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Dubuque Jule Transit / Marshall Islands Health Project Grant Application Copyright 2014 City of Dubuque Consent Items # 7. ITEM TITLE: Dubuque Marshall Islands Health Project Grant Application SUMMARY: City Manager recommending approval to submit a grant application through the State Transit Assistance program to provide transportation for Marshallese to medical care through the Dubuque Marshall Islands Health Project. SUGGESTED DISPOSITION: Suggested Disposition: Receive and File; Approve ATTACHMENTS: Description Type Marshall Islands Health Project-MVM Memo City Manager Memo Staff Memo Staff Memo Authorizing Resolution Resolutions Grant Application Supporting Documentation Letter of Support- Transit Advisory Board Supporting Documentation Letter of Match Commitment- Mercy Health Center Supporting Documentation THE CITY OF Dubuque DUB E i" Masterpiece on the Mississippi 2007.2012.2013 TO: The Honorable Mayor and City Council Members FROM: Michael C. Van Milligen, City Manager SUBJECT: State Transportation Assistance Grant for Dubuque Marshall Islands Health Project DATE: November 29, 2016 Transit Manager Candace Eudaley recommends City Council approval to submit a grant application through the State Transit Assistance program to provide transportation for Marshallese to medical care through the Dubuque Marshall Islands Health Project. If funds are received from the Iowa Department of Transportation State Transit Assistance Program, the Dubuque Marshallese Health Project will purchase and their staff will distribute 11-Ride Bus Passes, 8 times per year and one Annual Youth Pass for each of 50 families. The passes will assist the low-income and underserved Marshallese who are in need of transportation to medical appointments. I concur with the recommendation and respectfully request Mayor and City Council approval. Mic ael C. Van Milligen MCVM:jh Attachment cc: Crenna Brumwell, City Attorney Cindy Steinhauser, Assistant City Manager Teri Goodmann, Assistant City Manager Candace Eudaley, Transit Manger Maurice Jones, Economic Development Director THE CITY OF Dubuque DUB E 1 Masterpiece on the Mississippi pp,.2�.p „ TO: Mike Van Milligen, City Manager FROM: Candace Eudaley, Transit Manager CC: Maurice Jones, Economic Development Director Jenny Larson, Budget Director DATE: November 28, 2016 RE: State Transportation Assistance Grant for Dubuque Marshall Islands Health Project PURPOSE To request approval of the attached resolution and application for funding through the State Transit Assistance Program to collaborate with the Dubuque Marshall Islands Health Project. If received, grant funding will provide bus passes for medical appointments and other healthcare resources. The project will disproportionately, positively benefit the Marshallese population in Dubuque. Local match funding will be provided by the Marshallese Health Project. BACKGROUND The goal of the Marshallese Health Project is to decrease the high number of hospitalizations among the Marshallese in Dubuque by providing transportation to primary medical care appointments, preventive training, and other related resources within the community. Over a year ago, Mercy Medical Center implemented a program designed to address the immediate health concerns and long-range health outlook for Marshallese residents in Dubuque and overcome the economic, lingual, and cultural barriers for this population in obtaining health care. At any given time, approximately 400-600 Marshall Islands persons reside in Dubuque but are ineligible to receive state health insurance due to their political status under the Compact of Free Association. Additionally, diabetes, high blood pressure, and cancer affect the Marshallese at higher rates than the overall U.S. population. Mercy's efforts include training Marshallese persons to guide fellow Marshallese through the health care system and providing primary health care for the 300 to 600 Marshall Islanders who reside in Dubuque. DISCUSSION If funds are received from the Iowa DOT State Transit Assistance Program, the Dubuque Marshallese Health Project will purchase and their staff will distribute 11-Ride Bus Passes, 8 times per year and one Annual Youth Pass for each of 50 families. The passes will assist the low-income and underserved Marshallese who are in need of transportation to medical appointments. The project will utilize our existing public transit system and project participants will receive safe, accessible, and reliable transportation to health care resources. The project will also support transportation independence among the Marshallese as they will gain experience and familiarity in using The Jule for their transportation needs. FINANCIAL The estimated costs for the project total $5,000 and requested funds from the Iowa DOT total $4,000. Interviews with Marshallese participants by Health project staff have assisted in determining the most economical pass option for the transportation needs. In addition, The Jule will provide its standard 25% non-profit discount for the program. The Dubuque Marshall Islands Health Project will contribute $1,000 of funding support for the purchase of passes. Since this is a new funding partnership opportunity, these estimates were not included in the Jule FY17 budget. Pass Type Quantity Cost per pass Total (1 per year to 50 families) Youth Passes 50 $10 $500 (8 per year to 50 families) 11 Ride Punch Card 400 $11.25' $4,500 'Pass cost based on 25% discount off original price of $15 per pass Fund Description Fund Amount STA Grant— 80% $4,000.00 Local match, provided by Health Project—20% $1,000.00 Total Project Cost 5 000.00 RECOMMENDATION I recommend that the grant application be submitted to the Iowa DOT State Transit Assistance Program to provide transportation for Marshallese to medical care through the Dubuque Marshall Islands Health Project. An authorizing resolution from the City Council is required and attached for consideration. State Transit Assistance Special Project Authorizing Resolution We, hereby, authorize Candace Eudaley, Transit Manager (Name of Authorized Signatory) on behalf of City of Dubuque d.b.a. The Jule (Legal Name of Applicant) to apply for financial assistance as noted below and to enter into related contract(s) with the Iowa Department of Transportation. From the State Transit Assistance Program: $ 4,000.00 of Special Project Funds We certify that Dubuque Marshall Islands Health Project has sufficient funds to provide required match for this State Transit Assistance Special Project. Adopted the 28th day of Nov , 2016 . Name: City Council of Dubuque, Iowa By: Title: Mayor .. pplicant's governing body) ' (Signature of chief executive officer) Address: 50 West l3t' Street, Dubuque, IA 52001 Telephone: 563-589-4121 Iowa Department of Transportation State Transit Assistance Special Project Authorizing Resolution Fonn 020120B (12-15) DATE: The Jule City of Dubuque Transit Division _,_ 950 Elm Street Dubuque, IA 52001 On behalf of the Dubuque Transit Advisory Board, I am writing to express support for The Jule's proposal to the IDOT's State Transit Assistance program for funding to supplement the Dubuque Marshall Islands Health Project which will reduce health disparities in Dubuque. We are excited about a potential partnership with the Dubuque Marshall Islands Health Project to improve transportation access to medical appointments and other health resources for the underserved Marshallese population in Dubuque. As an organization which prioritizes underserved populations, partnering with the Dubuque Marshall Islands Health Project is a natural fit for the Jule. The Jule will contribute to the reduction of health disparities within Dubuque through the use of the existing public transit system. Those involved in the Project will receive accessible, reliable and safe transportation to health care providers. If funds are granted, the Jule will provide bus passes to approximately 50 Marshallese families in Dubuque for transportation to medical appointments and other healthcare resources. This will contribute to the Dubuque Marshall Island Health Project's goal of improving health care for this underserved population. Any action which can be taken to improve equal access to health care in Dubuque will positively benefit the community. The proposed partnership between The Jule and the Dubuque Marshall Island Health Project will significantly contribute to realizing this goal. Sincerely, Matt Esser Transit Advisory Board Chair 950 ELM STREET, DUBUQUE, IA 52001 1 WWW.JULETRANSIT.ORG 1 563-589-4196 Mercy MEDICAL CENTER 250 Mercy Drive DUBUQUE Dubuque,Iowa 52001 A.e be,ofMa ,Hm hNe A 563.589.8000 Magnet'Recognized November 28, 2016 To whom it may concern, On behalf of Mercy Medical Center - Dubuque, we support The Jule's proposal to receive funding to reduce health disparities in Dubuque. We strongly recommend the proposed project which will provide bus passes for transportation to medical appointments for participants in the Dubuque Marshall Islands Health Project. Our organization is active in the planning and implementation of the Dubuque Marshall Islands Health Project aiming to improve population health and access to primary health care and . We are the employer for the project's dedicated community health nurse and community health workers. We have funds budgeted to fulfill the required match and are committing $1,000 toward the project. In partnering with The Jule and the Marshall Islands Health Project, we will contribute to the success of the proposed project by employing staff, providing training and resources and assisting with the care of the members of the Marshallese community. We are excited to be a part of the growth and success of this project. If funds are granted through the IDOT State Transition Assistance program, improved access to health care for the underserved Marshallese population in Dubuque will only continue to grow. As stakeholders in this project, Mercy Medical Center- Dubuque looks forward to assisting in reducing health disparities in Dubuque. Sincerely, U /k�jf6 Jennifer Cavanagh, RN, MSW Jodie McDermottRN MSN Director, Case Management Coordinator, Case Management