BOARD OF COUNTY COMMISSIONERS LEON COUNTY, FLORIDA

Title: Approval of the First Amendment to the Bond Community Health Center’s FY 2012-
2013 Primary Healthcare Contract and Approval of the Letter of Agreement with the Agency for
Healthcare Administration
April 9, 2013
Page 2
Report and Discussion
Background:
A request was received from the Interim CEO of Bond Community Health Center (CHC) to
utilize a portion of the contracted Pharmacy dollars as a match in support of a new Agency for
Health Care Administration’s (AHCA) LIP grant (Attachments #3 and #4). Currently, Leon
County provides funding to Bond Community Health Center, Inc. (Bond CHC) for healthcare
services to uninsured and indigent residents of Leon County. Bond CHC receives $332,052 for
primary healthcare services, $245,588 for women and children’s health services, $177,500 for
pharmacy services, and $50,000 for mental health services for a total of $805,140. Currently, a
portion of the funding is allocated to the Agency for Health Care Administration’s (AHCA) Low
Income Pool (LIP), as matching funds, for the expansion of healthcare services to low-income
residents. Of the $805,140 allocated for primary healthcare, women and children’s health
services and mental health services, $626,891 is provided as a match. This match allows Bond
to receive more than $2.5 million in state and local funding. The remaining County funding of
$178,249 is to be reimbursed to Bond CHC for services including pharmacy staffing.
Analysis:
Bond CHC has been receiving the $177,500 in funding for pharmacy staffing reimbursements
since 2009. Bond CHC has indicated, in its letter of request, that a portion of the staffing costs,
previously supported by the County, will now be supported by patient revenue derived from selfpay/co-pay,
Medicaid reimbursement, and third-party insurance. The remaining County dollars
will be used to support the Pharmacy as follows:
Proposed Partially Funded Pharmacy
Program Expense (Bond CHC FY12/13)
1.0 FTE Pharmacy Manager
(Salary + Fringe) $71,016
1 x 1.0 FTE Pharmacy Technician
(Salary + Fringe) $24,856
.50 FTE PAP Coordinator
(Salary + Fringe) $9,173
Total: $105,045
AHCA Low Income Pool
The Medicaid Low Income Pool (LIP) grant is made available to Bond CHC as a Federally
Qualified Health Center. Per House Bill 5001, the General Appropriations Act of State Fiscal
Year 2012-2013, passed by the 2012 Florida Legislature, funding, in the amount of $98,955 is
available to Bond CHC with a match contribution from the County of $72,455. This match will
net Bond CHC a total of $171,410.
Page 106 of 622 Posted at 5:00 p.m. on April 1, 2013