Meeting Minutes
Webster County
MH/DD Planning Committee
Meeting Minutes

Webster County Disabilities Alliance
Planning Meeting
May 6th, 2010

Present: Richard Scisco, Brian Schmidt, Mary Augustus, Gregg Kreamer, Diana Johnson, Jim Burr, Kim Motl, Irene Blair, Ken Hays, Deb Delp, Teresa Naughton.   Later, Daryl Beall and Dave Tjepkes were also in attendance.

  1. Welcome given.
  2. Minutes from the April meeting were approved.
  3. CPC Report/Case Management Report
    1. Statistics were reviewed.  Commitments were down overall, but most commitments were of children.
    2. Irene passed around a report updating progress made in the Money Follows the Person Program.
    3. There is no longer a waiting list for individuals needing the State Payment Plan.
    4. County Fund Balance information was shared.  Sixteen counties in Iowa ended below 0%, 25 counties ended below 10%.  Several other counties were barely over 10%.  A lot of counties are in trouble.  Webster County has a fund balance around 24%.  The stimulus is scheduled to end 12-31-10, where the Federal government pays a greater share of Medicaid and the state match is less. 
    5. Currently, slots for waiver funding are controlled by counties.  The waiver waiting list must now be statewide, to achieve equitable distribution.  DHS submitted questions in April, and no plan is completed.  Around 10,000 slots are used in Iowa, there are 12,000 slots approved state-wide.  Scott County has 75 people on a waiting list.
    6. Co-Occurring Disorders: There are around 10 agencies represented on this committee.  Included are Rabiner’s, Youth Shelter Care, Upper Des Moines Opportunity, Public Health, and others.  Compass Easy tool will be taken back to agencies, and will return to the committee in three months.
    7. Inpatient Mental Health Treatment: Iowa Falls has closed their unit.  Cherokee has closed 20 beds, their open ward.  Cherokee has two 12 –bed locked units, and a hope to increase these units’ beds by August.
    8. Community Services Network (CSN) is the county’s new information management system.  This is getting implemented.
    9. Dual Recovery Group Meeting will be at 4:30 on Tuesday.  Tonight, they are having a Family Mental Health Support meeting.  There is a Steps-like program from 5:30-7:30 each Thursday.  This program was designed originally for people with Borderline Personality Disorder, but is now open for others.  It is a free program, and people can join at any time.  Pam Lehman is running the group.
  4. Legislation: Senator Daryl Beall and Representative Dave Tjepkes joined the meeting.  Daryl gave a report on the 2010 legislative session overall.  Dave agreed with the report.  Irene said two million more dollars were appropriated for the State Payment Program which was wonderful, and wanted to know what could be done to help counties.  A short recap was given of the county fund balance status, that 41 counties have 10% or less in their fund balance.  Dave Tjepkes wondered how healthcare reform would affect the system.  He said Iowa’s HHS budget passed, but it included one-time stimulus dollars.  There are major concerns for next year; the part of the state budget with the largest growth is the HHS budget.  Dave wondered how the legislature can help.  Ideas presented included changing funding formulas (which will need dollars).  A second idea was to change the property tax cap from a hard dollar to a percent.  Dave suggested mobilizing ISAC to work with the Local Government committee, then work with the Ways and Means committee. 

Due to time constraints, the meeting was adjourned.  Agency reports and progress report on strategic plan goals will take place at the next meeting.

The next meeting will be on Thursday June 3, 2010.

Respectfully submitted,
Teresa Naughton, Secretary