C4AL - Miami Beach Health Center

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REFERRAL TO THE PUBLIC SAFETY AND NEIGHBORHOOD QUALITY OF LIFE COMMITTEE TO DISCUSS THE IMPACT ON THE MIAMI BEACH COMMUNITY HEALTH CENTER OF MEDICAID CUTS IN THE “ONE BIG BEAUTIFUL BILL,” INCLUDING THE ESTIMATED $3.84 BILLION REDUCTION TO FLORIDA’S MEDICAID FUNDING, THE POTENTIAL IMPACT OF THE CURRENT INCREASE IN HEALTH INSURANCE PREMIUMS FOR THOSE PURCHASING INSURANCE THROUGH THE AFFORDABLE CARE ACT (“ACA”), AND THE POTENTIAL FOR THE CENTER TO BE OVERWHELMED WITH UNPAID PATIENTS WHO PREVIOUSLY RELIED UPON TRADITIONAL PROVIDERS.  

December 17, 2025
Sponsors
Commissioner Laura Dominguez
Commissioner Laura Dominguez

Detailed Information

Cached: 8 minutes ago

Committee Referrals - C4 AL

C4 AL REFERRAL TO THE PUBLIC SAFETY AND NEIGHBORHOOD QUALITY OF LIFE COMMITTEE TO DISCUSS THE IMPACT ON THE MIAMI BEACH COMMUNITY HEALTH CENTER OF MEDICAID CUTS IN THE “ONE BIG BEAUTIFUL BILL,” INCLUDING THE ESTIMATED $3.84 BILLION REDUCTION TO FLORIDA’S MEDICAID FUNDING, THE POTENTIAL IMPACT OF THE CURRENT INCREASE IN HEALTH INSURANCE PREMIUMS FOR THOSE PURCHASING INSURANCE THROUGH THE AFFORDABLE CARE ACT (“ACA”), AND THE POTENTIAL FOR THE CENTER TO BE OVERWHELMED WITH UNPAID PATIENTS WHO PREVIOUSLY RELIED UPON TRADITIONAL PROVIDERS. Applicable Area:

COMMISSION MEMORANDUM

TO:
Honorable Mayor and Members of the City Commission
FROM:
Commissioner Laura Dominguez
DATE:
December 17, 2025
TITLE:
REFERRAL TO THE PUBLIC SAFETY AND NEIGHBORHOOD QUALITY OF LIFE COMMITTEE TO DISCUSS THE IMPACT ON THE MIAMI BEACH COMMUNITY HEALTH CENTER OF MEDICAID CUTS IN THE “ONE BIG BEAUTIFUL BILL,” INCLUDING THE ESTIMATED $3.84 BILLION REDUCTION TO FLORIDA’S MEDICAID FUNDING, THE POTENTIAL IMPACT OF THE CURRENT INCREASE IN HEALTH INSURANCE PREMIUMS FOR THOSE PURCHASING INSURANCE THROUGH THE AFFORDABLE CARE ACT (“ACA”), AND THE POTENTIAL FOR THE CENTER TO BE OVERWHELMED WITH UNPAID PATIENTS WHO PREVIOUSLY RELIED UPON TRADITIONAL PROVIDERS.

RECOMMENDATION

BACKGROUND/HISTORY

ANALYSIS

Please refer a discussion to the Public Safety and Neighborhood Quality of Life Committee (“PSNQLC”) to discuss the impact on the Miami Beach Community Health Center of the Medicaid cuts in the federal “One Big Beautiful Bill.” The legislation has been estimated to reduce Florida’s Medicaid funding by approximately $3.84 billion.

I would also like to discuss the potential impact of the current increase in health insurance premiums for those purchasing health insurance through the Affordable Care Act (“ACA”) the who may no longer be able to afford health insurance coverage.

These developments could significantly affect the ability of the Miami Beach Community Health Center to serve its current patient population and may result in the Center being overwhelmed with new patients who are uninsured or unable to pay for services.

While the City of Miami Beach currently funds $22,000 for the cost of MBCHC Public Benefits and Outreach and Enrollment Coordinators, I would like the Administration to be prepared to discuss and make recommendations to the Mayor and City Commission on possible steps the City could take to provide additional support to the Center to mitigate the potential public health and safety impacts of this development.

FISCAL IMPACT STATEMENT

N/A

Does this Ordinance require a Business Impact Estimate? (FOR ORDINANCES ONLY)

If applicable, the Business Impact Estimate (BIE) was published on: See BIE at: https://www.miamibeachfl.gov/city-hall/city-clerk/meeting-notices/

FINANCIAL INFORMATION

CONCLUSION

Applicable Area

Citywide

Is this a “Residents Right to Know” item, pursuant to City Code Section 2-17?

Is this item related to a G.O. Bond Project?

No

No

Was this Agenda Item initially requested by a lobbyist which, as defined in Code Sec. 2-481, includes a principal engaged in lobbying? No

If so, specify the name of lobbyist(s) and principal(s):

Department

Office of Commissioner Laura Dominguez

Sponsor(s)

Commissioner Laura Dominguez

Co-sponsor(s)

Condensed Title

Ref: PSNQLC - Impact on MB Community Health Ctr, Medicaid Cuts in One Big Beautiful Bill. (LD)

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