[{"_1":2,"_87":-5,"_88":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},"mediaId",6481926,"mediaKeyId","5689967-9be9ac49ea907f360edc0a7ebf53b464","parentId",5689967,"title","Public Health Trust adopts balanced FY2026 operating budget and $258.7M capital plan, cites $39M sales‑tax drop","audioSeconds",711,"startMs",4497000,"endMs",5208000,"viewUrl","/Search/View?dp=1&key=5689967-9be9ac49ea907f360edc0a7ebf53b464&start=4497&end=5208","thumbnailUrl","https://assets.pipeline.soar.com/5689967-9be9ac49ea907f360edc0a7ebf53b464/thumbnail_4497000.jpg","articleUrl","/articles/6481926/Miami-Dade-County/Florida/Public-Health-Trust-adopts-balanced-FY2026-operating-budget-and-2587M-capital-plan-cites-39M-salestax-drop","mediaUrl","https://secure.pipeline.soar.com/6481926-ad7e7c8155176c5730beba3c595b4b03/orig.mp4?Expires=1770414598&Signature=Qwrm-LlBxMG3FRsrZnrIa2DcvHITFSM4MTXrESYQDWdw7LQ5bMhg2ugbsC~ybA6g6EIA8k2LgGeEb0X7qxgHyTLNgMrrIVKN63qniJ6kO125PyeRxo99zSDM-~42TaRkL4eDfQzCHv3tLOW9cMqfoxSKoSYbRM-fSW~Atedz3G-P9WrnlKNnX0A6bFet41K5B5PIRrSDqTlygAi3eR-pHZZfm658UO~PrR1iYR0t8mjZZ6HCHe7Rf~B685R8upA6P4lTw2DzAizuprSX8KL-Weu9KTcx9GdurDMswjASf9p0IJOu2d89FYQeG9mJmzqmW1IUmi58jfqHJJwkR~L54A__&Key-Pair-Id=KUT5TJCACFTXG","author","Miami-Dade County","date","2025-08-27T00:00:00Z","article","The Public Health Trust Board of Trustees adopted a balanced operating budget for fiscal year 2026 and approved a $258.7 million capital program at its public budget hearing Aug. 27.

Jackson Health staff presented projections and major capital priorities for FY2026, citing revenue growth, service‑line expansions and planned capital investments. The capital plan includes $92.1 million for an emergency department expansion, $35.6 million for infrastructure upgrades, $31.6 million for medical equipment, and $32.8 million for information technology investments that include a $26 million allocation for the EPIC electronic health record implementation.

On the operating side, staff projected modest volume growth and targeted breakeven performance. Key operational projections presented were 80,511 missions (a 1.6% increase from FY2025), 30,211 surgeries (a 2.4% increase), about 4,500 additional emergency department visits, and an average length of stay of 6.18 days. Deliveries were projected to decline by nearly 6%, a change staff attributed to the closure of the labor and delivery unit at Jackson South.

Jackson Health staff warned of a $39 million projected decline in sales tax revenue compared with FY2025. Presenters said $26 million of that decline results from a state legislative change eliminating sales tax on commercial leases; the remaining $13 million came from the county’s sales‑tax revenue estimates. Staff combined that sales‑tax decline with an expected 7% increase in ad valorem property taxes and projected a net reduction of roughly $15 million in county funding lines referenced in the presentation.

The FY2026 operating budget assumes 6% revenue growth over FY2025 driven in part by higher case mix from specialized services and improved managed‑care rates. Expense assumptions include a 1% cost‑of‑living increase for eligible employees, a 5% rise in retirement costs, 3.85% pharmaceutical inflation and 2.3% inflation for implants and other supplies. Recurring obligations presented in the record include about $80 million for inmate medical services, $34 million for county medical Medicaid liability, $2.6 million for the county attorney’s office, $4.9 million for Community Health of South Florida, and $1 million to the Department of Health.

Budget presenters also discussed risk tied to potential federal changes affecting ACA coverage. Staff said Jackson currently receives roughly $100 million in revenue from patients with ACA coverage and that, if federal subsidies or provisions were eliminated, the system could face revenue reductions ranging from an estimated 19% to 30% of that $100 million (presenters cited potential impacts in the $19 million to $30 million range), though they described those estimates as speculative and dependent on federal action.

After the presentation and brief trustee questions about sales tax and retirement cost assumptions, a resolution approving the operating and capital budgets for fiscal year 2026 was moved, seconded and approved by voice vote.

The transcript records the board meeting adjourned after approval. Specific implementation timelines, capital project schedules and vendor contracting steps (such as EPIC procurement or infrastructure contracting) were not detailed in the public record provided.","mediaType","Video","parentTitle","Miami-Dade County - Public Health Trust Board of Trustees","oneSentenceSummary","The Public Health Trust Board of Trustees adopted a balanced fiscal year 2026 operating budget and approved a $258.7 million capital plan at a public budget hearing on Aug. 27.","taxTitle","Miami-Dade County, Florida","taxId",2864,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6481928,"Public Health Trust approves use of Miami‑Dade Aetna contract; AvMed attorney objects, cites statute and pending appeal",367,971000,1338000,"/Search/View?dp=1&key=5689967-9be9ac49ea907f360edc0a7ebf53b464&start=971&end=1338","https://assets.pipeline.soar.com/5689967-9be9ac49ea907f360edc0a7ebf53b464/thumbnail_971000.jpg","/articles/6481928/Miami-Dade-County/Florida/Public-Health-Trust-approves-use-of-MiamiDade-Aetna-contract-AvMed-attorney-objects-cites-statute-and-pending-appeal","https://secure.pipeline.soar.com/6481928-a55e6f1a968a5813e67ce0b183359eb6/orig.mp4?Expires=1770414598&Signature=CgID37LHRWAOPpYzoU~kE-ik8v9AOlWxSe3FKMRkUNEOn0z2rr~muhJCc~tU3VcuiN7GZAjpROK57KVvxGQqLfK~4L8VdfJ0hBEDVPW20DKlBdaNLINvxNSRw1yJvoPa~zC6l6XP4IT7~SQeeobLajrJD3qw8JWTLNjRHKn718BlNt-Ralau-9QCYJBSIg73fO8tAcG5-gghY5oDOn0UVhuHEOm52uqGR3IX0TaGVTKdMoLqMCSgi2ILW1qUH20jFYnIXw7fRttdYQDK5LNVUGsxBzEfiox6QhXG1Q2qYv0d~gSlOP5p87mNPJWK5vFFmk9w66p5KLb6jX7My608NA__&Key-Pair-Id=KUT5TJCACFTXG","The Public Health Trust Board of Trustees voted Aug. 27 to reject proposals under a request for proposals and authorize the chief executive officer to access Miami‑Dade County’s contract with Aetna Life Insurance Company to administer the Trust’s self‑funded medical programs.

The move was taken as one of four resolutions considered together. Board counsel described item 5(d) as a resolution “rejecting proposals received in response to request for proposals RFP number 205-254500 and 80-JM, waiving formal competitive bidding and authorizing the chief executive officer to negotiate, finalize, and execute an agreement or to access Miami‑Dade County’s contract with Aetna Life Insurance Company for administration of the Trust self‑funded medical programs at an amount not to exceed $50,000,000 over a 5‑year period with 2 renewal options of 2 years each.”

Before the vote, an attorney for AvMed, Mike Llorente of LSN Law, told the board he objected to item 5(d). “I represent AvMed. I’m here to respectfully object to item 5(d) on your agenda, which is a 9 year over $1,000,000,000 bid waiver contract to Aetna,” Llorente said. He also said the matter is the subject of pending litigation and that AvMed has challenged similar actions in court: “This very matter is being litigated at the moment with Miami‑Dade County. We expect and are hopeful that the Third District Court of Appeal will rule on this matter within the coming weeks.”

Aetna’s representative, Giselle Cushing, identified herself as regional president for Aetna and thanked the board for considering Aetna as a partner. “By choosing Aetna, you’ll be joining a community of over 2,000,000 members in the State of Florida and 27,000,000 members nationwide,” Cushing said.

Board members moved to take the four resolutions together and then voted to approve them. A voice vote was recorded and the chair announced the resolutions had passed.

The record includes two differing characterizations of the same agenda item. Board counsel presented the item on the meeting record as a contract not to exceed $50,000,000 over five years with two two‑year renewal options accessed via Miami‑Dade County’s contract with Aetna. The AvMed representative described the item in his public comment as a nine‑year, more‑than‑$1 billion waiver to Aetna. The board’s public record for the item and the text cited by counsel should be consulted for final contract terms.

No roll‑call vote with member names and counts was recorded in the public transcript; the board approved the package of four resolutions by voice vote.

The board chair noted that all trustees had been briefed individually on the items prior to the meeting. The transcript does not record further implementation steps or contract execution milestones for the Aetna arrangement.

Actions at the meeting were limited to the recorded motions to approve minutes and to take the four resolutions together; each motion was seconded and approved by voice vote. The transcript does not show any formal amendment to item 5(d) or a separate, roll‑call vote on that resolution alone.

The board did not provide additional findings on the procurement legality during the public meeting; the public comment from AvMed indicates a pending appellate matter involving related procurement decisions.

The board adjourned following approval of the items.","The Jackson Health Public Health Trust Board voted to reject local RFP responses and authorize using Miami‑Dade County’s contract with Aetna to administer the trust’s self‑funded medical programs. An AvMed attorney told the board the waiver is unlawful under Florida Statute 112.08 and is the subject of pending litigation.","actionData","errors"]

Article not found

Public Health Trust adopts balanced FY2026 operating budget and $258.7M capital plan, cites $39M sales‑tax drop

Public Health Trust approves use of Miami‑Dade Aetna contract; AvMed attorney objects, cites statute and pending appeal