COR-24-0011

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1. 1Mar 12, 2024
   Board of County CommissionersR49Regular businessApproved

   Approved minutes

   Approved to ratify and confirm the County Administrator’s actions of entering into an Interlocal Agreement with the Town of St. Leo for a period of six months to provide Fire and Life Safety, permitting, plan review, and inspection services at the normal fee and to authorize the County Administrator to enter into the same Interlocal Agreement with the City of Dade City by a roll call vote.

   Open this item →▶ Play from 41:36
   ▶ 41:368m

   Ron OakleyChair

   41:36Forty nine ready. Second.

   41:42R forty nine.

   41:46This is so

   41:52Okay.

   Assistant County Administrator for Public Safety

   41:52Good morning, Commissioners. Uh, J JJ Murphy. I I remember standing up here about 16 months ago doing my uh introduction. So uh it's good to be in front of you again. Uh what I know now I didn't know then, certainly about uh correctional facilities and inmate health care and all those things. Uh what I will tell you is I stand here proud side by side with the Chiefs. We went through an extent extensive process with purchasing. We had a committee to get to where we are today.

   42:23The chief will walk you through a presentation, but I really believe that this investment moving forward will save money because of some of your leadership and some of your actions in terms on the federal level. In this fight, we went to Washington to work on the in insurance issues. So inmate health care uh doesn't end today. Uh it starts today, and I think if we move forward, we'll start with

   42:53a good partner. So with that, Chief, do your thing.

   Chief of Corrections

   42:57Appreciate it. Um good morning, uh Stacy Jenkins, Chief of Corrections, uh representing uh Corrections Department and Public Safety. I'm here today to request approval from the board to grant an award a bid for inmate medical, mental health, and pharmaceutical services to NAFCARE Incorporated for an initial term of five years with one additional five-year renewal. As this board is aware, prior to assuming the correction facility

   43:27operations. in October of 2022. You accepted and extended multiple vendor contracts with an intent of evaluating the services and providers over the first year of operation. In June of 2023, Pasco County solicited an invitation to negotiate for inmate healthcare services, and we we we received seven for proposals from seven different correctional health

   43:58care providers.

   44:01The seven providers' written responses were evaluated by an evaluation committee who further reduced the vendor list to four for oral presentation and then selected two vendors which we negotiated with. Negotiation considerations included on-site and off-site care for the inmates, vendor experience. Providing health care within a large correctional facility, experience within Florida Florida,

   44:32litigation, financial standing, and added value services.

   Unidentified speakerVoice A

   44:38Yeah.

   Chief of Corrections

   44:39There we go. NAFCARE has a proven uh record and experience of proactive and a proactive care model. And they provided us the confidence that we believe that they can operate our medical treatment for our inmates.

   45:00NAFCARE provided staffing and price considerations for our current population, up to approximately 1,700 inmates, and for the expansion that is going to eventually house 2,050 inmates. They also offered a per diem rate, so if we fall below that 1700 number or above certain thresholds, we

   45:30will either pay into or be credited for those populations.

   45:37NAFCAR cost presented to the board includes projected off-site cost at $2,250,000 with a shared cost for off-site or specialty care between that $2,250,000 up to $2,750,000. Anything over that $200 or $2,750,000. $150,000 cost would be a full responsibility of the county.

   46:09So I'm requesting board approval. This is the breakdown of uh funding for this particular contract, and I'm requesting approval for a five-year term at a not-to-exceed value of eighty-one million five hundred and twenty-four thousand seven hundred twenty dollars and ninety-eight cents. Um I'm available for any questions or concerns. And we do have representatives from NAT here in the audience.

   Ron OakleyChair

   46:37Any questions from the board?

   Kathryn Starkey

   46:40I just say ouch.

   46:43And you know, we're continuing to work on help with this, um just so everyone knows. One, when we were in Tallahassee we talked to our legislators about um getting the ability to cap the cost the same way the state does with um right now it's different for them versus us, which makes no sense. And I I think that if we worked out a little better and earlier I think there was a lot there may be support

   47:13for that. One. And two, um, at the federal level we continue to talk with our congressional delegation and others about the um what I think is a mistake maybe um with the Social Security Act where if you get arrested and you go to go to jail you immediately l lose your federal health benefits. And um you can spend amount quite amount of time in there and

   47:43then you're found not guilty and you come out and you've got no benefits and you have to reapply. And and the county uh taxpayers have to pick up that liability and it makes no sense. So we continue to try and change that at the federal level as well. So maybe we'll well you know if we are successful and this comes down H well this Is this a fixed cost or is this projected? What if what if we're successful?

   48:13That is the

   Chief of Corrections

   48:13question. This is uh full health care and uh a presumption that we continue as normal. Um I am sure the the selected vendor will work with us if we see um reductions in cost. Okay

   Ron OakleyChair

   48:30Okay. Any other questions? Mr.

   Jack Mariano

   48:34Yeah, I I would like to make sure that we're gonna have that flexibility. So if that's not in the contract, let's take a close look at it. If the county attorneys look at it,

   Kathryn Starkey

   48:42someone's coming up to the post Mm. Yes, sir.

   Kenny Davis

   48:51Good morning, Commissioner. My name is Kenny Davis. I'm a Senior Vice President with NAPCARE. If you achieve what you're talking about as a partner moving forward in this venture, we will certainly look at those things and the savings that you can find through those federal or state programs. We're absolutely gonna redo this with those. in mind.

   49:17We all benefit from that. We're all citizens of some county somewhere and that's a benefit to everybody.

   Kathryn Starkey

   49:22And you come to Washington with us. You could talk about the horror of the cost.

   49:31Aye.

   Ron OakleyChair

   49:32All right.

   Unidentified speakerVoice B

   49:34Second.

   Ron OakleyChair

   49:34Got a motion, second, by roll call, vote.

   Unidentified speakerVoice B

   49:37District two, Commissioner Weightman. Aye. District three, Commissioner Starkey. Aye. District 4, Commissioner Bradford.

   49:51Go ahead. He's yeah. District five, Commissioner Mariano.

   Ron OakleyChair

   49:54Aye.

   Unidentified speakerVoice B

   49:54District one, Chairman Oakley.

   Ron OakleyChair

   49:56Aye. Motion pass four zero. Thank you.