Broward County Commission Regular Meeting
Director's Name: Keith D. Bostick (Deputy Director)
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 $375,095, effective October 1, 2021, through September 30, 2022, 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-10:43 AM) Approved.
VOTE: 7-0. Commissioner Bogen was out of the room during the vote. Commissioner Ryan was not present.
ACTION: (T-11:13 AM) Through Mayor Geller, Commissioners Bogen and Ryan requested being shown voting in the affirmative.
VOTE: 9-0.
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-10:43 AM) Approved.
VOTE: 7-0. Commissioner Bogen was out of the room during the vote. Commissioner Ryan was not present.
ACTION: (T-11:13 AM) Through Mayor Geller, Commissioners Bogen and Ryan requested being shown voting in the affirmative.
VOTE: 9-0.
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Why Action is Necessary
A. Section 409.915, Florida Statutes, requires local governmental entities 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
A. Provides required matching funds to the LIP program for uninsured residents who receive medical services at federally qualified health centers (“FQHC”).
B. Approval waives the existence of any conflict arising under Section 112.313(7)(a), Florida Statutes, as authorized under applicable law.
Is this Action Goal Related
Yes
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 “approaching human services collaboratively and compassionately, with special emphasis on the most vulnerable” and the goal to “effectively advocate for and acquire municipal, state, and federal financial support to equitably address health and human services needs of the entire community, through a truly coordinated system of care.” Approval allows Broward County to provide required matching funds for the LIP program.
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 the Florida Statute. Currently, the statute stipulates that the Letter of Agreement (“LOA”) with AHCA must be signed by October 1, 2021, and funding must be disbursed to the state by October 31, 2021. In the past, compliance with this short time frame has been a challenge; therefore, authorization for the County Administrator to sign the LOA is requested. The LOA has not yet been released by AHCA. The LOA will be reviewed for legal sufficiency by the Office of the County Attorney 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., (“BCFHC”) to deliver primary health care services to new patients in four clinical sites: Hollywood, Hallandale, Lauderhill, and Pompano Beach. For the last reporting period of July 1, 2020, to June 30, 2021, BCFHC served 13,090 unduplicated patients. For the period of July 1, 2021, to June 30, 2022, BCFHC anticipates that it will serve 336 new patients, representing 841 new encounters.
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 conflict.
Source of Additional Information
Darrell Cunningham, Director, Community Partnerships Division, (954) 357-6398
Fiscal Impact
Fiscal Impact/Cost Summary
Funds in the amount of $375,095 will be allocated in the Fiscal Year 2022 Broward County budget.