HEALTH AND HUMAN SERVICES COMMITTEE
DECEMBER 8, 2003 - 1:00 P.M.
SCOTT HEYMAN CONFERENCE ROOM


Present:  M. Robertson, Chair; N. Schuler; F. Proto; M. Koplinka-Loehr; P. Penniman (arrived at 1:06 p.m.)

Staff:      S. Whicher, County Administrator; P. Carey, Social Services Commissioner; B. Crosby, Public Health Administrator; W. Skinner, Public Information; B. Falcao, Health Planning Council; A. Cole, Public Health Director; A. Balander, Health Department; T. Herden, Social Services

Guests:   R. Pendall, Cornell Professor; Cornell Students from City and Regional Planning; E. Marx, Planning Commissioner; C. Nocera, Red Cross; T. Joseph, Legislature Chair; L. Dillon, Tompkins Community Action; H. Filiberto, Planning Department; T. Mank, Planning Department; B. DeLuca, Mental Health; Press

Called to Order

    The meeting was called to order at 1:02 p.m.

Presentation - Housing Needs, Obstacles and Recommendations

    Ms. Robertson said Rolf Pendall, Associate Professor of City and Regional Planning at Cornell University, and his class will be giving a presentation on the second part of their project concerning Housing Needs, Obstacles and Recommendations. 

    Ms. Robertson reported she and Legislators Schuler and McBean attended a Homeless and Housing Task Force meeting last week.  She said she learned at the meeting that nationally in 1976 there were 400,000 new Section 8 vouchers made available to people who needed them and in 2003, only 34,000 new vouchers were made available.  Tompkins Communication Action reported that of their 802 voucher holders, all had apartments as of last week; however, 691 people are on the waiting list.  In addition, she reported the Red Cross has opened a new residence on West Seneca Street that is being made available on an emergency basis for a family looking for suitable housing.  The residence is available for a family for up to six months and currently is occupying a family with three children.  Staff is available as with a shelter. 

    Mr. Penniman arrived at this time.

    Mr. Pendall introduced Kevin Anderson and Caroline Hagerty who presented Phase 2 of the housing report.  Mr. Anderson began with providing some background information concerning Phase 1 of the study identified critical gaps in the housing market:
- Low rental vacancy, high overpayment
- Home values have increased dramatically in the past 10 years
- Growing gap between supply and demand for subsidized housing

    Recent media coverage confirms that affordability is a countywide issue and that there is some resistance to affordable housing development in some of the outlying communities.  

    In Phase 2, the class looked at the constraints and obstacles to affordable housing.  Problems include misperceptions people have about affordable housing, its impact on the community, and the people that live in it; and some of the regulations and policies at the municipal level.  Mr. Anderson spoke briefly about the County's comprehensive plan and the Vital Communities Initiative and said one of the principles is promoting quality affordable housing among the housing options for area residents.  Another principle identified is nodal development, in other words, building new homes where there is existing infrastructure. 

    The initiatives to promote affordable housing and nodal development together were explored by the students.  Mr. Anderson provided the following constraints analysis reviewed by the students:
- Four prototype affordable housing options
- Manufactured Housing Subdivision
- Small-lot Single Family (1/4 acre or less)
- Affordable Rental Complex (20 units, 5 buildings)
- Senior Assisted Living Facility
- What are the constraints?
- Regulatory, Infrastructure, Physical, Parcel Availability

    The students examined current land use and zoning in all the nodes identified in the Vital Communities Initiative, and analyzed whether the four prototype housing options could be built. If not, the constraints were identified as outlined above. They illustrated the process using the Village of Groton as an example.  However, all nodes were studied by the students.  

    Mr. Anderson provided the general findings for each of the prototype affordable housing options and reviewed the constraints identified as follows:

Manufactured Housing
 Highly affordable
 Constraints to Development
 Modular homes treated like "stick built"
 No room allotted for mobile home park expansion
 Resistance on the decline, with the exception of mobile home parks

Small Lot Single Family
 "Starter" homes needed (lots of ¼ acre or less)
 Constraints to Development
 Prohibited in 4 nodes, difficult or restricted to multifamily and commercial zones in 2 nodes
 Most zones are at or near build-out
 Infrastructure required, generally not a problem

Rental Complex
 Large need for rental units
 Constraints to Development
 Permitted or conditional uses in all nodes somewhere, but the capacity is at or near build-out already
 Reliance on special use permits, planned development, and rezonings
 Not enough permitted by right, which adds a burden on developers of getting approvals
 Permitted but vulnerable - Site Plan Review

Senior Assisted Living Facility
 Strong growth forecasted in senior population in next 20 years
 Constraints to Development
 Similar regulatory constraints as with apartments
 In many cases restricted to same  zones as multifamily - creates competition
 Large parcels required, sometimes with excessive parking requirements

    Discussion followed to clarify the study methods and conclusions. Mr. Marx pointed out that the Groton example is not unusual, in that all types of housing are allowed somewhere within the village, but the details of the zoning ordinance make it difficult to construct affordable homes. For example, multi-family complexes are allowed, but only on land that is either very difficult and expensive to build on, or is currently occupied by single-family homes.  As presented by the students, there are opportunities for new housing to be built, e.g., there is presently some open space within the village, but the zoning would have to be changed.

    Ms. Hagerty continued the presentation and spoke about some of the misperceptions identified in the study.  She reviewed the myths and facts for the following attitudinal barriers:

"Wrong People"
Myth:  Affordable housing will bring the "wrong people" into my neighborhood.

Fact:    
  People living in affordable housing already live and work in the neighborhood:
- Eddie Bauer salesperson:  $14,040
- Administrative assistant:  $26,104
  Mentally and physically disabled
  20 percent growth in senior headed households

Crime
Myth:  Affordable housing will bring crime to my neighborhood.

Fact:
  People often generalize stories about the big city housing projects to small town housing developments
  Practically no crime at Linderman Creek

    Ms. Hagerty commented that affordable housing is going to relieve economic stress on people which will in turn reduce crime.  The goal of the community initiative is to integrate all residents of a community and affordable housing is the vehicle to help do this.  

Property Values
Myth:  Affordable and manufactured housing reduce property values.

Fact:
  No link between property value loss and affordable housing
  Properties around Linderman Creek show no decrease in value

Property Values are linked to…
  Condition of property for sale
  Broad trends in neighborhood prosperity
  Urban and suburban expansion
  Road/highway construction
  Nearby large-scale commercial and industrial developments
              …not the presence of affordable housing

    In discussion of this point, quality of the schools was identified as a very important determinant of property values as well. On the point of whether affordable housing causes neighborhoods to decline, it was stated that often affordable housing is placed in areas that are already starting to decline. Therefore in fact affordable housing is the result of dropping property values, not the cause.

    Design
    Myth:  Affordable housing will be unattractive and clash with neighborhood character. 

    Fact:
  Does not have to be a "cookie cutter" design
  Can match the neighborhood, especially with community involvement
  Design can reduce crime and increase feelings of safety

Myth:  High density is unattractive.

Fact:
  Wide array of designs and floor plans that complement the character of various neighborhoods
  Urban high density developments are not the standard for all affordable housing
  Design is the determinant of community acceptance

Two examples of attractive affordable projects were shown: a development in California had 19 units per acre, plus a community child care center, and a Massachusetts neighborhood had five units in each two-story building.

Mr. Anderson concluded the presentation by sharing the following recommendations from the students based on their research:

Recommendations - County
 Establish vision, facilitate consensus
 Convene roundtable session with municipalities, establish a new committee to deal exclusively with affordable housing
 Broker intermuncipal agreements
 Educator
 "Busting the myths"
 Technical Assistance Provider
 Establish a "point person"
 Be an advocate during project review
 Provide expertise on regulation revision, share model ordinances and best practices

Recommendations - Local
 Municipalities
 Collaborate with County-wide effort
 Share technical expertise and experience
 Revise land use regulations
 Include affordable housing in comprehensive plans (e.g., decrease minimum lot sizes)
 Explore ways to make existing housing more affordable (e.g., allow rental units to be added to homes)

Recommendations - Community
 Community Advocates
 Participate in regional visioning
 Continue to pressure local government
 Mobilize and network with allies
 Gather and share personal testimonies

    In conclusion the students noted that a full copy of the report will be available on the City and Regional Planning website (www.dcrp.cornell.edu) or by contacting Professor Pendall at rjp17@cornell.edu.

    Ms. Robertson announced Professor Pendall will be giving a brief presentation at the Legislature's meeting on December 16th summarizing the students’ work on affordable housing.  Ms. Schuler suggested municipal officials be invited to the meeting to hear the presentation.  

   Ms. Robertson also commented that the Town of Ithaca and Town of Dryden are currently in the process of revising their zoning regulations and comprehensive plan, respectively.  

   Mr. Penniman thanked Ms. Robertson for bringing forth the issues of affordable housing.  He feels it has become a human services issue, economic development issue, and visibility issue and that more communication is needed with municipalities because of the barriers.  There also need to be more incentive and motivation for affordable housing.  

   Mr. Joseph asked why the market does not provide affordable housing since there seems to be such a shortage.  The presentation appeared to indicate it is partly because of zoning regulations.  He feels that if building the necessary facilities is not profitable, revising or removing regulations will not help.  Some of the students felt in their discussions with developers that there is interest, but that the regulations in place are preventing development.  Mr. Marx added that developers usually need some kind of subsidy in order for affordable housing to be worth building. If the project is denied by the municipality, the subsidy usually disappears.

    Ms. Filiberto spoke briefly about the County's Comprehensive Plan and the topic of affordable housing. Some of the items identified in the Plan were mentioned during the last presentation by the students such as the vacancy rates, and lack of rental and homeownership opportunities.  Preliminary recommendations have been prepared and will be presented to the Planning Advisory Board at their next meeting.  One of the items that will be looked at is the number of units needed in the longer term.  

   Mr. Whicher spoke about one of the myths concerning crime at Linderman Creek and asked that the Sheriff's Department be contacted for the number of calls made to that area, as he feels that would be a more accurate source than The Ithaca Journal (which the students used for their report).  

    Mr. Marx further commented on the County's Comprehensive Plan. He said that when addressing municipalities the greater community benefits of affordable housing should be emphasized, relating it to other issues such as commuter traffic because lower-income workers can’t afford to live in Tompkins County, the costs of infrastructure, etc.  He said there are many benefits of integrating mixed levels of housing.

    Mr. Joseph said some of the issues such as crime and lower property values that have accompanied low-income housing are not myths, but these conditions don’t have to accompany low-income housing.  The approach should be an acknowledgement that these can be real problems and there are plans and procedures to address them.  

    At this time, Ms. Robertson asked Legislators to provide information or questions they wish to have addressed or highlighted in Mr. Pendall’s presentation on December 16th.  

    Mr. Penniman commented on the large number of people who cannot afford any of the housing options and said he would be interested in knowing, based on the solutions mentioned, how many people would be accommodated.  Currently there are approximately 14,000 people commuting into the county to work and within the last ten years twice as many jobs have been created than the population has increased.   

    Mr. Proto recommended Chair Joseph's suggestion about identifying this as a need and not a fear.  

    Ms. Schuler said she would also like to know at some point from the industries how many people commute in.  

Chair's Report

    Ms. Robertson said she did not have a report.

Approval of Minutes

    It was MOVED by Mr. Koplinka-Loehr, seconded by Mr. Penniman, and unanimously adopted by voice vote, to approve the minutes of the November 20th meeting as submitted.

    Mr. Proto was excused at this time.

Health Department

    Resolutions
    It was MOVED by Mr. Koplinka-Loehr, seconded by Mr. Penniman, and unanimously adopted by voice vote by members present, to approve and submit the following resolution to the full Legislature for approval:


RESOLUTION NO.       – PERMANENT REGULATION OF MUNICIPAL CHILDREN’S CAMPS – HEALTH DEPARTMENT

    WHEREAS, it is the declared policy of the State of New York to protect the health, safety, and welfare of the children attending what are commonly called summer day and traveling summer day camps, and
    WHEREAS, children attending municipally run camps should be protected from potential health and safety hazards in the same way as children attending camps operated by other entities, and
    WHEREAS, municipally operated summer day and traveling summer day camps have been continuously regulated by the Department of Health since 1984, and
    WHEREAS, the Governor’s State Camp Safety Advisory Council recommends that municipally operated summer day and traveling summer day camps continue to be regulated by the Department of Health and that the authority to do so be made permanent, and
    WHEREAS, legislation currently authorizing the Department of Health to regulate municipally operated summer day and traveling summer day camps is set to expire on December 31, 2004, and
    WHEREAS, there is no reason to exempt municipally operated children’s day or traveling summer day camps from Department of Health regulation, now therefore be it
     RESOLVED, on recommendation of the Tompkins County Board of Health and the Health and Human Services Committee, That the Tompkins County Legislature calls on the New York State Legislature to enact legislation that permanently authorizes the Department of Health to regulate municipally operated children’s day and traveling summer day camps.
    RESOLVED, further, That the Legislature shall forward copies of this Resolution to the New York State Association of Counties, Governor George E. Pataki, the New York State Legislature and all others deemed necessary and proper.
SEQR ACTION: TYPE II-20
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EXPLANATION:
Since 1984 the State of New York has regulated municipally operated children’s camps in the same manner as private and non-profit children’s camps, but with rules that “sunset”.  Of the 29 children's camps, 11 are municipally operated.  This will eliminate the confusion about the status of rules and ensure continuity and timely notifications to municipalities that operate children’s camps.  In Tompkins County, the Tompkins County Health Department enforces the rules. This resolution advocates the rules become permanent.  

    It was MOVED by Mr. Koplinka-Loehr, seconded by Ms. Schuler, and unanimously adopted by voice vote by members present, to approve and submit the following resolution to the full Legislature for approval.  Ms. Cole noted that this is the second year for the grant and feels it will be ongoing funding.

RESOLUTION NO.           –  AUTHORIZATION TO ACCEPT PUBLIC HEALTH PREPAREDNESS AND RESPONSE TO BIOTERRORISM
          FUNDING, CREATION OF POSITION – HEALTH DEPARTMENT

    WHEREAS, the New York State Department of Health (NYSDOH) has received funding from the Centers for Disease Control (CDC) to assist county health departments in developing a Public Health Preparedness and Response Plan and to implement a variety of deliverables, as specified by the CDC and New York State, for the period September 1, 2003 through August 30, 2004, and
    WHEREAS, this grant funding may assist the Tompkins County Health Department in determining infrastructure capacities for areas of strengths and weaknesses, and
    WHEREAS, the Tompkins County Health Department is eligible for $111,501 plus $36,170 designated as one time funds for smallpox related activities, and
    WHEREAS, to accomplish the goals of this grant the Department requests the creation of one full-time position of Bioterrorism Preparedness Coordinator to provide assistance in the development and updating of the Public Health Emergency Preparedness Plan, the development of related jurisdictional programs, and other grant deliverables as outlined by the State and CDC, and
    WHEREAS, the funds may not be used to supplant existing public health funding, now therefore be it
    RESOLVED, on recommendation of the Health and Human Services Committee, That the Health Department is authorized to accept the grant funds,
    RESOLVED, further, That one position of Bioterrorism Preparedness Coordinator (13/780), labor grade M (13), competitive class, 35 hours per week, be created effective January 1, 2004,
    RESOLVED, further, That said position would only continue so long as grant funding is available.
SEQR ACTION: TYPE II-20
* * * * * * * * * *

Explanation:  Grant funding includes 1.0 FTE Bioterrorism Coordinator and 0.5 FTE Administrative Assistant.  The Administrative Assistant was in year one of the grant.  The remaining $86,428 will be spent on equipment, training, contract with Onondaga County Health Department for epidemiology services, and enhancement of our vaccine storage room.

    2004 Budget Summary
    Ms. Cole distributed copies of the 2004 impacts of the final budget for the Health Department and briefly provided an overview.  The department will experience one lay off, reduction in time for three employees, and a demotion of one employee.  The Community Health Services Division was the hardest hit and will discuss options for restructuring.  There will be reduced services to the towns, no more monitoring of pools, beaches and the south end of Cayuga Lake, and delays in responding to calls.

    Ms. Cole commented briefly on the WIC program and stated the County needs to make a decision by January 1st if it will continue providing WIC after September 2004.  The Board of Health will be discussing this subject at their meeting tomorrow. 

Health Planning Council

    Report on the State's Medicaid Reform Task Force
    Ms. Falcao said the New York State Senate established a task force to look at improving the Medicaid program.  There have been approximately ten meetings held around the State.  The Senate is in the process of putting together all the documentation, testimony and comments and is hoping to come up with recommendations in January.  The Senate hopes to use these recommendations during their budget deliberations.  She provided copies of the letter and list of questions each person was asked to address at the meeting in Binghamton she attended and reviewed them at length.  Ms. Falcao also distributed copies of her report to the task force, as well as information concerning Medicaid Reform prepared by Citizen Action of New York. Her points were discussed at length by the Committee.  As the Citizen Action information used 1998 Medicaid Enrollees and Expenditures, Mr. Whicher said the County can provide more recent information for a trend analysis.  Ms. Carey said early next year she could provide the trend analysis from 1998 to present. 

    Ms. Robertson asked that an additional report be provided in January following the receipt of year-end data by both Ms. Falcao and Ms. Carey.

Social Services Department

    Monthly Reports
    Mr. Herden gave a brief overview of the department's expenditures and encumbrances and year-end projections.  He said it is anticipated that the projected year-end net local cost will be approximately $170K under budget, out of a $35 million budget.  Mr. Herden noted that this includes the $1.3 million release of overburden aid that the County recognized as revenue in 2003.

    2004 Budget Summary
    Ms. Carey said she needs more time to see where the budget numbers fall out, but may be able to produce a report in January.  She explained the morale of employees in the Department is good.

    Dental Program
    Ms. Carey provided a written report of the status of the dental program.  Ms. Schuler said she expressed her concern with the program coordinator that many of the dentists are still centrally located.  The coordinator said there are dentists willing to participate, but it is the office staff that is reluctant because of the necessary paperwork.  Ms. Carey commented that if the dentists and their staff allowed the coordinator to come in and listen to how much assistance they would receive, there would be more acceptance.   She also stated that the State is difficult to deal with concerning territorial issues. 

Appointments

    It was MOVED by Ms. Schuler, seconded by Mr. Koplinka-Loehr, and unanimously adopted by voice vote by members present, to submit the following appointments to the full Legislature for approval:

    Office for the Aging Advisory Committee
    Beena Kulkowitz - term expires December 31, 2006
    Frances T. Sovocool - term expires December 31, 2006

Executive Session

    It was MOVED by Ms. Schuler, seconded by Mr. Koplinka-Loehr, and unanimously adopted by voice vote by members present, to hold an executive session to discuss real estate negotiations.  An executive session was held at 3:02 p.m. and returned to open session at 3:06 p.m.

Adjournment

    The meeting adjourned at 3:06 p.m.

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