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Ordinance 2024-4630 ORDINANCE NO: 2024-4630 SEXUALLY TRANSMITTED INFECTION (STI) TESTING REGULATIONS AN ORDINANCE OF THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, AMENDING THE MIAMI BEACH RESILIENCY CODE, BY AMENDING CHAPTER 1, ENTITLED "GENERAL PROVISIONS,"ARTICLE II,ENTITLED"DEFINITIONS,"AT SECTION 1.2.2, ENTITLED "USE DEFINITIONS," AT SUBSECTION 1.2.2.9, ENTITLED "SPECIALIZED USES," BY ESTABLISHING A DEFINITION FOR SEXUALLY TRANSMITTED INFECTION(STI)TESTING SERVICE;AND BY AMENDING CHAPTER 7, ENTITLED "ZONING DISTRICTS AND REGULATIONS," ARTICLE V, ENTITLED "SUPPLEMENTARY DISTRICT REGULATIONS," SECTION 7.5.5, ENTITLED "SPECIALIZED USE REGULATIONS,"AT SUBSECTION 7.5.5.1 ENTITLED"ASSISTED LIVING AND MEDICAL USES," BY EXEMPTING SEXUALLY TRANSMITTED INFECTION (STI) TESTING SERVICES FROM THE REGULATIONS OF THIS DIVISION; AND PROVIDING FOR CODIFICATION, REPEALER, SEVERABILITY,AND AN EFFECTIVE DATE. WHEREAS, according to recent data, Miami-Dade County now ranks No. 4 in the country for total human immunodeficiency virus (HIV) cases by county; and WHEREAS, by rate of transmission, Miami-Dade County ranks No. 17 nationally, with 1,190 people diagnosed with HIV per 100,000 people; and WHEREAS, the HIV "hot spots" in Miami-Dade County include zip code 33139, which covers all of South Beach; and WHEREAS, this public health crisis disproportionately impacts the LGBTQ community and people of color; and WHEREAS, In response to the rising rates of transmission, it is in the best interest of the city to provide better access to testing services citywide; and WHEREAS, allowing sexually transmitted infection (STI) testing to be exempt from the restrictions outlined in the City's medical use regulations, especially in commercial, mixed-use, and multifamily districts, will facilitate the expansion of testing services; and WHEREAS, the amendments set forth below are necessary to accomplish all of the above objectives. NOW THEREFORE, BE IT ORDAINED BY THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA. SECTION 1. Chapter 1, entitled "General Provisions," Article II, entitled "Definitions," Section 1.2.2, entitled "Use Definitions," at Subsection 1.2.2.9, entitled "Specialized Uses," is hereby amended as follows: CHAPTER 1 GENERAL PROVISIONS ARTICLE II: DEFINITIONS * * * 1.2.2 USE DEFINITIONS * * 1.2.2.9 Specialized Uses * * * Sexually transmitted infection (STI).testing service means a service provided by medical professionals to provide individuals with testing and diagnoses of sexually transmitted infections. Skilled nursing unit means skilled nursing units are based in hospitals, either housed inside the hospital or in a separate building. They typically provide only short-term care and rehabilitation services. The skilled nursing unit does not have a separate license because it is part of the hospital license. See the hospital definition for further information. * * * SECTION 2. Chapter 7, entitled "Zoning Districts and Regulations," Article V, entitled "Supplementary District Regulations," at Section 7.5.5, entitled "Assisted Living and Medical Uses," at Subection 7.5.5.1, entitled "Assisted Living and Medical uses," is hereby amended as follows: CHAPTER 7 ZONING DISTRICTS AND REGULATIONS * * * ARTICLE V: SUPPLEMENTARY DISTRICT REGULATIONS * * * 7.5.5 SPECIALIZED USE REGULATIONS * * * 7.5.5.1 Assisted Living and Medical Uses * * * c. Exempt uses. The following medical sub-uses, which, unless otherwise noted service individuals in their place of residence,,shall be exempt from the regulations of this division: 1. Health care services pool. 2. Home health agency. 3. Home medical equipment provider. • 4. Homemaker and companion services. 5. Home hospice service. 6. Massage therapist. 7. Portable x-ray provider. 8. Pharmacies. 9. Medical cannabis treatment centers. 10. Sexually transmitted infection (STI) testing services, within a place of residence, as well as within multi-family, commercial and mixed-use districts. SECTION 3. REPEALER. All ordinances or parts of ordinances and all section and parts of sections in conflict herewith be and the same are hereby repealed. SECTION 4. CODIFICATION. It is the intention of the City Commission, and it is hereby ordained that the provisions of this ordinance shall become and be made part of the Code of,the City of Miami Beach as amended;that the sections of this ordinance may be renumbered or relettered to accomplish such intention; and that the word "ordinance" may be changed to "section" or other appropriate word. SECTION 5. SEVERABILITY. If any section, subsection, clause or provision of this Ordinance is held invalid, the remainder shall not be affected by such invalidity. SECTION 6. EFFECTIVE DATE, This Ordinance shall take effect ten days following adoption. PASSED AND ADOPTED this or day of -lir , 2024. ..A ,,,..---r?oec:vt4o.L..... Steven Meiner, Mayor ATTEST: J J L 3 0 2024 Ra ael E. ranado, City Clerk �•B•,,, APPROVED AS TO '\. "ii." ,. 0''- FORM AND LANGUAGE `-, y'''' & FO EXECUTION IA'CORP ORATED1' ,g-/r. ,) 2 9Z 9- Riy•26`��- I y torney Q� Date First Reading: May 15, 2024 Second Reading: July 24, 20 4 8ponsared by CommissionerAlex J. Fernandez Co-Sponsored by Commissioner Laura Dominguez Verified by: Co-Sponsored by Commissioner Tanya K Bhatt Thomas R. Moone ICP Co-Sponsored by Commissioner Joseph Magazine Planning Director T:Wgenda\2024\5 May 2024\Planning\STI Testing Regulations-First Reading ORD.docx Ordinances -R5 H MIAMI BEACH COMMISSION MEMORANDUM TO: Honorable Mayor and Members of the City Commission FROM: Interim City Manager Rickelle Williams DATE: July 24, 2024 10:50 a.m. Second Reading Public Hearing TITLE: SEXUALLY TRANSMITTED INFECTION (STI)TESTING REGULATIONS AN ORDINANCE OF THE MAYOR AND CITY COMMISSION OF THE CITY OF MIAMI BEACH, FLORIDA, AMENDING THE MIAMI BEACH RESILIENCY CODE, BY AMENDING CHAPTER 1, ENTITLED "GENERAL PROVISIONS," ARTICLE II, ENTITLED "DEFINITIONS," AT SECTION 1.2.2., ENTITLED "USE DEFINITIONS," AT SUBSECTION 1.2.2.9, ENTITLED "SPECIALIZED USES," BY ESTABLISHING A DEFINITION FOR SEXUALLY TRANSMITTED INFECTION (STI) TESTING SERVICES; AND BY AMENDING CHAPTER 7, ENTITLED "ZONING DISTRICTS AND REGULATIONS," ARTICLE V, ENTITLED "SUPPLEMENTARY DISTRICT REGULATIONS," SECTION 7.5.5, ENTITLED "SPECIALIZED USE REGULATIONS," AT SUBSECTION 7.5.5.1 ENTITLED "ASSISTED LIVING AND MEDICAL USES," BY EXEMPTING SEXUALLY TRANSMITTED INFECTION (STI) TESTING SERVICES FROM THE REGULATIONS OF THIS DIVISION; AND PROVIDING FOR CODIFICATION, REPEALER, SEVERABILITY, AND AN EFFECTIVE DATE. RECOMMENDATION The Administration recommends that the Mayor and City Commission adopt the ordinance. BACKGROUND/HISTORY On January 31, 2024, at the request of Commissioner Alex Fernandez, the Mayor and City Commission referred a discussion item(C4 E)pertaining to STI testing site exceptions to the Land Use and Sustainability Committee (LUSC) and the Planning Board. On February 26, 2024, the LUSC recommended that the Planning Board transmit the ordinance to the City Commission with a favorable recommendation. ANALYSIS According to recent data, Miami-Dade County now ranks No. 4 in the country for total human immunodeficiency virus(HIV)cases by county. By rate of transmission, Miami-Dade County ranks No. 17 nationally,with 1,190 people diagnosed with HIV per 100,000 people.Additionally,the HIV "hot spots" in Miami-Dade County include zip code 33139, which covers all of South Beach. This public health crisis disproportionately impacts the LGBTQ community and people of color. Medical uses are regulated pursuant to Section 7.5.5.1 of the Land Development Regulations (LDRs),entitled Assisted Living and Medical Uses. This section divides medical uses into classes and the classes of medical uses that are allowed in specific zoning districts. Currently STI testing is considered a Class I medical use, as part of a retail clinic or medical office, and a Class II medical use, as part of a laboratory or health care clinic. Class I medical uses are allowed in all zoning categories except RS, TH, RM-1, R-PSI, RMPS-1, and R-PS2 districts. Also; as a Class 1 medical use, STI testing can only be permitted as part of a medical clinic or office. Page 962 of 1750 Subsection 7.5.5.1.c of the LDRs designates uses that are exempt from regulation as a medical use. For STI testing to take place outside the confines of a medical facility,this section is proposed to be amended to exempt STI testing as follows: c. Exempt uses. The following medical sub-uses, which, unless otherwise noted, service individuals in their place of residence, shall be exempt from the regulations of this division: 1. Health care services pool. 2. Home health agency. 3. Home medical equipment provider. 4. Homemaker and companion services. 5. Home hospice service. 6. Massage therapist. 7. Portable x-ray provider. 8. Pharmacies. 9. Medical cannabis treatment centers. 10. Sexually transmitted infection (STI) testing services, within a place of residence, as well as within multi-family, commercial and mixed-use districts. Additionally, a definition for"Sexually transmitted infection (STI)testing service"is proposed to be provided within Section 1.2.2.9 of the LDRs, which establishes definitions for specialized uses, as follows: Sexually transmitted infection (STI) testing service means a service provided by medical professionals to provide individuals with diagnoses of sexually transmitted infections. PLANNING BOARD REVIEW On April 25, 2024, the Planning Board held a public hearing and transmitted the proposed ordinance to the City Commission with a favorable recommendation (7-0). UPDATE The subject ordinance was approved at First Reading on June 26, 2024, with no changes. Additionally, the City Commission waived the applicable fees based on circumstances unique to the proposed amendment. FISCAL IMPACT STATEMENT N/A Does this Ordinance require a Business Impact Estimate? No (FOR ORDINANCES ONLY) The Business Impact Estimate (BIE)was published on 7/5/2024. See BIE at: https://www.mlamibeachfl.gov/city-hall/city-clerk/meetinq-notices/ FINANCIAL INFORMATION CONCLUSION Page 963 of 1750 The Administration recommends that the Mayor and City Commission adopt the ordinance. Applicable Area Citywide Is this a "Residents Right to Know" item, Is this item related to a G.O. Bond pursuant to City Code Section 2-17? Project? Yes No 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 Planning Sponsor(s) Commissioner Alex Fernandez Co-sponsor(s) Commissioner Laura Dominguez Commissioner Tanya K. Bhatt Commissioner Joseph Magazine • Page 964 of 1750