Pasco County Council Approves Hospital Funding Ordinance to Boost Medicaid Reimbursements

The Pasco County Council meeting addressed several issues, with the approval of an ordinance to establish a local provider participation fund for hospitals being the most noteworthy. This new ordinance aims to alleviate the financial burdens faced by hospitals providing services to Medicaid, indigent, and uninsured residents by leveraging federal funds to enhance reimbursements.

The meeting began with a public hearing on item P58, introduced by Paul Ralo from Support Services. This item proposed an ordinance to create a local provider participation fund, enabling the county to impose non-ad valorem special assessments on private hospitals. Colleen Ern from Otono Healthcare Ventures detailed the financial challenges hospitals face when treating low-income individuals, noting that Medicaid services often reimburse only 60 cents on the dollar. This shortfall forces hospitals to absorb significant losses, exacerbated by the $3 billion in annual charity care provided statewide.

The ordinance would allow Pasco County to collect special assessments from hospitals, which would then unlock federal matching funds. These funds could potentially increase Medicaid reimbursements to 80 cents on the dollar, improving financial sustainability for healthcare providers. Ern emphasized that 15 other Florida jurisdictions had already adopted similar measures, with more counties showing interest.

Support for the ordinance was echoed by Mike Merl, CEO of Advent Health, who highlighted its importance for unlocking federal funding to enhance care for underserved populations. He assured that the special assessments would not impose costs on residents or businesses but would generate necessary revenue to support critical healthcare services. The board unanimously approved the ordinance after a thorough discussion and public hearing.

Following this, the council moved on to item P52, concerning standards for car wash facilities, which was recommended for continuance to a future meeting. This was followed by item P53, amending the Pasco County Land Development Code to focus on historic and cultural resources, though no action was required as it was the first of two public hearings.

Next, the council discussed amendments to school impact fees under item P54. Ray Gad, the Deputy Superintendent of Schools, and other school board members presented a study recommending increased fees to align with the 2024 School Impact Fee Study. The study, conducted by Tishman Realty & Construction, assessed traditional classroom space construction, land acquisition, and bus costs, highlighting that single-family homes generate more students compared to multi-family units. The proposed incremental fee increases aimed to comply with state law limiting increases to a maximum of 50% unless extraordinary circumstances were demonstrated.

The council debated the distribution of fees between single-family and multi-family units, with concerns about the increasing burden on single-family homes. Legal counsel clarified that state statutes require equal treatment for all housing types regarding impact fees. The public hearing for this proposal was set for August 21, 2024, with no public objections voiced.

The meeting also addressed community development districts (CDDs) and zoning amendments. An ordinance to create an invasive species management program was recommended for withdrawal due to confusion about its path forward. Discussions on establishing the Hope Innovation District and the Pasadena Ridge Community Development District raised questions about traffic relief measures and the impact on property boundaries.

A specific stormwater issue in the Trinity Thousand Oaks area was highlighted, with suggestions for more effective drainage solutions. The council also addressed the challenges of maintaining stormwater retention areas and accessibility for residents relying on mobility aids.

The council celebrated the arrival of a memorial statue dedicated to fallen officers, set to be unveiled on September 11. This project, nearly a decade in the making, involved community collaboration and funding efforts.

Other notable topics included updates on local economic development, such as the success of the Smart Start program helping startups transition to market-based operations and the approval of an economic incentive agreement with BSD, a company consolidating operations in Pasco County.

Note: This meeting summary was generated by AI, which can occasionally misspell names, misattribute actions, and state inaccuracies. This summary is intended to be a starting point and you should review the meeting record linked above before acting on anything you read. If we got something wrong, let us know. We’re working every day to improve our process in pursuit of universal local government transparency.
Administrator:
Mike Carballa
County Council Officials:
Ron Oakley, Seth Weightman, Kathryn Starkey, Gary Bradford, Jack Mariano

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