C7C - Increase Funding for Nurse Initiative

Resolutions - C7 C

COMMISSION MEMORANDUM

TITLE:

A RESOLUTION OF THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, (I) APPROVING AN INCREASE IN THE CITY CONTRIBUTION FOR THE NURSE ENHANCEMENT INITIATIVE FROM AN AMOUNT NOT TO EXCEED $15,400.00, AS SET FORTH IN RESOLUTION NO. 2019-30956, TO AN AMOUNT NOT TO EXCEED $19,250.00; (II) APPROVING AN INCREASE OF THE CITY CONTRIBUTION FOR THE NURSE ENHANCEMENT INITIATIVE TO AN AMOUNT NOT TO EXCEED $19,250.00 FOR EACH SUBSEQUENT SCHOOL YEAR, ON A RECURRING BASIS, SUBJECT TO FUNDING APPROVAL DURING THE CITY’S BUDGETARY PROCESS; (III) APPROVING, IN SUBSTANTIAL FORM, AMENDMENT NO. 8 TO THE MEMORANDUM OF UNDERSTANDING DATED MAY 17, 2018 AMONG THE CITY, MIAMI BEACH CHAMBER EDUCATION FOUNDATION, INC., NORTH BAY VILLAGE, THE TOWN OF BAY HARBOR ISLANDS, THE TOWN OF SURFSIDE, AND BAL HARBOUR VILLAGE FOR THE PROVISION OF THE NURSE ENHANCEMENT INITIATIVE IN FISCAL YEAR 2026 IN AN AMOUNT NOT TO EXCEED $19,250.00; AND (IV) AUTHORIZING THE CITY MANAGER AND CITY CLERK TO EXECUTE ANY AND ALL REQUIRED AGREEMENTS AND DOCUMENTS TO IMPLEMENT THE PROGRAM, INCLUDING SAID AMENDMENT NO. 8.

RECOMMENDATION

The Administration recommends approving Amendment No. 8 to the Memorandum of Understanding (MOU) between the City of Miami Beach, North Bay Village, The Town of Bay Harbor Islands, The Town of Surfside, Bal Harbor Village, and The Miami Beach Chamber Education Foundation to implement a Nurse Enhancement Initiative. This amendment revises the City's contribution to an amount not to exceed $19,250 for the Fiscal Year 2026.

The Administration also recommends approving this same contribution on a recurring basis for subsequent years, with the amount not to exceed $19,250 per year, subject to funding approval in each fiscal year's budget.

BACKGROUND/HISTORY

In January 2008, the City of Miami Beach ("the City") entered into an Education Compact with the Miami-Dade County Public Schools ("MDCPS"). This compact was created to enhance learning opportunities for youth and reflected the Miami Beach community's desire to support excellence in its public schools and the health and well-being of its youth.

During the 2012-2013 School Year, five of the eight schools in the educational feeder pattern had Health Connect in Our Schools ("HCIOS") suites. These suites were supported by The Children's Trust ("The Trust") and provided a full-time Medical Assistant and a shared Registered Nurse on campus. For students who did not require routine medications, the HCIOS suites were used for nursing assessments, first aid, and consultations with parents and caregivers.

The City of Miami Beach, North Bay Village, the Town of Bay Harbor Islands, the Town of Surfside, and Bal Harbour Village ("Participating Municipalities") determined that a program to provide healthcare services to students attending underserved public schools was in the best interests of the health and public welfare of the Participating Municipalities. They realized that students at North Beach Elementary, Treasure Island Elementary, and Ruth K. Broad Bay Harbor K-8 Center did not have full-time on-site healthcare services and were, therefore, underserved compared to other public schools in the feeder pattern.

To address this, the parties entered into a Memorandum of Understanding (MOU) on August 19, 2013, for a Nurse Initiative, and a second MOU on April 23, 2014, to provide healthcare services to these schools during the 2013-2014 and 2014-2015 School Years.

Following that initial determination, the parties implemented an enhanced Nurse Initiative to provide the basic healthcare services previously funded by the Participating Municipalities, the Miami Beach Chamber Education Foundation, Inc., and The Trust, were now being provided by The Trust via the new School Health Programs.

Resolution 2016-29345 (Attachment A) authorized an appropriation of $15,400 from the Miami Beach Education Compact Fund for the City's proportionate share of funding for the Nurse Initiative. A new MOU for the 2016-2017 School Year was then approved by Resolution 2016- 29468 (Attachment B), and another new MOU for the 2017-2018 School Year was approved by Resolution 2017-29806 (Attachment C). On May 17, 2018, the Participating Municipalities entered into a new MOU for the 2018-2019 through the 2024-25 School Years per Resolution 2019-30956 (Attachment D).

The Participating Municipalities executed amendments 1 through 7 (Attachment E) to the MOU to continue funding mental and behavioral health services for students in the participating schools. The benefits of this program have expanded to include comprehensive mental and behavioral health services, which have proven to be a critical component of student well-being and academic success.

ANALYSIS

Mental health support was sustained in 2025 with 252 youth receiving a total of 1,370 sessions, up from 131 youths and 779 sessions in the previous year. Several schools received telehealth services through a partnership with Hazel Health. The table below indicates the number of sessions provided to youth at on-site at select Miami Beach feeder schools receiving services during the 2024-2025 school year through a partnership with neighboring municipalities, Borinquen Medical Centers, The Children's Trust and the Miami Beach Chamber Education Foundation:

SCHOOL NAME Miami Beach Senior High School North Beach Elementary Treasure Island Elementary Ruth K. Broad Bay Harbor K-8 Center # STUDENTS 205 17 7 23 # SESSIONS 930 172 52 216

The enhanced behavioral services provide on-site access to a licensed clinical social worker to provide services including, but not limited to, the following:

■ Academic Issues ■ Disruptive Behavior ■ Attention Issues ■ Depression ■ Anger Management ■ Stress Management ■ Attention Issues ■ Anxiety ■ Family Issues

For the 2025-26 school year, The Children's Trust has selected Jesse Trice Community Health Services as the provider for the Miami Beach public schools. As such, the city will execute agreements with the Miami Beach Chamber Education Foundation and our neighboring municipalities to continue these much needed and heavily utilized mental health services with our new provider. Each partner municipality has agreed to a 25 percent increase annually as the program is heavily utilized by students throughout the school year.

Anticipated contributions for this partnership for a total of $66,670 are as follows: • City of Miami Beach $19,250 • North Bay Village $8,250 • Town of Surfside $10,140 • Town of Bay Harbor Islands $10,140 • Village of Bal Harbor $10,140 • Miami Beach Chamber of Commerce $8,750

FISCAL IMPACT STATEMENT

FY 2026 - $19,250 which is a $3,850 increase from prior years due to increase costs as no increase to program has been made since 2012. Neighboring municipalities all increased contributions by 25%.

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

177-6881-000343-12-400-592-00-00-00-

CONCLUSION

Based on the program's success and the increased demand for mental health support, it has become necessary to increase the funding to maintain and enhance these critical services. The Administration now recommends approving Amendment No. 8 to the MOU (Attachment F), which would provide for a revised City contribution of an amount not to exceed $19,250 in FY 2026. The Administration further recommends approving this City contribution on a recurring basis for subsequent years, in an amount not to exceed $19,250 per year, subject to funding approval during the City's fiscal year budgetary process.

Applicable Area

Citywide

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

Education and Performance Initiatives

Sponsor(s)

Co-sponsor(s)

Condensed Title

Amendment 8 to MOU, Nurse Enhancement Initiative for School Year 2025-26. EPI

Previous Action (For City Clerk Use Only)