Interoffice Memorandum
DATE: October 5, 2026
TO: Mayor Jerry L. Demings and County Commissioners
THROUGH: Raul Pino, M.D., M.P.H., Director
FROM: John Goodrich, Deputy Director
CONTACT: Sandra Roe
PHONE: 407-836-7611
DIVISION: Fiscal and Operational Support Division
ACTION REQUESTED:
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Approval and execution of Contract between Orange County Board of County Commissioners and State of Florida Department of Health for Operation of the Orange County Health Department Contract Year 2026-2027. Orange County’s total cash contribution in the amount of $1,699,449 will be submitted to the Health Department in quarterly installments of $424,862.25. (Fiscal and Operational Support Division)
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PROJECT: N/A
PURPOSE: The Health Services Department is requesting approval and execution of the annual standard contract between the State of Florida Department of Health and Orange County for operation of the Orange County Health Department. This contract is required by Chapter 154, Florida Statutes. The Health Department’s total contract operating budget for FY 2026-2027 is $42,450,839. This includes the state share of $27,631,975 and the county/local share of $14,818,864. Of the county amount, $1,699,449 is a cash contribution given to the Health Department in quarterly installments of $424,862.25. The remainder of the county/local contribution includes fee revenue, Medicare billings, Medicaid billings, Citizens’ Commission for Children funding, and Federal Ryan White Part A, B, and C funding. Fee revenues and Medicaid/Medicare billings are collected by the Health Department and deposited directly into its trust fund. The contract includes a spending plan by service area with the anticipated amount of services to be provided. All funds are held by the state in a separate trust fund with quarterly service and expenditure reports provided to the county. This contract is a continuation of the contracting provisions set forth in Chapter 154, Florida Statutes and has ...
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