POTENTIAL MEDICAID CHANGES AND RELATED IMPACT TO JMH
Sally A. Heyman, Prime Sponsor
Board of County Commissioners
Chairman Martinez introduced the foregoing discussion item into the record.
Commissioner Heyman expressed concern regarding an existing legislative item that required counties to contribute toward the Medicaid-funded share for services within the healthcare system. She stated that the County already absorbed a large amount of un-reimbursed costs for charitable care and the subject legislation would cost Jackson Memorial Hospital (JMH) approximately $30-$40 million. Commissioner Heyman noted this would eliminate JMH’s ability to stay solvent to continue providing health services, and pursuing other courses planned by Mr. Migoya and the Financial Recovery Board. She stated the time to speak up was now and expressed concern that the Dade Delegation had targeted, rather than supported Miami-Dade County in some legislation. She pointed out that the Dade Delegation’s Chair was also the Majority Leader in the Florida House of Representatives. Commissioner Heyman encouraged her colleagues to reach out to members of the Dade Delegation and inform them that the County could not afford to pay the Medicaid contribution. She challenged the JMH staff to identify alternative sources to replace the $30-$40 million Medicaid contribution and avoid a decrease in services. Commissioner Heyman noted the Florida Association of Counties was no longer negotiating and was now opposing the issue, pointing out that 29 counties supported Miami-Dade in this matter.
Chairman Martinez stressed that this would be the biggest economic hit that Miami-Dade would suffer this year. He pointed out that a few days remained before session and those who wished to reach out should do so.
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