d-/?~ · feb 13 . 1987 . minutes of health services committee january 26, 1987 . not .... approved...

53
JAN 1987 MINUTES OF THE MEETING ]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: W. VoJr.Jr.a.nc.e., Public. Ch.Jr...Wtine. John.oon, o6 Patient 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 The. o6 the. Ve.c.e.mbe.Jr. 76th' and Ve.c.e.mbe.Jr._ 22nd me.e.ting we.Jr.e. appJr.ove.d a motion by Le.g.WWoJr. Sh..Ute., by Le.g..WfutoJr. KJr.ame.Jr. a.nd He.al.th Ve.paJr.tme.nt - MJz.. VMJr.anc.e. m6 OJr.me.d .the. .that the. b 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 , (Le..ote.Jr. Che.vJr.ole.t, Che.vJr.ole.t, Ma.ote.£ FoJr.d and Ea.ot GaJr.age.). Two de.ale.Jr..o not want t.Jr.ade. ru. Ea.ot wa..o the. lowe..ot but on.fy o66e.Jr.e.d $4500 60Jr. .the. (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 19 80 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 :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. 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 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. ..i..n6oJr.mation.

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Page 1: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

d-/?~ JAN 2~ 1987

MINUTES OF THE MEETING

]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 $4500 60Jr. .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, 19 80 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.

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Page 2: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

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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.

Page 3: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

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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 ··-·. :j

me.e.ting in Ma.Jtc.h 8 - 10. 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

Page 4: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

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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 ·

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(-_

·.;

Page 5: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

~/?~ FEB 13 1987

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 9 1 198 7

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.

Page 6: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

NO~t

APPROVED MEMBERS PRESENT:

MINUTES OF THE MEETING

F~b~uaky 17, 1987

Chwman F~w

il FEB 2 4 1987

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.

Page 7: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

-Z-

c.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. A f.e.tte.Jt hM be.e.n .oe.nt to :the. CoUI'lty AttoJtne.y to

Jte.v.{.e.w th-i..-6 pJtopMa...f. 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..Jtt-

me.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

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MJt. VoMa.n.c.e. -i.n.60.11.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 ~~0.11.-0 -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.

Page 9: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

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.. The.

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.. 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. 2 3Jr.d, on Jr.e.duc.-Ln.g Jr.a..don pJwb.f.e.m..o. The. c.o..ot .W

$785.00. 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.

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-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 A4310.433 and a.f.J.>o into Jr.e.ve.nue. a.c.c..ount A3490.1 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.

Page 11: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

-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.

amoun.:t he.Jt. e. J.J.J a.pp.ll.o xJ.ma.X.e.fy 7 5 - 8 0 .thou.oand doffa.M.

0 :th e.Jr. B u.oJ..ne..o.o

The. Jr.e.fa.:te.d mone.y

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. 19 8 6 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, 7 0 0 0 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 30-86 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

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-4-

:to :the. Cilize.JU AdvLooJr.y Cou.nc.Lf. WM made... Motion WM ma.de. by Le.gLof.o.X.oJr.

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 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.

(

(

Page 13: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

HEALTH SERVICES COMMITTEE

APR 16 1987

NOT~ A ..... ~ ..... ,4--....

~r·- ·' . , : .. ·-. l. i • . 0

April 13, 1987

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: Hospice Challenge

April 21-22: A Challenge for Rural Elderly.

Meeting adjourned.

Page 14: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

MEMBERS PRESENT:

ALSO AffiNVING:

MINUTES OF THE MEETING

H e.ai..t.h Svr. v .<. c.v.. C ommi..:tte. e.

Apft.<.!. 27, 7987

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. The He.a..f.th De.pa.Jttme.nt

w.<..te. be fte.c.e..<.v.<.ng k..<.:U to tMt 6oft fta.don c.ontam.<.n.a.tion. 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, 79 8 3 Re.nau.ft, 6 0/1.

Page 15: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

-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. 1987. 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~ c.omm,{.tte.e. '.o .tr.e.c.omne.nda..ti.on on a.no.thvr.

phy .o,{.Ua./1 6 o.tr. :the. B ocvr.d •

CouMe.U,tng Ce.ntvr.

The. 1986 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. o6 1000 v~,{_;t).) a.t $60.00/v~,tt. An a.ve.Jta.ge. .6Ma.Jt.y oOJt

(

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-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.nt­

ment 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

Page 17: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

~~ MAY 15 1987

MINUTES OF THE MEETING

J:. .... .... _._

i •. ;;

• •: '-'--' j

May 7 2 , 1 9 8 7 I' ~~

li, i-..~ F·,,., / -~ .,~ .. ) ~ , -• [ .i ':.~_) \: . .. ·-~ 0'.·

MEMBERS PRESENT: Ch~man F~~ Le..g-U.f.atoM Louc.fu, Sh-<..ne.., K~a.m~, We..n.twOJr.:th

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

·-~~..., I~

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.. 79 8 7

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

Page 18: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

-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 $344.00. 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 7 60 3. 7

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

Page 19: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

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.6.

06 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 7 7- 7 9 -<-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..

Page 20: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

' '

' - .. -

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£.

Page 21: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

JUN 1 HEALTH SERVICES COMMITTEE

-MAY 2/ I 1987

A special meeting of the Health Services Committee was held at 1:00 p.m. on May 27, 1987.

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.

Page 22: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

MINUTES OF THE MEETING

June. 1 6 , 7 9 8 7

MEMBERS PRESENT: Chahc.ma.n FJtcU!r. Le.g~latoJt~ Louck~, Sh~e., KJtame.Jt

c?~ JUN 2 3 1987

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

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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.. She. ~ Jr.e.que..otin.g .tha:t un.dvr. .the. a.bove. c.btc.um­

.6:ta.n.c.e..o .6he. n.o:t .toMe. hvr. time.. 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.p-

pJr.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.

066..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 .£-6 100% .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. 1---1 3 .6he.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. ~

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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, 0 0 0. 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 :them -i..n :th-i.o p.tr.og.tr.am. a V') 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. Th.W w-iU be. b.tr.ought be.fio.tr.e.

the. 6uU Boa..tr.d o6 Le.g.W.e.a.to.tr..o. 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.. 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.

Ce.nte..tr.. 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.

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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

Page 26: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

MEMORANL;;JM OF E><PLAr\JAT!Qf\J I t~ T R 0 I ,,~ 0 I ------

( Clerl<:.: 1 s Use Only) ~

JOMMITTEE: 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 $5,000.00 and is 100% State money. A6778.201 - $2,000.00

A6778.433 - 3,000.00

Revenue Number A3778 5,000.00 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 5,000.00

A6780.402 - $1,500.00 A6780.429 - 300.00 A6780.433 - 3,200.00

Revenue number A3790 5,000.00 These account numbers will need to be created.

I SCAL IMPACT:

There will be no fiscal impact because of the State reirnbursemm r

Page 27: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

MEMORANDUM 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 $1,267.00. 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.

A6777. 401 - 300.00 New budget amounts

A6777.402 - 457.00 II II

A6777.407 - 500.00 II II

The revenue for this grant would also increase.

A3641.1 - 1,267.00

~SCAL IMPACT: There is no fiscal impact at the local level

$550.00

717.00

700.00

Page 28: d-/?~ · FEB 13 . 1987 . MINUTES OF HEALTH SERVICES COMMITTEE JANUARY 26, 1987 . NOT .... APPROVED . A short meeting of the Committee was held prior to

I

MINUTES OF THE MEETl :;:;

Health Scrvic es Com:ni t t('t:

July 22, 1987 . ' .""t.- ,.

~1EMBERS PRESENT: Chairman Frair Legislators Loucks, \·ientworth, Kramer, Shine

JUL 9 7 1987 ALSO ATTENDING: 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

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.

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I

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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

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. A motion was made to this effect

by Legislator Kramer and seconded by Legislator Loucks. Motion carried.

}tr. Dorrance discussed the financial statement. He stated that at this point

the expenditures look good but ~e revenue does not. This is due to the fact that

we have not received any State Aid for this year as yet but it is expected. Another

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-J-

factor is that Medicare reimbursement is falling bel1ind the projected 1987 figure.

The reason for this is that Medicare now has a new inte~ediary, Prudential, and the

denial of claims is much larger than it has been in the past. This is becoming a

nationwide problem and hopefully will be rectified in the near future. The Long Term

Program revenue will be much higher than expected for the year.

Mr. Dorrance stated that the position of Office Manager that has been left open

will need to be filled. The department does not want to fill this position until

a list is established. He stated that the test will be given in November and an

established list will not be available until March or April crl988. The department

is also in the process of upgrading an Account Clerk/Typist position. A duty

statement is now being processed and personnel will perform a desk audit. Mr. Dorrance

stated that a CASA coordinator has not yet been hired and that the position is being

advertised.

Other Business

Chairman Frair handed out a letter written by James Cross, District Superintendent

of BOCES. This letter was in response to a complaint submitted from Genevieve Creighton

relating to concerns of the parents of a handicapped child and their claims that he did

~ i ·• not receive the services ordered by the Court. A meeting will be scheduled in the near

J future with all parties involved to resolve this problem.

Counseling Center

Dr. Anderson requrested a transfer of funds from 4310.414 to 4310.424 for $500.00

and from 4310.414 to 4310.426 for $200.00. A motion was made by Legislator Wentworth

to approve this transfer and seconded by Legislator Shine. Motion carried. Dr. Anderson

would also like to request a resolution to transfer funds in the amount of $3,829.28

from A4310.414 Rent to A4390.429 Mental Hygiene Law Expense. A motion was made by

• Legislator Loucks to approve this transfer by resolution and seconded by Legislator

Wentworth. Motion carried.

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Dr. Anderson stated that since the Senior Staff Psychologist position has

been upgraded, he would like to pay the part-time person in this position the

increased rate. A motion was made to this effect by Legislator Shine and seconded

by Legislator Wentworth. Dr. Anderson brought to the attention of this committee

the fact that Allegany County has not paid dues to the Mental Health Directors

Conference. The dues are $600.00. Dr. Anderson would like to pay the dues for 1987

and then continue to keep current with them. A motion was made to this effect by

Legislator Kramer and seconded by Legislator Wentworth.

In another matter, Dr. Anderson asked what the reaction was to the presentation

at the last meeting in regard to the Counseling Center becoming a "contract agency".

There was a general discussion. Dr. Anderson again addressed the two issues that

were of a concern put forth from the County Attorney's office at this last meeting.

Those issues are the control and accounting factors. Dr. Anderson would like a

resolution to be prepared that the County of Allegany allow th~ Counseling Center

z to be contracted to a not-for-profit corporation. A motion was made to this effect :::J -1 '-< ~ by Legislator Wentworth and seconded by Legislator Loucks. Motion carried. -l 0 [I)

r::::1 Education of Handicapped Children ~

Geneveive Creighton presented her budget for 1988. The total budget figure is

:; $689,568.00, an increase of $50,000 from 1987. A motion was made to accept this

-· i budget by Legislator Wentworth and seconded by Legislator Shine. Mrs. Creighton

i also submitted her monthly financial statement.

AUDIT OF CLAIMS

The usual bills were reviewed and approved with a motion by Legislator Shine

and seconded by Legislator Wentworth.

There being no further business the meeting adjourned at 11:45 a.m.

Respectfully submitted,

.. Linda Ross Aronson

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MINUTES OF THE MEETING Autffil~ Health Services Committee

August 11, 1987

MEMBERS PRESENT: Chairman Frair Legislators Kramer, Loucks, Shine, Wentworth

ALSO ATTENDING: J. Mullholland, Media

The meeting was called to order by Chairman Frair.

A letter of explanation concerning an additional van budgeted by the Office

for the Aging for 1988 was submitted by Betty Embser as information requested.

Representatives from the Mental Health Center presented their budgets for

approval. The committee approved the A.R.C. and Alcoholism budget as presented.

The Counseling Center for Mental Health was approved in total except for the

area of Repair of Real Property. It was suggested that review of this area with

the Head of Public Works be prusueed before finalizing the amount to be budgeted

for 1988 ($5,000).

In A.R.C. and Alcoholism areas the main increase was due to the increase in

services and the number of clients involved in the programs.

A meeting with B.O.C.E.S. representatives and parents concerning B.O.C.E.S.

Pre-School education program was held.

The budget of the Allegany County Association for the Blind and Visually

Handicapped was presented and approved by the committee.

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August 6, 1 987

Lee Frair, Chairman Health Services Committee County Office Building Belmont, NY 14813

Dear Chairman Frair,

Alleg-.1ny County OfFice for- the Aging

17 Cout-c Su-eet Beln1ont, New l"ot-k 14813

x~x~x~~~xx~~~x~x~~xxx~x Nr:w Phone: 268-9390

T,his letter is in response to an inquiry made by the Health Services Committee at my budget presentation on July 27. To clarify the issue of the mini-van, I have prepared the following.

A second SNAP delivery mm1-van is needed for our local program because of the large geographic area we cover. This Office for the Aging has expanded this program into diverse regions in an effort to serve a larger number of the truly frail, isolated, elderly population. A cost comparison of milage paid to individual drivers and the cost of buying a mini-van follows.

At this point in time we have expanded in the southeastern and eastern portion of the county to include a route of 230 -miles per week. This service is available 52 weeks per year. Thus, travel will be 11,960 miles this year. This next calendar year the van would be used to deliver SNAP meals to home bound clients. It is difficult to estimate the rate of expansion over the next seven years. Let us project this ·cost analysis to a seven year period. At 230 miles per week mileage comes to 83, 720 over the next 7 years. We project cost of mileage to to the county to increase at a rate of 4% over the next seven years. At that rate the cost of paying mileage over a seven year period would be $24,280.

The cost of the van we estimate to be $10,000.00. We estimate that cost of insurance will be $5, 600.00 over a seven year period. The maintenance over the seven year period would be $1,900. The gas average over the next seven years we estimate at $1,800. 00. That would bring us to a grand total of $19,300. This equals a difference of $4, 980. The cost of purchasing a van and having a I ife expectancy of seven years would save the county $4, 980. over a seven year period, plus the county would have the trade-in value of the van when finished. Also, it would be easier for the Office for the Aging to hire a driver if that person does not have to use their own car.

I hope that this helps you in your analysis of our budget. If I may be of any mot·e assistance do not hesitate to call. Thank you very much for yow· attention to this matter.

Aging is for Everyone,

£fi;,.-LfJ:6~,?__,~ It:,< fu 'J Elizabfth Embser Wattenberg £/1. Director

EEW:em

(

(

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MINUTES OF THE MEETING

Health Services Committee

August 19, 1987

MEMBERS PRESENT: Chairman Frair AUG 24 1987 Legislators Kramer, Wentworth and Shine

ALSO ATTEND INC: Leonard Watson, Chairman of the Legislative Board David W. Dorrance, Health Department, Public Health Director Genevieve Creighton, Education of Handicapped Children

The meeting was called to order by Chairman Frair at 9:10 a.m.

The minutes of the July 22 and August 11 meeting were approved as sub-

mitted. A motion was made to this effect by Legislator Wentworth and second

by Legislator Shine.

Health Department

The Department requests permission to send Chris Johnson to an inservice

on Medicare reimbursement in Rochester on September 17 and 18. Registration

fee is $60.00 and it was stated that Mrs. Johnson will drive back and forth.

Legislator Wentworth made a motion to approve the above and second by Charlie

Shine. Motion carried.

Mr. Dorrance reported that Alfred Ag-Tech College Video Library did not have

the films available that were discussed at the July meeting. Therefore, Mr.

Dorrance would like to request a resolution to transfer money from Family Planning-

Supplies .408 to Health Supplies .206 in the amount of $575.00 for the purchase

of these films. Mr. Dorrance stated that he will also need to get approval from

the State Health Department for this since it is a line item change. A motion was

made by Legislator Kramer to approve this transfer by resolution and second by

Legislator Wentworth. Motion carried.

Mr. Dorrance would also like to request a resolution to change the Family

Planning Personal Services AFSCME line item A4035.103 from $1300 to $3000. This

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( money is reimburseable by the State and it was reflected originally in the

revenue which was an error. A motion was made by Legislator Wentworth to

approve this change by resolution and second by Legislator Kramer. Motion

carried.

The Department requests another transfer of money within the Public

Health Personal Services account for Part-Time people, from A4010.103 and

A4010.104 into A4010.105 in the amount of $4,932.00. A motion was made to

approve this transfer by Legislator Kramer and second by Legislator Wentworth.

Motion carried.

Mr. Dorrance submitted his financial statement for the month of July.

He reported that the department has received the first quarter State Aid for

the Family Planning Program but as yet nothing more. There was a general dis-

cussion regarding the financial statement. (

Mr. Dorrance submitted 1988 budget whichvas reviewed by the committee

members present and approved as submitted. A motion was made by Legislator

Wentworth and second by Legislator Kramer. Motion carried.

Education of Handicapped Children

Genevieve Creighton presented her financial statement for July which was

reviewed by the members present.

Audit of Claims

The usual bills were reviewed and approved with a motion by Legislator

Shine and second by Legislator Wentworth. Motion carried.

There being no further business the meeting adjourned at 9;45 a.m.

Respectfully submitted.

Linda Ross Aronson

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MINUTES OF THE MEETING

Health S~v~e~ Comm~ee

Septemb~ 14, 1987

MEMBER PRESENT: ChWuna.n. FJtcU!r.-Leg..Wla:toM KJtam~, Sh~ne, Wen:twoJtth

ALSO AffiNVING: EUzabe..th Emb4e.-'t, OH.i.ce fiM :the. Ag-l.ng

~~ SEP 29 1987

A .6pec.,la,.f. meeting WlW c.aU.ed by Cha..Ur.ma.n FJtoJ..It upon Jtequ~t on Be:t:ty

Emb-6~.

~. Emb-6~ Jrequ~ted that. a memb~ on the Onfi~ee ooJt the Ag~ng be .!.lent

to a State meeting ea.f..f.ed ~ SyJtaeu4e eonee.Jr~ng the HEAP PJtogJram. Moved

biJ Leg~la:toJt WentwOJrth, .6eeonded by Leg..WWoJt Kl!.ame.Jr and eMJr~ed.

A l!.equ~t by Be:tty to bta.n-66~ 6UJ'l.CL6 ~n :two eM~ by BoMd l!.~oluilon

WM moved by Leg..WWoJt WentwoJtth, .6eeonded by Leg~.f.atol!. KJtame.Jr a.nd eMJr~ed.

A Jtequ~t to ehange the wage .6ehedu.f.e ~n the Nubtilion PJtogJtam noJt

c/Jr.~ve.M a.nd the .6Upe.Jrv~O.It on the Nubtilion .6ft~ WM d..weUMed. It ..w to be

Jteoe.Med to the Leg..Wlailve body M a whole oM eon.6~de.Jrailon. A.tbo a Jtequ~t

to pUJtehMe a new deUve.Jry va.n WM l!.ene.Med to the Leg..W.f.ative body M a whole.

A d..WeUM~on on Be:t:ty '.6 Jtequ~t to pUJtehMe a poJttable eop~e.Jr at no eo.l.lt

to the County l!.ee~ved no a~on~

A Jtequ~t by Be:tty to bta.n-66~ 6unci6 fill.om the aeeount • 4 to po.6tage & pJt~ng

aeeount WM moved by Leg..W.f.atol!. Shlne, .6eeonded by Leg..W.f.atol!. WentwoJtth and eMJr~ed.

~. Emb.6e.M Jtequ~t to go to the Boa.~td a..6 a whole to eon.6~de.Jr Ml!.~ng a.n

~nployee WM gl!.anted.

Me.e.ilng :the.n. adjowu1.e.d.

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MINUTES OF THE MEETING

d~ SEP 29 1987

Septembek 14, 1987

MEMBERS PRESENT:

A .opec..<.al. meeting WM c.a..U.ed :to oJr.dek by Chahr.man FJr.ahr. a:t 1:15 p.m.

VJt. Robek.t AndeMon ofi .the CoWt.ty Men.W He.al:th Cen.tM Jtequu.ted

pMrn-W.o.i..on .to go befioJr.e .the Bocvr.d M a. Whole 6oJt. .the pWLpo.oe o6 Jt.equuting .the

h.i..Jt..i..ng o6 a. .te.mpOJt.My pM.t .t.ime .oeCJT.eta.Jt.y. AppJt.ove.d ayu all.

A Jr.e.quu.t by VJr.. AndeMon to change .the budget ofi ARC by Jr.e.oolu.tion

/;Jr.om $260,848 .to $290,048 6oJr. .the. budget yea.Jt. o6 1987 due. :to .the. Statu

p!LOV.i..d.i..ng a.dd.i...ti.ona.l nu.n.d.-6. Moved by Leg.i..-6la:toJt. Wen:two.tlt.h' .oec.onde.d by

Leg.i..-6.f.a..tOJr. Louc.k.-6 a.nd c.M.Jr..i..ed. Ayu ate - ThMe w.i..U be no a.dd.i..tion.a.l.

c.o.o:t :to the co u.n..ty •

VJt.. AndM.oon Jt.equu.te:d :to c.heutge .the Cou.Me.Wng Cen.tM '.o po.o.i..tion

o6 C~ca.l Coun.oeloJt. to a. Soc..i..a.l WoJr.kM w.i..:th a. Ma.o.teJt.o degJr.ee a.:t Step 2.

Moved by Leg.i..-6latoJr. Louc.k-6, .oec.onded by Leg.i..-6la.:toJr. Sh.tne a.nd c.a.Jt.Jr..i..ed, a.t:fM

all. A Jt.Molu..ti.on .U to be pJtepa.Jr.ed.

Al.oo a. Jr.equut by VJr.. AndeMon to change .the po.oWon o6 c.Un.i..c.a£

c.ou.n-6eloJr. a..t Houghton Cen:te.Jt :to a. Soc.ta.l WoJr.kM w.i..:th Ma..o:t.M.o degJr.ee a.:t

Step 1 WVLe a.pp.~toved.

V.i..-6CU/.)/.).i..on and c.on.o.i..de.Jr.a.tion 6oJr. a. new c.op.i..M and P. C. Compu..te.Jr.

Wo.~td pJtoc.e..o.oOJr.. No a.c..tion :taken.

Meeting o.dj oWl.ne.d.

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MINUTES OF THE MEETING SEP 29 1987

SeptembM 22, 1987

MEMBERS PRESENT: Ch~man F4~ Leg.WWoM Louc.k-6, Sh.i..ne., K4amM, WentwMth

ALSO ATTENDING: V4. RobMt And~on, Coun6ell.<..ng Cente4 CM.Wtine JohMon, V-<..4ec:to4 PaLLen.t SMv.i..c.u Jenev.<..eve Cke.i..ghton, Educ.at.<..on PhyJ~c.ally Hand.<..c.apped Ch.i..l~en

The me.e.ting WM c_aj_f_e_d to o4dM by Chahr.man ha.iA at 9:07 a.111.

ThMe. wM b4.i..e.n d.i.Jc.UM.i..on on the. p4oblem o6 fi.i..nd.i..ng a PhyJ.i..c.a£ ThMap.i..Jt

fio~ J.i..x {6} p4uc.hool c.h.<..ldken that ake n~ not 4e.c.e..<..v.<..ng th.i..J JMv.i..c.e fi4om

BOCES M they no longe4 employ a phyJ.i..c.a£ thMap.Wt. Two .i..JJuu that will

be. ad~eMe.d la;te4 .in thue. m.i..nutu M.e: 1) the c.onbutc.t nM br.~po4ting the p4uc.hool c.h.i..ld4e.n undM the Educ.a:t.<..on 6o4 PhyJ~c.ally Hand.<..c.appe.d Ch.i..ldken

P4og4am; and 2} p4oblem .<..n p4ov.<..d.<..ng the. PT JMv.i..c.e. to J.i..x ( 6} p4Uc.hoolMJ.

The m.<..nutu ofi the. AuguJt 19th meeting We4e. app~toved w.<..th the motion o6

Le.g.i..JWM We.n:tLJ.JOJtth and Jec.onde.d by Le.g.i..JWO.Jt K4ame4. Motion c.aM..i..e.d.

Health Ve.pa4tment

The Health Ve.pMtment 4equuted app4ova£ o6 the. fioUow.<..ng br.~6~ .<..n

the Long TMm budget: 64om A4040.406 to A4040.444 ofi $3,100; fi4om A4040.438

to A4040.429 ofi $2,000. Thue. bt.~nMJ total $5100. Thue We4e app4oved

wi.th a motion by Le.g.i..Jlato4 K4amM, Je.c.onde.d by Le.g,{_Jla;to4 We.n:tlvo4th and

The. Je.c.ond 4e.quut 4eq~u 4uolution to .i..nc.4e.Me the Long Te.TLm ac.c.ount

A4040.439 .in the amount on $100,000. A!Jo, 4evenue. ac.c.oUnt A1603.7 Med.<..c.ai.d

Jhould be. i.nc.4e.Med $90,000 and 4e.venue ac.c.ount A1603.3 .i..nc.4eCU>ed $10,000.

Thue. :two amountJ Me equ.i..valent to the. above $7 00, 000. Th.i..J 4equut to

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undvr. the. Long Tvun PJr..ogJr..am. Motion WM ma..de. by Le.g..Wl.atoJr.. We.ntwoJr..th, .oe.conde.d

by Le.g..WlatoJr.. Shine. fioJr.. a Jr..e..ool~on to be. ~e.p~e.d by the. County AttoJr..ne.y'.o

o66.ice to covvr. a60Jr..e. mentioned .inCJr..e.a.oe. .in the. Long Tvr.m budget. Motion caJr..Jr...ie.d.

In Jr..e.lation to the. Long Tvr.m p.Jr..OgJr..am Le.g..wi.atoJr.. Louck.o a.ok.e.d Mlw. John.oon

.£6 the. de.pMtment expected the. p.Jr..ogJr..am·-to continue to gJr..ow? M't.o. John.oon .o.ta.te.d

that ye..o, the. de.pMtmerz.t ..W alJr..e.ady .inCJr..e.a.oe.d to 54 patie.nt-6 and expect to

.lnCJr..e.a.oe. .ln the. fiutwLe. to app.Jr..ox.imate.ly 80 pa.:ti..e.nt-6. M't.o. John.oon ha.o be.e.n

pJr..e.pM.ing anothe.Jr.. appl-ication oOJr.. app.Jr..oval on 100 be.c:U. It ..W almo.ot complete..

She. WM tof.d .it would .take. 3 - 6 month.o to Jte.ce..lve. a.ppJr..oval on th..W a.ppUcation.

Coun.oe.lf..i~g Ce.nte.Jt

VJr... Ande.Mon at a p.!te.v.lou-6- Heaf.th Se.Jr..v.ice..o meeting a.ok.e.d 6oJr.. the. authoJr...ity

to CJr..eate :two MSW po.o.ition.o a.nd to h.iJr..e. one. at GJr..ade. 21. Bu.t a6te.Jr.. d..Wcu.o.o.ing

th.i-6 w.tth Pvr..oonne.£. and MJr.. S.ik.Ma.o U wa.o de.c.ide.d U could not be. done. th.i-6 way

M e.ve.Jr..yone. e.f..oe. would have. to be. move.d up the. pay .ocale. al.oo. The. County AttoJtne.y '.o

o 6 fi.ice .i-6 a.ok.e.d to d.i.oJT..e.gCVtd th.i-6 Jr..e.que..ot, bu.t would Uk.e. Jte..ool~on P!J:e.paJr..e.d to

CJr..e.ate. two-- MSW po.o.ition-6- at- GJr..a.de. 21 .in the.. Coun.oe.ll.ing Ce.nte.Jr... Th.i-6 wa.o appJr.ove.d

w.ith a. motiq_r~:_~~e._g_-0latOJr.. Shine., .oe.conde.d by Le.g..Wl.atoJr. We.n.:twoJr.th and caJr.Jr...le.d.

VJr... Ande.Jr...oon al.oo Jte.que..ou appJr..oval o6 tJr..a¥1.o6eM M 6oilow.6: 6Jr..om A4310.402

to A4310.411 on $36.88; A4310.402 to A4310.419 o6 $$17.05; A4310.402 to A4310.424

o6 $493.98 and 6Jr..om A4310.802 to A4370.804, due. to e.Jr.Jr.oJr.. at t.ime. o6 budge..U.ng, o6

$4,330.00. The..oe. tJr.a.n.o6e.Jr..o We.Jr..e. app~r.ove.d w.i.th a mot-ion by Le.g.i-6-f.atoJr.. Sh-ine.,

.oe.conde.d by Le.g..Wla.toJr. We.n.:twoJr..th, and ca.Jr.Jr...le.d.

The. fio£fow..[ng f.AaJtofivr. Jtequhte..o a. ~Mof.u.t.ion: · VJr... AndvcMn Jt~U.~ a.pp-tovo..£.

o6 tJr.an.ofie.JtJt.ing $4264.32 6Jtom Pe.Jr...oonal Se.Jr.v.ice account A4390.102 to e.xpe.nd.ituJr.e.

(

account A4390.429. The. Co~ AttoJr..ne.y'.o o66.ice ..W a.ok.e.d to ~e.pa~r.e. Jr..e..oo~on (. \,·'

fioJr.. above. -tJr.a.n.o6e.Jr.. w.i~-~ motion by Le.g..WlatoJr.. Sh.ine. and .oe.cond by Le.1J...i.of.atoJr.. Louck.o.

Mo.U.on c.a.Jr.Jr...ie.d.

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-3- .

V~. And~~on w~ ~ked ~n he had had anyone ~~~ted ~n tile py~cho!og~t

pM~uon. He ~6Mmed the commUtee that, yu, th~e had been fuee [3 J ~~-

v~~, but no one no~ the po~ilion ~ yet.

w~e opened. B-i.cU w~e ~ 6oilow.6:

ABC Cab

GJr.oup 7

LaJ..dlaw

GJr.oup 1 GJr.oup Z GJr.oup 3

Blue B~d

GJr.oup 1 GJr.oup 2 GJr.oup 3

CCV!.Jl.~~ Coach

GJr.oup 1 GJr.oup 2 GJr.oup 3

Ca.ttMa.ug~ Rehab

GJr.oup 2 only

$30.00/day

27.60/day 20.30/day 37.90/day

15.75/day 28.90/day

157.00/da.y

50.00/day 50.00/da.y

110.00/ day

19 • 9 7 w~thout a.tterr.clant 22.27 w~ attendant

$82,620.00

59,486.40 30,510.90 6,253.50

43,375.50 43,436.70 25,905.00

137,700.00 75,750.00 18,150.00

30,014.91 39,487.58

1 t W~ noted that the ~eM on nO.Jt -6UC.h an .inCJc.eMe .in C.Mt no~ th-i.-6

~a.n-6po~ta.Uon (1985- $40,707.; 1986- $46,344.; 1987 fuu 8/87- $44,629)

WM due to a. new SWe law being -i.M.tituted timt th~e ~ to be open b-i.dding.

It HiM de_c.i..de.d :to ea..£.£ a ...spe.e.i...al. me.e.Ung to de.c.-i.de. who the. bJ..ci6 would be

awMded, g-i.ving tile County AttOJr.ney a. chance to ~eview th~e bid-6.

Th~e w~ d~c~~~on on who ~ ~upoM~b!e to ~ovide the Phy~~ca.l Th~a.py

.o~v-i.ee 0 o~ the ~uchoo! c.hildlr.en. It WM dec.ided that M!t-6. CJC.e~ghton ~hou!d

contact the pMen:t.J o6 the 6 childlr.en in quution and ~k them ~ they would be

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-4-

w.<.Wng to ha.ve the.<Jr. c.h.i.f.dJr.en aften.d a. PT pJtogJLa.m at ARC .in AUegheYUJ, NY.

AudU o 6 B.i.l.b.,

B~ wVte a.ud-i.ted a.nd a.ppJtoved w-i.:th a. motion by Leg.W.ea..to~r. Sh-i.ne a.nd

.6ec.on.ded by Leg-i.-6Wo~r.. Wen:twOJr.th. Motion c.M.Jt-i.ed.

TVr.Ua. C.f.a.ypoo£.

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SPECIAL MEETING

Health Services Committee

September 24, 1987

MEMBERS PRESENT: Chairman Frair SEP 29 1987

Legislators Kramer, Wentworth and Shine

Special meeting was held to a~ard bids for transportation of Handicapped children. Upon receipt of the bids it was noted Laidlaw School Transit, Inc. failed to include information requested under Item IV "Qualifications of Bidder''. This material was submitted the following morning. After examining the materials submitted late by Laidlaw and being advised that failure to file the material was an inadvertent clerical mistake and after due deliberation, motion ~as made by Legislator Wentworth, seconded by Legislator Shine and carried that the failure by Laidlaw to submit the foregoing material with the bid is an immaterial defect and the late filing of such material is hereby accepted. It is further determined the late submission of such material does not constitute a material advantage to Laidlaw nor a material disadvantage to the remaining bidders and it is further determined that it would be in the best interests of the County to accept Laidlaw as the lowest responsible bidder for Groups II and III.

Upon the motions of Legislator Wentworth, seconded by Legislator Shine and carried, bids were awarded as follows: Group I - Bluebird Transportation Inc. -bid price per day $15.75- base bid- $43,375.50; Group II - Laidlaw School Transit, Inc. - bid price per day $20.30 -base bid - $30,510.90; Group III - Laidlaw School Transit, Inc. -bid price per day $37.90 - base bid - $6,253.50.

On the motion of Legislator Shine, seconded by Legislator Wentworth and carried, a transfer of funds within the Health Department from Account No. A4043.424 to 4043.409 was approved and carried.

On the motion of Legislator Shine, seconded by Legislator Wentworth and carried a transfer of funds of the Special Education Program from Account No. 2960.405 to 2960.424 was approved to cover advertising expenses involved in competitive bidding for transportation of handicapped children.

The regular monthly audit of the Special Education Program was reviewed and approved for payment on the motion of Legislator Shine, seconded by Legislator Wentworth and carried.

Meeting adjourned.

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MEMBERS PRESENT:

ALSO ATTENDING:

HEALTH SERVICES SPECIAL MEETING

October 13, 1987

Chairman Frair Legislators Kramer, Loucks, Shine and Wentworth

David Dorrance, Health Department, Public Health Director Jenevieve Creighton, Education of Handicapped Children

Dr. Robert Anderson, by written letter, requested permission to attend the N.Y.S. Mental Health Directors meeting on October 20-22 in Kiamesha Lake, N.Y. Permission was granted on a motion by Wentworth, seconded by Kramer and carried. Also, Dr. Anderson requested permission to attend the Western Regional Planning Board meeting in Buffalo, N.Y. on November 9 & 10, at no expense to the County. Permission was granted on a motion by Wentworth, seconded by Kramer and carried.

Mr. David Dorrance requested permission to go to the Board as a whole and obtain a permanent nurse in place of a temporary nurse. Permission granted.

Mr. Dorrance requested permission for Albert Vossler to attend a meeting at Erie Community College on October 19-30, cost to involve room and board only. Permission was granted on a motion by Kramer, seconded by Wentworth and carried.

Mr. Dorrance requested permission to send the Department's Family Planning nurses to a training course on October 26 & 27. Permission was granted on a motion by Wentworth, seconded by Shine and carried.

Mrs. Creighton discussed the problem of obtaining physical therapy services for seven pre-school age children since B.O.C.E.S. will not provide it. After a general discussion Mrs. Creighton was instructed to process the children and to discuss the problem with the County Attorney.

Meeting adjourned.

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J~~~

MINUTES OF THE MEETING -..,_ ··-~· . -

Health Sekv~e~ Committee

Oe:tobek 20, 7987

MEMBERS PRESENT: C~man F~~ Leg.WWoM Sh-ine, K~amek, WentwM:th

ALSO ATTENVTNG: V~. Robek:t And~on, Co~ett-i.ng Ce~ Vcw~d W. VoMan.ee, He.a.f.:th Vepcvdmen:t

OCT 2 3 1987

The meeting wa;., ea-Ued :to Mdek by C~man. F~Wt. a:t 9:10 a...m.

~ute.-6 o 6 :the Sep:tembek 14th meeting-!> and :the Sep:tembM 2 4:th meeting

wMe a..pp~oved. The Sep:tembM 22nd ~nut~ WMe a..pp!Loved a;., amended. (To

change Mental He.a.f.:th a..eeount #A4390.102 & A4390.429 :to A4310.102 & A4370.429.)

M~nut~ o6 Oe:tobM 73 and 74 wMe al-6o a..pp!Loved. Motion wa;., ma..de by Leg.Wf.a..:to~

Wen:twM:th, -t>eeonded b!J Leg.WR.a.:to~ Sh-ine 6o~ :th~e a..pp~ova..tf.,.

Coun-t>elling Cen:tM

~ V~. AndeMon ~eque-t>:ted a..pp!Lova..l :to upda:te :the CSS c.onbr.a..e:t w~:th ARC and ~ c:S :the Men:ta...e. Hea..Wt AMoUa:t~cn. Th.w ~equ.e.-6:t wa;., a.pp!Loved w.uh a.. motion by 0

~ Leg.WR.a.:to~ Sh-ine, .6ec.onded by Leg.WWo~ K~amek, a..nd c.M.Jl.~ed. The -t>ec.ond ~equ~:t ~eq~~ a..ppll.ova.l ofi :the fidllow-i.ng ~a..n-!>tM fi~om :the

Menta£ Health SMv~c.e a..c.c.oun:t A4310.414 :to .407 (066-i.c.e Supp~~J, .415

X~ox Supp~~~ .424 Lega..l AdvM:C.W~g, a..nd .427 E.tem-i.U:ty :to~ng $7680.

Th.W ~a..n-!>nM wa;., a..pp.tc.oved w.l:th a.. motion by Leg.W.ta..:to~ Wen:two~:th a..nd -t>ec.onded

by Leg.W.ta:to~ Sh~e.

The S:ta..:te du~ :to :the New Yo~k State Con6Menc.e on Loc.a...t Mental Hyg-iene

V~ec.:toM a..ke now due. The County Atto~ney'-6 o66-i.c.e .W a..-!>ked :to p~epa..ke a..

~uo.tu.:tl..on on payment on :th~e du~ by a.. motion Mom Leg.W.ta:t.Oll. Wen:two~:th,

-t>ec.onded by Leg.W.ta:to~ K~aJYIM. Motion c.aJi.Jl.~ed.

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VJt. Andvwon upda-ted .the. c.ornrn-i.tte.e. on .the. pltogJte.-6.6 .in n.<.nd.i.ng an a.ge.nc.y,

pJt.<.vo.ft/ nonpJto M:t, :to b.<.d .the. c.on:t.Jta.c.:t nOJt .the. CoUMe.Wng Ce.n:te.Jt Se.~tv.i.c.e.-6.

The. Ce.n:t.Jtai Se.~tv.<.c.e. Exe.c.u:t.i.ve. Boa.Jtd vo:te.d :to a.c.c.e.p:t.ARA'-6 a.ppl.i.c.a.:t.i.on a.-6 .the.

c.on:t.Jta.c.:t a.ge.nc.y •

. He.ai.th Ve.pa.Jt.tme.n:t

Mit. VoJr.Jtanc.e. gave. e.ac.h me.mbe.~t a pac.k.e.:t c.on:ta..i.n.ing a. .6wnma.Jc.y on :the.

He.ai.th P fun .that ha.-6 be.e.n Jr. e.qu.i.Jte.d by :the. S:ta..te. noJt .the. 79 8 8 budge.:t ye.a.Jt.

Pa.Jt:t on .th.<.-6 plan .<.nvolve.-6 J..n.U...i..a.:ng :the. Env.i.Jtonme.n:ta.l He.a.l:th ne.e. .6c.he.dule.

wh.<.c.h w.i.U be. d.<.-6c.M.6e.d a;t .the. Boa.~td a 6 He.a.Lt.h me.e.:t.i.ng a 6 wh.<.c.h .the. He.a.l.th

Se.~tv.<.c.U> Cornrn-Ltte.e. have. be.e.n .<.nv.<.:te.d :to a;t:te.nd.

TILa.n.6ne.Jt-6 we.~te. Jte.quU>:te.d .in A4010 PHW and A4035 Fa.m.i.ly Plann.i.ng a.c.c.oun:t-6

M nolloWJ.>: J)Jtom A4010.406 1n.6UJtanc.e. :to A4070.475 (Ce.nbta.l Se.~tv.<.c.e.J ofi $1000;

fiJtom A4035.406 (In-6.) :to A4035.405 {ConnJ on $85.00. The. ne.x:t :t/ta.n.6fie.~t Jte.qu.i.Jte.-6

a Jr.U>olu:t.i.on pJte.pa.~te.d by :the. County A:t:toJr.ne.y-6 ofifi.lc.e. :tlta.n-6fie.Jr.Jt.<.ng 6Jtom A4035.432

(Ofifi.<.c.e. V.<.-6.<.:t-6J :to A4035.806 (FJr..<.nge. Be.ne.fi.i.:t.-6) o6 $750.00. The.-6e. :tlta.n.66e.IL.6 we.~te.

appJtove.d w.i..th a mo.:Uon by Le.g.<.-6la;toJt We.n.:ilAJOJt.th, .6e.c.onde.d by Le.g.<.-6la;toJt KJta.me.Jt

and c.a.M.<.e.d.

BUR.-6 we.~te. Jte.v.<.e.we.d and a.ppJtove.d. One. c.hange. Wa.-6 ma.de. on a. vouc.he.Jt 6oJr.

Fa.y HMke.ll oOJt mileage. Jr.e..i.mbUMe.me.n:t. The. vouc.he.Jt Jte.a.d $90.00 6oJt 90 m.i.le.-6

a.:t .25/mUe.. 1:t .6hou.e.d have. be.e.n $22.50. Th.<.-6 WM c.hange.d on :the. vouc.he.Jt and

.the. a.b.6btac.:t. Motion WM ma.de. by Le.g.<.-6.f.a..:ttjJr. We.n:twoJr..th, .6e.c.onde.d by Le.g.<.-6la.:toJt

KJta.me.Jt and c.a.M.i.e.d :to appJtove. .thMe. b.i.U-6.

The.Jte. bung no oUJt:the.Jt bU.6.<.nU-6 :the. me.e.Ung WM a.djouJtne.d o.:f."- 9:53 a..m.

T e.Jt e.-6a. Claypool

(

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MINUTES OF THE ~~ETTNG

Novemb~ 17, 7987

MEMBERS PRESENT: ChaJ.Jr.ma.n F.l!.aJ.Jr. Le.g.WWO.I!..o K.l!.am~ t We.n:twO.I!.th, Shine., Louc.k..o

ALSO ATTENVTNG: V.!!.. Rob~t And~on, Coun.oe.lling Ce.nte..l!. Ch.I!..Wtine. J ohMon, V-Ut.e.c.to.l!. ofi Pa.ti.e.nt Se..l!.v.i.c.e...o, He.al:th Ve.pt. Je.ne.v.i.e.ve. C.l!.e..i.ghton, Educ.at.i.on ofi Phy.o.i.c.dily Hand.i.c.appe.d Cn.i.l~e.n Re.v. Cha.!!.le...o Tyl~, Commun.i.:ty Se..!!.v.i.c.e...o Boa.!!.d M-6. Phylw Bwr.gu.o, Commun.i.:ty Se..l!.v.i.c.e...o Boa.l!.d

The. me.e.ting wa.o c.alie.d to Dll.d~ by ChaJ.Jr.man FnaJ.Jr. at 9:15 a.m.

M.i.nute...o ofi the. Oc.tob~ 13 and Oc.tobe..l!. Z 0 me.e.tingJ.> w~e. appll.ove.d w.i.th a

motion by Le.g.i.J.>lato.l!. We.ntwo.l!.th, .oec.onde.d by Le.g.Wlato.l!. Sh.i.ne, motion c.all..l!..i.e.d.

OU.i.c.e. 60.1!. the. Ag.i.ng

A .l!.eque...ot fiJr.om 06 fi.i.c.e oM the Ag.i.ng to t!i.an.ofie..!!. mon.i.e...o fill.om account

A6773.4Z9 to A6773.405 to c.ove.Jr. the c.o.ot ofi Mil.. BaJr.Jr.y BJr.ogan to attend a

c.onfie..l!.enc.e. .i.n. Batav.i.a toWling $ZOO .wa.o ma..de.. Th.w .l!.eque...ot WM a.pp.l!.ove.d

wlih a mo:Uon by Le.g.Wlato.l!. Shine., .oec.onde.d by Leg.WlatOJr. Louc.k..o. Motion

CaJr.Jr..i.ed.

Health Ve.pantme.nt

Ch.I!..W JohMon Jr.e.que...ote.d that the c.omm..i.tte.e. c.Jr.e.ate. the PubUc. Health Educ.ato.l!.

pMilion. Th.W po.o.i..tion L6 .l!.e.qu.i.ll.ed pe..l!. M.:U.c.le. 6, and .i.6 app.l!.oved, w.i.il e.nt.i.tle.

tlte. Health Ve.pantme.nt to at le.Mt $:?50, 000 .i.n State. A.i.d. The. e.x.a.m.i.na.ti.on fi0.1!.

th.i.-0 po.o.i.:U.on .W .oc.he.duled oO.I!. Janua.l!.y 3.1!.d. The d.i.fifie.Jtenc.e between ~ educ.ato.l!.

pM.i.:U.on and the health e.duc.a.ti.on abr.e.ady o66e.Jr.e.d .i.n. .the. .oc.hool .oy.otem .W that

.i.t w.i.ll Jr.e.ac.h a gJr.e.ate.Jr. popula.ti.on, .that o6 the. .oc.hool age, m.i.ddle a.ge., and e.lde.Jr..f.y.

Th.i.-0 pe.Jr.J.>on would be. p.fann.i.ng and c.oOJr.d.i.na:U.ng heaLth e.duc.a.ti.on. MM. J ohnJ.>on

WM a.ok.e.d .i.n the de.pa.Jr.tment ha.d hea!i.d a.nyth.i.n.g fill.om the State M nM M the.

ac.c.e.ptanc.e. ofi .th.W plan? -A.o the. de.pMtment had not, .ohe WM Mked to c.ail .the.m

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-2-

Jte.gaJtcUn.g th.W. Motion. WM made by Le.g.W.W.OJt We.n.twoJtth on thL6 c.omrnUt.ee I -6

a.pp.l!.oval. :to move. th.W Jz.e.quv.,:t on :to :the. pvwon.ne.l c.ommi..:t:te.e. 6oJt the..i.Jt c.oM.idVI.a.Li.on..

Motion. WM -&e.c.onde.d by Le.g.W.W.OJL Louc.lu, w-ith the. J.>:t.ipula.:t.ion tha.:t :the. depaxtmen.:t'-6

plan. wUl be. a.c.c.e.p:te.d a.nd -in :twm they w.iU Jz.ec.uve. :the. $2 50,000 gJz.a.n.:t. Motion.

c.a.JtJt-i.e.d.

M!z.-0. JohMon. -Ln6oJune.d :the. c.omm.i:tte.e :tha.:t the. depaJt:tme.n:t had h.ur.e.d a. pVI.ma.nen.:t

pM:t time pubUc. he.a.l-th nuJt-Oe., 2 day-0/we.e.k :to -O:ta.Jt:t Ve.c.e.mbe.Jt 1J.>:t. One. o6 :the

de.paJt:tme.n:t' -6 PubUc. He.a.l:th NUMe..-6 wU.l. be. go-ing on. m:t:te.Jtn.U:.y leave.. A:t :tha.:t :t.ime

:th.W pe.Mon. w-i.U then wo.ll.k 2 day-& pe.Jtmane.n:t and 3 da.y-6 :te.mpo.ll.My until the. o:the.Jt

nuJt-Oe. .ll.e.:t.uJtn-6 :to WO.ll.k.

The. He.a.l:th Ve.pa.Jt:tme.n:t .ll.e.quu:ted a.pp.l!.oval. o6 :the. 6oUow-i.n.g :t.Jta.n-66e.M: 6Jtom

A4010.407 :to A4010.419 = $1000.; 6Jz.om A4010.102 :to A4010.105 = $1600.; 6Jz.om

A4010.406 :to A4010.409 = $11t963.84. The. a.moun:t on $11,963.84 -i.-6 n.e.e.de.d :to

make. pa.yme.n:t :to BC/BS (Me.d-i.c.a.Jte.) nM :the.-i.Jt ove.Jtpa.yme.n:t :to :the. Ve.paJt:tmen:t .in 1985.

Motion. :to a.pp.l!.ove. the.J.>e. :t.Jta.M6VU WM made. by Le.g.WWoJt We.ntwo.ll.th, -Oe.c.on.ded by

L e. g.Wla.:to.ll. K.Jc.a.me.Jt a.nd c.M.ll.-i.e.d.

The. people. who :the. He.a.lth VepaJt:tme.n:t hM c.oMuUe.d w-i.:th .ll.e.gaJtd-i.ng :the.iJr.

c.ompu:te.Jt -Oy-O:te.m have. -i.nno.ll.me.d them tha.:t :they aJte. no longe.Jt a.va..Lf.a.ble. :to them.

The.Jte.fiDJte., :the. de.pa.Jt:tme.n:t would Uke :to h.ur.e. a. c.ompu:te.Jt c.oMul:ta.n:t :to .ll.e.v.ie.w ouJt

p.ll.Og.ll.a.m-6 -00 :the. new .,oy-O:te.m c.a.n be u:t.iUze.d :to U'-6 6uU c.a.pa.c.Uy. I:t WM .6:ta.:ted

:tha.:t the. c.oun:ty 1.6 c.on-Oul:ta.n.:t WM J.>:t.iU a.va.-i.la.ble. :to the. de.paJt:tme.n:t-6. A motion.

made. by Le.g.Wla.:toJt Louc.k-6, -0e.c.on.ded by Le.g.Wla.:to.ll. We.ntwoJt:th :to :take. :thL6 Jz.eque.-O:t

:to the. Ce.n.:t.Jta.l Se.Jt v.<.c.e. c.ornrtl-Ute.e WM a.pp.ll.ove.d.

Coun-6e.ll.<.n.g Ce.n:te.Jt

V.ll.. Ande.Jt-Oon -i.n:t.Jtoduc.e.d two me.mbe.Jt-6 ofi the. Commun-ity Se.Jtv-i.c.v., BoaJtd, Reve.Jtend

ChaJtle.-6 Tyle.Jt, and M-6. PhyU.W BuJz.ge..-6-& :to the c.ommUte.e.. The. Ce.n:te.Jt L6 a.:t :the po.<.n:t,

whe.Jte. a. :te.n:ta.:t.ive. c.on:t.Jta.c.:t hM been d.ll.ruvn up w.<.th :the County and :the. AUe.ga.ny

Re.hab.<.U:ta.:t.ion M-Ooc.-i.a.:te.-6• Inc.. and L6 Jz.e.a.d1f nM Jz.e.v.ie.w and a.pp.ll.ova.l. Allegany

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-3-

Re.hab.i.U:t.a-t<.on. hM be.e.n. v.,.ta.b.e.i6he.d .in.· the. county ( 5yM J a.n.d w.LU be. loca:te.d .in. the.

.oame. bu.ild.i.n.g M they Me. at pJte..6e.n.t. The. coJ1'11Ylill.e.e. WM Mk.e.d .£6 the.y wa.n:te.d to

accept ARA '.o p11.opo.oal and .£6 .oo he. w.i..U the.n. wOJLk. w.i.th the. Cou.nty AttoJtn.ey 1.6

o66.i.ce. on. the. 6-in.al.i.zat.i.on. o6 th.£.6 co~act.

Cha.Vuna.n. FJta.i.Jt corrune.n.te.d to the. comnU.tte.e. tha.:t the. Cammu.n.i..ty Se.Jtv.icv., BoaJtd hM

iM-ihte.d that /IVL. Jak.ovac ge.t a PJtogJta.m Vbte.ctoJt on. .ota6 6 M .ooon. M po.6.6.i.ble..

The. Ce.n.te.Jt ne.e.c£6 .oome.one. the.Jte. who .£.6 awMe o6 what .£.6 go.ing on a.n.d .£.6 avcUlable

at all timv.,. The. Ce.nte.Jt '.o e.mploye.v., 6 OJt the mo.ot pMt aAe. new e.mploye.v.,.

The. c.omm.i.tte.e. e.xp11.e.Med the. ne.e.d to Jtev.ie.w ce.Jtta.i.n Ue.m.o .in the. contJLact .ouch M,

Jte.n.tal, and .i.rwUJtance.. 1t WM al.oo .otated that the. poUcy o6 advance. mon.i.e..o to

the. Cen.te.Jt .ohoui.d be Jte.v.i.ewe.d.

The. comm.i.tte.e appJtoved the. co~act.in.g ofi .oe.Jtv.ice..o w.i.th A.Ue.gany Re.hab.i.f.Ua..t.i.on

M.ooc.i.ate..o, 1 nc. and dbtew the. County AttoJtne.y ·to pJte.pMe .ouch contJLact. Motion

WM made. by Le.g.i..olatoJt WentwOJLth, .oe.conde.d by Leg.i..olatoJt Louck.-6 dbte.cting the.

County AttoJtney'.o o66.i.ce to ~e.paJte. Jte..oolution Jtelat.i.ng to above. me.n.tione.d contkact.

Motion CMJL.i.e.d.

Education on Phy.o.i.c.a.U.y Hand.i.capped ChUclJten

Jen CJz.e..i.ghton JtepOJLte.d the. pJr.ogJte.M w.i.th the phy.o.i.cal the.Jtapy p11.oblem

nM the. ch.i.lclJten .in th.£.6· educ.ailon pll.OgJtam.

Othe.Jt Bu.o.i.ne.M

A le.tte.Jt o6 Jte..o.i.gnation !;r.om Vav.i.d VoJLJtan.ce., Public Health Vbte.ctoJt wM Jte.ad

to the. corrunUte.e. fioJt the.bt .in.f;oJtmat.i.on. MIL.. VoMan.ce. will Jte..6.i.gn e!Jfiective

Ve.ce.mbe.Jt 7, 1987.

B.i..f.Lo we.Jte. Jtev.i.e.we.d a.nd a.ppJtoved w.i.th a motion by Le.g.i..o.e.atoJt KJtame.Jt,

.oe.conde.d by Le.g.i..oWOJt Louc.k.-6. Motion cMJt.i.ed.

The.Jte. be..ing no nUJtthe.Jt bu.o.in.e.M the me.e.ting WM adj OUJtne.d at 11:40 a.m.

Re..ope.c.t6ul.e.y .oubmUte.d,

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DE.C 18 1987 MINUTES OF THE MEETING

VecembM 15, 1987

',:::~:::-:-.;-'.:'; -~~ ., '

MEMBERS PRESENT: Cha.J.Jr.ma.n F Jc.ahr. PPA Leg.W.f.a,toJW KJc.amM, Wen:twOJr.th, SIU.ne

ALSO AITENVING: V4.. Robvr.t AndVL.6an, Caun.6e.tUng Cen.t.vz. Clvr..Wt.i.ne JahMon, V.br.ec.toJc. ofi Pt. SMv..Lce.-6, He.a.Uh Vept. E.Uzabe:tlt Emb.6M, Ofib..Lce nM the Ag..Lng . Paul Ca.~c.penedo, Execut..Lve V..L.!tec.to.~c., ARC

The meeting WM c.a.i1.ed to oJc.dM at 9 : 1 5 am by Chahr.ma.n F Jc.o.bt.

The m.f.nute.-6 ofi the NovembeJc. 17, 79 87 meeting WMe app!Loved w..L:tlt a mo:Uon

by Leg.W.f.a:tOJc. Wen.twOJc.th, and a .6econd by Leg.Wla,to.~c. KJc.ameJc.. Motion caJc.Jc...Led.

Ofifi..Lce floJc. the Ag..Lng

~. Emb.6eJc. Jc.equellted a Jc.ellotut..ion that would ttaMfieJc. $5000 6Jc.om account

A6776.702 to A6776.201. The money ..L.6 ava..Ltable due to the vacant CASA cooJc.d..L-~ 2 natOJc. pM..Ltion and .it would be U.6ed to puJc.chMe a compute.~c. and v..i..deo package. s ~ Motion WM made by Leg-Wla:to.!t We.n:twOJc.th, J.>econded by Leg.WlatoJc. KJc.amM 60.1t the cr) I-Ll ~ County AttOJc.ne_y-6 onMce to pJtepa.!te a Jc.e..6olution on th.W Jc.equellt. Motion WM

Ca.lc.Jc...ied w..Lth one no vote eJc.Om Leg.Wla:to.!t Sh..i..ne.

~. EmbJ.>eJc. al!.>o Jc.eque..6ted the 6oUow..i..ng ttaM6eM: 6Jc.om A6777 .402 to

A6777.401 = $10.00; 6Jc.om A6778.402 to A6778.409 = $3.38. T.!tan!.>UeJc.-6 total

$73.38. Motion to app.~c.ove the..6e t.!taMoeJc.-6 WM made by Leg.Wla:to.~c. Wen:two.~c.th,

J.>econded by Leg.W.f.a:tOJc. KJc.ameJc. and c.aJ!.Jl...ied.

Health Vepa.~c.tment

MJw. JohMon Mked the cornmi.ttee who.X. the..y would Uke. the. depaJrtme.n.t to

to do will the Xe.~c.ox cop..Le.~c.. It wM note..d that the Well!.>v..Llie Monte..6J.>OJc...i

School had o(JfiMe.d the Health Vepa.~c.tment $700 oM th..L-6 mach..i..ne. Afl:tM J.>ome

d~cUJ.>J.>..ion ..i..t waJ.> de.c..Lde.d to J.>ell th..L-6 cop..Le.~c. to :the Monte.6.6oJc...L School fioJc.

$700.

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Mlw. John..bon .in6o~tme.d .the. comm.U:te.e. .that .inC.I!.e.a..6e.d .tta..t.e..6 have. be.e.n ag.tte.e.d

upon be.:twe.e.n Sou.:the..ttn T.ie..tt 6o.tt PCW'.6 and Jan & Be.v'.6 no.tt HHA'.6. HHA .ttate. .i-6

now $8.95/hou.tt, up 1.00; PCW .ttate. . .(.6 now $7.58, up .70.

The. He.alth Ve.pM.tment Jte.quu:te.d app.ttova.l on a numbe..tt o6 Vt.an.6ne.M M

6ollow.6: Long Te..ttm account-6 A4040.422, .441, .442, .404 to A4040.434 totatt.ing

$1000.00 (.6e.e. tnan.66e..tt .6he.e.tJ. A Jte..6olut.ion p!T.e.pa.tte.d by the. County AttoJT.ne.y-6

Onfi.ice. .<..6 Jte.quute.d to Vt.an.66e..tt $223.96 pJT.om A4040.425 to A4010.425. Mot.ion

to ap_pJLove. thue. Vt.an.6ne.M wM made. by Le.g.i.6WoJT. We.n:twOJT.th, .6e.conde.d by Le.g.i-6-

Wo.tt KJT.ame..tt and ca.ttJt.ie.d. O.:the..tt Vt.an.66e.M a.l.6o app.ttove.d unde..tt .:th.i.6 mot.ion we.Jte.

.in the. A4010 account-6, (.6e.e. tftan.6pe..tt .6he.e.t) and .the. A4035 account-6.

Re..6olut.ion .<..6 Jte.quute.d to t4an.6ne..tt $258 6Jtom A4035.1 to A4035.800.

The. county atto.ttne.y .6 o 6 6 .ice. .i-6 Jte.q uute.d to p!t e.pM. e. .the. Jtuolut.io n on .:th.i.6

Vt.an-6 6 e.Jt •

A Jte.quut wM made. to .inC.I!.e.Me. the. appJtoptt.iat.ion fio.tt Long Te..ttm' 4 A4040. 439

a.ccoW'l.t .in the. amount o6 $40,000. Al4o Jte.ve.nue. account A 1603. 1 .6hould be. .in­

CJte.Me.d by a.n. e.qu.iva.le.nt amount. The. County Atto.ttne.y-6 06 6.(ce. .i-6 Jte.quute.d to

pJte.pM.e. a. Jtuolut.ion. · Mot.ion to appJtove. .:th.i-6 .inC.I!.e.Me. WM made. by Le.g.i.6WoJT.

We.n:two.tt.:th and .6e.conde.d b!f Le.g.i.6WOJT. Sh.ine.. Motion CaJtJt.ie.d.

CoUMe.lling Ce.nte..tt

VJT.. Ande.Mon .inpoJT.me.d .the. comm.U:te.e. .that .the. County AttoJT.ne.y hM comple.te.d

the. cont.tta.ct be.twe.e.n ARC and the. County. A copy 4hauld ge.t to the. comm.<.tte.e.

th.i-6 we.e.k. 6 OJt Jte. v.ie.w.

The. CoUMe.l.Ung Ce.nte..tt Jte.nt-6 onfi.ice. .6pa.ce. to 6owr. d.ififie..tte.nt a.ge.nc.iu.

W.ith .the. ne.w eont.tta.ct the. Ce.nte..tt w.<.U on.f.y be. able. to k.e.e.p one. a.ge.ney the.Jte..

The..tte.pOJT.e., VJT.. Ande.Mon would Uk.e. a.ppJr.ova.l to Jte.mode.l a. eou.p.t'.e. o6 Jtoom4 .in

the. up.6ta..iM ofi .the. Ce.nte.Jt to accommodate. thue. othe..tt a.ge.nc.iu. M!r.. Wa.Uon

.inpoJT.me.d h.im .that he. .6hou.ld take. th.i-6 Jte.qu.e..6t w.i.:th a. plan fioJT. the. .tte.mode.Ung

to PubUc WOJT.k.-6, .:the.y th.e.n would apply 6 DJt a. pe..ttm.it to do th.i-6. The. fi.ilu .that

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Me ..i.n the Jtoom& a;t th-U po..i.nt wou..ed be J.>epMa:ted a.nd thOJ.>e :t.ha.t Me oveJL th.Jz.ee

yeM...6 old wou.f.d be. put: ..i.n :the baoeme.n:t on the bu.Ud..i.ng. I .

VJL. Ande.Mon J.>ta.ted :that ..i.n a. d-WC!lLJ.>J.>..i.on a.nd Jtev.i.ew op the c.ontJc.a.c:t will

ARC and the County, Mtt. Mulholland pound a. J.>ec..ti.on :tha.:t -i.-6 ..i.n need ofi Jtev.i.-6-i.on.

The c.onbz.a.c.:t -i.-6 WJL..i.:t:ten .t.ha,t the pu.nc:Ung -i.-6 pJt.OJz.a:ted, wh.i.c.h me.a.M the. c.oun:ty '..6

J.>hake., baoe.d on what ARC;J.> c.ontJc...i.b~on ~ a.:t th-W po.i.nt c.ou£d be $30,000 le.-6..6 I

:tha. :the unde.Jz...6:tood $88,000 c.oun:ty c.onbz..i.but:.i.on. A Jte.J.>o~on ..i.-6 needed :to

c.ha.nge J.>ec.tion #5, page 3 on :th.i.-6 c.onbz.a.c.:t :to Jtea.d; Jc.e.qaJLdle.-6..6 o6 :the ..i.n:te.Jz.na.£.

exchange on mon..i.e.J.> between :the State. and ARC, :the. County'J.> J.>haJLe. ..i.-6 $88,000.

Motion 6M :the. County A:t:toJc.ney :to j?J[e.paJLe J.>a..i.d Jc.e.J.>alut.i.on wao made by Leg..i.J.>.e.a.:toJc.

Wen:twOJL:th, J.>ec.onde.d by Le.g-U.e.a.:toJc. Sh-ine WM c.M.Jc..i.ed.

M.'Z.. Mu.f.hoila.nd aoke.d :the c.omm..i.:t:te.e. :to wMk out an a.gJtee.men:t be.:twe.e.n ARC

:to Jc.ec.e..i.ve the..UC. money on a. moJc.e timely bao..i.-6, po-6..6-i.bly quaJr.:te.Jz.ly. VJc.. Ande.Mon

J.>ta.ted :that he. hao wOJz.ke.d out: an a.g;tee.men:t on th-W ..i...6..6ue. Motion wao made by

Leg-UWoJt KJta.meJL, J.>ec.onded by Leg..i.J.>.e.a.:toJt Sh-ine. and c.M.Jc...i.ed :to put: :th..i.-6 ..i.n:to

pJc.a.c.tic.e. Motion. c.aJLJt.i.ed.

O:the.Jz. BM-i.ne.J.>-6

The. Re.J.>o~on pJte.pa.Jte.d by :the County A:t:toJtneyJ.> opp.i.c.e Jc.e.e.a.:te.d :to :the

AgJc.e.eme.n.:t w.i.:th Allegany County MJ.>oc...i.a..ti.on poJt :the Bl..i.nd and V..i.J.>ualiy Ha.nd.i.c.a.ppe.d,

Inc.., ..i.n Re.e.a.:t.i.on :to :the Rende.Jz...i.ng op Se.Jtv..i.c.e, TJta..i.n...i.ng OJt A..i.d to ..i.nd.i.gen.:t Bl..i.nd

.in Allegany County duJt..i.ng 7988 WM a.ppJc.ove.d w..i.:th a. mo:t.i.on by Leg.i.J.>WoJc. Sh-ine,

J.>e.c.onde.d by Leg.i.J.>la.:toJt KJta.me.Jt and c.M.Jc...i.e.d.

The. :te.Jz.m6 o{"J onf'l..i.c.e. on Albe.Jz.:t Van de.Jz. U .. nde., ChMle.J.> Tyle.Jz., JJc.., and

W..i.li..i.a.m r..f.rflbe.Jz.fuke on :the Commun..i.:ty Se.Jt v..i.c.e.J.> BoMd, w-ill e.x.p.UC.e. Ve.c.e.mbe.Jz. 31, 19 87.

They have be.e.n Jc.ec.omme.nded poJt Jc.e.a.ppo..i.n:tme.n:t by the. Community Se.Jtv.i.c.~ BoaJc.d e.a.c.h

poJt a.n.o:thvr. poUJt yea.Jt :te.Jtm. Motion :to a.ppJtove :the.J.>e a.ppo.i.nnnen:t WM made. by

Leg..i.J.>la.toJt Sh..i.ne., J.>e.c.onde.d by Leg.i.J.>.e.a.:toJt We.n:twoJt:th. Mo:t.i.on c.a.JtJt..i.ed.

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Au.cU.t o 6 c.e.tU.rn6

B~ wVte. JLe.v.ie.we.d and a.ppJLove.d. Motion wM made. by Le.g.Uf.atoJL SIU.ne.,

~e.conde.d by Le.g.UlatoJL We.ntwoJLth and caJLJL.ie.d.

The. JLe.guf.a.JL me.e.ting WM a.djowr.ne.d a;t 10:45 am.

A motion WM made. by Le.g.U.ea.:toJL KJLa.mVt, ~e.conde.d by Le.g.Uf.a.toJL We.ntwOJLth

to go .into e.xe.cu.t.ive. ~~~on.

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t-~OT

'C~F~FiOVED HEALTH SERVICES COMMITTEE

December 28, 1987

Present: Frair; Kramer; Shine;

~;~> JAN 6 1987

This meeting was held to discuss the request by Dr. Robert Anderson to purchase an IBM compatible computer and printer for the Counseling Center. Dr. Anderson estimates the total cost for this to be approximately $799.00. This purchase has been discussed by the Central Services Committee and referred to Frank Duserick, our computer consultant, for investigation. A motion was made by Kramer, seconded by Shine and carried, to approve this purchase subject to Mr. Duserick's favorable recommendation.

Meeting adjourned.