Board of Supervisors Linn County, Iowa
Lu Barron - District 1
Administrative Office Building
930 First Street Southwest
Linda Langston -Dlstrict 2 Ben Rogers - District 3 Brent Oleson -District 4 John Harris - DistricI5
Cedar Rapids, Iowa 52404-2161
AGENDA Monday, February 13, 2012 1:30 P.M.
Board Room Linn County West, Lower Level 2500 Edgewood Road SW, Cedar Rapids, Iowa
PUBLIC COMMENT: 5 Minute Limit This comment period is for the public to address topics on today's agenda. APPROVE MINUTES A}
Authorize Chairperson to sign letter, retroactive to February 7, 2012, authorizing the Linn County Farm Service Agency to release agricultural data to Kevin Bestick regarding the land that Prospect Meadows, Inc. intends to lease from Linn County.
Authorize Chair to sign a letter to the Greater Cedar Rapids Community Foundation in support of a grant application for a mobility manager position. Discuss MH-DD FY 13 Budget for Publication/Certification and Potential Cuts.
PUBLIC COMMENT: 5 Minute Limit
This is an opportunity for the public to address the Board on any subject pertaining to Board business.
APPROVE PAYROLL AUTHORIZATIONS CORRESPONDENCE LEGISLATIVE UPDATE APPOINTMENTS ADJOURNMENT
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Board of Supervisors Linn County, Iowa
Lu Barron- District 1 Linda Langston- Dlsfrict 2 Ben Rogers - District 3 Brent Oleson - District 4 John Harris - District 5
Administrative Office Building 930 Firs! Street Southwest Cedar Rapids, Iowa 52404·2161
February 13, 2010
The Greater Cedar Rapids Community Foundation 324 Third Street SE Cedar Rapids, IA 52401 To the Grant Committee: The Linn County Board of Supervisors is pleased to support the grant application of Neighborhood Transportation Service (NTS). This application is for 20 percent of the cost to fund a new Mobility Manager position and will be used in conjunction with the New Freedom Grant issued by the Iowa DOT to Cedar Rapids Transit. The new Mobility Manager position will be based at the Human Services Campus and will coordinate transportation needs for the elderly, low-income and disabled in our community. As you know, the daily necessities of life for the neediest among us can be directly impacted by a lack of convenient and affordable transportation. While our own Linn County LIFTS does an admirable job of helping to fill this need, its service is often stretched thin and current budget limitations preclude any staff expansion. This new position's focus on coordinating available resources and serving as a central point for mobility communications would allow LIFTS to begin tackling some of the obstacles preventing them from serving even more of the needy in our community. The Linn County Board of Supervisors strongly supports the NTS application and ?-'~"....-..:. your positive consideration.
Brent Oleson Chair Linn County Board of Supervisors
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FY12/FY13 Budget and Fund Balance Analysis MHDD Services
FY11 Actual Acc'l Expenditures-budgeted less medicatron cost containment Total expenditures strategy 32,986,495 34,033,675 35,243,322 Updated Nov. 2011 Projected FY12 34,033,675 Budget FY13 35,243,322
2/10 20126:07 F M
Projected Receipts MHDD Community Services Subtotal Fund 203 Risk Pool Funding- updated/approved Property Tax Property Tax Relief Growth/Per Capita Cash Revenue Surplus (Deficit) Prior Year Fund Balance Expected Fund Balance
10,463,807 1,681,525 12,145,332 8,102,689 5,350,867 5,839,960 31,438,848 (1,547,647)
11,755,244 1,327,394 13,082,638 1,032,434 8,116896 5,336,660 6,053,431 33,622,059 (411,616) 1,238,166 826,550
11,640,050 1,327,394 12,967,444 8,661,411 5,336,660 6,053,166 33,018,681 (2,224,641) 826,550 (1,398,091 )
% of MHDD Expenditures % of MHDD FY12 Expenditures % of MHDD FY13 Expenditures
Community Servo PTR & Growth/Per Capita
3.75% 2.43% -3.97% 12,872,352 12,717,485 12,717,220
Note 1: A fund balance of at least 3% is recommended by the Finanaclal Management Director. Inclusion of fund balance targets are a usual eart of fiscal management policies. Fund balances are needed to maintain cash flows, especially when revenue Is not received In equal amounts each month. Fund balances are also needed to address unexpected/unusual expenses, which had not anticipated. Examples would include allowing time to analyze budget reduction strategies or providing a "contingency" In the event that estimates, associated with budJjet reduction strategies are not accurate. Fund balances should not be considered "rainy day funds". While some depletion of the fund balance may be needed to address the unexpected shortfall InFY12 state funding, the use of fund balance is NOT a long term strateg~. Funds depleted in FY12 would need to be replenished as part of FY13 (a year in which the MHDD budget will also be severely challenged.) A 3% fund balance is targeted, based upon State funding formulas, which allowed counties with fund balances below 5% to draw the maximum amount of funding from the Slate. To maintain a 3% fund balance; services would need to be reduced by an additional $217,000 in FY12.
Budget Reduction Strategy Savings
FY12 63,000 370,000 57,000 19,250 35,250 76,800 10,290 58,469 28,951 30,100 25,170 2,100 38,869 5,000 19,500 10,000 57,650 32,100 54,800 27,150 1,021,449 FY13 67,046 911,000 145,000 38,500 100,250 138,800 20,580 116,938 57,902 76,049 75,920 6,000 93,286 6,000 39,000 20,000 82,775 32,100 109,550 35,300 54,300 2,226,296
Other reduction strategies
HCBS provider cost efficiencies Convert Medicaid clients to Habilitation Expand use of Prescription Assistance Programs Reduce therapy and treatment annual units Eliminate Voluntary Hospitalization Funding Eliminate Post Committal Hospitalization Funding Eliminate funding for personal allowance Eliminate funding for payee services * Eliminate funding for IPR Eliminate Peer Support funding Eliminate Jail Diversion Eliminate Crisis CSP Reduce Mobile Crisis funding by 50% Eliminate enclave Reduce funding for service coordination Eliminate Adult Day Care funding for Medicaid clients Reduce transportation funding Reduce consultation Reduce SCL hours by 20% Eliminate judicial referee funding Reduce shelter hours by 20%
* Does not include the cost service for clients previously served by county operated program
Linn County FY13 Budget Estimates Total Budget Expenditures Revenue Surplus (Deficit)
Assumption Assumption Assumption implemented Assumption 2 3
$ $ $
$ $ $
. (2,224,641) (3,340,543) ( 1,933,261)
$ 19,556A61 $ 19,556A61
1: These amounts assume state revenue equal to the amount received in FY12. 1/1/12. 2: This budget reflects the impact of the Governor's budget recommendations: of the TCM and 88% of ICFMR
Expenditures include Medicaid services and eliminate costs associated with service reductions
the loss of all state funding, excluding the State Payment Program, and elimination Medicaid match for HCBS, habilitation, Assumption
3: This budget reflects the impact from the loss of all state funding, excluding the of all Medicaid match payments, inclusive of SRC.
State Payment Program and elimination
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Severity of Budget Cuts Total Budget less: revenue of county programs Subtotal less mandated services: MHI State Resource Centers Medicaid Match (enhance, ID, Hab) ICFMR Abbe Case Management Commitment Costs County Funded Services-nonmandated Reduction Percentage of program cuts
35,243,322 7,781,400 27,461,922 347,000 1,098,000 10,073,700 2,581,900 876,000 648,850 11,836,472 2,224,641 18.8% 3,340,543 28.2%
County Funded Services PMI RCF RCF MR Other Residential Subtotal Vocational Service Coordination Admin Rent Transportation PA/wraparound/hotels SCl residential
Medication/medical Mobile Crisis CSP ADT Consultation Social Support CTr
1,529,800 3,254,900 42,500 498,800 5,326,000 842,300 82,800 862,655 313,550 82,450 184,450 1,682,473 1,310,700 330,450 97,600 165,300 59,400 31,500 35,500 11,407,128