December 4, 2012 was the last time staff presented information on the City's Medicare Section 1115 Waiver grant funding to City Council. Staff could've given Council an update in today's meeting but the item started on the Consent agenda. Any member of City Council could've pulled the item from Consent to Regular agenda. None did.
The City currently holds $441,000 to $620,000 in excess federal funding. That's 3.5 to 5.4 years of 1115 Waiver funding. Both numbers come from city documents. A public information request produced the $441,000 number while the City's Bluebook documents show a $620,000 surplus since grant inception.
City Council approved seeking more federal funding beginning with fiscal year 2017-2018. Health Services comprise 0.31% of the City's operating budget for 2018-19. That's minuscule. An ethical city council would ensure a need exists to seek additional state/federal funding. There was no discussion, just silence.
Update 8-13-18: The City is seeking another $500,000 in funding, even as it sits on excess federal/state funds of $441,000 to $620,000. The application for more money does not require participants to expend current excess grant funds prior to receiving new Medicare 1115 Waiver funding.
Update 3-27-26: The City has $642,335 in 1115 Waiver funds as of a March 9, 2026 financial report. It is only using these funds for rent. City Council approved a new lease with Shannon Medical Center in February. There was no mention of the 1115 Waiver funds as the facility lease was on the Consent Agenda and no Councilmember pulled it for discussion.in their last meeting on March 3rd.
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