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RESOLUTION APPROVING THE FISCAL YEAR 2025-26 CONTRACT IN THE AMOUNT OF $1,133,000.00 WITH THE STATE OF FLORIDA DEPARTMENT OF HEALTH EFFECTIVE RETROACTIVELY FROM OCTOBER 1, 2025 TO SEPTEMBER 30, 2026 FOR THE PURPOSE OF MEETING PUBLIC HEALTH NEEDS OF THE CITIZENS OF MIAMI�DADE COUNTY; AND AUTHORIZING THE COUNTY MAYOR OR COUNTY MAYOR'S DESIGNEE TO EXECUTE SAME AND EXERCISE ANY PROVISIONS CONTAINED THEREIN, AND TO EXECUTE FUTURE AGREEMENTS FOR, AND APPLY FOR, RECEIVE, AND EXPEND ADDITIONAL FUNDS SHOULD THEY BECOME AVAILABLE UNDER THIS PROGRAM FOR THIS PURPOSE

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WHEREAS, this Board desires to accomplish the purposes outlined in the accompanying County Mayor�s memorandum, a copy of which is incorporated herein by reference,

NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MIAMI-DADE COUNTY, FLORIDA, that this Board:

Section 1. Incorporates and approves the foregoing recital as if fully set forth herein.

Section 2. Approves Fiscal Year 2025-26 contract between Miami-Dade County and the State of Florida Department of Health for one year, effective retroactively from October 1, 2025 to September 30, 2026, to provide $1,133,000.00 in program support to the State of Florida Department of Health in Miami-Dade County for the purpose of public health needs of the citizens of the County in substantially the form attached to the accompanying County Mayor�s memorandum (the �Public Health Agreement�).

Section 3. Authorizes the County Mayor or County Mayor's designee to execute the Public Health Agreement and to exercise any provisions contained therein and, subject to approval by the County Attorney's Office, to execute future agreements for, and apply for, receive, and expend additional funds for Fiscal Year 2025-26 should they become available for the purpose of public health needs in the County.

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Date:

To: Honorable Chairman Anthony Rodriguez
and Members, Board of County Commissioners

From: Daniella Levine Cava
Mayor

Subject: Resolution Authorizing Execution of Agreement Between Miami�Dade County
and the State of Florida Department of Health to Provide Public Health
Services to the Miami-Dade County Residents for Fiscal Year 2025-26

STAFF RECOMMENDATION
Summary
This item approves the agreement between the State of Florida Department of Health (DOH) and Miami-Dade County (County) for health services in the County as required by Chapter 154 of the Florida Statutes. This contract provides for the Miami-Dade County Department of Health to promote public health, including environmental health services, to control and eradicate preventable diseases and to provide care to special populations.

Recommendation
It is recommended that the Board of County Commissioners (Board) approve the attached resolution authorizing the execution of the agreement between the County and the DOH for one year, from October 1, 2025 to September 30, 2026. The resolution authorizes the County to provide $1,133,000 in program support to the DOH for public health services to Miami-Dade County residents.

Scope
This agreement provides for public health services to County residents countywide.

Delegation of Authority
This item requests a delegation of authority to authorize the County Mayor or County Mayor�s designee to execute the contract with the DOH in substantially the form attached to the resolution and, subject to approval by the County Attorney�s Office, to execute future agreements for, and apply for, receive, and expend additional funds for Fiscal Year (FY) 2025-26 should they become available for the purpose of public health needs in the County.

Fiscal Impact/Funding Source
The FY 2025-26 contract identified a total program cost of $87,580,952, (Attachment II, Part III of Exhibit A). Funding for the total program cost consists of contributions by the State of Florida totaling $51,015,587 and $36,565,365 in local contributions.

The State's contribution consists of state and federal revenues totaling $48,237,544 and various fees and surcharges totaling $2,778,043. The local contribution includes DOH health services, Medicaid funding and various clinic and laboratory fees totaling $36,565,365.

The County�s cash contribution totals $1,133,000 and is provided by Jackson Health System (JHS). The DOH can elect to re-appropriate funding among the different programs with prior contract officer approval, if necessary. The JHS reimbursement methodology and monitoring requirements are detailed under separate agreements between JHS and the DOH.

Pursuant to State law, the Board is responsible for approving the DOH revised fee schedule. However, no changes in service fees are recommended in this document. Furthermore, communicable disease and primary care fees are automatically adjusted to, at least, meet the Medicaid reimbursement rate without formal amendment to this contract in accordance with Section 154.06 of the Florida Statutes should such reimbursement be increased or decreased. Other State contributions not reflected in the trust fund budget include immunization, funds for the Bureau of Public Health Laboratories, ADAP and Pharmacy Drug Program, the Women, Infant and Children (WIC) Program and the annual rental equivalent value of DOH-used space totaling $114,550,878 (Attachment II, Part II of Exhibit A).

Although not mandated by State statute, the County has provided building space and insurance coverage for County-owned buildings, furnishings and equipment used by the DOH. These facility leases, when necessary, require Board approval, as appropriate. It is the responsibility of the DOH to obtain insurance coverage for any buildings, furnishings and equipment used by the agency but not owned by the County. The DOH is also responsible for the construction, maintenance, repair and improvements of all buildings, as well as providing utilities, janitorial and custodial services. In addition, the DOH must maintain facilities in compliance with all Federal, State and local regulatory requirements, including the American with Disabilities Act (Attachment VI of Exhibit A).

Track Record/Monitor
The DOH and the County agree to comply with Federal and State laws and regulations, and maintain books, records and documents in accordance with accounting procedures and practices. In addition, the DOH must adhere to State purchasing rules and regulations but may purchase goods and services through the County when feasible.

Background
Chapter 154 of the Florida Statutes requires the DOH enter into a contract with each county. This contract provides for the Miami-Dade County Department of Health to promote public health, including environmental health services, to control and eradicate preventable diseases and to provide care to special populations. This contract format is prescribed by the State and establishes a basic legal framework for shared responsibilities between the DOH and the County. This relationship has evolved over the years from a County-managed Public Health Unit to a large state agency operated entirely by the DOH.

Either party may terminate the agreement without cause upon no less than 180 calendar days� notice in writing to the other party. Either party, upon no less than 30 days� notice, may terminate the agreement if the other party fails to perform an obligation under the contract. If funds to finance this contract become unavailable, either party may terminate the contract upon no less than 24 hours� notice in writing to the other party. Staffing and services may be reduced based on the availability of funds.

Attachment

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Carladenise Edwards
Chief Administrative Officer