File Name: ESTABLISH OFFICE OF COUNTYWIDE HEALTHCARE PLANNING
Final Action: 9/9/2003
Agenda Date: 9/9/2003
Agenda Item Number: 6ASUBSTITUTE
THIS IS FINAL VERSION AS ADOPTED. (also see 032493)
ORDINANCE ESTABLISHING THE OFFICE OF COUNTYWIDE HEALTHCARE PLANNING; AMENDING CHAPTER 25A OF THE CODE TO REDUCE VOTING MEMBERSHIP, TO PROVIDE RIGHT TO VOTE TO A COMMISSIONER, TO CHANGE COMPOSITION OF NOMINATING COUNCIL, TO CHANGE TENURE PROVISION, TO RENAME COMPENSATION COMMITTEE AND PROVIDE ADDITIONAL DUTY THERETO, TO REMOVE TRUST'S COUNTYWIDE PLANNING AND DELIVERY FUNCTIONS, TO CREATE TRUST/UNIVERSITY OF MIAMI ANNUAL OPERATING AGREEMENT NEGOTIATING COMMITTEE, TRUST/MIAMI-DADE COUNTY ANNUAL OPERATING AGREEMENT COMMITTEE AND PUBLIC HEALTH TRUST OFFICE OF INTERNAL AUDITOR, PUBLIC ACCOUNTABILITY AND INFORMATION, TO REQUIRE TRUST REGULAR MEETINGS IN COMMISSION CHAMBERS, TO REQUIRE ANNUAL TELEVISED SPECIAL MEETING REGARDING TRUST AUDIT; AND ABOLISHING THE HEALTH POLICY AUTHORITY; PROVIDING SEVERABILITY, INCLUSION IN THE CODE AND AN EFFECTIVE DATE [SEE ORIGINAL ITEM UNDER FILE NOS. 032294 AND 032493]
Dr. Barbara Carey-Shuler, Prime Sponsor
Bruno A. Barreiro, Co-Sponsor
Jose "Pepe" Diaz, Co-Sponsor
Betty T. Ferguson, Co-Sponsor
Sally A. Heyman, Co-Sponsor
Joe A. Martinez, Co-Sponsor
Jimmy L. Morales, Co-Sponsor
Dennis C. Moss, Co-Sponsor
Dorrin D. Rolle, Co-Sponsor
Katy Sorenson, Co-Sponsor
Rebeca Sosa, Co-Sponsor
Sen. Javier D. Souto, Co-Sponsor
Natacha Seijas, Co-Sponsor
Board of County Commissioners
Adopted as amended
Ms. Verline Moore, representing People Acting for Community Together, appeared before the Board to discuss the combine efforts with Human Services Coalition, Jobs with Justice, Unite for Dignity and with SEIU Local 1991 on the issue of health care. She also spoke in support of the establishment of the Office of Countywide Healthcare Planning. Ms. Moore urged the Board to instruct the County Manager to mandate that the strategies be utilized, implemented to address health coverage for all uninsured residents of Miami-Dade County.
Ms. Danielle Levine, Executive Director, Human Services Coalition, appeared before the Board and urged the Board to support the foregoing proposed ordinance. She noted that focus should be placed on the following:
(1) Neighborhood and school- base health care,
(2) Providing insurance or benefits coverage for at least 150,000 people,
(3) Developing a hospital “fair care” plan,
(4) Maximizing use of available funds under the Medicaid program and
(5) Coordination of access whereas the Jackson Health System should serve as a broker and clearinghouse for the uninsured.
Following Ms. Levine’s comments, Chairperson Carey-Shuler requested staff to notify and involve the following organizations of all meetings concerning health care planning: Human Services Coalition, Jobs with Justice, Unite for Dignity and SEIU Local 1991.
The following persons appeared before the Board and spoke in support of the foregoing proposed ordinance:
-Ms. Celestine Harvey, a Health Care Worker, 1199 Florida
-Ms. Antoina, Corpus Christi Church
Chairperson Carey-Shuler announced that all members of the Board should be listed as cosponsor on the foregoing proposed ordinance.
Miami-Dade County Mayor Alex Penelas appeared before the Board and thanked those involved in the process that brought forth this recommendation along with the members of the Board for their leadership. He noted the foregoing proposal would re-establish the role of the County for countywide health care planning, a countywide partnership between public and private resources in the community, and the Public Health Trust to operate the Jackson Memorial Hospital. Mayor Penelas stated that the Office of Countywide Healthcare Planning would assist the County in obtaining State and Federal funding. He discussed that the Health Flex Plan should be one of the first mandates for the Office of Countywide Healthcare Planning and become a permanent charge in recruiting children for the Florida Kid Care Insurance Program.
Chairperson Carey-Shuler thanked the Mayor for his leadership role, the Healthcare Access Taskforce, Assistant County Attorney Eugene Shy, the Public Health Trust and others for placing healthcare as priority in this community. She noted that the Office of Countywide Healthcare Planning would address all of the healthcare needs of this community.
Mr. Larry Handfield, Chairman, Public Health Trust, appeared before the Board and spoke in support of the foregoing proposed ordinance. He also spoke in favor of proposed amendments regarding televised meetings of the Public Health Trust to become effective October 1, 2003.
Commissioner Rolle offered amendment to the foregoing proposed ordinance pertaining to televising regular meetings of the Public Health Trust (PHT) Board of Trustees in the Commissioner Chambers. He noted a memorandum from Mr. Larry Handfield, Chairman PHT Board of Trustees regarding the capability of the PHT to televise its monthly meeting. He further noted the meetings would be held the last of Monday of each month at 2:00 p.m. He further noted his amendment was that the PHT meetings are held at the PHT facility.
Following a brief comment by Mr. Handfield that the meetings would be held at 3:00 p.m., Commissioner Rolle noted the meetings would be held at 3:00 p.m. rather than 2:00 p.m. at the PHT facility.
Following discussion among members of the Board regarding joint quarterly or bi-annual meetings between the Board and the PHT, Commissioner Rolle offered an additional amendment to have bi-annual joint meeting between the PHT and the Board.
Following Mr. Handfield’s comments regarding the requirement of an annual joint meeting with the Commission, Chairperson Carey-Shuler suggested that the meetings could be held at the beginning of the year and during consideration of the budget. She further suggested the PHT be allowed to determine and schedule a joint meeting with the Board.
Commissioner Rolle pointed out to members of the Board that the Board was not prohibited from participation in the PHT meetings.
Chairperson Carey-Shuler announced the amendment proposed by Commissioner Rolle were that two joint meetings be held between the Board and the PHT. She pointed out the ordinance already addressed an annual meeting to be held and the PHT could determine the schedule for the second annual meeting.
There being no objections, the amendments proposed by Commissioner Rolle were accepted.
Commissioner Souto suggested that all members of the Board and/or designee serve as members of the PHT and participate in the process. He further suggested the PHT should be diverse.
Following Souto’s comments, Commissioner Sosa suggested that two additional Commissioners serve on the PHT.
Commissioner Souto offered a motion to add two additional Commissioners to serve as members of the PHT.
Chairperson Carey-Shuler disagreed and stated if the Board agreed with Commissioner Souto each County Advisory Board would be reviewed to address the ethnicity for all advisory boards.
Commissioner Souto withdrew his motion.
Commissioner Sorenson offered an amendment to extend the Miami-Dade County Health Policy Authority until the September 30 for the transition period for the Office of Countywide Healthcare Planning and Delivery.
It was moved by Commissioner Sorenson that the Board accept the amendment to extend the Miami-Dade County Health Policy Authority until September 30, 2003. This motion was seconded by Commissioner Heyman, and upon being put to a vote, passed unanimously by those members present.
Assistant County Attorney Eugene Shy advised the Board that the foregoing proposed ordinance would be amended as follows: the televising of the regular meetings of the PHT to be held at the PHT facility, bi-annual meetings to be held in the Commission chambers and the extension of the Miami-Dade Health Policy Authority until September 30, 2003.
Commissioner Diaz requested that copies of the PHT meeting agendas be provided prior to the scheduled meetings.
Chairperson Carey-Shuler indicated that the request by Commissioner Diaz was an instruction to staff.
The Board by motion duly made, seconded and carried, adopted the foregoing proposed ordinance as amended.
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