The Floyd County Board of Supervisors met for a workshop meeting at 9:00 a.m. on Monday, April 18, 2011 in the Board Room of the Floyd County Courthouse with the following in attendance: Chairman Dunkel, Supv. Kamm, and Supv. Kuhn.
Kuhn/Kamm moved to approve the agenda as presented.Motion carried 3-0.
Supv Kamm attended a Hazmat meeting where there wasn’t much new to report and a T21 meeting where there will be cuts to roads in the future.Supv Kuhn attended a NIACOG meeting where they approved an increase related to Consumer Price Index and discussed census population changes effecting county contributions to NIACOG. Supv Dunkel updated the Board on current legislation and the impact of mental health funding.
Gail Arjes, Public Health/Home Health Care Director, and Jackie Miller, Iowa Dept of Public Health legislative liaison, discussed the local public health services contract, current legislative changes and the role of the Board of Health.In 2010 the Floyd County agency’s local public health services contract was reduced overall by $20,000, however the cut wasn’t noticed so much because of other supplemental funding, such as federal stimulus funds.Similarly, after the 2008 flood, supplemental funding was made available for certain purposes.In FY09, Floyd County was allocated $52,000 for home care only and $17,000 for public health services. FY11 home care allocations were set at $44,454, however, a by 3% contract deduction is expected.Statewide Dept of Public Health funding has been cut $4.1 million.A current legislative supplemental bill, backed by the Governor, restores some funding but it is likely the timing of it passing through legislation will not allow providers much time to use the funding.Miller informed the Board to expect a reduction next year.The Board discussed looking at other county or state services that could supplement other needs of Floyd County clients on the homemaker program, such as rent or utility assistance, so clients could have money available to cover homemaker needs, either at the $35/hour agency rate or by a lower rate in the private sector.Miller commented that Floyd County’s $35/hour rate for services is low compared to many other counties and higher rates are expected for certified agencies, such as the Floyd County Public Health agency.Miller also commented that the local public health services contract is intended to be the “funder of last resort” meaning that all other sources are sought before funding with IDPH funds.Arjes provided a handout reflecting the hourly rate of homemaker hours based on discharging 10 clients and reducing hours for other clients totaling $4,077.50/month.This shift of allocations makes funding available to continue services for other “essential” hours such as personal care, skilled nursing and immunizations.Arjes also provided the minutes from the Board of Health reflecting approval of the reduction in homemaker service hours.Supv Kuhn requested Arjes provide a budget breakdown so the board can make its best decision as to whether a county budget amendment is necessary to fund hours that may have been reduced since at this time we don’t know about the supplemental appropriations bill.Discussion also included some counties eliminating or decreasing homemaker services that are not mandated, the impact on the General Fund, and efforts to provide services which may keep clients from having to go to a nursing home.
Miller mentioned that HF467, naming the Board of Health rather than the Board of Supervisors, was passed and signed on Friday and to be effective July 1.Discussion included the BOH approving the budget and specific appropriations for public health contracts, the BOS process of appropriations to the BOH as well as all county departments, having a BOS representative on the BOH, and responsibilities of personnel matters.Miller also mentioned that the state is in the process of doing a 2-year compliance review for agencies receiving funding through the IDPH local public health services contract.
The Auditor explained options for BridgeHealth coverage through the Employee Health Plan, including funding at 80% after deductible which was approved at last Tuesday’s meeting, or revising to 100% coverage with no deductibles or 100% coverage plus cash benefits to the employee which may have some income tax consequences to the employee.The Board opted to leave the coverage as approved last Tuesday in Amendment #6 at this time.
The Board noted the receipt of the North Iowa Area Council of Governments Independent Auditor’s Reports for FY10.
Future agenda items:The Board discussed having future hearings on opening bids for road projects set for a specific time on the agenda.Supv Kamm visited with Dusten Rolando, County Engineer, and he will work this out on the agenda so bidders will not have to wait.
A motion was made by Supervisor Kamm and seconded by Supervisor Kuhn to adjourn.Motion carried 3-0.