INGHAM COUNTY BOARD OF COMMISSIONERS P.O. Box 319. Mason, Michigan Telephone (517) Fax (517)

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CHAIRPERSON MARC THOMAS VICE-CHAIRPERSON VICTOR CELENTINO VICE-CHAIRPERSON PRO-TEM STEVE DOUGAN INGHAM COUNTY BOARD OF COMMISSIONERS P.O. Box 319. Mason, Michigan 48854 Telephone (517) 676-7200 Fax (517) 676-7264 HUMAN SERVICES COMMITTEE ANDY SCHOR., CHAIR REBECCA BAHAR-COOK CURTIS HERTEL, JR. TIM SOULE MIKE SEVERINO STEVE DOUGAN THE HUMAN SERVICES COMMITTEE WILL MEET ON MONDAY, MARCH 17, 2008 AT 7:00 P.M., IN THE PERSONNEL CONFERENCE ROOM (D & E) OF THE HUMAN SERVICES BUILDING, 5303 S. CEDAR, LANSING. Call to Order Approval of the February 25, 2008 Minutes Additions to the Agenda Limited Public Comment Agenda 1. Presentations a. Orientation to the Power of We Consortium (the Report was Distributed at the March 11, 2008 Board of Commissioners Meeting) b. IMPACT System of Care Update from Matt Wojack, Project Director of IMPACT - Ingham County System of Care, and Parent of a Client (no materials) 2. Health Department a. Resolution to Authorize Amendment #2 to the 2007-2008 Comprehensive Planning, Budgeting and Contracting Agreement with the Michigan Department of Community Health b. Dr. Dean Sienko Ingham Health Plan Narrative (no materials) Announcements Public Comment Adjournment PLEASE TURN OFF CELL PHONES OR OTHER ELECTRONIC DEVICES OR SET TO MUTE OR VIBRATE TO AVOID DISRUPTION DURING THE MEETING The County of Ingham will provide necessary reasonable auxiliary aids and services, such as interpreters for the hearing impaired and audio tapes of printed materials being considered at the meeting for the visually impaired, for individuals with disabilities at the meeting upon five (5) working days notice to the County of Ingham. Individuals with disabilities requiring auxiliary aids or services should contact the County of Ingham in writing or by calling the following: Ingham County Board of Commissioners, P.O. Box 319, Mason, MI 48854 Phone: (517) 676-7200. A quorum of the Board of Commissioners may be in attendance at this meeting. Meeting information is also available on line at www.ingham.org

HUMAN SERVICES February 25, 2008 Minutes Members Present: Members Absent: Others Present: Andy Schor, Rebecca Bahar-Cook, Curtis Hertel, Tim Soule, Mike Severino, Steve Dougan and Board Chairperson Marc Thomas None Jared Cypher, Matthew Myers, Dr. Sienko, Bob Sheehan, Lori Brasic, Barb Monroe, Shirin Timms, Paule Nguelet, Laura Peterson and Melany Mack The meeting was called to order by Chairperson Schor at 7:04 p.m. in the Personnel Conference Room of the Human Services Building, 5303 S. Cedar, Lansing. Approval of the February 4, 2008 Minutes MOVED BY COMM. DOUGAN, SUPPORTED BY COMM. HERTEL, TO APPROVE THE FEBRUARY 4 MINUTES AS AMENDED. MOTION CARRIED UNANIMOUSLY. The Minutes were amended to reflect the following: Page 2, third paragraph, first sentence: The Capital Area District Library Board has voted to place a Millage on the ballot in August 2008. Page 4, second paragraph, first sentence: Board Chairperson Thomas stated he thinks the savings may be eaten up by the technology costs. Additions to the Agenda 1. Ingham County Women s Foundation, Ingham County Access to Services Study this item will be rescheduled in the near future. Limited Public Comment: None MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. HERTEL, TO APPROVE A CONSENT AGENDA FOR THE FOLLOWING ITEMS: 2. Health Department a. Resolution to Authorize a Contract for Urban Redevelopment Through Resident Engagement and Mobilization b. Resolution to Amend the Contract with PTD Technology 3. Human Services Committee Resolution Honoring Karen Benson MOTION CARRIED UNANIMOUSLY. MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. HERTEL, TO APPROVE THE ITEMS ON THE CONSENT AGENDA. MOTION CARRIED UNANIMOUSLY.

1. Presentation Ingham County Health Department Office for Young Children Ms. Peters distributed informational folders to the Committee. The folders contained data on the Office s services. Ms. Monroe provided a power-point presentation on the Office for Young Children. The presentation included information on the history of the OYC, its mission, services and child care resources and referrals. Ms. Brasic assumed the presentation at this time. She reviewed the information pertaining to the satisfaction surveys. The survey revealed that 99% of child care referral customers who returned satisfaction surveys indicated the services provided were good or very good. Also, 98% of the respondents would recommend the services to other people. The presentation included information regarding the OYC s community partnerships, programs and funding and the OYC s future vision. This information was included in the folder. Chairperson Schor asked if the County s general fund monies fund programs for other counties through the Ingham County Health Department. Ms. Peters stated she would look into this matter and provide the information to this Committee. Chairperson Schor stated he would be concerned if Ingham County is creating large programs in other counties without the counties contributing financially. Ms. Peters explained that any fee for service programs that are offered outside of this County are paid for by the users. Comm. Dougan echoed Chairperson Schor s concern. Comm. Severino commended the Health Department for their presentation. He then asked if the Department s employees morale has improved. Ms. Peters stated the Department has worked very hard to engage staff in committees, work groups and training sessions. Employees are also asked to provide feedback regarding the OYC s priorities. Overall, things are much better. Comm. Severino stated the OYC is a valuable resource and it s great to hear of the improvements. Board Chairperson Thomas asked Ms. Peters to describe what programs should be funded through the general fund and to balance that against enhanced programs. Ms. Peters stated the Department tries to focus general fund dollars on services which help a specific unfunded need in the community. Organizations pay for enhanced services. 2. Health Department c. Resolution to Authorize Contracts for Ingham Health Plan Outreach and Enrollment MOVED BY COMM. SEVERINO, SUPPORTED BY COMM. HERTEL, TO APPROVE THE RESOLUTION TO AUTHORIZE CONTRACTS FOR INGHAM HEALTH PLAN OUTREACH AND ENROLLMENT. Dr. Sienko stated the Ingham Health Plan increased its funding for outreach and enrollment for FY 2008 to $120,000. This is a funding increase of $45,000. The Resolution details where the funds will be spent. Ms. Mack explained the Department is going the extra distance to ensure that all people enrolled in the Plan benefit from its services. Some people sign up for the Plan but do not use the Plan s services. Comm. Dougan asked if the Department receives information which indicates what the agencies should receive. He stated he wants to be sure the agencies meet some type of parameter. Ms. Mack stated a review of the numbers cannot provide this information. Chairperson Schor asked the Department to provide a breakdown of the results of the allocations. He then stated he believes this is an effective program. 2

Dr. Sienko explained that some of the agencies have different missions. This difference is one explanation for the different numbers. Ms. Mack stated she will provide this Committee with a list of the communities that receive the funding. MOTION CARRIED UNANIMOUSLY. 5. Commissioner Thomas Request from Refugee Development Center Ms. Timms, Refugee Development Center (Center), explained the Center provides services to people who cannot return to their home countries for safety reasons. Lansing resettles 400 to 600 refugees annually. The large number creates a huge demand for the English language. If refugees cannot learn English, they have a difficult time obtaining employment. Ms. Timms stated it is incredibly hard to keep up with the interpreting needs of the refugees. St. Vincent Catholic Charities has asked the Center to begin taking over their vocation English as a Second Language class. The Center agreed to take over the class and it will seek funding for this program. Once funding is secured, St. Vincent Catholic Charities will refer new refugee arrivals to the Center. Ms. Timms stated refugees cannot meet their basic needs if they do not speak English. Ms. Timms introduced Paule Nguelet to the Committee. She stated Ms. Nguelet came to the United States from the Congo three years ago. Ms. Nguelet stated she speaks eleven languages, but mainly French. She came to the U.S. because her country was at war. She also explained that it was hard for her to obtain employment here without speaking English. Comm. Hertel thanked the Center for all their efforts on behalf of the refugees. MOVED BY COMM. HERTEL, SUPPORTED BY COMM. SOULE, TO FUND THE REFUGEE DEVELOPMENT CENTER IN THE AMOUNT BETWEEN $6,175 AND $8,000. STAFF WILL DETERMINE THE EXACT AMOUNT. The Committee consented to a FRIENDLY AMENDMENT to approve $8,000. MOTION CARRIED UNANIMOUSLY. Comm. Severino asked if the Center counsels refugees about repaying their plan tickets to the United States. Ms. Timms stated refugees are counseled about this issue. She also stated there is a big push to teach refugees about credit and the power of their signatures. Comm. Hertel asked when the language class will start. Ms. Timms stated the Center hopes to start the classes in June 2008. Chairperson Schor stated Ingham County is on the record for supporting refugee services. He also stated he generally doesn t like to take community agency requests out of the normal process. In this case, the closing of Glass House resulted in available money. He further stated he wants the Center to understand that this is one time funding due to extenuating circumstances. The Center will be placed on the Community Agency list and it will receive notice about the Community Agency process. Chairperson Schor highly recommended that the Center respond to the notices from the County about this process. 3

Ms. Timms thanked the Committee and stated the Center is extremely grateful for this Committee s support. MOTION CARRIED UNANIMOUSLY. 4. Controller s Office Information Discussion Concerning the Sale of the Community Mental Health Property to Include the Property West of Community Mental Health Mr. Myers informed the Committee that a map of the CMH property is located at the end of the conference table. He explained that CMH inquired into the purchase of the CMH building and the property directly west of the building. The Board of Commissioners referred this inquiry to the Building Authority. The Authority requested the building and the property to be appraised. The appraisal is completed. Mr. Myers stated the Authority reviewed the appraisals and then recommended the County sell the CMH facility and the property it sits on to CMH. He further stated the Authority is unsure about selling the property to the west of the building at this time. The property may be a good location for the new 911 Center. The County Services Committee approved the Authority s recommendation. Mr. Sheehan will obtain a bond attorney to secure financing for the purchase. Once the financing has been secured, the Board will entertain a resolution for the purchase. Mr. Sheehan stated CMH appreciates the Authority s rapid response to their request. Chairperson Schor concurred with the sale of the building but not the property west of the building. Comm. Dougan concurred with the sale of the building. He further stated the land west of the building should not be sold for any purpose before CMH has been notified that the property is for sale. Mr. Myers stated he believes that is the sense of the Authority. CMH will be contacted if the County decides to sell the property. This issue will be addressed in the resolution. The Committee consented to moving forward on this matter. Comm. Hertel suggested CMH bid out for the bond counsel to obtain the best rate. Comm. Bahar-Cook thanked Mr. Sheehan in advance for the advice he will provide on the Continuum of Care facility. Mr. Sheehan stated he believes the meeting will go smoothly. 6. Board Referral Letter from the State Department of Human Services Notifying of Approval of the 2007-08 Annual Plan and Budget for Child Care Fund Expenditures The Board Referral was received and placed on file. Announcements: None Public Comment Comm. Bahar-Cook stated Mr. Paparella received information about additional funding opportunities. She thanked Mr. Myers for his efforts on this matter. 4

The meeting adjourned at 8:12 p.m. Respectfully submitted, Debra Neff 5

Agenda Item 2a RESOLUTION STAFF REVIEW DATE March 7, 2008 Agenda Item Title: Resolution to Authorize Amendment #2 to the 2007-2008 Comprehensive Planning, Budgeting and Contracting Agreement with the Michigan Department of Community Health Submitted by: Health Department Committees: LE, JD, HS X, CS, Finance X Summary of Proposed Action: (See the attached letter of explanation.) This resolution will authorize Amendment #2 to the 2007-2008 Comprehensive Planning, Budgeting and Contracting (CPBC) Agreement with the Michigan Department of Community Health (MDCH). Financial Implications: Amendment #2 will increase the 2007 Budget for Comprehensive Local Health Services from $4,592,925 to $4,666,667 for a net increase of $73,742. This increase is not unexpected and generally has the effect of partly restoring earlier cuts implemented prior to the final approved FY 2007-2008 state budget. The amendment makes the following specific changes in the budget: 1. A $22,772 increase in the Family Planning budget from $507,245 to $530,017. 2. A $10,000 increase in the Healthy Communities Cardio Vascular Disease budget from $30,000 to $40,000. 3. A $23,270 increase in support for the Infant Mortality Coalition from $106,730 to $130,000. 4. An increase of $13,500 in funding for WIC from $905,090 to $918,590. 5. An increase of $4,200 in support for the Wisewoman healthy lifestyle program from $29,925 to $34,125. Other Implications: The Board of Commissioners authorized the 2007-2008 CPBC Agreement in Resolution #07-223 and authorized Amendment #1 in Resolution #08-013. Staff Recommendation: MM JN TL TM JC X Staff recommends approval of the resolution.

Agenda Item 2a MEMORANDUM To: From: Human Services Committee Finance Committee Dean Sienko Date: March 3, 2008 Subject: CPBC Agreement Amendment # 2 for 2007-2008 This is a recommendation to authorize Amendment #2 to the 2007-2008 Comprehensive Planning, Budgeting and Contracting (CPBC) Agreement with the Michigan Department of Community Health (MDCH). The CPBC Agreement is the annual process whereby the MDCH transmits State and Federal funds to Ingham County to support the implementation of public health programs. The funds come with terms and conditions. The CPBC Agreement and its subsequent amendments establish the funding levels and the terms and conditions. The Board of Commissioners authorized the 2007-2008 Agreement in Resolution No. 07-223 and authorized Amendment #1 in Resolution No. 08-013. Amendment #2 will increase the 2007 Budget for Comprehensive Local Health Services from $4,592,925 to $4,666,667 for a net increase of $73,742. This increase is not unexpected and generally has the effect of partly restoring earlier cuts implemented prior to the final approved FY07-08 state budget. The amendment makes the following specific changes in the budget: 1. A $22,772 increase in the Family Planning budget from $507,245 to $530,017. 2. A $10,000 increase in the Healthy Communities Cardio Vascular Disease budget from $30,000 to $40,000. 3. A $23,270 increase in support for the Infant Mortality Coalition from $106,730 to $130,000. 4. An increase of $13,500 in funding for WIC from $905,090 to $918,590. 5. An increase of $4,200 in support for the Wisewoman healthy lifestyle program from $29,925 to $34,125. The amendment also makes minor revisions to sections of the Agreement: 1) It modifies the work plan and budget for the Healthy Communities Cardiovascular Disease project, and 2) It provides additional detail about the requirements that the Infant Mortality Coalition s preconception/interconception project. I recommend that the Board of Commissioners adopt the attached resolution and that the Controller be authorized to amend the Health Department s 2008 Budget in order to implement this resolution.

Agenda Item 2a Introduced by the Human Services and Finance Committees of the: INGHAM COUNTY BOARD OF COMMISSIONERS RESOLUTION TO AUTHORIZE AMENDMENT #2 TO THE 2007-2008 COMPREHENSIVE PLANNING, BUDGETING AND CONTRACTING AGREEMENT WITH THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH WHEREAS, the responsibility for protecting the public s health is a shared responsibility between the State and County governments in Michigan; and WHEREAS, the Michigan Department of Community Health (MDCH) and Ingham County have historically entered into contracts to clarify the role and responsibility of each party in protecting public health; and WHEREAS, the MDCH and Ingham County have entered into a 2007-2008 Agreement for the delivery of public health services under the Comprehensive, Planning, Budgeting and Contracting (CPBC) process to clarify roles and responsibilities, including funding levels, authorized by Resolution # 07-223; and WHEREAS, the MDCH has proposed an amendment to the 2007-2008 CPBC to adjust grant funding levels, and clarify Agreement procedures; and WHEREAS, the Health Officer has recommended that the Board of Commissioners authorize the amendment. THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes Amendment #2 to the 2007-2008 Comprehensive Planning, Budgeting, and Contracting (CPBC) Agreement with the Michigan Department of Community Health (MDCH). BE IT FURTHER RESOLVED, that the amendment shall increase funding for Family Planning by $22,772, increase funding for the Healthy Communities Cardiovascular Disease project by $10,000, increase support for the Infant Mortality Coalition by $23,270, increase WIC support by $13,500 and increase funding for the Wisewoman project by $4,200. The net change in the Agreement amount will be an increase $73,742 from $4,592,925 to $4,666,667. BE IT FURTHER RESOLVED, that the amendment shall: 1) Clarify the work plan and budget for the Healthy Communities Cardiovascular Disease project; 2) Provide additional detail about the requirements of the Infant Mortality Coalition s preconception/interconception project; 3) Revise Attachment III Program Specific Assurances; and 4) Incorporate Attachment IV Funding/Reimbursement Matrix. BE IT FURTHER RESOLVED, that the Controller is authorized to amend the Health Department s 2007 Budget in order to implement this resolution. BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the amendment after review by the County Attorney.