Budget and Capital Committee
Present:  P. Penniman, Chair; L. McBean; T. Todd; D. Booth (arrived at 4:16 p.m.)
Excused: M. Robertson

Staff:  J. Beach; S. Robinson; S. Whicher; K. Smithers; W. Skinner; D. Squires
Other Board Members:  T. Joseph

Called to Order

 The joint meeting was called to order at 4:02 p.m.

Sheriff

 Budget Adjustments
 It was MOVED by Ms. Herrera, seconded by Ms. McBean, and unanimously adopted by voice vote by members present of the Public Safety Committee, to submit the following budget adjustments to the full Board for approval:

Revenue Acct           Title       Amt  Approp Acct Title(s) ---------__________
3113  42665           Sale of Equipment     $ 4,702  3113  52231 Vehicles
Explanation:  Monies needed to replace car #117 due to a traffic accident.

Revenue Acct           Title       Amt  Approp Acct Title(s) ---------__________
3113  42680           Insurance Recoveries   $20,298  3113  52231 Vehicles
Explanation:  Monies needed to replace car #117 due to a traffic accident.

Revenue Acct           Title       Amt  Approp Acct Title(s) ---------__________
3112  54306           Automotive Supplies   $2,000  3112  54421 Automotive
Explanation:  Monies needed to cover the cost of automotive maintenance.

Grant Proposal - Drug Court

 Mr. Whicher informed the Committee of the grant application being submitted for SAMHSA's Center for Substance Abuse Treatment PA-03-001:  Targeted Capacity Expansion.  He asked the Committee the level of involvement it wished to have with this grant.  Following a brief discussion, the Committee requested it be kept advised of the details as some concern was raised to expanding a program with grant money.

Resolution - Domestic Violence Prevention Program

 Public Safety Committee
 It was MOVED by Ms. Herrera, seconded by Ms. McBean, to submit the following resolution to the full Board for approval.

 Budget and Capital Committee
 It was MOVED by Ms. McBean, seconded by Mr. Todd, to submit the following resolution to the full Board for approval.

 Following concerns raised that the resolution as presented to committee identifies a particular direction, suggested wording changes were recommended and agreed upon by both committees as reflected below.  Support, however, was expressed for the need of a transition period while a plan was being developed.

 Following further discussion, a voice vote by the Public Safety Committee resulted as follows:  Ayes - 5; Noes - 0.  RESOLUTION CARRIED.

 A voice vote by the Budget and Capital Committee resulted as follows:  Ayes - 3 (Penniman, McBean, and Todd); Noes - 1 (Booth); Excused - 1 (Robertson).  RESOLUTION CARRIED.

RESOLUTION NO.        - APPROPRIATION FROM CONTINGENT FUND - DOMESTIC VIOLENCE PREVENTION - PROBATION DEPARTMENT

 WHEREAS, upon further consideration since the 2003 Budget was adopted, the oversight duties of the Domestic Violence Prevention Coordinator need to be continued, and
 WHEREAS, funding was set aside in the Contingent Fund until a proposal was developed to meet the needs of the community relative to domestic abuse, DWI, and general criminal justice activities, and
 WHEREAS, a transition solution to that reduces the hours of the Domestic Violence Prevention Coordinator and the STOP-DWI Coordinator will is being proposed in order to provide a continuity of service and transition while a long-range solution to meet the aforementioned needs is developed, into a combined position with the STOP-DWI program while maintaining the integrity of the County's Domestic Violence Prevention program, and
 WHEREAS, the transition will be completed by April 1, 2003, now therefore be it
RESOLVED, on recommendation of the Public Safety and Budget and Capital Committees, That the hours of the Domestic Violence Prevention Coordinator, labor grade N (84/185) be reduced from 40.0 hours per week to 20.0 hours per week for the period of January 1, 2003 to March 31, 2003,
RESOLVED, further, That the Director of Finance be authorized and directed to make the following budget adjustment and appropriation on his books for 2003:

Appropriation
From:     A1990.54400      Contingent Fund    $27,516

 To:  A3991.51000185   Domestic Violence Prevention Coordinator $22,673
   A3991.58800      Fringes         4,843

Budget Adjustment
Appropriation:  A3991.58800     Fringes     $ 1,269
                        .54303     Office Supplies       2,900
                        .54330     Printing                       500
                        .54412         Travel/Training        900
                        .54414     Local Mileage             350
                        .54452     Postage                      300
                        .54472     Telephone                  600

Revenue:   A3991.43310     Probation Services (State Aid)   $6,819
SEQR ACTION:  TYPE II-20

Adjournment

 At this time, the Public Safety Committee adjourned at 4:25 p.m.

Resolution - Charge Structure - Home Health Care

 It was MOVED by Ms. McBean, seconded by Mr. Todd, and unanimously adopted by voice vote by members present, to submit the following resolution to the full Board for approval:

RESOLUTION NO.   - AUTHORIZING CHANGES IN CHARGE STRUCTURE - TOMPKINS COUNTY HOME HEALTH CARE - HEALTH      DEPARTMENT

 WHEREAS, Tompkins County’s accounting consultant, Michael McCarthy, CPA, has recommended changes in the Certified Home Health Agency fee structure to maximize Medicaid and Medicare revenues, and
 WHEREAS, New York State currently promulgates rates on the day the County legislature approves them and it is therefore desirable for Tompkins County to adopt the 2003 rates in December 2002, and
 WHEREAS, all changes proposed were made to align charges with actual costs per unit of service as determined during Mr. McCarthy’s most recent financial and statistical analysis, now therefore be it
 RESOLVED, on recommendation of the Health and Human Services and Budget and Capital Committees, That the Tompkins County Health Department implements the charge structure below, as recommended by Michael McCarthy, CPA, in order to maximize Medicaid and Medicare revenues:
2003 Tompkins County Home Health Care Fee Schedule

     2001  2002  2003
Skilled Nursing $102.00 $110.00 $126.00
High Tech Nursing $110.00  $115.00  $135.00
Physical Therapy $  92.00  $105.00  $105.00
Speech Therapy  $  95.00  $105.00  $105.00
Occupational Therapy $  92.00  $105.00  $105.00
Medical Social Work $  90.00  $105.00  $105.00
Home Health Aide $  34.00/hour $  36.00/hour $  41.00/hour
   $  65.00/visit $  70.00/visit $  75.00/visit
SEQR ACTION: TYPE II - 20

Adjournment

 The Budget and Capital Committee meeting adjourned at 4:28 p.m.