Loading...
11 12 03 Meeting Info & NotesTO: JEANNE F. SCHNEIDER CITY CLERK YOU ARE HEREBY DIRECTED TO CALL A SPECIAL SESSION OF THE CITY COUNCIL TO BE HELD ON WEDNESDAY, NOVEMBER 12, 2003, AT 5:30 P.M., AT DUBUQUE GREYHOUND PARK AND CASINO FOR THE PURPOSE OF HOLDING THE ANNUAL LEGISLATIVE DINNER. MAYOR Legislative Dinner -- Nov. 12, 2003 ~ene Mantemach ~Mike Connolly /Pat Murphy ~Pam Jochum ~'Bob Osterhaus ~/Steve Lukan ~Roger Stewart Ci .ty: ~/Ferry Duggan ~/Ann Michalski ~/Dan Nicholson .~Roy Buol ./'John Markham ~'~Pat Cline ~Joyce Connors cdViike Van Milligen ~,42indy Steinhauser ~Barry Lindahl -./Jeanne Schneider ~Bill Baum c/Pauline Joyce~g ~2Susan Gwiasda Holy Family Mike Eulli-~ an ~"Dnn Miller Dubuque Community WTed Stieber ~qKaren Behr [~'Donna Bauerly ~Doug Horstmann ,-~John Burgart ~--Cammie Dean ~tcvc llo~lge CZRnn Holm ~Betty Hogan t-4<2ris Hall .~-B°ard of Supervisors Donna Smith t/Jim Waller ~Eric Mantemach ,/Jan Hess '-~Vlary Ann Specht LEGISLATIVE DINNER MEETING WEDNESDAY, NOVEMBER 12, 2003 t~ 5:30-7:30 P;M. DUBUQUE GREYHOUND PARK AND CASINO 1. Welcome/Introductions - Terry Duggan 5:30p. m. 2. Dinner Served 3. Call to Order- Terry Duggan 6:00p. m. 4. Overview of the City's Legislative Issues for the 2004 Legislative Session 6:00-6:l S p. m. Comments from Dubuque County Representative 6: l S-6:30 p. m. Comments from Dubuque Community School Board Representative 6:30-6:45 p. m. 7. Comments from Holy Family Catholic Schools Representative 6:45-7:00 p:m. 8. Comments from Legislative Delegation 7:00-7:30p. m. 9. Open Discussion 7:30 p.m. ~ City Of Dubuque State Legislative Issues For The 2004 Session State Bud.qet In response to a revenue shortfall during last session the State of Iowa implemented across-the-board cuts in expenses. Some of these cuts reduced revenues to cities, with no relief to cities for state-mandated programs. Concerns remain over the impacted of the reduced revenue to cities and that similar action will be taken in the 2004 session. Requested Action: The state should restore revenues to cities that Were cut last year in an effort to make cities whole. Fundin,q of Maior Transportation Projects The State of Iowa has used a strategy of allocating funds for completing the major transportation projects in the state as opposed to using a piecemeal approach. This strategy has been successful with extensive work being completed on major corridors. The same strategy should be used for major projects in larger cities, which require significant funding commitments for completing the projects in a reasonable amount of time. Examples include the Southwest Arterial, the Julien Dubuque Bridge and U.S. 20/Dodge Street. Requested Action: Support efforts to continue the strategy for funding major transportation projects throughout the state. Fully Fundin.q Enrich Iowa Pro.qram Enrich Iowa is a state aid program for Iowa's libraries. Until recently, Iowa was one of 8 states without direct state aid to libraries. Current state funding is at $1 million statewide versus the recommended $3 million for full funding. If Enrich Iowa were fully funded, the Carnegie-Stout Public Library could realize at least $100,000 a year in state aid. Requested Action: Support efforts to fully fund the Enrich Iowa program at $3 million statewide. Set the rate for State Tax on Gamin,q Revenue~ Requested Action: Enact Legislation that sets the tax rate at a lower percentage, as close to 20 % as possible for small gaming operations like Dubuque Greyhound Park and Diamond Jo Casino and a graduated tax rate for larger gaming operations. Rescind House File 324 In the 2001 General Assembly House File 324 (HF 324) was enacted. This law set up numerous new requirements for cities concerning bidding for street, bridge and culvert projects involving construction, reconstruction and improvements costing over $25,000 ($50,000 for cities over 50,000 in population). One requirement was a new report that is labor intensive and taxing to City public works departments. In addition to the report that cities currently submit on street receipts and expenditures using road use tax funds, the new report requires cities to provide detailed cost accounting for all projects within 90 percent of the bid threshold. The report also includes a statement of the cost of purchasing, leasing, or renting construction or maintenance equipment. Since the repor[s are extremely detailed and some cities do hundreds of street projects annually, this new requirement will entail a city needing additional resources. HF 324 did not charge the Iowa Department of Transportation to use this new report for any specific state purpose, resulting in 950 cities expending resources that could be used elsewhere. This becomes particularly onerous for small cities that publicly bid the majority of street projects. Requested Action: Support effort to rescind HF 324 and allow cities to use own workforce on public improvements and reduce reporting requirements. Enterprise Zone Incentives The Enterprise Zone legislation was written to promote private investment in economically distressed areas of a city or county. To assist new employees of companies locating in enterprise zones, the legislation provides for employers to establish a capital fund for down payments or rental subsidies. The business funds this program through a credit from state withholding taxes, based on the wages paid to the participating employees. An amount equal to 1.5 percent of the gross wages paid by the employer is credited from the payment otherwise withheld, and used to capitalize this fund. This feature of the legislation has not been utilized to date. One reason is that the credit produces so little capital for the housing assistance program. For an employee earning $10 per hour, the credit equals approximately $300. Typically, · down payment assistance programs offer $3,000 to $5,000; rental subsidy programs average $2,500 to $3,000 annually. In order to make this program effective, the credit for withholding should be increased. Another option is to allow the credit to be "pooled,~ to be made available to all eligible employees. As the legislation currently is written, the 1.5 percent credit is made available on the basis of withholding from individual employees -for the benefit of only that employee. If the credit could be aggregated, a larger capital 2 fund could be established, from which all employee purchasing or renting housing in the enterprise zone could access funds for their housing needs. Another reason for lack of employer participation in this program is that the legislation requires the employer to choose between use of the tax credit for job training or for providing a housing assistance program. Employers to date have chosen to use the credit to pay for training new employees. Requested action: The legislation should be amended to provide the credit for both job training and employee housing assistance and to "pool" the funds. This will increase the tax credit and increase interest in the program by employers. Property Tax The current tax structure for state and local governments is a mix of tax laws, rates and policies that do not provide for a fair and consistent tax system. It is the result of many years of adopting tax changes that may or may note be consistent with previous laws or tax policies. Often, the tax policies are contradictory, such as the residential rollback's shift of tax burden from residential to commercial and industrial property owners, and the elimination of machinery and equipment tax, which shifts the tax burden from industrial to residential and commercial property owners. Requested action: Perform a comprehensive review of the entire tax structure of the State of Iowa and design a tax structure that provides tax equity and policies that are consistent with an overall direction for state and local government taxation. Place a freeze on the residential rollback at no lower than 50% during the review, ensure full funding of state property tax exemption and update the sales tax distribution formula. Military Tax Credit The State of Iowa provides for veterans to receive a military tax credit on their property taxes. The credit reduces their City property tax by the levy rate of the City, which is $10.76 per $1,000 of valuation. The State, however, reimburses the City at a much lower rate, which potentially will be reduced again. This leaves a substantial deficit for other property owners to pay. Requested action: Enact legislation to fully reimburse cities for the State of Iowa's military tax credits. ,Expand Cities' Extraterritorial Jurisdiction Cities have extraterritorial jurisdiction (ET J) for up to two miles from their corporate limits for subdivision review and approval only if the County has zoning for the rural areas. Extending the cities' ETJ to include review and approval of zoning changes would facilitate planned and managed growth. Legislation should provide incentives for governments to voluntarily plan together, and 3 identify recommended land use impact to be considered during the planning process. The League supports legislation that expands land management practices such as ETJ of cities to include review and approval of zoning changes. Requested action: Support legislation enabling cooperative planning and effective land management practices. Eliminate the "20% Objection Rule" for Rezonings Section 414.5 of the Iowa Code requires a favorable vote by three-fourths of the City Council members - a 6 to 1 vote - to approve a rezoning request over the wdtten objections of 20 percent or more of the owners of the property being rezoned, or 20 percent or more of the property owners within 200 feet of the subject property. The concepts that nearby property owners have a say in rezoning cases is valid; however, this must be balanced against the needs of the entire community. At 20 percent, a minority of property owners can dictate the outcome of community development, especially when one property owner with a large tract of land can constitute the entire 20 percent. Requested action: Raise the "objection percentage" of owners of property within 200 feet from 20 percent to a simple majority (51%); or require a favorable vote by two-thirds of the City Council members, or a 5 to 2 vote, when the objection threshold is reached. ,Property Owners on Historic Preservation Commissions Section 303.34 of the Iowa Code requires that: "At least one resident of each designated area of historical significance shall be appointed to the commission." This requirement is problematic for the City of Dubuque's Old Main Historic District, which is primarily commercial. It would be beneficial for the City in the recruitment and retention of commissioners to be able to appoint property owners to represent historic districts. Furthermore, since historic preservation regulations apply to the rehabilitation, renovation and restoration of property, allowing property owners to serve on the commission would be appropriate. Furthermore, some Iowa cities are experiencing burgeoning commissions as historic districts are designated and representatives of each district are appointed. To avoid "over-populating" a commission, allowing a majority of the districts to be represented on a historic preservation commission would be appropriate. Requested action: Enact legislation allowing property owners to represent historic districts on the Historic Preservation Commission. Appeal of Actions by Historic Preservation Commission Section 303.34 of the Iowa Code states that an aggrieved party may appeal the action of a histodc preservation commission to the City Council, and then to district court. The City Council, like the court, has to consider whether the commission exercised its powers and followed the guidelines established by law and ordinance, and whether the commission's action was "patently arbitrary and capricious." This process places the City Council in the difficult and uncomfortable position of interpreting technical guidelines and determining their appointees "arbitrary and capricious." The City Council would support an alternative process. Requested action: Consider legislation providing an alternative appeals process regarding an action of the historic preservation commission. State Mandates Cities are often faced with implementing mandates from the state and federal governments without receiving the necessary funds for implementation Requested action: Enact legislation that exempts local government from providing any new service or engaging in any new activities if the state does not provide full funding, 5 IOWA LEAGUE OF CITIES 2004 LEGISLATIVE PRIORITIES Efficient Government. Priority: Seek financial and legislative incentives that encourage regional planning and service sharing arrangements among governments including cities, counties, schools and state government. Background: While making reductions to cities in 2003, legislators called for increased efficiency of local governments. Cities must proactively demonstrate efficiencies in place and seek legislative incentives for future sharing and consolidation. For example, land management legislation should offer financial incentives for regional planning. Barriers to service sharing should be removed to allow for more flexibility between local governments. City Revenues Priority: Support legislation expanding Home Rule options for city revenue sources to cover critical services to ensure safety and quality of life for residents. Revenue alternatives contribute to reduction of reliance on property taxes and include but are not limited to municipal fees, local income taxes, increased sales and hotel/motel taxes and new funding options for public safety. Background: As legislators focus on property tax reform in the upcoming year, some interest groups will advocate that reform should result in reduction. State funding to cities and counties was permanently reduced by approximately 25 percent in the 2003 session. To avoid greater dependence on property taxes, alternative revenue sources should be explored. Alternatives will allow cities to provide the services requested by or mandated for citizens. Mandate Relief Priority: Support legislati°n calling for relief from mandates that negatively impact the ability to provide city services. Examples include but are not limited to setting a percentage for taxation of residential property, increasing the public bid threshold, streamlining the municipal bond financing process, reducing publication costs and addressing rising employee benefit costs. Background: The costs of providing city services are exacerbated by unfunded mandates. In 2004, legislators should address the increased flexibilities for · luded in the 2003 "reinvention" process. cities that were proposed for but not ~nc Economic Development and TIF_ Priority: Support initiatives that provide tools for cities to serve as economic catalysts for iowa. This includes enhancement of tax increment financing (TIF) through minimal changes, and continuation and expansion of the Community Attraction and Tourism (CAT) program beyond 2004. Background: This priority includes agreement to change TIF law to gradually eliminate the state appropriation that reimburses the $5.40 per $1,000 uniform levy to schools. The Community Attraction & Tourism program will end in 2004 unless additional funding is appropriated. distdct court. The City Council, like the court, has to consider whether the commission exercised its powers and followed the guidelines established by law and ordinance, and whether the commission's action was "patently arbitrary and capricious." This process places the City Council in the difficult and uncomfortable position of interpreting technical guidelines and determining their appointees "arbitrary and capricious." The City Council would support an alternative process. Requested action: Consider legislation providing an alternative appeals process regarding an action of the historic preservation commission. State Mandates Cities are often faced with implementing mandates from the state and federal governments without receiving the necessary funds for implementation Requested action: Enact legislation that exempts local government from providing any new service or engaging in any new activities if the state does not provide full funding. IOWA LEAGUE OF CITIES 2004 LEGISLATIVE PRIORITIES Efficient Government Priority: Seek financial and legislative incentives that encourage regional planning and service sharing arrangements among governments including cities, counties, schools and state government. Background: While making reductions to cities in 2003, legislators called for increased efficiency of local governments. Cities must proactively demonstrate efficiencies in place and seek legislative incentives for future sharing and consolidation. For example, land management legislation should offer financial incentives for regional planning. Barriers to service sharing should be removed to allow for more flexibility between local governments. City Revenues Priority: Suppod legislation expanding Home Rule options for city revenue sources to cover critical services to ensure safety and quality of life for residents. Revenue alternatives contribute to reduction of reliance on property taxes and include but are not limited to municipal fees, local income taxes, increased sales and hotel/motel taxes and new funding options for public safety. Background: As legislators focus on property tax reform in the upcoming year, some interest groups wilt advocate that reform should result in reduction. State funding to cities and counties was permanently reduced by approximately 25 pement in the 2003 session. To avoid greater dependence on property taxes, alternative revenue sources should be explored. Alternatives will allow cities to provide the services requested by or mandated for citizens. Mandate Relief Priority: Support legislation calling for relief from mandates that negatively impact the ability to provide city services. Examples include but are not limited to setting a percentage for taxation of residential property, increasing the public bid threshold, streamlining the municipal bond financing process, reducing publication costs and addressing rising employee benefit costs. Background: The costs of providing city services are exacerbated by unfunded mandates. In 2004, legislators should address the increased flexibilities for cities that were proposed for but not included in the 2003 "reinvention" process. 6 Economic Development and TIF Priority: Support initiatives that provide tools for cities to serve as economic catalysts for Iowa. This includes enhancement of tax increment financing (TIF) through minimal changes, and continuation and expansion of the Community Attraction and Tourism (CAT) program beyond 2004. Background: This priority includes agreement to change TIF law to gradually eliminate the state appropriation that reimburses the $5.40 per $1,000 uniform levy to schools. The Community Attraction & Tourism program will end in 2004 unless additional funding is appropriated. 7 Vision Adopted by City Council September 2003 A City of... · History Beauty · Opportunities · Excitement Masterpiece on the Mississippi Adopted by City Council September 2003 DUBUQUE VISION 2020 "CITY OF DUBUQUE IS A GROWING CITY WITH A STRONG BALANCED ECONOMY AND CONNECTIONS TO THE WORLD. THE DUBUQUE COMMUNITY TAKES PRIDE IN OUR HISTORY AND HERITAGE AND HAS ACTIVELY PRESERVED OUR PICTURESQUE RIVER AND COMMUNITY. DUBUQUE CITIZENS HAVE CHOICES OF QUALITY LIVEABLE NEIGHBORHOODS AND FUN THINGS TO DO, AND ARE ENGAGED IN THE COMMUNITY. DUBUQUE CITY GOVERNMENT IS FINANCIALLY SOUND AND PROVIDING SERVICES WITH CITIZENS GETTING VALUE FOR THEIR TAX DOLLAR" CITY OF DUBUQUE IS A GROWING CITY WITH A STRONG BALANCED ECONOMY AND CONNECTIONS TO THE WORLD IS A GROWING CITY - People investing in Dubuque's Future · Job Opportunities with good wages · Attracting young adults to live here to raise their families · Growing while preserving Dubuque's "small town" character and charm · Quality education throughout life WITH A STRONG BALANCED ECONOMY - · Balance based on: Regional retail center, High-Tech business center, Tourist destination center, Manufacturing center, Financial center, Colleges and University/High education center, Medical and Health Service center · Retention and growth of current businesses · Venture capital to grow the economy · More jobs creating economic opportunity for citizens · Opportunities to start and grow a business · Attracting businesses to locate in Dubuque · Diverse economy with multi "Economic Engines" AND CONNECTIONS TO THE WORLD - Four-lane links to six interstate and major highway systems · Quality air service to major hubs for business and leisure · Telecommunication infrastructure and services through the city · River transporting goods and product · Efficient street system for moving within the city · Band width Adopted by City Council September 2003 THE DUBUQUE COMMUNITY TAKES PRIDE IN OUR HISTORY AND HERITAGE AND HAS ACTIVELY PRESERVED OUR PICTURESQUE RIVER AND COMMUNITY TAKES PRIDE IN OUR HISTORY AND HERITAGE - · Revitalized historic downtown · Preservation of historic buildings and homes · New infill development and public projects consistent with the character of the downtown or neighborhood · Community event and festivals celebrating our heritage and remembering our historical roots · Community support for culture, arts and museums AND HAS ACTIVELY PRESERVED OUR PICTURESQUE RIVER AND COMMUNITY · Maintaining the views and vistas · Beautiful streetscapes and gateways · Beautiful riverfront with public access and use · Buildings that are architectural statements · Recognition: one of the "Prettiest places in the world: DUBUQUE CITIZENS HA VE CHOICES OF QUALITY LIVEABLE NEIGHBORHOODS AND FUN THING TO DO, AND ARE ENGAGED IN THE COMMUNITY HAVE CHOICE OF QULITY LIVABLE NEIGHBORHOODS - · Quality streets and infrastructure · Older homes renovated and up to code · Strong sense of neighborhood pride and responsibility · Opportunities for homeownership · People are safe at home and in the neighborhood AND FUN THINGS TO DO - · Variety of parks and trails · Quality restaurants · Choice of entertainment venues · Center for culture and arts activities and opportunities and museum to visit · Activities for families · Variety of shopping choices AND ARE ENGAGED IN THE COMMUNITY - Adopted by City Council September 2003 · Quality education throughout life · .Involved in Community and Service organizations · Participate in neighborhood associations · Participation in City Governance - boards, commissions and task forces · Contributing timeand money · Volunteering to serve DUBUQUE CITY GOVERNMENT IS FINANCIALLY SOUND AND PROVIDING SERVICES WITH CITIZENS GETTING VALUE FOR THEIR TAX DOLLAR IS FINANCIALLY SOUND - · Diverse and expanding tax base and revenues · Well maintained city assets: Infrastructure and Facilities · Fiscally responsible reserves and debt · Strong partnerships with others for better services · Efficient city operation looking for better services · Efficient city operation looking for better ways to service, less costly methods · Competitive tax rate and fees AND PROVIDING SERVICES WITH CITIZENS GETTING VALUE FOR THEIR TAX DOLLAR - · Customer friendly employees, facilities and processes · Excellent city services, tops quality city products and facilities · High level of customer satisfaction · Well trained city staff that takes a problem solving approach · Services responsive to the citizens need · Effective use of technology to serve citizens to inform citizen, to increase productivity Adopted by City Council September 2003 Dubuque 2008: Our Goals Improved Connectivity: Transportation and Telecommunications Planned and Managed Growth Diverse, Strong Dubuque Economy Riverfront Developed Partnering for a Better Dubuque POLICY AGENDA 2003 - 2005 TOP PRIORITY Southwest Arterial Stormwater Projects Street Projects Zoning Ordinance Update Erosion Control Policy and strategy HIGH PRIORITY Telecommunications Strategy Annexation: Policy and implementation Riverfront Development Projects Federal Strategy Five Flags: Evaluation Budget: Service Inventory, Cost of Services, Tax Rate CARRYOVER PRIORITY 2002 - 2004 Downtown Master Plan Adopted by City Council September 2003 MANAGEMENT AGENDA 2003 - 2005 Julien Dubuque Bridge River Valley Initiative State Grants Industrial Park Development: Next Phase Riverfront Master Plan: Implementation Star Brewery Lease Adams Company: Acquisition, Relocation Capital Improvement Program: New and Maintenance MAJOR PROJECTS 2003 - 2004 Stormwater: Carter Road, 32nd Street Detention Acquisition Highway 20 Improvement Project Adopted by City Council September 2003 PHONE: 563-589-4441 FAX: 563-589-7884 EMAIL: brdofsup@dbqco.org COURTHOUSE DUBUQUE, IOWA 52001-7053 DONNA L. SMITH JIM WALLER ERIC MANTERNACH PRIORITIES 2004 12, 2003 The Dubuque County Board your assistance in the past. session for the well-being of Dubuque 1. Southwest Arterial This is an urgent request for' Project alive. Harkin. We are currently ~ environmental pro j, · thanking you for work together during the upcoming ~ the Southwest Arterial ect, thanks to Senator the given us some assurance that Transfers of Jurisdiction for County Roads During the 2003 session of the Legislature, Senate File 451 was enacted, which resulted in communications 15om the Department of Transportation in forming us that tran_sfers o£ jurisdiction would occur on the former Iowa 386, Iowa 955 and Iowa 963, a total of 7.5 miles of road. We immediately object to this transfer because Dubuque County and the Iowa Department of Transportation had previously signed a Transfer of Jurisdiction Agreement for transfer of these roadways under the terms and conditions of Iowa Code Section 306.8. We are asking that the existing agreements be honored and that the transfers of jurisdiction are made in accordance with those agreements. County Engineer Mark Jobgen has est/mated that the State will provide an additional $90,793 per year for 10 years to bring these roads up to standards, when in actuality he has estimated that it will cost Dubuque County in excess orS million to improve the condition of these roads. We are asking that the existing Memoranda of Understand be honored, that these roads be transferred according to the previously established timetable, and that the State of Iowa bring the roads up to acceptable standards prior to the transfer. Copies of our correspondence with the Department of Transportation are attached to this presentation. Farm to Market Roads into cities with populations under 500 will also be transferred to the County beginning July 1, 2004. There are 14 cities within Dubuque County with populations under 500, according to the 2000 Census. This is a double-edged problem in that if the roadways are transferred to the County, the small cities will lose road use tax money to counties, losing a significant part of their income, and the County will need to maintain roadways outside the jurisdiction of the Secondary Road Department and the Rural Fund. Road Use Tax Fund Current studies show that all road entities lack sufficient resources to maintain their existing road and street system. However, neither the Department of Transportation, cities nor counties should be allocated less than their current share of revenue sources mak/ng up the Road Use Tax Fund. Additional dollars are needed by all to make needed safety improvements and to respond to economic oppommities. WE oppose any diversion of income to other uses and away from all of the entities. The Quadrennial Needs Study should be retained until a more fair and equitable process of allocating he county Road Use Tax Fund share can be developed. Page 2 o Budget Schedule & Unfunded Mandates Counties in Iowa are required by law to certify budgets by March 15, 2003. When the legislature adopts new legislation after that date, local governments cannot respond, whether for a new mandate which is unfunded, or new cuts in programs that result in counties losing revenue or gaining new services. Please remember when the legislature changes the rules resulting in mandates to county government, adequate state funds must be provided to pay for it. Please also remember that property tax limitation proposals that limit counties' revenues at a time when the legislature and governor are expecting us to provide additional services places us in a position of having to eliminate services that are not mandated, services that the people of Dubuque County have elected us to provide. Tax Credits and Exemptions During the legislature's special session last year, decreases to the Homestead Property Tax Credit and other credits resulted in hardship for senior citizens and others on fLxed incomes, who had to pay more in property tax to make up the difference. We are asking you to fully fund the Homestead Credit, Veterans' Exemption, Family Farm Tax Credit and Elderly and Disabled Credit. Dubuque County removed Machinery & Equipment dollars during budget deliberations for Fiscal Year 2004. So that $800,000 was absorbed at that time, and the county is not reacting to it now. Now that we will be receiving 50% of the M & E funding, or approximately $400,000, that will offset the $399,000 personal property cut.. We as a County have tried to deal the problems of elderly and disabled people who are receiving only a portion of the Elderly and Disabled Credit because of legislative action in the 2003 session. We have encouraged them to apply for a property tax suspension to offer some relief, but that is not a satisfactory solution to many. Environmental & Zoning Issue We continue to ask that the legislature define the agricultural exemption for zoning purposes. There are many definitions in the Code for a "farm," but none of them addresses the zoning issue and under what circumstances corporate commercial animal confinement facilities fit within the agricultural exemption for zoning purposes. With de£mitions that would disqualify these confinement facilities from the agricultural exemption, counties could gain some control over the siting of these facilities. Page 3 9. Franchise Tax Recodification We are asldng for the recodification of 2003 Code Sections 405A.10 and 422.65, which would some of the franchise tax be returned to state and local governments. We are ask that you look at Iowa Code Section 422B under which the City of Dubuque imposed a Franchise Tax on utilities in July, 2003, immediately depriving the smaller cities in Dubuque County, the School Districts, and Dubuque County of revenue from the local option tax for Fiscal Year 2003, money that was already budgeted as revenue, at a time when the legislature had already affected revenues for this fiscal year. 10. Juvenile Detention, Shelter Care and Foster Care The state-mandated cap on foster care for juveniles and the inequitable formula for allocation of foster care beds has resulted in children from Dubuque county waiting much longer in detention or shelter because fewer foster care beds are allocated for foster care treatment for them, a shift to property tax. In the first place, the state should be budgeting sufficient funds to cover the costs of youth shelter. For fiscal year 2004, the state capped per diem at $83.69 per day, but raised the allowable statewide average from $127.35 to $130.34 per day, so the cost to the property tax payer has increased _ % Detention costs and lengths of stay are also rising, a 100% cost to counties. All this is going on at a time when the Public Strategies Group is working with the Department of Human Services to take another $10,000,000 from the child welfare system. We are asking that the legislature carefully consider proposals about child welfare to look for shifts fi:om state to property tax funding prior to enacting them. 11. Mental Health Parity Iowa needs to require that health insurance policies cover treatment of inpatient and outpatient mental illness and chemical dependency at the same level and with the same annual and lifetime limits as physical illness. Only the legislature can amend the Code of Iowa to include an insurance parity law that requires insurance cam2ers and self-fimded insurance to use the equal co-pays, deductibles and aunual and lifetime limits for these illnesses. This discrepancy is discriminatory and needs to be corrected. 12. Mental Health Funding The best possible solution to the Iowa dilemma for services to the Mentally Ill, Mentally Retarded and Developmentally Disabled is for the State to follow almost all other states Page 4 13. and assume responsibility for this entire system. One way to do this would be for the State to assume the system, in which case the concept of "legal settlement" could be discontinued and clients could move more freely through the system and be placed in appropriate settings closer to their homes. We have suggested in the past that counties could agree initially to pay to the state an amount based on current tax levies to match federal dollars. Ultimately that amount would decreased each year until the county property tax responsibility would be gone. This change could maximize federal money, abolish legal settlement issues and end fragmentation of services caused by having 99 different management plans in each county, and would provide equity for "state cases." This would benefit the consumer and lower property tax permanently. Managed Mental Health Provider We know that the State of Iowa Departments of Human Services and Public Health are currently seeking bids for a managed care provider. We are very concerned that the provider who is selected will work with counties and will not be shifting costs for the mentally ill, developmentally disabled and substance abuse consumers to counties. One issue in particular is commitment costs for mentally ill and substance abusers who come to Dubuque hospitals from Wisconsin and Illinois. As you know, the costs of commitment for these "state cases" are bom by Dubuque County unless individual consumers are committed to an Iowa State Institution. With the reduction in beds at the mental health institutes, it is almost impossible to obtain a bed at an MttI. Dubuque County therefore continues to pay for commitments for "state cases". We also provided written testimony to the Managed Care & Clinical Services Department of the iowa Department of Human Services, as!ring that the plan be modified to be more accessible to consumers. Dubuque County has exper/enced numerous instances of consumers who have been denied services through the pre-certification process for inpatient services that Dubuque County has subsequently paid for. The Managed Care system also excludes access to providers who are unable to accept the lo~v rates negotiated by the Managed Care Provider administering the plan, resulting in no choice at all for those consumers. 14. Medicaid Rates Providers in Dubuque County have not been able to provide services to Medicaid consumers because the rates established for the services by the Department of Human Page 5 Services are too low. Particularly in the area of dental care, poor and needy people cannot fred providers who are willing to provide care. Please work with the Department of Human Services to assure that dental and medical services are available for this population. 15. Mental Health Funding to MH/DD Providers 16. The experience counties in Iowa have had with assuming responsibility for rate-setting services whose rates have previously been set by the State has been interesting. When the State of Iowa Department of Human Services informed counties that their workers would no longer establish Purchase of Service Rates with providers, counties banded together to form the County Rate Information System (C.R.I.S.) and retained the Eide-Bailly accounting firm to gather necessary information on actual costs of service. Prior to the formation of C.R.I.S., Dubuque County granted rate increases to providers whose rates had been frozen by the legislature for 10 years. In the middle of fiscal year 2000, rate hucreases were designed specifically to pay for staffraises. During that fiscal year provider raises ranged from 3% to 11%, in response to pleas for enough money to raise staff wages. In fiscal year 2002, raises to former State Purchase of Service providers were 5%, and for fiscal year 2003, based on C.R.I.S. information, they were 3.5% in addition to recommended C.R.I.S. rates, based on provider costs. We are expecting that C.R.I.S. information for fiscal year 2004 will support a raise for at least one of our largest providers of 12.5% for fiscal year 2004, an increase in expenditure exceeding $300,000 for one of many providers. MH/DD Property Tax Replacement Fund and Growth Fund For fiscal year 2003, the current year, the State reacted to its budget crisis by reducing amounts that Counties received for property tax replacement. In Dubuque County, the state reduced our property tax replacement fund by $543,796 and our growth fund by $205,232, based on ending balances. In all, 46 counties experienced reductions in these funds. Also for fiscal year 2003, Dubuque county reduced the property tax asking from $4,658,280 to $2,708,406 in order to reduce our ending balance. In order to restore that fimding, we increased the tax asking to 70% for fiscal year 2004, a State requirement, and continued to budget responsibility for the MI-!-DD fund. It is very difficult to budget for this fund because of the variables in numbers of consumers and unknown increases from providers. We suggest that the State needs to respond to the needs of counties and to find a way to progress toward a time when revenues to counties are predictable at the time that the County is preparing its budget. Page 6 17. Mental Health Restructuring It is our understanding that the ISAC-supported restructuring of the Mental Health- Developmental Disabihties Fund wii1 be before this session of the legislature. This plan will abolish "legal settlement" and counties will pay for services based on residency. As a county rich in providers, we oppose this concept until all services are paid for by the State of Iowa. Providers in Dubuque County furnish services to consumers fi:om many other counties, and currently the other counties pay for those services. 18. 19. Another consideration is staffing of our Central Point of Coordination, if that office is expected to manage many more cases and consumers. Please consider the needs of Dubuque County on this issue. MR Waiver Services A legislative change must be made to an Administrative Law Judge's interpretation of eligibility for the MR Waiver. It is our understanding that a ruling has been made that residential facilities for the mentally retarded are "Medicaid" facilities, and that consumers living in those facilities are ineligible for 1VIR Waiver Services. In fact, those facilities are not Medicaid facilities; their fimding comes entirely from State Supplemental Assistance and county funding. We estimate that if the ruling stands, Dubuque County stands to lose $200,000 at current provider rates for individuals needing pre-vocational and adult day care services who live in residential facilities. Another issue is that the allowed rate for Enclaves under the MR Waiver. We have multiple enclaves who meet criteria but because of the low hourly rate that has not been increased since 1996, the provider can't "afford" to utilize that fund. Instead, the provider relies on county funds at 100%. We are asking that the county- contracted per diem under C.R.I.S. be utilized for the Enclaves under the Waiver. Adult Rehabilitative Option For fiscal year 2001, when the State began to reduce funding for Mental Health- Developmental Disabilities, Governor Vilsack encouraged providers to participate in the then-new Adult Rehabilitative Option Medicaid Program, shifting costs to a Federal- County parmership for services provided. Providers in Dubuque County have participated in ARO for three years and while consumers have enjoyed more services as a result of the program, the program is not Page 7 20. 21. saving Dubuque County sufficient funding to make up for the loss of state funding. Consumers are receiving more services at a higher rate, which is a wonderful thing. But it is not a justification for shifting costs from the state to the counties. Judicial Advocate Position The Jndicial Advocate position continues to be a problem for counties. These individuals are appointed and supervised byjudges. Counties were mandated to pay IPERS for advocates appointed under Iowa Code Section 229.19 in December of 2000. Advocates appointed under 229.19 are not county employees, nor are they state employees. We object to paying for the advocates; it is philosophically a bad idea because advocates are paid to represent consumers, while the County pays for Targeted Case Management to make those determinations. And we also object to paying rates over which we have no control as they are set by the Chief Judge of the Judicial District, who also supervises their work. Case Management Attached to this presentation is a copy ora letter the Board of Supervisors sent to members of the Administrative Rules Committee about proposed changes to rules for Targeted Case Management, changes processes for eligibility for Targeted Case Management services. This is a vital service that consumers must have to move from the most restrictive setting to lesser-cost community-based services, at lower cost. At the present time, consumers are referred to the Iowa Foundation for Medical Care often because of a complicated pre-authorization process. This creates a cumbersome system for deserving Medicaid recipients and those who have not yet qualified for Medicaid. 22. Unmet needs in Substance Abuse We continue to hear from our constituents about unmet needs for Substance Abuse clients. Although the legislature agreed to provide appropriate treatment for these consumers, Dubuque County has had to budget $75,000 in the general fund to provide residential services to Substance Abusers at the Julien Care Facility because no other placement is available, although no substance abuse trealrnent is available there. There is a transportation problem for consumers who should be receiving that treatment with the Substance Abuse Services Center. The original thinking about the transfer of substance abuse services ~vas that the State of Iowa receives the revenue from the liquor tax and should therefore pay for these services, including comm2tment costs, which counties continue to pay. Page 8 23. 24. Clozaril at Mental Health Institutes The Deparlxnent of Human Services must continue with their plan to stock and administer the drug "ClozariF' at the Mental Health Institutes. Currently, the MHI's contract with a private provider, and under that arrangement third party insurance is not billed for the drug. We have been informed that the Department is working toward the goal of including Clozaril in their array of services, which would save the counties the separate cost of the drug in many cases. "812" Commitments The Dubuque County Management Plan for Mental Health and Mental Retardation does not include payment for services for defendants in the criminal justice system include commitments under Chapter 812 of the Code. This consumer is ineligible for Social Security Disability Benefits and therefore Medicaid Insurance. Other states include eli~bility for Medicaid for these individuals and we encourage you to do so in the State's plan, which would alleviate the financial burdens for counties placed either in a community-based setting, or at an MHI or Oakdale under an "812" commitment. 25. Medicare Inequity - Public Health Nursing and Home Care Aide funding 26. This is a leadership issue. We must work together with Federal Legislators to modify the current inequality of payment to providers under the Medicare System. The disparity in Medicare payments across the nation has resulted in hardship not only for providers of Medicare services, i.e., hospitals and doctors, but it has forced Iowa providers into a history of lower wages for hospital staff and impossible recruitment issues. It has also impacted Dubuque County because of our public health nursing program. Although in-home services are less costly alternatives to nursing homes, Medicare changes in payment for in-home nursing services means that more of your money and ours is being paid to the Visiting Nurse Association for public health nursing services under their contract ~vith the County. We greatly appreciate the grant money we receive from the Iowa Department of Public Health to at least partially defray increased costs for these services. However, we need to work to change Medicare and Medicaid payment arrangements so that these vital services are funded through those programs. We also need to increase the amount of funding available for in-home services so that the waiting list for the "fragile elderly" who qualify for these progams can be eliminated. Lease costs for Department of Ituman Services Administration When the Department of Human Services was reorganized, counties who housed the Area Administrative Costs, basically rent, to the other counties in the area. We have repeatedly billed the other 8 counties in the Northeast Area for their share of this lease Page 9 cost, and they have repeatedly refused to share this cost because it is not mandated anywhere. We ask that you mandate that the other counties in the areas pay for their share of rental cost for the area administration. We thank you for your leadership and support in the past. Let's work together to solve the problems and issues that face all of us today. Attachments (9) Page 10 Dep d:men of Transpo ation District,6 Office 319-364-0235 438 SixLeenth Avenue SW FAX: 319-364-9614 P.O. Box 3I 50 Cedsr Rapids, IA 52406-3150 August i2,2003 Ref: 733.20I Dubuque Coumty Jim Waller, Chair Dubuque County Board of Supervisors Dubuque County Courthouse 720 Central Avenue Dubuque, IA 52001 SUBJECT: Transfer of Jurisdiction Dear Chairperson Waller: Mark Wandx'o askeu that I respond to your August t, _00~ letter concerning the transfer of certain primary roads to Dubuque County under the terms of Senate File 451. As you know, (his bili was enacted into taw during the regular legislative session that ended at the be~rming of May 2003. Your request to exempt the transfer of former Iowa 586, Iowa 955 and Iowa 963 from the provisions of S.F. 451 because of the prior e.'dstence of the Memorandum of Understanding (MOU) for Urban Pr/mary Road Service is noted. However, S_F. 45t is a legislative mandate that supercedes the MOU signed in 1993. Had there been a formal agreement implementing the transfer of these routes signed by the state and county, prior to January 17 2003, the legislation would not have applied. However, this was not the case. Only a framework for their transfer existed at that time, namely the MOU. Thus, these routes were transferred according to law effective July i, 2003. With regard to the concern about transferring the routes outside the provisions of Ioxva Code Section 306.8. the legisladon provides for the transfer o£ ~nds in pe~emity to compensate for the additional costs to the county to maintain these routes. As part of this initiative, ail counties receive additional Punds and those accepting the transfer of routes as part of S.F. 451 receive an increased share of the added funds dzrough June 30, 2013. [ hope this answers an).' outstanding questions and addresses your concerns, r am xviiting to discuss this matter with you ~rther but please understand that the language of S.F. 451 allows me no discretion to reverse the transfer of these routes as implemented on July t. 2003. Veu, '~ruly yours. Ricixard E. Kautz. P.E. District Engineer ........ ?,' ,,,,~,", Du'ector. ~owa Department or Transt~orrauon..-kmes. h-k 500 L0 PHONE: S63-589-444I FAX: E63-SS9~7884 EMAIL: brdofsup@dbqco.org COURTHOUSE DUBUQUE, IOWA 52001-7053 DONNA L SMITH JIM WALLER ERIC MANTERNACH August Ma~k F. V~aud~o, Director Iowa Depa~imen~ of Trauspo~ation 200 Lincoln Way Ames IA 50010 L'z response to your letter al July I0, the Dubt~ C6~ Board of Supervmors asks KTat you refer to the formal sig2ed contracts undeE~bk)~8~ y{;~feviously forwarded to you which require that dm rowa Department of Tra~5;Fra23n trar~"~e 7.5 relies o£road accordint to the terms and conditions of Iowa Code Section 306.8:2 As you kmow. Section 306.8 hay/rig jurisdiction place a road or street mhd any strttct~.n-es thereo.n_ in. good repair p~or to:the change ,,~;,,,4~,~;~,4,,,, We are asking that the existing agreements be honored and that the trmnsfers bfjudsdiction are made in accordance wflh the terms ofthose, a~eements. Thar2c yom Sincere{y, DU~BUQDT COL~'TY BOARD OF SU2?E~VISORS Waller. Chairperson ih lowa Departmen Transportation 800 Lincoln Way, Ames, IA 50010 515-239-I 11 I FAX: 515-239-t639 July 10,2003 Jim Waller, Chair Dubuque County Board of Supervisors Dubuque, IA 52001-7053 Dear Mr. Waller: Thank you for your June 23 letter regarding transfers of jurisdiction of primary roadways to local jurisdictions. The ciW of Dubuque, Dubuque County and the Iowa Department of Transportation (DOT) have a long and positive h/stow of parmering on projects that have benefited not only the local area, but also the state and region as a whole. Our collective efforts on U.S. 15I, U.S. 6i, U.S. 20, the N.W. Arter/al and the Julien Dubuque Bridge have resulted in a renaissance of the area-- something we all can be yew proud of. I'm excited about highway projects we have pending not only in eastern Iowa, but throughout the state. However, the DOT carmot continue to increase the number of miles of roadway under our jurisdiction and also be in a position to provide the transportation system essential to our state's ~t~e grow~&. Consistent with the intent of fine legislation passed by the General Assembly in 2003, we need to let cities and counties be responsible for roadways that primarily serve their area. Transferring these roadways will give local officials complete authority to make decisions that best serve their citizens. Prior to becoming Director of the DOT, I served as the assistant county engineer of Polk County for 10 years. ~ am very familiar w/th the issues counties regularly face. As a result of the legislation, Dubuque County will receive approximately $900,000 over the next 10 years for the repair and maintenance of 7.5 miles oflocal roadway. Based on my experience, th/s is a fair a~d equimble exchange. I'm appreciative of the outstanding relationship the DOT has had with the city of Dubuque and Dubuque County, and I look forward to wor_king together in the ~ture. Sincerely, ~ / Mark F. Wandro Director PRONE: 563-589-444'/ PAX: 563-589-7884 EMA[L: brdefsup@dbqco.or~t COURTHOUSE DUBUQUE, IOWA 5200%7053 fune 23, 2003 DONNA L SMITH JIM WALLER ERIC MANTERNACH Mark Wandro, Director Iowa De?arrment of Transportation 800 Lincoln Way Ames IA 50010 Dear Mark: The Dubuque Coun~ Board of Supervisors has received a letter from the Department of Transporranon explamm~ the transfer of Junsa~ctmn of primary roadways to local j~msdictions. Om: situation is that Dubuque County has sigmed a~eemenrs for transfer ofjm:isdicfion of the named roads, with snpulafions a~eed to by both the D~parm:ent of Transportanon and the Couaty. ::'": :7:; ;,:;.4, As recently as May 29 of 2001, we a_m-eedto ~e~d the t~r~e~Jbl/~ ~r Dubuque County's acceptance of Iowa 386, Iowa 953 and Iowa 955 when the So(/thwesr 'gxLleria]Lis complete. We are filing objections to these mmsfers of conditions ~,~ + ' a~e~ ~o oy r2qe Iowa Department of Transportation are met. We are mso objecting to the. language 0fthe law which dimmates the mandated transfers' from the terms and conditions provide in Iowa Code Skcrion 306.8 ander which we..have operatediin goock faith when Wansfers of jurisdictions happen. It is our understanding that the Street Consmtcuon Ftmd'Disrnbutibn Advisory ¢' ' ~ emanng a~eemenrs 15er~veen_ urisdictions tike ours and the Depm:rmenr of TrausporTanon taro consideration. are asking that these exzsnng ag~-.eemenrs be honored and rhar the transfers )fjurisdzcnons happen only wi:eh the condiaons of the a~eemenrs are met. ~mmc you. L-;~CU~,U a CO~:~' TTy BOAiLD 0~' SUP~R\GSORS Jim Waller. Chz~erson May 29. 2003 owa Department of Transportation District ~ Off[ce 319-$6~3235 43~ Sixteenth Avenue SW FAX: 319-364-9~14 F,O. Box 3158 Cedsr Rapids, iA 52406-3150 733.201 Jkn Waller, Chair Dubttque Coun~ Board of Supervisors 720 Central Avenue Dubuque, 7iA 52001 SUBJECT: Traast'er o f Jurisdiction Dear Nfl-. Wailer: Pursuant to section 3 of Senate Pile 451, jurisdiction and controI of certain primary roadways wit1 be transferred to local jurisdictions effective July i, 2003. %~e a~achraent describes the roadway segments based dn data as of Janum~' I, 2002, which will be transferred to local jurisdictions. On JuIy I', 2003, by operation of law, iocaI jurisdictions must assume ail further responsibility for these road~vays. An implementation meeting will be held on June 9, 2003 as noted in the attached agenda. For cities under 500 population, the state highway that is transferring to their jurisdiction on July t, 2003, will transfer to the ~spective counties on July I, 2004, along with any farm-to-market extensions that pass through the cities. For routes that are transferring to the county, it is the county's responsibility to apply for farm-to-market classification if so desired. This application process is documented in County Engineers Instructional Memorandum 4.2I. The department intends to subsequently tramsfer by quitclaim deed its tkte and interest in the right-of-way of the public road segments described in the attachment. If the state has acquired access rights for the public road segments described in the attachment, you shall not, within 150 feet of any intersecting primary, highway, either alter those .rights or allow- -any new access. In all other cases, you should not allow any new access within I50 feet of any intersecting primary highway. As soon as practical, the following items wilt be forwarded to you: 1. Right-of-way strip map, if available 2. Appiicablepermits and resolutions 3. Construction plans for roadway, bridges, and culverts, if wcaliable 4. Specific bridge information, such as inventory data and safew inspection items 5. Any other correspondence that may pertain to the affected road~vay section. :~ ;.,, · ' . ,4 = ,, ,.t ~,- 4 o::mo,,~ as appropriate, wi!! be provided by this office. Any fuwbar questions or A:~ :~ms hstea above. ~n~ _n. ~h~. ~o ......... s. .. _ .- correspondence regarding the transfers of jurisdiction should be directed to me or Assistant District Engineer. Jim Schnoebeien. Very truly yours. Richard E. Kaurz. P.E. Attachment cc: Jim Schnoebe!an. P.E.. {ssistant District En, ginee2 [owa DOT. 430 lo~ Avenue Cadar Rapids. ~A 51406-3 i50 l ia-ld4-02SE F /URBANA l BENTON iVAN HORNE FBENTON IBENTON Summary of Routes To Be Transferred to E~ective July I, 2003 0.251 2.571 1311 ECL BELLE PLAINE TO JCT US 30 198/NCL GARRISON TO JCT US 2!8 199[ECL'vAN HORNE TO JCT US 218 200/JCT US 35 TOSCL KEYSTONE 201 !ECL NORWAY TO JCT US 30 ~O SCL ATKINS 2.671 8 iVAN HORNE ~ 1.831 ~ 7.281 6 ~BUCHANAN I tNDEPENDENCE I ~DBNCB WCL INDEPENDENCE  ~NCB (~EGIN SKIP) IQUABQ UETON I 282 BE~~ BUCHANAN BUCHANAN BUCHANAN 9391JCT IA 282 TO WCL WINTHROP BUCHANAN WINTHROP BUCHANAN W~NTHROP BUCHANAN ~ BUCHANAN [ BUCHANAN T BUCHANAN ] NAN I ~ IOURAN~ C~DAR IDUFLANT ~B r FD,-~AWAR E ~-YAN ~ IDUBUQUE ~BUCHANAN 0.23 SUCHANAN ! ~.~31 j 0.45 I ~ iWINTHROP SummaP/of Routes To Be Transferred to Local Jurisdictions iFt District Effective July J, 2003 ~ACKSON Segmemt Descdption 428iJCT US 81 TO MAQUGRETA CAVE STATE PARK Miieage! Distdct o.12I 8 Shared Judsdic-don with Adjacen Governme~q[(s)? (sEe foomo~e) IACKSON 954[BEG OF ROUTE TO JCT US 31 iACKSON 95~iJCT US 61 TO SCL MAQUOKETA 0.851 6 MAQUOKETA :ACKSON I 985J S JCT US 52 TO N JCT US 52 1.93j 6 OHNSON I CO P,.ALV] LLE 0.641 B 9651P1 180 INTCH TO ENO DIV SECT 965J ENO DiV SECT TO NCL C'ViLLE/NUAL IA CITY 9211 SCL IOWA CITY TO BEG CQNC SECT OHNSON 'CORALVILLE I JOHNSON I JOHNSON IIOWA CITY j 9211BE CONC SECT TO BEG ASPH SECT OHNSON IIOWA Ch'~Y I 9211EEG ASPH SECT TO SEG D[V SECT OHNSON IIOWA Ci~t' I 9211BEG DIV SECT TO JCT US 8 & IA 1 JOHNSON ILONETREE I 4051NCLLQNETREETOJCTIA22 JOHNSON IQXFORD .JOHNSON IOXFORD JOHNSON tOXFORD t SOLON SOLON ~OHNSON 1091BEGiN IA 109 TO WILSON ST 109tWILSON STTO BEG 22 FT SECT t091 BEG 22 FT SECT TO NCL OXFORD /~rCL SOLON TO N WEST ST WEST STTO JCT IA 1 JOHNSON 109JNCL OXFORD TO JCT US 8 3821 LAKE MACBRIDE ST PK TO WCL SOLON JOHNSON 4051NCL LONE TREE TO JCT iA 22 JOHNSON JOHNSON 921 I JCT US 2~ 8 TO JCT JA 923 (R/U} JOHNSON JOHNSON 921 IJCT IA 923 TO SCL IOWA CiTY (R/U) JOHNSON [OHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON JOHNSON LiNN ;EDAR RAPIDS L~NN CEDAR RAPIDS L[NN L[NN L!NN 9231WASHINGTON CO LINE TO CO RD F62 (S iNT) 9231CO RD F62 (S iNl~ TO SUAL iOWA CITY 9231SUAL iOWA CiTY TO JCT IA 921 (R]U) 9851BEG 24 FT SECT TO BEG CONC SECT 9651BEG CQNC SECTTO BEG ASPHALT SECT ;07~p, .E~O ASPHALT SECT TO UNN CQ LiNE ¢C ~ [~80 T~O BEGIN ASPHALT SECT 979 BEGIN ASPHALT SECTTO CEDAR CO LiNE 94/BEG '-WAY NB/JCT 'A 922 TO W iNT F AVE NW 8~-IiNT FAVE NW TO SUMMER ST SUMMER ST TO ELLIS BLVD/END 1-WAY NB 94!BEG 1-WAY sB~rELLtS/F AVE TO INT 3RD ST NW 9413RD ST NW TO CEDAR RIV SR 94 ICEDAR RIV BR TO INT E AVE NE/A AVE NE CEDAR RAPIDS CEDAR P,.&Pf D B CEDAR 9411NT E AVE & A AVE NE TO JCT IA 92NEND RTE 0.271 8 LiNN CEDAR RAPIDS LiNN ICEDAR P~a,P!DS L~NN iCEDAR RAP[DS 0.27[ 0.191 013 o.321 ox31 4.291 JOHNSON ' LO N E TREE 0.37 0 @0 3.03 4.11 0.34 0.33 2.47 STa O.B4J 0.37 o.o~1 o.~81 6 LiNN [ 4.8~l 6 LiNN I 9201NCL CENTER ?O}NT TO BENTON COUNTY LiNE PHONE: 563-589-4441 FAX: S63-559-7884 EMAIL: brdofsup@dbqco.org oar / o/ _ t jJerui or COURTHOUSE DUBUQUE, IOWA 52001-7053 DONNA L. SMITH JIM WALLER ERIC MANTERNACH Au~onst 11, 2003 Senator M/kc Connolly 3458 Daniels Dubuque LA 52001 Dear Mike: As you know, the City of Dubuque has themselves fi:om a severe bud in order to extricate In researching this move on the City's part also know that when Dubuque Count unincorporated areas of the of Iowa in 1999 which facilitated paragraphs I and 3. We a Local Option Tax in the were exempt. The City of Dubuque's action has Local Option Tax. dedicated to kb~ County, long after the County's in the We have always a s local option tax, in Dubuque Count) City. be amende~to allow cities in enact the F/:anchise,Fee s, *zith6ixt affecting the distribution oft!ie Ibcal option taxes for other cities, the counties, and the school distr/ct~ We w/l[ sincerely appreciate your help with this; people who voted fox the locat opffon tax in these other jmisdictions and who do most of their'shopping in Dubuque have expressed resentment because the City s action has caused these budget:reductions. Thank you. Sincerely, /0 PHONE: 583-589-4441 FAX: 58S-SB9-TSS~ EI~AIL: brdofsup@dbqco.org August 2I, 2003 Senator Iulie Flosch 22852 Butterfteld Road Cascade IA 52033 COURTHOUSE DUBUQUE, IOWA 52001-7053 DONNA L. SMITH JIM WALLER ERIC MANTERNACN Dear Jul/e: As a member of the North Iowa Juvenile Deteixti6n Ser%ces Board of Directors. representing Dubuque County on this 20-County 28-E Orgapjzafior/z,~ I am writing to object To the change in the allocation rocess for foster group care resot/fc~s :!: :. The Department of t-iuman Se~wices has ~pi~m~ted ~,~e~;, and, in our view, inequitable formula for allocation of foster care beds ko'ich rewards ~mportionately high users of foster grOllp care. :-:;- population and 15% h/storical: USe~ The new formula reverses those ~ercenmgea The result of the change in formula for our dis~ct is that children from Sur comities must wait for much longer period of t/me in detention becans'e far fewer bed slots' are alIocated for foster care treatment' f6r them: Clearly this is a shill in costs because counties must pay for detentionbeds at a rate of $125 per child per day for a longer period of r/me; Sincerelv. Donna L. Smith Dubuque County.- Superx,isor jh cc: She~? Marnke, Chairperson. NIFDS Commission PHONE: 319~589-4441 FAX: 319-589-4478 COURTHOUSE . ~uul-Tu5o uuBUQu=. ApdI9,200t DONNA L SMITH ALAN R. MANTERNACH JIM WALLER The Honorable Bob Osterhans Iowa State House of Representatives Statehouse Des Moines IA 50319 Dear Bob: It is with peat disappointment that we read that the Governor has proposed a revised fiscal year 2002 budget showing that counties will lose S 18 million in the ~ow~h fund for mental health and developmental disabilities. In 1995, the legislature established property, tax relief in the form of state monies provided to counties for expenditures in the Mental Health/Developmental Disabilities Fund. The gro~vth innds were established to address service cost inflation, new consumers and investments for economy and efficiency. It is our understanding that the legislature has akeady taken $6t,415 from Dubuque County's incentive funds; the new proposal wall take another $~68,. 88 from Dubuque County s ~ow~% fund, for a total of $429,90~. On February 20, 2001, we were notified by the Depamnent of Human Serv'ices that Dubuque County would not receive $5,035.75 in block ga'~t funding for fiscal year 200 t and that the monies we could expect from that fund in fiscal year 2002 was ia doubt because of Cungressionat action. While we realize that State revenues have decreased unexpectedly, we also know that you are contemplating limiting property tax. How can the State contemplate reduction of property taxes at a time when the State is also cuLCmg momes ongmalty meant to accomplish th,~t =oM. The arFamenrs for taking this money from counties are that the proposed new rehabilitation services will be available and w/ii save proper~y tax mort/es; that program is nor yet under way. The ending balance argument will not wofr with the ~LH~T)D frond, pdm~.riiy because billings from Stare Institutions and for ser¢ices b/lied by the State are frequently late. Ending balances also enable counties m pay for first quarter providers. These actions are placing counties in an untenable simatiun. Please restore the Mti/DD innds and allow local officials to make decisions about taxation. That is what we are elected to do. Sincerely. DUBLiQL]~ COL~TY BOARD OF SUPERVISORS J~aller. Chairperson jh PHONE: 563-589-4441 FAX: 563-589-7884 EMAIL: brdofsup@dbqco.org COURTHOUSE DUBUQUI~, IOWA 52001-7053 DONNA L. SMITH JIM WALLER ERIC MANTERNACH Mr. Dennis Janssen, Managed Care & Clinical Services Iowa Deparnment of Human Services Hoover State Office Building Des Moines LA 50319 September 8, 2003 Dear 1VLr. Janssen: Please enter this letter into the Public Comment~ 0~I0~ Plan for Behavioral Health and the experience that Dubuque County has had with th~ ~ ~ ~b past. We are asking that the plan be modified at this time to be more accessible a and more fair to Iowa counties. The [owa Plan reimbursement rate has "negotiated" by the vendor administering th~ P!an providers. Counties are forced to pa5 administrator. : are unable to accept the low rates have little to no choice of ,r rationed by the Plan Dubuque o'f consumers ~ho~have. been :kTenied through the pre-certificafion process for inpatient services echo are sbmetimes h'eite~ at)the:~Xt~nse Of the County. We ask that the Department b~:k?rna/~ Ser~be~ and the Depar~nn~t'~of PabHC Erealth revisit these issues and work to design and implement a system that will accomplish, the goals that you have established, rather than the present system whictt has been a frustration for consun~ers, prowders and counties. Sincerely, jh DUBUQUE COUNTYBOARD OF SUPERVISORS cc: Senators Cormolly, I-iosch. Stewart Representatives Jochum. Murphy, Osterhaus. Lukan. Mmnternach PHONE: 563-589-4441 FAX: 563-589-7884 EMAIL: brdofsup@dbqco.org COURTHOUSE DUBUQUE, IOWA 52001-7053 DONNA L. SMITH JIM WALLER ERIC MANTERNACH September 8, 2003 Ms. Janet Zwick Division of Health Promotion, Prevention & Addictive ~ehaviors Iowa Department of]Public Health Lucas State Office Building ~:' Des Moines IA 50319 Dear Ms. Zw/ck: Please enter this letter into the Publ experience that Dubuque Count5 modified at this time to be : Behavioral Health and the past. We are askthg that the plan be and more fair to Iowa counties. The Iowa Plan reimbursement rate has ne~otmted by the vendor admnmstenng prov/ders. Counties are forced to pay administrator. are unable to accept the Iow rates > no choice of by the Plan Dubuque Coun¢ pre-certification Others have ended tgh the County. We ask that and work to design and implement a system that will iccomplish the goals that you,have rather than th~ present system whi~h has b&e~ a frusrrat/on fo~ ~ons~ers, providers and cotmti~s. Sincerely, DI~qBJdQUE GOUt'IT BO_ARD OF SrdI°ERVISORS Jim Wallen Chairperson cc: Senators Connolly. Hosch. Stewart Representati~-es Jochum. Murphy, Osterhaus. Lukan. Mantemach Solicitation for Public Comment The State of Iowa is seeking your cormments on the Iowa Plan for Behavioral Health (the Iowa Plan). The Iowa Plan, which integrates treatment for mental health and substance abuse, is a&mhnistered by a single statewide organization that has contracted jointly with the Iowa Department of Haman Services (DHS) and the Iowa Department of Public Health (DPH) Division of Health Promotion, Prevention, and Addictive Behaviors. The Iowa Plan contractor is at full risk for all Medicald-fimded mental health and substance abuse treatment services and provides specified administrative services for the DPH-funded delivery system. The Contractor also is required to manage services to persons with mental health diagnoses who are enrolled in the State Payment Program (SPP). The contract for the administration of the Iowa Plan has been held by the managed behavioral health organization, Magellan Behavioral Care, since 1999. State and federal laws require that at this time the state must seek to competitively re-procure contracts with vendors to administer the Iowa Plan. The anticipated release date for the Request for Proposals is on or about October 15, 2003. While the State is not intending to make significant changes to the program, it is in the process of reviewing the current structure of the program and contemplating opportunities for program improvement that it can incorporate into the program that is put out to bid. As previously, the State has found it valuable to have the input of interested parties familiar with and/or affected by the program. To that end, the state is once again seeking public comment. The Iowa Plan was designed to offer: · prompt and convenient access to appropriate mental health and substance abuse treatment services and supports; · improved outcomes for consumers which span today's boundaries of programs and funding streams; · integrated and seamless service delivery across different service systems (including health, mental health, substance abuse, child welfare and juvenile justice, education and special education); · strong community involvement and investment, with the local delivery system contoured to commtmity strengths and needs; · coordination ofplarming and implementation between agencies; · prevention and early intervention with those at risk, and · minimal duplication between systems. It has aimed to: · serve people in the context of their families or natural support system; · provide services in the home or in the community whenever possible; · include consumers and family members in plarming and evaluating their services; · build on the strengths of the family or individual and be responsive to their culture; · focus on the problems or concerns which are most important to individuals and families; strive to communicate in the first/primary language used by the individual/family; · allow freedom to purchase individual service elements tailored to the needs of the individual, child or family; · promote the stabilization and recovery of persons with chronic illness, and · permit a smooth transition between funding streams and services. Please provide your thoughts on suggestions for the Iowa Plan program improvements or changes at the mail or email address below no later than 5:00 PM central time, Sel~tember 10, 2003. Please attach a cover sheet to your comments that states your name, organization, address, telephone number and email address so that the State may contact you should there be any questions about your submitted corr2ments. The State is particularly interested in hearing specific views on whether and how the aforementioned program design objectives have been accomplished and any specific suggestions you have for changes or improvements in the Ioxva Plan. Members of the public may present their comments in person to DHS and DPH staff members between the hours of 1:00 PM and 3:30 PM on Wednesday September 10, 2003 at the Hoover State Office Building, First Floor Conference Rooms 1 & 2. Oral presentations should be limited to 5 minutes. Please cai1 515- 281-4689 to schedule a time to make this presentation. Please be advised that while the State will consider all comments, it will not respond to commenters in writing. If you have any questions about this solicitation, please contact Dennis Janssen at the number listed below or Janet Zwick at 515-281-4417. Please send written comments by 5:00 PM Central Time, September 10th to: D epmis Janssen Department of Human Services Hoover State Office Building Des Moines, IA 50319 Email: Di ansse(&,,dhs, st ate.ia.us Facsimile: 515-281-8512 Phone: 515-281-8747 PHONE: 563-589-4441 FAX: 563-589-7884 EMAIL: brdofsup@dbqco,org COURTHOUSE OUBUQUE, IOWA 5200%7053 DONNA L. SMITH JIM WALLER ERIC MANTERNACH March _4, 2000 Representative Danny Carroll Iowa House of Representatives Des Moines, Iowa 50319 FAX: 1-515-281-5868 Dear Danny: The Dubuque County Board of Supervisors strongly supports the passage of House File 387 which would allow up to 40 residential care facilities licensed to derve Up t05 Ceople with mental retardation to be converted to residential programs operating under the current HCBS waiver. In addition, we also strongly support Senate File 413 addresses the addition of day services re Iowa's HCBS waiver program. We are requesdgg the addition of both "pre-vocational" and "day habilitatiun" services to the current MR waiver menu~ The disabled people who receive these services are not necessary- elderly. It therefore would_make sense to ensure that these services fall under a habilitation definition rather than under an elde~hy sermces de£mition. We understand that the current proposal for boq pre-vocational and day habilitatiun tadult day care) ser~,ices from the Depm-tment of F!uman Services inciixdes rate caps for~these thvo seruices that are below what it costs most organizations to prov/de the services. Obviously, this is something that would inter£ere w~th the success£uI operation of these waivers, so we would sup¢ort reasonable compromise rates as proposed by ISAC and IACP. tt has been brought re our a~ention that the Department of Human Services ts currently proposing to exclude those whc Iive in licensed RCF/MR facilities form being eli~ble for these services. TNs prohibition severely limits who could benefit from these services with no legitimate reason to exclude people from these services s~mply based on where they live. The Dubuque County Board of Supervisors urges your assmtance and support of the passage of le~slatiun that wilt add thes~ ~vo HCBS waiver servrees. The State of Iowa. Dubuque Connty, and peo[ ie with disabilities will benefit if these services are added in a manner that allows their full utilization. SD,-CERELY. DhgBUQUqE COL.~TY BO,~RD OF SUTERVISORS .~m Waller, Chaircerson Fields of Opportunities STATE OF IOWA THOMAS J. VILSACK, GOVERNOR SALLY J. PEDERSON, LT. GOVERNOR DEPARTMENT OF HUMAN SERVICES KEVIN W. CONCANNON, DIRECTOR September 5, 2003 Linda Hinton Iowa State Association of Counties 501 ?tl~ Street Des Moines, IA 50309 Dear Ms. Hinton: This is in reference to our discussion regarding Home and Community Based Services for individuals who live in Residential Care Facilities. The Department of Human Services has looked at the Federal Regulations, the Code of Iowa and the Iowa Administrative Code and determined the following: RCFs are licensed as health care facilities in Iowa. Iowa Code chapter 135C, titled ~Hea[tl~ Care Facilities" defines "health care facilities" as "a residential care facility, a nursing facility, an intermediate care facility for persons with mental illness, or m~ intermediate care ~acility for persons with mental retardation." lowa Code § I35C.1(6). With some exceptions, a license is required to "establish or operate a health care facility in this state." iowa Code ~ 135C.6(i). Thus, DIA rules address licensure of RCFs and RCF/MRs as health care facilities. See Iowa Admin. Code r. 481-- 50.3(3) '~d", "g"; Iowa Admin. Code ch. 481--57; Io~va Admin. Code ch. 481--63. This does not appear to be a problem under federal requirements for HCBS waivers, which require only that waiver services may not be provided to ¢'inpatients of a hospital, NF, or ICF/MR." 42 C.F.R. § 441.301 (b)(I)(ii). The federal waiver requirements appear to contemplate that waiver services may be provided in state-regulated ';board and care facilities," "institutions," or "group living arrangements" where State Supplementary recipients reside. See 42 C.F.R. § 441.302(a)(3), citing 42 U.S.C. § 1382e(e). But the Depart~nent has previously taken the position that at least some waiver services may not be provided to residents of any "health care facility," ~vhich would include RCFs. As part of the controversy last year over the repeal of the RCF licensnre exception fbr five- person supported community living homes (House File 2416), tile Department adopted rnles providing that for supported community living services under the MR and BI waivers, ~;consumers may not live in licensed medical or health care facilities or in settings required to be licensed as medical or health care facilities." iowa Admin. Code r. 441--78.41(1)"c"(3), 78.43(2)"c"(3). Therefore, tile Depmgment of Human Services wit[ be workiug with the Department of Inspection and Appeals to change the Code of Iowa to allow individuals who live ill a IR, CF to receive HCBS services. Also, rule changes in the Iowa Administrative Code are being developed to add a medical institution definition for HCBS. It is our intent to work cooperatively with the Iowa State Association of Counties and the Iowa Association of Community Providers to hnplement these changes. If you have further questions, please feel fi-ee to contact ~ne at (515) 281-9369 or djohnso6~dhs.state.ia.us. Sincerely, Debbie Johnson B tirean of Long Term Care 1305 E WALNUT STREET-DES MOINES, IA 50319-0114 STATE OF IOWA THOMASJ. VILSACK, GOVERNOR SALLYJ, PEDERSON, L%GOVERNOR DEPARTMENT OF HUMAN SERVICES KEVIN W. CONCANNON. DIRECTOR September 29, 200_3 The Honorable Steve Lukan Iowa State Representative State Capitol Building LOCAL Attn: Dear Representative Lukan: I am responding to your question in regards to billing for the medication Clozaril at the Independence Mental Health ~[nstitute. The method for billing counties for services provided at Mental Health Enstimtes is described in the Code of Iowa. Section 230.20 removes direct medical services from the computation of the per diem and provides that direct medical services be billed directly. Iowa Administrative Code, IAC~441.29.2(230) defines dirpct medical services as including pharmaceuticaI services. Thus any medication used by a patient would be billed to the County separately from the per diem charge. The Food and Drug Administration requires pharmacies to be reg/stered to dispense Clozaril. The amount of Clozarii that can be dispensed at one time is only a week's usage. Pharmacies must review lab values ora patient's blood work to determine the appropriateness of continuing Ciozar/i before dispensing the next week's dosage, thus the management fee charged. The pharmacy at tMHt is currently not certified to dispense Clozaril therefore LM~I! utilizes Caremark to provide the medication and a portion of the monitoring required to dispense. Caremark bills the County directly for the medication and monitoring. In that these charaes do not 2o through the MHI billing, the MHI does not bill or collect third par~y insurance. In these ca'es, the patient or tI~e County or~ behalf of the patient could pursue third party pa?~ents where applicable. Since the medication does not go through the 12vIHI phamracy there is no additional charge for IMHt pharmacy services. Prior to the development and release of genetic substitutes, this arrangement was considerably less expensive rbr the Counties. ~V[HI is currently irt the process of appI~ng for cexiication for the pha..'-macy ro dispense Clozapine / Clozaril and the recommendation to do in-facility monitorin< and disoensin< is expected to be brought before the ~aciliry's physician review commiuee for discussion and a_~prova{at the end of this month. ...... ~_,~r~tac~ ~,_~e if volt haxe additional questions. Cd: ~iclds of* Opportunities STATE OF IOWA THOMAS J. VILSACK, GOVERNOR SALLY J. PEDERSON, LT. GOVERNOR A[JG 2,2 ~Ou3 DEPARTMENT OF HUMAN SERVICES KEVIN W. CONCANNON, DIRECTOR Jim Waller, Chair Board of Supervisors Dubuque County Courthouse 720 Central Avenue Dubuque, IA 52001-7053 Dear Mr. Waller: I am responding to your letter of August 11, 2003, to Senator Mike Connoliy in regard to billing for the medication Clozar/I at the Independence Mental Health Institute (IMHI). The method for billing counties for services prey/deal at Mental Health Institutes is described in the Code of Iowa. Section 230.20 removes direct medical services from the computation of the per them and provides that direct medical services be billed dkectly. Io~va Administrative Code, IAC~41.29.2(230) defines direct medical services as including pharmaceutical services. Thus any medication used by a patient would be billed to the County sepamtely from the per diem charge. ' The Food and Drag Administration requires pharmacies to be registered to dispense ClozariL The amount of Clozaril that can be dispensed at one time is only a week's usage. Pharmacies must review iab values ora patient's blood work to determine the appropriateness of continuing ClozariI before dispensing the next week's dosage, thus the management fee charged. The pharmacy at IMHI is not registered to dispense Clozaril. Therefore, IMHI utilizes Caremark to provide the medication and the monitoring required to dispense the medication, Caremark bills the County directly for the medication and monitoring. Since the medication does not go through the IMHI pharmacy there is no additional charge for IMHI pharmacy services. Clozaril is ut/l/zed infrequently at IMHI. If IMHI were registered for dispensing Clozaril, the cost of the medication would be increased to cover the costs associated with stocking and dispensing through the IMHI pharmacy. Under this scenario, IMHI believes the county would actually pay a higher cost due to the purchasing volume difference between Caremark and IMHI. Independence Mental Health Institute does bill thkd party payers when a patient has additional coverage; and credits the county bilI accordingly. Part A Medicare coverage is limited to 190 days lifetime and 90 days per episode. Most IMHI patients who are Medicare eligible have exhausted their benefits under Part A prior to their hospitalization. In addition, part B of Medicare does not cover any pharmacy services. I understand your desire to contain costs for care and medications. EViHI believes this method of purchasing is the most cost effective but wilt be happy to review its purchasing methods. Please contact me if you have additional questions. Sincerely, Kevin W. Concarmon Director KWC,'kk CC: Senator Mike CormolIy Gary Lippe, Dubuque Service .,M-ea Administrator Representative Robert Osterhaus Dr. Bhasker Dave, Independence Mental Health Institute Superintendent 1305 E WALNUT STREET- DES MOINES, IA 50319-0114 PHONE: 563-589-4441 PAX; 563-S89-7884 EMAIL: brdofsup@dbqco.org COURTHOUSE DUBUQUE, IOWA 52001-7053 DONNA L, ,JIM WALLER ERIC MANTERNACH August t 1, 2003 Senator Jutie Hosch 22852 Butterfield Rd. Cascade, Iowa 52033 Dear Suite. Dubuque County is currently paying for a mentally ili individual who was involuntarily committed to the Mental Heahh Institute in Independence, Iowa on December 17, 9002 In addition ro the rare akeady being paid to the Skate t~0~ fi:fig service, we have just recently been asked to fund the medication Clozaril separately; ThetM~ Pharmacy does nor stock Clorzaril; it utilizes an independent supplier who bills the Ce ,tmty o~gaJ[ settlement directly for the medication along with a case management fee. ~1,7'-"" "' The Board of Supervisors believes that the MH~'g should ~tSdk all medications including Clorzaril so that those consumers, who have[k third party insurance such as Medicare, could uUhze that ftmdmg stream rather than County_ f:anamg. The Case Manage, m~,n~ fee. rs a duplication of services as th~ MT-II:~ are'considered teaching and' ertucalffon' facilities, by the Department of Human Ser~£ces w/ih Psychianic. Social ServiCes; Pt/armacolo~b~l and Nrtrsing Deparrmen[s. Thank you for ]'our consideration in this matter. We are ar~xious ro hear frorm you. Sincerely, DUBUQUIE COL~TY BOARD OF SU?ERVISORS Iim W a!ier. Cn,,~raerson Gary L/ope Dubuque .~rea OtUce COURTHOUSE PHONE: 583-589-4441 FAX: 563-589-7884 EMAIL: brdofsup@dbqco.org DUBUQUE, IOWA 5200%7053 DONNA L. SM[TH JIM WALLER ERIC MA NTE.ClNACN March I0, 2003 Senator Mike Comzolly Iowa State Senate S tale Ca?itaI Des z¥loines I_A. 50319 De~- Mike: f,, T,,w* ~'l, ar,~¢* for the c~¢ o¢ hnda,id,,al~ ,,mo ha,*e been found to be ..... mu~.e..~ to st*,~d tz.a! and are committed to the custody of the Iowa Dep~ent ofHamm~ Se~ices or the iowa MedicaI and Classification Center at O~dale under Iowa Code Chapter 812 ~e sent ro the County o f legal settlement. Our County Management Plan does not include payment for setw[ces tbr defendants in the ~'°~°" -'tied criminal justice system, inc[udh2g the o~= comn'u individuals. Dubuque County has ~%mded mi [ndixddnai al: the MeutaI Health Institute tbr many years, and is currently ~vorking to find a communi~-b~ed sernnm Because the "8t2~' connnmnenr slams has aot been dismissed, the consumer is ineligible for Social Sect~b~ D~sabllity Benefits_ and there[bre Medicaid insurance. The Count- is therefore responsible ~br fading the endre daily rare ~br a residential care facility, o~ppatienr m_enrat health and medical treatment, and medicatioas~ t',eau,~ tzra~t teg~.sIanon to eliminate the ffnanciaI harden for counties for md~vmuals placed u', a commtmity based sctuhYz, or ar an MHI or Oaf<dale unde': m2 "8!2" commktnent, ll:m~k you. Sincareh'. DUBUQL~ COUNTYBO:~R-D OF ~r~c -r ~; - Revised on ~0~14~03 Fiscal Year 2004 Budget Cuts El[eels of 10-10~03 2.5% ATB cut to local governments (excludes city