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HomeMy WebLinkAboutResolutions - 2018.07.19 - 23706REPORT (MISC. #18262) July 19, 2018 BY: Bob Hoffman, Chairperson, Human Resources Committee IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES/HEALTH DIVISION — ADJUSTMENTS TO THE HEALTH DIVISION FEE SCHEDULE AND POSITION CHANGES To the Oakland County Board of Commissioners Chairperson, Ladies and Gentlemen: The Human Resources Committee, having reviewed the above-referenced resolution on July 11,2018, reports with the recommendation that the resolution be adopted. Chairperson, on behalf of the Human Resources Committee, I move the acceptance of the foregoing report. Commissioner Bob Hoffman, Distri0 #2 Chairperson, Human Resources Committee HUMAN RESOURCES COMMITTEE VOTE: Motion carried unanimously on a roll call vote. MISCELLANEOUS RESOLUTION *18262 July 19, 2018 BY: Commissioner Christine Long, Chairperson, General Government Committee IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES/HEALTH DIVISION ADJUSTMENTS TO THE HEALTH DIVISION FEE SCHEDULE AND POSITION CHANGES To the Oakland County Board of Commissioners Chairperson, Ladies and Gentlemen: WHEREAS the Health Division has reviewed the fee schedule for Environmental Health, Personal Health and Laboratory Services; and WHEREAS the Health Division has not adjusted its Environmental Health fee schedule since 2008 (MR *08027); and WHEREAS certain existing fees need to be increased and that certain new fees are recommended to be established; and WHEREAS the Michigan Department of Health and Human Services encourages local health departments to seek reimbursement from first and third parties, such as Medicaid whenever possible; and WHEREAS the Health Division utilizes the principle of a sliding fee schedule to assure that the most in need of personal health services are not denied those services; and WHEREAS new vaccines may be recommended by the CDC at various times throughout the year which should be expeditiously offered to the public so that the spread of diseases can be minimized; and WHEREAS the cost for various vaccines may adjust several times throughout the year; and WHEREAS the revised and new fees being recommended are listed on the attached schedules A and B; and WHEREAS the Environmental Health fees recommended are based on a percentage of the actual cost of the service; and WHEREAS the workload required for Environmental Health and Health Education has increased significantly since 2008 necessitating a request for additional positions; and WHEREAS the Health Division is requesting the creation of the following General Fund/General Purpose (GF/GP) positions: 1. One (1) Full-Time Eligible (FTE) Chief Environmental Health Activities in the Environmental Health Services Unit (#1060220) 2. Two (2) FTE Public Health Sanitarian Technicians in the Environmental Health Services Unit (#1060220) 3. One (1) Full-Time Non-Eligible (FTNE) 2,000 hours per year Public Health Sanitarian Technician in the Environmental Health Services Unit (#1060220) 4. One (1) FTE Health Program Coordinator in the CHPIS Unit (#1060233) 5. One (1) FTNE 2,000 hours per year Public Health Educator III in the CHPIS Unit (#1060233); and WHEREAS the Health Division is requesting to delete one (1) part-time non-eligible (PTNE) 1,000 hours per year GF/GP Senior Public Health Sanitarian position (#1060220-09623) to offset the cost of creating the FTNE position; and WHEREAS the remaining cost to fund these additional positions will be fully offset by the revised and new fees recommended; and WHEREAS the County Executive is recommending the creation of the Chief Environmental Health Activities position upon approval and the other positions to be created effective September 29, 2018. NOW THEREFORE BE IT RESOLVED that the Oakland County Board of Commissioners hereby approves the revisions and additions to the Health Division fee schedule, as detailed on the attached schedules A and B, effective upon approval. BE IT FURTHER RESOLVED that the Health Division is approved to add new vaccines as recommended by the CDC throughout the year. BE IT FURTHER RESOLVED that the Health Division is approved to adjust its vaccine fee schedule throughout the year based on the cost of vaccines to the Health Division. BE IT FURTHER RESOLVED that the Health Division is approved to reduce or waive fees for personal health services to assure that the most in need of personal health services are not denied those services. BE IT FURTHER RESOLVED that the Health Division is approved to waive fees associated with investigations. BE IT FURTHER RESOLVED to approve the following GF/GP position deletions and creations: 1. Delete one (1) PTNE 1,000 hours per year Senior Public Health Sanitarian position (#1060220-09623) effective September 29, 2018 2. Create one (1) FTNE 2,000 hours per year Public Health Sanitarian Technician position in the GENERAL GOVERN EMENT COMMITTEE VOTE: Motion carried unanimously on a roll call vote with Quarles absent. Motion for direct referral to the Finance Committee carried on a voice vote. Environmental Health Services Unit (#1060220) effective September 29, 2018 3. Create one (1) FTE Chief Environmental Health Activities in the Environmental Health Services Unit (#1060220) effective the first day of the pay period following this resolution 4. Create two (2) FTE Public Health Sanitarian Technicians in the Environmental Health Services Unit (#1060220) effective September 29, 2018 5. Create one (1) FTE Health Program Coordinator in the CHPIS Unit (#1060233) effective September 29, 2018 6, Create one (1) FTNE Public Health Educator Ill in the CHPIS Unit (#1060233) effective September 29, 2018. Chairperson, on behalf of the General Government Committee, I move the adoption of the foregoing resolution. C Commi-§Sioner Christine Long, 1191Atrict #7 Chairperson, General Governmreat Committee Oakland County Health Division Fee Schedule A F-scal Year 2018 Environmental Health Fees for Service Service Oakland County Current Oakland County Proposed Washtenaw County Macomb County Livingston County Wayne County Drinking Water Analysis for Private System County Resident - Partical Chemical Water Analysis $5 $10 $61 $20 N/A WA County Resident - Bacteriological Water Analysis (pool, drinking, surface) $6 $12 $61 $18 N/A WA Non County Resident - Partial Chemical Water Analysis $14 $18 $61 $20 N/A N/A Non County Resident - Bacteriological Water Analysis (pool, drinking, surface) $14 $20 $61 $18 N/A N/A Lead/Copper Water Analysis NEW $24 MDFQ & Kent County rate for 2016 is $26 ea. Arsenic Water Analysis NEW $16 MDEQ & Kent County rate for 2016 is $26 ea. Fixed Food Service Operations License Fees 0-24 seats $227 $295 $428 $377 $627 $438 25-99 seats $267 $347 $763 $400 $898 $500 100 and over seats $307 $399 $1,133 $493 $1,010 $583 Commissaries $227 $295 N/A N/A N/A N/A Temporary:Food Service Operations License Fees Temporary food license (maximum 14 days) $54 $68 $142 $121 $125 $248 Temporary food license application submitted less than 2 working days (48 hours) prior to the event operation $64 $80 $182 $223 $150 $320 Temporary food license fee collected in the field $74 $93 $276 N/A $200 $344 Food Establishments: Inspection and Enforcement Fees Reinspection Fee $50 $65 N/A WA N/A N/A Food.Establishments: Class and Testing Fees Food Service Manager Certification Re-test $60 $75 N/A N/A N/A N/A Food Service Manager Certification Program $172 $215 N/A N/A N/A N/A Food Service Manager Re-Certification Pro2ram $97 $121 N/A N/A N/A N/A Nursery School / Preschool / Adult Foster Care Partial Inspection (water and/or septic only) $100 $125 $224 N/A $200 $311 Full Inspection (may include plan review if required) $170 $213 $371 N/A $300 $356 Onsite Sewerage System Fees Residential: Onsite sewerage new (vacant land) $250 $325 $351 $373 $350 $471 Residential: Repair onsite sewerage $170 $221 $595 $114 $275 $471 Public/Commercial: 1 - 1999 gallons/day $360 $468 $762 N/A $624 $840 Public/Commercial: 2000-10000gallons/day $720 $936 $1,027 N/A $840 $1,114 Water Supply Fees Type 11 Non-Community Water Supply Permits $110 $138 $468 $286-$532 $250-$300 $648 Type II Non-Community Water Supply Plan Review Fee $200 $250 N/A N/A N/A N/A Additional wells at the same site $33 $41 $61 N/A N/A N/A Private and Type Ill Well Permitinew) $200 $260 $264 $399-$524 $275 $250 Private and Type Ill Well Permit (replacement) $183 $238 $264 $1224524 $275 $250 Irrigation Well $200 $250 N/A N/A N/A N/A Geothermal Well $200 $250 N/A N/A N/A N/A Augmentation Well Permit - Currently classify as Private $250 $313 $264 N/A N/A $250 Sanitary Code Appeal Board Appeals and other requests before the Sanitary Code Appeal Board (also food service) $100 $125 $417 N/A $100 $720 Special Sanitary Code Appeal Board meeting $300 $375 N/A N/A $275 $280 Sanitary Code Appeal Board Pre-Hearing Fee NEW $217 $205 N/A $100 $280 Sanitary Code Appeal Board Fee for Oh-Site Inspection $500 $625 N/A N/A N/A N/A Public Swimming Pool Program Inspection Swimming Pool Annual Inspection $66 $86 $203 $186 $200 $294 Swimming Pool Multiple Follow Up Inspections $16 $32 $153 N/A N/A $174 *Additional State Fee Assessed Page 1 of 2 Oakland County Health Division Fee Schedule B Fiscal Year 2018 Clinical and Laboratory Fees for Service Oakland Oakland County Cost to County Service Current County Proposed Laboratory Fees Blood Lead Screening Blood Lead Confirmatory NAT Chlamdyia Laboratory Test NAT Gonorrhea Laboratory Test NAT Thich Vag Laboratory Test VDRL Laboratory Test TP PA Laboratory Test Wet Mount Laboratory Test Vaccine Administration Fee (per vaccine) TB Skin Test T-Spot Note: the new lab fees for STDs will not be included in the fiscal note since the increased revenue was added to our budget in FY17. Fees for STD laboratory tests are needed in order to bill Medicaid NEW NEW NEW NEW NEW NEW NEW NEW NEW 3 8 11 39 39 40 3 14 3 7 8 56 8 45 56 *Cost of immunization vaccines will be adjusted, as needed, to reflect the current cost of the vaccine Page 2 of 2 FISCAL NOTE (MISC. #18262) July 19, 2018 BY: Commissioner Thomas Middleton, Chairperson, Finance Committee IN RE: DEPARTMENT OF HEALTH AND HUMAN SERVICES/HEALTH DIVISION - ADJUSTMENTS TO THE HEALTH DIVISION FEE SCHEDULE AND POSITION CHANGES To the Oakland County Board of Commissioners Chairperson, Ladies and Gentlemen: Pursuant to Rule XII-C of this Board, the Finance Committee has reviewed the above referenced resolution and finds: 1. Resolution establishes new fees and revisions to the existing fee schedule for environmental health, personal health, and laboratory services in order to reduce the risk of food and water contamination and to meet the on-going expenditures attributed to the Environmental Health and Health Education Programs. 2. The Environmental fee schedule was last adjusted in 2008 via Miscellaneous Resolution #08027 and in 2011 via Miscellaneous Resolution #11290. 3. The recommended new and adjusted fees, which are listed on the attached Schedule A and Schedule B, are formulated based on a percentage of the actual cost of service. 4. The resolution authorizes the creation of one (1) Full-Time Eligible (FTE) General Fund /General Purpose (GF/GP) Chief Environmental Health Activities to be effective the first pay period after adoption of the resolution. 5. The resolution also authorizes the creation of two (2) FTE GF/GP Public Health Sanitarian Technicians, one (1) GF/GP Full-Time Non-Eligible (FTNE) 2,000-hour Public Health Educator III, one (1) FTE GF/GP Health Program Coordinator, and one (1) GF/GP FTNE 2,000-hour Public Health Sanitarian Technician. The aforementioned positons will be effective September 29, 2018. 6. The cost of the positions is partially offset by the deletion of one (1) GF/GP Part-Time Non-Eligible (PTNE) 1,000-hour Senior Public Health Sanitarian. 7. The recommended fee changes will cover the cost of positions and controllable operating line item adjustments. 8. The General Fund budget is amended per the attached Schedule C to reflect increased revenues from the recommended new and revised fees and additional line item adjustments for FY 2019 — FY 2021. ommissioner Thomas Middleton, District #4 Chairperson, Finance Committee FINANCE COMMITTEE VOTE: Motion carried on a roll call vote with Kowall and Woodward voting no and Crawford and Quarles absent. OAKLAND COUNTY, MICHIGAN HEALTH DIVISION BUDGET AMENDMENTS FY 2018, FY 2019, FY 2020, AND FY 2021 SCHEDULE C P72018 Budget (as FY 2018 of 6/20116) Adiustment FY 2918 Amend Fr' 2919 CE FY 2019 FY 2019 77 2020 CE FY 2020 FY 2020 New Pr' 2021 GE FY 2021 PY 2021 Budget Rec Budget Adjustment New Reo Rec Budget Adjustment Rec Roc Budget Adjustment New Rec Fund Department Program Program Descr Account Acct Descr 10100 1060201 10100 1060234 10100 1065212 10100 1060201 10100 1060220 10100 1069234 Health 10100 1063201 133150 Adminstration Health 133150 Administration 133910 Immunizations 133120 Lab Health 133150 Administration 134010 Fixed Foods 133910 immunizations 1444 550 60,493 180,000 500 52,000 170,000 50 8,493 10,000 50 8493 10,000 500 52,000 170,000 500 52,000 170,000 500 52,000 170,004 550 60,493 180,000 550 60,493 180,000 50 8,493 10,000 500 53,444 170,090 5,000 (3,500) (111,512) 58,140 40,000 3,500 650,000 193,140 35,000 7,000 761,612 135,000 35,000 7,000 761,612 135,000 5,000 (3.500) (111,612) 58,140 35,000 7,000 761,512 135,000 35,000 7.000 751.612 9,884 144,684 35,000 7,000 761,612 135,000 5,000 (3,500) (111612) 58,140 40,000 3,500 650.000 193,140 Hepatitis Vaccine HPV Vaccine Immunizations Inspection Fees 10100 1060234 133910 Irrirramizallobs 630882 10100 1960234 133910 Immunizations 630898 10100 1050234 133910 Immunizations 630917 10100 1060220 134010 Fixed Foods 630966 Swimming 10100 1060220 134210 Sites/Facflilies 630966 Inspection Fees 10100 1060220 134380 Body Art 630966 Inspection Fees Laboratory 10100 1060212 133120 Lab 631022 Charges Laboratory 10100 1060212 133320 C and Ali Lead 631022 Charges 391 391 2,300 2,300 2,300 11,000 10,000 2,390 1.000 11,000 2,300 2,300 mom 10,0E0 10,000 1,009 11,000 10,000 1,000 Licensed Fan 10100 1060220 134240 055 Facilities 631092 inspect 3rd Party 16.000 16.000 16,000 (10.469) 5,540 16,000 (10,460) 5,540 16,000 (10,460) 5,540 11,427 1,000 2,500 (8,000) 35,427 17,500 10,000 12,000 11,427 1,000 2,500 (8,000) 24,000 16,500 7,500 20,000 35,427 17,500 10,1:100 12.000 35,427 17,500 10.000 12,000 24,000 16,500 7,500 20,000 24,000 16,500 7,500 20,000 24,000 16,500 7,500 20,000 11,427 1,000 2,500 (8,0-00) 134240 1340E10 134380 133910 631099 631106 631106 831171 DSS Facilities Private Sewage Body Art immunations Licensed Facility Inspections Licenses Licenses MCV4 Vaccine 10100 1060220 10100 1050229 10100 1060220 10100 1060234 1,943 25,943 16,500 7,500 20,000 10,000 245,000 175,200 2,504 2,617 11,512 8,311 12,617 256,512 183,311 2500 10,000 245,090 175,000 2,500 15,396 67,710 49,887 4,000 25,396 312,716 223,887 6,500 10,000 245,000 175,000 2,500 15,396 57,716 48,887 4,000 25,396 312,716 223,887 6,500 10,000 245,009 175,000 2,500 15,396 67,716 46,887 4,000 25,396 312,716 223,887 6,500 2,000 (2,000) 2,000 (2,000) 2,000 2,000 2,000 (2,000) Partial Chem Test Permits Permits Permits 10100 1060212 133120 Lab 631459 10106 1060220 134080 Private Sewage 631505 10100 1060220 134200 PrIvate V0ater 631505 10100 1060220 134380 Body Art 631505 General livirorimenta 10100 1060220 134390 Health 631505 Permits Plan Review 10100 1060220 134080 Private Sewage 631547 Fees Revenues: Federal 610313 Operating Grants Administration 630014 Fees Administration 630014 Fees 630135 Bac-F Test Bodies Disinter or 530154 Reinter 630259 Class Fees 630742 Flu 3rd Party 180,000 180,000 180,000 180,000 180,000 180,000 240,000 240,000 240,000 (240,000) 240,000 (240,000) 240,000 (240,000) 100,000 20,602 120,602 100,000 121,190 221,190 100,030 175,000 275,000 100,000 175,000 275000 50,000 1,767 51,767 50,000 10,396 60,396 50,000 10,396 60,396 50,000 10,396 60,396 133910 Immunations 630749 Flu Vaccine Fees Food Service 134010 Fixed Foods 630777 Licenses Food Service 134040 Temporary Foods 630777 Licenses 30,1100 30,000 30,000 (13,000) 20.000 30,000 (10,000) 1,100,000 55,362 1,155,362 1,100,000 325,660 1,425,660 1,100,000 325.660 135,000 859 85,859 85,000 5,050 90,050 85,000 5,050 30,000 (10,000) 20,090 1,100,900 325,660 1,425,660 85,000 5,050 90,050 10100 1060234 10100 1060220 10100 1060220 mow 1,425,660 90,050 40,000 3,500 650,000 193,140 59,000 5,484 64,484 59,000 32,256 91,256 59,004 32,256 91,256 59,000 32256 91,256 15,000 15,000 15,000 5,009 20,000 15,000 5,000 20,000 15,009 5,000 20,000 4,554 4,554 4,554 (1,554) 3,000 4,554 (1,554) 3,000 4,554 (1,554) 3,000 OAKLAND COUNTY, MICHtGAN HEALTH DIVISION BUDGET AMENDMENTS FY 2018, FY 2019, FY 2020, AND FY 2021 SCHEDULE C Fend Department Program Program De= Account Acct Oeser Plan Review 10100 1060220 134386 Body Art 631547 Fees Plan Review 10100 1060220 134200 Private Water 631547 Fees 10100 1060234 133910 immunizations 631561 Pneumo Vem Prieunto Vax 3rd 10100 1060234 133910 Immunizations 631566 Party 10100 1066234 133910 Immunilations 631859 30104 1060220 134170 Radon 631673 General Health 10100 1060240 133390 Promotion 631869 Reimb Sataries. Sanitary Code 10100 1060220 134060 Private Sewage 632044 Appeals Fee Subdivision 10100 1060220 104120 Land Use Planning 632191 Control Plats 10100 1060234 133910 Immunizations 632255 TB Tests Water Sample 10100 1460220 134190 Public Water 632464 Tests FY 2010 FY crle, Budget (es FY 2018 Amend FY 2819 OE 7Y2010 FY 2010 PY 2020 CE FY 2020 FY2020 New FY2021 OE FY 2021 FY 2021 of 6120)10) Adjustment. Budget Rec Sudget Adjustment New Rec Res Budget Adjustment Ree Rec Budget .A4uatment New Rec 1,000 1,000 1,030 2,000 3.000 1,000 2,000 3,000 1,000 2,000 3.000 60 50 350 350 350 350 350 1,402 1,400 1,400 (900) 500 1,400 (900) 500 1,400 (900) 5613 180,000 160,000 180,000 (40,000) 140,000 180,000 (40.000) 140,000 180,000 (49,000) 140,000 22,000 22,000 18,000 40.000 22,000 16,000 40,000 22,900 ----- -18.400 40,000 15,000 16,000 (15,0001 15000 (13,000) 16,000 (15,000) 52,000 52,000 52,000 (3,000) 50,000 52,000 (2,000) 50,000 52,000 (2000), 50.000 3,240 4,072 7,312 3,240 23,950 27,190 3,240 23,950 27,190 3,240 23,950 27,190 Rabres Vaccine coca 22,000 Radon Testing 1-5,00•0 1,500 1,500 1,500 600 2,000 1,500. 500 2,000 1.500. 500 2;000 24,000 6,800 30,800 24,000 40,000 64,000 24,000 40,066 64,000 24,000 40,1300 64,060 1,200 2,773 3,973 1,200 16,313 17,513 1,200 16,313 17,513 1200, 16,313 17,513 Planned Ilse of 665862 Balance (.101,52.7) - (155,660) - (155.450) (153,650) TOTAt. REVENUES 3,674.506 23,034 31303,357 31674,506 470,021 4,246;054 3,674.506 469,706 4,299,864 3,674.506 459,706 4,144,214 702010 Salaries Regular 4,678.827 14,448 4.633,275 4,857,535 181,224 5.038,619 4,857,395 161224 5.038,619 4,857.395 181224 5,033,619 702010 Salaries Regular 97,290 97,290 104-703 113,976 213,679 104.703 113.376 218,679 104,703 113,976 218.679 Pringe Benefit 722940 Adjustments 40,527 40,527 40,527 40,527 40,527 40,527 10100 9010101 195030 Sundry Expe_nclinges; General Environmental. 10100 1060220 134390 Health General Health 10100 1060233 133390 Promotion General Health 10100 1060212 133390 Promotion General Erwinonmerital 10100 1060220 134390 Health Community 10100 1060201 133045 Assessment Health 10100 1060201 133150 Administration Health 10100 1060211 133150 Administration Generei Health 10100 1060233 133300 Promotion 10.100 1060237 133300 Hearing 10100 1060237 135310 Vision Health 10100 .1060201 133150 Administratten 102013 1050220 134030 axed Foods - (110.847) 722900 730373 730616 730646 730546 730646 730648 730716 730772 2,414 11,661 200 09,981 (1,661) 250 (250) (1100) 1,000 100 (1,800) (4,000) Fringe Benefit Adjustments Contracted Services Equipment Maintenance Equipment Maintenance Equipment Maintenance Equipment Maintenance Equipment Maintenance Fees CM! Service Freight and Express 8,666 10,640 11.661 11,661 2,000 2,000 250 250 1,100 1,100 2,500 2.500 2.604 2,000 11800 1,800 4,000 4,000 109.981 (4561 260 (250) (1,100) 1,008 100 1,800 (1,800) 4,060 (4,000 109,981 109,981 103,931 10,000 11,661 (1,661) 10,0011 2.250 2,006 250 2250 250 (250) 1.100 (1,100) 3,500 2.500 1,000 3,500 2,100 2,000 100 2,100 1,800 (1,800) 4,000 (4,000) 230 1,100 2,500 2,000 1,600 4,000 109,981 10,000 11,661 2,250 2,000 250 1,100 3,500 2,500 2,100 4,000 11,000 (11,000) 5,000 6,000 6.000 8,000 1,500 6,500 100 3,000 2,900 8,000 19,000 150 750 850 22,3011 43,300 1,300 1,000 350 400 1.309 1,300 13,000 10,000 4,000 4,408 1,500 1,750 1.000 1,300 6,000 2,000 5,000 12,000 1,000 15.000 7,000 5,700 7,090 4,000 4,000 4,000 4,000 11,000 (11,009) 5,000 5,000 5.000 6,000 6,000 6,000 8.000 1,500 6,500 8,000 100 (100) 3,000 2,900 100 3,000 10,000 (2000) 8,000 750 (600) 150 850 850 43,300 (21.000) 22,300 1,000 300 1,300 350 400 (50) 350 1,300 (1,300) 1,300 1,300 1,300 13,000 10,000 3,000 13,000 4,000 4,408 (408) 4,000 1,500 1,750 (250) 1,500 1,090 1,300 (300) 1 000 6,000 (6,000) 2,000 (2.000) 6,000 6,000 6,009 12,009 12,000 12,000 1,000 15,000 (14,000) 1,000 7,000 5,709 1,300 7,000 7,000 4,000 3,000 7,000 6,000 1,500 1,500 6,500 100 100 (100) 2,000 2,900 100 10,000 10,000 (2,000) 750 750 (600) 850 43,300 43,300 (21,000) 1,000 1,000 309 400 400 (50) 1,300 1,300 (1,300) 1,300 10,000 10,000 3,000 4,408 4,408 (408) 1,750 1,750 (250) 1,300 1,300 (300) .6,000 0,000 (6,000) 2000 2,000 (2,000) 6,000 12,000 15,000 15,000 (14,000) 5.700 5,700 1,300 4,000 4,050 3,000 4,000 4,000 11.000 11,000 (1,1 ,000) 5,000 5.000 (100) 100 (2,000) (600) 850 (21,000) 300 (50) (1,300) 1,300 3,000 (408) (250) (309) (6000) (2,000) 6,000 12,000 (14,0001 1,300 3,000 0,090 150 850 22,303 1,300 OAKLAND COUNTY, MICHIGAN HEALTH DIVISION BUDGET AMENDMENTS FY 2018, FY 2019, FY 2020, AND FY 2021 SCHEDULE C FY 2018 FY 2018 Budget (as FY 2016 Amend Account Acct. Descr 016/20/18) Adjustment Budget Freight ard 730772 Express 730982 Interpreter Fees 11,900 730982 Interpreter Fees 730982 Interpreter Fees 731031 Laboratory Pees 1,500 Laundry and 731955 Cleaning 100 Laundry and 731050 Cleaning 2,900 Licenses and 731115 Permits 10,009 Licenses and 731115 Permits 750 Licenses and 731115 Permits Membership 731213 Dues 43,300 Membership 731213 Dues 1,000 Membership 731213 Dues 400 Membership 731213 Dues 1,300 Membership 731213 Dues 731346 Personal Mileage 10,000 731346 Personal Mileage 4,408 731346 Personal Mileage 1,750 731345 Personal Mileage 1,300 731346 Personal Mileage 6,000 731346 Personal Mileage 2,000 19100 1060233 133350 Health Behavior 731346 Personal Mileage Personal Mileage Personal Mileage 15,000 Personal Mileage 5,700 731346 Personal Mileage 4,000 Fund Department Program Program Descr Health 10100 1060201 133150 Administration Health 10100 1060201 133150 Administration General Health 10100 1060236 133390 Promotion General Health 10150 1060240 133390 Promotion 10100 1060235 133970 TB 10100 1060213 133130 X-Ray General Clinic 10100 1060234 133990 Services 10100 1060212 133120 Lab 10100 1060213 133130 X-Ray General Health 10100 1060233 133390 Promotion Health 10100 1060201 133150 Administration Health 10100 1060220 133150 Administration Health 10100 1060230 133150 Administration 10100 1060235 133970 TB 10190 1060212 133120 Lab Disease 10100 1060201 133020 Survefilanoe Health 10100 1060201 133150 Administration Health 10100 1060211 133150 Administrabar 10100 1060212 133120 Lab 15100 1060220 134190 Public Water General Clinic 13100 1060230 133990 Services 10100 1060233 133370 Community Nutntion 731346 General Health 10100 1050233 133390 Promotion 731346 General Clinic 10100 1060234 133990 Services 731346 10100 1060237 133300 Hearing FY 2019 CF. FY 2019 FY 2019 FY 2020 CE FY 2020 FY 2020 New P12021 CE P72021 FY 2021 Rec Budget Adjustment New Rec Roe Budget Adjustment Roe Rec Budget Adjustment New Rec OAKLAND COUNTY, MICHIGAN HEALTH DIVISION BUDGET AMENDMENTS FY 2016, FY 2019, FY 2020, AND FY 2021 SCHEDULE C Fund Department Program Program Dears Account Acct Descr FY 2016 Budget (as FY 2018 of 620118) Adjustment FY 2018 Amend FY 2019 CE FY 2019 FY 2019 Budget Ron Budget Adjustment New Bee FY 2020 GE P72020 FY 2020 New FY 2021 CE FY 2021 P72021 Sec Budget Adjustment Ran Rae Budget Adjustment New Sec 10100 1050237 133310 Vision 731346 Personal Mileage 8.000 6,000 6,000 1,000 7,000 6,000 1,000 7,000 6,000 1,000 7.300 Services to the 10100 1060240 133330 Aging 731346 Personal Mileage 100 100 100 (100) 100 (100) 100 (100) General Health 10100 1060240 133390 Promotion 731346 Personal Mileage 101,000 101,000 101,900 (3,242) 97,758 101,000 (3,242) 97,758 101,000 (3,242) 97,758 10100 1060201 134865 Zika 731388 Printing 850 850 850 (850) 850 (650) 850 (850) Health 10100 1060214 133150 Administration 7313813 Printing 500 500 500 (500) 500 (500) 500 (500) 10100 1060220 134010 Fixed Foods 731388 Printing 1,900 1,000 1,000 1,000 1,009 1.000 1,000 1,000 16100 1060220 134200 Private Water 731338 Printing 200 200 200 (200) 200 (200) 200 (200) Swimming 10100 1050220 134210 Sites/Facilities 731388 Printing 1,000 1,000 1,000 200 1,200 1,000 200 1,200 1,000 200 1,200 General Health 10100 10E0230 133390 Promotion 731388 Printing 1,000 1,000 1,000 (1,OOD) 1,001) (1,000) 1,000 (1,0E10) 10100 1060233 133350 Health Behavior 731388 Printing 200 200 200 800 1,000 200 800 1,000 200 800 1,000 General Health 10100 1060233 133390 Promotion 731388 Printing 1,200 1,290 1,200 800 2,000 1,200 800 2,000 1,200 800 2,000 10100 1050234 133975 Flu 731388 Printing 750 750 750 (50) 700 750 (50) 704 750 (50) 700 10100 1050237 133300 Hearing 731388 Printing 1,200 1,200 1,200 800 2,000 1,200 800 2,000 1,200 800 2,000 Professional 10100 1060232 134850 Dental 731458 Services 348,943 348,943 348,943 (1,000) 347,943 348,943 (1,000) 347,943 346,943 (1,000) 347.943 Professional 10100 1060213 133130 X-Ray 731458 Services 5,000 5,000 5,600 5,000 5,000 5,000 Professional 10100 10E0235 133970 TB 731458 Services 10,625 10,625 14,000 (4,000) 8,003 10.000 (4,900) 6,000 10,000 (4,000) 6,000 Health 10100 1060201 133150 Administration 731626 Rent 12,562 12,562 12,876 2,124 15,000 13,189 1.811 15,600 13,189 1,811 15,000 General Environmental 10100 1060220 134390 Health 731941 Training 10,000 10,009 10,000 19,000 10,060 10,000 Health Travel and 10100 1060201 133150 Administration 732018 Conference 5,500 5,500 5,500 455 5,955 5,500 455 5,955 5,500 455 5,455 Travel and 10100 1060213 133139 X-Ray 732018 Conference 200 200 200 (200) 203 (200) 200 (200) Health Travel and 10100 1060220 133150 Administration 732018 Conference 7,400 7.400 7,400 200 7.600 7,400 200 7,600 7,400 200 7,600 Health Travel and 10100 1060230 133150 Administration 732018 Conference 3,273 3,273 3,273 (273) 3,000 3,273 (273) 3,000 3,273 (273) 3.000 General Clinic Travel and 10100 1060234 133990 Services 732018 Conference 482 482 482 (182) 300 462 (182) 300 482 (182) 300 Health Workshops end 10100 1060201 133150 Administration 732165 Meeting 1,500 1,500 1,500 1000 2,500 1,502 1,009 2,500 1,500 1,000 2.509 10100 1060235 133970 TB 750112 Drugs 50,300 50,000 50,000 25000 75,000 50,000 25,000 75,000 50,000 25,000 75,000 Expendable 10100 1060233 133350 Health Behavior 7501E4 Equipment 5,000 5,000 5.000 (5,000) 5,000 (5,000) 5,000 (5,000) Expendable 10100 1060237 133310 Vision 750154 Equipment 13,435 13,435 5,000 5,000 5.000 5,000 5,000 5.000 Material and 10100 1060201 134865 Zilca 780294 Supplies 1,000 1,000 1,000 (1,000) 1,000 (1.000) 1,000 (1,000) 1,009 1,000 1,500 (1,000) 500 76,170 509 76,575 500 500 1,000' 24,960 9,500 34,360 17500 sec 2,1:90 1,500 (509) 1,000 1,000 1,000 (1,000) 500 5(10 76,673 500 1,030 9,500 34,360 600 2,000 1500) 1,000 1.000 1,500 (1,000) 76,175 500 500 500 24,860 9,500 1,500 500 1500 (500) 1,000 1.500 76,447 500 24,860 1,500 1,500 1,500 76,175 500 24,860 1,500 1,500 1,000 '500 76,675 11000 34,360 2,000 500 500 (600) 504 300 1,500 1,500 (1,500) 6,900 6,900 900 7,800 5,000 8,000 (3,000) 5.000 500 500 (505) 100 100 200 200 {2(10) 4,000 4,050 (1,000) 3,000 2,000 2,000 1,000 3,004 1,150 1,150 (1,150) 500 (500) 300 300 300 1,500 (1,500) 7,800 6,900 900 'TAO 5000 0,000 (34001 5,000 500 (500) 100 100 100 200 (200) 3,000 4,000 (1,000) 3,000 3,000 2,000 1,000 3,000 1,150 (1,150) 900 9,000 (3.000) 500 (500) 100 2.00- (200) 4,000 (1,600) 2.000 0.,000 1,150 )1,150) 500 (500) 300 300 1,500 (1,500) OAKLAND COUNTY, MICHIGAN HEALTH DIVISION BUDGET AMENDMENTS FY 2018, FY 2019, FY 2020, AND FY 2021 SCHEDULE C Fund /Department Prcnymn Program Descr A993.01 Arc) Descr FY2013 FY 2018 Budget. (as FY 2018 Amend of 6/20110) Adjustment Budget Pr 2019 CE FY 2019 FY 2019 Er 2020 CE FY 2020 FY 2020 New FY 2021 CE FY 2021 Rec Budget Adlus0nen1 New Roc Res Budget Adjustment Rec Reo Budget Adjustment FY 202-1 New Res General Environmental Materta and 10100 1060220 134390 Health 750294 Supplies 10100 1060234 133970 TB 750301 Medical Supplies General Clinic 11)1,00 1060214 133990 Services 750301 medical Supplies General Health 10100 1060240 1333913 Promotion 750301 Medical Supplies Health 10100 1050201 133150 AdreinistratTon 10100 1050220 134220 Water Pollution 750392 Crisease 10100 1060261 133020 Surveillance 750399 Oface Supplies Health 10100 1060214 133150 Administration 750309 Office Supplies 10100 1050220 134010 Fixed Foods 750359 (Vim Supplies 2,000 2,000 (1,000) 1,000 2,000 (1.000) 1,000 2,000 (1,000) 1,000 2,000 2,000 2,000 1.500 2,500 2,000 17100 3,500 2,000 1,500 3,500 1,500 76,447 500 750392 Metered Postane 24,860 Metered Postage 1,800 L500 Health 10100 1060230 133150 Administration 750390 Office Supplies 500 10100 1060232 134850 Dental 750399 Offtr...e Supplies 300 00100 1060233 133350 Health Behavior 750399 Otice Supplies 1,500 General Clinic 10100 1060234 133990 Services 750399 0111ce Suppries 67100 General Health 00100 1060240 133390 Promotion 750399 Office SCippiiss 8,000 Health Posta99- 10,100 1060201 133150 Administration 759448 SIandard Mailing 500 Postage- 10100 11360234 133970 TB 750448 Standard Mailing General Clinic 10100 1060234 1050234 133990 Services 750448 Slanders] Mailing 200 10104 1060220 133320 G end.A1-1 Lead 750539 Testing Materials 4,020 10100 1060220 154010 Fixed Fouls 750539 Testing Materials 2.000 Training- Health Educational 10100 1060201 133150 Administration 750567 Supplies 1,150 Training- Educational 10100 1060220 134010 Fixed Foods 760567 Supplies 28,000 10100 1069220 134010 Fixed Fcxxis 755551 Uniforms 500 10100 1060220 134080 Private Sewage 750561 Uniforms 1;000 10100 1060212 133130 X-Ray 700595 X Ray Supplies 400 10100 1460232 134650 Dental 750595 X-Ray Suppiies 300 5,666,327 23,314 5,689,361 5,858,276 470,021 6,306,297 5,836,589 469,708 6,306,257 5.630,559 469.708 6,306,297 28,000 28,000 (3,000) 25,000 25,000 3,000) 25,090 20.000 (3,000) 25,000 1,000 1,000 2,530 3,500 1,000 2500 3,500 1,020 2,500 3,500 500 500 27100 3,000 500 2,500 3_000 500 2,500 3,000 300 300 (300) 300 (3001 300 (300) 400 400 (200) 200 400 (200) 2(10 400 (200) 200 TOTAL.F_XPENDITURES Resolution #18262 July 19, 2018 Moved by Long supported by McGillivray the resolution be adopted. Moved by Long supported by McGillivray the Human Resources Committee Report be accepted. A sufficient majority having voted in favor, the report was accepted. Discussion followed. Moved by Woodward supported by Zack the resolution be amended as follows: After the second BE IT FURTHER RESOLVED sentence, add the following: BE IT FURTHER RESOLVED fees for Drinking Water Analysis for schools, licensed day care centers and public senior/community centers shall be waived. And that the attached fee schedule and fiscal note be amended to reflect this change. Discussion followed. Chairperson Michael Gingell addressed the Board and stated a Study Group will be appointed to research. Discussion followed. Commissioner Woodward addressed the Board to withdraw his amendment to allow the Study Group to be appointed for research. Discussion followed. Vote on resolution: AYES: Hoffman, Jackson, Kochenderfer, Kowall, Long, McGillivray, Middleton, Quarles, Taub, Tietz, Weipert, Woodward, Zack, Berman, Bowman, Dwyer Gershenson, Gingell, (18) NAYS: None. (0) A sufficient majority having voted in favor, the resolution was adopted. 7/d 3i I HEREBY APPROVE THIS RESOLUTION CHIEF DEPUTY COUNTY EXECUTIVE ACTING PURSUANT TO MCL 45.559A (7) STATE OF MICHIGAN) COUNTY OF OAKLAND) I, Lisa Brown, Clerk of the County of Oakland, do hereby certify that the foregoing resolution is a true and accurate copy of a resolution adopted by the Oakland County Board of Corn missioners on July 19, 2018, with the original record thereof now remaining in my office. In Testimony Whereof, I have hereunto set my hand and affixed the seal of the County of Oakland at Pontiac, Michigan this 19th day of July, 2018. Lisa Brown, Oakland County