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County Record Missouri Spring 2020 MAC Executive Board for 2020 – page 3 Securing a digital infrastructure – page 6 Reform needed for Medicaid Inmate Exclusion policy – page 24 EPA finalizes new WOTUS definition – page 26 “ere she stands, proud in all her glory.” Inside this issue Johnson County Courthouse Warrensburg, Missouri

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Page 1: County Missouri Record · 1 County Record Missouri Spring 2020 • MAC Executive Board for 2020 – page 3 • Securing a digital infrastructure – page 6 • Reform needed for Medicaid

www.mocounties.com 1

County RecordMissouri

Spring 2020

• MAC Executive Board for 2020 – page 3• Securing a digital infrastructure – page 6• Reform needed for Medicaid Inmate Exclusion policy

– page 24• EPA finalizes new WOTUS definition – page 26

“There she stands, proud in all her glory.”

Inside this issue

Johnson County Courthouse Warrensburg, Missouri

Page 2: County Missouri Record · 1 County Record Missouri Spring 2020 • MAC Executive Board for 2020 – page 3 • Securing a digital infrastructure – page 6 • Reform needed for Medicaid

www.mocounties.com2

Dade

Atchison

Ripley

Hickory

LivingstonBuchanan

Cole

NodawayWorth

Holt

DeKalbDaviess

Mercer

Grundy

CaldwellClinton

Platte Clay RayCarroll

Chariton

Linn

Sullivan

Putnam SchuylerScotland

Knox

Macon

Clark

Lewis

Monroe

WarrenCallaway

Boone

Cooper

Jackson

Pettis

St. Clair

Vernon

PolkBarton

Jasper

Newton

BarryMcDonald Taney

Douglas

Wright

Dent

Phelps

Wayne

Howell

Shelby

Harrison

HowardLafayette

CassJohnson

Saline

Henry

Audrain

Monite

au

Morgan

Mon

tgom

ery

St. Charles

St. Louis Co.

Je�erson

Crawford

Miller

Benton

Camden

Ozark ButlerNewMadrid

Pem

iscot

Miss

issip

pi

Cape

Girardeau

Scott

PerrySt.Francois

Bollin

ger

ShannonTexas

Pulaski

Maries

Osage Franklin

Ste.Genevieve

Madison

Ralls

Pike

Lincoln

Rand

olph

AdairGentry

Bates

Lawr

ence

Ston

e

Christian

Greene Webster

DallasLaclede

Cedar

Oregon

Carter

Reynolds

Stoddard

Iron

Dunklin

Andrew

Was

hing

ton

Marion

St. Louis City

Gasc

onad

e

On the cover

Johnson CountyDennis WeiserMissouri Courthouses: Building Memories on the Square Johnson County’s first courthouse

(1838-1878) survives today due to the restoration and preservation efforts of the Johnson County Historical Society. The foursquare style was one of the most popular designs for courthouses during the 19th century, and is the only remaining example of its type in Missouri.

County commissioners used the large first-floor courtroom for meetings when the circuit court was not in session. The Johnson County Historical Society restored the building to its original

specifications and furnished it with appropriate period pieces. The building is one the National Register of Historic Places and is now used as a museum.

In 1896, Johnson County constructed the current courthouse. Made with locally quarried sandstone, the building is the first of four Missouri courthouses designed by architect George E. McDonald of Omaha, Neb. Completed in 1898, the Romanesque-designed courthouse continues to serve the people of Johnson County and is also listed on the National Register of Historic Places.

Johnson CountyWarrensburg

2020 Board of DirectorsPresident Phil Rogers, Andrew County

President-Elect Susette Taylor, Atchison County

2nd VP Steve Hobbs, Audrain County

3rd VP Batina Dodge, Scotland County

Treasurer Lori Smith, Adair County

Past President Clint Tracy, Cape Girardeau County

At-Large Darrell Skiles, Dent County

At-Large Herman Kelly, Shannon County

At-Large Patty Meyers, Audrain County

At-Large Rick Renno, Benton County

Sherry Parks, Livingston County (1)

Scott Burnham, Buchanan County (2)

Tara Horn, Buchanan County (2)

Frank White, Jackson County (5)

Jeanie Lauer, Jackson County (5)

Mike Minor, Monroe County (6)

Janet Thompson, Boone County (7)

Tom Schauwecker, Boone County (7)

Jennifer Jellum, Lafayette County (8)

Jim Platt, Bates County (9)

Cher Caudel, Moniteau County (10)

Crystal Hall, Lincoln County (12)

Dave Hinson, Franklin County (13)

Mary Jo Straatmann, Franklin County (13)

Sam Page, St. Louis County (14)

Dennis Gannon, Jefferson County (15)

Angie Curley, Dent County (16)

Joe Loyd, Reynolds County (17)

Jared Kutz, Perry County (18)

Tonyi Deffendall, Butler County (19)

John Turner, Ozark County (20)

Harold Bengsch, Greene County (21)

Shane Schoeller, Greene County (21)

Steve Pickering, Laclede County (22)

Melinda Robertson, Polk County (23)

Randee Kaiser, Jasper County (24)

John Bartosh, Jasper County (24)

Roger Hudson, Cape Girardeau County (25)

Beverly Thomas, Camden County (26)

Rowland Todd, Camden County (26)

Jeff Hoelscher, Cole County (27)

Larry Vincent, Cole County (27)

Chris Molendorp, Cass County (28)

Monty Kisner, Cass County (28)

Sheila Wyatt, Taney County (29)

Donna Neeley, Taney County (29)

Patrick Mullins, St. Francois County (31)

Dan Ward, St. Francois County (31)

Ralph Phillips, Christian County (32)

Amy Dent, Christian County (32)

Commissioners’ Pres. Gary Jungermann, Callaway County

Clerks’ Pres. Rick Watson, Henry County

Auditors’ Pres. Pete Frazier, Cape Girardeau County

Assessors’ Pres. Connie Hoover, Jasper County

Collectors’ Pres. Sheila Palmer, Platte County

Treasurers’ Pres. Cindy Esely, Andrew County

Sheriffs’ Pres. David Parrish, Lewis County

Circuit Clerks’ Pres. Eric Stallo, Chariton County

Public Admins’ Pres. Carol Johnson, Dallas County

Recorders’ Pres. Cheryl Dawson-Spaulding, Greene County

Prosecutors’ Pres. Tim Lohmar, St. Charles County

NACo Board Member Jim Odom, Cass County

NACo Board Member Debbi McGinnis, Polk County

MAC Trust Chair Paul Koeper, Cape Girardeau County

Vol. 26, No. 1

The Missouri Association of Counties, founded in 1972, is a nonprofit corporation and lobbying alliance of county elected and administrative officials who work to improve services for Missouri taxpayers. The board of directors meets on the third Wednesday of designated months in Jefferson City to promote passage of priority bills and monitor other legislation before the state General Assembly and the United States Congress. The Missouri County Record is produced four times annually by the association staff. Subscription rates for non-association members are $15 per year prepaid. Rates for association members are included in membership service fees. All articles, photographs and graphics contained herein are the property of the association and may not be reproduced or published without permission. Advertising rates are available upon request.

Dick Burke, Executive Director

Cindy Wells, Finance and Operations Manager

Grace Toebben, Executive Assistant

Sean McGonigle, Risk Manager

Bev Cunningham, Deputy Director

Charles Harrison, Staff Associate

Carah Bright, Member Relations Director

David Owen, Communications Specialist

A publication of the Missouri Association of Counties1648 East Elm St., P.O. Box 234, Jefferson City, MO 65102-0234

Telephone: 573-634-2120 Fax: 573-634-3549www.mocounties.com

County RecordMissouri

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MAC Executive Board for 2020

President-Elect Susette Taylor,Atchison County Clerk

2nd Vice PresidentSteve Hobbs,Audrain County Presiding Commissioner

3rd Vice PresidentBatina Dodge,Scotland County Clerk

Past PresidentClint Tracy, Cape Girardeau County Presiding Commissioner

TreasurerLori Smith,Adair County Treasurer

PresidentPhil Rogers,Andrew County Collector

For nearly 50 years, MAC has been a voice for county governments. As president, I commend the support our members have shown throughout the years in the halls of our Statehouse, fighting for our citizens and communities. Now, more than ever, we need to continue that support, not only at the Capitol, but for each other. During these uncertain times, we need to be a resource for one another and try to solve the difficult issues our communities are facing every day.

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Securing a digital infrastructureAs a former Apple Education Consultant and owner of

an Information Technology business for more than 22 years that focused on network security, infrastructure and workstations, Tracy Graham knows having a strong and secure digital infrastructure may be the most important piece of infrastructure a local government can have against cyber criminals.

Last year, a school district in Southwest Missouri was the target of a ransomware attack, prompting the district to shut down its network as a precaution when ransom notes began coming out of district printers. In Texas, Lubbock County was one of 23 local government systems that was hit by a ransomware attack in August.

Hackers see local governments as an easy target due to limited IT resources, aging computer systems that may be vulnerable

to attacks, or the lack of up-to-date cybersecurity training for employees. And Graham, who is the Western District Commissioner of Audrain County, believes the amount of attacks on local governments will continue to grow.

“It used to be that you only heard that the bigger stores or companies were being targeted,” Graham said. “Now, the ‘actors’ or ‘bad guys’ have figured out that it is a lot easier to go after someone that doesn’t have any security than trying to hack those with fairly reasonable security standards.”

Ransomware is a type of malicious software that is, “designed to deny access to a computer system or data until a ransom paid,” according the Homeland Security’s Cybersecurity and Infrastructure Security Agency. It can be released through email attachments or by clicking on links that place the malware on a device before it expands throughout a network.

Photo courtesy of Tracy Graham, Audrain County Western District CommissionerAudrain County Associate Commissioner Tracy Graham traveled in the fall of last year to the Multi-State Information Sharing & Analysis Center located in New York. NACo has partnered with MS-ISAC to be a resource in protecting and preventing counties from cybersecurity threats.

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Cybersecurity for CountiesProtecting digital information has become a new challenge for counties. NACo has partnered with the Multi-State Information Sharing and Analysis Center (MS-ISAC) to promote increased cybersecurity for county governments.

Cybersecurity for counties can provide: • 24x7 support, • Vulnerability Management Program, • Real-time monitoring and early threat detection, • Professional teams to assist with cybersecurity incidents,• Cyber intel advisories & alerts.

This program is free for county governments.

Learn more at www.NACo.org/cybersecurity

The malware can then encrypt files on the network and lock users out of their computers. After that, hackers typically demand some form of payment to unlock the files or computers.

Six years ago, Graham was working for his company when he heard of a ransomware attack on a local private company in his area.

“It took us a little bit to figure out what was going on,” he said. “It locked every piece of data they had. They could not do anything. Now, it’s a daily occurrence, if you’re not protecting yourself.”

Counties will soon have resources that they can turn to if they need help when it comes to cybersecurity. The IT Standing Committee for the National Association of Counties (NACo), which Graham serves as a vice chair, slightly changed its function last year. The committee used to be for internal IT issues for NACo, but now is focused on promoting webinars and a portal where counties are able to access other resources to help educate employees and strengthen their networks. The portal will roll out soon and be known as Tech Xchange.

NACo’s recent partnership with the Multi-State Information Sharing & Analysis Center (MS-ISAC) is already helping with some of the work. The MS-ISAC is the U.S. Department of Homeland Security’s key resource for cyber threat prevention, protection, response and recovery for state and local

governments.

At no cost, counties can get involved in this cybersecurity program, which can provide:

• vulnerability management program,

• IP and domain monitoring,

• notifications of possible compromises,

• incident response resources,

• tools for simplifying security updates,

• secure portals for communication and document sharing,

• cyber intel advisories & alerts,

• malicious code analysis platform and

• self-assessments for cybersecurity management.

Graham got to see the operations center of the MS-ISAC, which is located near Albany, New York last year, as he was part of a group that was invited to tour the facility.

While it may have not been exactly like the ‘War Room’ as depicted Stanley Kubrick’s Dr. Strangelove, Graham said the walls of the operations room inside the MS-ISAC were filled with nothing but monitor screens. On those screens, staff were watching their clients’ internet traffic. Graham said that

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the MS-ISAC had other client offerings that would allow them to monitor a client’s inside internet traffic, which is vital because of the information counties are in charge of securing from getting into the wrong hands.

Graham said the MS-ISAC is not like a firewall, stopping attacks. He said the objective of MS-ISAC is to identify patterns that could lead to an attack or a vulnerability in one’s network that could allow for cybersecurity attacks.

“You can identify, by traffic patterns, opportunities or vulnerabilities that you would otherwise not know of,” he said. “So, some traffic patterns going out of your network to specific locations, they’re monitoring those types of things.”

Graham got to sit with an analysis in the ‘War Room’ at MS-ISAC and said the staff was showing everyone how they look at code and the traffic that is coming in and out of a network, and

what is in that traffic. Graham then took the opportunity to ask the MS-ISAC staff to test Audrain County’s website.

“They have all these special tools they use and they were doing the evaluation

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Page 7: County Missouri Record · 1 County Record Missouri Spring 2020 • MAC Executive Board for 2020 – page 3 • Securing a digital infrastructure – page 6 • Reform needed for Medicaid

ENTERPRISE CYBERSECURITY LEADERSHIP

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A 12-week online collaborative readiness program led by Fortune 500 CISOs and peers who deliver their proven frameworks and insights on how to lead and secure a network and an organization – protecting data assets and the

enterprise brand. This program coaches participants on what it means to think and act as a county cybersecurity leader.

Module 1: The Security Leadership Mindset Program overview focused on what it means to think and act as a cybersecurity leader.

Module 2: The Art of Security Intelligence Learn how data security professionals can best obtain, use, and distribute threat intelligence.

Module 3: The Balance Between Security & Innovation Establish a mindset that embraces innovation and looks for ways to consistently simplify complexity.

Module 4: Security Change Management Learn to be a change agent and use change practices to address and overcome security challenges.

Module 5: Positive Leadership in Security Develop positive leadership practices to achieve positively deviant organizational outcomes.

Module 6: Collaboration and Negotiation Apply Mutual Gains Approach and leverage collaboration necessary to provide satisfying outcomes and enhance relationships.

Module 7: Security Communication Adapt practical and meaningful useful techniques for how IT security leaders can communicate within and outside of the organization.

Module 8: Relationship Management Create and execute the steps to build strong professional relationships and form key strategic partnerships.

Module 9: Security & the Network of Things Use your network to aid in developing and maintaining an effective risk management strategy.

Module 10: Your Changing Role in Security Apply techniques for learning and adapting as a cybersecurity leader while establishing a clear leadership philosophy.

Module 11: Simulated Cyberattack Foster development and alignment within cybersecurity individuals and work teams through drills, training, and war games.

Module 12: The Power of One Communicate how your value as a cybersecurity leader directly impacts the long-term success of the enterprise and beyond.

Module 1: The Security Leadership Mindset

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Graduation

“Many frontline managers are exactly the people we cannot afford to lose. The NACo High Performance County Leadership Academy helps to retain these vital employees and helps enable them to be better leaders.”

Matt Chase, Executive Director, NACo

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on the website and they said that our website was a really good, secure website,” he said. “But there were a couple of things that they pointed out that we needed to implement. Since then, we’ve implemented those changes to (our website) to make it a little more secure.”

Graham said webinars will be scheduled for this year and NACo already has an Enterprise Cybersecurity Leadership program that IT employees can take at a reduced cost for members. He also said the MS-ISAC has templates that IT employees can begin to implement that will harden a county’s network servers and workstations.

“If we can get more involvement with MS-ISAC and NACo Tech Xchange, it will really push the counties in Missouri to a better point than where we’re at, because I know there are a lot of counties that don’t have anything.” Graham said.

Graham said the best advice he could

give to his peers in local government based on his experience in the IT field is to make sure that they do their due diligence on whoever they hire or contract to build and maintain their digital infrastructure.

“Vet your providers and service providers,” he said. “Even some of the hardware that is coming from overseas is already hardwired, so you have to be very careful. You pay for what you get. If someone is coming in and doing your network or infrastructure on the side for free, it’s really time to look at a professional group to assess and monitor that.”

He also suggested employees brush up on their c y b e r s e c u r i t y training and learn how to recognize malicious emails

or links.

“About 85 percent of all hackers and infections are because users clicked on a bad link or a bad email,” he said. “End user training is the top thing that counties need to look at.”

For more information about NACo’s cybersecurity program, visit NACo.org/cybersecurity. NACo’s Annual Conference, scheduled in July in Orlando, will feature a session on the Technology Xchange Innovation.

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Page 9: County Missouri Record · 1 County Record Missouri Spring 2020 • MAC Executive Board for 2020 – page 3 • Securing a digital infrastructure – page 6 • Reform needed for Medicaid

CO N TAC T US TO DAYwww.stifel.com/publicfinance

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Page 10: County Missouri Record · 1 County Record Missouri Spring 2020 • MAC Executive Board for 2020 – page 3 • Securing a digital infrastructure – page 6 • Reform needed for Medicaid

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The information in this article provides counties with operational and workplace guidelines on responding to issues and questions related to the novel coronavirus (COVID-19). These guidelines may be adjusted as the state and counties learn more about the spread and impacts of COVID-19. MAC encourages counties to develop their own guidelines and policies in cooperation with state and local health officials and only offers this as a template for consideration. MAC also encourages counties to look at these guidelines as the state and counties begin to lift stay-at-home orders and reopen the state.

Gov. Mike Parson lifted his stay-at-home order on May 3 and information on his guidelines on reopening Missouri can be found at showmestrong.mo.gov. The four pillars of the governor’s Show-Me Strong Recovery Plan, which began on May 4, is “intended to protect those most at risk of exposure to COVID-19 while returning Missouri to a new normal.”

The governor’s pillars include:

• Expand testing capacity and volume in the state;

• Expand reserves of PPE by opening public and private supply chains;

• Continue to monitor and, if

necessary, expand hospital and health care system capacity, including isolation and alternate care facilities for those that cannot self-quarantine at home; and

• Improve ability to predict potential outbreaks using Missouri’s public health data.

Other resources for coronavirus information include the Missouri Department of Health and Senior Services at health.mo.gov, and the CDC at cdc.gov/coronavirus. The federal government’s plan on reopening the country can be found at whitehouse.gov/openingamerica.

The Federal and state guidelines can change quickly during this pandemic so visit the websites that are suggested

to ensure the guidelines are up to date when considering responses to COVID-19.

Here are some things that members may consider that are still a factor as Missouri reopens for business:

Steps to take regarding daily office operations

Managers and supervisors must encourage employees to remain home when they are sick.

Take steps to maximize telework options for as many employees as possible. For employees who do not ordinarily telecommute, ask supervisors to identify tasks that employees can do remotely, or provide alternative options for telecommuting, if circumstances

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Operational and workplace guidance in response to novel coronavirus

A screenshot, captured in April, of the John Hopkins University mapping website that is tracking the number of COVID-19 cases around the world.

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later necessitate an expansion of telework.

Conferences, meetings and business-related gatherings

Consider, where possible, canceling or adjusting non-essential in-person employee meetings and gatherings of 10 or more individuals for the time being. Please work with staff to develop alternatives for conducting these meetings and use good judgment when determining which meetings are essential. If meetings can’t be canceled, make sure any social distancing guidelines are maintained.

Work with staff to develop alternatives for conducting these meetings to minimize risk, including the use of remote meeting technology.

Direction related to travel

All business travel to impacted areas on the CDC list Warning Levels 3 and 2 is cancelled.

Limit all non-essential business travel. Essential travel should be determined by the governing body.

When determining what is essential travel you should consider several factors, including: is the travel related to the Agency Continuity of Operations; what is the destination and is it currently impacted; what is the mode of travel and does it involve movement through impacted areas; what is the mission, and does it take the person into a higher exposure situation (i.e. large conference); and are there alternative methods that can still accomplish the mission?

Guidance when considering office closure

Decisions on office closure are to be made in consultation with the impacted elected officials when possible. For offices housed with multiple agencies, impacted directors are to coordinate with each other prior to closure. Essential functions of the office must be maintained as part of your Continuity of Operations Plan.

When determining whether to close an office please consider several factors, including: impact to the mission and public; risk to employees and public of remaining open; alternatives to continue effective operations (remote location, telecommuting); span of impacted area or potential for further contamination; impact of closure on employees and public; and ability to conduct a partial

closure of office.

How should our organization navigate questions on possible exposure

The steps an organization should take when an employee reports a possible exposure to COVID-19 depends upon the specific circumstances but employers are asked to error on the side of caution.

ti

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When preparing for issues related to exposure, please follow the steps:

First: get familiar with existing CDC risk assessment resources found at cdc/gov/coronavirus/2019-ncov/php/index.html.

Second: consult with your local health jurisdiction to assess next steps.

Third: based on the advice of the local health jurisdiction, take appropriate action. If the employee is directed to stay away from the workplace, determine if remote work is an option while the employee is away from the office and able to work. If the employee is unable to work remotely, explore leave options for the employee. Agencies should administer leave in accordance with the employee leave provisions of their applicable collective bargaining agreement or rules. The U.S. Department of Labor has guidelines on leave in the Families First Coronavirus Response Act: employee Paid Leave Rights that can be found at dol.gov.

Note: If working with an employee confirmed to have COVID-19, agencies should inform employees of their possible exposure but maintain confidentiality as required by ADA and/or HIPAA.

Quarantine

Prior to taking action regarding office closure, work restrictions, or quarantine, consult with your health department staff/health officer/board of health and county attorney’s office.

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Page 15: County Missouri Record · 1 County Record Missouri Spring 2020 • MAC Executive Board for 2020 – page 3 • Securing a digital infrastructure – page 6 • Reform needed for Medicaid

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Page 16: County Missouri Record · 1 County Record Missouri Spring 2020 • MAC Executive Board for 2020 – page 3 • Securing a digital infrastructure – page 6 • Reform needed for Medicaid

37th Annual Training Session

Page 17: County Missouri Record · 1 County Record Missouri Spring 2020 • MAC Executive Board for 2020 – page 3 • Securing a digital infrastructure – page 6 • Reform needed for Medicaid
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Support MAC’s Associate MembersAccounting:Brown Smith Wallace - St. Louis, MO 314-983-1238Computer Information Concepts - Greeley, CO 800-437-7457 Evers & Company CPAs - Jefferson City, MO 573-635-0227KPM CPAs & Advisors - Springfield, MO 417-882-4300

Architects/Engineering:Allgeier, Martin & Associates Inc. - Joplin, MO 417-680-7200American Council of Engineering Companies of MO (ACEC) - Jefferson City, MO 573-634-4080Anderson Engineering - Kansas City, MO 816-777-0400Cochran Engineering - Union, MO 636-584-0540Cook, Flatt & Strobel Engineers - Topeka, KS 785-272-4706Great River Engineering - Springfield, MO 417-886-7171Howe Company, LLC - Macon, MO 660-395-4693McKinstry - Overland Park, KS 314-230-5766MECO Engineering Co. Inc. - Hannibal, MO 573-221-4048N•FORM Architecture - Springfield, MO 417-873-2255Poepping, Stone, Bach & Associates - Hannibal, MO 573-406-0541Shive-Hattery - West Des Moines, IA 800-798-8104Smith & Co. - Poplar Bluff, MO 573-785-9621

Attorneys/Legal Services:Ellis Ellis Hammons & Johnson - Springfield, MO 417-866-5091Gilmore & Bell P.C. - Kansas City, MO 816-221-1000Lewis Rice, LLC - Washington, MO 636-239-7747Richard P. Moore, Attorney at Law - Clayton, MO 314-726-3040Schraeder Law Firm - St. Louis, MO 314-454-1500Tueth Keeney Cooper Mohan & Jackstadt - St. Louis, MO 314-880-3600

Banking/Finance/Investments:Central Bank - Jefferson City, MO 573-634-1234 L.J. Hart & Company - St. Louis, MO 800-264-4477Piper Jaffray Inc. - Leawood, KS 913-345-3300Raymond James & Associates - Kansas City, MO 816-391-4120Stifel – St. Louis, MO 314-342-8467Welch State Bank - Welch, OK 918-788-3373

Construction (Bridge/Building/Drainage):Mid-Continental Restoration Co., Inc. - Fort Scott, KS 800-835-3700MTS Contracting Inc. - Springfield, MO 417-865-9991Navigate Building Solutions - St. Louis, MO 314-713-6211Oden Enterprises Inc. - Wahoo, NE 402-443-4502Septagon Construction Management - Sedalia, MO 660-827-2112The Garland Company Inc. - Cleveland, OH 636-698-3324

Computer Systems & Software: 54 Design Group, LLC - Mexico, MO 573-575-6315DEVNET Inc. - Sycamore, IL 815-899-6850Election Systems & Software – Omaha, NE 877-377-8683GovernMENTOR Systems Inc. - Independence, MO 816-254-7610Tyler Technologies - Yarmouth, ME 207-518-4745 Vanguard Appraisals - Cedar Rapids, IA 319-365-8625

Consultant:Show Me Victories, LLC - St. Louis, MO 314-250-3026

Drainage Systems:Advanced Drainage Systems - Springfield, MO 417-808-0151

Energy Services:Control Technology and Solutions (CTS) - St. Louis, MO 636-230-0843Invenergy, LLC - Denver, CO 303-557-4495Missouri Petroleum Council - Jefferson City, MO 573-634-2941Trane - Fenton, MO 636-305-3720

Equipment/Supplies (Road & Construction):Berry Tractor & Equipment Co. - Springfield, MO 417-831-2651G.W. Van Keppel Co. - Kansas City, MO 844-499-6363Knapheide Truck Equipment Co. - Jefferson City, MO 573-893-5200Purple Wave Inc. - Manhattan, KS 785-537-5057Martin Equipment of Illinois - Ashland, MO 573-657-2154

General Business:Missouri One Call System - Jefferson City, MO 573-635-1818St. Louis Electrical Connection - St. Louis, MO 314-420-5318

GIS & Mapping:Midland GIS Solutions - Maryville, MO 660-562-0050

Government Supplies/Services:Mark Twain Regional Council of Gov. - Perry, MO 573-565-2203Mo. Department of Labor and Industrial Relations - Division of Labor Standards - Jefferson City, MO 573-751-3400Mo. Dept. of Economic Development - Division of Energy - Jefferson City, MO 573-751-7057Missouri Local Technical Assistance Program (MO-LTAP) - Rolla, MO 573-341-7200Missouri Vocational Enterprises - Jefferson City, MO 800-392-8486Northeast Missouri Regional Planning Commission - Memphis, MO 660-465-7281Southwest Missouri Council of Governments - Springfield, MO 417-836-6977State Emergency Management Agency - Jefferson City, MO 573-526-9104

Insurance & Employee Benefits:Allstate Benefits - Springfield, MO 417-883-9300American Fidelity - Oklahoma City, OK 800-662-1113Arthur J. Gallagher & Co. - St. Louis, MO 800-877-8218CompAlliance – Merriam, KS 866-825-9800CCMSI, Inc. - St. Louis, MO 314-418-5515Group Benefit Services - Springfield, MO 417-883-8088Missouri Public Entity Risk Management Fund (MOPERM) - Jefferson City, MO 573-751-1266Nationwide Retirement Solutions - Denver, CO 303-452-8051Ollis/Akers/Arney Insurance & Business Advisors - Springfield, MO 417-881-8333

Telecommunications:CenturyLink - Town & Country, MO 314-703-8873

Page 21: County Missouri Record · 1 County Record Missouri Spring 2020 • MAC Executive Board for 2020 – page 3 • Securing a digital infrastructure – page 6 • Reform needed for Medicaid

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Rep. Allen Andrews, R-Grant City, speaks to MAC board members during the January board meeting at the Capitol Plaza Hotel in Jefferson City. Rep. Andrews was recognized by the board for his help and support in passing House Bill 220 last year, which allows the tax revenue on wind farms owned by a public utility to remain local.

Andrews receives recognition Missouri Rep. Allen Andrews, R-Grant City,

received recognition from members of the MAC Board of Directors during their January meeting for his work last year on House Bill 220.

HB 220 ensures any tax revenue generated from publicly owned utility companies that uses wind to generate electricity will remain within the local taxing jurisdiction. Gov. Mike Parson signed the bill into law last summer.

Andrews represents several counties in Northwest Missouri that already have several wind farms scattered throughout his district. He worked closely with Atchinson County Clerk and MAC President-Elect Susette Taylor and Warren County Assessor and former MAC President Wendy Nordwald to get the legislation passed.

MAC board members thanked him for the work he did on passing this vital piece of legislation that benefits local governments.

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www.mocounties.com 23

CALL FORCALL FORFREE CATALOGFREE CATALOG

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The federal Medicaid Inmate Exclusion policy (MIEP) is putting undue hardships on county judicial, law enforcement, public safety and human services systems across the nation, and is a threat to the balance of health care costs, quality and access.

The impacts of this policy are poorer health outcomes and quality of life for our residents – as more than 95 percent of inmates and those being detained eventually return to the community, bringing their health conditions with them.

It drives the over-incarceration of those suffering from mental health and substance use disorders, as our county jails are now among the largest behavioral health facilities in the nation.

It also puts an undue financial burden on local taxpayers to provide the full cost of health treatment services that would normally be shared among federal, state and local government partners.

In early 2019, the National Association of Counties (NACo) and the National Sheriff’s Association (NSA) convened a joint task force to identify and raise awareness about the negative impacts of MIEP. The joint task force is made up of members representing both county law enforcement and local elected officials.

The group’s goal was four-fold:• Educate federal partners and the

general public on the negative impact of the inmate exclusion policy.

• Amend this federal policy and identify local innovations that would complement legislative changes and strengthen the local health care safety-net for inmates returning to their communities.

• Develop resources that provide context to the negative impacts of

health care discontinuity for jail detainees – especially for individuals plagued by significant substance use disorders and mental illness.

• Consolidate information gleaned in task force discussions into a comprehensive report outlining recommendations and best practices that spanned federal, state and local governments.

Though advocacy efforts of the task force, two key pieces of legislation have been introduced in the U.S. Senate that will amend a section of the Social Security Act and protect access to health care benefits for pretrial detainees. The Equity in Pre-Trial Medicaid Coverage Act and the Restoring Health Benefits for Justice-Involved Individuals Act were introduced last October. Since then, the task force has aimed to obtain bipartisan support for the bill and secure companion legislation in the House.

Beyond federal policy change, the task force outlined ways in which states and counties can look to regulatory changes to build the local capacity to provide health services, such as:

creating flexibility around the Institutes for Mental Disease (IMD) exclusion policy; expanding mechanisms for data-collection and sharing; and strengthening partnerships between counties and the Department of Veterans Affairs.

The group also identified best practices for improving the provision of health care for justice-involved individuals by reinforcing community partnerships, identifying individuals with health care needs, creating linkages to health service providers and leveraging federal grant funding.

The work of this task force has made the need for reform evident.

Amending federal policy is vital to turning around our nation’s behavioral health crisis, and the responsibility of change must fall equally among federal, state and local governments.

To learn more about the task force and the project, visit NACo’s website at naco.org and click on signature projects under the resource tab at the top of the home page.

Reform needed for Medicaid Inmate Exclusion policy

By Blaire BryantNACo Associate Legislative Director

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Missouri owes its counties and the City of St. Louis more than $33 million in jail reimbursement after making third quarter FY 2020 payments on claims that have been audited by the Missouri Department of Corrections (DOC). This amount only includes bill of costs claims and does not include any claims made for transportation and extradition.

Missouri reimburses county jails for detaining state prisoners for the number of days they spend in county jails while their court cases are processed. If convicted and sentenced to serve time in the DOC, Missouri counties will be reimbursed for the number of days an inmate spent being detained before being transferred to the custody of the DOC.

The state appropriated $38 million for jail reimbursements in FY 2020. Any remaining funds appropriated for jail reimbursements will be used toward unpaid claims.

The DOC begins paying claims after they have been audited and when funds are released by the state, which occurs on the first business day on or after July 1, Oct. 1, Jan. 1 and April 1.

The board rate for jail reimbursement in FY 2020 is $22.58 per day, per inmate.

Information about jail reimbursements, including instructions and forms for making a claim can be found the DOC’s website at https://doc.mo.gov/divisions/human-services/county-reimbursement.

Jail Reimbursements

What Missouri owes after FY 2020 third quarter payments

County Total outstanding as of March 31, 2020

Adair 108,460 Andrew 32,593 Atchison 25,250 Audrain 216,781 Barry 218,499 Barton 89,377 Bates 0 Benton 74,499 Bollinger 0 Boone 1,011,264 Buchanan 435,357 Butler 615,499 Caldwell 27,651 Callaway 307,207 Camden 228,519 Cape Girardeau 638,069 Carroll 48,338 Carter 21,905 Cass 304,710 Cedar 40,857 Chariton 43,657 Christian 225,909 City of St. Louis 2,210,020 Clark 47,744 Clay 1,152,739 Clinton 0 Cole 96,908 Cooper 69,986 Crawford 189,520 Dade 20,813 Dallas 143,157 Daviess 144,719 DeKalb 200,637 Dent 124,283 Douglas 26,967 Dunklin 479,923 Franklin 416,677 Gasconade 36,719 Gentry 50,711 Greene 3,325,771 Grundy 24,626 Harrison 37,563 Henry 282,474 Hickory 93,198 Holt 26,055 Howard 41,351 Howell 87,241 Iron 9,757 Jackson 4,486,687 Jasper 127,146 Jefferson 228,276 Johnson 113,710 Knox 0 Laclede 497,107 Lafayette 288,353 Lawrence 201,359 Lewis 10,398 Lincoln 0 Linn 25,787

County Total outstanding as of March 31, 2020

Livingston 182,306 Macon 63,090 Madison 25,415 Maries 20,222 Marion 208,357 McDonald 203,644 Mercer 0 Miller 241,953 Mississippi 169,961 Moniteau 117,870 Monroe 96,575 Montgomery 167,879 Morgan 256,625 New Madrid 229,022 Newton 109,461 Nodaway 112,816 Oregon 0 Osage 756 Ozark 54,208 Pemiscot 205,092 Perry 0 Pettis 464,456 Phelps 593,649 Pike 85,478 Platte 369,401 Polk 161,312 Pulaski 223,094 Putnam 11,783 Ralls 37,105 Randolph 139,345 Ray 162,763 Reynolds 46,953 Ripley 61,861 Saline 128,643 Schuyler 3,264 Scotland 24,952 Scott 377,647 Shannon 17,526 Shelby 13,849 St. Charles 1,096,864 St. Clair 70,138 St. Francois 692,261 St. Louis County 3,068,822 Ste. Genevieve 199,394 Stoddard 262,480 Stone 23,334 Sullivan 0 Taney 923,557 Texas 33,835 Vernon 278,103 Warren 359,754 Washington 225,798 Wayne 170,493 Webster 73,139 Worth 0 Wright 224,803

Total 33,123,888

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EPA finalizes new Waters of the U.S. definitionThe U.S. Environmental Protection

Agency (EPA) and the U.S. Army Corps of Engineers (Army Corps) finalized a new “Waters of the U.S.” (WOTUS) definition in January to replace the 2015 WOTUS rule issued under the Obama Administration. The announcement comes two years after President Trump signed an executive order directing the EPA to withdraw and rewrite the controversial 2015 rule. The rule goes into effect on 60 days after being published in the federal register.

The new definition creates four categories of regulated waters and includes 12 exemptions. The four categories of WOTUS include:

1. Territorial seas and traditional navigable waters

2. Tributaries3. Lakes, ponds and impoundments

of jurisdictional waters4. Adjacent wetlandsThe rule specifies that if water

does not meet one of the four listed categories, it will not be considered a WOTUS and clarifies that certain other waters will also no longer be considered a WOTUS. These exemptions include:

1. Waterbodies that are not included in the four WOUTS categories

2. Groundwater3. Ephemeral features

4. Diffuse stormwater run-off and directional sheet flow over upland

5. Certain ditches6. Prior converted cropland7. Artificially irrigated areas8. Artificial lakes and ponds9. Water-filled depressions10. Stormwater control features11. Groundwater recharge, water

reuse and water recycling structures

12. Waste treatment systemsNACo is working on a detailed

analysis of the rule and will continue to track WOTUS activity.

Background Information

The term WOTUS has been around since 1899 when it was added to

the Rivers and Harbors Act, which is the initial authority for the U.S. Army Corps of Engineers (Army Corps) permit program in “navigable” waters. In 1972, WOTUS was added to the Clean Water Act (CWA) to differentiate which waters fall under federal versus state authority. Since its inclusion in the Act, the definition has been redefined several times. In the 2000’s, the U.S. Supreme Court decided two WOTUS related cases which caused further confusion about the scope of WOTUS in the field. As a result, more counties and other stakeholders had to obtain CWA Section 404 permits for some construction and maintenance projects, which can be costly, time-consuming

Photo courtesy of MoDOTA new Waters of the U.S. definition was issued by the EPA and Army Corps in January.

www.amce.com

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www.mocounties.com 2723www.mocounties.com

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and complex.

Consequently, in June 2015, the Obama Administration finalized a controversial new definition for WOTUS. NACo expressed concerns about the final rule because it would increase federal jurisdiction over road, bridges, flood control channels and ditch construction and maintenance projects. Almost immediately after the rule was finalized, numerous lawsuits were filed in the district and appeals courts.

Since President Trump’s 2018 executive order, EPA has been drafting a new WOTUS definition. In February 2019, EPA and the Army Corp released the Trump Administration’s proposed new WOTUS definition. In response to the proposed definition, in April 2019, NACo submitted two sets of comment letters. The first letter, with the National League of Cities and the U.S. Conference of Mayors, highlighted the opportunities and challenges that counties, cities and mayors

potentially face. The second letter was exclusively focused on counties and went into greater detail on how the rule could potentially impact county-owned infrastructure. It also offered recommendations to the agencies.

On September 12, the Trump Administration released a final rule to repeal the 2015 “Waters of the U.S.” (WOTUS) definition and reinstate the pre-2015 WOTUS definition from 1986, which is currently in effect.

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Serving our member counties since 1987

Maries County and Henry County recently became new members in the MAC Trust. Membership in the Trust now currently stands at 91 of 114 Missouri counties.

The MAC Trust was created to provide a service tailor-made for the needs of counties that would save millions of dollars in premiums, compared to the cost for similar workers’ comp coverage on the commercial market, as well as to provide revenue to the association so there would not be a need to increase member service fees.

Membership in the Trust is open to counties which are members of the Missouri Association of Counties, to cities located within those counties, and other governmental entities established by MAC member counties whose employees have the same status as county employees for the purposes of workers’ compensation. The Trust is governed by a five-member board of directors, all of whom are county officials. They are elected to serve three-year staggered terms by a majority vote of the fund members at the MAC fall annual meeting.

The Trust started in 1987 when MAC formed its Workers’ Compensation Fund. In 2010, the fund changed its name to MAC Trust from the Missouri Association of Counties Workers’

Compensation Fund.

The program NURSENOW is a 24/7 call-in service. It was launched with afterhours and weekend employees in mind, but can be used by any worker provided the county has approved utilization of the service. Calls are triaged by a registered nurse who can offer prompt medical direction to an

injured worker, making it ideal for use immediately following a non-life-threatening emergency. For more information about NURSENOW, contact Julie Weir at 866-825-9800. Claims can also be filed by fax or online by setting up an online account with CCMSI’s Tom Dressler, who can be reached at 314-418-5515 or at [email protected].

MAC Trust welcomes two more members

Dade

Atchison

Ripley

Hickory

Livingston

Buchanan

Cole

NodawayWorth

Holt

DeKalbDaviess

Mercer

Grundy

CaldwellClinton

Platte Clay RayCarroll

Chariton

Linn

Sullivan

Putnam Schuyler Scotland

Knox

Macon

Clark

Lewis

Monroe

WarrenCallaway

Boone

Cooper

Jackson

Pettis

St. Clair

Vernon

PolkBarton

Jasper

Newton

BarryMcDonald Taney

Douglas

Wright

Dent

Phelps

Wayne

Howell

Shelby

Harrison

HowardLafayette

CassJohnson

Saline

Henry

Audrain

Monite

au

Morgan

Mon

tgom

ery

St. Charles

St. Louis

Je�erson

Crawford

MillerBenton

Camden

Ozark ButlerNewMadrid

Pemiscot

Mississippi

CapeGirardeau

Scott

PerrySt.Francois

BollingerShannon

Texas

Pulaski

Maries

OsageFranklin

Ste.Genevieve

Madison

Ralls

Pike

Lincoln

Randolph

AdairGentry

Bates

Lawrence

Ston

e

Christian

GreeneWebster

DallasLaclede

Cedar

Oregon

Carter

Reynolds

Stoddard

Iron

Dunklin

Andrew

Washington

Marion

Gasc

onad

e

members

Page 29: County Missouri Record · 1 County Record Missouri Spring 2020 • MAC Executive Board for 2020 – page 3 • Securing a digital infrastructure – page 6 • Reform needed for Medicaid

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Sponsored by MSBA, MASA, MoASBO, MAC and MML

• Certificates of Deposits (CDs)• Investment of Bond Proceeds

This information is for institutional investor use only, not for further distribution to retail investors, and does not represent an offer to sell or a solicitation of an offer to buy or sell any fund or other security. Investors should consider the investment objectives, risks, charges and expenses before investing in any of the Missouri Securities Investment Program’s portfolios. This and other information about the Program’s portfolios is available in the Program’s current Information Statement, which should be read carefully before investing. A copy of the Information Statement may be obtained by calling 1-877-MY-MOSIP or is available on the Program’s website at www.mosip.org. While the MOSIP Liquid Series seeks to maintain a stable net asset value of $1.00 per share and the MOSIP Term portfolio seeks to achieve a net asset value of $1.00 per share at the stated maturity, it is possible to lose money investing in the Program. An investment in the Program is not insured or guaranteed by the Federal Deposit Insurance Corporation or any other government agency. Shares of the Program’s portfolios are distributed by PFM Fund Distributors, Inc., member Financial Industry Regulatory Authority (FINRA) (www.finra.org) and Securities Investor Protection Corporation (SIPC) (www.sipc.org). PFM Fund Distributors, Inc. is a wholly owned subsidiary of PFM Asset Management LLC.

Client Services Group (CSG) | 1.877.696.6747, Option 3

77 West Port Plaza Drive, Suite 220 | St. Louis, MO 63146 | 1.800.891.7910 | www.mosip.org

Page 30: County Missouri Record · 1 County Record Missouri Spring 2020 • MAC Executive Board for 2020 – page 3 • Securing a digital infrastructure – page 6 • Reform needed for Medicaid

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Submit ideas for the 2020 MAC Annual Conference MAC invites you to suggest speakers and topics of interest for its annual conferenceAt this time, the MAC Annual Conference for 2020 is still scheduled to take place

in November. MAC will continue to monitor the coronavirus pandemic and will take any steps necessary to ensure the safety of our members and sponsors and will let our members know of any decisions made prior to the conference.

This year we’re asking for your help by inviting our members, sponsors and anyone with an interest in county government to provide us with ideas for the conference’s breakout sessions and general session presenters.

Our conference is an important event for county elected officials to see new innovations, meet with vendors and hear about issues that may affect county government. Your input is a valuable resource in making sure that our conference continues to provide our members with the information and tools they need in order to be successful leaders in county government.

If you have ideas to help make the 2020 MAC Annual Conference a success, please fill out the form below and send it back to MAC no later than Sept. 1, 2020. Forms may be sent to:

Attn: 2020 MAC Annual Conference ideasMissouri Association of CountiesP.O. Box 234Jefferson City, MO 65102

You may also fax your suggestions to 573-634-3549 or email them to Carah Bright at [email protected].

deadline: Sept. 1, 2020Submission form

MAC wants to hear from you

Conference Ideas Submission Form

Title

Name

Breakout Session — topic suggestionsGeneral Session — presenter/topic suggestions

County

Topic

Speaker

1. Topic

Speaker

1.

Topic

Speaker

2. Topic

Speaker

2.

Topic

Speaker

3. Topic

Speaker

3.

Topic

Speaker

4. Topic

Speaker

4.

Page 31: County Missouri Record · 1 County Record Missouri Spring 2020 • MAC Executive Board for 2020 – page 3 • Securing a digital infrastructure – page 6 • Reform needed for Medicaid
Page 32: County Missouri Record · 1 County Record Missouri Spring 2020 • MAC Executive Board for 2020 – page 3 • Securing a digital infrastructure – page 6 • Reform needed for Medicaid