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HomeMy WebLinkAboutCommunity Health Board - P4HCHB 5.16.25 Packet Supporting Documents - 05/16/20251 | P a g e Partnership4Health Community Health Board 5/16/2025 9:00 a.m.-11:00 a.m. In Person option: Wilkin County Recycling Center 505 8th St S Breckenridge, MN 56520 Virtual Option Microsoft Teams Join the meeting now Meeting ID: 280 771 835 932 0 Passcode: 8SC2KY2K Agenda 9:00 Call to Order ♦ Introductions & Establish Quorum Approval of Agenda– May 16, 2025 (action) Approval of Consent Agenda (action) ♦ February 21, 2025, Parnership4Health CHB Meeting minutes 9:05 Fiscal Update 9:15 CHB Grant Splits 10:00 Legislative Updates 10:10 Program Highlights and Reports: Infectious Disease Update; Isaac Triebold, MDH 10:30 General Discussion Next Meeting Date: 8/15/2025 Location: Becker County P4HCHB webpage: https://ottertailcounty.gov/board/community-health-board/ 1 | P a g e Partnership4Health Community Health Board Minutes Call to Order The Partnership4Health Community Health Board convened at 9:00 a.m. Friday, February 21, 2025, at the Clay County Family Services Center in Moorhead, MN. Commissioners Wayne Johnson (Otter Tail), David Meyer (Becker), Rick Busko (Wilkin), Chair; David Ebinger (Clay); Alternate Commissioners Ezra Baer (Clay), Dan Bucholtz (Otter Tail); Community Members Dave Saylor (Wilkin), Katie Vasey (Wilkin); Guests Jason Bergstrand; Staff Amanda Kumpula, Jody Lien, Kristi Goos, Becky Tripp, Maggie Wiertzema, Kathy McKay, Brandon Nelson, Lynne Penke Valdes, and Melissa Duenow (Board Secretary) were present. Approval of Agenda Chair David Ebinger called for approval of the Board Agenda. Motion by Wayne Johnson, second by David Meyer and unanimously carried to approve the Partnership4Health Agenda of February 21, 2025. Approval of Minutes Chair David Ebinger called for approval of the Board Minutes. Motion by Rick Busko, second by David Meyer and unanimously carried to approve the Partnership4Health Minutes from November 22nd, 2024. Chair David Ebinger called for approval of the Board Minutes. Motion by Wayne Johnson, second by Rick Busko and unanimously carried to approve the Partnerhip4Health minutes from December 16, 2024. Financial Update Presented by: Brandon Nelson Motion by Wayne Johnson, second by David Meyer and unanimously carried to approve the CHB Budget Resolution {2025.1 amended} Resolution 2025.1 shows the grant names, what the CHB receives in a whole and what each county has allocated to them. The Finance “retreat” is scheduled for March 6th for the Public Health Directors and fiscal. The purpose of this meeting is to discuss grants with current balances that must be spent down by June 2025 as well as proposed grant splits related to the CHB withdrawal of Otter Tail and Wilkin Counties. Discussion was held regarding out-of-state travel requests under the RSG grant, which is a designated line item in the work plan for funding and time allocated to attend the National PHEP Conference. At least one PHEP coordinator is planned to attend this conference each year. All staff time and travel expenses are covered within this line item. 2 | P a g e Community Member per diem & travel allowances Presented by: Kathy McKay In the current bylaws, it is stated that Community Members shall receive a per diem and mileage reimbursement for attending meetings. This funding will come from the Local Public Health Grant. The P4H Directors, are proposing a per diem range of $30 to $70, along with reimbursement at the current IRS rate for mileage. A motion was made by Wayne Johnson, seconded by David Meyer, and unanimously approved to allow Community Members to request a per diem of $70 per meeting, in addition to any accrued mileage reimbursement. Review of Statutory Authority and Responsibility under MN 145A Presented by: Amanda Kumpula The Summary Document on Statute 145A outlines the Minnesota Public Health Act and details the requirements for Community Health Boards (CHBs) and individual counties, including the duties and services that must be performed. Statute 145A specifically enumerates the responsibilities of a Community Health Board. Local Public Health Association 2025 Legislative Platform and legislative updates Presented by: Kathy McKay The main highlights from the LPHA Legislative Platform and updates: - LPHA supports the restoration of $3.6 million to the cannabis and substance use prevention fund, which was reallocated to other programs during the last legislative session. - LPHA advocates for policy changes that would allow local health departments to expand the roles of Medical Consultants to include other prescribing providers, such as nurse practitioners and physician assistants. - There is a proposed increase in fees for Environmental Health Inspections provided by the Minnesota Department of Health (MDH). As for federal funding, there is currently no specific information regarding potential cuts. We also have no specifics on state or federal funding at this time. This year will require close attention to the budget. LPH Day at the Capitol is scheduled for March 20th. SCHSAC Report Presented by: Wayne Johnson and Jody Lien In interest of time the SCHSAC report is in the packet from February 6th, 2025 meeting. Jody added that Gordy Wagner will continue to represent on the Executive Committee. Statewide Health Improvement Partnership (SHIP) updates Presented by: Jason Bergstrand 3 | P a g e PartnerSHIP 4 Health is a collaborative initiative in Becker, Clay, Otter Tail, and Wilkin counties focused on creating an environment that supports improved health for everyone. The SHIP model enhances well-being by increasing opportunities for physical activity, access to nutritious foods, and promoting tobacco-free living, ultimately improving quality of life. The work is organized into four main areas: Healthy Foods, Active Living, Tobacco-Free initiatives, and Well-Being. **Active Living**: SHIP collaborates with schools to create safe routes to school, improve bike infrastructure, provide bike fleets, and promote active classrooms and recess activities. So far, 14 communities within the four counties have implemented safe routes to schools, and SHIP has funded bike fleets in 10 communities. Additionally, the staff work with over 90 businesses in the counties to customize workplace wellness programs. **Bike & Pedestrian Projects** have positively impacted seven communities within the four counties. An incentive program called Bicycle Friendly Business, University, and Community is also offered. Through an application process, 27 businesses, 5 communities, and 2 universities have been designated as Bicycle Friendly. **Healthy Foods**: SHIP assists schools in obtaining nutritious foods through Farm to School programs, which connect them with local farmers for fresh produce in school lunches. It also support the establishment and enhancement of farmers markets in the communities. The "Fresh on the Go" brand, in partnership with Service Foods in Fergus Falls, generated approximately $30,000 in sales during its first year by providing fresh convenient meals. SHIP staff have supported development of converted ice houses into mobile food shelf units, to assist more rural communities. The Lake Region Takes Root Community Garden has donated an average of 12,000 pounds of produce to food shelves in Fergus Falls, Battle Lake, and the Fergus Falls Salvation Army, thanks to the efforts of 250 volunteers throughout the year. Inspired by Lake Region Takes Root, The Farm at St. Francis is also being developed. This summer, both programs will launch a food prescription initiative. Another innovative project SHIP is involved in is the Super Shelf, created with support from University Minnesota Extension. PS4H provides funding for signage, display units, and refrigeration for food pantries in Detroit Lakes and Pelican Rapids. This initiative creates a real shopping experience for clients who rely on these services. MDH Response Sustainability Grant (RSG) Report Presented by: Kristi Goos Historically, public health has been funded through the Public Health Emergency Preparedness (PHEP) program, which has received support from the federal government for many years. However, the recent pandemic highlighted that this funding was insufficient to ensure our preparedness and response capabilities. In 2023, the Minnesota Legislature allocated additional state funds to supplement federal funding. This extra funding will enhance our workforce capacity, improve community engagement, strengthen communication efforts, and refine our work plans. 4 | P a g e Public Health System Development in Minnesota Report Presented by: Maggie Wiertzema We are developing the capacity of the public health system in P4H by using the Foundational Public Health Responsibilities framework, and engaging staff from four different counties to establish our priorities. For instance, we have hired a Communications Specialist in Otter Tail County to spearhead communication efforts across the region. Additionally, we have Community Health Planners in both Clay and Otter Tail Counties. P4HCHB Governance Changes Presented by: Jody Lien After the December meeting, both Otter Tail and Wilkin counties officially notified MDH of their decision to withdraw from the Partnership4Health Community Health Board. Considering this, there is a timeline outlining the necessary actions moving forward. The objective is to provide an update to the board in May regarding the distribution of grant funds, as the Minnesota Department of Health (MDH) requires this information by June. Dee Finley from MDH will join the May meeting to address any questions related to the grants. Currently, P4H maintains in the existing Joint Powers Agreement for Becker and Clay counties. Preliminary discussions with the Environmental Health Division at MDH concerning the delegation agreement for the Food, Pool, and Lodging program have been initiated. Additionally, conversations about the formation of a new Community Health Board for Otter Tail and Wilkin counties. Other General or County Updates Discussion was held to plan updates for the board regarding financial updates from the Federal and State Governments, as well as Bonding Bills and Proposed Budgets. Adjournment At 11:02 a.m., Chair David Ebinger declared the Partnership4Health Community Health Board meeting adjourned. The next regular Board meeting is scheduled at 9:00 a.m. on Friday, May 16, 2025 at the Wilkin County Recycling Center Community Room in Breckenridge, MN. Grant Name Grant Period CHB Grants Clay Wilkin Otter Tail Becker Indirect Updated Through Blue Plus Dental 1/1/2025 - 12/31/2025 123,821 - - 123,821 - No As of April 30, 2025 Cannabis & Substance Use Prevention (CSUP) - Rolls over to June 30, 2026 11/1/2024 - 10/31/2025 159,701 52,188 26,558 46,635 34,320 No As of April 30, 2025 CDC Public Health Infrastructure *1/1/2025 - 12/31/2027 417,908 121,578 31,670 171,154 93,506 Yes - Up to 10%As of March 31, 2025 Child and Teen Checkups - C&TC 1/1/2025 - 12/31/2025 270,624 125,654 13,332 69,229 62,409 No As of April 30, 2025 Children and Youth with Special Needs - CYSHN * Birth Defects (fee for service)1/1/2025 - 12/31/2025 - - - - - Fee for Service Fee for Service City Readiness *7/1/2024 - 6/30/2025 6,515 6,515 - - - No As of March 31, 2025 COVID-19 Implementation - Immunization - CFDA 93.268 *1/1/2025 - 03/31/2026 261,351 69,687 34,936 62,237 94,491 Yes - Up to 10%As of March 24, 2025 COVID-19 Implementation - Non-Immunization - CFDA 93.323 *1/1/2025 - 03/31/2026 193,159 19,334 - -1,224 175,049 Yes - Up to 10%As of March 24, 2025 Strong Foundations (replaces MIECHV and EBHV)1/1/2025 - 12/31/2025 960,802 224,597 70,329 452,610 213,266 No - If remaining funds are leftover we can ask the state to allocate the remaining amount to indirect As of March 31, 2025 Family Planning Special Projects (Mahube-Otwa) *1/1/2025 - 12/31/2025 3,098 - - 4,425 - No As of April 30, 2025 Follow Along Program - FAP 10/1/2024 - 9/30/2025 24,400 5,475 3,075 5,475 4,275 No As of Dec 31, 2024 Local Public Health Act - LPHA 01/01/2025 - 12/31/2025 661,192 292,291 21,349 234,128 113,425 No As of March 31, 2025 Maternal Childhood Health - MCH *10/1/2024 - 9/30/2025 98,829 36,508 4,413 33,718 24,190 OTC and Becker have indirect in their budget As of March 31, 2025 IPI/ IQIP / PEAR / Perinatal Hep B * (fee for service)7/1/2024 - 6/30/2025 4,275 1,575 - 1,500 1,200 Fee for Service Fee for Service Public Health Emergency Preparedness - PHEP *7/1/2024 - 6/30/2025 35,809 6,157 -2,596 27,845 4,403 No As of April 30, 2025 Response and Sustainability Grant (RSG) - Rolls over to June 30, 2025 7/1/2023 - 6/30/2024 82,989 17,218 8,848 31,025 25,898 Yes - Up to 10%As of April 30, 2025 Foundational Public Health Responsibilities (FPHR) - Rolls over to June 30, 2025 1/1/2024 - 12/31/2024 6,730 3,055 -6,625 -15,778 26,078 No As of April 30, 2025 Foundational Public Health Responsibilities (FPHR) - Rolls over to June 30, 2026 1/1/2025 - 12/31/2025 178,289 56,852 30,719 39,169 51,548 No As of April 30, 2025 Refugee Health 7/1/2024 - 6/30/2025 2,866 2,866 - - - No As of March 31, 2025 Statewide Health Improvement Project - SHIP 11/1/2024 - 10/31/2025 296,550 296,550 - - - No As of March 31, 2025 Temporary Assistance for Needy Families - TANF *7/1/2024 - 6/30/2025 50,923 18,835 4,057 15,524 12,507 Yes - Up to 10%As of March 31, 2025 Women, Infants, and Children - WIC * - Expenses Reported through April 30, 2025 10/1/2024 - 9/30/2025 565,684 241,357 34,743 197,060 92,524 Yes - Up to 15%As of April 30, 2025 TOTALS 4,405,515 1,598,293 274,807 1,498,553 1,029,089 * denotes federal funding source Partnership4Health CHB Budget 2025 Grants - Updated Through April 30, 2025 C:\Users\maduenow\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\6VR3T3AM\Director Meeting Summary 05142025 • Note, this is not an exhaustive list of items included in the proposals. Proposal Governor’s Budget Proposal Senate Budget Proposal House Budget Proposal Emergency Preparedness and Response Sustainability Grants Reduce by $427,000 in FY 26 and $423,000 in each year after No reduction; funding remains stable No reduction; funding remains stable Public Health Infrastructure Pilot Projects Grant Program (Innovation Grants) Reduce by $2 million/year (leaving $4 million/year) No reduction; funding remains stable Matches Governor’s proposal Cannabis/Substance Use Grant Restoration for Local Public Health Restore $2.5 million of previous cuts by reallocating MDH funds Matches Governor’s proposal Matches Governor’s proposal Infectious Disease Infrastructure $1.3 million ongoing funding to MDH Matches Governor’s proposal Matches Governor’s proposal Food, Pools, Lodging Fees + Statewide Hospitality Fee Increase fees by $5.483 million; change fee collection process to locally delegated agencies collecting hospitality fee and remitting to MDH by July 1 each year Fees match Governor’s proposal, hospitality fee collection language was amended out of the bill Not included Cannabis Prenatal Funding Reduce by $1.113 million in FY28 and ongoing Matches Governor’s proposal Matches Governor’s proposal Cannabis Youth Grants Reduce by $1.113 million in FY28 and ongoing Matches Governor’s proposal Matches Governor’s proposal Extended Access to Audio-Only Telehealth $19.341 million in FY 26- 27 and $1.845 million in FY 28-29 Matches Governor’s proposal Matches Governor’s proposal Funding to End HIV in Minnesota $6 million in FY 26 Not included Matches Governor’s proposal Grants to Community- Based HIV/AIDS Support Services Providers Not included $8 million in both FY 26-27 and FY 28-29 Not included Funding for American Indian Food Sovereignty Not included Not included $500,000 in FY 26 Additional Funding for Regional Food Banks Not included $6 million in FY 26-27 $500,000 in FY 26 Additional Funding for Food Shelf Programs Not included $4 million in FY 26-27 $451,000 in FY 26 • Note, this is not an exhaustive list of items included in the proposals. Proposal Governor’s Budget Proposal Senate Budget Proposal House Budget Proposal Additional Funding for Prepared Meals Food Relief Grants Not included $2 million in FY 26-27 $451,000 in FY 26 Epilepsy/Seizure Disorders Data Collection and State Coordination Plan Not included $378,000 in FY 26-27 and $432,000 in FY 28-29 Not included Dementia Services Program Not included $665,000 in FY 26-27 and $760,000 in FY 28-29 $1 million in both FY 26- 27 and FY 28-29 Grant to Birth Justice Collaborative for African American Focused Homeplace Program Not included $500,000 in FY 26 Not included 13.68% Increase to MA Payment Rates for Ambulance Services Not included Not included $7.753 million in FY 26-27 and $12.344 million in FY 28-29 Reduce Sexual and Reproductive Health Care Grants Not included Not included $1 million reduction in both FY 26-27 and FY 28-29 Eliminate Long COVID Grants and Administrative Appropriations Not included Not included $6.292 million reduction in both FY 26-27 and FY 28-29 Eliminate Appropriations for MDH Policy to Promote Diversity, Equity, and Inclusion Not included Not included $674,000 reduction in both FY 26-27 and FY 28-29 Eliminate Drug Overdose Grants Not included Not included $344,000 reduction in FY 28-29 Reduce Partner Engagement and Staffing Not included Not included $220,000 reduction in FY 26-27 and $102,000 in FY 28-29 Authorizes Non-Opioid Directives Not included Not included $10,000 in FY 26 Requirements for Use of Hot Tubs on Certain Rental Properties Established Not included Not included Exempts spa pools at single-unit rental properties from certain requirements for public pools Develop and Review Guidelines for Social Media Mental Health Warnings Not included Not included $45,000 in FY 26