Subject:
Title
Approval, Re: Fiscal Year 2026-2027 Annual Agreement and Associated Health Department Fee Resolution between the Brevard County Board of County Commissioners and the Brevard County Health Department
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Fiscal Impact:
Fiscal Year 26-27: The impact on the General Fund will be $652,244 for the annual appropriation, an increase of $18,997 or 3% over Fiscal Year 25-26.
Dept/Office:
Housing and Human Services
Requested Action:
Recommendation
It is requested that the Board of County Commissioners approve:
• The draft Annual Agreement with the State of Florida, Department of Health for the operation of the Brevard County Health Department for Fiscal Year 2026-2027;
• The Chair executing the Fiscal Year 2026-2027 Resolution establishing and revising certain fees and charges for the Brevard County Health Department and Environmental Services;
• The County Manager to execute the Fiscal Year 2026-2027 Annual Agreement upon approval from the County Attorney’s Office and Risk Management;
• The County Manager to execute any future amendments or modifications to the Fiscal Year 2026-2027 Annual Agreement upon approval of the County Attorney’s Office and Risk Management; and
• Authorize the County Manager to execute any necessary budget amendments (BCRs).
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Summary Explanation and Background:
The County Health Departments were created pursuant to Chapter 154 F.S. to “… promote, protect, maintain, and improve the health and safety of all citizens and visitors of this state through a system of coordinated county health department services.” To assure coordination between the State and the County in the operation of the Brevard County Health Department (CHD), the State and the County enter into an annual agreement.
The agreement with the Florida Department of Health stipulates Public Health services that will be provided by the Brevard County Health Department, and identifies the County’s contribution as $652,244 (3% increase) for the costs of Public Health Services for low-income residents (includes an annual adjustment based on the Consumer Price Index for All Urban Customers: Medical Care (3.05%) or 3%, whichever is lower, as approved by the Board of County Commissioners on August 22,2023). The agreement also sets out the County’s responsibility as it relates to facilities, maintenance, and equipment, as well as environmental health fee revenues anticipated to be received by the County Health Department. The attached Fee Resolution outlines the proposed establishment.
SECTION A. ENVIRONMENTAL HEALTH SERVICES
There will be changes to the current fee schedule.
SECTION B. PRIMARY CARE SERVICES
There will be changes to the current fee schedule.
SECTION C. VITAL STATISTICS
There will be changes to the current fee schedule.
Clerk to the Board Instructions:
Please have the Chair endorse four original Brevard County Health Department contracts and two Fee Resolutions and return to the Housing and Human Services Department.