Manatee County Government Administrative Center Commission Chambers, First Floor 9:00 a.m. - March 12, 2013
REVISED March 12, 2013 - Regular Meeting
Agenda Item #34

Health Care Surtax Referendum Ordinance 13-07


Contact and/or Presenter Information
Karen Windon, Deputy County Administrator

Action Requested

Adoption of Ordinance 13-07 providing for the levy of a discretionary indigent health care sales surtax of one-half percent (0.5%)  to be placed on the June 11, 2013, Special Election Ballot.  

Enabling/Regulating Authority
Florida Statute 212.055(7)

Background Discussion

Over a series of work sessions over the last two years, the Manatee County Health Care Alliance, providers, stakeholders and staff have discussed the status of health care in this community. A focus of that discussion has been the fact that the corpus resulting from the sale of the public hospital and the primary funding source of health care outside of the general fund would be depleted in 2015.

During the special meeting on February 28th, the Board voted to have staff present an ordinance and associated required documents to provide for a referendum for the voters to determine whether to levy a half cent indigent health care sales surtax.

Florida Statute 212.055(7) provides for the levying of a discretionary surtax not to exceed 0.5 percent and which must be enacted by adoption of a county ordinance. The Ordinance must set for a plan for providing health care services to qualified residents.

By Statute, a qualified resident is defined as those individuals:

  • Declared indigent by the County
  • Meeting the definition of medically poor
  • Having insufficient income, resources or assets to provide needed medical care without using resources required to meet basic needs.
  • Not eligible for any other state or federal program
  • Having medical needs that are not covered by any program
  • Having insufficient third party insurance coverage.
  • In all cases, the County shall be the payor of last resort.

The plan is required to fund a broad range of health care services including but not limited to: primary care, preventive care, and hospital care, and will include care rendered by physicians, clinics, community hospitals, mental health centers, alternative delivery sites, and hospitals. It will provide for agreements negotiated between the county and the providers including reimbursement methods which take into account the cost of services to eligible patients, recognize hospitals that render a disproportionate share of indigent care, provide other incentives to promote delivery of charity care, and require cost containment, including but not limited to case management. It also must include innovative health care programs that provide cost-effective alternatives to traditional methods of service delivery and funding.

The surtax would be collected on all transactions on any item of tangible personal property except for those above $5,000. Such a surtax will take effect only on January 1st of a given year and terminate on December 31st of a given year.

The plan has been developed in conjunction with system stakeholders and reflects a policy document for the expenditure of the funds. There will be implementation documents developed with subject matter experts who can ensure the maximum utilization of these dollars.  Additionally, an accountability structure will provide oversight for the plan, participants and providers.

County Attorney Review
Formal Written Review (Opinion memo must be attached)

Explanation of Other

Reviewing Attorney

Instructions to Board Records

Original for Board Records, copy of executed Ordinance to County Administrator

Cost and Funds Source Account Number and Name

Amount and Frequency of Recurring Costs

Attachment:  IndigentHealthTaxORD 13-07.pdf
Attachment:  MC Health Care Plan 3.12.13.pdf
Attachment:  History of Indigent Health Care Funding.pdf
Attachment:  Revised IndigentHealthTaxORD 13-07.pdf