Minutes 01/22/2013 - Laserfiche WebLink

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January 22, 2013 (k) The owners and/or operators of the establishment shall not violate any laws of the Commonwealth or ordinances of the City related to peace and good order, not suffer repeated or chronic violations by any of its patrons or customers. If the Chief of Police, in his discretion, determines that there are significant violations of this type to comprise a significant law enforcement problem, he shall so notify the applicant in writing and shall provide a copy of such notice .to the Director of Planning. If, within six months of the date of such letter, the Director of Planning determines that the offenses against peace and good order are continuing, then he may initiate proceedings for the revocation of this permit. Provided, however, that if at any time problems exist of such a severity that the Chief of Police determines that there is a significant risk to public safety or peace and good order of such proportions as to create a risk of blight, revocation proceedings may be initiated by the Director of Planning regardless of the six month requirement. 4. REVOCATION OF PERMIT: Violation of any of the above conditions may serve as grounds for revocation of the use permit by the City Council." Ayes: Cherry, Edmonds, Meeks, Moody, Psimas, Randall, Wright Nays: None - City Manager's Report - 13 - 43 -Adoption of a resolution requesting that the General Assembly and Governor accept and implement the full expansion of Medicaid as provided by the federal Patient Protection and Affordable Care Act of 2010. Vision Principle: Efficient, Responsive Government and Change and New Directions. Background: • The Patient Protection and Affordable Care Act ("the Act") is a 2010 federal law which expands the availability of health care through an expansion of Medicaid. State legislators have the option to authorize Medicaid expansion in their state. • The expansion established a new income eligibility criterion of 133% of the federal poverty level. The Act provides 100% federal funding for the expansion in the first three years, after which time the federal funding will be reduced to no less than 90% of the cost. • The State announced in December that Virginia would not participate in the expansion of this program. Discussion: • 20,368 Portsmouth residents currently receive Medicaid benefits, but an estimated 12,120 additional adult residents under the age of 65 remain uninsured. An estimated additional 15,000 Portsmouth residents will be eligible for Medicaid expansion under the federal law, including a significant number of single persons and couples with incomes between $15,415 and $20,879, as well as certain families (depending on family size) with incomes up to $53,668. • A significant number of uninsured Portsmouth residents who suffer from mental health or substance abuse disorders will be eligible for health care coverage through Medicaid expansion. • The cost of declining the Medicaid expansion option will result in a higher cost ($262 million) to cover 90,000 persons statewide, as compared to the cost with expanded coverage of $245 million to cover 400,000 persons. • If it opts to decline Medicaid expansion, the Commonwealth will have to continue to reimburse hospitals for uncompensated care. Bon Secours - Hampton Roads provided service to over 45,000 Medicaid patients and over 54,000 uncompensated care patients in 2012. Many of the 54,000 uncompensated care patients could receive Medicaid support under the extension of Medicaid as called for in the Affordable Care Act. • The expansion of Medicaid and the resulting infusion of new federal revenue into the Virginia economy will increase local employment in medical services and supportive health care industries, as well as allow low-income households to retain for discretionary spending the income they would have spent on out-of-pocket medical costs.