ADOPTED - DECEMBER 9, 2008

                                                                                                                        Agenda Item No. 20

Introduced by the Human Services and Finance Committees of the:

INGHAM COUNTY BOARD OF COMMISSIONERS

RESOLUTION TO AUTHORIZE AMENDMENT #1

TO THE 2008-2009 COMPREHENSIVE PLANNING,

BUDGETING AND CONTRACTING AGREEMENT WITH

THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH

RESOLUTION #08-353

WHEREAS, the responsibility for protecting the public health is a shared responsibility between the State and County governments in Michigan; and

WHEREAS, the Michigan Department of Community Health (MDCH) and Ingham County have historically entered into contracts to clarify the role and responsibility of each party in protecting the public health; and

WHEREAS, the MDCH and Ingham County have entered into a 2008-2009 Agreement for the delivery of public health services under the Comprehensive Planning, Budgeting and Contracting (CPBC) process to clarify roles and responsibilities, including funding relationships, authorized by Resolution #08-237; and

WHEREAS, the MDCH has proposed an amendment to the 2008-2009 CPBC to adjust grant funding levels and clarify Agreement procedures; and

WHEREAS, the Health Officer has recommended that the Board of Commissioners authorize the Amendment.

THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes Amendment #1 to the 2008-2009 Comprehensive Planning, Budgeting, and Contracting (CPBC) Agreement with the Michigan Department of Community Health (MDCH).

BE IT FURTHER RESOLVED, that the amendment shall: 1) Revise information in

Attachment I – Annual Budget Instructions; 2) Add/revise information in Attachment III – Program Specific Assurances and Requirements; and 3) Incorporate Attachment IV – Funding Reimbursement Matrix as Revised for the Local Public Health Operations (LPHO) and categorical budget detail, output measures and performance reimbursement criteria.

BE IT FURTHER RESOLVED, that the net adjustment in the total amount of CPBC funding shall be an increase of $61,135 from $4,707,163 to $4,768,298 which includes: 1) BCCCP Coordination:  an increase of $36,375; 2) Building Healthy Communities:  an increase of $20,000; 3) Childhood Lead Prevention:  a decrease of $3,333; and 4) TB Control:  an increase of $8,093.

BE IT FURTHER RESOLVED, that the Amendment also revises sections of the Agreement which include:  A. It requires the Health Department to convene a community coalition to plan cardiovascular disease interventions and to complete four health assessments provided on line by MDCH; B.  It makes accessing the total amount budgeted for Family Planning in the CPBC agreement contingent upon serving at least 95% of proposed Title X users; and C. It requires the Health Department to work with MDCH to establish Plan First! caseload targets.

BE IT FURTHER RESOLVED, that the Controller/Administrator is authorized to amend the Health Department’s 2009 Budget in order to implement this resolution.

BE IT FURTHER RESOLVED, that the Board Chairperson is authorized to sign the Amendment after review by the County Attorney.

HUMAN SERVICES:  Yeas:  Schor, Bahar-Cook, Hertel, Soule, Severino, Dougan

  Nays:  None      Absent:  None        Approved 12/1/08

FINANCE:  Yeas:  Grebner, Hertel, Weatherwax-Grant, Schor, Dougan

     Nays:  None        Absent:  Celentino       Approved 12/3/08