MINUTES OF THE MEETING. ]a.nuajr.y 19, 1987

Transcription

1 MINUTES OF THE MEETING d-/?~ JAN 2~ 1987 ]a.nuajr.y 19, 1987 MEMBERS PRESENT: Chabr.ma.n FJr.oJA. Le.g..WWoM Louc.k..o, KJr.ame.Jr., Sh-ine., We.n:twoJr..th ALSO ATTENDING: Vav~d W. VoJr.Jr.a.nc.e., Public. H~aith V~e.c.toJr. Ch.Jr...Wtine. John.oon, V~e.c.toJr. o6 Patient Se.Jr.v~c.e..o Bo ivajr. Ce.nt.na Sc.hoo 4th GJr.ade. C a.o.o The. me.e.ting wa..o c.a e.d to ojr.de.jr. at 9 : 17 am by Chabr.ma.n F Jr.~. The. ~n~ o6 the. Ve.c.e.mbe.Jr. 76th' and Ve.c.e.mbe.Jr._ 22nd me.e.ting we.jr.e. appjr.ove.d w~th a motion by Le.g.WWoJr. Sh..Ute.,.o e.c.cmd~d by Le.g..WfutoJr. KJr.ame.Jr. a.nd c.ajr.jr.~ed. He.al.th Ve.paJr.tme.nt - MJz.. VMJr.anc.e. m6 OJr.me.d.the. c.omm~ile.e..that the. b ~d.o 6 ojr. ne.w c. o unty MJr..o We.Jr.e. Jr. e.c.u ve.d F o ujr. ( 4 J de.ale.jr..o.oe.nt:..in b~d.o, (Le..ote.Jr. Che.vJr.ole.t, W~tte.Jr.a Che.vJr.ole.t, Ma.ote. FoJr.d and Ea.ot S~de. GaJr.age.). Two de.ale.jr..o ~d not want t.jr.ade. ru. Ea.ot S~de. wa..o the. lowe..ot b~dd._.vc. but on.fy o66e.jr.e.d $ Jr..the. -6~x. (6) t.jr.ade..<..n.o. MIL. VoJr.Jr.a.nc.e. -6tate.d.that one. o6 the. c.am to be. t.jr.ade.d ~n,. ' Conc.oJr.d, wa.o.involved..i..n an ac.ude.nt:.. The. e..otimate.d damage. wa.o $7600. In ta k..ing to Jame..o S~aJr.M, :the. Ve.paJr.tme.nt ha.o two c.ho..i..c.e..o, 1 ) Jr.e.pw :the. c.m, 2 ) tow a.nd Me. -value. 6Jr. om ruujr.anc.e. c.ompa.ny. The. c.omm~tte.e. fie.e. -6 that :ihe. blade. ru ajr.e. wojr..th mojr.e. and that :the.y.ohould be. Jr.e.b..i..d to u.oed MJr. de.ale.jr..o. It L6 mo fie.u :the. He.alth Ve.paJr.tme.nt -6hou d tow.the. Conc.oJr.d a.nd Me. the...i..n.oujr.anc.e. c.ompa.ny'.o ofifie.jr.. A motion made. by Le.g..WWM KJr.ame.Jr. to Jr.e.je.c.t a pjr.e..oe.nt:. b..i..d-6 and Jr.e.b..i..d om :the. c.ajr.-6 w..i..th no t.jr.ade. ru,.oe.c.ande.d by Le.g..W..futoJr. Sh-ine., WM c.ajr.jr.~e.d. In.the. me.a.ntime., MJr.. VOJr.Jr.a.nc.e. w..i...-e be. c.he.c.k...i..ng w..i...th u.oe.d MJr. de.ale.jr.-6 on.the. othe.jr. 6..i..ve. (5) c.ajr.-6. An "e.nd o6 ye.ajr. 6..i..na.nua Jr.e.paJr.t" wa.o pa.o.oe.d out to :the. c.ornmitte.e. fiojr. :the.~..i..n6ojr.mation.

2 -2- At the Vecemb~ 16th Health S~v~c~ mee~ng the committee app~oved o6 the 6ui1. bomd'.6 mp_e~ng, th~ p!r.omo~on wa-6_ not acted upon by th~ 6ui. boajr.d. MJr.. VoJr.~ance took. the ~~~ve to pjr.omote Mit. Babchak.. A6t~.oome d~cr.a-m~on the comm~ttee wanted Mit. VoMance to ~n6mm the 6u.f.i boajr.d o6.th~. MJr.. VoManc..e ~ ~equ~~ng p~m~.o~on to 6~U the vacancy o6 Public Health Tech.Mc~an; cjr.eate an a..dd~~ona PHN pm~uon 6oJr. the LT p!r.og~am; and MU a.. PHN vacancy Ch!r.~ John.6on, VPS and MJr.. VoMance in6ojr.med :the comm.i.:ttee that the nw Public Health State A~d pack.age w~u be k.iep~ng them bu.oy. Th~e w~u be a.. $250,000 ba.6e gjr.ant, but th~e Me Jr.eqUbr.ed pjr.og~am-6 ~n OJI.d~ to Jr.ec..e~ve th~ gjr.ant. PubUc ffealth NuMe - The Vepa..Jr.:tme.nt had a.. Jr.M~g~on o6 a6me, 1 -mentioned po.6. Uon and MIL. VoMance JI.equ~ted p~m~~on to 6~U th~_ v~cancy. Motion wa-6 made by Leg~.eatoJL Shine,.6econded by Leg~.eatOJL Louc..k.-6 and CMJI..<.ed. Add~~ona Pub.<.c Health NuJr..6e - Long T~m: RMofuUon ~ needed to cjr.eate po.6~uon o6 PubUc Health NuMe und~ the Long T~m PxogJtam. It Wa-6 exp ained that th. -6 PHN, although p!r.~m.<..l.tj a LT NaMe, w~ be ~halted in the uad.<.uona naming pjr.ogjtam. Th~e Me fuee (3 I team-6 - o6 nujr.-6~ and one (7) name out o6 each team w.<.u ca..jr.jty LT patien.t-6 and w.<.u JtepoJtt to th. -6 PHN. In tujr.n th~ PHN.6hou d be ab e to he p the oth~ numm. It Wa-6 moved by Leg..6futoJt KJtam~,.6econded by Leg~latM Sh.<.ne 6oJc.,a..\;Jc.MofuUon to cjr.eate PHN po.6~tion und~ the Long T~m PJtogJtam Mo~on ca..jr.jt.<.ed.

3 -3- ge.nvutte~.>. The. on.f.y pll.ogjta.m6 we. c.hajlge. 6M ajle loan J.>WLve.y-6 ($40.00) We. do Jte.c.e.-ive. ma.ndate.d t)e.e~.> nm "pe.jtm-i.t fiee~.>", l6jtoze.n de~.>~.>e.jtt, c.h-ilc!jz.e.n c.amp-6, Jte.af.ty ~.>ubd-iv-i-6-iom J Mtt. VMJtanc.e..6ta.ted that w-ith the. ne.w S:ta.t.e. A-id pa.c.ka.ge. the. State. w-ill be. Jte.quht-ing the. depajltme.nt to come. up will a. t)e.e. ~.>c.he.duf.e.. The. State. doe~.> ha.ve. the. Jt.ight to w-ithhold State. A-id - 6 you don't fiouow the.-ijl Jte.quhte.me.Yl.t:J.>. The. c.omm-itte.e. fiee.f.-6 the.jte. -i-6 a. de.fi{n.(te. ne.e.d ~.6e.t up th-i-6 t)e.e..6c.he.~af.e.. Public. He.a.f.th Te.c.hn-ic.-ian: Mtt. VMJtanc.e. :Jte.quute.d pe.jtm-i-6.6-ion to t).i.u the. va.c.anc.y o6 -Public. He.a.f.th Te.c.hn-ic..i.an. _ Hi.-6 ma.i.n Jte.Mon 6oJt Jte.que.-6ting th-i-6 p01.>-ition.i.-6 to puu the. Se.n-ioJt Sa.YIUo.Jr.ia.n out o6 the. fi.i.e.ld.6omwhat to be.tte.jt.6upe.jtv.i.-6e. the. pe.ople. unde.jt him. Th-i-6 W-i.U Jte.l-ie.ve. Mtt. VMJtanc.e. o6 the..6upe.jtv-i-6-ion ofi thue. pe.ople., to a.uow him I the. time. to.6pe.nd on de.ve.lopme.nt o6 the. Public. He.a.f.th P:lan and 6.i.nanc..i.a.f. a.dm~vi.a.tion o6 the. de.pa.jttme.nt.. It WM move.d by Le.g-i-6f.a:to.Ji. We.ntwoJtth,.6e.c.onde.d by Le.g.i.-6W01t KJta.me.Jt to :t{tke. th.i.-6 to the. null boajld at the..i.jt ne.xt me.e.ting. Motion c.a.jtjt.i.e.d. Mfl.. VoMa.nc.e. Jte.que~.>te.d pe.jtm-i-6.6-ion to a.tte.nd in Albany the. NY SAC me.e.ting in Ma.Jtc.h :j Motion WM ma.de. by Le.g-i-6WM Louc.k-6,.6e.c.onde.d by Le.g-i-6WOJt KJta.me.Jt and c.a.0r.ie.d. A me.mojta.ndum WJt...i.tte.n to Ja.mu Mulholland fjjtom the. He.a.f.th Ve.paJL.tine.nt.i.nd-ic.a.ting the..i.nd.i.vidua.f. 4 Une..i..te..m-6 that We.Jte. ove.jtc!jz.awn WM.6hown to,..the. c.otmn-i.t.te.e. fiojt.. the..i.jt...i.nfiojtma.tion. The. Mua.f. b.i.lf.-6 We.Jte. Jte.vJ.e.we.d and a.ppjt..ove.d with.the. e.xc.e.ption o6 a. b.i.f.f. fijtom L. Pnuntne.Jt, l$1500) fiojt wojtk done. a..t the. CoUMe.lUng Ce.nte.Jt. Th.i.-6 w-ill be. Jte..tuJtne.d to Mfl.. Ja.kova.c. fiojt the. pwlpme. on ge..tting an.i.te.ml.ze.d.6ta.te.me.n.t. Motion t:.o a.ppjt..ove. b.i.lf.-6 made. by Le.g-i-6f.a.toJt KJta.me.Jt,.6e.c.onde.d by

4 -4- Le.g..W.f.a..tOJt Louc.k-6 and cajlji..i..e.d. Thvc.e. be...i.ng no 6wz.thvc. bu.6.i..ne..6.6 the. me.e.ti.ng WM adj owz.ne.d at 11 :37 a.. m. Re..6pe.ct6 ulty.6ubmltte.d, Tvrua. Ci.aypool ( ( -_.;

5 ~/?~ FEB MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 NOT... APPROVED A short meeting of the Committee was held prior to the regular legislative board meeting to review bids for a vehicle to be purchased by the Office for Aging. The purpose being to deliver meals to home care individuals in the county under the S.N.A.P. program. Four bids were submitted, Lester Chevrolet, East Side Garage, Mastel Ford (Cuba) and Witherell Chevrolet Pontiac. Lester Chevrolet, the low bidder, was granted the sale. Moved by Kramer, seconded by Wentworth and carried. FEBRUARY The Health Services Committee, after a discussion with Betty Embser, voted to rescind the bid decision of January 26 and awarded the bid contract to the next lowest bidder, Witherell Chevrolet Pontiac. The reason for the change was due to longevity of time and the immediate need. Moved by Shine, seconded by Wentworth and carried. A request for a part-time typist by Office for Aging in place of a clerk position was approved by Shine and seconded by Kramer and approved. A resolution to abolish the clerk position and to hire a part-time typist will be necessary. The cost of the position is fully funded through the S.N.A.P. program. COUNTY ATTORNEY is requested to prepare resolution.

6 NO~t APPROVED MINUTES OF THE MEETING F~b~uaky 17, 1987 il FEB MEMBERS PRESENT: Chwman F~w L~g..U..fatM.o Louc.k..o, Sh-tn.~, K~am~, W~n:two~th. ALSO ATTENDING: V~. Rob~t An.d~.oon., Coun..o~.f.f~n.g C~n.t~ Vav-<.d W. Vo~~anc.~, Pub!~c. H~a.fth V~~c.to~ Th~ m~~t-<.n.g wa.o c.a.f.f~d to o~d~ at 9:10a.m. Th~ u.oua.f b~.fu w~~ ~~v~w~d and app~ov~d w~th a motion. by L~g-t.6 atm K~~~,.o~c.on.d~d by L~g-t.o.fato~ Sh-<.n.~ and ~~-<.~d. Th~ m-<.n.uft-6 on th~ ]an.umy 79, JanuMy 26, an.d F~b~uMY 9th m~~tin.g.o w~~ app~ov~d w-<.th a motion. by L~g-t.o.fatM K~am~,.o~c.on.d~d by L~g-t.oWM Louc.k..o and ~~-<.~d. Chwman F~w -<.n.no~m~d th~ c.omm-<.tt~~ that h~ had.opok~n. to B~tty Emb.o~ ~~gajt.d-tn.g th~ va.n. tjr~y M~ pmc.ha..o-tn.g. W-tth~~,f_,f_ Ch~v~o.f~t ha.o Md~~d ~t and ~t.ohou!d b~ h~~ -<.n..o~x (6) w~~k.o. on. MMc.h 12th at 10:00 a.m. Th~~ w~~ n.o obj~c.tion..o to th..u., on..fy that th~y wou!d.f-tk~ an ag~n.da on. th-<-.o me_~tin.g. Coun..o~.f -<.ng C~n.t~ V~. An.d~.oon. ~n.no~m~d th~ c.omm-<.tt~~ that ARC ha.o a c..f~~n.t who.o~ p~man~n.t addtt~.o.o..u, Wh-tt~.ov~.f,f_~, but dm-tn.g th~ w~n.te..,'l. mon.t/1.6 h~ Uv~ w~th a ~~~v~ -<.n. HMn~.f.f. H~ w-t.f.f.oti.f.f b~ att~nd~ng ARC. A.o a. ma-tt~ on -tn.nmmation. wh~n. th~ c.om~tt~~.o~~ b~.fu c.om~ng th~ough on. t/1-t.o c..f~~nt tf1e.y w-t.f.f be. awme. o6 th..u..o~tuation. V~. And~.oon. pa.o.oe.d out a p~opo.oa.f ~awn up by Le.on.aJT.d Jakovac. to make. the. Coun..oe.!.f~ng Ce.n.t~ a c.on.uac.t age.nc.y w~th the. County. He. ne.e.u that the. Ce.ntvr.

7 -Zc.ou.-f.d J..mpJtove. on the. qua Lty ofi -Oe.Jtv..i..c.e.-6 to the. me.ntal.fy J..f.L He. w-i.u be. c.ontac.ting othe.jt c.ol.lyi.tie.-6 that ha..ve. ahr.e.a..dy.ota..jtte.d :th-i..-6 to Mn.d out. what ( the.-i.jt.ouc.c.e.m hm be.e.n. Jte.v.{.e.w th-i..-6 pjtopma...f. A f.e.tte.jt hm be.e.n.oe.nt to :the. CoUI'lty AttoJtne.y to VJt. Ande.Jt.oon WM Mk.e.d to.{.n6o.jtm th-i..-6 c.ommj..tte.e. M to who ct11d whe.n..oome.one. wouf.d be. c.om-i.ng to d-i...oc.u.o..o th-i..-6 ajvr.mge.me.nt w.{.th the. Ce.nte.Jt..oo the.~ m~ ha..ve. the. oppojt.:turuty to a..tte.nd. H e.a..f.th Ve.pa..Jttme.nt Mit. VoMMc.e. pm.oe.d out the. Month.f.y F J..na..nc.J..a..f. State.me.nt to the. c.ommj..tte.e. me.mbe.jt-6. The. Ve.pa..Jttme.nt a..f..oo hm the.-i.jt own 6..[nct11c.J..a..f..o.ta..te.me.nt whj..c.h -i.-6 bjtok.e.n down.{.nto mojte. de.ta..-i.f.. The. c.omm-i.tte.e. wouf.d f.j..k.e. to Jte.c.e.J..ve. th-i..-6..o.ta..te.- me.nt a..f.-oo onc.e. a.. monti1. Mit. VOJtJtctJilc.e. J..nfi ojtme.d the. c.ommj..tte.e. that Mve. ( 5 I b-i..d-6 we.jte. Jte.c.e.J..ve.d fiojt :the. pu.jtc.ha..oe. o fi c.m.o. The. f.owe.ht b-i.d me.e.tj..ng the...ope.uflj..c.a..uom wm 6Jtom Le.hte.Jt Che.vJto.f.e.t fio.jt..oe.ve.n {7 I Ca.va..f..{.e.Jt.o. The. othvr. c.a..jt.-6 tha..t we.jte. to be. ( t.jta..de.d J..n wilf. be. tu.jtne.d ove.jt to the. Pubf.J..c. WoJtk..-6 Ve.pa..Jttme.nt. Motion WM ma..de. b~ Le.g-i.-6f.a..toJt Sh-i.ne.,.oe.c.onde.d b~ Le.gJ...of.a..toJt We.nn~oJtth a..nd c.a..jt.jt..i..e.d to g.{.ve. the. bj..d to a..bove. Mme.d de.a..f.e.jt. The. c.omm.{.tte.e. WM.{.nfioJtme.d that LJ..nda.. She.f.f.e.~, Se.nJ..oJt T~p-i.-6t, w-i.f.f. be. ta..k.mg a.. ma..te.jtn-i.ty f.e.a..ve..ota..jtting :the. e.nd on.ma..jtc.h. Mit. VOJtJta..nc.e. Jte.que.hte.d pe.jtm-i..-6-0j..on to fij_f.f. he.jt po..o-i.uon wj..th a.. te.mpojtm~ pvr..oon Ul'ltif...ohe. Jte.tuJtM to wo.jtk.. Motion WM ma..de. b~ Le.g-i.-6f.a..tOJt KJta..me.Jt,..oe.c.onde.d by Le.gJ...of.a..tOJt Louc.k.--6 ct11d c.a..jtjt..i..e.d to appjtove. the. fi,i_f.f.-i.ng o fi tit..i..-6 vac..ct11c.y. Motion c..a..jtjt..i..e.d. The. c.omm.{.tte.e. WM.{.n6oJtme.d that -i.t..i..-6 a.. pm..o-i.b-i.f.-i.ty tha..t the. He.a..f.th Ve.pa..Jttme.nt'.o Eng.{.ne.e.Jt, Ro.o..o Roba..Jtt-6, m~ be. f.e.a..vj..ng to ta..k.e. a.. po.oj..tion -i.n No.Jtth Ca..Jtof.-i.M. The. Ve.pa..Jttme.nt w-i.f.f. a..f..oo be. f.mj..ng h-i..-6 wj..6e. who -i.-6 a.. Pubf.J..c. He.al.th Nu.Jt..oe.. Th..i..-6

8 -3- MJt. VoMa.n.c.e. -i.n me.d.the. c.ommi.tte.e. ofi.the. -0~ o6 t.h.e. HLf.i.top Re..-O:ta..wr.a.n.t. They have. been. c.i.o-oe.d -0-i.vz.c.e. Novemb~ mak-i.vz.g.the. c.o~~e.c.t-ton.-6 to the. e..-otabi.~hmevz.t. A i.ette~ wa-0 ~e.c.e.-<.ve.d 6~om the. own.~ tha.n.k-i.vz.g the. Health Ve.p~tmevz.t 6o~ po-i.vz.t-tvz.g out the ~~ tvz. the. ope.~atiovz.. The. op~atiovz. hm c.ha.n.ged to ovz.i.y c.ov~ bavz.que.u, bu.<> tou.jt.o, we.dd-i.vz.g ~e.c.e.ption.-6, a.n.d the Uke.. The. Commuvz.-<.ty S~v-tc.e. Bo~d ~ote. ~e.que..-otivz.g app~ovai. o6 Ga-ti. Cavz.Q-te.i.d' -0 appo-i.vz.tme.vz.t :to the. vac.a.n.c.y on..t.h~ Bo~d. Motion. wa-0 made. by Le.g~i.at0.11. K~am~, -Oe.c.ovz.ded by Le.g~i.ato~ Sh-tvz.e. avz.d c.~~-i.e.d. Chwmavz. F~w -tvz.6mmed the. c.omm-<.:t:tee. o6 a i.e.tt~ he. had w~-<.tte.vz. to Betty B~adi.e.y ofi the. State. He.afth Re.v-<.e.w and Pi.a.n.n.-tvz.g Couvz.c.-<...e. -tvz. -Ouppo~t o6 Cuba Me.mo~-<.a..e. Ho-Op-i.ta..e.. Th~e be-i.vz.g vz.o {)wr.th~ bu-o-i.n.e.m the. mee.tivz.g wa-0 adjowr.vz.e.d at 10:55 a.m. T~e-Oa Cf.aypooi.

9 MINUTES OF THE A~ETING 1-fe.al..th. SVtv-Lc.e...o Comm-L.tte.e. MEMBERS PRESENT: Cha.Vr.mo.n FJr.a.Vr. Le.g.W.extOJr..o L ouc.k.o, Sh-Lne., KJr.'amvr., We.n:twoJr.:th ALSO ATTENDING: VJr.. Robvtt AndVt.oon, Coun..oe.U-Lng Ce_ntVt ChJr.-Wtine. John..oont VPS, He.o..Lth Ve.pa.Jr..tme.nt La.Wl.-Le. G.ta..-M, PHN ChVuJ.f. StuaJr.t, PHN Le.g.W.f.CLtive. I nte.jr.n. The. me.e.tin.g wa..o c.al..f.e.d :to ojr.de.jr. a;t 9:07 a.m. The. m-lnute..o o 6.the. Fe.bJr.uMy 17 :th me.e.ting W<?.JLe. a..ppjr.ove.d w-l.th. a motion by Le.g-LJ.>la..toJr. We.ntivoJr.:th,.oe.c.onde.d by Le.g.Wla..toJr. Louc.k..o ru1d c.a.jr.jr.-le.d. Re.que...ot tippjr.ova. {jojr. the. Commun.-Lty SVtv-tc.e. ComnU..tte.e..ota..{j!:, to a..tte.n.d a. me_e.ting -tn Ba..ta..v-La... A.f..oo on the. 24.th of:, :th-w month :the.y Jr.e.que...ote.d pe.jr.- m-l.o.o-lon to a..tte.nd a me.e.ting Jr.e.la..te.d to.otjr.e...o.o. The..oe. a..ppjr.ova..f...o wvte. ge.ne.jr.-.. o;te.d.tlmough :te..f.e.phone. c.a..f..o to.tl1e. c.omm-ltte.e. me.mbvl.o by Cha.Vr.ma.n F!LW. H e.al..th Ve. r:ja..jr..tme.n:t Ch!t.W J ohn.oon.opok.e. to the. c.ommlu.e.e. on be.ha...f.{j on }.Vi.. VoJr.Jr.anc.e.. de.pa..jr.:tme.nt -t..o Jr.e.que...oting pvlm-w.o-lon to pu!lc.ha..oe. a. XVLox c.opy maclt.ute.. The. It wao i10.te.d :that a. JU?.. duc.e.d pjr.-tc.e. wou.f.d be. o 6 6 vre.d :the. de.pm:tme.nt -Ln.th.Jr.e.e. ( 3 J c.op~e.jr..6 WVLC..to be. pujr.c..ha..oe.d w.i..:th-tn the. c.ounty. M.'L. Wa...Lson.ota.te.d.tlw.:t..i.n t)ac.t.tftvr.e. t{)vle. :two o:the.jr. de..pa..jr..tme.n.t)).f.oof<...i.ng..i.n:to.tit e. pu!lc.ha..oe. o 6 a. c.op..i.vt. A motion wa...o made. by Le.g..i..ola..toJr. Sh-Lne.,.oe..c.onde.d by Le..g-WfutoJr. (tje..n.tu.jojr.th to Jr.e.6Vt.tft..i..o pujr.c.ha...oe.. to.tih?. Ce.ntJr.a...f. Svw..i.c.e.. CommLtte..e.. Motion c.a..jr.jr...i.e..d. Ann GJr.-Wwo.f.d, Sa.n..i.ta..Jr...i.an,..i...o Jr.e.q ue..oting pvtm..i..-!>.o..i.o n to at:te..nd a. tfme.e.. ( 3 ) day c.on6e.jr.e.nc.e., we.e..k. o 6.tfte. 23Jr.d, on Jr.e.duc.-Ln.g Jr.a..don pjwb.f.e.m..o. The. c.o..ot.w $ w..i.:th a. mo.t..i.on by Le.g..i..o.f.a..toJr. Louc.f<...o.oe.c.ond by L e. g..i..ola..tm We..ntw0Jr..tl1 and c.a.jr.jr...i.e.d.

10 -2- M!w. JohMon upda.:te.d th.w c..omrn<.tte.e. on the. de.paa:tme.n:t'j.> J.>ta.66ing. The.y ( have. h..ute.d a. te.mpojta/ty :qrp.wt to MJ.>..tJ.>t wiui.e. anothvc. typ.wt.w on a. ma.:tejtn.j..ty.e.a.ve.; hhi.e.d :two PHN'!.>; and an Envhtonme.n:ta.. He.a..E.t.h Te.c..htU.c...tan. The. c.omm.<.tte.e. WCVj in6ojr.me.d tha;t an Engine.vc. hm not ye.t be.e.n hbz.e.d. A 6e.w di66vc.e.n:t pe.opf.e. wvc.e...in:te.jr. vie.we.d, one. a 6 whic..h wm o 6 6 vc.e.d the. job, but. J.>he. :tujr.ne.d it dajjn.he. othe.jr.j.> cud not me.e.:t the. qua..[6.(c..a.tio;u. The. mon:th..f..y fiina.nc...ta.f. J.>ta.te.me.n:t-6 we.jr.e. hande.d out. 6 ojr. the. c.ommilie.u in 6 Mma.tio n. Cowwe.lling Ce.11tvc. VJr. Ande.Jr.J.> on we.n:t o v e.jr. a. f..e.tte.jr. Jr. e.g ajr.cung a.n vc.jr. M in the. bud g e.t -6 ojr. the. Af..c..oho. Counc...t.. The. a.moun:t on $'2.7, 779.ofwuf..d be. a.dde.d into e.xpe.ncuwjr.e. a.c..c..oun:t A and a.f.j.>o into Jr.e.ve.nue. a.c.c..ount A nojr. J.>a.me. a.mount. Apptwva.. to make. th..tj.> c.hange. a.nd to Jr.e.que.J.>t tha.:t the. County Attotme.y pjr.e.pajr.e. a. Jr.e.J.>of..ut.f..on on th.w c..ha.nge. WM ma.de. with a. motion by Le.g.Wf..a.toJr. We.n:tJ.JJoJr.th, ( J.>e.c.ond by Le.g.f..J.>f..a.:toJr. Louc.k.J.> and c.ajr.jr.ie.d. A fuc.u,mion e.11j.>ue.d Jr.e.gaJr.ding the. Cou.Ywe.f..f...f..ng Ce.n:te.Jr. be.c.oming a. c..onttta.c.t age.jtc.tj. Vtt. Ande.Jr.J.>on fie.e..-6 tha.:t addiuona.. J.>e.Jr.vic..e.J.> c..ouf..d de.6inue.f.y be. a.dde.d, but..f..-6 c.onc..e.jr.ne.d on the. qua.f..ity o6 the. J.>Vtvic.u Jr.e.ma.in.f..ng M the.y w'te. today. It WM note.d tha.:t it.{.}.) Sta;te. ma.nda.:te.d to have. the. Commwuty Se.Jr.vic.e. Boa/td and the. He.a.f.th Se.Jr.vic..e.J.> Committe.e. a.nd the.jr.e.6ojr.e. J.>tif... be. w1dvc. the.ht dhte.c.uon. A6tvc. c.oi1j.>ide.jr.a.b.e. d.f..!.>c.uj.>j.>ion it wm de.c..f..de.d tha.:t thvc.e. J.>ti.. a.tte. a. f..ot o6 que.j.>uom tha.:t ne.e.d an.j.>we.jr.ing. VJr.. Ande.ttJ.>on in-6omne.d the. me.mbe.jr..6 on a. me.e.ung o6 the. Pf..a.nning Committe.e. on MaJr.c.h 31J.>t a.:t 10:00 a..m. and invite.d tf1e.m to a.tte.nd. Motion wa-6 ma.de. by Le.g.Wf..a.:toJr. We.n:tJ.vMtf1, J.>e.c.onde.d by Le.g.f..J.>f..a...tM KJr.amvc. and C..aJr.Jr.ie.d n OJr. tf1me. me.mbvc.j.> who c.ouf..d a.tte.nd J.>houf..d do -60. Mtt. Muf..hof.f..a.ad pointe.d out that it.{.}.) impojr.:ta.nt the. c.oun:ty J.>taJr.t f.ool<.ing a.:t ( wha.:t thhtd paaty Jr.e.ve.nue. c.an be. obta.ine.d 6Jr.om thue. dit)fivc.e.n:t pjr.ogjr.a.m-6, be.c.a.u-6e.

11 -3- the. Sta:te. & Fe.dvr.a.. govvr.nme.l'!.-t6 CVte. no fongvr. go-i..ng :to -i..ncjte.me. :the.vr..ohcure. Educ.ation Phy.oJ..c.aify HandJ..c.a.ppe.d ChLf.d.Jr.e.n' -6 PJr.ogJt.a.m Je.n CJT.e.igh:ton hande.d ou:t hvr. de.pcur.:tme.n:t'.o monthly OJ..na..nc.J..a.f Jt.e.poJt.:t. She. poj..n:te.d ou:t.tha.:t.o-i..nc.e. JanUMy.ohe. hm e.nc.umbe.jr.e.d CUl.ound 30,000 dolia.m wh-i..c.h J..o ue.d up, bu:t doe..o n.o:t.ohow up on.thj..o.ota:te.me.n:t. ThJ.J.J J..o due. :to pe.n.dj..n.g c.owd ojt.de.jr., e.:tc.. She. a.f.oo -6ta:te.d.tha.:t he.jr. a.ud-i..:t.o have. be.e.n.oma.ff be.c.ci..~..u>e. :the. Sta:te. J..o hofdj..ng up a.pplt.ova.f.o due. :to :the. Jt.a.:te..o nm J..n-home. a11d J..n-.ocJwof.ovr.vJ..c.v.> be.j..ng :the..oa.me.. The.y CVte. Mk.J..ng 6oJt. Jr.e.Mosu 6oJt..thJ..o z)jwm BOCES a.nd a.ppme.11ily have. no:t go:t:te.n any a..n.owvr..o. The. Jr.e.fa.:te.d mone.y amoun.:t he.jt. e. J.J.J a.pp.ll.o xj.ma.x.e.fy thou.oand doffa.m. 0 :th e.jr. B u.oj..ne..o.o The. :tvwm o 6 VJT.. Kau6 6 man and VJT.. F J..nfa.y on :the. Me.dJ.c.a.f Sc.hofa.ll..ohJ..p BoaJtd have. e.xpj.jr.e.d. H owe.ve.jr., :the.y have. e.xpjt.e..o.oe.d de..o-ur.e. :to be. Jr.e.huta:te.d :to :thj..o boajtd {)ojr. ano:thvr. :tfue.e. ye.cvt :te.jr.m. Af.oo VJt.. Ta.yfoJt. po.oj..tion on.the. Boo.Jt.d J..o ope.n. The. c.ommi:t:te.e. on motion OJT.om Le.gJ.J.Jfa.:toJr. Sh-i..ne.,.oe.c.ond by Le. gj.j.jfa..tojr. We.n:t1J.JoJT.:t11, appk ove.d )[e.a.ppoj..n-tme.n:t on V)[. Kau6 z)ma.n and V)[. FJ..nfay and no.t :to t)j..lf V)[. TayfM '.o po.oj..tion, :tfte.f[e.6me. )[e.duc.ing :tfte. boajtd :to e.-f..gh:t (8) me.mbe.jr..o. ThJ..o motion C.CVtJr.-i..e.d. County A:t:tMne.y 1.o o 6 OJ.. c. e. p)[e.pcvte. a. Jr.e..oofutiost on :tf1e. above. ma.:t.tvr. In a a.g)[e.e.me.n:t :the. MJ.Jo~on 6 O)[ :tire. Bi.J..nd WM )[e.qubre.d :to.oubmi:t e.v-f..de.nc.e. 0 tj e.xpe.ndj..:twl.e.j.j 0 0 $5, O)[ a.dmj..nj.j.jvlauve. e.xpe.jue.j.j :to /.!e. e. :tha.:t -i...:t J..o in c.ont)o)[mi..:ty wj...th Re.J:,olu:ti..on w-f...th )[e.gmd :to ;t)[a_.i_n-f..ng O)[ a--ld :to -i..ndige.n.t blind in Alle.gcV1y Cou.n:t.y. Ante.)[ c.ommi.t:te.e. )[e.vie.w :tfri-0 e.vide.nc.e. wm a.pp.ll.ove.d wj...th motion by Le.gi.ola.:to)[ Shi..ne., /.>e.c.ond by Le.gi.o.ea.:tM We.n:twM:th and C.aJL}[ie.d. A Jr.e.que..o:t. t)o)[ :tf1e. Cow1:t.y A:t:tMne.y :to p.ll.e.pcvte. a )[e.j.jolution on :tfte. )[e.a.ppoj..n:tme.i1:t. o6 ConnJ..e. G)[adonJ.., ]Me.ph-i...ne. Roe., Hvr.be.)[:t. Hoffe.n, a.nd Le.e. F)[ML

12 -4- :to :the. Cilize.JU AdvLooJr.y Cou.nc.Lf. WM made... Shi.. ne.,..oe.c.ond by Le..g..WWoJr. We..n:two.tr.:th o.n.d c.evt...tr.ie.d. The. ~u.al Motion WM ma.de. by Le.gLof.o.X.oJr. b~ we...tr.e.. Jr.e..viewe.d and app.tr.ove.d with a motion by Le..gi4fato.tr. ( Shine.,.oe.c.onde.d by Le..gi4fatoJr. We..n:two.tr.th an.d c..cv'i.jr..itd. The.. me.e..ting wa.o adjou.jr.ne..d at 71:30 a.m. R~pe.c.t6ul y.ou.bmitte.d, Tvr..~a Ci!.a.ypoa.e. (

13 HEALTH SERVICES COMMITTEE April 13, 1987 A APR NOT~... ~..., ~r - '., :.. -. l. i. 0 Members present: Frair; Kramer; Loucks; Shine; Wentworth; Also present: Betty Embser, Office for the Aging. A special meeting of the committee was held at 1:00 p.m. prior to the board meeting on the request of Ms. Embser to allow Barry Brogan of her office to attend three meetings or conferences to gain information. Motion was made by Wentworth, seconded by Kramer and carried to allow attendance at the following: May 6, 1987: Client Advocacy - Risks and Realities April 23-24: April 21-22: Hospice Challenge A Challenge for Rural Elderly. Meeting adjourned.

14 MINUTES OF THE MEETING H e.ai..t.h Svr. v.<. c.v.. C ommi..:tte. e. Apft.<.!. 27, 7987 MEMBERS PRESENT: ALSO AffiNVING: Cha.<.Jtma.n F ftw Le.g,V.,.f.a.toftJ.:, Louc.k.J.:,, Sh.<.ne., KftamVt, We.n.twoftth V-'1.. Robvr..t Ande..Jr.-~on, CowMe..f.Ung Ce.n.tvr. Da.v.<.d W. DoMa.n.c.e., Public. He.ai.th D.<.!te.c.tOJt Anne GJt..iAwo.f.d, Sa.n..<.ta.Jz..<.an, H e.ai..t.h De. pa.!t tme.n.t The. me.e.ting Wa.J.:, c.a..f..f.e.d :to OJtdVt a.t 9: 1 Z am by Cha..<.!tma.n Ffta..<.!t. The. m.<.n.u:tv., on.the. Ma.!tc.h 17.t.h md Apft.<..f. 73th mee.tingj.:, wvr.e. a.ppftove.d w.<..t.h a. motion by Le.g,V.,.f.a.tOJt Kftamvr., J.:,e.c.onde.d by Le.g,V.,.f.a.tOJt We.n:twoft.t.h a.n.d He.a..f.th De.pa.Jttme.nt Ann Gft.{,).,wo.f.d, Sa.n.<.taJt.<.an,.<.nnoftme.d the. c.ommi..tte.e. on the..<.nfioftma.tion J.:,he. fte.c.e..<.ve.d a.t a. Radon Pftogftam a.tte.nde.d.<.n. B.<.n.ghamton. w.<..te. be fte.c.e..<.v.<.ng k..<.:u to tmt 6oft fta.don c.ontam.<.n.a.tion. The He.a..f.th De.pa.Jttme.nt The.y w.<..e.e. be. do.<.ng.the J.:,c.Jte.e.n..<.n.g on a. fte.quv..t ba.j.:,,v.,. I 6 a.yi.ij fio!.fow up.{,)., needed a. J.:,pe.c...i..a..f..{,).,t w.<..f.f ha. ve. :to be. c.a..f.fe.d.<.n. It.{,)., 6 Oft v., e. e.ab!.e. that th,v., ma.y be. a ma.n.da.te.d tmt.<.n pe.~tfiojtmi..ng foa.n J.:,UJtve.yJ.:,. The ne.w J.:,molz.<.n.g fte.gufa.tiom a.jte. :to take e.fine.c.t on May 7th. The.~te. WM J.:,ome. d,v.,c.um.<.on on the Jte.gu.f.a.tioM a.n.d how the.y w.<..f..f. a6 be.c.t ftv...ta.w!.a.n:u, the c.ouvdy o66.<.c.e., e.tc.. Mft. Doftfta.n.c.e..<.n6 OJtme.d the. c.omm.<.tte.e. that the de.pa.jttme.nt ne.e.cv., to pujtc.hcwc. c.omputvr. e.qu.<.pme.nt to inc.jte.a.j.:,e..<.u me.mojty. Th,V., w.<.f.f. be. ta.k.e.n be.6 oft e. the. Ce.nt,r.a..f. Svr. v.<.c.e.j.:, C omm.<.tte.e. a.t the..<.jt ne.xt me.e.ting. The. He.a..f.th. De.pa.Jttme.n.t ha.j.:, fte.c.e..<.ve.d.the..<.jt n.e.w c.a.lt-6. The. fi.<.ve. { 5 J 11 t!ta.dc.-{il~".. Me. go.<.ng to e..<..t.hvr. be J.:,old a.t a.uc.tion oft J.:,e.ai.e.d b.<.d. AVr.. Voftfta.nc.e. fte.quv.,.te.d.tha.t the c.ommitte.e. c.o Midvr. ho.f.d.<.ng onto one o 6 thv..e. c.a.jt~6, Re.nau.ft, 6 0/1.

15 -2- a..opcvr.e. to be. U-6e.d bq :the. E ng,tne.vr., Supvr. v~,tng Public. He.aJ.:th Nu.Jt.oe., V.-i.Jr.e.c.tOJr., ( a.nd V.-i.Jr.e.c.tOJr. o 6 Pt. Svr. v,{.c.e.}.) 6 ojt.. a.nq c.on6vr.e.nc.u, e.tc.. :the.q may ne.e.d :to a.tte.nd. A6tvr. c.om,tdvr.,tng :the. numbvr. o6 milu, c.o.ot,{_n md~.e.a.ge..tr.e.,{.mbu.jt.oe.me.nt,,{.t WM 6e..U.. bq :the. c.omm,ttte.e. not to be. C.Mt e.6 fie.c.tive. to R.e.e.p.th~ c.cvr. and,tt.ohoul.d be.,tnc.l.ude.d,tn.the..octfe. w,t.th.the. o.thvr..o. V.tr.. WoJt.tie.y will be. Jr.~~,tgning M Me.cU.c.aJ. ViJt.e.c.toJt.,tn June V.tr.. Tcvr.:ta.g.Ua. hm a.g.tr.e.e.d to.ta.k.e. ovvr. :th~ pm,ttion until..oome.one. e.~e. c.a.n be. 6ound. Th~ w,{..f..f..the.n.f.e.a.ve. a. phy.o,tc.,{.a.n'.o po.o,{.tion ope.n on.the. Boa.Jt.d o6 He.aJ..th. The. Bocvr.d o6 He.ctf.th wou.f.d.u.r.e..th~ phy.o,{.ua./1 6 o.tr. :the. B ocvr.d c.omm,{.tte.e. '.o.tr.e.c.omne.nda..ti.on on a.no.thvr. CouMe.U,tng Ce.ntvr. The ARC budge.t ne.e.d.o to be. c.ha.nge.d by.tr.e..oo.f.ut,{.on to.ohow $260,848 M.the. budge.t amount. The. Comm,ttte.e. Mk.e.d.that VJt.. AndV!..6on fuc.u-6.0 :th~ w,t:th J,{_m Mu.f.ho.t.f.a.nd- om h~ a.pp.tr.ova1. and bjt,{.ng,tt to :the..-i.jr. a.tte.nt,ton at :the. ( ne.xt me.e.ting. LMt ye.a.jt.-6 ARC c.ont.jta.c.t Jte.a.d :that :the.y wou1.d be. ctf.f.owe.d to Jte.c.e.,{.ve. a.dva.nc.e. 6und.o no.t.to e.xc.e.de. $63,000. The.y wou.f.d UR.e. :th~ ye.a.jt..o.to Jte.a.d an amount not to e.xc.e.de. $123,000. A6tvr. a. bjt,{.e.fi d~c.u.o.o,{.on, :the. c.omm,t.tte.e. de.ude.d :that MJt.. Ccvr.pe.ne.do.6hou1.d a.tte.nd :the. ne.xt me.e.ung to d~c.u-6.6 :th~.6ubje.c..t with the.m. The. CouMe..f.Ung Ce.n.te.Jt woul.d UR.e. to h.-i.jr.e. a..te.mpo.tr.my pa.jt..t time..oe.c..tr.e..ta.jt.y. The. fiund.o a.jt.e. in.the..-i.jr. budge..t to do.oo. The.y w,{..f..f. pjtoba.b.ty on.f.y ne.e.d th~ pvr..6on fi OJr. :two monfu. Th~ wa..o a.pp.tr.ove.d w,{.:th a. motion by Le.g~.f.atOJr. Sh,{.ne.,.6e.c.onde.d by Le.g~fu.t.OJt KJta.mvr. and c.a.jt.jt,{.e.d. Th~ w,{..f.f. be. :ta.r.e.n to :the. 6u.f.f. boa.jt.d at :the.ijt. ne.xt me.e.ting. VJt. Andvr..oon Jte.po.tr..te.d td :the. c.ommi.tte.e. on the. e.6fie.c.t o6 ha.v,tng a. 6uf.f. time. py.oc.ho.f.og~t. The. py.oc.fwf.og~t wou.f.d ge.nvr.a.te. a.ppjtox,tmate..f.y $60,000 bme.d OVL a./1 a.vvr.a.ge. o v~,{_;t).) a.t $60.00/v~,tt. An a.ve.jta.ge..6ma.jt.y oojt (

16 -3- th~ po~~~on ~ $32,000 - $34,000. It~ V~. AndeA~on'~ fieel~ng that the County c.oul.d get a py~c.holog~t ~n :th~ pm~tion and have :them ~:to.y hvr.e 6M a ~almy o6 $30,000. V~. And~~on aga.i.n d..wc.~~ed :the good and bad po~n.u o6 the Cou.Me.tUng CenteA bec.orru.ng a c.on.uac.t agenc.y w~:th the County. (~n~eme ~n ~eav~c.e to the pub-uc. - th~e Me :two ~Mv~c.~ :that :they -&hou.f.d be p~ov~d~ng and Me not; de~eme ~n County employe~; c.omm~ttee would ~Wl ~upeav~e; etc.). Leg~lato~ Louc.k.~ que~~oned what would :the County have to do to k.e.e.p the. Ce.ntM County op~ate.d? Should the. County let :th~ age.nc.y be. "c.on.uac.te.d" to bett~ ~eave :the. pu.buc. M ~hould :the. County j~t make :the. nec.~~m!f adj~tme.nu to ~eave the. ~a.me. p~po~e.. lex. upg~ade. ~aim~~ wh~e. a.pp~op~~ate.; make. ~ta.{j {J~ng -i..n~e.m~ to {J~ll the ~~v..tc.e ne.e.d) The. me.mb~~ woul.d hle. v~. And~~on to w~.<.te. down all :the. p~m a.nd C.OM -i..n :th~ matt~ ~o :they c.a.n be. look.e.d at and e. valuated be.ttm. Oth~ B~..tn~~ The. Commu.n.{ty S~v.<.c.e. BoMd ~e.qu~u :the. a.ppo.<.ntme.nt ofi ChMl~ E. Tyl~, ]~ o6wh.<.t~v.<.lle. to Mil a. va..c.anc.y on :th~ bomd w..l:th a.n une.xp~e.d.t~m to 12/31/87. The County Atto~ne.y I~ ofj {J..Lc.e. ~ ~e.qu~te.d to p!l.e.pme. ~~ofution n 0~ :th~ a.ppo-i.ntment w.<.:th motion bq Le.g..w..ea..tM Sh.<.ne., ~e.c.one.d bq Le.g~futo~ We.ntwM:th and c.m~.<.e.d The. ~u.a.l b..ll~ w~e. ~e.v.<.e.wed and a..pp~ove.d w.<.:th a. motion by Le.g~la..to~ K~a.mek, ~e.c.onde.d by Le.g..W.f.a.tM We.n:twM:th a.nd c.m~..te.d. Th~e. be..<.ng no 6~th~ b~~n~~ the. mee.~ng WM a.djo~ne.d a..t 11:35 a.m. T~~a Claypool

17 MINUTES OF THE MEETING ~~ MAY J: _._ MEMBERS PRESENT: i. ;; : '-'--' j May 72, 1987 I' ~~ li, i-..~ F,,., / -~.,~..) ~, - Ch~man F~~ Le..g-U.f.atoM Louc.fu, Sh-<..ne.., K~a.m~, [.i ':.~_) \:... -~ 0'. We..n.twOJr.:th -~~..., I~ ALSO ATTENDING: V~o Rob~t Ande..Mon, Co~e..f.f.~ng Ce..nt~ David Wo Vo~~anc.e.., Pubf.~c. He..af.:th V~e..c.to~ Euzabe..th Emb.o~, 06Mc.e.. 6M the.. Aging Pa..u CMpe..ne..do, Exe..c.u..tive.. V~e..c.tM, ARC The. me..e..ting wa.o c.aue..d :to OJr.d~ at 9: 1 0 a. m o by Ch~man F ~~ o The. ~YLLL:te...o o6 :the. Ap~if. 13 and Ap~if. 21.ot me..e..t..i.ng.o w~e.. app~ove..d w..i.:th a motion by Le..g-U.f.ato~ We..n;tu:JO~:th and a.oe..c.ond by Le..g-U.f.atM K~a.m~ o Motion ~~e..do ARC ~. Pa..u CMpe..ne..do.opol<-e.. :to :the.. c.ommi:t:te..e.. on the...tcmguage....i.n :the ARC budge..t ll.e..gmd..i.ng advanc.e.. mone..y. Oc.c.a.o..i.onaf.f.y in May OJ1. June.. o-6 a c.on~ac.:t. ye..m ARC hm a.ol<-e..d {)M advanc.e.. mone..y /)ll.om the. c.ounty due. :to a de...f.ay ~n {)und-o c.om..i.ng m fill. om :the. State.. M :the. c.on~ac.:t ll.e..ad-0 :th..i.-0 ye..m' ARC I.0 p~c.e..n:t. 0 6 advanc.e.. mone..y a.mow1.:t.o :to ap~oximate...ty 12-73% 0 Ai.:though he. doe...on 1 :t fie_e..f. :that a.ol<-~ng n 0~ ayl. advanc.e.. w..i.f. be. a c.ommon OC.C.Manc.e..' he.. woui.d Me. :the. WOJl.d~ng m :the. C.O~ac.:t :to be. c.hange..d.00 :they wou.fd ~e..c.e...i.ve.. 25% O/) :the. Shme..,.oe..c.ond by Le..g-U.i.a:toll. Louc.l<--0 and c.mll...i.e..do The. County A:ttoll.ne..y 1-0 o-66..i.c.e....i.-0 ll.e..que...o:te..d :to ~e..pa!l.e.. a ll.e...oolu..tion ~n.t.h-u. matt~. In ano:th~ ma:tte..ll., ~. Ca!l.pe..ne..do wa.o a.ol<-e..d..i.-6 he. woui.d c.he..c.k ~n:to an..i.n.o~anc.e.. c.ompany w..i.:th~n :the. Ai.i.e..garuj County :to c.amy h-u...i.n.omanc.e.. ll.a:the..ll. :than an ou:t.o~de.. o 6 c.ounty age..nc.y. The. c.omm~:tte..e.. ll.e..c.e...i.ve..d an ope..n ~nv~:tatio11. :to :tom :the. ARC {)ac...i.i...i.tie...o -01

18 -2- / H~alth V~paAtm~nt M!t. VoManc.~![~quUJt..e.d pmm.w.o-i..on to p(l![cha..oe. a m~mmy bomd 6o![.tJt~-i..![ c.omput.m at a c.o.ot on $ Th.W wa.o app![ov~d w-i..th mot-lou. by Le.g.W~o![ K![a.mM,.oe.c.onde.d by Le.g.W.f.a;to![ Louc.lv.. and c.a.jl.![-i..~d. M!t. VoManc.~ w-i...c.f. p![e.-o~nt.tjt-i..-6![e_que..ot to.tj1e Ce.nual SM v-i.. c. e. C omm-i..tte.e. at the.-i_![ n~x.t me.~t-i..ng. A![e_quUJt wa.o made. 6M an add-i..tional de..ok phone. w-i..th a.op.f.-i..t c.onne.c.tm and c.onne.c.tion.f.-i..ne. be.c.a.u.6e. o 6 the. -i..nc.onve.n-i..e.nc.e. o 6 two g-i_.![.f.-6.ohaa-i..ng th~.oa.me. t~.f.e.phon~. Th-i..-6 wa.o app![ove.d w-i..th a motion by Le.g.W~M K![a.mM,.o~c.ond~d SMv-i..c.e. Comm-i..ttee.. AVz.. VoManc.e. in6mme.d :the. c.omnitt..e.e. thcrt a 6e.w Long TMm un~ ite.m.o ne.e.d to be. -i..nc![e.cv.,e.d by![e_.oo.f.utj.on to c.a.jl.![y :the. de.pmtme.nt to :the. e.nd o 6 th~ ye.m. The..oe. une. ite.m.o Me. Spe.e.c.h ThMapy l. 434 J, Phy.oic.a.f. ThMapy l. 435), and PM-6ona.f. CMe. Wo![k.M l 439) A.f..oo a ne.w budget ite.m ne.e.d-6 to be. C![e.a;te.d 6 Of[ :the. CPA. The. inc![e.cv.,e. -i..n e.xpe.n.oe..o in :the..oe. ite.m.o a![e_.oimp.f.y due. to an inc.![e.cv.,e. ( in :the. n.wr/je.![ o6 patie.ni:.-6 in ne.e.d o6 -OMvic.e..o. The. C![e.ation o6 :the. CPA un~ ite.m -i..-6 due. to :the. ne.e.d o6 an audit whe.n. :the. Lon.g TMm pjc.ogjz.am Jz.e.ac.he.d it-o 7 5% c.apauty. An. inc![e.me. a.f..oo n.e.e.d-6 to be. made. on :the. Jz.e.ve.nue. ac.c.owtt A Me.dic.aid. Motion. wcv., made. btj Le.g-i.-O.f.crtM K![a.me.![,.oe.c:on.de.d by Le.g-i.-O.f.crtoJz. We.u.two![:th to in.c![e.me. :the..oe. un.e. ite.m.o and C![CZ.cUe. :the. addition.a.f. ite.m with Jz.e..oo.f.utJ.on to be. don.e. by :the. CountL{ AttoJz.n.e.y'.o o66ic.e.. Motion. c.ajur.ie.d. TJz.an-66e.![-O in :the. amount o6 $2700 6Jz.om.103 IAFSCME) and. 704 lnujz.-oe.) to.105 lothe.![) ne.e.d to be. made. due. to :the. te.mpojz.a![y pe.op.f.e. on.ota66 in :the. He.a.f.:th Ve.pMtme.n.t crt :th-i..-6 time.. Motion. to app![ove. the..oe. uan.o6e.m WM made. by Le.gi.o.f.crtM We.n.t.wOJz.th,.oe.c.on.de.d by Le.g-i...o.f.ato![ Louc.fz.o and c.a.jl.![ie.d. Mn. VM![anc.e. Jz.e.pMte.d to :the. C ommitte.e. h-i..-6 c.o nc.e.![n on the. Me.dic.a![e.![e_ venue.. P Jz.ude.ntia.f. wcv., given :the. c.onuac.t due. to it-o high de.n-i..a.f.![cue. and.tj1~ de.pm.tme.n{ -i..-6 fiinding th-i..-6 to be. uue.. The. de.pa![tme.nt can bi.f..f. :the. patient, me.cu.c.a-i..d, M

19 p!t-<-vatc.,{_;v.,ujr.a.ncc. on.thc._.!>c dc.nj_al!>. /.!(' ri; cam'- itc.vi'-n.uc,{_,~ down 40 -SO tjwtj.-~aj1d do.f.livz.,!>. In J:..wtn p!t,ivatc. D1. 6UArutc.c..u up. The cic.pa'timc.nt_.{_.) bc...lng vc..'tu pa!t.t..lc.ula.jt when.6c..nd-<-ng..ln. A1ed-<-c.a.'tC. b,ill!:j. The month.f'.y 6..lna.nua1 Jte.pOJr.t-.s wc.-'te. d~.t.jt,ibu.tc..d w..l.th a b1uc..6 upda.tc.. on a 6e.w pa!t.t..i.c.uia.jl a.'l.c..a O..i_c.e.. 6M :the. Ag..lnq Bc..:t.ty Emb-6(!_)[ Jte..que..,6.ted pe..lz.m.{,.s6..lon :to a.t:tc..nd a meeting on AAA V.{_)[ec.:tolt-6 rutd S.ta:te T 1tun.<_ng on J u.ne <-n A.f.ba.ny. Th~ Jtequu:t wa.-6 app1toved w..l.:th motion by Leg~fu:to1t Wen:twM.th, -6ec.onded by Leg~.f.atoJr. Louc.k.-6 rutd c.a.jt/t..led. A :tltruu6c..jr. o6 6u.nci6 ~ needed due :to de.f.ay..ln.the "SNAP" p1tog1tam 6und..lng c.onu.ng in Mom :the S:ta:te. Th~ :tltruu6c..jr. WM appll.oved wi.:th motion by Leg~la:to!t Lou~, -6ec.onded by Leg~la.:to1t Wen.two1t.th rutd c.ajtjr.ied. Alrut Keohane gave.the. c.ommi:tu.e an update on.:the CASA p1tog1ta.m. A change.tha.:t hm been made at.the S.ta:te level ~ :to do away with.the old in.take. 6o1tmo, ( VMS- 1, e.:tc. J :to vr. e.a.te what :they c.a. l "l.1.yu 6 Mm ~emmen.t. do c.ume~" E xa.mplu o6.thue nwnc..jr.ol.l-0 ne.w 6Mmo we.jle. give.n to.the. c.ommi:tt e.. M!r.. Keohrute. 6ee~.:the..y Mk. noll a Jc.icU.c.u1..oc..LO amount on unne.e.de.d innojtrnat.f_on and tha.:t the. 066ic.e. nojc..the. Ag..lng w.<.u be..ope.nding a lot mojc.e. time w.<.:th.th~ pape.jc. WDltk. rutd lu.o time..oe.jc.v-i.ng.the.. /t c.ue.n-u M.the.y.ohould be.. In the. meantime., the. de.pa.jttme.nt he..~ involved -i.n CASA will be me.e.ting 6Jc.e.que.ntly :to dete..1tmine.. wha.:t in6o1tma..t..lon.the.y c.a.n c..loe.. to.the... /t be..ne..fi.{_:t.. -i.n k.e.e..p-i.ng.th~ pll.ogll.amo e..t)t)e.c.tive..nm.o :to.the.. c.li.e.~. M!r.. Keohane. :told.the. c.omm.<.t.:te..e.. tha.:t Jan & Be..v'.o Home.. Ca.Jte.. ha.o in.<_t.<.ated a "d~c.ha.jtge.. pac.k.e..t" to be.. given people.. be...f.ng fuc.ha.jtged 61tom ho.opi~ w.f.:th CASA being pll.uented on :the.. im.f.de.. c.ovc..jr.. Th~ -6hould help.thue people.. :that Me -i.n ne..e..d o6.oc..jr.v.f.c.u.:that :the. c.owt:ty c.an o66(!_)(. Cowue..lung Centc..Jr. DJc.. Andc..Jr..oon WM a.ok.e.d a.:t.:the.. la.ot Health Sc..Jr.v.f.c.M me..e..t-i.y}.sj wha.t :tlte..

20 -..' - county wou d have to do :to p!!.ov.<_dc tl1c -~(1]11( qu.nj.' { t11-6c'jt vzc.r.: ~ a-~ the Cent.V: bc.-<-ng wtdcjt "c.ont.jtact". 1t wa-6 cx.pf.a_i_m:_rl tha) ~ou>r t},{nq~ ~~IJDt1 d be done; ( 1 l Rcpwc.c Gowanda'J.:> J.:>hMcd J.:>:tatfl - A!> ofi Janucvr.y 7, 1988 tl1c_y,ue no.iongc.tt going to ~ovide th.{_).) J.:>ta66ing, 2) Add a C~~!>i!> Sc.~v.<_cc P~og~am not to be depcndcnt on State P~og~a.rM, 3) Add a Ca-!>c ~hnaac}l to /!lta~n - tl1.{ ~ ~-!! J.:>omeonc_ who 12ccpJ.:> peopic -out of, the hoj.:>p.{m.i by v~!>;_ung -<-n the home J.:>ee}_ng tl1a-t the~.. nccci6 Me met, 4) 1nCJtC-a-6e the pj.:>ctcjwioaij.:>.:t,!jaimu bu a.:t ic_mt $6,000- thij.:>.{_).:, nccc.mm!f to a.t.uact and lze.ep thij.:> jjcjtj.:>on }_n the pm-<-uon. Thvre. WM fucll.mion on whe.thvr it wou.fd be o6 mmc be.ne6i.:t.:to.:the. public ' ' ~eceiv}_ng CouMeifug Centvr.6Vtvic.e-o.:to.6:to.J.j county opvla-te.d o~ go to being con~acte.d. It.{_).:, V~. AndVL-6on '.6 6e.e.ling tha-t wha.:te.vvl way the. County decidu to go a de_~}_on.6houid be. made. aj.:>.6oon aj.:> po-6j.:>ibie. to a-ttend the. next Community Svrv-tc.e BoMd meeting on.!day 26th at 7:00 p.m. to hvre. thw input on th-tj.:>. The. U-6ua.. bi.e.i-6 we.jte. ~e.viewe.d and app~ove.d with a motion by Le.g-tJ.:>fato~ Sh-i.ne.,.6ec..on.de.d by Le.g-tJ.:>iatoJL KJLamVt and c..mjlie.d. ThVLe bung no 6uJLthe.Jt bu-6-i.n~ the. meeting wm c.ime.d at 12: 0 5 p.m. Tuua Cfuypoo.

21 HEALTH SERVICES COMMITTEE - MAY 2/ I 1987 JUN 1 A special meeting of the Health Services Committee was held at 1:00 p.m. on May 27, A motion to increase the A R C 1986 budget from $ 252,000. to $ 260,848. was moved by Wentworth, seconded by Shine and carried. A resolution is to be prepared and presented for Board approval. County Attorney is requested to p~epare the resolution. A request from the Counseling Center for employees Diane Dingman, Clinical Counselor, and Martha Taylor, Psychiatric Nurse, to attend a conference in Albany, N.Y. entitled "Children and Youth - How Important Are They" was approved on motion by Wentworth, seconded by Shine. Dates of the conference are June 8, 9 and 10. A copy of a letter addressed to Mr. James Cross of Allegany & Cattaraugus County BOCES was provided to the Committee members from Jenevieve Creighton, Coordinator of Special Education Program.

22 MINUTES OF THE MEETING c?~ JUN June. 1 6, MEMBERS PRESENT: Chahc.ma.n FJtcU!r. Le.g~latoJt~ Louck~, Sh~e., KJtame.Jt ALSO AffiNVING: VJt. Robe.Jtt Ande..~t~on, CouMe.Wng Ce.nte.Jt Clvt~tine. JohMon, He.al..th De.paAtme.n.t Euzabe.th Emb~e.Jt, 066-{.c.e. 6M the. Ag.Wg The. me.e.ting WM c.al.le.d to ojtde.jt by Chahc.ma.n FJtaJJr. at 9: 15 am. The. mhtu:t:e...j., o6 the. May 12th and May 27th me.e.fug~ we.jte. a.pp!tove.d will a. motion by Le.g~latoJt Louc.k~, ~e.c.onde.d by Le.g~la.toJt KJtame.Jt and c.a.jtjt.i.e.d. 'ffe.a.lth Ve.pa..~ttme.nt The. de.pa.jt.tme.n.t Jte.qu~te.d pe.jt~.i.on 6oJt :two Jte.g~.te.Jte.d num~ to a.t.te.nd a..tjta..<.n.<.ng ~e.m.i.on on PRI ~c.jte.e.n.<.ng. It ~ a. 6ull day ~~~.<.on c.o~ting $730. 6oJt e.a.c.h pe.jt~on. The. PRI ~c.jte.e.n ~ Jte.qu.<.Jte.d to de..te.jtm.<.ne. pla.c.e.me.n.t ~t.a.:t.l.m M to the. le.ve.. o 6 c.a.jte. a. pe.jt~on w.<.u ne.e.d. The. c.omm.<..t.te.e. a.ppjtove.d w.<.th a. mo.t.<.on 6Jtom Le.g~futoJt Louck~, ~e.c.onde.d by Le.g~oJt KJta.me.Jt a.nd c.a.jtjt.i.ed. MIL~. JohMon Jte.pOJt.te.d to the. c.omm.<..t.te.e. that the.jte. ha.d be.e.n a. ne.w de.ve.lopme.n.t on the. c. o p.i.e.jt pu!tc.hm~ The. H e.a1..th Ve.pa.Jttme.n.t, Ve. pm.tme.n.t o 6 So c..<.a1. Se.Jt v.<.c.~, a.nd P Jtoba..t.<.on de.pm..tme.n~ ha.d de.ude.d on the. Cannon c.op.i.e.jt, but whe.n c.on.ta.c.ting the. C.Ompa.ny t OJt the. 6.i.na..f. pa.pe.jt WDJtk,.i.t WM 6 ound that they WVte. not uv.i.ng Up to the..w6ojtrno..:u.on the.y ha.d ojt.i.g.i.na.lly g.<.ve.n on the..<.jt c.op.<.vi. The..~te.fioJte., the. de.pa.jttme.rtt:l.>.<.nvolve.d have. de.c..<.de.d to go w.<.th pu!tc.ha.~.>.wg the. Adle.Jt Royal.. Th~ Jte.que...ot ~hould be. Jte.fie.Me.d to.the. Ce.n:U!.al. Se.Jtv.i.c.e. Comm.{.ttcf.e.. Mo.t.<.on WM made. by Le.g~toJt Laue~, ~e.c.onde.d by Le.g~futoJt Sh.<.ne. a.nd c.a.jtjt.i.e.d.to Jte.6Vt th~ a.ga..<.n to.tha,t c.omm.<..t.te.e.. Le.g~latoJt KJtame.Jt vo.te.d no on th~ motion M he. wou.f.d..<-ke. mo-'l.e..b16ojtma.:ti..on on all the. c.op.i.e.jt c.ompa.n.{.~. MIL~. JohMon.{.n60Jtme.d the. c.omm.i...t.te.e. that V.{.c.ky Ga.e..ta. had at the. time. ofi Jte.c.e..<.v~g he.jt va.c.a.:ti..on :ti..me. gone. ove.jt the. 35 day l.i...m.{.t by 4 day~. She. Jte.c.e..{.ve.d

23 -2- th.io ti.me. a:t.the. be. g,i.y11ung o 6.the. mo n.:th a.nd Ul.l e.d.the. 4 day.6 be. n ojt e. the. e.n.d on.tha:t mon.:th. Pvr..6on.n.e. had c.on.ta.c.t.the. de.pm.tme.n.t a.nd.6a..ui.they would ha.ve. to.ta.ke. 4 day-6 away njr.om hvr...6:ta.n.c.e..o.6he. n.o:t.tome. hvr. time.. She. ~ Jr.e.que..otin.g.tha:t un.dvr..the. a.bove. c.btc.um Th~ Jr.e.que..o:t WM de.n.,te.d w,i..th a. motion. by Le.g~.ia.toJr. Louc.k-6,.6e.c.on.de.d by Le.g~.ia.toJr. KJr.a.mvr. a.n.d c.ajr.jr.,i.e.d. The. Comm,i.:t:te.e. Wa.-6,{.n.fiOJr.me.d :tlw.;t VJr.. W~ Coc.h ofi An.dovvr. Me.d,i.c.a. Ce.n.:tvr.. had e.n.tvr.e.d,{_n.;to a. c.on.:t.jr.a.c.:t w,i..th.the. He.a..ith Ve.pM.tme.n.t a..6.the.,{_)[ Me.d..i.c.a. V,{_fr.e.c.toJr./ Fa.mUtj Pf.a.Y11Ung Phy.6..tc...i.a.n.. He. ~ Jr.e.pf.a.c.,{.n.g VJr.. Ge.oJr.ge. WoJr.tie.y who ~ Jr.e..o,{_gn...i.n.g C/) ~ M o6 the. e.n.d o6 June.. I-< 1-3 E66e.c.uve. Ju.itj 7, 7987, Wa.Jr.Jr.e.n. Pomvr.oy, Con.:t.Jr.a.c.:toJr., w..t.e.e be. fi,i..i.i..i.n.g 0 C/) ~ ChoJT..ie.-6 Ba.kvr. '.6 pm..i.tion. on..the. BooJT.d ofi He.a..i.th M MIL. Ba.kvr. doe-on.' :t wa.n.:t :to be. Jr. e...i.m:ta.:te.d Th~ ~ bjr. o ug h:t :to.th..i.-6 c.o mm.l:t:te.e. '.6 a:t:te.n.uo n. 6 ojr..the.,{_)[ a.ppjr.ova. and w..i..u then. be..ta.ke.n. :to.the. BooJT.d o6 He.a..th. AppJr.ova. 60Jr. bo:th. :the. Me.d,i.c.a. V,{_fr.e.c.:toJr. and BooJT.d on He.cr.ith a.ppo..i.n.tme.n.:t wvr.e. a.ppjr.ove.d w,i.:th a. motion. by Le.g~fu:toJr. KJr.a.me.Jr.,.6e.c.onde.d by Le.g..i.-6.ia:tOJr. Sh,{.n.e. and c.oji.jr.,{.e.d. On a.c.c.oun.:t uvr.k :typ..i.-6:t..in :the. He.a..i:th Ve.pM.tme.n.t hm gone. on a. m,i..i..i.:tojt.y.ie.a.ve. on a.b.6e.nc.e. w~ the. fi,(_jr..6:t o6 Ve.c.e.mbvr.. Ge.oJr.g..i.a. Long w..t.e.e be. pjr.omo:te.d :to :th..i.-6 pm..i.tion on a. :te.mpojr.m.tj bo..--!:l..i.-6. The. de.pm.tme.n.:t WM,i.nfi ojr.me.d :th~..5hou..d be..ta.ke.n. be.fiojr.e. the. nu.. boojt.d a:t the.,{_)[ n.e.x:t me.e.mg i.c.e. 6oJr. :the. Ag..i.n.g Be.:t:ty Emb-6e.Jr.,{.n.fiOJr.me.d :the. c.orrrn,i.:t:te.e. :tha.:t.6he. hiw Jr.e.c.e.,i.ve.d a.dd..i.uona. mon.e.y un.de.jr. :the. HEAP PJr.ogJr.a.m -0 :the. a.moun.t o6 $1267. Th.i %.6:ta:te. money w..i.:th no a.dd..i.tiona. c.m:t :to A.i.ie.ga.ny County. She. Jr.e.que..6U :tlta.:t the. County A:t:tOJr.ne.y '.-5 ~ o66,(.c.e. pjr.e.pm.e. a. Jr.e..-5o.iution. :to..i.nc.jr.e.me. :the..6pe.u6..i.c..4 a.c.c.oun:t-6 ( no:te.d on :tjr.an.-5nvl he.e.:t). Th..i.-6 WM a.ppjr.ove.d w,i.:th a. mouon. by Le.g~.ia.:toJr. Louc.k-6,..5e.c.onde.d by Le.g.05f.a.:tOJr. a ~ Sh,i.ne. and c.m.jr.-i.e.d. ~

24 -3- The. 066-ic.e. 6o.tr. :the. Ag..i.ng hm be.e.n. o66e..tr.e.d :two mo.tr.e. g.tr.a.n.:t6: 7) EISEP!Expcuu:le.d In-Home. Se..tr.v-ic.U> 6o.tr. the. Elde..tr..f.y P.tr.og.tr.am) g.tr.a.n:t- Th.W.W a. $5,000. g.tr.a.n:t to update cuu:l develop a. "c.ounty home. c.a..tr.e. pfun" 6o.tr. the. e.lde..tr..f.y porula.t-ton 6o.tr. n.on.-me.d-tc.a.l c.a..tr.e.. 2) EPIC [ E lde..tr..f.y Phcvz.ma.c.e.utic.a.l I Mu.tr.a.nc.e. C ove..tr.a.ge.) g.tr.a.nt - Th.W o.l.6o.w a. $5, 000. g.tr.a.n:t. It.W de..o-ign.e.d to help :the. e..e.de..tr.ly w-ith :the.-i.tr. monthly d.tr.ug bil..6. ~ U6. Emb.oe..tr. would Me. to c.on:t.tr.a.c.t w-ith a.n -ind-iv-idu.a.)'. who would do the. outlc.e.a.c.h om I-<!::; -l a V') :them -i..n :th-i.o p.tr.og.tr.am. LJJ ~ The. a.c.c.e.pta.nc.e. o6 both :theae. g.tr.a.rlt.o wa..o ma.de. w-ith a. motion. by Le.g-i.ola.to.tr. Sh..i.ne.,.oe.c.onde.d by Le.g.Wla.to.tr. Louc.k. a.nd c.m.tr.-ie.d. the. 6uU Boa..tr.d o6 Le.g.W.e.a.to.tr..o. Th.W w-iu be. b.tr.ought be.fio.tr.e. The. County Atto.tr.ne.q '.o ono-tc.e. -t.o.tr.e.que...oted to ptle.pcvz.e. a..tr.e...ooluti.on. to -in.c..tr.e.a..oe. a.p!?fto!?ft-ia.te. e.xpe.nd-itu.tr.e. a.n.d.tr.e.ve.n.ue. a.c.c.oun.t-0. (.oe.e. e.xp.f.a.na.tion..ohe.e.t). A le.tte..tr. o6.tr.e...o-ign.a.tion. Q.tr.om Ala.n Ke.oha.ne., CASA Coo.tr.d-tn.a.to.tr., wa..o.tr.e.a.d to the. c.omm-itte.e.. He. will be. go..i.ng to wo.tr.k. [;o.tr. :the. He.a.lth Sy.otem.o Age.n.c.y. The. c.omm-itte.e..tr.e.qjr.e.t-0 h-i.o de.c..w-ion. to leave. IU..o po.o-ition will Alle.ga.n.y County, but w.whe...o h-im we..e..e.. C 0 UYI-6 e..f..f.-i.jtg C e.n:te..tr. V.tr.. Ce.nte..tr.. An.de..tr..oon..tr.e.qu.e...ote.d pe..tr.ml6.o-ion to pu.tr.c.ha..oe. a.n a.j.jr. c.ond-itione..tr. 6o.tr. the. Th.W wa..o a.pp.tr.ove.d w-i:th a. motion by Le.g.Wla.tM. Sh..i.ne.,.oe.c.on.de.d by Le.g.Wla.to.tr. K.tr.ame..tr. a.nd c.m.tr.ie.d. V.tr.. Ande..tr..oon w.whe...o to attend a.n Ame..tr.ic.a.n P.oyc.olog-i.ot c.on.6e..tr.e.n.c.e. on Au.gu.ot 28 th.tr.ou.gh Se.pte.mbe..tr. 1.ot. He. -i.o hop..i.ng to.tr.e.c..tr.uj.t a. py.oc.h-<-a.t.tr..wt fio.tr. :the. CouMe.Uin.g Ce.nte..tr.. App.tr.ova.l wa..o given. w-i:th a. motion by Le.g.Wla.to.tr. Shkn.e.,.oe.c.on.de.d by Le.g.W.e.a.toJt K.tr.ame..tr. a.nd c.m.tr.ie.d. At a. p.tr.e.viou.o me.e.t-i..ng the. c.ommitte.e. a.pp.tr.ove.d the. h)_jting ofi a. tempo.tr.cvz.y po.o-ition (3 mon.fu) in the. CouMe.lUng Ce.n:te..tr.. The. 3 monfu hm e.xp.{_jte.d a.n.d V.tr. An.de..tr..o on.tr. e.q u. e...ot-0 tha.t :th e.y extend th.w temp o.tr.a..tr.y p e..tr..o on fi o.tr. a.no the..tr. th.tr. e. e.

25 -4- mo~. The. c.ommille.e. a_gjt.e.e.d w.i..th th.u.. e.xte..n.o.i..on. The. Ce.nte..Jt. hm :two pm.t t.i..me. people. le.a.v.i..ng the. e.n.d ofi June. a.nd the. e.n.d on July. He. woui.d Like. to a.bollih the..&e. :two pm.t t.i..me. pm.ition.o and c.jt.e.ate. one. nul.j. t.i..me. poj.>ilion w.<.th a title. on MSW. VJt.. Ande.Mon WM.innoJt.me.d that he. J.>hould go to Pe.Jt.J.>an.ne.l and then pjt.e.j.>e.nt th.u.. to th.u.. c.amm.i..tte..e. be.nojt.e. the. next null boa.jt.d me.e.t.<.ng on the. 19th o6 June.. Ja.me.J.> S.<.k.a.Jt.M and Va.n.i..e.l GtU.n.e.y we.jt.e. Mk.e.d to c.ome. to th.u.. meeting to d.u..c.mj.> the. CounJ.>e..f.1..<.ng Ce.nte.Jt. be.c.oming a "c.ontjt.a.ct a_ge.nc.y". VJt.. Ande.Jt.J.>on hm Wk.e.d to both at length about thi-6 pjt.opoj.>a..f.. Mfr.. Guiney Wk.e.d to the. Chemung County Ve.puty County Supe.Jt..i..nte.n.de.nt a.nd he. WM ve.jt.y ple.me.d wi.:th the. move. to a c.on.tjt.a.ct age.nc.y and ne.u.u.. WM ofi gjt.e.at be.ne.n.i..t to thw c.ounty. But /v!jc.. GtU.n.e.y ne.lt. that the.jt.e. a.jt.e. many hidden fiac.to.tr.j.> that have. to be. c.onj.>.ide.jt.e.d. The. :two b.igge.j.>t c.onc.e.jt.m a.jt.e. :the. c.ont.jt.ol a.nd ac.c.ountin.g 6ac.toJt.J.>. V.tr.. Ande.Jt.J.>on 'J.> bigge.j.>t c.onc.e.jt.n w.i..th th.u...i..j.>j.>ue..{.).) that M thing!.> a.jt.e. at pjt.e.j.>e.nt, w..i..th the. Ce.nte..Jt. unde.jt. the. County, they Me. unable. to pjt.ovide. J.>e.Jt.v.i..c.e.-6 whic.h he. J)e.e..f.-6 ve.jt.y d.i..fiin.j.te..ly ne.e.d to be. pjt.ovide.d to the. people. in Allegany C oun.ty. ( ex. 2 4 hjt..~. CJt..i..J.>J..-6 H otiine.) I 6 th.u.. c.a.n' t be. ac.c.ompwe.d unde.jt. c.owity polic..i..e.j.> then he. will le.a.n towm.d a p.tr..i..va.te.. age.nc.y. /v!jc.. S.<..ka.Jt.M fie.e.l6 that the. Cowt.ty hm to look. at what J.>e.Jt.v.i..c.e.J.> Me. ne.e.de.d, a.nd do we. want to p!tov.i..de. the.j.>e. J.> e..tr. v ic.e.j.> wh e.thvl.<.t.{.).) c. o un.ty o.tr. p!t.i.. va.te.. o pe..tr.a.uo n. C ha.ur.ma.n F.tr.a.Ur. would l.<.k. e. Alton Sy lm to J.>e.t in on the. ne.xt H e.a.lth Se..tr. v ic.e.j.> me.e.tin.g M he..{.).) a me.mbe.jt. o6 the. Commun.i..ty Se.Jt.vic.e. BoMd. Audit on ClMm-6 The. uj.>ua.f. b.i..u-6 we..tr.e..tr.e.v.i..e.wed a.nd app!tove.d w.i..th a motion by Le.gi.J.>la.to.tr. KJr.ame..tr., ~e.c.onde.d by Le.giJ.>la.toJr. Sh.i..ne. a.nd c.a.jr.jr.ie.d. The..tr.e. being no fiujr.the.jt. buj.>ine.j.>j.> the. meeting WM adj oujr.ne.d at 12: 15 p.m. Re.J.>pe.c.t6ully J.>ubm.i..tte..d, TrJLru,a. C.f.aur>ool

26 EMORANL;;JM OF E><PLAr\JAT!Qf\J I t~ T R 0 I,,~ 0 I ( Clerl<:.: 1 s Use Only) OMMITTEE: Health Services Committee DATE: 6/15/87 The Office for the Aging would like a resolution asking the Board to except 2 new grants. The first grant is for EISEP (Expand In-horne Services for the Elderly Program). It totals $5, and is 100% State money. A $2, A , Revenue Number A3778 5, These account numbers are already established. The second grant is EPIC (Elderly Pharmaceutical Insurance Coverage). This grant is 100% State money and will be usee for outreach on this program. This grant also totals 5, A $1, A A , Revenue number A3790 5, These account numbers will need to be created. I SCAL IMPACT: There will be no fiscal impact because of the

27 EMORANDUM OF EXPLANATION. 0 MM 1 T TEE : H_e_a_l_th_s_e_rv_,_ c_e_s_c_o_m_jn_i _t tee INTRO. l~o. (Clerk's Use Only) DATE: 6/22/87 The Office for the Aging would like a resolution that would allow us to except an addintional $1, This money is a result of the State awarding $1.80 for every approved HEAP application. It is all 100% state money requiring no local match. We would like to in crease our county budget in the following areas. A New budget amounts A II II A II II The revenue for this grant would also increase. A , $ ~SCAL IMPACT: There is no fiscal impact at the local level

28 MINUTES OF THE MEETl :;:; Health Scrvic es Com:ni t t('t: July 22, '.""t.-,. ~1EMBERS PRESENT: Chairman Frair Legislators Loucks, \ ientworth, Kramer, Shine ALSO ATTENDING: JUL Dr. Robert Anderson, Counseling Center David W. Dorrance, Health Department, Public Health Director Elizabeth Embser, Office for the Aging, Director Genevieve Creighton, Education of Handicapped Children John Margeson, Administrative Assistant Leonard Watson, Chairman of the Legislative Board The meeting was called to order by Chairman Frair at 9:10 a.m. The minutes of the June 16 meeting were discussed, noting a change from Board of Health to Board of Legislators. Legislator Wentworth made the motion to accept the minutes with the correction noted and Legislator Loucks seconded. Motion carried. Office for the Aging The Department requested permission to purchase a portable copier to be used in the EPIC (Elderly Pharmaceutical Insurance Coverage) Enrollment Clinics. Ms. Embser explained that they expect to have 11 enrollment clinics and the copier would be used to aid the applicants in meeting the requirements of the applications. It was I stated that each applicant needs a minimum of 3 out of 20 proofs of identification, age, etc. These would need to be copied to be included in the initial application.. submission. It is felt by the Office for the Aging that the copier would greatly aid., - in the timely submission of applications. There was a general discussion concerning the justification of the expense of the copier vs using the money allocated for this program for advertising. No action was taken. The Department requests permission to purchase video equipment for the EISEP (Expanded In-Home Services for the Elderly Program). This equipment will be used for training the office staff and care-giver staff. Ms. Embser stated that this purchase would be paid for with 100% State Funding. A motion was made by Legislator Wentworth to approve the purchase of video equipment for this program and seconded by Legislator Loucks. Motion carried.

29 -2- Ms. Embser outlined a trainin; st:ssion to be hejd in Cooperstown on September 15th- SeptemD~c 17th. This training session would include the New Area Plan, EISEP, Enriched Housinb and EPIC. The Office for ti1c Aging would like to request permission for 2 staff members to attend. It was stated that there is money in the budget for this. A motio~ was made by Legislator Wentworth to grant permission to attend this training prograw and seconded by Legislator Kramer. Motion carried. Ms. Embser stated that she would like to appoint a new Deputy Director since Alan Keohne is no longer in the County employ, and he served in this capacity while he was here. She was told that she did not need a committee action for this but when she did appoint a new Deputy Director to notify the Treasurer's Office. Health Department For the Committee's information, Mr. Dorrance stated that some time ago the departwent had talked about entering into an agreement with Jan & Bev's Nursing Service for after hours nursing care. The Health Department now has a contract that is currently being reviewed by the County Attorney's office. The final agreement will be presented to the Board of Health for approval. In essence, the Health Department will be buying RN and LPN nursing time from the agency to cover a small number of clients for after hours care. The Health Department will then bill private insurance I ;,., companies for the care. Mr. Dorrance also reported that the Health Department will be requesting permission to purchase two films for use in the Family Planning Clinics to update the educational program. Legislator Watson stated that these films may be available to us at no cost through the Video Library at Alfred Ag-Tech College. Mr. Dorrance stated that he would explore this possibility and if they are not available, he would generate the paperwork for the purchase of the films. by Legislator Kramer and seconded by Legislator Loucks. A motion was made to this effect Motion carried. }tr. Dorrance discussed the financial statement. the expenditures look good but ~e revenue does not. He stated that at this point This is due to the fact that we have not received any State Aid for this year as yet but it is expected. Another