HUMAN SERVICES

Approved 9/19/05

HUMAN SERVICES

August 15, 2005

Minutes

Members Present: Curtis Hertel, Tina Weatherwax-Grant, Victor Celentino, Lisa Dedden, Dianne Holman, Mike Severino and Board Chairperson Mark Grebner

Members Absent: None

Others Present: John Neilsen and Bruce Bragg,

The meeting was called to order by Chairperson Hertel at 7:03 p.m. in the Personnel Conference Room of the Human Services Building, 5303 S. Cedar, Lansing.

Approval of the July 18, 2005 Minutes

MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. DEDDEN, TO APPROVE THE JULY 18 MINUTES AS SUBMITTED. MOTION CARRIED UNANIMOUSLY. Absent: Comms. Weatherwax-Grant, Holman and Severino

Additions to the Agenda: None

Limited Public Comment: None

MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. DEDDEN, TO APPROVE A CONSENT AGENDA FOR THE FOLLOWING ITEMS:

1. Health Department

b. Resolution to Authorize Amendment Number Four to the 2004-2005 Comprehensive Planning, Budgeting and Contracting (CPBC) Agreement with the Michigan Department of Community Health

c. Resolution to Authorize a 2005-2006 Agreement with the Michigan Department of Community Health for the Delivery of Public Health Services Under the Comprehensive Planning, Budgeting and Contracting (CPBC) Process

d. Resolution to Purchase and Install a Storage Building on the Grounds of the Human Services Building

e. Resolution to Authorize a Contract with the Michigan Department of Human Services to Provide Administrative Support for the Development of the Strong Families/Safe Children Program

f. Resolution to Amend Resolution No. 05-117 and Authorize Staffing Changes in the Bureau of Health Plan Management

MOTION CARRIED UNANIMOUSLY. Absent: Comms. Weatherwax-Grant, Holman and Severino

MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. DEDDEN, TO APPROVE THE ITEMS ON THE CONSENT AGENDA. MOTION CARRIED UNANIMOUSLY. Absent: Comms. Weatherwax-Grant, Holman and Severino

1a. Health Department – Resolution to Amend Resolution No. 05-166 and Amend the Health Department’s Fee Schedule

(Comms. Holman and Severino arrived at 7:04 p.m.)

MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. HERTEL, TO APPROVE THE RESOLUTION TO AMEND RESOLUTION NO. 05-166 AND AMEND THE HEALTH DEPARTMENT’S FEE SCHEDULE.

Mr. Bragg stated this Resolution addresses the questions which were raised by this Committee at a previous meeting. The Resolution clarifies that the County does not intend to subsidize services provided to residents of other counties. Mr. Bragg stated he is recommending in the Resolution that the County declare its intent to not subsidize the cost of vaccines or vaccine administration services to adults except when the services are related to disease transmission and outbreaks.

The Resolution also recommends that services and vaccines provided to immigrants seeking medical examinations and treatments, including immunizations, in order to qualify for U.S. citizenship shall not be subsidized by the County.

Mr. Bragg further explained the Resolution clarifies that in situations which are related to outbreaks of communicable diseases, the Board declares its intent that the Health Department will attempt to provide vaccines and services to address the needs of the at-risk population. The Department typically has access to federally purchased vaccines for these purposes. The Resolution would establish that in situations related to disease outbreaks, charges will be discounted, based on the discount schedule adopted in Resolution No. 05-166, for at-risk County residents and those who work or study in the County. A broader group of persons may qualify for a discount if the Health Officer deems it necessary in order to protect the broader County community.

In response to Comm. Celentino, Mr. Bragg explained that the Resolution recommends that the Immigration Physical Examination and Form I-693’s processing fee of $137, and a Supplemental I-693 processing fee of $25 be established.

Comm. Severino stated States and local governments are very limited in how they discriminate regarding immigration status. He then asked if the County could make decisions based on immigration status. Mr. Bragg stated Comm. Severino asked a very good question. In general, the Health Department does not discriminate.

The Committee further discussed aspects of the Resolution to Amend Resolution No. 05-166 and Amend the Health Department’s Fee Schedule. Comm. Severino indicated he would not be voting in support of this Resolution as it increases fees.

In response to Comm. Dedden, Mr. Bragg explained the Department would not discount fees to non-residents. Immunizations will be provided when requested; however, a discount will not be available for this service. He further stated the Discount Fee Schedule has already been adopted. This Resolution only amends Resolution No. 05-166 to clarify the County will not discount the specific fees. Comm. Dedden stated she would like to have the County Attorney review this Resolution prior to the Finance Committee meeting.

(Comm. Weatherwax-Grant arrived at 7:17 p.m.)

Comm. Dedden expressed her concern that the Discount Fee Schedule may need to be amended. Mr. Bragg explained that the Resolution is only clarifying that the County will not discount the specific fee. Chairperson Hertel stated the Discount Fee Schedule does not need to be amended. Mr. Bragg distributed copies of the Discount Fee Schedule for the Committee’s review.

MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. HERTEL, TO SUSPEND THE BOARD RULES TO ALLOW COMMS. WEATHERWAX-GRANT, HOLMAN AND SEVERINO TO VOTE ON THE CONSENT AGENDA. MOTION CARRIED UNANIMOUSLY.

MOVED BY COMM. CELENTINO, SUPPORTED BY COMM. HERTEL, TO APPROVE THE ITEMS ON THE CONSENT AGENDA. MOTION CARRIED UNANIMOUSLY.

1a. Discussion Continued

Comm. Dedden stated services should only be subsidized when based on income status. Mr. Bragg stated he thought the Resolution to Amend addressed this Committee’s questions and concerns from a previous meeting. Comm. Dedden stated the Resolution may need further clarification.

MOTION CARRIED with Comm. Severino voting NO.

Announcements

Comm. Weatherwax-Grant informed the Committee of an upcoming reception to be held by the Parks Department.

Public Comment: None

The meeting adjourned at 7:26 p.m.

Respectfully submitted,

Debra Neff