HomeMy WebLinkAbout15-065RESOLUTION 15-065
A RESOLUTION OF THE ST. LUCIE COUNTY BOARD OF COUNTY COMMISSIONERS SUPPORTING A
3% CAP ON GROWTH IN INDIVIDUAL COUNTY MEDICAID COSTS UNDER SECTION 409.915, F.S., TO
ESTABLISH THE ANTICIPATED COST SHIFTS THAT RESULT FROM THE TRANSITION TO A MEDICAID
ENROLLEE BASED COST-SHARING SYSTEM.
WHEREAS, the Board of County Commissioners of St. Lucie County, Florida, has made the
following determinations:
1. Florida counties have been required to participate in a Medicaid cost-sharing relationship
with the state since 1972.
2. During the 2013 Legislative Session, SB 1520 passed changing the way counties are charged
for their portion of costs — eliminating the monthly billing process and establishing a
formula -based county Medicaid contribution.
3. For the two years following the passage of SB 1520, the total county contribution and each
county's percentage share of the total county contribution have been fixed in statute.
4. Beginning in FY 2015-16, 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 its respective share of the state's Medicaid enrollees.
5. This formula shift has a significant range of impact on the 67 counties. Some counties will
see their costs go down over or remain relatively stable over the transition period, while
others are expected to experience significant, and unsustainable, growth in their mandatory
Medicaid costs.
6. St. Lucie County, with a growth rate of 6.51%, will end up shouldering too large a burden
particularly during the transition period.
7. The Florida Legislature is requested to establish an annual growth rate cap of three percent
(3%) to protect those counties that are disproportionately affected.
NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of St. Lucie
County, Florida:
1. The County of St. Lucie supports establishing a 3% cap on growth in individual county
Medicaid costs under Section 409.915, F.S., to address the anticipated cost shifts that result
from the transition to a Medicaid enrollee based cost-sharing system.
2. The County Administrator is hereby directed to send a copy of this resolution to Governor
Rick Scott, the County's Legislative Delegation and the Florida Association of Counties.
PASSED AND DULY ADOPTED this 21ST day of April 2015.
ATTEST:
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DEPUTY CLERK
BOARD OF COUNTY COMMISSIONERS
ST. LUCIE COUNTY, FLORIDA
BY:
CHAIR '
APPROVED
COUNTY A
AND CORRECTNESS: