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CBIRS Request 7
 
Community Budget Issue Requests - Tracking Id #7
Indigent & Uninsured Pharmaceutical Program
 
Requester: Mr. Mickey Presha Organization: Manatee County Rural Health Services, Inc.
 
Project Title: Indigent & Uninsured Pharmaceutical Program Date Submitted 1/5/2004 8:39:40 AM
 
Sponsors: Miller
 
Statewide Interest:
This program will directly impact the lives of thousand of residents throughout the Tampa Bay Region and ultimatley impact the health status of the State. Effective health care must go beyond physician office visits and diagnosis. Many of the patients of MCRHS have no means to acquire the proper medications needed to restore them to good health. This program especially benefits the state because many of the patients we serve are hightly mobile (i.e. migrant workers) and could carry health problems to others because of conditions that are contagious. Proper medical treatment will isolate and eliminate many of these problems and ultimatley benefit other areas of the state.
 
Recipient: Manatee County Rural Health Services, Inc.   Contact: Mr. Mickey Presha  
  12214 US Hwy 301 North   Contact Phone: (941) 776-4000  
  Parrish, FL 34219   Contact email:  
 
Counties: DeSoto, Manatee, Sarasota
 
Gov't Entity: Yes Private Organization (Profit/Not for Profit):  
 
Project Description:
Manatee County Rural Health Services, Inc. a 501 c (3) non-profit Federally Qualified Health Center organization. The organization currently operates 10 Community Health Care Centers in Manatee, Sarasota and DeSota Counties. Manatee County Rural Health Services, Inc. currently serves an active patient base of over 46,000 people per year and provides over 169,000 patient encounters per year. Many patients have no means of paying for their health care. They are "self pay" patients who are not eligible for Medicaid, Medicare, or any other public assistance program. Additionally, most of these patients do not have private health insurance through their employer. This project is intended to create a program modeled after the Prescription Drug Purchase Assistance Program. MCRHS would establish an "in-house RX Plan" with a seed of $250,000. The $250,000 pool of money would then be used to assist MCRHS patients without an RX plan with their medication purchased by offsetting prescription drug prices. Patients, who are confirmed to have no funding source, would be supplemented from this financial pool for the price of medications. The goal is to use the pool for approximately 50%-75% of the prescription cost and have the patient co-pay be from 25%-50% of the total price of the medication based on their financial status and a sliding fee scale. The sliding fee scale will be based on the federally established poverty guidelines that are currently in place for other services provided by Manatee County Rural Health Services. Inc. MCRHS operates 5 full service pharmacies in house. MCRHS has a sophisticated software program that identifies each patient's profile when they come for pharmacy services. We require all pharmacy customers to sign in and become a part of our database. Office staff and financial counselors verify at each office visit the patient's current financial and insurance status. MCRHS has implemented & managed a program similar to this in the past called the Prescription Drug Purchase Assistance Program (PDPA). MCRHS has all the components in place to operate this program successfully and efficiently. The only remaining component is the financial pool required to seed the program.
 
Is this a water project as described in Chapter 2002-291, Laws of Florida? No
 
Measurable Outcome Anticipated:
MCRHS feels that as many as 1/4 to 1/3 of its patients will increase access to proper medication. Proper treatment and medication should have a measureable impact on the reported health statistics by the Manatee County Health Department.
 
Amount requested from the State for this project this year: $250,000
 
Total cost of the project: $250,000
 
Request has been made to fund: Operations
 
What type of match exists for this project? None
  Cash Amount $  
 
Was this project previously funded by the state?   No
 
Is future-year funding likely to be requested?   Unknown
 
Was this project included in an Agency's Budget Request?   Unknown
 
Was this project included in the Governor's Recommended Budget? No
 
Is there a documented need for this project? Yes
  Documentation: MCRHS served over 46,000 patients with over 169,000 patients visits/contacts in 2002.
 
Was this project request heard before a publicly noticed meeting of a body of elected officials (municipal, county, or state)?   Yes
  Hearing Body: Manatee County Legislative Delegation
  Hearing Meeting Date: 10/08/2003