In a significant meeting on July 1, 2025, the Marion County Board of County Commissioners approved a resolution to implement a new special non-ad valorem assessment for local hospitals. This initiative, which has been in place for several years, aims to enhance the financial recovery for hospitals, particularly in covering expenses related to Medicaid payments for indigent and Medicaid-eligible individuals.

The resolution was prompted by concerns regarding potential changes in the federal budget process that could limit the hospitals' ability to increase their assessment rates in the future. By acting before the July 4 deadline, the county aims to secure necessary funding for local healthcare facilities, ensuring they can continue to provide essential services to the community.

Hospital representatives, including Erica Scula, President and CEO of AdventHealth Ocala, voiced strong support for the resolution, emphasizing its critical role in maintaining high-quality care for underserved residents. Scula highlighted the partnership between the hospitals and the county, expressing gratitude for the commission's leadership in this initiative.

Alan, CEO of HJ Florida Ocala Hospital, shared a poignant example of how the assessment has directly benefited local patients, illustrating the tangible impact of the funding on individual lives. He recounted the story of a patient who received necessary medical treatment without facing overwhelming financial burdens, thanks to the support provided by the assessment.

The board unanimously approved the resolution, reaffirming their commitment to supporting local healthcare providers and ensuring access to medical services for all residents. This decision marks the fifth year of the assessment program, which was originally proposed by hospital partners to help manage Medicaid costs and improve healthcare access in the community.

As Marion County continues to navigate the complexities of healthcare funding, this resolution stands as a testament to the collaborative efforts between local government and healthcare providers to address the needs of vulnerable populations. The board's decision not only secures funding for hospitals but also reinforces the county's dedication to the health and well-being of its residents.