Division, (954) 357-6398
Jessica Roy, Administrator, Health Care Services, (954) 357-5394
Fiscal Impact
Fiscal Impact/Cost Summary
Funds in the amount of $226,136 will be allocated in the Fiscal Year 2025 Broward County budget.