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Home My WebLink About10-13-2015 Health & Human Services Minutes MEETING MINUTES HEALTH & HUMAN SERVICES BOARD October 13, 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 Chris Babbitt called the October 13, 2015 meeting of the Health and Human Services Board to order at approximately 5:30 PM. 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 Late 5:33 PM 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: Health and Human Services Director Fred Johnson, Fiscal Manager Beata Haug, Behavioral Health Administrator Steve Kirt, County Board Chair Roger Larson, County Board Supervisor Dave Ostness, other staff and community members. Absent: Unexcused Lisa Ramsay APPROVAL OF MINUTES Health and Human Services Board Chair Babbitt asked if there were any additions, corrections or deletions to the September 8, 2015 or October 6, 2015 minutes of the Health and Human Services Board meetings. A couple of changes to the September 8, 2015 minutes were brought forward by Chair Babbitt. In agenda item #3, Proposed Legislation Assembly Bill 311 and Senate Bill 238, the last sentence should read Senate Bill 238 and Assembly Bill 310. In agenda item #4, Enroll Wisconsin Update, wording will be added to the minutes stating for the Affordable Care Act (ACA). A voice vote was taken; minutes were approved as amended. 1. Health & Human Services Board – Regular Meeting – September 8, 2015 5:30 PM RESULT: APPROVED AS AMENDED [UNANIMOUS] MOVER: Howard Novotny, Supervisor SECONDER: Paulette Anderson, Supervisor AYES: Christopher Babbitt, Heather Logelin, Howard Novotny, Chris Kilber, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Deb Rasmussen ABSENT: Lisa Ramsay 2. Health & Human Services Board – Special Meeting – October 6, 2015 4:00 PM RESULT: APPROVED [UNANIMOUS] MOVER: Howard Novotny, Supervisor SECONDER: Paulette Anderson, Supervisor AYES: Christopher Babbitt, Heather Logelin, Howard Novotny, Chris Kilber, Ron Kiesler, Paulette Anderson, Shaela Leibfried, Deb Rasmussen ABSENT: Lisa Ramsay PUBLIC COMMENT One gentleman representing The Forest Voice addressed the board about the potential health risks regarding wind turbine farms. No further public comment BUSINESS ITEMS 1. Community Health Needs Assessment Process 2015-2016 Health and Human Services Director Fred Johnson highlighted the collaborative efforts among several entities, and the process and timeline around the Community Health Needs Assessment (CHNA). Final approval of the CHNA and the plan for St. Croix County will be brought to the board. Board Member Logelin gave additional details of the plans for the meetings with all the stakeholders and the additional steps of defining how work will be done on the needs that are determined by this assessment. Chair Babbitt will be representing the Health and Human Services Board, board members are encouraged to get any input to Chair Babbitt. As the CHNA moves forward, updates can be provided. RESULT: DISCUSSED 2. Financial Report Fiscal Manager Beata Haug reviewed the Department of Health and Human Services August financials in comparison to last year at this time. Haug discussed the variances in revenues are mainly due to the way we are able to claim funding, so it is expected to balance out come year end. The variance in ADRC continues to be because of the shifting of a program to Health and Human Services (HHS). Other variances are mainly due to increased P4P payments, and increased purchased services. Comprehensive Community Services expenses haven't had revenue to offset, due to delay in start date. Also, the Children's Long Term Support (CLTS) take back is being booked as an expense in 2015 in comparison to revenue in 2014. Veterans services financials were also reviewed, which are showing no significant variances. Haug explained that the revenues for Veterans are shown without levy dollars as they are applied at a different time of year then the rest of Health and Human Services programs, usually when the prior year audit is completed. Haug will get more details regarding the difference of applying levy for Veterans Services and report back to the board. Questions and further discussion had regarding the 2015 allocations of Comprehensive Community Services (CCS) budgeted dollars since this program hasn't been implemented yet. Fiscal Manger Haug will look more closely at this line item for next month. RESULT: DISCUSSED 3. 2016 Budget Detail Department Worksheets Health and Human (HHS) Budget detail worksheets were reviewed with the board. Health and Human Services Director Fred Johnson and Fiscal Manager Haug highlighted a few areas within each divisions' worksheet and answered questions raised by the board. RESULT: DISCUSSED 4. 2014 Audit Report Review and Quarterly Year End Operating Margin Summary. Fiscal Manager Beata Haug reviewed the 2014 audit report with the board. RESULT: DISCUSSED 5. Proposed Legislation to Bring 17-Year-Old First-Time, Non-Violent Offenders Back to the Juvenile Justice System The Wisconsin Counties Association (WCA) action alert position on this proposed legislation was reviewed. There is agreement with the policy, but concerns that there is no funding proposed in the legislation. Cost estimates from WCA are around 8.2 million dollars for the state, excluding Milwaukee County. Information from the District Attorney's office for 17 year old referral numbers in 2015 was 40, of which 23 cases were filed. The numbers show that some juveniles would likely be coming back to the juvenile court system though they appear to be low. Several questions were raised with further discussion by the board. The definition of what is a non violent crime, and reasons for the lower number of arrests was questioned. Also a concern was voiced of the effect this could have on the budgets of the larger counties within the state and if this could potentially mean less funding for other youth programs. HHS Board Chair Babbitt determined that the consensus of the board was to delay a decision on any actions until more data and information on the budget effects of this proposed legislation was available. A request was made to also review this with the Community Justice Collaborating Council . RESULT: DISCUSSED-NO ACTION 6. Health Center Facility Planning Project Report Updated budget and project schedule were reviewed, along with the Market Johnson County board report. Progress of the project can be viewed online from two links on the county website. RESULT: DISCUSSED REQUEST FOR FUTURE AGENDA ITEMS Health and Human Services Board Chair Babbitt asked the board for any requests for future agenda items. A few items have been previously discussed to be brought back such as the E- cigarettes issue and the proposed legislation to bring 17-year-old first time, non-violent offenders back to the Juvenile Justice System. Board Member Deb Rasmussen inquired about a county effort surrounding the teen suicide concerns. Behavioral Health Administrator Steve Kirt gave a brief overview of efforts towards suicide prevention, but this will be brought back as an agenda item for a full report. ANNOUNCEMENTS & CORRESPONDENCE Health and Human Services (HHS) Director Fred Johnson had a couple of announcements: *Medicare Part D open enrollment starts this month, a handout was provided. *A letter handed out to board from Kitty Rhodes regarding the dementia grant. *St. Croix County continues to look to Polk County for assistance with enrollment in the Affordable Care Act from their Certified Application Counselors. Board Member Logelin shared information regarding the Remember Me project plays and encourages all to attend. Director Johnson will get a schedule of these presentations from ADRC Administrator Brad Beckman and email it out to the board. Supervisor Anderson suggested these be recorded as she knows she is unable to attend any of these times but would like to see them. Logelin will suggest this. HHS Chair Babbitt informed the board that the potential recurring agenda item regarding the HHS Board Priorities is still under review. ADJOURN Health and Human Services Board Chair Babbitt called this meeting of the Health and Human Services Board adjourned at approximately 7:25 PM. DATE OF NEXT MEETING November 10, 2015 @ 5:30 PM in the Hudson Government Center Boardroom Respectfully Submitted: Colleen Linder