Items Types:
Business and Financial Services
For Meeting of:
November 9, 2020
District: ALL From:
Contract ID: Document Number:
Exhibits: Yes On File (City Clerk) : Yes Draft Only: No
Grant Received by City?: No

Initial Assessment Resolution Imposing and Levying Special Assessments on Specially Benefited Properties to Support the Provision of Charity Healthcare


This resolution provides for the adoption of a non-ad valorem assessment within the city limits to support the past and current provision of charity health care in the City of Orlando. Hospitals within the city limits provide millions of dollars of uncompensated charity care to indigent citizens of Orlando. In order to assist providers with recoupment and further development of indigent care services, the State of Florida created a "Low-Income Pool" program through its federal Medicaid waiver to allow providers access to funds to help support the costs of charity care.  

The Low-Income Pool is designed to match federal payments with non-federal shares, which are generated through IGTs, or intergovernmental transfers. Cities, municipalities and other governmental entities can raise, through assessments or other means, funds to transfer to the State of Florida to generate IGTs, and thus increase the amount of money that can be released from the Low-Income Pool. This assessment on certain property within the city limits will be used to generate those IGTs, and as the assessment is based on the net out-patient revenues of the hospitals within the city limits.

The Hospitals that are affected by this Assessment fully support the assessment. The Hospitals plan to remit the Assessment contemporaneous with the adoption of the Final Assessment Resolution on December 7, 2020, so that the City can transfer the amount to the State of Florida to satisfy the IGT requirement. The City will not retain the Assessments for any significant period of time, but the properties that are being assessed will receive a direct and special benefit based on the greater access to the Low-Income Pool.

This is the fourth year of this Assessment, and more municipalities in Florida have done similar assessments for the providers in their jurisdictions.

Fiscal & Efficiency Data: There is no fiscal impact to the City. Funds received from the special assessment will be collected from the hospitals and transferred to the Florida Agency for Health Care Administration. 

Recommended Action:
Adopting the Initial Assessment Resolution and authorizing the Mayor and City Clerk to execute same, subject to review and approval by the City Attorney's Office.

Agenda Item attachment(s) on file in the City Clerks Office.

Note: All agenda items must be in the City Clerk's office by Noon Friday, six(6) business days prior to the regular Monday City Council meeting.

Contact: James Varnado, OBFS,
Approved By:

Department Date and Time
Budget Outside Routing Approval 10/29/2020 9:58 AM
City Clerk 10/29/2020 11:20 AM

Name: Description: Type:
2021_Initial_Assessment_Resolution_Charity_Health_Care.pdf 2021 Initial Assessment Resolution Charity Health Care Backup Material

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