HEALTH AND HUMAN SERVICES COMMITTEE Time: 10:00 am Location: 3019 County Complex Drive 2 nd Floor, Room 205 Canandaigua, NY 14424

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1 August 14, 2017 HEALTH AND HUMAN SERVICES COMMITTEE Time: 10:00 am Location: 3019 County Complex Drive 2 nd Floor, Room 205 Canandaigua, NY MEMBERS PRESENT Supervisors Margaret Hilton, Daniel Marshall, Fredrick Wille and Tamara Hicks. Supervisors Norman Teed and Nathan VanBortel joined at 11:00. OTHERS PRESENT In addition to Committee Members: Mary Krause, County Administrator Brian Young, Deputy County Administrator Diane Johnston, Mental Health Director Mary Gates, Finance Director Mary Beer, Public Health Director Eileen Tiberio, Commissioner DSS Irene Coveny, Office for the Aging Director Bob Kramer, Deputy Commissioner DSS Andrea McGraw, Deputy Commissioner DSS Marsha Foote, Youth Bureau Director Jeremy Marshall, Veterans Service Agency Director Kate Ott, Director of Preventive Services Lorrie Scarrott, Manager of Financial Operations Sandy Seeber, Fiscal Manager Rochelle Gray, Senior Fiscal Manager Supervisor Jeffery Gallahan Rachel Foster, Intern Rob Statham, NYAPRS CALL TO ORDER Chairperson Hilton called the meeting to order at 10:00 a.m. MINUTES Approval of Minutes July 24, 2017 A motion to approve the July 24, 2017 meeting minutes was made by Supervisor Marshall, seconded by Supervisor Hicks; carried. MENTAL HEALTH Mental Health Director Diane Johnston presented the following items: a. Budget Review: Diane Johnston reviewed the 2018/2019 budget proposal details and proposed changes. A4310 Mandated Local Government Unit/Director of Community Services, A4310~400 General Clinic Services and A4311 Forensic Clinic Services This is the third year that the Mental Health Budget is structured into three categories. There have been continued adjustments between the three categories to best align costs and revenues. Additions to the 2018 proposed budget include a staff social worker and hours for an additional prescriber. Based on revenue projections both of these positions will pay for themselves with insurance reimbursement revenue. An increase in funding is proposed for additional supportive and educational services provided by the Mental Health Association of Monroe County. A4039 Mental Hygiene Law Budget This budget has been drastically increased for 2018 based on the necessary use during 2017 providing treatment for individuals who have been arrested for a felony and are

2 determined to be incompetent to stand trial, an unfunded mandate. Discussion followed. A motion to approve the Mental Health Budgets (A4301, A4310~400, A4311, and A4039) was made by Supervisor Marshall, seconded by b. Resolution: Authorization for Professional Contract The Children s Aid Society of New York City Ms. Johnston presented the resolution to provide mental health services for children placed in foster homes within Ontario County for a term to end December 31, Supervisor Hicks made a motion to approve the resolution, with additions, seconded by PUBLIC HEALTH Diane Johnston provided an update on the following: This Sunday s edition of the Daily Messenger featured a family initiated support group for people who have lost a loved one due to heroin addiction. Discussion followed. Public Health Director Mary Beer presented the following items: a. Budget Review: Mary Beer provided the 2018/2019 budget proposals budget has been organized into three different areas (Public Health, Coroners, and the Children with Special Needs Program). Public Health with grants Overall county contribution to the budget is going up $36,601 due in part to an increase in salary and fringe benefits, reduction in State aid for the Rabies Prevention Program, and various increases/decreases in line items based on anticipated needs. Coroners Increase in county contribution of $27,645 related to a projected 20% increase in the number of cases, translating into a 17% increase in contractual expenses, increasing funeral director transport fees, an increase in pathologist fees, and trends predicting overdoses continuing to rise in Children with Special Needs Program Increase in county contribution of $75,563 in 2018 due to a projected increase in services for the Preschool Special Education Program and adding a full day classroom for 4 children at the Wayne ARC including associated salary, fringe and transportation costs. There will be an increase in State aid as well due to these additional services. Discussion followed. A motion to approve the Public Health budgets (A4010, A4017, A4020, A4021, A4042, A4050, A4046, A4058, and A4059) was made by Supervisor Marshall, seconded by Supervisor Hicks; carried. b. Resolution: Proclaiming National Suicide Prevention Month September 2017 Ms. Beer presented the resolution to proclaim the month of September 2017 Suicide Prevention Month. Ontario County Public Health, Ontario County Mental Health and the Partnership for Ontario County have partnered with likeminded citizens and organizations comprising the Ontario County Suicide Prevention Coalition and their mission for a suicide free community. The Coalition is working to raise awareness, eliminate stigma, promote suicide prevention as a public health

3 issue and increase help seeking behavior. Members of the Ontario County Suicide Prevention Coalition invite residents of Ontario County to become educated about suicide and participate in National Suicide Prevention Awareness Month. A motion to approve the resolution was made by Supervisor Wille, seconded by Supervisor Marshall; carried. c. Resolution: Authorization for Public Health to Accept Office of the Medicaid Inspector General Audit Findings Ms. Beer presented the resolution to accept the findings of the audit identifying four errors totaling an overpayment of $ The Office of the Medicaid Inspector General agrees to have the lower confidence level of $3080 reimbursed to Medicaid if the County doesn t contest the findings. Discussion followed. A motion to approve the resolution was made by Supervisor Marshall, seconded by DEPARTMENT OF SOCIAL SERVICES YOUTH BUREAU Mary Beer provided updates regarding the following: Narcan arrived from the State, replenishing the Sheriff s Office s supply. Additional doses remaining will be used for community training. Trillium Syringe Exchange Program (SEP) is moving forward. A tour of the program in Rochester is scheduled for this afternoon. Ms. Beer, along with Director of Preventive Services Kate Ott, has met with the City of Geneva and City of Canandaigua Chiefs of Police and City Managers who are involved in planning and have had positive responses to the program so far. DSS Deputy Commissioner Bob Kramer presented the following items: a. Budget Review Bob Kramer provided the 2018/2019 budget proposals proposed county cost is down $251,406 compared to the 2017 budget. Discussion followed. A motion to approve the Department of Social Services budgets with changes to the raise the age income was made by Supervisor Marshall, seconded by Supervisor Hicks; carried. b. Resolution: Acceptance of Donation Ontario County Child Protective Services Mr. Kramer presented the resolution to accept a donation totaling $320 in hair products to Ontario County Child Protective Services. Discussion followed. A motion to approve the resolution was made by Supervisor Hicks, seconded by Youth Bureau Director Marsha Foote presented the following items: a. Budget Review Marsha Foote provided the 2018/2019 budget proposals proposed county cost is increased by $10,992 due to an increase in fringe benefits for Discussion followed. A motion to approve the Youth Bureau budget was made by Supervisor Hicks, seconded by b. Resolution: Authorization to Enter into Consultant Agreement with Geneva City School District Ms. Foote presented the resolution to provide Geneva Middle School with consultation on the implementation of

4 an attendance initiative funded by the Community Schools grant naming the Youth Bureau as the consultant for the attendance initiative. The initiative is known to support improved outcomes for students. A motion to approve the resolution with corrections was made by Supervisor Hicks, seconded by WOKRFORCE DEVELO PMENT VETERANS SERVICE AGENCY OFFICE FOR THE AGING DSS Deputy Commissioner Bob Kramer presented the following item: a. Budget Review Bob Kramer provided the 2018/2019 budget proposals proposed county contribution to the Workforce Development budget is up $7,522 from the original approved budget from a year ago. A motion to approve the Workforce Development budget was made by Supervisor VanBortel, Seconded by Supervisor Teed; carried. Veterans Service Agency Director Jeremy Marshall presented the following item: a. Budget Review Veterans Service Agency Director Jeremy Marshall provided the 2018/2019 budget proposals along with a memo providing an overall review of the changes. The overall budget for the VSA will decrease by $15,000 for Discussion followed. A motion to approve the Veterans Service Agency budget was made by Supervisor Wille, seconded by Supervisor Marshall; carried. Jeremy Marshall provided an update on the following: American Legion National Conference in Reno, NV Jeremy Marshall will attend on behalf of the American Legion reprsenting all services officers in New York State and will attend a five person sit down meeting with the Secretary of the VA where he plans to discuss veteran homelessness, military sexual trauma, and increasing healthcare services for female veterans. County Administrator Mary Krause presented the following Items: a. Senior Nutrition Task Force Update Mary Krause provided a Power Point Presentation on recommendations made by the Senior Nutrition Task Force including community dining and home delivered meals. The task force formed in April 2016 with the goals of cost effective growth of the program for increasing residents served, including value added services, promoting improved health and medical outcomes, and to help residents age in place. Three proposals were reviewed and evaluated in the fall of 2016, and narrowed to two options. The task force toured kitchens and tasted meals. Their final recommendation is to contract with Meals on Wheels and VNS of Rochester and Monroe County with offices in Rochester and Geneva beginning in January 2018 for a seamless effective change over. Discussion followed. b. Resolution: Contract with Meals on Wheels and VNS of Rochester and Monroe County, Inc. Ms. Krause presented the resolution to contract with Meals on Wheels and VNS of Rochester and Monroe County, Inc. to provide meals through community dining sites and home delivery to help older adults remain independent in their homes while maintaining

5 good nutrition. The Senior Nutrition Task Force recommends that the county move forward with negotiating the terms of a contract with Meals on Wheels and VNS of Rochester and Monroe County, Inc. based upon its proposal. A motion to approve the resolution to contract with Meals on Wheels and VNS of Rochester and Monroe County, Inc. for provision of Senior Nutrition Program Services, with layover and presentation to the full Board of Supervisors, was made by Supervisor Marshall, seconded by Supervisor Teed; carried. Supervisor Hilton wished to go on record as voting no at this time. Office for the Aging Director Irene Coveny presented the following item: c. Budget Review - Office for the aging Director Irene Coveny provided the 2018/2019 budget proposals along with a memo providing an overall review of the changes. The County costs are projected to decrease by 16% for the 2018 budget due to an increase in revenue, reduced salary expense and improved claiming of revenue from New York State. A motion to approve the Office for the Aging budget was made by Supervisor VanBortel, seconded by Supervisor Marshall; carried. NEXT MEETING DATE: Tuesday, September 5, 2017, at 11:00 a.m. Respectfully Submitted Nicole Tillotson, Secretary 1