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Home My WebLink About08-11-2015 Health & Human Services Minutes MEETING MINUTES HEALTH & HUMAN SERVICES BOARD August 11, 2015 5:30 PM County Board Room-Government Center County Board Room - 1101 Carmichael Road, Hudson, Wisconsin CALL TO ORDER The August 11, 2015 meeting of the Health and Human Services Board was called to order by Health and Human Services Board Chair Chris Babbitt at approximately 5:30 PM. Welcome to everyone, and thanks for coming. 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 Present 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 in Attendance: County Administrator Pat Thompson, Health and Human Services (HHS) Director Fred Johnson, Fiscal Manager Beata Haug, Children Services Administrator Julie Krings, Children Services Lead Social Worker Dawn Campbell, Health Center Administrator Sandy Hackenmueller, Aging and Disability Resource Center (ADRC)Administrator Brad Beckman, County Board Supervisor Dave Ostness, other staff and community members. Excused Absences: NA Unexcused Absences: Lisa Ramsay APPROVAL OF MINUTES Health and Human Services (HHS) Board Chair Chris Babbitt asked the board if they noted any changes, additions, or corrections to the July 2015 HHS Board meeting minutes. The board gave no mention to any needed edits; a motion was made to approve the minutes by Supervisor Novotny and was seconded by Supervisor Anderson . A voice vote was taken and minutes were approved. 1. Health & Human Services Board – Regular Meeting – July 14, 2015 5:30 PM RESULT: APPROVED [UNANIMOUS] MOVER: Howard Novotny, Supervisor SECONDER: Paulette Anderson, Supervisor AYES: Christopher Babbitt, Howard Novotny, Chris Kilber, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Deb Rasmussen ABSENT: Lisa Ramsay PUBLIC COMMENT The floor was announced open for public comment by Health and Human Services Board Chair Chris Babbitt. One county resident representing the Forest Voice addressed the board regarding the potential health effects of wind turbines. BUSINESS ITEMS 1. Update of County Veterans Services Office VA Benefits outreach event County Administrator Pat Thompson informed the board on this agenda item in the absence of Veterans Services Officer Dale Cotch. Information regarding the outreach event that was offered by Veterans Services was shared with the board. RESULT: DISCUSSED 2. Coordinated Service Team Report Health and Human Services Director Fred Johnson introduced Children Services Administrator Julie Krings and Children Services Lead Social Worker and Coordinated Services Coordinator Dawn Campbell. In addition, coordinated services committee member and parent Jody Jones was also present. A power point presentation was reviewed with the board informing them on Coordinated Services. Board members raised some questions and had further discussion. RESULT: DISCUSSED 3. Financial Reports Fiscal Manager Beata Haug reviewed the financial reports with the board. Haug explained revenue and expense adjustments for Comprehensive Community Services (CCS) and the Aging and Disability Resource Center (ADRC) budget as the primary reason for yearend projection changes between the first and second quarter. Haug also reported on Veterans Services financials and yearend projections. RESULT: DISCUSSED 4. Federal Centers for Medicare and Medicaid Services (CMS) Update of the Nursing Home Code Health Center Administrator Sandy Hackenmueller informed the board that no updates to the Nursing Home Federal Code/ Regulations have been made since 1991. The large document was included in the board packet and Hackenmueller provided an overview and highlighted some of the changes. The beginning of the report is mostly background information of changes that have been implemented throughout the years. Quality assurance is an area that Hackenmueller highlighted as this will involve the Health and Human Services Board as the governing board. Hackenmueller will be bringing her concerns with the changes, one of which is the use of anti-psychotic medications, to the attention of Leading Age and Wisconsin County Homes Association. RESULT: DISCUSSED 5. Resolution Supporting New Social Security Supplemental Security Income (SSI) Asset Limits and Implementation of the Achieving a Better Life Experience Act Health and Human Services (HHS) Director Johnson and Aging and Disabilities Resource Center (ADRC) Administrator Brad Beckman reviewed concerns regarding how Supplemental Security Income (SSI) asset limits, that haven't been updated since 1989, can interfere with disabled consumers ability to work and still receive benefits. This concern was initially discussed at the May 15th Council on Aging and Disabilities (COAD) meeting. Achieving a Better Life Experience (ABLE) Act was passed at the Federal level and was also passed in Wisconsin as part of the 2015-2017 state budget. The ABLE act allows the ability to set up taxed advantaged savings accounts, and these savings accounts will not affect eligibility for SSI, Medicaid, long term programs and other public benefits in Wisconsin. Supervisor Kiesler made a motion to approve the resolution and move it on to the Council On Aging and Disabilities (COAD), and after their approval on to County Board of Supervisors. This was seconded by Supervisor Leibfried. Further discussion was had among the board and administration, confirming that this resolution supports the increase of asset limits and also the implementation of the ABLE act. The board also shared they would be interested in more updated trends with recipients of SSI and other public benefits like Medicaid and Foodshare within St. Croix County. HHS Director Johnson will work with staff and board chair Babbitt to try and come up with this information and have it as an agenda item in the near future. RESULT: APPROVED [UNANIMOUS] Next: 8/21/2015 9:00 AM MOVER: Ron Kiesler, Supervisor SECONDER: Shaela Leibfried, Supervisor AYES: Christopher Babbitt, Heather Logelin, Howard Novotny, Chris Kilber, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Deb Rasmussen ABSENT: Lisa Ramsay 6. Health Center Facility Planning Project Report Health and Human Services (HHS) Director Fred Johnson and Health Center Administrator Sandy Hackenmueller reviewed facility planning updates. The HHS board will continue to be updated throughout the building process. RESULT: DISCUSSED 7. Health Center 2016 Private Pay Rate Health and Human Services Director Johnson and Health Center Administrator Hackenmueller brought information to the board regarding the projected Health Center private pay rate increases. The presentation by Wipfli from March 2015 was made reference to as this was the key assumption for revenue projections for the Health Center project. If the board determines to approve this, the private pay rate will be increased to $237 starting January 1, 2016 and will be built into the recommended 2016 budget. Rates within the market were reviewed. Supervisor Kiesler made a motion to increase the private pay rate from $229 to $237 per day on January 1, 2016 and was seconded by Supervisor Novotny. This agenda item will be brought to the board annually with the potential of a rate increase. RESULT: APPROVED [UNANIMOUS] MOVER: Ron Kiesler, Supervisor SECONDER: Howard Novotny, Supervisor AYES: Christopher Babbitt, Heather Logelin, Howard Novotny, Chris Kilber, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Deb Rasmussen ABSENT: Lisa Ramsay 8. Wisconsin Counties Association 2015-2017 Final Biennial Budget Summary Health and Human Services (HHS) Director Fred Johnson highlighted some areas within Wisconsin Counties Association budget summary as well as the detailed Health and Human Services summary. These documents will be a resource for 2016 budget planning. Questions were raised regarding where things stand with the need for drug testing of Foodshare/BadgerCare recipients, and who will be funding this. HHS Director Johnson shared that St. Croix County, as well as the Great rivers Consortium, has not budgeted for implementation of this as the details are still being worked out at the state level. If implemented, it is anticipated that the start date for drug testing will be in 2017. Further discussion was had regarding other concerns within the state budget, in particular consortium funding. RESULT: DISCUSSED REQUEST FOR FUTURE AGENDA ITEMS No agenda items noted at this time, but as always board members can contact Chair Babbitt or Director Johnson if something becomes a need between now and the next meeting. ANNOUNCEMENTS & CORRESPONDENCE No announcements this evening. ADJOURN Health and Human Services Board Chair Chris Babbitt called this meeting of the Health and Human Services Board adjourned at approximately 7:10 PM. DATE OF NEXT MEETING September 8, 2015 @ 5:30 PM in the Government Center Boardroom, Hudson Respectfully Submitted: Colleen Linder