HUMAN SERVICES COMMITTEE

February 25, 2008

 

** NOT APPROVED **


Committee Members Present:

R. Truax, K. Kruger, W. Dibble, d. Burdick, B. Reynolds, D. Russo

 

Others Present:

K. Toot, P. Schmelzer, L. Ballengee, T. Hull, C. Crandall, J. Margeson, N. Ungerman, D. Pullen

T. Hopkins

 

Approval of Minutes

            The minutes of January 16, 2008 were approved with motions from Legislators Russo and Kruger.  Motions carried.

 

Office for the Aging

            Ms. Toot distributed the department’s monthly report for committee information.  It was noted that one half of the population served are frail, disabled, or lives alone, and one third are over 85.

 

            There has been a new program introduced called the “Economic Stimulus Payment Program”.  The only way an individual can apply for this payment is if an income tax return is filed.  Most of the clientele are no longer required to file income tax.  Therefore, the agency is receiving a lot of calls, and providing assistance in completing income taxes for these people to enable them to receive this stimulus payment.

 

            Ms. Toot explained to this committee the impact of the sale of the County’s Home Care Agencies to the Office for the Aging.  At this time there are only two Certified Home Health Agencies in Allegany County, the ACDOH and the VNA.  The VNA has its own licensed agency where home health aides, and personal care services are provided for the VNA CHHA patients.    They only keep on staff enough aides to cover their own clientele.   The Department of Health contracts with Southern Tier, Jan & Bev’s , and Home & Hospice for these paraprofessional services.   The Office for the Aging also uses these same licensed agencies.     If a CHHA with its own Licensed Agency purchases the Home Care Agency they will bring with them their own people; if they do not have enough on staff they may hire individuals (these individuals would probably come from the licensed agencies within the County); if our licensed agencies do not get business………?   If a CHHA that does not have its own Licensed agency purchased the County agency, they would then contract with our local Licensed agencies for these paraprofessional services.  

 

            It was noted that “outreach” on the monthly report show “0”.  It was explained that Dan Washburn, who has left his position, was in charge of reaching out to those individuals who have lost spouses to let them know what services are available to them.     Once the position is filled you should see the numbers increase.

 

Social Services

            This agency’s monthly report was presented noting that the number of children in foster care is down.   There are nine (9) children who have been placed with relatives.    The rest of the children are in foster care.   Next month this will be broken down on the monthly report.

 

            A program entitled “Working Families Food Stamp Initiative” has been introduced.  It is a Federal Program with no local share.   The Department will be visiting the WIC clinic sites.   It is a $25,000 grant.   From this money the department has purchased some computers.  It also will pay for overtime of workers who go out after regular hours to find individuals who qualify for the program.

 

            The HEAP Program has received an additional allocation of monies.

 

            The Governor has proposed that; 1) none of non-secure detention costs will be covered by the State; 2) a 2% increase for program cost for public assistance.   The 2% increase was discussed further by this committee.  It is also being discussed by NYSAC.  It is felt that a resolution needs to be prepared opposing this 2% shift to the Counties; and if the county is to incur additional costs then they should have more input in the spending and services.   A resolution will be prepared by the County Attorney.

 

            Litigation has been taking place regarding pharmacies inflating costs of drugs paid through Medicaid.   It appears that Allegany County will be receiving approximately $22,000 from this litigation.

 

            Steve Rennie of the Child Protective Services Unit spoke to the committee.    A map of Allegany County showing the areas that each worker covers, a list of definitions; and a workflow reporting and assessment chart were provided.   There were 764 calls and nine workers in 2007.  Investigations can take two days or they could take sixty days or more.   The State is encouraging a child advocacy center in every region.    Olean General Hospital is set up as an advocacy center.  It is working well.   One of the things that make a place like this worthwhile is that anyone who investigates, DSS, police agencies, etc can all be there.  The children do not have to repeat their experience over and over again.  It can be heard by all at one interview.

 

            Commissioner Schmelzer presented a Memorandum of Explanation requesting that two Sr. Caseworker position in the Child Protective Unit be continued.   These positions were created in May 2007 and were funded by the NYS Office of Children and Family Services until 3/31/08.   The funding is included in the 2008 budget with a 25% local share.     Legislator Kruger asked that this request be tabled until next month.   All were in favor.  

 

Health Department

            Ms. Ballengee requested committee approval to continue an agreement with Cattaraugus County to provide Elevated Blood Lead Investigation Services.  Legislators Kruger and Dibble moved on the request.  The motions carried.  RESOLUTION

 

            A resolution was requested for approval of an agreement with Cattaraugus-Allegany BOCES for Approved Providers of Programs, SIET and/or Evaluations for Preschoolers with Disabilities Contract. 

Legislators Kruger and Reynolds made the appropriate motions.  These motions carried.   RESOLUTION

 

            Ms. Ballengee reported that last week’s visits/day totaled 3.28 with only 11 hours of over - time.

 

            It is also requested to abolish two positions of Alternate Work Week in the nursing division.  The remaining nurses are each carrying a caseload.   It was stated that these positions did not save money or time.   Legislators Reynolds and Russo moved on this request, with Legislator Kruger opposing.  The motions carried.

 

            A request was made to fill a Monday through Friday Public Health Nurse position.   The individual taking the position was one of the AWW nurses.  Legislators Reynolds and Russo made the appropriate motions.  Motions carried.  Ways and Means

 

Other Business

            The Monroe County Medical Examiner Office requests a three year contract with the following payments each year; 2008=$26355; 2009=$27014; and 2010=$27689.   This Office provides autopsies when necessary for deaths that occur in Allegany County.  They will provide up to 60/year at the above costs.  If it should go over 60, which it never has, the charge is $1500/autopsy.   Legislator Kruger moved on the request, with Legislator Dibble seconding.  Motions carried.  Resolution /Ways and Means

 

Executive Session

            Legislator Reynolds moved to hold executive session to discuss the employment history of a particular individual in the Health Department.  Legislator Dibble seconded.  Motions carried.

 

Respectfully submitted,

Teresa Claypool