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APPROVED 3/17/2009
MINUTES
ORANGE COUNTY BOARD OF COMMISSIONERS
JOINT MEETING WITH BOARD OF SOCIAL SERVICES
February 10, 2009
5:30 p.m.
The Orange County Board of Commissioners met for a joint meeting with the Social
Services Board on Tuesday, February 10, 2009 at 5:30 p.m. at the Link Government Services
Center in Hillsborough, NC.
COUNTY COMMISSIONERS PRESENT: Chair Valerie P. Foushee, and Commissioners
Pam Hemminger, Barry Jacobs, Bernadette Pelissier, and Steve Yuhasz
COUNTY COMMISSIONERS ABSENT: Mike Nelson and Alice Gordon
COUNTY ATTORNEYS PRESENT:
BOARD OF SOCIAL SERVICES: Joe Robbins, Pat Garavaglia,
DEPARTMENT OF SOCIAL SERVICES STAFF PRESENT: Director Nancy Coston
COUNTY STAFF PRESENT: County Manager Laura Blackmon, Assistant County
Managers Willie Best and Gwen Harvey, and Clerk to the Board Donna S. Baker (All other staff
members will be identified appropriately below)
Commissioner Nelson and Commissioner Gordon were not able to attend due to
schedule conflicts.
NOTE: ALL DOCUMENTS REFERRED TO IN THESE MINUTES ARE IN THE PERMANENT
AGENDA FILE IN THE CLERK'S OFFICE.
1. Introductions
Chair of the Social Services Board Joe Robbins said that the DSS Board thrives on
direction from the Board of County Commissioners. He said that DSS is coming under fire
these days because of the demand for services. Some things that affect the budget include:
need for emergency financial assistance, increased adoption and foster care costs, growing
number of food and nutrition cases, EMS assistance program, ending of the Work First
demonstration grant, program expansion in Health Choice, growth overtime and child welfare
expenses, growth in food stamp distribution, growth in Medicaid cases (7% over the last year),
and growth in DSS clients (11%). He said that the DSS staff is excellent.
2. Purpose of Meeting
Social Services Director Nancy Coston said that she is just going to try to sustain the
effort and plan for the growth without inundating the staff. She made a PowerPoint presentation
Social Services Board-BOCC Joint Meeting
•Introductions
•Purpose of Meeting
•Background Information
•Current Recipient and Workload Statistics
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•Information on State and Federal Funds
•Summary of Relevant Stimulus Proposals
.Plan and Action Steps
.Plan Discussion
•Closing Remarks
Background Information:
Current Recipient and Workload Statistics
Food and Nutrition Services
•Increased 12% for the current fiscal year
•Increasing at an average rate of 1.7% per month
Month Caseload
July 3120
August 3203
September 3249
October 3293
November 3360
December 3433
January 3497
Background Information:
Current Recipient and Workload Statistics
Food and Nutrition Services (graph)
- Increased more than 120% since 2000-01
Background Information:
Current Recipient and Workload Statistics
Medicaid Programs
•Increased 3.7% for the current fiscal year
•Increasing at an average rate of .5% per month
Month Caseload
July 5864
August 5864
September 5948
October 6062
November 6043
December 6067
January 6082
Background Information:
Current Recipient and Workload Statistics
Medicaid Programs (graph)
- Increased 81% since 2000-01
Background Information:
Current Recipient and Workload Statistics
Emergency Assistance Programs
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•Approximately 500 more people received some type of emergency assistance during the first 7
months this year than the same period last year.
•More federal money was available in the Crisis Intervention Program
•January recipient numbers for CIP increased 108% over the same time last year. The EA
program has seen recipient increases of 46% and the GA program has seen increases of 26%
for the same time period.
Background Information:
Current Recipient and Workload Statistics
Emergency Assistance Programs (table)
Background Information:
Other Impacted Programs
•When economic conditions worsen for families, social work services, both preventative and
reactive, become necessary. The agency is already managing large caseloads in the following
program areas and may see increases related to the economy:
•Foster Care— 145 children in custody
•Child Care Subsidy— Serving 758 children, 283 waiting
•Prevention Social Work— Serving 1198 children
•Adult Services
•
Background Information:
Information on State and Federal Funds
State Changes
•Proposed Cuts
•State Aid to Counties-$9,600 cut in this year's budget and a $58,000 cut in FY09-10
•Home and Community Care Block Grant (HCCBG)
•Proposed Increases
•Funding for the Work First Demonstration Grant is expected to continue using TANF
Contingency Funds
•Administrative costs for child care subsidy are expected to increase from 4 to 5%.
Background Information:
Information on State and Federal Funds
Other Budget Impacts
•Proposed federal legislation related to SCHIP (NC Health Choice) will increase income limits to
300% of poverty. This is likely to go into effect quickly and would likely double the current
number of Orange County Health Choice recipients.
•Regulation changes in foster care at the state level, including a rate increase and direct
payment provisions, will cause a budgetary increase for the county of approximately $100,000.
Background Information:
Summary of Relevant Stimulus Proposals
•$2 billion dollar increase for child care subsidy for two years
.5% increase in IV-E reimbursements
•Food and Nutrition benefit allotment increase 13%with additional target groups identified.
Includes administrative funds.
•Contingency funds increased.
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•At-Risk funding moratorium extended.
•FNS ABAWD restriction ends through 2010.
Background Information:
Summary of Relevant Stimulus Proposals
•$1 billion increase in LIHEAP.
•SSI recipients receive a one-time payment that would not count toward public assistance
eligibility. ($450/individual, $630/couple)
•Dislocated Worker provision would allow Medicaid coverage for people involuntarily separated
from work and currently receiving or out of unemployment benefits. Administration for the
program is 100% covered by the federal government.
3. Plan and Action Steps
Proposed Plan and Action Steps
1. Utilize Temporary Staff and Reassigned Staff to manage workload until June.
•Allow reassignment of staff time from non-mandated program areas to assist in other
areas while maintaining current services. (e.g. Veterans' Services, Justice Partnership,
Skills Development Center)
•Allow extension of current temporary staff through June 30th utilizing temporary funds
from Human Resources budget or critical needs fund.
•Waive all DSS positions from hiring delays and extra paperwork.
2. Prepare for increased population and new programs by creating new time-limited positions
•Create one position effective immediately for the current increases in Food and
Nutrition Services and Health Choice using critical needs funding.
•Create an additional time-limited position to handle ongoing cases effective July 1, 2009
with an option to create additional positions for each 500 new cases added in public
assistance programs. At the current rate, we estimate that to be 1 new position every 6
months. Stimulus provisions could alter that number and provide administrative funds.
3. Designate $100,000 in critical needs funding to supplement the agency's current fiscal year
budget for emergency assistance services. Add an additional $300,000 to the FY2009-10
budget for emergency assistance.
4. Solicit Volunteers to assist agency and families and develop networks to assist families in
stress.
5. Prepare and disseminate public information on available services, eligibility criteria, and
alternative ways to access them. Work with other human services organizations to conduct
outreach and education. Utilize county website. Complete electronic file program so that staff
can share information on clients among agency programs and sites.
6. Prioritize IT funding for Human Services' needs that improve service delivery and increase
worker effectiveness.
7. Work with the county and nonprofits to effectively allocate resources to target populations
most affected by economic crises.
•Organize a meeting with relevant nonprofits to look for ways to meet demand and
combine resources.
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•Assist the county in determining related nonprofit funding allocations to eliminate
redundancy and increase program effectiveness for targeted populations.
8. Streamline any agency or county procedure that affects issuance of emergency or ongoing
benefits for clients.
9. Find additional interviewing space at Whitted and Southern Human Services until new
building is available.
10. Work with Food Bank on possibility of onsite food distribution.
Chair Foushee made reference to reassigning people and said that several County
Commissioners have gotten calls from people who are concerned that there is a threat of
service reduction, specifically Veteran Services.
Nancy Coston said that her proposal is not to cut this out but to see if the Veterans
Services Officer could help with some of the public assistance on veterans. She said that she is
going to ask for a new position to help with the 500 additional cases by May 1St. She said that
DSS is slower because of the increased caseload.
4. Plan Discussion
Nancy Coston asked for feedback from the Board of County Commissioners.
Commissioner Pelissier asked for more information on the budget and how much of an
increase is expected. She said that at the County Commissioners' retreat they said that the
social services safety net is the most crucial priority, but she cannot calculate what it means to
the operating budget.
Nancy Coston said that the Social Services Board has to review the budget first, by law.
She said that she is trying to take the department cuts that have been requested by the
Manager. She said that she will not be able absorb the $300,000 for emergency assistance in
her budget and she is not sure what to do. She said that one of the problems is with the
administration costs. DSS gets 50% back from the state/federal funds, so a $30,000 cut would
only result in a $15,000 cut for the County.
Commissioner Pelissier said that she does not see DSS making the same level of cuts
that other departments make.
Commissioner Jacobs said that he would like to see an attempt of the DSS Board to tell
the County Commissioners the priority items for funding in case hard choices need to be made.
He said that Congressman Price wants anecdotal recommendations from the local level and
Nancy Coston said that she could send something in writing.
Commissioner Jacobs asked for an update on Hillsborough Commons and Nancy
Coston said they should be moving in July or August.
Commissioner Jacobs asked about the library and Laura Blackmon said that it is about
the same timeframe, July or August. Commissioner Jacobs suggested waiting a few months to
move out to save some money.
Commissioner Jacobs said that the County Commissioners have heard several times
from one non-profit that wants to be in this building with DSS and Nancy Coston said that there
is a meeting set. Chair Foushee said that staff is working on a response to the letter.
Commissioner Jacobs said that the County subsidizes the Urgent Home Repair Program
with money that used to come out of the Critical Needs Reserve. If the energy efficient money
could be used to help people make houses weather proof, then some money could be saved
from the Urgent Home Repair Fund.
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Nancy Coston said that JOCCA has weatherization money now and she can look into
this.
Commissioner Jacobs said that he is interested in the veterans issue and it looks as if
there will be a steady stream of veterans coming back to the country and he wants to continue
to make the statement in Orange County that it is a priority. He does not want to diminish the
commitment to veterans.
Nancy Coston said that the emergency assistance in general is in the safety net and she
is looking at the policy for this. She would welcome feedback in this area.
Chair Foushee asked Nancy Coston to talk about the waiting list for childcare subsidies
because less than 16 months ago there were no children on the waiting list, and now there are
283 children on the waiting list.
Nancy Coston said that DSS received $4.7 million for this, but there are 273 children on
the list now. There are also Smart Start funds. The waiting list is first come-first served. The
people on the waiting list are full-time employed parents and are income-eligible, which is about
200% of the federal poverty level. She will continue to try to serve as many as she can.
Orange County has the highest market rate for childcare in North Carolina.
Commissioner Jacobs made reference to bullet 5 on the last page and asked if low-
income areas were targeted for letting people know about the services that are offered through
DSS. Nancy Coston said that this has not been done as much as needed. This is why
outreach is in the proposed next action plan and steps.
5. Closing Remarks
Joe Robbins said that DSS has a strong relationship with their Friends group. He said
that the DSS Board is very proud of Nancy Coston because she was appointed by
Representative Joe Hackney to be on a State board to review social services.
Chair Foushee thanked the Friends of DSS for the contributions during the holidays.
Sharron Hinton said that the Orange County Toy Chest had an enormous amount of
people for the week, around 1,600. This was a very successful event and over 2,000 toys were
given out.
Discussion ensued on obtaining private subsidies for childcare services.
Chair Foushee said that Commissioner Nelson and Commissioner Gordon expressed
regrets for not being able to attend.
The meeting was adjourned at 7:08 PM.
Valerie Foushee, Chair
Donna S. Baker, CMC
Clerk to the Board
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