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Tax levy review finds indigent-care levy financially stable but vulnerable to federal funding changes
Summary
A Tax Levy Review Committee presentation to the Hamilton County Board of County Commissioners said MOUs, a new cost-containment cap for sheriff spending and released encumbrances have strengthened the indigent-care levy, but committee members warned that changes to federal funding or Medicaid could sharply reduce services.
Indigent-care levy review shows current reserves but warns of federal funding risk. The Tax Levy Review Committee told the Hamilton County Board of County Commissioners on July 29 that the county’s indigent-care levy is in good financial condition after implementing memorandum-of-understanding (MOU) agreements and cost-containment steps, but committee members cautioned that reductions in federal funding or changes to Medicaid could sharply reduce services to underinsured and uninsured residents. The committee’s midpoint review highlighted several implemented changes intended to clarify responsibilities and control costs. Committee member Gwen McFarlane and assistant city administrator Lisa Webb reported that MOUs now define agency responsibilities and performance metrics for levy-funded…
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