MCSSA ADULT AND HEALTH SERVICES COMMITTEE

MINUTES OF THE MARCH 17, 2008 MEETING

 

MCSSA OFFICE                                                                                                        LANSING

 

Those Participating                                                       County                                     District

In Person:

Jamie Cripe                                                      MCSSA

Mel Haga                                                         MCSSA

Shelley Jipson-Lomax                                       MCSSA

By Phone:

Dale MacDonald                                              Isabella                                     V

Eileen Rau                                                        Isabella                                     V

Kay Andrzejak                                                 Wayne                                     VI

Cynthia Farrell                                                  DHS

           

I.          Meeting Called to Order at 1:05pm by Kay Andrezjak

 

II.         Disposition of Minutes of February 19, 2008

Dale MacDonald moved to approve. Seconded. Motion carried.

 

A.        Agenda Udpated. Dale MacDonald moved to accept the agenda as

amended. Seconded. Motion carried.

 

III.       Reports

A.        DHS Central Office

Allen Adams was unable to participate. The department has concerns with SB 1163 and has asked that we not take a position at this time.

 

B.         DCH Central Office

Kay said DCH is busy with Bridges and she read an update on the progress. One of biggest hold-ups is the problems they’re having with DCH and that all they are doing is Bridges work. She said that may be part of the problem in getting them to participate. Kay said she will try to get someone to participate for the one hour we meet per month.

 

C.        MCSSW

Kay saw a link to the New York Times article “Many Doctors, Many Tests, No Rhyme or Reason” that Bonnie Ewald sent to Jamie, talking about the more reimbursements to medical providers decrease, the higher the amount of procedures doctors are doing increase. There were no suggestions in the article on how to change it.

 

Bonnie faxed an article on American health care. 88% of people who make under $50,000 a year are unable to afford health care in retirement. 81% are being bankrupted by medical costs due to an illness or accident (under $55,000 income.)

D.        MCSSA

Mel testified last Thursday and highlighted some of our priorities, including adult services. He talked about baby boomers and how it is already starting to “rain” on us. The trouble is that the department has put such little emphasis on adult services, with other services like children’s services being put as the priority, adult services becomes a low priority.

 

Kay said she talked to Director Ahmed about adult services and his response was “I don’t know, I haven’t really thought about it because you’re the first person who’s brought it up in the six months I’ve been here.” Kay recognizes we’re a huge agency, but had she been asking about a small, non-descript part of the department, she would understand his reaction.

 

Eileen talked with her Representative Bill Caul about adult services and she truly believes that because we put so much emphasis on children’s services, adult services has kind of been let slide. Baby boomers are going to be faced with a lot of problems that people haven’t faced before.

 

Adult services goes on the Advisory Committee agenda for April.

 

Mel felt the Mid-Year Conference was a success. Fritz counted 26 out of 38 senators at the luncheon. Kay said that not having attended the legislative conference before, she wasn’t sure how it stacked up to others.

 

III.       Unfinished Business

            A.        Health Legislation

1.         HB 5577 – Clarifies and utilizes consistently the definition of certain home care agencies and services. Biggest changes are on pages 1, 2, and 3; the rest is mostly clean up. Defines a home health agency, home medical equipment, durable med equipment. Kay said there doesn’t seem to be a reason that we wouldn’t support it. Kay said it looks like it’s putting some structure into these definitions. She said it seems to make sense to have it defined so there is no question as to what falls under home health equipment. There’s been no analysis yet. Mel suggested that we sit on it until we get an analysis. Tabled.

 

IV.       New Business

A.        Adult Legislation

1.         SB 1116Provides for forfeiture of benefits for conviction of abuse, neglect, or exploitation of an elderly individual. Companion to HB 5727. This is about regulations for an inheritance. If you are a felon or convicted of killing someone, you cannot inherit money from them, including insurance policies. Also wanting to include people who have been convicted of abuse, neglect or exploitation. Kay said they’ve seen a few instances of that with their APS staff where someone was convicted of abuse or exploitation and they got the money anyway. It shouldn’t work that way. Mel thinks this is good legislation. He questions the terminology of felons (SB) and abuser (HB) which if you’re an abuser it doesn’t mean you’ve been convicted. Kay likes the intent of it and doesn’t see a downside to enacting it. Pros are one more reason to not be abuser/neglecter/exploiter. Dale moved to support. Seconded. Motion carried.

2.         SB 1163 – Revises definition of "adult foster care facility," regarding amendment to PA 218 in definition of adult foster care home. Dale said that it was difficult to determine pros and cons. His recommendation is to get additional info from sponsor. Cynthia Farrell said it came out of a situation where a mom was no longer able to care for developmentally disabled son. She retained guardianship, but friends took him into their home but he needed extensive, 24/7 care. It became a situation of unlicensed foster care. The couple didn’t want to become licensed, so they put him on the deed to their home so it became his residence. The mom didn’t think someone should have to go through this, so she got the ear of her senator and he’s been lobbying for it for three years. They are working on licensing to see what their response is going to be; scheduled to meet with Ron Hicks next week. Dale motioned to table until we hear from Cynthia or Ron. Seconded. Motion carried.

3.         HB 5834Modifies appropriations to support Medicaid expenditures for hospital services and therapy. Amendment to the public health code that has to do with assessing fees and other assessments and quality assurance assessment. There is a formula depending on the type of facility that can be used to get matching dollars from the feds. Legislation seems to take the amount of money that is collected under quality assessment under hospitals and give it back to DCH for medical care. Maybe MCMCFC staff should take a look at it to see if Dale understands it correctly. They want to increase money that is being pulled in and turn around to give it to DCH for hospitals being reimbursed for costs. Program remains same, dollar amount increases. Eileen motioned to table this bill. Supported. Motion carried.

 

IV.       Adjournment at 2:07 pm by Dale McDonald.

 

Respectfully submitted,

 

Jamie Cripe

 


ADULT & HEALTH SERVICES COMMITTEE

MEETING OF APRIL 21, 2008

 

AGENDA

 

I.                    Call to order at 1:00pm

II.                 Disposition of the minutes of March 17, 2008

A.        Agenda update

 

III.       Reports

A.                 DHS Central Office

B.                 DCH Central Office

C.                 MCSSW

D.                 MCSSA

E.                  AAA Association

 

IV.       Unfinished Business

A.                 Adult Business

 

1.         SB 1163

 

B.                 Health Business

 

C.                 Health Legislation

1.         HB 5577

2.         HB 5834

 

V.        New Business

            A.        Adult Legislation

                        1.         HB 5889

                        2.         HB 5894

 

            B.         Health Legislation

VI.       Adjournment