THE FINANCE COMMITTEE WILL MEET ON TUESDAY, NOVEMBER 21, 2000, AT 6:30 P.M., IN THE PERSONNEL CONFERENCE ROOM, HUMAN SERVICES BUILDING, 5303 S. CEDAR, LANSING.

2. Circuit Court - Resolution to Authorize a Contingency Fund Appropriation for the Circuit Court Family Division to Participate with Verizon Communications for a Proposal to Provide 30 Cellular Phones

4. Commissioner Randy Schafer - Resolution to Adopt a 911 Emergency Telephone Dispatch Services Fund Allocation Policy

6. Human Resources Department - Resolution Authorizing Restructuring of Ingham County Prosecuting Attorney's Switchboard Operator Position

b. Resolution to Accept Modification to the Ingham County Solid Waste Plan Update Proposed by the Michigan Department of Environmental Quality

e. Resolution to Appropriate Funds to Support the Ingham Health Plan's Subsidized Health Insurance Program for Low Wage Paying Firms

g. Resolution to Authorize an Agreement with Ingham Regional Medical Center for Women's Health Physician Services

a. Third Quarter 2000 Budget Adjustments, Year End Adjustment, and Contingency Fund Update

b. Resolution Authorizing a Reorganization of the Purchasing and Properties Department

c. Resolution to Authorize the Purchase of Computer Equipment for the Board of Commissioners

The County of Ingham will provide necessary reasonable auxiliary aids and services, such as interpreters for the hearing impaired and audio tapes of printed materials being considered at the meeting for the visually impaired, for individuals with disabilities at the meeting upon five (5) working days notice to the County of Ingham. Individuals with disabilities requiring auxiliary aids or services should contact the County of Ingham in writing or by calling the following: Ingham County Board of Commissioners, P.O. Box 319, Mason, MI 48854 Phone: (517) 676-7200. A quorum of the Board of Commissioners may be in attendance at this meeting.

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The following items have attachments available in the Board of Commissioners Office:

4. Commissioner Randy Schafer - Resolution to Adopt a 911 Emergency Telephone Dispatch Services Fund Allocation Policy (attachment)

b. Resolution to Accept Modification to the Ingham County Solid Waste Plan Update Proposed by the Michigan Department of Environmental Quality

g. Resolution to Authorize an Agreement with Ingham Regional Medical Center for Women's Health Physician Services

a. Third Quarter 2000 Budget Adjustments, Year End Adjustment, and Contingency Fund Update - Attachment

b. Resolution Authorizing a Reorganization of the Purchasing and Properties Department (attachment)

The meeting was called to order by Vice Chairperson Grebner at 6:34 p.m. in the Personnel Conference Room of the Human Services Building, 5303 South Cedar, Lansing.

The October 18 and October 24 Minutes were approved as submitted. Absent: Comm. Bernero

1b. Resolution Authorizing Improvements in the Holding Cell and Attorney Rooms in the Ingham County Jail - Attachment - Item pulled from the Agenda.

2c. Resolution Authorizing an Agreement with Ingham Regional Medical Center for Women's Health Physician Services - Item pulled from the Agenda.

4. Board of Commissioners - Resolution to Authorize the Purchase of Computer Equipment for the Use of the Commissioner's Office - Item pulled from the Agenda.

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

b. Resolution to Authorize a 0-3 Secondary Prevention Grant with the Family Independence Agency for 2000-2001

MOVED BY COMM. MCDONALD, SUPPORTED BY COMM. SCHAFER, TO APPROVE THE ITEMS ON THE CONSENT AGENDA. MOTION CARRIED UNANIMOUSLY. Absent: Comm. Bernero

a. Resolution Authorizing Entering Into a Contract with Patterson Dental Supply Inc., and Accubite Dental Supply for the Purchase of Dental Clinic Equipment

In response to Comm. Schafer, the Committee consented to amend the second WHEREAS paragraph as follows:

WHEREAS, the Task Force has identified that Medicaid insured children in the Ingham County area have difficulty finding dentists willing to serve them; and

MOVED BY COMM. MCDONALD, SUPPORTED BY COMM. CZARNECKI, TO APPROVE THE RESOLUTION AUTHORIZING ENTERING INTO A CONTRACT WITH PATTERSON DENTAL SUPPLY INC., AND ACCUBITE DENTAL SUPPLY FOR THE PURCHASE OF DENTAL CLINIC EQUIPMENT AS AMENDED. MOTION CARRIED UNANIMOUSLY. Absent: Comm. Bernero

In response to Comm. Czarnecki, Mr. Bragg explained the Health Department does not encourage people from other counties to use Ingham County's services. This service is intended to be fully supported by grant funds and Medicaid. It is our intent not to use any County general funds. Comm. Czarncki stated we need to make sure Clinton and Eaton counties step up to the table and accept responsibility for their residents.

d. Resolution to Authorize Administrative Services and Medical Services Support Agreements with the Ingham Health Plan Corporation

MOVED BY COMM. SCHAFER, SUPPORTED BY COMM. JUALL, TO APPROVE THE RESOLUTION TO AUTHORIZE ADMINISTRATIVE SERVICES AND MEDICAL SERVICES SUPPORT AGREEMENTS WITH THE INGHAM HEALTH PLAN CORPORATION. MOTION CARRIED UNANIMOUSLY. Absent: Comm. Bernero

a. Resolution Approving a Collective Bargaining Agreement Between the County of Ingham, Ingham County Probate Court, Thirtieth Judicial Circuit Court, 55^thJudicial District Court, Ingham County Prosecuting Attorney, Ingham County Clerk, Ingham County Register of Deeds, Ingham County Treasurer, Ingham County Drain Commissioner and Ingham County Sheriff with the Technical, Office, Para-Professional and Service Classifications of the United Automobile

In response to Comm. Schafer, Mr. Hailey explained the departments named in the Resolution are considered to be employers. The employer will pick up 3.2% of the retirement cost. Mr. Hailey stated the County will see further cost savings in the second year as the wage scale will not be increased. He also stated he would provide Comm. Schafer with a copy of a contract.

Comm. Minter explained his concern he raised in the Administrative Services/Personnel Committee meeting tonight regardind an element of the proposed action. The element of concern regards the statement "HR Director, upon approval by the Department Head, may approve initial compensation of new hires through Step 4;" Some elements of a proposed action may not be readily known to the Committee until it comes before this Committee. Comm. Minter stated he believes it is appropriate that all elements of the initial bargaining position advanced by the County be made known to the Commissioners in case they have some philosophical differences with the approach. Comm. Minter stated he is only concerned with the process, not the merits.

In response to Comm. Czarnecki, Mr. Ambrose explained the issue of providing a defined contribution plan to all new hires has not been successfully negotiated with the collective

bargaining units. He requested Mr. Ambrose or Mr. Hailey draft a resolution declaring it to be County policy that future contracts will provide a defined contribution plan. Comm. Czarneckis stated he would bring this resolution to the Board as a personal.

Comm. McDonald stated the Administrative Services/Personnel Committee has discussed the issue of economic parameters with Mr. Hailey regarding bargaining matters. The Administrative Services/Personnel Committee has informed Mr. Hailey that when new issues come up during the bargaining process, he is to submit a memorandum to the Committee notifying them of the issues.

Mr. Hailey stated the Human Resources Department did propose a defined contribution plan to the bargaiing units during the recent negotiations. The proposal was for new hires. However, the proposal was not accepted. The current members wanted to know the potential impact this would have on existing members.

Comm. Czarnecki stated the Board needs to discuss this important issue. Vice Chairperson Grebner stated this matter will be discussed in early January. This matter will be explored thoroughly before it is presented to the Board.

MOVED BY COMM. MCDONALD, SUPPORTED BY COMM. CZARNECKI, TO APPROVE THE RESOLUTION APPROVING A COLLECTIVE BARGAINING AGREEMENT BETWEEN THE COUNTY OF I NGHAM, INGHAM COUNTY PROBATE COURT, THIRTIETH JUDICIAL CIRCUIT COURT, 55TH JUDICIAL DISTRICT COURT, INGHAM COUNTY PROSECUTING ATTORNEY, INGHAM COUNTY CLERK, INGHAM COUNTY REGISTER OF DEEDS, INGHAM COUNTY TREASURER, INGHAM COUNTY DRAIN COMMISSIONER AND INGHAM COUNTY SHERIFF WITH THE TECHNICAL OFFICE, PARA-PROFESSIONAL AND SERVICE CLASSIFICATIONS OF THE UNITED AUTOMOBILE AEROSPACE AND AGRICULTURAL IMPLEMENT WORKERS OF AMERICA (UAW) - LOCAL 2256. MOTION CARRIED UNANIMOUSLY. Absent: Comm. Bernero

b. Resolution Approving the FOP/ Law Enforcement Collective Bargaining Agreement

MOVED BY COMM. MINTER, SUPPORTED BY COMM. MCDONALD, TO APPROVE THE RESOLUTION APPROVING THE FOP/LAW ENFORCEMENT COLLECTIVE BARGAINING AGREEMENT. MOTION CARRIED UNANIMOUSLY. Absent: Comm. Bernero

Comm. Schafer informed the Committee that he was endorsed by the FOP. He did not receive funding from the FOP.

Mr. Ambrose stated that when the Board receives notification regarding any type of tax abatement, the notification will be forwarded to the Economic Development Director.

Mr. Ambrose explained he hopes letters of understanding from all of the unions will be brought before the Board before the end of the year. The letters would slightly modify our health

insurance benefits. The Health Coalition has been working to develop alternatives to the 44% proposed increase in premiums. When the discussions are complete, the increase will be approximately 20%. Mr. Ambrose explained some of the alternatives.

6. Board Referral - Letter from the City of East Lansing Announcing the Approval of a Brownfield Plan

At a ___________________ meeting of the Board of Commissioners of the County of Ingham (the "County") held in the _________________________________, in the City of _____________________, Michigan on ________________, 2000 __ at ______ p.m. Eastern Standard Time, there were:

The following preamble and resolution were offered by ___________________________ and seconded by _______________

TERMINATION OF THE MICHIGAN GOVERNMENTAL INVESTMENT TRUST AND APPROVING THE SECOND AMENDMENT TO THE INTERLOCAL AGREEMENT WITH VARIOUS COUNTIES, CITIES AND TOWNSHIPS WHICH ESTABLISHED THE MICHIGAN GOVERNMENT INVESTMENT TRUST

WHEREAS, Section 28 of Article 7 of the 1963 Constitution of the State of Michigan provides, among other things, that the Legislature of the State of Michigan shall authorize two or more municipalities to enter into contractual undertakings for the joint administration of any functions each party would be separately empowered to perform, to share costs and responsibilities of such functions, and to cooperate with one another; and

WHEREAS, Section 4 of Act No. 7 of the Public Acts of Michigan of 1967, Extra Session, as amended, 124.501 et seq. of the Compiled Laws of Michigan [Act No. 7], provides that a public agency of the State of Michigan may exercise jointly with any other public agency of the State of Michigan any power, privilege or authority which such agencies share in common and which each might exercise separately; and

WHEREAS, counties, cities, villages and townships ("public corporations") are "public agencies" as defined in Act No. 7, as amended; and

WHEREAS, a number of public corporations of the State of Michigan (the "Participants") established and organized a legal entity pursuant to Section 5 of Act No. 7, as amended, by entering into a Declaration of Trust for the purpose of combining their available investment funds so as to enhance the investment opportunities available to them by approving a Declaration of Trust which was also an Interlocal Agreement made as of March 1, 1994 and amended as of January 1, 1997 thereby creating the Michigan Government Investment Trust ("MIGIT").

WHEREAS, the Participants of MIGIT now believe it is in the best interest of the participants that MIGIT be terminated.

WHEREAS, two thirds of the Participants may terminate MIGIT by approving the termination of MIGIT and adopting an Amendment to Interlocal Agreement providing for such termination of MIGIT on a date in the future.

WHEREAS, a Second Amendment to Declaration of Trust which is also a "Second Amendment to Interlocal Agreement" has been prepared for these Public Corporations to approve pursuant to Section 5 of Act No. 7, as amended, for the purpose of terminating MIGIT.

WHEREAS, the governing board of two thirds of the Participants must duly adopt a resolution approving this amendment before it becomes effective;

NOW THEREFORE it is resolved by the Board of Commissioners of the County of Ingham as follows:

1. The Michigan Government Investment Trust shall be terminated effective January 31, 2001.

2. The Second Amendment to Agreement/Declaration of Trust dated as of January 1, 2001, a copy of which is attached hereto as Appendix A, is hereby approved and the Chairperson of the Board of Commissioners and the County Clerk are authorized to execute and deliver the same.

3. A copy of this resolution shall be sent to the Secretary of the Board of Trustees of MIGIT.

The undersigned, being the duly qualified and acting Clerk of the County of Ingham hereby certified that the foregoing is a true and complete copy of a resolution duly adopted by the County Board of Commissioners at its _____________ meeting held on the ___ day of ______________, 2000_, at which meeting a quorum was present and remained throughout and that an original thereof is on file in the records of the County of Ingham. I further certify that the meeting was conducted, and public notice thereof was given, pursuant to and in full compliance with Act No. 267, Public Acts of Michigan of 1976, as amended, and that minutes of such meeting were kept and will be or have been made available as required thereby.

THIS SECOND AMENDMENT TO AGREEMENT/DECLARATION OF TRUST dated as of the 1st day of January, 2001 among the Township of Coe, the Charter Township of Meridian, the County of Ingham, the County of Ogemaw, the County of Wexford, the County of Kalamazoo, the County of Roscommon, and the County of Van Buren.

WHEREAS, counties, cities, villages and townships ("public corporations") are "public agencies" as defined in Act No. 7, as amended; and

WHEREAS, the Participants of MIGIT now believe it is in the best interest of the participants that MIGIT be terminated.

WHEREAS, two thirds of the Participants may terminate MIGIT by adopting an Amendment to Interlocal Agreement providing for the termination of MIGIT on a date in the future.

WHEREAS, An Amendment to Declaration of Trust which is also an "Amendment to Interlocal Agreement" has been prepared for these Public Corporations to approve pursuant to Section 5 of Act No. 7, as amended, for the purpose of terminating MIGIT.

WHEREAS, the governing board of two thirds of the Participants must duly adopt a resolution approving this amendment before it becomes effective;

THE PARTICIPANTS TO THE AGREEMENT/DECLARATION OF TRUST made as of March 1, 1994, as amended as of January 1, 1997 agree as follows:

The AGREEMENT/DECLARATION OF TRUST made as of March 1, 1994, as amended as of January 1, 1997, is amended by adding the following article to read as follows:

This Declaration of Trust shall terminate at 12:00 p.m. on the 31st day of January, 2001. Thereafter, the Trustees shall wind up the affairs of the Trust as provided in Article XIII, Section 13.1 of this Declaration of Trust.

The Amendment/Declaration of Trust was executed on behalf of the Participants by the persons indicated below as of January 1, 2001:

THEREFORE BE IT RESOLVED, that Resolution #00-244 be amended by substituting the attached statement of state equalized valuations and the millage apportioned to the various units in Ingham County for the year 2000.

Agenda Item Title Resolution to Authorize a Contingency Fund Appropriation for the Circuit Court Family Division to Participate With Verizon Communications for a Proposal to Provide 30 Cellular Phones

Summary of Proposed Action This resolution is to authorize an appropriation of $2,308 from the 2000 Contingency Fund to the Circuit Court Family Division to finance the balance of funds necessary to fund a proposal from Verizon Communications to provide 30 cellular phones for Juvenile Officers.

Financial Implications Total cost of proposal - $27,715 (January 2001 - December 2002)

Other Implications The Family Division was directed by the Finance Committee of the Board of Commissioners to submit a resolution to authorize the balance of the necessary funds out of the 2000 Contingency Fund.

RESOLUTION TO AUTHORIZE A CONTINGENCY FUND APPROPRIATION FOR THE CIRCUIT COURT FAMILY DIVISION TO PARTICIPATE WITH VERIZON COMMUNICATIONS FOR A PROPOSAL TO PROVIDE 30 CELLULAR PHONES

WHEREAS, the Ingham County Board of Commissioners have an existing cellular phone contract with Verizon Communications who gave the Family Division a cost proposal effective through December 31, 2000; and

WHEREAS, the Ingham County Board of Commissioners have approved a total of $12,000 to purchase 30 cellular phones in the Family Division 2001 budget; and

WHEREAS, the Family Division was directed by the Finance Committee of the Board of Commissioners to submit a resolution to authorize the balance of the necessary funds out of the 2000 Contingency Fund.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners approve the Circuit Court Family Division to accept a proposal from Verizon Communications for the provision of 30 cellular phones for the Juvenile Court Officers.

BE IT FURTHER RESOLVED, that the Ingham County Board of Commissioners approves an appropriation of $2,308 from the 2000 Contingency Fund to the Circuit Court Family Division to finance the balance of this proposal.

BE IT FURTHER RESOLVED, that the Controller is directed to adjust the 2000 budget in accordance with this resolution.

Agenda Item Title Resolution Authorizing Improvements in the Holding Cell and Attorney Rooms in the Ingham County Jail

Summary of Proposed Action The attached resolution will authorize the Sheriff's Office to

expend up to $14,000.00 to make the necessary improvements in the holding cell and the Attorney Rooms in the jail as recommended by Jack Kann, Manager of the County Jail Service Unit of DOC.

Financial Implications The Sheriff's Office is requesting up to $14,000 from Contingency fund for this purpose.

Other Implications - The Office of Purchasing will solicit 3 verbal quotes for the installation of the tile. Estimated cost is $2,350.00. The Office of Purchasing will put out a formal RFP that will be advertised for the plumbing contract work. Estimated cost is $8,084.00. Purchasing will pre-qualify the bidders in that only plumbers with experience working in a Jail setting will be allowed to bid on this project. Purchasing feels we need a company that has the experience in working in secure correctional settings and agrees with the recommendations from the D.O.C. that this work needs to be done.

Subject: Resolution Authorizing Improvements in the Holding Cell and Attorney Rooms in the Ingham County Jail

The Law & Courts Committee tabled the attached resolution at their November 2, 2000 meeting. It is now back before you at this round of Committee meetings.

Several issues were raised at that meeting, and those issues and the appropriate responses are as follows:

1) Are there going to be any other capital improvements' cost items that are going to be identified and brought back to the Board from this DOC Inspection?

Response: The Sheriff's Office does not have any other capital improvements' cost items that are going to be identified and brought back to the Board from this specific DOC Inspection.

Response: In general, the Michigan DOC has the specific statutory authority to supervise and inspect jails that are under the jurisdiction of the county sheriff and to promulgate rules and standards for the proper administration of the jails. On these specific recommendations, our main concern is our potential liability IF something should happen now that we have been advised of the potential problems and fail to take specific actions to remedy the situation. I want to make clear that our Purchasing & Properties office has reviewed the DOC recommendations contained in this resolution and are recommending these capital improvements at the jail.

3) The Committee asked for a clarification of this statement in the cover review sheet: "Purchasing will pre-qualify the bidders in that only plumbers with experience working in a Jail setting will be allowed to bid on this project. Purchasing feels we need a company that has the experience in working in secure correctional settings".

Response: Purchasing does not have a list of qualified vendors for bidding on work at the Jail. This statement means that they will give consideration and preferences for any contractors that have experience in working in secure correctional settings, but it is not an absolute requirement. Price, quality of work and this experience are all factors that will be considered during the review of the proposal process, but any vendor will be able to submit proposals for this work. The successful vendor will have an absolute requirement to have all of their employees successfully pass a security background check to work within the jail.

I hope this communication provides the information you need as you deliberate this resolution.

Representatives of the Sheriff's Office will be at the various committee meetings. If you should have any other questions, please feel free to contact me at any time.

Please find enclosed the County Jail Inspection Report from the Department of Corrections. You will note in the numerous comments from DOC that all reference to the holding cell that had been previously discussed has been eliminated. I've also included a copy of the memo dated August 30, 2000, from Jack Kann, Manager of the County Jail Service Unit of DOC to Sheriff Wriggelsworth. You will note the recommendations made in reference to the holding cell in this memo. This was not included in the final DOC reports, as discussions between Major Carpenter and Mr. Kann, prior to the final report, included the upgrades in this holding cell. As a result, and under the belief that these improvements were going to be made, these were left out of the final Inspection Report.

However, with the recommendations from the August 30, 2000 letter, I believe it is important we move forward and make the improvements as recommended. The attached Resolution should address those.

Introduced by the Law & Courts, Administrative Services/Personnel and Finance Committees of the:

WHEREAS, the Department of Corrections has recommended several improvements to the Ingham County Jail; and

WHEREAS, those improvements include removing carpeting and installing tile or sealed concrete flooring, fixed concrete bench, and prisoner type water closet in a holding cell in Receiving; and

WHEREAS, the MDOC recommendations also include removing metal frame chairs from Attorney Rooms, and replacing them with institutional chairs; and

WHEREAS, these recommendations were made through an MDOC inspection in August, 2000.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes the transfer from the 2000 Contingency Fund to the appropriate budget and the expenditure of up to $14,000.00 to make the necessary improvements in the holding cell and the Attorney Rooms in the jail.

BE IT FURTHER RESOLVED, that the Ingham County Board of Commissioners authorizes the award contracts to the contractor(s) with the best proposal(s) as determined by the Controller after Purchasing & Properties conducts their procurement process in accordance with Ingham County Procurement and Purchasing Policies.

BE IT FURTHER RESOLVED, that the Ingham County Board of Commissioners authorizes the Board Chairperson and the County Clerk to sign any necessary contract documents for these improvements approved as to form by the County Attorney and consistent with this resolution.

BE IT FURTHER RESOLVED, that the Ingham County Board of Commissioners authorizes the Controller's Office to make the necessary budget adjustments in the Sheriff's Office 2000 Budget.

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Agenda Item Title Resolution to Accept a Grant from O.H.S.P. to Conduct Special Traffic Enforcement Programs

Summary of Proposed Action The attached resolution will authorize the Sheriff's Office to accept a Grant for participation in a statewide public information and enforcement campaign with local, state and county law enforcement agencies for specialized Traffic Enforcement. The three specific points of emphasis; 1) seat belt and child restraint use (Operation ABC); 2) alcohol impaired driving (Operation Nightcap); and 3) summer traffic enforcement (local traffic problem and seat belt use). The County would accept the grant from O.H.S.P. and then subcontract a portion of the funds to the other law enforcement agencies. No match is required and the County portion would be used for Overtime costs. Each department would get about 250 hours of overtime for enforcement

Financial Implications The Grant from the O.H.S.P. to conduct special traffic enforcement programs would allocate the funds as follows:

Other Implications The Sheriff's Office has participated in these grant programs for a number of years now.

RESOLUTION ACCEPT A GRANT FROM O.H.S.P. TO CONDUCT SPECIAL TRAFFIC ENFORCEMENT PROGRAMS

WHEREAS, the Ingham County Sheriff's Office applied for and has received a grant from the Office of Highway Safety and Planning to conduct special traffic enforcement programs; and

WHEREAS, this grant is in cooperation with the Lansing Police Department, the East Lansing Police Department and the Meridian Township Police Department; and

WHEREAS, the grant amount totals $39,990.00 with no matching funds necessary from Ingham County; and

WHEREAS, the grant will provide special traffic enforcement programs to target violations specifically: seat belt, child restraint, impaired driving, and summer traffic enforcement; and

WHEREAS, the intent of the grant and the special traffic enforcement programs are to save lives in Ingham County.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes the acceptance of the Michigan O.H.S.P. grant in the amount of $39,990.24 to provide special traffic enforcement in Ingham County from October 1, 2000 through September 30, 2001.

BE IT FURTHER RESOLVED, that the following subcontracts are also authorized for the same time period:

BE IT FURTHER RESOLVED, that the Ingham County Board of Commissioners authorizes the Ingham County Clerk and the Ingham County Board Chairperson to sign any necessary contract agreements that are consistent with this resolution and approved as to form by the County Attorney.

BE IT FURTHER RESOLVED, that the Ingham County Board of Commissioners authorizes the Controller to make any necessary adjustments in the Ingham County Sheriff's Office 2000 and 2001 budgets.

Agenda Item Title Resolution to Allow the Ingham County Sheriff's Office to Purchase Unbudgeted Laser Radar Units

Submitted by Sheriff's Office

Committees: Ad.Ser/Per. , H.S. , Law & Cts. * , Finance *

Summary of Proposed Action The attached resolution will authorize the Sheriff's Office to

expend up to $20,000.00 to purchase new radar units for squad cars out of the contingency fund.

Financial Implications The Sheriff's Office is requesting up to $20,000 from contingency fund for this purpose.

$311,000.00 in the 2000-2001 Secondary Road Patrol Budget was verified as the revenue for the 2000-2001 Grant year which is $81,000 over the original estimate of $230,000. The Finance Committee and BOC adopted a 2001 budget recognizing an additional $72,000 used for the Strategic Planning initiative funds.

The Finance Committee recognized the new revenue for FY 2001 and suggested that the Sheriff's Office request these funds - 4 Laser radar units. ($5,000 * 4 units = $20,000) from the 2000 Contingency fund during the budget hearings for Law & Courts.

As you are aware, and as was discussed in the Budget Hearings, the Sheriff's Office received approximately $81,000 in unexpected revenue for the 2000 -2001 Secondary Road Patrol budget. As was discussed during the Budget Hearings, I would request the Ingham County Sheriff's Office be allowed to use $20,000 to purchase traffic laser units for the patrol units. Several of our radar units are old and outdated, and this new technology will greatly assist the Ingham County Sheriff's Office to modernize traffic enforcement, and further assist our efforts in continually providing the necessary revenue to Secondary Road Patrol.

The remaining unbudgeted revenue would go toward the Ingham County General Fund. The attached Resolution allows the Controller's Office, Budgeting Office and Finance Office to make the necessary adjustments.

WHEREAS, the Ingham County Sheriff's Office had budgeted approximately $230,000.00 in revenue from Secondary Road Patrol; and

WHEREAS, the Ingham County Sheriff's Office was notified by the Office of Highway and Safety Planning that we would be receiving approximately $311,000.00 in the 2000-2001 Secondary Road Patrol Budget; and

WHEREAS, the Ingham County Sheriff's Office is in need of purchasing laser units for Road Patrol vehicles.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes the Ingham County Sheriff's Office to spend up to $20,000.00 from 2000 contingency funds toward the purchase of four laser units for traffic enforcement.

BE IT FURTHER RESOLVED, that the Ingham County Board of Commissioners authorizes that the Board Chairperson and the County Clerk sign any necessary purchase/contract documents that are consistent with this resolution and approved as to form by the County Attorney.

BE IT FURTHER RESOLVED, that the Ingham County Board of Commissioners authorizes the Controller's Office to make the necessary adjustments in the Ingham County Sheriff's Office 2000 and 2001 budgets.

WHEREAS, the Ingham County Board of Commissioners has established a 911 Emergency Telephone Dispatch Services fund for both operational costs and management and system improvements to the County emergency dispatch system; and

WHEREAS, traditionally the Board of Commissioners has operated under an informal policy of reserving at least twenty percent (20%) of the total annual revenues from the millage and the telephone surcharge has been reserved for management and system improvements to the County emergency dispatch system and the remaining eighty percent (80%) has been reserved forcontracting with the Cities of Lansing and East Lansing and the Northeast Ingham Emergency Services Authority for the Provision of 911 and Emergency Telephone Dispatch Service; and

WHEREAS, the County has been reimbursing the Cities of Lansing and East Lansing and the Northeast Ingham Emergency Services Authority for the Provision of 911 and Emergency telephone dispatch service for ninety five percent (95%) of the eligible operational costs for several years; and

WHEREAS, in fiscal year 2000-01 for the first time the operational contracts exceeded eighty percent (80%) of the total annual revenues from the millage and the telephone surcharge; and

WHEREAS, both are critical needs for public safety in Ingham County but a sufficient amount of funds must be reserved to maintain the integrity of the infrastructure of the Ingham County emergency telephone dispatch service.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners hereby adopts a "911 Emergency Telephone Dispatch Services Fund Allocation Policy" that effective with the 2001-02 fiscal year twenty-five per cent (25%) of the total annual revenues from the millage and the telephone surcharge will be reserved for management and system improvements to the County emergency dispatch system and the remaining seventy five percent (75%) will be capped and reserved to reimburse the Cities of Lansing and East Lansing and the Northeast Ingham Emergency Services Authority for the Provision of 911 and emergency telephone dispatch service for up to ninety five percent (95%) of the eligible operational costs.

BE IT FURTHER RESOLVED, that the County Clerk is directed to submit copies of this resolution to the City of Lansing, City of East Lansing, the Northeast Ingham Emergency Services Authority, and the 911 Advisory Committee.

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Agenda Item Title Resolution Authorizing the Sale of Equipment from the Ingham County Correctional Facility

Summary of Proposed Action: This resolution authorizes the sale of used kitchen equipment from the Ingham County Correctional Facility. Bids were solicited, and Purchasing recommends selling the equipment to the Chief Okemos Council of the Boy Scouts of America for $100.00. Commercial Services & Installation has viewed that the kitchen equipment has no resale value.

RESOLUTION AUTHORIZING THE SALE OF KITCHEN EQUIPMENT FROM THE INGHAM COUNTY CORRECTIONAL FACILITY

WHEREAS, the Ingham County Correctional Facility has used kitchen equipment; and

WHEREAS, Commercial Service & Installation has deemed the kitchen equipment having no resale value; and

WHEREAS, the Office of Purchasing solicited sealed bids for the sale of the used kitchen equipment; and

WHEREAS, the Office of Purchasing received one bid for $100.00 for the used kitchen equipment.

THEREFORE BE IT RESOLVED, that the Office of Purchasing recommends selling the used kitchen equipment to the Chief Okemos Council of the Boy Scouts of America for $100.00.

BE IT FURTHER RESOLVED, that the Ingham County Board of Commissioners authorizes the County Controller, County Clerk and the Sheriff's Office to sign any necessary documents selling the kitchen equipment to the Chief Okemos Council of the Boy Scouts of America.

Agenda Item Title: Restructuring of Ingham County Prosecuting Attorney's Switchboard Operator Position

Summary of Proposed Action: Approval of this request would reclassify the Switchboard Operator Position based on additional duties.

RESOLUTION AUTHORIZING RESTRUCTURING OF INGHAM COUNTY PROSECUTING ATTORNEY'S SWITCHBOARD OPERATOR POSITION

WHEREAS, the Switchboard Operator position is vacant and has been restructured to include additional duties and responsibilities; and

WHEREAS, the Human Resources Department has evaluated these changes and recommend the title be changed to Information Clerk - Prosecuting Attorney with a grade level change from Level B to Level C; and

WHEREAS, the UAW has been notified of this change and have not offered any opposition; and

WHEREAS, there is money in the Prosecuting Attorney's Budget to accommodate this change.

THEREFORE BE IT RESOLVED, that Position #PRSATY041 be changed from Switchboard Operator Level B to "Information Clerk/Prosecuting Attorney" Level C effective December 1, 2000.

BE IT FURTHER RESOLVED, that the funds necessary for this change be taken from the existing budget to be provided when the salary and wage accounts are adjusted on a quarterly basis.

This will communicate the Health Department's plan to distribute funds to municipalities to support recycling efforts.

I anticipate that the MDEQ Director will approve the Solid Waste Plan Update before December 31, 2000. The Health Department is preparing to implement the new Solid Waste Plan effective January 1, 2001. With the implementation of the new Plan, the Board will require that any of the eighteen solid waste disposal facilities authorized in the Plan must enter into an agreement with the County in order to accept waste generated in Ingham County. The Department will be sending out proposed agreements to the eighteen eligible solid waste disposal sites by November 15, 2000 with the intent of having these agreements fully executed by January 1, 2001.

The facilities that sign agreements and accept Ingham County solid waste will be required to remit to Ingham County $0.42 for each cubic yard of waste received which originated within the County. The County will then distribute $0.36 per cubic yard to the municipalities in the County that operate recycling programs. Attached are materials that describe the Health Department's plan to distribute the funds to support recycling activities throughout the County.

The Board of Commissioners has already authorized contracts with the municipalities and entities operating recycling programs. The Department proposes to contract with eight different municipalities, including Michigan State University, to implement the countywide recycling concept. In several cases, more than one township or municipality would be served by a recycling center. We anticipate contracting only with municipalities that offer a fairly comprehensive recycling program that is reasonably available to the community it serves. This would mean that programs focusing on single items, such a newspapers, would not qualify. And it would mean that programs that are open for only a few hours a month or only during the working day may not qualify for funding.

Bob Godbold, Jim Wilson and I will appreciate knowing of any concerns the Board of Commissioners has regarding the proposed plan.

WHEREAS, the Ingham County Board of Commissioners has adopted a Solid Waste Management Plan ("Plan") under the authority of PA 641 of 1978 as amended; and

WHEREAS, PA 451 Part 115 as amended requires the Board to periodically update the Plan in light of changing circumstances; and

WHEREAS, the Board of Commissioners appointed a Solid Waste Planning Committee and designated the Health Department as the Designated Planning Agency which serves as staff to the Committee in October of 1997; and

WHEREAS, the Solid Waste Planning Committee (SWPC) completed a first draft of the updated solid waste management plan in March of 1999; and

WHEREAS, the Board of Commissioners sent the first Draft of the Plan Update back to the Planning Committee with a statement of objections to the Plan Update; and

WHEREAS, the County's Solid Waste Planning Committee has considered the objections and has recommended a revised Plan Update; and

WHEREAS, the Ingham County Board of Commissioners has reviewed the proposed Plan Update and several amendments which would address all the objections as stated by the Board through Resolution # 00-23; and

WHEREAS, the Board generally determines that the Plan Update with these amendments promotes and protects the solid waste needs and interests of the citizens of Ingham County.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners hereby approves the Solid Waste Management Plan Update as recommended by the Solid Waste Planning Committee and as amended by the Board of Commissioners.

BE IT FURTHER RESOLVED, that the County's Designated Planning Agency (Health Department) is directed to seek the approval of the Plan Update by the municipalities of the County as required by PA 451 Part 115 and upon such approval to forward the Plan Update to the Michigan Department of Environmental Quality ("MDEQ") for its approval.

BE IT FURTHER RESOLVED, that upon the approval by the MDEQ of the Plan Update that the Plan Update shall supersede and replace any prior Plans.

HUMAN SERVICES: Yeas: Czarnecki, Smiley, Grebner Nays: Schmidt, Severino

FINANCE: Yeas: Bernero, Grebner, Czarnecki, McDonald, Schafer, Minter, Juall

The Michigan Department of Environment Quality has advised that a number of modifications must be made to the Solid Waste Plan Update in order for it to be approved by the MDEQ. The proposed recommendations have been reviewed by staff in the Health Department and the Controller's Office, as well as by Naomi Gaynor of Cohl, Stoker, and Toskey. All parties find the proposed recommendations to be non-substantive.

The MDEQ has advised that with the approval of the Board of Commissioners, the proposed modifications can be administratively appended to the Solid Waste Plan Update as part of the Plan approval process. With support of staff, I am recommending that the Board of Commissioners accept the MDEQ recommended modifications and approve the MDEQ administratively appending them to the Solid Waste Plan Update as part of the Plan approval process.

The MDEQ proposed modifications are attached to this communication in two forms: the first being a copy of the October 23, 2000 letter transmitting them to James Wilson, and the second being the bill draft form, showing where they would modify the language of the Plan Update, by adding or deleting original language.

I recommend that the Board of Commissioners accept the changes and authorize the MDEQ Director to move forward to approve the Plan Update. Attached is a resolution to implement that recommendation. With such approval, I believe the MDEQ Director will approve the Plan prior to December 31, 2000.

RESOLUTION TO ACCEPT MODIFICATION TO THE INGHAM COUNTY SOLID WASTE PLAN UPDATE PROPOSED BY THE MICHIGAN DEPARTMENT OF ENVIRONMENTAL QUALITY

WHEREAS, the Ingham County Board of Commissioners has adopted a Solid Waste Plan Update after substantial work by the Ingham County Solid Waste Planning Committee to develop and recommend the update to the 1990 Solid Waste Management Plan; and

WHEREAS, the Board of Commissioners submitted the Solid Waste Plan Update to the Director of the Michigan Department of Environmental Quality (MDEQ) for consideration and approval; and

WHEREAS, the MDEQ has advised that a number of modifications to the Plan must be made in order for the Plan to be acceptable to MDEQ Director; and

WHEREAS, the MDEQ proposed modifications have been reviewed by the Health Department and Controller's staff and also by the County Attorney, with the conclusion that the changes are editorial in nature and not substantive; and

WHEREAS, the Health Officer recommends that the Board of Commissioners approve of the MDEQ modifications and agree to have the MDEQ administratively make these modifications to the Plan as part of the MDEQ approval of the Plan.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners' MDEQ proposed modifications, included in the October 23, 2000 letter to Mr. James R. Wilson from Lynn Dumroese, Solid Waste Management Unit, and supports the MDEQ administratively making these modifications to the Plan as part of the MDEQ approval of the Plan.

BE IT FURTHER RESOLVED, that the Health Officer is directed to communicate this acceptance to the MDEQ Director.

Subject: Resolution to Authorize a Record Copying Agreement with Smart Corporation

This is a recommendation to authorize a contract to copy records with Smart Corporation. The Health Department maintains medical records for tens of thousands of patients. There are many reasons why these records need to be copied and provided to other authorized persons and offices. Medical records are confidential documents and will only be copied by the Department when the patient has authorized such copying or when there is another legal basis for such record sharing, such as a court order.

The act of copying and sending records to other parties has become a significant burden to the staff in our clinic operations. This staff has identified a firm that does this service and is compensated by other parties, some of the parties that receive the records.

Smart Corporation will come to the Health Department to copy records within twelve hours of any such request. They will abide by all County and Department policies, state and federal statutes and rules regarding the confidentiality of client/patient records. Smart Corporation compensation will consist entirely of payments collected from prepayments made by the entities requesting such records.

Patient will not be charged for a copy of their own record. Certain other parties will not be charged for copies of such records: such as hospitals, nursing homes, Medicaid, Friend of the Court, schools, jails and prisons and law enforcement agencies. Billable parties will include: attorneys, insurance companies, the Social Security Administration, the Family Independence Agency, copying services and record deposit services.

The Smart Corporation has agreed to copy as many non-billable charts as billable charts and records. Copying non-billable charts above the 1:1 ration will be the responsibility of the Health Department. We do not anticipate this arrangement to result in any charges to the County.

I recommend that the Board of Commissioners adopt the attached resolution and authorize a one year agreement. It will result in needed relief of effort for the clerical staff of the Department clinical units.

WHEREAS, the Ingham County Health Department maintains medical records for many thousands of clients; and

WHEREAS, there is a regular need to share these records, or summaries of these records, with proper authorization and purpose, with other health care providers, government offices and attorneys; and

WHEREAS, the task of copying and mailing such records has grown and now represents a strain on the resources of the Department; and

WHEREAS, Department staff have identified Smart Corporation as providing confidential services to copy records and provide them to other authorized providers, government offices and attorneys; and

WHEREAS, Smart Corporation will conform to all Department policies, state and federal laws and rules pertaining to confidentiality of medical records; and

WHEREAS, Smart Corporation will be compensated by the provider, government office or attorney receiving the copy of such records, and that certain parties shall be provided copies of records without payment; and

WHEREAS, the Health Officer recommends that the Board of Commissioners authorize the agreement with Smart Corporation because it will save valuable resources in the Department's clinical units.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes a one year agreement with Smart Corporation for record copying services.

BE IT FURTHER RESOLVED, Smart Corporation will copy medical and other records of the Department, when such records have been authorized for copying by the patient, guardian, state statute or court, and that the Corporation shall be compensated for such services by billing certain parties receiving such records.

BE IT FURTHER RESOLVED, that Corporation shall comply with all County and Department policies and with all state and federal statutes and rules related to confidentiality of patient/client information.

BE IT FURTHER RESOLVED, that billable parties shall include: attorneys, insurance companies, such government agencies as the Social Security Administration and the Family Independence Agency, copy services and record deposit services; and that non-billable parties

shall include hospitals, nursing homes, Medicaid, Friend of the Court, schools, jails and prisons, law enforcement agencies and patient advocates.

BE IT FURTHER RESOLVED, that Ingham County will be charged for copying services only if and when the number of records copied for non-billable purposes exceeds the number of records copied for billable purposes.

BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the agreement with Smart Corporation after review by the County Attorney.

Subject: Recommendation to Contract with Children's Choice of Michigan to Coordinate Services for Families with Children with Special Health Care Services Needs

This is a recommendation to authorize an agreement with Children's Choice of Michigan to assure cooperation and coordination with the Ingham County Health Department's Locally Based Services Unit. This Unit tracks all families in Ingham County who have children eligible for the State's Children's Special Health Care Services Program (CSHCS). The CSHCS program acts as an insurance program for families with children who have severe handicapping conditions. The Locally Based Service Units in local health departments are set up and funded by the State to provide information to such families, to assist in the coordination of services to such families and to provide case management services for a few of these families.

On the medical side, the State is trying to create incentives for families to enroll such children in organized health plans set up to provide a specified scope of benefits to each enrolled child in return for a fixed capitation payment. Children's Choice of Michigan is a subsidarary of Detroit Medical Center and is set up to provide such a scope of services to CSHCS eligible children. Children's Choice will be operating in Ingham County and the State has recommended that a formal agreement be executed between Ingham County the Children's Choice to facilitate cooperation and coordination of services on behalf of CSHCS children and their families.

Attached is resolution to authorize such an agreement. I recommend that the Board adopt the resolution and authorize the agreement.

Bruce Miller w/attachment

Introduced by the Human Services and Finance Committees of the:

WHEREAS, the State of Michigan has operated a set of services to assist families with children having need of special health care services; and

WHEREAS, these children have health conditions requiring extensive health care services and often requiring the coordination of services by many health care providers in a community; and

WHEREAS, the Michigan Department of Community Health supports a set of resources in local health departments throughout Michigan to provide assistance to families in the community having children with special health care services needs; and

WHEREAS, the MDCH has also attempted to improve the coordination of medical services provided to children with special health care needs by creating the formation of health care systems to serve this population; and

WHEREAS, Children's Choice of Michigan, a subsidiary of the Detroit Medical Center is one of the health systems formed to serve children with special health care service needs, and Children's Choice will now be operational in Ingham County; and

WHEREAS, the MDCH encourages formal agreements between the local health departments providing support and service coordination to families with special health care needs and the medical systems set up to provide most of the medical services needed; and

WHEREAS, the Health Officer has recommended that the Ingham County Board of Commissioners enter into a contract with Children's Choice of Michigan to coordinate services provided to Ingham County families having children with special health care service needs.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes an agreement with Children's Choice of Michigan, Detroit Medical Center, to facilitate coordination of services for children with special health care needs with the Locally Based Services Unit of the Ingham County Health Department.

BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the agreement after review by the County Attorney.

MEMORANDUM

This is a recommendation to appropriate funds to support the Ingham Health Plan Corporation's subsidized health insurance program for low wage paying Ingham County businesses. The Ingham County Board of Commissioners has a goal of assuring access for all County residents to organized systems of health care. The Ingham Health Plan Corporation was formed with the purpose of providing health care benefits and health insurance to low income, uninsured Ingham County residents.

There are between 25,000-30,000 residents of Ingham County who are uninsured. The Ingham Health Plan Corporation plan to implement a subsidized health insurance program for small employers projected to provide health insurance to 2,500 by the fourth year (2004). The program would be implemented by local health insurers or Health Maintenance Organizations offering the subsidized products to low wage paying businesses in Ingham County. The Ingham Health Plan would provide up to one third of the premium payment, with the other two thirds to come from the employer and the employee. It is anticipated that the monthly premium would be about $120 per person covered. The IHP would provide $40 per month and the other $80 would come from the employer and the employee.

The proposed subsidized health insurance program for small employers is one of several strategies to address the problem of the uninsured in Ingham County. With implementation of this program, along with other initiatives now under development at IHP, we are nearing the limit of what can be done to deal with this problem in the absence of a broad-based state or national solution.

From the perspective of IHP, the County's approach will have three main components:

1) The IHP Board views the basic IHP program as the minimum level of coverage which should be available to any Ingham County resident for whom no alternative is available. By year-end, the basic IHP program of coverage will have reached approximately 14,000 Ingham County residents, or roughly half of the County's uninsured. Depending on the success of other IHP initiatives, as listed below, some expansion of this program may be required over the next several years.

2) The IHP is working with Michigan State University to develop a plan to address the problems faced by uninsured persons associated with the university community. This group, which we estimate to be in the range of 3,000-5,000, may require programs different from those applicable to the rest of the County's uninsured. As presently contemplated, any needed funding for this initiative will come from MSU and the usual matching sources. If this can be accomplished, a large and particularly challenging part of the problem in Ingham County will have been addressed. To the extent that IHP is successful in this area, fewer individuals associated with the university will require coverage under the basic IHP program.

3) The proposed subsidized health insurance program for small employers represents IHP's main effort to directly address the largest group of the uninsured: those who are employed but have no coverage. As discussed above, it may be possible to achieve a membership of 2,500 persons through IHP's proposed program. It should be recognized, however, that many small employers will not be willing to provide health insurance even if a subsidy is available. Therefore, for employees of these firms, IHP's basic program will be the only alternative. Similarly, for many part-time workers and dependents of workers who are not eligible for coverage, IHP's basic program may be the only option. Nevertheless, to the extent that any uninsured persons can be brought into employer-sponsored health insurance arrangements, there will be less need for coverage under the basic IHP program.

Taken together, these three approaches may bring us close to the practical limit of what can be done at the local level. Short of a systematic state or national solution, there will always be at least a few persons outside of the insurance system. If, between these three approaches, we can reduce the number of such people in Ingham County to a few thousand, we may conclude that we have accomplished all that it is possible to do.

With these understandings in mind, I recommend that the Board of Commissioners appropriate $1.05 million from the Ingham Regional Medical Center payments to settle its in-kind obligation. That portion of the annual payment that is made in cash is contractually obligated to be expended primarily for public health purposes. I recommend that the appropriation be made from the funds reserved for these purposes. I recommend that the Controller be authorized to utilize these funds to maximize revenues for the purposes of implementing the subsidized health insurance program. Each year for the next four years a portion of these funds can be transferred to the State of Michigan to form part of DSH (Disproportionate Share Hospital) payments to Ingham Regional Medical Center and Sparrow Health System. The hospitals will contribute the funds, including the Federal portion of about 105% of the local contribution, to the Ingham Health Plan Corporation via Indigent Care Agreements. The IHP will utilize the funds to implement the subsidized health insurance program.

I recommend that the Board of Commissioners adopt the attached resolution and take the next step toward assuring Ingham County residents have access to organized systems of care. Also attached to this communication is a copy of an August 24, 2000 memorandum from me to Jerry Ambrose providing more detail on this recommendation.

Re: Ingham Health Plan/Proposed Subsidized Health Insurance Program for Small Employers

As you know, the Ingham Health Plan (IHP) has proved to be a highly successful vehicle for addressing the problems of financial access to health care in Ingham County. In its first two years of operation, it has enrolled almost 12,000 uninsured Ingham County residents into a cost-effective, structured program of health coverage. By year-end, IHP expects to have a total of 14,000 members.

Recently, the IHP board reviewed the concept of a subsidized health insurance plan that could be made available to small employers in Ingham County that do not currently provide health insurance benefits to employees. As discussed below, the IHP board views this initiative as an important additional tool through which the problems of financial access in the county may be resolved.

The purpose of this memorandum is to briefly recapitulate what we know about the problem of the uninsured in Ingham County, to outline the IHP's proposal for a subsidized health insurance program, and to describe a proposed implementation plan and funding scheme for such a program. I am proposing that the County commit to a contribution to the subsidized insurance plan for five years: 2000 - 2004, from the cash payments from Ingham Regional to settle the in-kind obligation with the County.

Based on various studies and surveys that have been conducted over the past several years, it is estimated that the overall number of uninsured persons in Ingham County is 25,000-30,000. These figures represent 9-11% of the 285,000 residents of the county, and are consistent with numerous state and national analyses.

In considering these numbers, it is important to keep in mind that the population of uninsured persons includes a variety of subgroups. For example, some of these persons are indigent and unemployed, but, for various reasons, do not qualify for the main programs of medical assistance such as Medicaid and CHIP. Some of the uninsured are college students who, though not usually thought of as indigent, nevertheless cannot afford health insurance. Many other uninsured persons are employed, or live in households in which someone is employed, but work for firms that do not provide health insurance benefits. Still others may work for firms that provide benefits, but only for full-time workers or for the workers themselves and not dependents.

It is very difficult to know how many persons fall into these various categories. However, it seems clear that the majority of the uninsured persons in Ingham County are employed or live in households in which some household member is employed. In fact, we estimate that there are approximately 20,000-22,000 uninsured residents of Ingham County who are employed or who live in households in which some member of the household is employed. We know, for example, that a large number of current IHP members (i.e., roughly 60%) are employed or live in households in which someone is employed. Perhaps 3,000-5,000 of the uninsured are in some way associated with the university community and another 3,000-5,000 are unemployed, indigent and not eligible for any form of medical assistance.

A few broad observations about the uninsured in Ingham County can be made. The uninsured includes very few children, women of childbearing age, and elderly, groups that have good access to coverage through Medicaid, CHIP, and Medicare. Thus, most of the uninsured are adults less than 65 years of age. In addition, the largest part of the uninsured population appears to be women, many of whom are of middle age. Many of these women are working in low-wage jobs, often part-time, that do not offer benefits. Other uninsured women are not employed, but are dependents of a spouse working in a job that does not offer benefits or does not offer benefits to dependents. Once again, these characteristics are consistent with state and national patterns.

Though IHP has had substantial initial success, it is important to remember that IHP is a last resort, safety net program for persons who have no other way to obtain coverage. In contrast, most non-elderly Americans, and most non-elderly Ingham County residents, are covered by employer-sponsored health insurance. Further, the type of coverage provided by employers is almost always broader and deeper than IHP coverage, which generally covers only ambulatory services and otherwise has numerous limits and exclusions. There is no question that an IHP member will have a higher degree of health security with employer-sponsored coverage than he or she has today.

Our finding that 60% of IHP members are employed or live in a household in which someone is employed points up the fact that not all employers in Ingham County provide health insurance benefits to workers. Moreover, even if an employer does provide benefits, they may not be available to every worker (e.g., part-time workers may be excluded) or to dependents (e.g., only the workers themselves may be covered). For example, the County itself provides coverage to part-time employees, but does not contribute towards coverage for dependents of part-time workers.

The failure of some Ingham County employers to provide benefits to workers is part of a well-known state and national pattern. Employers who do not provide benefits tend to be small, service-industry firms that have low-wage work forces, often with extremely high turnover rates. Many studies have shown that the principal barrier to the provision of benefits is cost. It has also been demonstrated that if benefits can be made more affordable, at least some of these employers will begin to provide coverage.

More specifically, it has been shown that limited subsidization of premiums for employers that have not historically provided benefits can induce some such employers to begin doing so. Based on this, the IHP board wishes to develop a program directed at small Ingham County employers under which subsidies will be paid for the purpose of reducing employer health insurance costs. IHP believes that this type of program can become an important additional tool by which coverage can be expanded in Ingham County.

The type of program being contemplated by IHP will be limited in size and scale. This is due mainly to the fact that the program will be offered only to firms that do not offer benefits and have not done so for some time. As illustrated below, this requirement will substantially limit the number of eligible firms and their associated employees/dependents.

The 20,000-22,000 uninsured persons in Ingham County who are either employed or who live in households in which some household member is employed consist of several major subgroups that have quite different circumstances. We can quickly identify at least three major subgroups:

� First, many uninsured persons are employed as full-time workers for employers who simply do not provide benefits (or live in households in which some household member is employed full-time for an employer who does not provide benefits).

� Second, a substantial number of uninsured persons are full-time workers (or dependents of workers) in firms that offer benefits but require substantial premium sharing by employees. These employees have opted not to participate in the firm's health insurance program for reasons of affordability.

� Third, there are many part-time workers who work for firms that provide benefits only to full-time workers, or perhaps, provide benefits to part-time workers but not their dependents.

In both the second and third of these groups, the employer has established a health insurance program that is providing coverage for at least some of its employees and dependents, and will thus be ineligible for the IHP subsidy program. Only employers in the first group will be eligible.

Therefore, if there are 21,000 uninsured persons in Ingham County who are employed (or who live in households in which some household member is employed), it may be reasonable to assume that half of these persons, or 10,500, are full-time workers or dependents of full-time workers in firms that do not provide benefits. Further, it is probably reasonable to assume that, of this number, only perhaps a quarter or a third are employed by, or live in households in which someone is employed by, firms that can be induced through a subsidy to offer health benefits. Based on this, it seems sensible to plan for a subsidized insurance program with a membership of roughly 2,500-3,500. I believe that these figures are a reliable estimate of likely program participation.

Preliminary analyses have suggested that a subsidized insurance plan should revolve around insurance products with a cost of roughly $120 per month per person. Such products would provide comprehensive coverage coupled with aggressive cost control mechanisms. The IHP subsidy would average $40 per month per person.

For planning purposes, it seems reasonable to assume a pattern of relatively slow membership growth. This would be consistent with the experience in Wayne and Muskegon Counties. Therefore, we assume the following:

Year	Starting Members	Ending Members	Average Members	Member Months
FY 01	0	1,000	500	6,000
FY 02	1,000	2,000	1,500	18,000
FY 03	2,000	2,500	2,250	27,000
FY 04	2,500	2,500	2,500	30,000

Making a set of further (minor) assumptions regarding inflation, costs of the program, excluding IHP administrative expenses, are projected to be as follows:

Year	Member Months	Cost per Month	Total Cost per Year
FY 01	6,000	$40	$240,000
FY 02	18,000	$42	$756,000
FY 03	27,000	$44	$1,188,000
FY 04	30,000	$46	$1,380,000

IHP administrative expenses should be small, since most significant functions will be left to the participating health plans. We will ignore these administrative expenses for purposes of this analysis.

I propose that the IHP subsidized insurance program be funded partly out of existing IHP resources and partly out of new resources. That is, I suggest that IHP budget certain amounts from within its current revenues to provide partial support for the program. The remainder would then come from new and additional DSH payments in which the non-federal share would be supplied by the County; the federal match would be generated through the usual set of transfers and Medicaid payments to our hospital partner(s).

More specifically, I propose that the County assume responsibility for contributing about $1.05 million over a five year period, to participate in total operating expenses of about $3.57 million. The Ingham Health Plan would contribute about $1.25 million from its existing resources and the remaining $1.27 million will result from Federal participation on the Ingham County contribution. I recommend that the County appropriate $150,000 in FY 2000, $150,000 in FY 2001, $250,000 in FY 2002, $250,000 in FY2003 and $250,000 in FY 2004 from the payments from Ingham Regional Medical Center to settle their contractual in-kind services obligation to the County.

Over this same period the IHP would designate $1.25 million from its existing stream of revenue (i.e., already-matched funds) to support the subsidized insurance plan, building toward an enrollment of 2,500 persons by the end of FY2003.

The limit of 2,500 members for the implementation and funding plan can be easily imposed by regulating enrollment.

It will be important to have a reasonably long-term commitment from the County in order to make the program successful. Previous research has shown that employers will not participate if they believe that the availability of the subsidy is not secure. Further, the health plans on which IHP will depend to offer and operate subsidized products will similarly not wish to begin selling a subsidized product unless they believe that the subsidy will continue to be provided. Thus, a long-term funding commitment is critical to making this program work.

The proposed subsidized health insurance program for small employers should be seen as one of a small number of major strategies to address the problem of the uninsured in Ingham County. In fact, with implementation of this program, along with other initiatives now under development at IHP, I believe that we are nearing the limit of what can be done to deal with this problem in the absence of a broad-based state or national solution.

From the perspective of IHP, the County's approach should have three main components:

1) IHP views the basic IHP program as the minimum level of coverage which should be available to any Ingham County resident for whom no alternative is available. By year-end, the basic IHP program of coverage will have reached approximately 14,000 Ingham County residents, or roughly half of the County's uninsured. Depending on the success of other IHP initiatives, as listed below, some expansion of this program may be required over the next several years.

2) IHP is working with Michigan State University to develop an approach to deal with problems faced by uninsured persons associated with the university community. This group, which we estimate to be in the range of 3,000-5,000, may require programs different from those applicable to the rest of the County's uninsured. As presently contemplated, any needed funding for this initiative will come from MSU and the usual matching sources. If this can be accomplished, a large and particularly challenging part of the problem in Ingham County will have been addressed. To the extent that IHP is successful in this area, fewer individuals associated with the university will require coverage under the basic IHP program.

RESOLUTION TO APPROPRIATE FUNDS TO SUPPORT THE INGHAM HEALTH PLAN'S SUBSIDIZED HEALTH INSURANCE PROGRAM FOR LOW WAGE PAYING FIRMS

WHEREAS, the Ingham County Board of Commissioners is committed to the goal of assuring that all residents have access to an organized system of health care; and

WHEREAS, the Ingham Health Plan Corporation (IHP) has played an important role in the County's efforts to provide such access to health care; and

WHEREAS, the IHP has implemented a health care benefit plan which currently provides access to an organized system of health care to more than 11,000 previously uninsured persons, and will increase enrollment in that plan to about 14,000 persons by January 1, 2001; and

WHEREAS, the IHP will implement during 2001 with Michigan State University programs to address the needs of low income MSU students; and

WHEREAS, the IHP has implemented a Capital Area Prescription Program to provide low income persons more than 60 years of age, who do not have insurance for prescription drugs, and is working on plans to extend this discounted prescription drug purchasing program to other residents of Ingham, Clinton and Eaton Counties; and

WHEREAS, the IHP believes that it is important to provide incentives to small business to provide health insurance to workers and plans to implement a subsidized health insurance program through local Health Management Organizations or Health Insurers for low wage paying firms; and

WHEREAS, the IHP has requested the financial support of the Ingham County Board of Commissioners to implement the subsidized health insurance program for up to 2,500 low wage employees of small business in Ingham County; and

WHEREAS, the IHP plan to implement the subsidized health insurance program meets the intent of the In-Kind Contract between Ingham Regional Medical Center and Ingham County for the use of funds being paid to Ingham County under this agreement (to be used primarily for public health programs); and

WHEREAS, Ingham Regional Medical Center and Ingham County have executed an In-Kind Services Agreement whereby Ingham Regional contributes $794,022.16 annually to Ingham County in services or cash through the year 2007, with the cash payments to be utilized by the County primarily for public health purposes; and

WHEREAS, the Health Officer recommends that the Board of Commissioners designate $1.05 million from the cash payments made to Ingham County from Ingham Regional Medical Center to settle its in-kind obligation, for the purpose of supporting the implementation of the subsidized health insurance program to be implemented by the Ingham Health Plan Corporation during 2001, 2002, 2003 and 2004.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners appropriates $1.05 million from reserved payments made by Ingham Regional Medical Center for use in a subsidized health insurance program.

BE IT FURTHER RESOLVED, that the Board of Commissioners deems that this use will satisfy the In-Kind Services Agreement condition that the funds be used primarily for public health purposes which will partially satisfy the County's In-Kind Contract obligation.

BE IT FURTHER RESOLVED, that the Controller is authorized to make periodic payments from these funds to or on behalf of the Ingham Health Plan Corporation to support the implementation of the subsidized health insurance program for low wage paying Ingham County businesses.

BE IT FURTHER RESOLVED, that the Controller is authorized to transfer these funds to the State of Michigan in order to contribute to Disproportionate Share Hospital payments to Ingham Regional Medical Center and to the Sparrow Health System, given assurances that these funds will be provided to the Ingham Health Plan Corporation, along with Federal matching funds, in order to implement health benefit and health insurance coverage for low income, uninsured residents of Ingham County.

BE IT FURTHER RESOLVED, that the Controller shall annually report to the Board of Commissioners on the status of these funds and the IHP's subsidized health insurance program.

BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign a contract with the Ingham Health Plan Corporation, after review by the County Attorney, setting out the mechanisms and conditions of the relationship established in this resolution.

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This is a recommendation to authorize an agreement with the City of Lansing to support services directed at female students of Otto Middle School who have been identified as at risk.

Statement of Purpose: The City of Lansing has contracted with the Ingham County Health Department through the Otto Community Health Center to provide gender specific services (Project RESPECT) for at-risk girls attending Otto Middle School. The Ingham County Board of Commissioners initially authorized the Health Department to enter into an agreement to provide this service back in 1997.

The Health Department is seeking authorization to extend this agreement with the City of Lansing for an additional year beginning November 1, 2000 and ending October 31, 2001 for an amount of $12,700. These funds supplement County funds and other grant funds to support services to the at-risk girls at Otto.

How This Fits the Bureau's Mission: One of the goals of the Department is to prevent and control problems of particularly vulnerable population groups. Students, especially girls, who experience problems in school are at risk of engaging in a variety of activities that could get them in additional or more serious trouble with the law, with the school, with the community or with their health and families. This proposal allows for the ability to work with at-risk female students helping them to learn appropriate ways to deal with conflict while developing good decision-making skills leading to healthier behaviors.

Goals of Project: The project will continue to work with at-risk females identified by school and health center personnel. The focus of this program is to provide these girls with health services and information, a strong support system at school, mentoring opportunities with women in the community and incentives to achieve academically. The goals of this program are to improve school behavior, increase family communication, improve problem-solving skills among peers, improve health well-being, and increase awareness of various career and community opportunities.

Activities: Project RESPECT works with female students who are at risk of being suspended from school because of inappropriate behavior. Students are referred from school and health center staff and both child and parent(s) must agree to participate. During the week, students participate in educational programming, group support meetings, health education and mentoring activities. Students earn the privilege to attend monthly field trips or participate in community service activities. Students can also take part in a job shadowing experience throughout the summer months.

Outcome: The desired outcome will be to prevent and control problems of students, particularly females, who are at risk of being suspended from school, while at the same time help students learn skills necessary for leading a productive and healthy lifestyle. If the program prevents youth

from participating in activities that have the potential to get them into more trouble and is successful in helping youth remain in the classroom, an important community objective will be met.

I recommend that the Board of Commissioners adopt the attached resolution and authorize the agreement with the City of Lansing.

WHEREAS, the City of Lansing is the recipient of a grant from the Michigan Family Independence Agency to implement a school suspension alternative program; and

WHEREAS, the City has subcontracted with Ingham County to implement Project Respect through the Otto Middle School Community Health Center, by supplementing already existing services provided by the County through the Community Health Center; and

WHEREAS, the Health Department has identified certain needs in the budget of the Otto Community Health Center budget and the City has advised that funds are available to enhance the operational budget to support such activities as: local field trips, mentoring activities, program supplies and job shadowing activities; and

WHEREAS, the Health Officer has recommended that the Board of Commissioners authorize a 2000-2001 Project Respect agreement with the City of Lansing, and he has advised that the expenditures and revenues are included in the adopted 2001 Health Department budget.

THEREFORE BE IT RESOLVED, the Ingham County Board of Commissioners authorizes a Project Respect Agreement with the City of Lansing, an alternative program to school suspension, for the period November 1, 2000 through October 30, 2001.

BE IT FURTHER RESOLVED, that the City of Lansing contribution to the agreement shall be $12,700 to provide for such operational expenses as, local field trips, mentoring activities, program supplies and job shadowing activities.

BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the agreement after review by the County Attorney.

Earlier this year the Health Department issued a Request For Proposals for physician services in the Women's Health Clinic. The Women's Health Clinic provides family planning services to about 4,500 women each year and prenatal care to about 600 women a year. The Clinic also provides Breast and Cervical Cancer Control Program (BCCCP) services to 850 women. Some of the women who come to the clinic for family planning, prenatal care and BCCCP services require primary care for minor acute and other problems. The Clinic is responsible for providing and/or arranging this care and other non OB-GYN specialty services.

The last time there was competition for the Department's prenatal care business was 1984. The outcome of that process was the price for the service was reduced from about $30,000 a year to zero. The Department did not expect such a dramatic reduction in price with this competitive process, but was interested in seeing what a competitive process might mean in terms of price and service.

The first step in soliciting proposals was the development of a Request for Proposals. This was done in consultation with the Women's Health Coordinator and the County Purchasing and Properties Department. The RFP was sent to the two vendors who had expressed interest in bidding for the services and also published in the newspaper. Two coverage proposals were received, one from Sparrow Health System and one from Ingham Regional Medical Center (IRMC).

In considering how to evaluate the proposals, the Department invited two physicians from outside the Department to participate in a review. The two were Dr. Ruth Hoppe from Michigan State University and Dr. Oliver Hayes from Michigan State University. We met three times with the two outside physicians and with Quess Derman, Women's Health Clinic Coordinator. Dr. Hoppe and Dr. Hayes helped us define areas for further exploration and were most helpful in identifying strengths and weaknesses of both proposals. Ms. Derman helped explain the program to them and answered questions that came up during the review.

In coming up with a recommendation to the Board of Commissioners we considered the views of Dr. Hoppe and Dr. Hayes, and those of Quess Derman. Both outside reviewers felt that the two proposals had unique strengths and weaknesses and either was fundable. We concurred that either proposal was fundable and would serve the interests of our patient population. Each proposal had particular strengths. However, in the end we had to make a decision, and we are recommending that the contract be awarded to Ingham Regional.

We are recommending a three year contract at $50,400 each year. Ingham Regional has indicated that it will accept both the term of the contract and the amount.

There are several reasons we are recommending Ingham Regional's proposal. First, the IRMC proposal was very professionally presented and offers a new and exciting way to serve our patients.

Another reason we are recommending the proposal with IRMC is the providers in the proposal consist of OB-GYN specialists. Women's Health is an OB-GYN unit. We believe at this time it would be best staffed by OB-GYN physicians. Staffing the unit with OB-GYN specialists will eliminate the need to transfer care of high risk women to a separate OB-GYN service. Avoiding the transfer of these patients to another provider will improve the continuity of care and help the Department provide supportive services to women who needs extra help. Nurse practitioners in the unit believe they can learn a great deal from OB-GYN providers and this knowledge will benefit patients in their care.

A third reason is the price of the IRMC proposal compared to the Sparrow proposal. The price of the Sparrow proposal is $65,000. The price of Ingham Regional's proposal is $50,400. Ingham is willing to accept this amount for three years. The three year savings to the county will be at least $44,700.

We are recommending that the Board of Commissioners authorize the Health Department to enter into a three year agreement with Ingham Regional Medical Center for physician services in the Women's Health Unit.

Introduced by the Human Services, Administrative Services and Finance Committees of the:

RESOLUTION TO AUTHORIZE AN AGREEMENT WITH INGHAM REGIONAL MEDICAL CENTER FOR WOMEN'S HEALTH PHYSICIAN SERVICES

WHEREAS, the Health Department issued a Request For Proposals for physician services in the Women's Health Clinic; and

WHEREAS, the Women's Health Clinic provides family planning services to about 4,500 women each year, prenatal care to about 600 women a year, Breast and Cervical Cancer Program services to 850 women and the Clinic is responsible for providing and/or arranging this care and other non- OB-GYN specialty services; and

WHEREAS, the Request for Proposals was developed in consultation with the Women's Health Coordinator and the County Purchasing and Properties Department and sent to the two vendors who had expressed interest in bidding for the services and also published in the newspaper; and

WHEREAS, two coverage proposals were received, one from Sparrow Health System and one from Ingham Regional Medical Center; and

WHEREAS, in considering how to evaluate the proposals, the Department invited two physicians from outside the Department to participate in a review: Dr. Ruth Hoppe from Michigan State University and Dr. Oliver Hayes from Michigan State University; and

WHEREAS, three meetings were held with the two outside physicians and with Quess Derman, Women's Health Clinic Coordinator, Dean G. Sienko, MD, Health Department Medical Director and Bruce Miller, MPH, Director of Community Services; and

WHEREAS, outside reviewers felt the two proposals had unique strengths and weaknesses and either was fundable; and

WHEREAS, Dr. Sienko, Mr. Miller and Ms. Derman concurred either proposal was fundable and would serve the interests of our patient population but in the end had to make a recommendation; and

WHEREAS, Dr. Sienko, Mr. Miller and Ms. Derman are recommending a three year contract be awarded to Ingham Regional in the amount of $50,400 each year; and

WHEREAS, Ingham Regional has indicated it will accept both the term of the contract and the amount; and

WHEREAS, the reasons they are recommending Ingham Regional's proposal are as follows: 1) the IRMC proposal was very professionally developed and presented; 2) the IRMC providers are OB-GYN specialists and Women's Health is an OB-GYN unit; 3) staffing the unit with OB-GYN specialists will eliminate the need to transfer care of high risk women to a separate OB-GYN service; 4) avoiding the transfer of care will improve continuity of care and help the Department provide supportive services to women who need extra help; and

WHEREAS, the difference in price of the IRMC proposal will result in a three year savings to the county of at least $44,700.

THEREFORE BE IT RESOLVED, that the Health Department is authorized to enter into a three year contract with Ingham Regional Medical Center for physician services in Women's Health.

BE IT FURTHER RESOLVED, that services shall include: 1) 20 hours of physician coverage for clinics held at Women's Health Services; 2) physician back-up for prenatal care services provided by nurse practitioners in centers other than Women's Health Services to include physician visits, chart review, and labor and delivery services for prenatal patients of the Ingham Community Health Centers in Leslie, Stockbridge, Saint Lawrence, and Willow Plaza Adolescent Health Center; 3) labor and delivery for all ICHD prenatal patients; 4) 24 hour/365 day after hours call and hospital services for all ICHD OB-GYN patients; 5) After hours call and hospital services for primary care patients of the Women's Health Center; 6) Consultation, chart review and educational support for the nurse practitioners of the Women's Health Center; 7) four hours per week of physician time to serve as the on-site Medical Director for Women's Health Services; 8) a designated physician who serves as medical director for the Health Department in the absence of the Department's Medical Director.

BE IT FURTHER RESOLVED, that the annual payment will be $50,400 a year for three years starting January 1, 2001 through December 31, 2003.

BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the Women's Health Physician Services Agreement after review by the County Attorney.

RE: Third Quarter 2000 Budget Adjustments, Year End Adjustment, and Contingency Fund Update

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Enclosed please find the recommended adjustments to the Ingham County budget for the third quarter of fiscal year 2000. The total decrease to the General Fund is $11,307.

The quarterly budget amendment process as authorized by the Board of Commissioners is necessary to make adjustments to the adopted budget. Generally, adjustments are made as a result of updated revenue and expenditure projections, fund transfers, reappropriation, accounting and contractual changes, errors, and omissions.

This resolution also authorizes the County Controller, as part of the year end budgeting process, to make any necessary transfers among all budgeted funds, activities, and line items in order to comply with Public Act 621 (Uniform Budgeting & Accounting Act), and to balance the 2000 Budget. The General Fund budget will be adjusted to the amount of $61,536,166 for the fourth quarter of 2000.

Also included is an update of contingency fund spending so far this year. The current contingency amount is $307,110. The attached document details how the Board has allocated the contingency funds throughout the year, beginning with a balance of $600,000.

Should you require any additional information or have questions regarding this process, please don't hesitate to contact me.

Introduced by the Administrative Services/Personnel, Human Services, Law and Courts, and Finance Committees of the:

RESOLUTION AUTHORIZING ADJUSTMENTS TO THE 2000 INGHAM COUNTY BUDGET AND AUTHORIZING THE CONTROLLER TO MAKE YEAR END BUDGET ADJUSTMENTS

WHEREAS, the Board of Commissioners adopted the 2000 Budget on October 26, 1999 and has authorized certain amendments since that time, and it is now necessary to make some adjustments as a result of updated revenue and expenditure projections, fund transfers, reappropriations, accounting and contractual changes, errors and omissions, and additional appropriation needs; and

WHEREAS, the Liaison Committees and the Finance Committee have reviewed the proposed budget adjustments prepared by the Controller's staff and have made adjustments where necessary; and

WHEREAS, Public Act 621 of 1978 requires that local units of government maintain a balanced budget and periodically adjust the budget to reflect revised revenue and expenditure levels; and

WHEREAS, the Board of Commissioners annually authorizes the Controller to make necessary year end transfers to comply with state statute.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners hereby directs the Controller to make the necessary transfers to adjust revenues and expenditures in the following funds, according to the attached schedules:

BE IT FURTHER RESOLVED, that the first year's debt service payment on the Consolidated Courts Facility, totaling $284,591, will be paid from the interest earnings on the $6 million set aside from the proceeds from the sale of Ingham Medical Center to build the facility.

BE IT FURTHER RESOLVED, that at the end of 2000, up to $100,000 of any revenues exceeding expenses in the general fund, if available, shall be reserved for moving expenses related to the new Consolidated Courts Facility.

BE IT FURTHER RESOLVED, that of the $800,000 approved in the 2000 Budget to be transferred from the inmate telephone fund balance to the public improvements fund, $400,000 of this shall instead be transferred to the Consolidated Courts Facility construct