Agenda 06/27/2023 Item #10A (Update from Senate President Kathleen Passidomo)10.A
06/27/2023
EXECUTIVE SUMMARY
Recommendation to hear an update from Senate President Kathleen Passidomo regarding the potential for
matching funds in the amount of $10 million from the State Legislature for the purposes of constructing
additional square footage not funded by the United States Department of Veterans Affairs Construction
Grant Program for adult day health care and outpatient therapy services for the proposed State veterans'
nursing home project.
OBJECTIVE: To hear an update from Senate President Kathleen Passidomo regarding the potential for matching
funds from the Florida Legislature in the amount of $10 million to construct the additional square footage not
funded by the United States Department of Veterans Affairs Construction Grant Program for adult day health care
and outpatient therapy services for the proposed State veterans' nursing home project.
CONSIDERATIONS: On June 13, 2023, the Board allocated $10 million from Infrastructure Sales Surtax Funds
for the construction of additional square footage not funded by the United States Department of Veterans Affairs
(VA) Construction Grant Program for adult day health care and outpatient therapy services for the proposed State
veterans' nursing home project.
The Board previously approved the expenditure of $30 million Infrastructure Sales Surtax Funding to be used as
State matching funds for construction and development costs ("Project Costs") of a State Veterans' Nursing Home.
These funds will be used by the State of Florida to secure federal matching funds to construct a proposed 120 bed
skilled nursing facility for veterans.
On May 25, 2023, the Board conducted a workshop on the veterans' nursing home project. Two outpatient services
that were discussed that both the Florida Department of Veterans' Affairs and the Board would like to see
incorporated into the building design and service offerings to veterans were adult day health care and outpatient
therapy.
Outpatient therapy includes services such as physical, occupational, and speech therapy. The provision of therapy
services on an outpatient basis can prolong a veteran's ability to remain in their own home until long term care
services are needed.
Similarly, adult day health care offers health, therapeutic, and social services for those with serious medical
conditions and those at risk of requiring nursing home care due to their need for help with activities of daily living.
This service can also provide a much -needed respite for a family caregiver. Currently, none of Florida's existing
State veterans' nursing homes offer adult day health care.
While both of these services are covered by the VA as a benefit for veterans, construction of the square footage
required to house these services is only considered as part of a construction grant application seeking matching
funds for renovation of an existing facility. It cannot be a part of a construction grant application for a new skilled
nursing facility. To offer these critical services to our local veterans, the cost must be borne by the State applicant.
For the upcoming 2024 legislative cycle, our local legislative delegation meeting may occur as early as mid -
September. With the support of the Board, it would be my goal to work with our state delegation to obtain $10
million from the Legislature during the 2024 Regular Session to match the additional County funds. The total of
$20 million applied to the project should be adequate to cover the costs of adding additional square footage to a
portion of the skilled nursing facility for the inclusion of these needed outpatient services. Should the State
appropriation not occur, or the project fail to proceed to a construction phase, the Board allocated funds will remain
in the Infrastructure Sales Tax Fund (Fund No. 318/3018) for other uses.
FISCAL IMPACT: Ten Million Dollars approved by the Board on June 23rd from Surtax receipts and related
earnings in excess of the planned surtax program amount of $420 million. The Surtax Program budget is provided
in Infrastructure Sales Tax Fund (318/3018).
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10.A
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GROWTH MANAGEMENT IMPACT: There is no immediate growth management impact.
ADVISORY COMMITTEE: This item will be presented as an informational item to the Infrastructure Surtax
Citizen Oversight Committee at its meeting on June 29, 2023.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, raises no legal issues, and
requires majority vote for any Board action. -JAK
RECOMMENDATION: That the Board hear the update from Senate President Kathleen Passidomo regarding the
potential for matching funds for the adult day health care and outpatient therapy services for the proposed State
veterans' nursing home project.
Prepared by: Commissioner Burt L. Saunders, Commissioner, District 3
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10.A
06/27/2023
COLLIER COUNTY
Board of County Commissioners
Item Number: 10.A
Doc ID: 25871
Item Summary: ***This item to be heard at 9:30 a.m.*** Recommendation to hear an update from Senate
President Kathleen Passidomo regarding the potential for matching funds in the amount of $10 million from the
State Legislature for the purposes of constructing additional square footage not funded by the United States
Department of Veterans Affairs Construction Grant Program for adult day health care and outpatient therapy
services for the proposed State veterans' nursing home project.
Meeting Date: 06/27/2023
Prepared by:
Title: Communications, Govt. & Public Affairs Director — County Manager's Office
Name: John Mullins
06/16/2023 4:06 PM
Submitted by:
Title: Communications, Govt. & Public Affairs Director — County Manager's Office
Name: John Mullins
06/16/2023 4:06 PM
Approved By:
Review:
Office of Management and Budget
Community & Human Services
County Attorney's Office
County Manager's Office
Board of County Commissioners
Debra Windsor Level 3 OMB Gatekeeper Review Completed 06/19/2023 8:40 AM
Maggie Lopez Additional Reviewer Completed 06/19/2023 10:10 AM
Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 06/19/2023 10:42 AM
Amy Patterson Level 4 County Manager Review Completed 06/21/2023 11:35 AM
Geoffrey Willig Meeting Pending
06/27/2023 9:00 AM
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