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HomeMy WebLinkAbout03-10-2015 Health & Human Services Minutes MEETING MINUTES HEALTH & HUMAN SERVICES BOARD March 10, 2015 5:30 PM County Board Room-Government Center County Board Room - 1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER Health and Human Services Board Chair Dr. Chris Babbitt welcomed everyone and called the meeting to order at 5:30 PM on March 10, 2015. ROLL CALL Attendee Name Organization Title Status Arrived Christopher Babbitt St. Croix County Supervisor Present Heather Logelin St. Croix County Board Member Present Howard Novotny St. Croix County Supervisor Present Chris Kilber St. Croix County Supervisor Absent Ron Kiesler St. Croix County Supervisor Present Paulette Anderson St. Croix County Supervisor Present Shaela Leibfried St. Croix County Supervisor Present Lisa Ramsay St. Croix County Board Member Absent Deb Rasmussen St. Croix County Board Member Present Others is Attendance: Health and Human Services (HHS) Director Fred Johnson, Corp Counsel Scott Cox, Public Health (PH) Staff ; Administrator Deb Lindemann and Reproductive Health Nurse Jaye Hay, Aging and Disability Resource Center Administrator Brad Beckman, Fiscal Manager Beata Haug, Nursing Home Administrator Sandy Hackenmuller, County Board Supervisor Dave Ostness, County Board Chair Roger Larson, several other staff and community members. APPROVAL OF MINUTES 1. Health & Human Services Board - Regular Meeting - Feb 10, 2015 5:30 PM Health and Human Services Board Chair Babbitt asked if there were any corrections to the February 10, 2015 minutes. There were no corrections stated so a motion was made to approve the minutes by Supervisor Leibfried and seconded by Supervisor Anderson. A voice vote was taken; minutes were approved and stand as distributed. RESULT: ACCEPTED PUBLIC COMMENT* Four members representing The Forest Voice addressed the Board with information they have gathered regarding the proposed Wind Turbine Farm and the potential health effects. They were available to answer any questions and provided some handouts and an information board for public viewing. BUSINESS ITEMS 1. Legislative Request for Audit of Medicaid Family Planning Reimbursement Health and Human Services Director Fred Johnson gave a brief history regarding this agenda item to inform the Board of this potential issue. Public Health staff Jaye Hay addressed the Board regarding the Family Planning clinics that have been audited. The results found that the clinics over charged for birth control pills, though they were following the guidelines for reimbursement that were put out by the State in 2009. When the audits were completed these Family Planning Clinics were given 30 days to respond with either a repayment or a letter of disagreement. Each Clinic sent a letter of disagreement to the State and have had no further response. No additional audits have been done, though the state has requested more. Corp Council Scott Cox stated that $26.02 is the state allowed fee per pack. The State is now saying the cost to the clinic isn't that much and so should repay the difference. This is retroactive of a directive that all entities believed they were to charge for contraceptive pills. The plan going forward is to continue charging what we believe is the appropriate charge, which is the $26.02. Further discussion and questions answered. Health and Human Services Director Johnson pointed out the sample letter in the packet for the Board to consider supporting a similar letter to the State. Chair Babbitt asked for a letter to be drafted and brought back next meeting. RESULT: DISCUSSED-NO ACTION 2. Health and Human Services Program Report-Reproductive Health Services Board Chair Babbitt introduced Public Health staff Jaye Hay. Hay presented a power point to the Board highlighting the services that the Reproductive Health Department provides. RESULT: DISCUSSED 3. Eau Claire County Resolution Opposing Proposed 2015-2017 State Budget Bill Requiring Drug Testing of Adults Without Children who are Receiving Foodshare and/or Medical Assistance. Health and Human Services Director Johnson highlighted some of the points within the Resolution from Eau Claire regarding the drug testing of adults without children who are receiving Foodshare and or Medical Assistance. Johnson pointed out that within St. Croix County the cost is $55 per test with approximately 840 potential tests. The cost estimate at this point would exceed $46,000 and this could potentially be a cost that the County would have to absorb. This was put on the agenda as an informative item with the potential of the Board taking similar action as Eau Claire. Chair Babbitt shared he would like to see this Board modify the Eau Claire Resolution to meet St. Croix Counties need and bring it back next month for a vote. Supervisor Novotny supported this idea and would also like this addressed with a resolution next meeting. Health and Human Services Director Johnson and Chair Babbitt, along with Corp Counsel will work on getting a resolution drafted for next meeting. RESULT: DISCUSSED-NO ACTION 4. Resolution Opposing Changes in the Governor’s 2015-2017 State Budget Proposal Regarding Aging Disability Resource Centers, Family Care And Iris (Include, Respect, I Self-Direct) Programming and Senior Care Health and Human Services Board Chair Chris Babbitt introduced Jim Schreiber to provide public comment. Mr. Schreiber is an Aging and Disability Resource Center (ADRC) Council member, a retired Special Education teacher and business owner in Hudson that serves people with disabilities. He has concerns about the effect these budget proposals could have on young adults and the aging population. The IRIS program has allowed this population to have jobs and a place in the community. Health and Human Services Director Johnson and ADRC Supervisor Brad Beckman reviewed the financial impact that the loss of this funding could have and some background on the ADRC. Beckman also informed the Board of upcoming meetings including an Advocacy Day on March 17th in Madison. A Motion was made by Supervisor Kielser to adopt this resolution and was Seconded by Supervisor Anderson. A voice vote was taken and motion approved. Supervisor Ostness thanked all those involved in getting this resolution together for tonight's meeting. RESULT: APPROVED [UNANIMOUS] AYES: Christopher Babbitt, Heather Logelin, Howard Novotny, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Deb Rasmussen ABSENT: Chris Kilber, Lisa Ramsay 5. Rebased Nursing Home Five Star Rating Nursing Home Administrator Sandy Hackenmueller addressed the Board on changes with the 5 star rating system and what they mean to the overall rating. Hackenmueller shared that the Health Center rating changed from 5 to 4 Stars. Nothing changed within the facility, but the administrative changes to the 5 star rating system impacted the Health Center rating. Hackemueller identified that the adjustment for the Health Center was due to having residents on anti-psychotic medications. Hackenmueller believes these residents are appropriately medicated, so can't focus on the possibility of adjustments to the 5 star rating due to the high percentage of population on these medications. Several Board members expressed that the issue regarding the anti-psychotic medications should be addressed with State legislators as it raises the question of why any facility would take this type of resident . Review of the 5 star rating changes within St. Croix County and surrounding states was also completed. HHS Director Johnson and Nursing Home Administrator Hackenmueller will discuss drafting a letter and bring it back to the Board next month. RESULT: DISCUSSED 6. Health Center Ad-Hoc Committee Update HHS Director Johnson informed the Board that the Ad-hoc Committee met on Feb 24, 2015 and he would like to highlight a couple of items from their agenda. The Committee reviewed the home and community based funding requirements. Recent changes from the Centers for Medicare and Medicaid Services, raise concerns that Family Care funding is not available as a payor source for the Community Based Residential Facility (CBRF) when adjacent to a public institution, which the Nursing Home would be. This is an important detail that will be researched but at this point the focus of the project has not changed. Corporation Counsel and others are looking into this in more detail. This is not a licensing issue but a funding source or payment issue. Nursing Home Administrator Hackenmueller met recently with Brian Schoup, from Wisconsin Department of Health Services, and 3 options to address this issue were discussed: 1) Have an Attorney write why we need this Family Care funding as we change from an institutional type facility to a facility that is more family oriented. Corp Counsel Cox is currently working on this. 2) Continue as we are and not use Family Care as a funding source. 3) Change everything to a CBRF, with no skilled nursing facility. The Ad-hoc Committee is also in the process of reviewing the market study. The Board had some further discussion. RESULT: DISCUSSED 7. Legislators Response to St. Croix County Health Care Advisory Referendum Chair Babbitt shared the letters with the Board that he received in response to Boards request to accept Federal funding for our most vulnerable population. RESULT: DISCUSSED 8. Financial Reports Fiscal Manager Beata Haug brought attention to January 2015 financials and explained that the levy has been posted . The ADRC current year to prior year comparison adjustments were due to the shift of Adult Protect and Elder Abuse into Behavioral Health . Chair Babbitt appreciates the abbreviated version of the financials and feels it would be worthwhile for himself and maybe other Board members to go through a financial 101 to better understand these documents. RESULT: DISCUSSED ANNOUNCEMENTS & CORRESPONDENCE HHS Director Johnson announced that there is legislative meeting regarding the budget on March 12th from 9:00-12:00 in Menominee. There is a bus leaving from the Government Center at 7:45 that morning for those interested. In January the Eastern Suburban Resources ( formally St. Croix Industries) lease extension was discussed and this lease has moved forward. Supervisor Ostness and HHS Director Johnson will be attending Health and Human Services Day in Madison on April 8th . They have scheduled time to meet with legislatures and if you have anything you would like brought to their attention, please get those items to Supervisor Ostness or HHS Director Johnson. Supervisor Ostness informed the Board that he will be in Madison in April discussing transportation as well as in Washington D. C. at the end of this month discussing federal transportation issues. Supervisor Anderson reminded the Board of the Budget hearing in Rice Lake, WI from 10:00- 5:00 on April 23rd. Anderson plans on attending. ADJOURN Health and Human Services Board Chair Dr. Chris Babbitt called this meeting adjourned at approximately 7:15 PM Respectfully Submitted: Colleen Linder DATE OF NEXT MEETING April 14, 2015 5:30 PM in the Government Center Boardroom, Hudson