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HomeMy WebLinkAboutHealth & Human Services 04-18-07 Deb Rasmussen will review vouchers. REVISED NOTICE OF MEETING AND AGENDA ST. CROIX COUNTY HEALTH AND HUMAN SERVICES BOARD April 18, 2007 at 8: 30 AM (Board Room, St. Croix County DHHS Building, New Richmond WI) CALL TO ORDER ROLL CALL REVIEW OF AGENDA CONSENT AGENDA APPROVAL OF MINUTES OF PREVIOUS MEETING - 03/21/07 DATE OF NEXT MEETING — 05/16/07 8:30 AM OLD AND NEW BUSINESS 1. Consideration of Claims and Vouchers 2. Financial Report 3. Nursing Home Report 4. Response to the Surgeon General's Report 5. Health and Human Services Facility Planning Update 6. Personnel Issues 7. Long Term Support-Long Term Care Reform/ADRC 8. Resolution In Support Of Governor Doyle's 100% Smoke Free Worksite Proposal ** 9. Resolution To Reduce Youth Smoking And Sustain Funding For Wisconsin's Comprehensive Tobacco Control Program ** 10. Resolution In Support Of The Wisconsin Alcohol Treatment Act (Lrb- 1930/1) Proposed By State Representative Terese Berceau ** 11. Purchase of St. Croix Industries van 12. Department of Health and Human Services Strategic Planning and goal setting. ADJOURN (Items may be taken in different order) ** Additions /Changes /Corrections Items for County Board approval must be submitted to the County Clerk's office by Wednesday morning preceding a County Board meeting. 4/12/2007 12:47 PM Health and Human Services Board - April 18, 2007 Page 1 of 7 1*IINUTE S HEALTH AND HUMAN SERVICES BOARD MARCH 18, 2007 The St. Croix County Health and Human Services Board met on April 18, 2007 at the St. Croix County Health and Human Services /Health Center complex. MEMBERS PRESENT: Esther Wentz, Chair Gordon Awsumb Leon Berenschot Lois Burri Tom Caflisch Dr. Michael Kretz Linda Luckey Deb Rasmussen MEMBERS ABSENT: Ron Troyer, excused STAFF PRESENT: Fred Johnson, Health and Human Services Director Jennifer Pempek, Accountant /Fiscal Manager Bill Van Offeren, Nursing Home Administrator Ron Lockwood, Long Term Support Coordinator Ron Eichstaedt, St. Croix Industries Director Steve Kirt, Behavioral Health Clinical Services Supervisor Charlotte Sortedahl, Public Health Coordinator - Health Officer Geralyn Karl, PH- Health Educator Kathy Carlson, Long Term Support Social Worker JoAnne Friedell, Family and Children's Social Worker Joel Gibson, Family and Children's Social Worker Ron Kiesler, Behavioral Health Coordinator Malva Berg, Secretary OTHERS PRESENT: Buck Malick, County Board Chair Greg Timmerman, Corporation Counsel Chair Wentz called the meeting to order at 8:3o AM noting the meeting was properly and legally publicized. NEXT MEETING The next Health and Human Services Board meeting is scheduled for Wednesday, May 16, 2007 at 8:30 AM. Burri will review May vouchers. AGENDA Motion A motion was introduced by Kretz, seconded by Burri, and unanimously adopted: That the agenda be approved as circulated. MINUTES Motion A motion was introduced by Burri, seconded by Luckey, and unanimously adopted: That the minutes of the 03/21/07 Health and Human Services Board meeting be approved with the following modifications: Page 2, 9th paragraph, change to "...estimated at $1,236,146..." and Page 3, 1St paragraph, delete "the" from the following: "...sent to t1te Secretary Hayden..." RESPONSE TO THE SURGEON GENERAL'S REPORT A subcommittee consisting of Awsumb, Kretz, Karl, Johnson, Sortedahl and http://172.17.128.87/Committee/Minutes/2007/HHS/hhsO4l8O7.htm 2/15/2011 Health and Human Services Board - April 18, 2007 Page 2 of 7 Nick Andriacchi from Smoke -Free Wisconsin met to discuss an ordinance to prohibit smoking in a wide range of public places. It was questioned if the County can enact an ordinance that goes beyond State statute and law but there were no answers. Timmerman suggested requesting an opinion from the Attorney General on the County's authority to enact an ordinance which is more restrictive than State law and determine if a County ordinance would be effective in villages and cities. Dr. Kretz quoted Wisconsin Statute 251.04 (7) A local board of health shall assure that measures are taken to provide an environment in which individuals may be healthy. Dr. Kretz pointed out it is the responsibility of the Health and Human Services Board to remove the hazard. There are legal concerns how the county can enforce an ordinance more encompassing than the state law. If the ordinance is not enforceable, it is not valid. Awsumb expressed concern that the ordinance needs to be uniform or it may be harmful to businesses. Motion A motion was introduced by Kretz, seconded by Rasmussen: That the Board approve developing a policy to maximize reduction of secondhand smoke within the county. Motion A motion to amend was introduced by Awsumb, seconded by Burri, and adopted with Kretz voting no, That the Board approves development of an ordinance to prohibit smoking in bars and restaurants only, countywide, not just unincorporated areas, and not to restrict smoking on public grounds and in vehicles. Dr. Kretz volunteered to work with Greg Timmerman to create an ordinance. A copy of the River Falls smoking ordinance will be reviewed. Board requested Timmerman to contact other county corporation counsels regarding smoking ordinances in other counties. Legal research will need to be done before anything goes to the County Board, including an Attorney General opinion. NURSING HOME REPORT Johnson reported that at the last Nursing Home Proposal Review Committee some clarification on the County approval process for any negotiated agreement with Christian Community Homes and Services, Inc. was requested. Discussion that resulted from that meeting was that the County Board delegated to the Nursing Home Review Committee the responsibility to negotiate and any proposal would go directly to the County Board. Health and Human Services Board may attend any Nursing Home Review Committee meeting. The next Nursing Home Review Committee meeting is scheduled for May 14, 2007 at 1:oo PM. Health and Human Services may call a special meeting to review any proposal. Corporation Counsel Timmerman indicated that when negotiations conducted in closed session with the Nursing Home Subcommittee are completed, this information would then be available to the public. The Health and Human Services Committee could review the negotiated proposal in open session, but at this point in time could not convene in closed session to review the proposal. Van Offeren reported there was a Nursing Home Family Council meeting on 04/17 with 17 families in attendance. The current census in the Nursing Home is 66. Johnson reported an inventory for surplus items has been completed by Dana Baker. Auctioneers contacted have not been interested in conducting an auction of these items. It was decided to not get rid of items until a later date unless an item is repurposed in the County. The Board recessed from 10:00 to 10:05 AM. DEPARTMENT OF HEALTH AND HUMAN SERVICES STRATEGIC PLANNING AND GOAL SETTING Gibson presented the vision and mission statements in addition to consolidated strategies from the Strategic Planning Committee. Strategies were reworded and ranked to create a document for staff to work with as a department. It was the committee's consensus to move to an "Oversight Committee" that would be held accountable to planning implementation. Board members were invited to be a part of the Oversight Committee. Rasmussen, Awsumb and Dr. Kretz volunteered and will be sent meeting notices. Awsumb questioned obtaining better financial information for the budget process, information on growth in population and a tracking of past expenditures over a five -year history. Burri left the meeting at 10:50. RESOLUTION IN SUPPORT OF THE WISCONSIN ALCOHOL TREATMENT ACT (LRB- 1e�o /1) PROPOSED BY STATE REPRESENTATIVE TERESE BERCEAU Kirt presented a powerpoint supporting the previously named resolution. State beer tax has not been raised since 1969. Wisconsin has the third lowest beer tax in the nation (6.5� per gallon). St. Croix County leads the state, which leads the nation in underage drinking. This resolution is for a tax on beer only, not alcohol, and the funds generated from this tax would be earmarked for development of a State comprehensive alcohol control program. Awsumb stated he had a problem supporting increasing any taxes in the state. Kretz indicated monies are contingent on statistics that treatment is making an impact and evidence - based practices are used. Awsumb suggested an amendment to the resolution that he would support as long as taxation elsewhere is decreased by a similar dollar amount. Motion A motion was introduced by Kretz, seconded by Berenschot, That the Board supports the Resolution In Support Of The Wisconsin Alcohol Treatment Act (Lrb- 1930/1) Proposed By State Representative Terese Berceau. Motion A motion was introduced by Awsumb, That the Board supports an amendment to the above resolution that general income tax levy be decreased in an amount similar to the levy created. Motion died for lack of a second. otion: A motion was introduced by Luckey, seconded by Rasmussen, and unanimously adopted: That the Board supports the following amendments to the resolution: WHEREAS, additional funding is needed for adult and youth alcohol evidence -based prevention and treatment in St. Croix County; and HEREFORE, BE IT RESOLVED by the St. Croix County Board of Supervisors recommends to Wisconsin's Governor and legislators that an inflationary adjustment of the Wisconsin beer tax to $1o.00 per barrel (or $o.18 per six -pack or $0.03 per bottle) be enacted immediately, and all revenues from this adjustment be designated for the development of a State comprehensive alcohol control program utilizing evidence -based treatment and prevention practices. RESOLUTION in SUPPORT of the WISCONSIN ALCOHOL TREATMENT ACT (LRB - 1980/1) PROPOSED by STATE REPRESENTATIVE TERESE BERCEAU http://l72.17.128.87/Committee/Minutes/2007/IIHS/hhsO4l8O7.htm 2/15/2011 Health and Human Services Board - April 18, 2007 Page 3 of 7 Resolution No. St. Croix County, Wisconsin EREAS, Wisconsin citizens rank 4th highest per - capita for beer consumption, and 3rd highest per - capita for consumption of all alcoholic beverages; and HEREAS, Wisconsin citizens over the age of 18 lead the country in frequency of past month binge drinking (21.8 %) and daily heavy alcohol use (7.4 %); and HEREAS, the Wisconsin County Ranking from the University of Wisconsin Public Health Institute ranks St. Croix County 69th highest out of 72 Counties for past month binge drinking frequency (33.9 %); and HEREAS, Wisconsin youth in grades 9 through 12 lead the nation in underage past month binge drinking (31 %), and University of Wisconsin - Madison students are second in the nation (59 %); and WHEREAS, recent focus groups and health surveys of St. Croix County in 2003 identified alcohol use in the County as a HIGH public health priority; and HEREAS, Wisconsin currently has the 3rd lowest beer tax in the nation ($2.00 per barrel or $o.o65 per gallon or $0.036 per six -pack or $o.006 per bottle); and HEREAS, Wisconsin has not increased the beer tax since 1969, losing 82% of its value due to inflation; and HEREAS, each Wisconsin resident on average pays only $1.82 a year in beer taxes; and HEREAS, the $9.7 million collected from the beer tax each year covers only a fraction of the $825 million in annual alcohol - related health care costs, and the $2.7 BILLION in alcohol - related policing and court costs, incarcerations, traffic crashes, lost productivity, academic failure and premature deaths; and HEREAS, the Acting U.S. Surgeon General on March 6, 2007 issued the first Call to Action for every member of society to work to prevent and reduce alcohol use by children and adolescents; and HEREAS, the Wisconsin Statutes § 251.04 (7) states, "A local board of health shall assure that measures are taken to provide an environment in which individuals can be healthy;" and HEREAS, additional funding is needed for adult and youth evidence -based alcohol prevention and treatment in St. Croix County. HEREFORE, BE IT RESOLVED that the St. Croix County Board of Supervisors recommends to Wisconsin's Governor and legislators that an inflationary adjustment of the Wisconsin beer tax to $1o.00 per barrel (or $o.18 per six -pack or $0.03 per bottle) be enacted immediately, and all revenues from this adjustment be designated for the development of a State comprehensive alcohol control program utilizing evidence -based prevention and treatment practices. Roll call vote: Esther Wentz — yes Gordon Awsumb — no Leon Berenschot — yes Lois Burri — absent Tom Caflisch — yes Linda Luckey — yes Deb Rasmussen — yes Ronald Troyer - absent Dr. Michael Kretz — yes Six yes, one no, two absent, motion passed. Johnson will forward the amended resolution to Timmerman for review. CONSIDERATION OF CLAIMS Health and Human Services Board member Rasmussen reviewed the vouchers. Motion A motion was introduced by Rasmussen, seconded by Caflisch, and unanimously adopted: That the following vouchers be approved and be made a part of the supplemental minute book: Human Services vouchers 97307 through 97314, dated March 22, 2007 in the amount of $39,449.00• http: // 172.17.128.87/ Committee /Minutes /2007/HHS/hhsO4l8O7.htm 2/15/2011 Health and Human Services Board - April 18, 2007 Page 4 of 7 Human Services voucher 98770, dated April 12, 2007 in the amount of $ Human Services and Nursing Home vouchers 97179 through 97306, dated March 22, 2007 in the amount of $275,626.60. Human Services and Nursing Home vouchers 97473 through 97570, dated March 29, 2007 in the amount of $327,918.32• Human Services and Nursing Home vouchers 97674 through 97790, dated April 05, 2007 in the amount of $ Human Services, Nursing Home, and Government Center vouchers 98539 through 98731, dated April 12, 2007 in the amount of $232,466.38. Human Services and Nursing Home vouchers 98390 through 98538, dated April 12, 2007 in the amount of $ Nursing Home vouchers 98733 through 98769, dated April 12, 2007 in the amount of $32,066.63. Human Services, Workshop, Public Health, Social Services vouchers 168 through 197, dated March 20, 2007 in the amount of $360,769.10. Human Services, Workshop, Public Health, Social Services vouchers 198 through 229, dated April 03, 2007 in the amount of $366,416.92 Human Services and Nursing Home vouchers 171 through 201, dated March 22, 2007 in the amount of $147,254.18• Human Services and Nursing Home vouchers 202 through 233, dated April 05, 2007 in the amount of $150,522.51. Workshop vouchers 31 through 36, dated March 20, 2007 in the amount of $11,172.67. Workshop vouchers 37 through 42, dated April 03, 2007 in the amount of $ FINANCIAL REPORT Pempek distributed the Health and Human Services financial report through February, 2007. She reported WIMCR monies have not been moved forward as this is an audit issue. Prior meeting discussion included the total 2007 budget numbers do not zero out. An adjustment was made due to insurance, which was reported by the Finance Director, Michelle Pietrick. Johnson will request that the insurance adjustments be made so the March report of revenues and expenses tie out and will report the changes at the next meeting. HEALTH AND HUMAN SERVICES - 2007 SUMMARY Told OF REVENUES Budget Febtuary28,2007 Balance U. Admmistration 1 83 55.434 70 1.025.315.13 51/. AODASeances 765.59992 82,05139 683.54853 107% 1 ong Term Suppon 18.196.351 85 3.444433 34 14751.918 51 189% Montal He®hh 2.879.503 70 391.749 31 2-487.754.39 13 6% Family d Cnddren'� 3.132.978 40 471024 56 2.661.953.84 150% Pubic Health 1.617.175 53 286.376 97 1.330.796.56 177% Economic Suppon 1,112.50860 267.72169 844.766.91 241% Generalkehet 15.0110,00 2.500 -00 12.500.00 167% Coordmated SenncestED 900.066 00 212,688 24 687.31736 236% REVENUES HUMAN SERVICES PROGRAMS SUMMARY Total OF EXPENDITURES Budget Febtuary 28, 2007 Balance Administration 1.080095 83 150.043 61 930,052.22 139 Alcahot Abuse 76559992 95,38042 670,219.50 125 1ongTermSuppoe 18.19 &35185 2.3181A4 69 15.876.00716 127% Meatat Health 2.879.503 70 537.483 99 2,342.019.71 187% Family &+Ad 3132.978 40 418.942 90 2.7144035.50 13 4% Pubic Heelth 1.617.837 53 261692 22 1.354.145.31 163% Economic Suppon 1112.508 60 158.077 70 954.430.90 142% General kehef 1 736 45 14.263.55 49% Coordinated SemcelSED 900.066.44 83,161 95 016.304.49 9 r. EXPENDITURES I IUMAN SERVICES PROGRAMS 29.699.942.27 4.026,463.93 25,673.478.34 13,6% Excess new over Expenses 1 1.187.518.27 Pempek reported $96,00o in IGT money was received March 2, 2007 and is not reflected in the following Nursing Home financial report through February, 2007. More IGT funds are anticipated in May, September and December. http: // 172.17.128.87/ Committee /Minutes /2OO7/HHS/hhsO4l8O7.htm 2/15/2011 Health and Human Services Board - April 18, 2007 Page 5 of 7 St. Croix Health Center f ebwary 2007 RnAgot Actual RiNmmrce Potcaneagr Cenaus 70 66 4 Operating Revenue: Medn &:a sti40;_e:U UJ S147,121 52 $6 +31133.48 1149% Meduad 12,466,31060 S32583010 1w, 14043350 13.21% Pwate Pay "c' — ^ 37 $156:;,40 00 1549.24700 21 52% All C.thar ry m:r» § }17'71 45 §.',},79640 1 194 3051:5 15 10% Total 01maling Revenge _14.224.129,55 . _ 4456.428.02 1).561.901.53 15.54 Upetaling experroes Dady Patma 6erv:es i3,5s',Swsi 3613,575.39 6Z,944002.22 1 735% 5pectal 3erires $274,02471., S62, 03 1221 A0593 1917% Gannta i Svrcv:a.: ;1,17:,794 115 $ F, 15 19'0'].6790 1616% Adrnunslraure �emcev 1'34_33,5 " " ?! 93 5':W,U3! IS $d!9 483.18 15.84% Unass.gned 0apte n 0110(% 0 asea) 6000 011..: $,�frpn xi 548,:.17 off $23763512 1691% U6ld,.s S_4,821 .U8 Nld Nets Comp, Corr-pulet Tech $G15, 75 Ir saran ro 622,4T Ir fatal Up.lAng expenses {5.883,92945 4990.048.60 44.885.88035 16.94:, Ref Fuont Opetadons (1341,620.58) p'v.t 0 dotn9 hucrne. z pen, In applytn9 l evy 8oul,tandmi re,) 0,0aandbt9 Rovannes Outslandrng Ram Appnal rwr §14p -x) w so nn $140030 000% % 4! OWS%andn:9 IU r ke, $374,1,(,0 03 $U.UU $'377 MAX O.UU% Ce All"ations Basel) YQ $ _OJ __ '1 ,6l 057166,[0 1667% Total Ogntandinq $1.459,(00.00 $211,434.00 $1,440,16GA0 Net hom all :;n4xas 3110,184,58 MUM Dulstarding 10T Rev mined to 2006 r.a and tors Accounts Receivable database has been reviewed in ECHO. Medicare accounts should be no older than 18 months or the date given by Medicare, which is November, 2005. Any balance prior to November, 2005 is no longer billable. Medicaid and private insurance balances should be no older than 12 months old. Any balance prior to December, 2005 is no longer a billable service. In reviewing self -pay accounts, it was found the data within the self -pay accounts has not been properly maintained. By not maintaining these accounts, we run the risk of improperly billing, which could potentially result in over charges. Over charges create a liability to the county. Data newer than the 18 month cutoff will be the focus of A/R staff and accurate accounting of the self -pay balances will be created and balances prior to the 18 month time frame will be recommended for write -off. The above findings will be reviewed with the auditors and reflected in the statement of net assets. Pempek and Strenke have also reviewed the above with Larry Lester of WIPFLI. Johnson will request a letter from WIPFLI documenting that accounts have been reviewed. Awsumb expressed being uncomfortable with writing off any accounts until an outside professional with fraud auditing experience has had an opportunity to review the accounts. He felt the Board needs professional advice on how to hove forward and additional outside review is needed. Johnson reported that WIPFLI has reviewed our process to get accounts receivables correct but will follow up with WIPFLI to address a specific contract as discussed today and as decided in closed session on 12/18/o6. Accounts Receivable is staffed to maintain day -to -day transactions but additional temporary help is needed to assure balances in accounts are accurate. PERSONNEL ISSUES Johnson reported Stacey Sebradle has been hired in Economic Support. He also reported Mel Solsvig began as AODA Counselor on 04/16/07. Jane Nolte and Colleen Bowen have been hired to fill vacancies in Accounts Receivable. Jessica Bethke and Annette Monson are Social Workers who have been hired to fill vacancies in Community Support Program. Joel Gibson has transferred into a CSP Clinical Social Worker position. Natalie Overbye resigned effective 04/13/07. Staff are investigating options to consolidate this position with a position at St. Croix Industries. LONG TERM SUPPORT -LONG TERM CARE REFORM /ADRC The Resolution Regarding Long Term Care Redesign in St. Croix County was approved by the County Board on 04/17/07 with some minor modifications. Lockwood updated the Board that Medica may be a CMO that responds to the RFP. I -Care out of Waukesha is another entity that may respond but was previously rejected by the State as they have no provider base in northwest Wisconsin. Johnson and Lockwood will be following up on meeting with CMO's that maybe interested in providing services in our county, Lockwood distributed information regarding the children's wait list. There are currently 117 children on the wait list at varying levels of need. The majority are under CIP 1B, which will be eliminated when managed care is implemented. The new managed care system will serve only adults 18 and older and does not serve children. At one time all service needs had to be met to take a client off the waiting list but with partial slot funding, limits can be set for each client. Lockwood reported families provide the majority amount of natural support to clients. Awsumb expressed as part of the 2oo8 budget process, he feels staff should strongly consider meeting the needs of high care children on the wait list. Johnson will work with Wentz to send copies of the letter to Secretary Hayden to other counties Health and Human Services Board Chairs in our consortium. Malick recommended sending a letter to Representative Hraychuck also. Focus of County work will now turn to the development of the Aging and Disability Resource Center (ADRC). This will include joint planning with the Office on Aging. Included in this planning will be the fiscal analysis which will include ADRC funding, which from a preliminary review, indicates a http://172.17.128.87/ Committee /Minutes /2007/HHS/hhsO4l8O7.htm 2/15/2011 Health and Human Services Board - April 18, 2007 Page 6 of 7 significant shortfall when St. Croix County adjusts our wage rate from the wage the state utilized in their cost model— approximate shortfall of $196,000. The counties in our consortium will be working on a fiscal analysis when the state template becomes available. A meeting was held with Deputy Secretary Bicha on 04/04/07 as a follow up to the February meeting the consortium had with Secretary Hayden. The state plans to release the RFP in June of 2007 rather than releasing county by county. This is primarily due to limited state staff. Additionally, there is no official response to the letter that was sent to Secretary Hayden, but initial indications are that the response will not support the assertion that the RFP, as it is in current form, will limit competition. HEALTH AND HUMAN SERVICES FACILITY PLANNING UPDATE Bob Brown, from Ayres and Associates, met with Health and Human Services managers on 04/09/07. Johnson asked managers to list pros and cons of a stand -alone or connected facility. At this point, a concept plan would be a next step and appears to be necessary to finalize space needs survey. Malick asked why a concept plan could not be completed now, whether it is attached to Hudson or stand alone, survey should identify space needs. Johnson indicated that the concept plan would change as IT would need no new space if attached to Hudson and maintenance space needs would also adjust dependent upon the location of the facility. Awsumb recommended a cost - benefit analysis, not a concept plan to find out what to do. Items analyzed should be cost to stay in New Richmond versus Hudson, cost to build in New Richmond versus Hudson, cost to operate in New Richmond versus Hudson. Also needed is maintenance, upkeep, staff time, etc. to complete the analysis. Johnson will follow up on the cost - benefit analysis. PURCHASE OF ST. CROIX INDUSTRIES VAN Vehicle replacement was approved in the budget. Eichstaedt explained the vehicle is being purchased through the State vehicle contract. Of five different bids received, only one vehicle met SCI specifications, which was Atlas Bus Sales out of Milwaukee, Wisconsin for $46,549• Eichstaedt reported the vehicle being purchased has a gas engine as diesels were not available. Capital outlay was approved at $45,000. St. Croix Industries has a vehicle for trade in but the trade in is not part of the State contract; however, the dealer has indicated an interest in the vehicle for trade in. RESOLUTION IN SUPPORT OF GOVERNOR DOYLE'S i00% SMOKE FREE WORKSITE PROPOSAL Motion A motion was introduced by Kretz, seconded by Berenschot, that the Board supports Resolution In Support Of Governor Doyle's i00% Smoke Free Worksite Proposal. Luckey questioned if the resolution tracked with the resolution previously presented and the bill actually introduced. The bill is being developed and a final copy is not available. Awsumb said a vote should not be taken until the bill is complete so members can see what is specifically proposed in the bill. Motion A motion was introduced by Awsumb, seconded by Luckey, that the Board move to table the Resolution In Support Of Governor Doyle's l00% Smoke Free Worksite Proposal until more is known on the bill. Roll call vote: Esther Wentz — yes Gordon Awsumb — yes Leon Berenschot — no Lois Burri — absent Tom Caflisch — no Linda Luckey — yes Deb Rasmussen — yes Ronald Troyer - absent Dr. Michael Kretz — no Four yes, three no, two absent, motion passed. RESOLUTION TO REDUCE YOUTH SMOKING AND SUSTAIN FUNDING FOR WISCONSIN'S COMPREHENSIVE TOBACCO CONTROL PROGRAM Dr. Kretz requested to add the following to the resolution: WHEREAS, tobacco used in St. Croix County costs $51 million in health care costs and loss productivity; and Awsumb indicated he is opposed to any further tax increase. Motion A motion was introduced by Kretz, seconded by Rasmussen, That the Board supports the Resolution To Reduce Youth Smoking And Sustain Funding For Wisconsin's Comprehensive Tobacco Control Program: RESOLUTION TO REDUCE YOUTH SMOKING AND SUSTAIN FUNDING FOR WISCONSIN'S COMPREHENSIVE TOBACCO CONTROLPROGRAM Resolution No. St. Croix County, Wisconsin http: // 172.17.128.87/ Committee /Minutes /2007/HHS/hhsO4l8O7.htm 2/15/2011 Health and Human Services Board - April 18, 2007 Page 7 of 7 WHEREAS, every year over 16,400 Wisconsin children become addicted to tobacco, of whom more than one -third will die prematurely because of this addiction; and WHEREAS, significantly increasing Wisconsin's excise tax on cigarettes would drastically reduce the number of children who become addicted to tobacco, save over a billion dollars in health care costs, and provide hundreds of millions of dollars per year in additional state revenues; and WHEREAS, the St. Croix County Health and Human Services Board passed a similar resolution entitled "Wisconsin Children's Initiative — Resolution to Reduce Youth Smoking" dated May 13, 2oo5; and WHEREAS, fully funding the State's Tobacco Prevention and Control Program would effectively reduce smoking rates through public education efforts, counter - marketing, community and school -based programs, and provide services to help persons quit smoking; and, WHEREAS, tobacco used in St. Croix County costs $51 million in health care costs and loss productivity. THEREFORE, BE IT RESOLVED that, in an effort to effectively reduce the number of Wisconsin children who become addicted to tobacco, the St. Croix County Board of Supervisors supports: 1. Increasing the Wisconsin excise tax on cigarettes by at least $1.25 per pack with the revenue generated being directed to fund the Medical Assistance Program and Wisconsin's Tobacco Prevention and Control Program. 2. In order to most effectively reduce the burden of tobacco, assuring that Wisconsin's comprehensive Tobacco Prevention and Control Program is funded at $31 million per year, which is equal to the Centers for Disease Control minimum funding recommendation. Roll call vote: Esther Wentz — no Gordon Awsumb — no Leon Berenschot — yes Lois Burri — absent Tom Caflisch — no Linda Luckey — yes Deb Rasmussen — yes Ronald Troyer - absent Dr. Michael Kretz — yes Four yes, three no, two absent, motion passed. Wentz asked if there were any other issues to bring before the Board. Wentz adjourned the meeting. ,t,t,c.�u�utaf.�r.t.tu»n Iltnsuv�ctsat,ra LAS t ttl'11.Yrb.: 0,t t. 21110 11ISCI.Albl1'. It http: // 172.17.128.87/ Committee /Minutes /2007/HHS/hhsO41807.htm 2/15/2011