Good morning ladies and gentlemen, Denton County Commissioners Court for Tuesday, October 2nd is now in session. This morning I am vacationed to begin by Dr. Bing Burton, Director of our Health Department, and I pledge this to be led by Kate Linus, my Director of Administration. Will you please stand? Would you pray with me? For unto us the child is born, unto us the son is given, and that government will be upon his shoulders and his name will be called, wonderful counselor, mighty God, everlasting Father, Prince of Peace. Lord be our Prince of Peace today. We pray you're blessing upon this meeting and every meeting of the commissioner's court, may your spirit guide all that is said and done today. We ask your blessing upon our county and our state and upon our nation. And all those who serve it, we pray your special protection upon those who stand in harm's way. We pray in Jesus' name, amen. to the flag of the United States of America and to the Republic for which it stands, one nation under God, indivisible. Well, thank you. Commissioner Mitchell is out of town at a conference today and Commissioner Marchand is stuck in traffic. So he'll be joining us as soon as he can. Members, I don't know that we have anybody with us concerning item 3B but let's go ahead and do that. Item 3B is a approval of a resolution for claiming November 9, 2012 to be Denton County adoption day. Whereas children who were previously in the care of the state are realizing their dream of becoming part of a permanent family and a special adoption finalization hearing at the Denton County Courthouse, and whereas we joined with the Denton County Bar Association Child Protective Services in Casa, the court appointed special advocates of Denton County and Association Child Protective Services in Casa, the court appointed special advocates of Denton County and honoring these families for providing the safe and loving homes these children so greatly deserve. And where is there's a special day to celebrate with the North Texas children and their families whose adoptions are made final today to wish them well as they begin the new chapter in their lives. Now therefore, it resolved that the Denton County Commission's Court of Denton County Texas is hereby proclaim this will be November 9th 2012 as Denton County adoption day. The chair was so moved. Seconded by Commissioner Coleman. No in favor please say aye. Aye opposed. Sen. Emotion does does carry looking forward to that Members item 2 is a consent agenda other items on the consent agenda that you need to have discussion on or make changes Or we have a motion for approval approval Thank you. We have a motion by Commissioner E. Seconded by Commissioner Coleman. On favor, please say aye. Aye. Aye. Opposed, aye. Motion does carry. Consent agenda today consists of two a, which is approval of the ordermaking appointments. We have a new hire and human resources. We have four new hires and technology services. New hire in the tax office. New hire in the county jail, two new hires of road bridge west, promotion in juvenile probation, and one New Hire in public health. 2v is approval of the intro departmental transfers, 2c is approval of specifications and authority to advertise for RFP09122165 pharmaceutical services jail health appointment of being Burton, Doug Sanders and Beth Fleming as the evaluation committee. 2D is a approval of award of bid number 06122150 audio visual system, county administrative complex phase 2 to technology for education, LLC for $297,380 in 63 cents. So funding to come from the 2009 permanent improvement bonds, line item 6,1-75209010. And lastly to E is a provo building user question on the list of Thomas to use the courthouse on the square interior and lawn for the purpose of wedding and photos on Thursday, October 11, 2012 from 5 to 7 p.m. Okay, we're going to get started with the employee of the year resolutions and we're going to do this a little differently this year to keep everybody in suspense. Now, in prior years, we've read resolutions. And the last resolution, everybody knew, OK, well, that's the person that got employed the year. Well, we aren't going to do that this year. We're going to keep you in suspense. We're going to read all the resolutions. And after we've read them all, then we will announce that here is little change up. OK. Here is a little change up. Okay. Mineta. Mineta here. Mineta the top. Not here. Do you know she's coming? Okay, well let's hold off on that one then. Suzy handcock, are you here? Come on up Suzy. We like to look at the people that were honoring. Okay resolution honoring Suzy Hancock with a Johnny Scott Award 2012 employee the year award finalist and kind of commissioners court didn't kind of Texas during the regular session on the second day of October, 2012 considered the following resolution. Whereas Denton County annually recognizes an employee for demonstrated commitment to excellence and dedication to the people of Denton County is exemplified by the John A. Scott Director of Facilities Management and whereas Denton County Commission's Court in 1998 in memory of John A. Scott Director of Facilities Management, and wears didn't kind of Commissioner's Court in 1998 in memory of John A. Scott established this award and is pleased to join fellow Dempton County employees and citizens in recognizing Susie Hancock as the finalist for her commitment to excellence in dedication to the people of Dempton County. And whereas Susie has worked in the health department since October 1996 and where she is the backbone of the health department. She will either arrive early or stay late to make sure the citizens and patients are cared for and always come first and where Susie makes every employee feel special and always has a smile and sweet demeanor even when she doesn't feel well and where Susie is the hardest worker making everyone around her strive to be better. Now therefore be it resolved the Denk County Commission's Court Denk County, Texas does hereby recognize congratulate and commend the service of Susie Hancock as a finalist for the 2012 Employer the Year Award. The chair will so move. Seconded by Commissioner Eads on favor please say aye. Aye. Opposed to the name? Motion does carry unanimously. Please stay up here. Why don't you come over here by Commissioner Eads. We're just going to line you all up here. Jerome Coleman. Good morning, Jerome. I'm not going to go through the first part here because we all know that it's John Skite Award. But this is Resolution Honoring Jerome Coleman, whereas Jerome has faithfully served in county for over 26 years and whereas Jerome's trustworthiness and knowledge has earned him the respect of his fellow employees and the citizens with whom he comes in contact daily. He juggles the probate court in his hands while constantly fitting the moving pieces of the department together to make it a smooth function and whereas drum is known beyond the borders of Denton County for his outstanding leadership abilities which has resulted in him serving on many committees of the Texas Association for Court Administration. And whereas Jerome puts forth amazing effort to be helpful and supportive of Denton County employees, he encourages each employee to be helpful, respectful, and supportive of each other. Now therefore, a very resolved DentIMC County Commission's Court, DIMC County, Texas does hereby recognize, congratulate and command the service of Jerome Coleman as a finalist for the 2012 Employee the Year Award. Congratulations. Thank you. Joyce DeFazio is Joyce here. She's not going to come. Okay, well, we're going to read her resolution anyway. Whereas Joyce's work in the juvenile probation department since July of 1998, and whereas Joyce leads a team of six intake officers which she leads by pitching in to help during times of high volume of intakes. Her immense knowledge of the law allows her to stand toe-to-toe with officers of law and wear as she is willing to help others and meet with anyone who has questions, comments, and concerns or just needs to talk. She has the ability to make anyone she is speaking with fielded ease. Her sense of humor and infectious laugh bright in the workplace. And whereas Joyce really cares about the people she works with and wants to help whomever she can. She is an asset to the department and to the county. Now therefore be resolved the Denton County Commission's Court Denton County Texas does hereby recognize, congratulate, and commend the service of Joyce DeFizio as a finalist for the 2012 Employee of the Year Award. We'll be sure she gets a nice frame copy of that. Leslie Willingham. Yes, Leslie's here. Good morning, Leslie. Whereas Leslie has worked in the Sheriff's Department since April 1994, and whereas Deputy Willingham completes every task with fervor and professionalism. She has developed a program called Stay Safeed in place of dare to address more key issues facing our children. Since the exception of Stay Safe, she has reached over 11,000 children in Denton County. And whereas Deputy William, has a autistic town that she has honed to bring criminals to justice, she has been a certified forensic artist for the past eight years and has completed over 14 sketches for local law enforcement agencies in the past 12 months. She has over 500 hours of training half of which she has paid for herself and where Deputy Wilhelm has dedicated dedication and passion for crime prevention in Denton County and far exceeds the standards of her job. Now therefore, it resolved that Denton County Commission's Court Denton County Commissioner's Court Ditton County, Texas, is here by recognize, congratulate, and commend the service of Leslie Wynnam, as a finalist for the 2012 Employee, the Year Award, the Chair will so move. Seconded by Commissioner Eads, on favor, please say aye. Aye, opposed, seen, in motion, does carry. Congratulations. Westering. Applause. Thank you. Thank you. Terry Ramon. My saying that correctly. Ramon. OK. I'll make sure. Whereas Terry has worked in the district Attorney's Office since April 1994. And whereas she is extremely loyal and dedicated, she performs her job with utmost competence and pay strict attention to detail and produces accurate and timely work. And whereas Terry knows all aspects of her job, is she still takes the initiative to learn more. And all Terry's dealings with the public, she represents the District Attorney's Office in a professional and competent manner. She supervises and trains other personnel efficiently and always encourages them to continue to improve and learn as well. And whereas Terri has a great attitude at work and has a pleasure to have in the juvenile division. Now therefore be it resolved the Denton County Commissioners Court Denton County Texas does hereby recognize congratulate and commend the service of Terry Ramone as a finalist for the 2012 Employer of the Year Award. Chair Will Samu seconded back Commissioner Marchin on favor please say say aye. Aye. Opposite, aye. Motion desk, carry unanimously. Congratulations. Applause. Come on, we're this way a little bit. Surely somebody's got a camera and we can, yeah, I thought we did. Yeah, I knew we did. OK, is Manetta here? Manetta, come on up. Good morning. Okay, whereas Manetta, is that tough? Yes ma'am. It's work for Den County for 15 years. And whereas she is a loyal and dedicated employee and is exactly what the John A. Scott award is about. She sets a great example for co-workers to follow and whereas Medeta goes above and beyond to make each person feel special and greets each customer with a warm and charming smile. She makes sure to answer every question whether it's a co-worker or a customer with dignity and respect and whereas, Mandetta cares about Denton County, her co-workers, our customers, and doing the best job she can. She sets a great example for co-workers to follow. Now, therefore, a big resolve. The Denton County Commission's Court Denton County Texas, this hereby, recognize, congratulate, and commend the service of Menetta Tuff as the finalist for the 2012 Employee of the Year Award to Cheryl Somu. Seconded by Commissioner Marchin, on favor, please say aye. Aye. Opposed, Cine? Motion does carry unanimously. I'm sorry. Okay. Cheryl Somu. Seconded by Commissioner Eads. All in favor, please say aye. Aye. Aye. Opposed, Cindy. Motion does carry. Do that every year. I'm going to make a hand. You know, one of the nicest things about working for Denton County, which there's a long list of nice things about working for the county, is all the fine people here. You really are family and you really are wonderful to associate with and we're very proud of all of you. But you do have to select one person that receives John Scott award. Just that curiosity, how many people in the room here remember John Scott? We're here when he was here. Yeah, okay, quite a few. Well, you know what, Obviously he was a class at, so this award is really special. Consequently, this year, the Johnny Scott 2012, Denton County Employer, the year is presented to Jerome Coleman. And there's a nice little envelope that comes with a wardrobe. Congratulations. Thank you. Just joking. That's a meptism on. You know, being a finalist for that award is important too. And I did state that to our finalists. There's a lot of nominations and obviously your co-workers, not just your bosses, but your co-workers thinking I'm lot of you too so it really is not or just to be nominated. Thank you. We hope to see you at the picnic on Saturday too which gets bigger and better every year. Okay. Okay. That's always fun. Let's go to item 5A which is approval of the bill report payments from CSCD, Community Corrections, TAI, P.S. Shares, Training Shares, Forfeiture, VIT Interest, DA Check-C and DA Forfeiture funds are all presented for recording purposes only. Good morning, James Wells. Good morning, Judge Commissioners. I have approval of the bills with three deletions that are noted on separate page and the actually six editions. Some of these are just to expedite, well they're all expedite payment. They're one is a large, is the five year lease on the training facility for the sheriff's office. And that would actually just be recording because it's a lot for for sure fine the others are just Again, that expedite payment. It's all changes. I have Thank you. Are there any questions to members the quarter? Do we have a motion for approval? I move for approval Thank you. We have a motion by commissioner Coleman Seconded by Commissioner Marchion. All in favor, please say aye. Aye. Opposed, Cine? Motion to carry. 6A is approval of report on proceeds from surplus online auction. Number 08122162 held in September 2012 and will call in death Fleming. Good morning. This was a very small auction that we did mostly as a cleanup auction for technology services to prepare them for their move. So I recommend approval of the report. Thank you. Do we have any questions or do we have a motion? I'll second. Motion by Commissioner Coleman, seconded by Commissioner Marchand. All in favor, please say aye. Aye. Opposed, aye. Motion to scaring. Seven a is approval budget amendment quest 1-00-0010 for contract labor for Constable precinct 6. And they might have $5,670. I'll move for approval. Motion by Commissioner Coleman. Seconded by Commissioner Marchandt. I'll in favor please say aye. Aye. Opposed to the motion is carried. Eight age discussion and approval of appointment of member from the Commission's Court to the Sheriff's Civil Service Commission contingent on the appointees at completion of the application and conflict of interest form. The reason I asked this to be on the agenda was I know that the HR department had elicited appointees and I figured it was good to go ahead and get this process moving and hash it out and publicly the appointee was going to be and I had suggested Brian Cartwright, I was trying to, when I made my suggestions, I tried to make suggestions with people with various background and geographic locations. Brian Cartwright is a board-certified and civil attorney down from Highland Village. Charlie Parker is a small business owner here in Denton. And now on the chick is a financial advisor from Sanger and I didn't I know that I'm sorry but I know we had Witt Tom Wittlock he's an attorney who's formerly with the DA's office and a retired county employee and he's the appointed the DA's office I know we have Chief Howell who's a former chief deputy with the Sheriff's Department and who I know is a dent in the resident. So based on that, that's why I made my suggestions. Trying to think, you know, we have right now, we've got one fellow who was a county employee and who's an attorney. We've got one fellow who's got a lot of law enforcement experience. I was thinking we could go with somebody who might be a businessman or not. I know that miss Rainhardt is a yeah, I'm also in place. Yeah, Aaron Rainhardt of Carrollton as there. They call it the workforce commission director and she's worked in the civil service capacity there for a number of years. And then I'd also pick Burke Solomon's, but you see the enclosed parenthesis that basically that he, if we had, if we waited after the first of the year that he would be eligible, but he, I know as representing Denton at one time and some other municipalities. He was well-versed in civil service and one particular area that he had a specialty in the house was in in Workforce Law. And those are the two that I picked. They were, now Mr. Reinhardt lives in Corinth, but works in in Warks and Carrollton, and of course Bert, lives in Carrollton. And if we're making that appointment today, then Bert of course would not be qualified for that. But I don't know Brian Cartwright, I don't know Charlie Parker, or I don't know Brian Cartwright, I don't know Charlie Parker, or I don't know Alan Chick. But I would start, and we'll see where it goes. I would make a nomination to appoint Aaron Reinhardt on the Civil Service Commission. We have a motion by Commissioner Marchin to appoint Aaron Reinhart. Like in it? Back into by Commissioner Ease is there for the discussion? I mean, I thought we would be, I know that we need to have geographic diversity. And I think Miss Reinhart would do a fine job. I just thought it would be a good idea to have somebody who wasn't from government involved. Or somebody who didn't, you know. You know, you just made a point that some of these and other people had been part of government at one point. And anyway, that's my original nomination. That's why I'm making the nomination for that. I mean, either. I didn't know we were, I thought we were going to discuss it. I didn't know we were going to. I would have. in the nomination for that? I mean, either. I didn't know we were, I thought we're going to discuss it. I didn't know we were going to, I would have. I'm sorry. I didn't know that I would have thought we were one of my nominees, but I mean, my guess my point is to flush it out. And my point was, okay, I just thought that we could have people with varying, varying opinions. That's one of the reasons I just didn't pick people who are in the area that you know I could have listed three attorneys I could have a listed three businessmen I could have listed three people in government but I was trying to give a you know a wide range of people for the court. Well let me it is there is it's just just discussion it's not. I don't know. We can be a discussion and approval of appointment but obviously the court can do whatever they want to do but I think it's time to get forward on this. I think we need to pick somebody today. I do too. And I wouldn't. I mean, I looked, Miss Ryan Hart up on the internet. I think she'd be a great candidate so I'm not trying to. No, I understand that. But my point was, is that, you know, we've got two people who have government experience. I was thinking just like I think we should have geographic diversity. I think we should have diversity of opinions. That's kind of why it's like that. Okay, let's put it this way. If we were going to go for geographic diversity, the majority of the people that are currently in nomination live north of the lake. That's why I listened to part of it. Is it South of the lake? Well, yeah, in Highland Village, right? Okay. And I was kind of reach out to all areas. And if that were the case in the university, I'd love to have someone from my area or in precinct too. And I just assumed wait then for Bert Solomon to be eligible and make that nomination. I'm not taking my nomination off the... The only thing that... I mean, I have absolutely nothing against for a solemn and serving. It's just that he is not eligible. So, actually, the first of the year, and I kind of think this committee needs to get together and be thinking about bylaws and things like that. I don't want to hold up action of the committee. I agree. And to me, I was up action of the committee. I agree and to me I don't I mean I was trying to seek geographic diversity when I when I sent this in and that's why I thought Brian Cartwright would be a good fellow to have but you know we have Tom Whitlock who's awesome tonight turning so you know maybe we already have one attorney on there maybe Brian wouldn't be that good a choice. You know it's just just like, you know, I think, and we've got a chief of police, you know, so we probably don't want another one. We already got at that point of view on there. So we got one attorney, one chief of police, and I was thinking, and this is not, that I'm saying I don't approve of. Sure, I understand. And I was thinking we'd have somebody made me from business on the commission. That's just solely for points of discussion, you know, to have different perspective and points of view. I mean, now that we've got woodlocked on there, I don't know if I'd even like to have a female on the committee too. That's another good point. I think we should consider. I think it's a good thing to have not only gender but also other types of diversity. Okay, is there any further discussion? We've got a motion in a second. No further discussion. The motion is for Erin Reinhardt to be appointed to the, as the commission's court appointed to the Civil Sheriff's Civil Service Commission contingent on the appointees completion of application and conflict of interest form, which is generally no problem. It's just something that needs to be done. So with that I'll in favor the motion please say aye. Aye. Aye. Aye. Opposed Cine? Aye. Motion carries three in favor one opposed and while we're on the subject of the Sheriff's Civil Service Commission. Barbara am I correct but next week on Tuesday we're going to have a workshop at the conclusion of commissioners court and that's on civil service. I'm sorry. I'm the county civil service. Okay. It's on the regular civil service. On regular civil service. Next week at the conclusion of the regular court meeting. Are they going to be any materials presented at that time? I have no idea. Are they going to be? Yeah, we are working on collecting the information. Hopefully we can get it before court on Tuesday. Okay, so we'll get it maybe a couple of days before Tuesday. Well, hopefully we are waiting for some responses from deepening counties. So, aspirational. Okay. Got it. All right. Something may. Okay. It's a workshop anyway. We'll be doing it after court. All right. That concludes 8a. 9a. Oh, excuse me, Judge. When will we, so we'll expect some progress or when do you think you'll start moving on with the shares now that the the hold up has been eliminated on working on shares department civil service, when can we expect something to happen on that? I think that Amy has been working on that also. I think after finishing working on the regular civil service rules, I think we would be ready to move forward with the Sheriff's Civil Service. I think it's my opinion, I think it's more important to work on the Sheriff's Civil Service and set something that we just did at election four and it's the act of torn, I think we gotta have it done, don't we? Pretty quick. I mean, where we have the rules set for the regular civil service, we're just, you you know moving to amend those. It is my understanding that the HR office has been working on the rules and they have been severed and emails between Commissioner Scott and Mrs. Phillips regarding the rules. I will be back pretty soon, will you? I haven't seen I haven't gotten anything from her since I looked since she left. But I mean I'm talking about before she went on vacation. I think I had been some communication Regarding those rules be working with the Sheriff's Department on putting together the sheriff's department I think so I think they are working on those rules as we go I think the focus had been on the regular civil service Rules since that was one thing that was requested two weeks ago. I'm not sure where we are on the show. One thing the boy kind of wondered is why we moved because I wasn't aware of anybody on the court seeking to or change the regular civil service. I thought that was something Amy kind of decided to do on our own. I didn't request for us work on the regular civil service. Well there might be something that needs updating. I don't know. I just didn't know. I don't know. It was my understanding that in that two weeks ago the court requested some additional information from different counties and I think that is what we are working on right now. All right. Thank you. Being Brandon Durbin is in here. You want to hold off on these little hold off on the 1115 waiver business. He gets here. Let's go to item 10a on the agenda, which is approval of a Riley edition final plat, lot one block a. This isn't commissioner precinct for. We're motion by commissioner Eads. I second second. I back commissioner Coleman. Hearing the questions, I'll in favor, please say aye. Aye. Aye opposed saying motion just carried 10b is approval of the brachene edition final plat, one block a I move for approval. Thank you. We have motion by Commissioner Coleman seconded by Commissioner Marchion. All in favor please say aye. Aye. Aye opposed to name. Motion does carry is there anything on 13 a commissioner? Oh ma'am we can pull that as a standing item. Okay. Thank you. 13b is approval of the reappointment of the Bwendolyn G. Gary to the Denton County Child Protection Services Board. This is a Commissioner precinct for appointment. Approval. Motion by Commissioner Eans. The chair will second. All in favor, please say aye. Aye. Opposed, sen. Motion does carry 13C is approval of the agreement between city of Denton and Denton County, Texas providing for payment in use of 2013 hotel tax funds for the Denton County museums in the amount of a 108,570 dollars. I move for approval in second motion by Commissioner Eid seconded by Commissioner Marchion. All in favor, please say aye. Aye. Aye between, opposed say name. Motion does carry. 14A is approval of the 2012, 2013 interlocal cooperation agreement between Denton County, Texas and the Denton County Sew and Water Conservation District. And Commissioner, comment you had asked a good question. Oh, he's gone. Well, anyway, he asked the question about what are we spending our money on? It's not that larger contract and dollar amount, but it was a logical question. And Bennett how did some research for me? And I'll just read to his brief email here. It says our office, she he received an email from Texas, the Ag Extension Office. It says our office does interact with the So-and-Water Conservation District along with in our CS. They sponsor some of the agricultural education programs we offer in the engineering technical and cost assistance on ponds and tanks for our county producers. The soil and water conservation district also provides tree seedlings for an annual Denton County Master Gardener program called Coolshade for Third Grade, for which master gardeners delivered three seedlings to third grade classes involving 3,020 students last year in the Lewisville ISD. So anyway, little research and yes, we do get something for our money. I just couldn't answer the question as to what it was. Are there any questions that do we have a motion for approval? I'm moving for approval. Thank you. Motion by Commissioner Coleman, seconded by Commissioner Eads. All in favor, please stand by. Aye. Aye. Opposed to, please. Aye. Aye. Aye. Opposed to the name? Motion is carried. 14B is approval of 2012, 2013. Social service agreements between Denton County, Texas and one CASA of Denton County Incorporated to Children's Advocacy Center of Denton County, three Christian Community Actions, CCA, and four Denton County Friends of the Family, five health services of North Texas and six, Peeley Place. The four approval. Motion by Commissioner Marchin. Second. Second by Commissioner Coleman. On favor, please say aye. Aye. Opposed to the name. Motion does carry. 14C is approval of 2012, 2013, and the local agreements for motor vehicle license point of sale equipment, lease between Denton County and four motor vehicle dealerships. One is Huffine's Dodge Lewisville doing business as Huffine's Chrysler Jeep Dodge Lewisville. Two, Huffine's Denton Autos Incorporated doing business as Huffine's Kia Denton doing business as Huffine's Subaru Denton, and three, McNat Incorporated Jim McNac Honda North, and four, banks to Nissan Lewisville, LTD, doing business says banks to Nissan Lewisville, is recommended by the Denton County Tax Discessor Collector. Motion by Commissioner Marchant, seconded by Commissioner Eads, all in favor, Please say aye aye Posting a motion carries and 14 D is the same type of at least Agreement between Denton County and six motor vehicle dealerships 4984 classic LTD that's doing businesses classic Dodge Jeep Christ Chrysler Jeep, doing Businesses Classic Mazda. James Wood, Buick Pontiac, GMC, James Wood, Auto Park Incorporated, Zuzu Truck, James Wood, Chevrolet, Cadillac, Mozambiles, and five Billite or Ford, LTD, and six Huffines, Chevy, Subaru, Incorporated, Doing Businesses, Huffines, Chevrolet. Again, it's recommended by the Denton County Tax Assessor Collector. Cheryl Samu. Second. Second. Seconded by Commissioner Marchandt. All in favor, please say aye. Aye. Aye. Opposed, Sen. A. Motion does carry. 14E is approved in a local cooperation agreement. The ICA between Denton County and the Denton Independent School District, the ISD, to share the use and expense of fiber optic maintenance and related services Motion by Commissioner Eads Seconded by Commissioner Marchion. All in favor, please say aye. Aye. Aye. Opposed, Aye. Ame motion does carry 14 F is approval of service provider agreement with certified payments incorporated for credit card processing services for the Denton County Justice of the Peace Quartz is recommended by the Denton County Justice of the Peace precincts 1 through 6. I move for approval. Thank you. We have motion by Commissioner Marchand, seconded by Commissioner Coleman. On favor, please say aye. Aye. Opposed say name. Motion to carry. For clarification, that puts us all on the same credit card company, doesn't it? No? OK. It does. Everyone except for the county clerk who has bottle check and their services are a little bit different. But we have consolidated and worked with the DAs. All the skid all the others on. They're separate contracts, but we're getting a group rate a better discount on those charts. So that means that say the county clerk, does that mean me she does the clerking for the county courts at law, right? Yeah, and so are they on vital check or are they part of this? Well, their payments go through the county clerk. I mean everything would go through the county clerk They they have some features like you know the automatic electronic checks and things that they run through and And then there's just tied also to their online recording, which is a little bit different. But we have our Texas Hissor Collector Office. They started in part. Yeah, I think everybody else is on the other side. We started with Certified when I was still there. I think we're good. Okay, any other questions? Leave that. 14G is approval of renewal number two to the agreement for guardianship services between Denton County and Health Services in North Texas is recommended by the probate Court of Denton County funding for said services to be paid will be paid from auditor line item 015392 2040 guardianship Second. Motion by commissioner Coleman, seconded by commissioner EEDS. All in favor, please say aye. Aye. Aye. Post-signing. Motion does carry. 14-H is approval of the internally engineering services contract in the amount of $307,632 between Denton County, Texas and TransSistence doing business as TransSistence Corporation Consultants for the Rock Hill Road, Arvon Hill Road Reconstruction Project in the Arvon Hill Road, Stuart Road US 377 Intersection Evaluation, with funding to come from Commissioner Prisnt-1, County Road Projects, Rock Hill Road, Arvon Hill Road, Auditor 66745902. I'll move for approval. We're basically trying to realign the road as to make a safer intersection. Great. Second. Motion by Commissioner Coleman, second and by Commissioner Marching. I'm sorry, did you want to add something? Hopefully the landowners get on board. Hopefully they will that certainly makes it go a lot better. All in favor please say aye. Aye. Opposed, Cine? Motion does carry. We have Mr. Brandon Durbin that is coming to talk to us about this 1115 waiver process. We have one, two, three, four items on the, well, wait a minute, three items concerning that. Let's take item 9D, which is approval of the annual contract with the Department of the State Health Services for a week program. Jerry's going to move for approval. Seconded by Commissioner Eads. All in favor, please say aye. Opposed, sen&A, motion carries. 9 A B and C, we can go ahead and start the discussion. But Dr. Burton has been very, very helpful on this whole project. It's been a monster, hasn't it? This is all very new for us. This is all very new for us, but we want to make sure that you all have a basic understanding of what's going on, what we're planning on doing, and how we believe Brandon Dervin has been helpful to us, and what's on the agenda and why? So there you go, Dr. Burton. Okay, so the first one has to do with approval of a new public health program to register and case manage low income individuals in Denton County that are diabetics. And if you know some diabetics, you may know often they go undiagnosed for a long time or sometimes they're diagnosed early But they feel pretty good and so they may not do everything the doctor tells them to do so they may not get Maybe the foot care that they need they may not get the eye care that they need they may not be testing their blood sugar every day Often they don't follow doctor's orders Orders and so they're pretty normal to Ignore things until there's trouble. Yes, and they're like do something about it Well the thing with diabetes. I don't know if y'all know this enough But you ever go blind from diabetes. You don't get your eyesight back. You're done That's it. It's not something you can reverse Disease has major complications and so we believe that if we register people who have diabetes and work with them, case manage them, contact them on a weekly basis and encourage them to do all the things they need to do, this system can be a when, when, when, when. How will we identify those people? Excuse me? How will we identify? How are they? Well, we see many of them in our clinics, and so we can identify them there, but we're happy to work with other physicians if they want us to case manage their patients, we'll be glad to. If they don't, then that's fine. We won't intrude, but we will offer our services to their practices for low income families. Now, this whole program, let me just say this, and then this whole program is part of the 1115 waiver. It's part of health reform, and it's called the DISTRIP, as of course a federal acronym, but it is delivery system reform incentive payments. And so here's what happens. We decide to fund this program and we spend, say, $400,000 to do this program. And the program that I proposed has five employees for this diabetes program. So in addition to the 400,000 that we put up in funding, then we also authorize some intergovernmental transfer and that may be another three or 400,000. So we may spend $800,000 to do this program. Now, I'm calling it a win, win, win, win. It's a win because we're gonna provide, we're gonna manage healthcare for these Nippin County residents that need our assistance. That's a win because we're going to provide, we're going to manage health care for these Nippin County residents that need our assistance. That's a win. It's a second win because the feds are going to fund it. We'll put the money up initially, but we're going to get reimburse for every bit of it, just like we would a grant program. It's a third win because by doing this, we're going to cut down on our indigent health care expenditures because some of these people would then develop severe cases. They might have to have amputations, they might have renal dialysis. Ultimately, they would wind up on our indigent health care program and we'd spend a lot of money on them that way. And it's a fourth win because the feds will actually reimburse us more than what we spend. This is not like a fee for service program. Remember I said it was a delivery system reform incentive payment program. It's incentive in that we put the money up, they'll reimburse us, and they reimburse us more than what we spend because they know it's going to save them a lot of money in the long run So it's a win-win win-win program now commissioner you have well that's that you did answer my question I had talked to I know Miss Phillips I talked to her about some innovative ways of monitoring I'd ask questions like How many of our employees were diabetic? How much did they look at it? They being our PEBC looked at illnesses, side effects of diabetics and how much of our population within our employee population were diabetic. How much were we spending on diabetes? Was there a reason why we should go to a more aggressive case management program of those employees that are on it. And I know there's a lot of innovation out there. I know that some municipalities are aggressively going after their own employees because a lot of their health care costs, and they are self-insured, are going towards the maintenance, are the lack of maintenance of the people themselves that turn into some bad things that are going on. And so you're saying that the low income we could take advantage of some of those advancements in management and then be totally reimbursed by the federal government for that advancement. Both totally reimbursed for every dollar we spend and then additional dollars beyond that. I expect if we spend 800,000 will be reimbursed a million. It sounds unlikely. I mean, this is new, but but keep in mind, if we spend, if they reimburse us a million, they're going to save two million in the long term costs of diabetes care. So it's really, it's really innovative on the part of the federal government. But that was some of the motivation that I had about the discussion of diabetes and what was it impact how it was impacting us, didn't county, and our health care. What was some of the percentages of people within didn't county our employees only to help manage that? There are systems out there. There's a system out there that is like a GPS system that monitors blood sugar and it is sent back to a central location and doctors look at it and manage to say, whoa, you got some problems going on here and they're significant. You need to get into the doctor immediately and head off those issues before they ever become critical. I would be happy if we do this program. Now the FEDS will fund us to do this for other folks. They won't fund us to do it for our own. No, I don't. I don't. I do. But I can use Denton County Health Department staff and do this for our employees if they will allow us to. Yeah, you know, I come from a family of diabetics. I have my granny lost both her legs because of it and sisters with it. And so I understand and I know the direct effects of it and a mother-in-law that had it. But anyway, but I do know there's technology out there that can help us manage those people, give them the help that they need, not only the low income, but anybody that was taken advantage of. Yes, sir. That is exactly right. You should have written the proposal. Oh, I'm sorry. You're right on track. Anything else you want to answer? I think that will summarize that one pretty well. I'm moved for approval. Thank you. We are on 9 a, which is approval of the new public health program to register in case managed low income, didn't kind of residence with the Ibedics, the Beatis to help improve the management of this potentially severe health condition. And we have a motion by Commissioner Marchant, seconded by Commissioner Eads. On favor, please say aye. Aye. Opposed, sitting. Motion is carried. Now 9B is approval of a new adult immunization program to prevent occurrence of vaccine preventable diseases among low income dent and county adults. Before we discuss that, I just one more question before we live. Is there, when you said that this service could be made available to Denton County employees, is there a threshold that they have to meet because of the low income? I have staff we work for Commissioner's Court. We can do whatever you ask us to do Okay, so there's not a pre-qualifier of establishing I mean the federal government doesn't ask for a pre-qualification To determine if they're indigent or low income. Well, for this program, it does. It would target Medicaid recipients. And uninsured. But what you're saying is that if you make that available to the low income, that it can be just made available just as easy to our employees. Yes, we're with separate staff, with existing staff that are not reimbursed by the Fed. Got it. Got it. Thank you. OK. 9-B. We used to be able to provide adult vaccines with vaccines that were provided to us by the state. That budget went away in the last legislature. So really, we don't have shingles vaccine anymore. There are just a number of vaccines that we are not able to provide to Denton County adults anymore. So this is another program very much like that one where we would take advantage of the 1115 waiver, be able to draw down federal matching for all the dollars that we spend and actually be able to additional matching dollars so additional federal dollars beyond what we spend So it's another multiple win situation where we're vaccinating people helping to keep them well adults that They really wouldn't have access to any other program And we can give them hepatitis B and hepatitis A, we can give them shingles vaccine, we can give them influenza vaccine and help to keep them well, be reimbursed for our dollars, it's a win for everybody. Well I'm thinking about it, you vaccinating Denton County employees for a flu. Yes, yeah, not with these dollars. Not with these dollars. I understand this. Existing Health Department budget. I try and be careful with this. Yes, I understand. Two different budgets. There are different pots of money, but certainly we are vaccinating Denton County employees in summer coming over every day. So encouraging employees were happy to serve them. That was my point. Okay concerning this item on 9b are their questions or anybody in clarification? Believe not do we have a motion for approval? So moved. Opposition by Commissioner Marchant. Seconded by Commissioner Eads on favor please say aye. Aye. Opp. Opposed, and aye. Motion does carry. Brandon Durban's making the effort to come talk to us this morning. I hate to go through this. When will we know about the diabetes program when it's? We will submit the program in its final form toward the end of October. The feds, well, first it has to get through review at Parkland, but we've been working very closely with them. And it's a very good thing that we got aligned with Parkland that worked very much in our favor. So they'll review it and then it will get sent to the feds. They won't approve it until March or April. And so we won't do anything. We won't hire one staff person before March or April until it gets federal approval, and then we'll go ahead with it. But we had to get it on the agenda and get it approved and get it sent to Parkland, and then the feds will take a good while to review it. What time did you tell Brandon to be here? 10, 15? No, he was to be here 1015? No, he was going to be here before 10. So he may have been held up. He had some other things going this morning. You want to go ahead or do you want to? Well, lastly item 9C is approval of including indigent health care in the 1115 Medicaid waiver program. This one is different from the others and this is just a totally new concept. You know that our indigent health care budget is a little difficult to predict and the reality is whatever number of patients qualify and whatever expenses they incur, we are obligated to pay. And so we budget for it much often based on what we spent the previous year and do the best we can, but we're going to have to pay whatever is eligible. With this program, we would put up, I'm going to estimate, we would put up a million dollars. We budget 2.3 million for energy and healthcare expenditures. If we set aside 1 million to use as intergovernmental transfer, which in essence it allows us to draw down a federal match, we identify this million dollars for federal matching. And our hospitals agree to provide the indigent health care that they've been providing all along on a fee for service basis. They agree to provide that without being reimbursed, without billing us. Now the reason they would do that is for that million that we put up, they will get down another million in matching so that there will be more funds available to them to provide the care. But we won't have to worry about having to pay an additional 200,000 or 300,000 as the expenses go up because they're not going to be charging us for it. They're going to agree and you have an example of an affiliation agreement. It's not a contract and the law doesn't permit us to contract with these employees so they agreed to provide the care we agreed to put up the funding. It works in everybody's best interest. You begin to understand why this has been so confusing. It's just a little different from anything that we've ever done. Yeah, it really is. But I'm going to... In the Agenda Packet, there's a document from the Health and Human Services Commission that kind of spells out. This can't be a quid pro quo. It can't be that where we would pay them and then anything that they don't spend, they give us... There's nothing like that. We put up the a million in IGT. It goes to Health and Human Services Commission. Then it goes to the Feds, it comes back, and it doesn't come to us, it goes to the hospitals, and they provide the care. It's as simple as that. They provide the care. And now we hold back $1.3 million because we're still gonna have to pay for Denton County residents that go to other hospitals. Some may go to Parkland or to Wise County or to wherever. And if they meet our qualifications, we'll have to reimburse them. We'll also be paying pharmacy bills and physician bills. So there are other bills that we'll have to pay. We have looked at our expenditures for the last couple of years. And if we spend only a million on hospital care that that would save us a good bit of money. So we'll come out very very good in that deal. James I know that your staff has kind of calculated how much we spent with the hospitals and looked at this pretty closely. I don't know if you had comments. closely. I don't know if you had comments. Okay. The reality is hospital care has cost us more than a million in each of the last several years. And the hospitals are not doing us a favor. It's not like they are hurting the sales by drawing down the federal matching dollars. They come out very good. Hey Brandon, good to see you. I'm just talking about the 1115 waiver and particularly the the hospital portion of it where we put up a million in IGT. Come on up to the podium. This is Brandon Durbin. Brandon Durbin. And he's been down this path before so maybe you can just talk a little bit about the concept of IGT and affiliation agreements and what we do and what the hospitals do. Okay. The program has been around for several years. It used to be called something called the Private UPL program. What the basis of the program is, is that the private hospitals will alleviate a burden of indigent care or cost or whatever to the government. I.e. to the court or to the county. And with that, that frees up dollars in your budget that then you can use to make an I.G.T. Now, they used to call it... Excuse me, just a second, but when I started all this, I had no idea what an IGT was and I doubt they do either. Okay, IGT is an intergovernmental transfer. I didn't know where Bing was on this. The premise of the program of Medicaid, it's a state federal program. It takes state dollars to generate the federal drawdown to fund Medicaid. It's 60% federal, 40% state. And IGT is simply taking local dollars, transferring them to the state to achieve the match. Okay, and it's done through the comptroller. It basically goes up about three weeks later, the entire money comes back down to the providers. For instance, you would make a $0.40 IDGT and $1 comes back. It's a pretty standard program. I GTs are used in 35 states. Use it is with decentralized tax structures. If you were in a centralized tax state like New York, Massachusetts, it's not needed. South Western states that have more local taxation have to use IGTs to achieve the same purpose. It's just a federal way to make the money work. But the premise in this program is that you all find indigent care and that burden will go away. Basically, they will change their charity care policies to take those patients free of charge. That alleviates a burden or provides a community benefit. Y'all would have budget dollars therefore to help them with an IGT if they use it for dysrup which is delivery system redesigned incentive payments or something called UCC which is uncomplicated care payments from the Medicaid waiver program. I don't know. A lot of acronyms. I know my husband's skinny and nervous. A lot of acronyms and I'm apologizing for that. Plus a lot of breath that kind of ran in here and jumped up on the stage. And I'm trying to catch my breath. But the program has been around. It's about $1.7 billion last year with private hospitals. Overall, in the state, it's a $2.7 billion program with public and private hospitals. It is now going to a $29 billion program over five years. It's a huge amount of new money. It's something to state negotiate with the federal government for us to go to manage care. We got this pooled money and now we got to be able to go get the money for the providers. Our hospitals are lacking this arrangement. And we don't have all of our hospital affiliation paperwork yet, do we? No, HCA's attorney called me on the way over here and basically said, I'll send it. I forgot about it and I'll send it. That's the last one, isn't it? Baylor has a little bit, but that's the hospital down in Carrollton. And it's very, very small. Well, we're going to be handing at least three affiliation documents coming through. The three hospitals that we represented here the day they asked us to try and get with Dallas. Or I should say Parkland, that group. But anyway, that's going to be coming in the future so that all this can be completed. Thank you. Thank you. For anything else? That's a I love what Brandon said that they they would alleviate our burden of providing engine healthcare. We put up this this million dollars and it's a good arrangement for everybody. I move for approval. Thank you. We have a motion for approval of the Commissioner Marchant. Cheryl's second the motion. Are there further questions or comments? Hearing none, all in favor, please say aye. Aye. Opposed, Cine? Motion to carry. Thank you, Dr. Brink. Thank I'm sorry. I'm sorry. I'm sorry. I'm sorry. I'm sorry. I'm sorry. I'm sorry. I'm sorry. I'm sorry. I'm sorry. I'm sorry. I'm sorry. I'm sorry. I'm sorry. I'm sorry. I'm sorry. I'm sorry. I'm sorry. I'm sorry. I picnic on Saturday. Hopefully it won't be point down rain like last weekend. We are adjourned. Everybody have a great day. Be a great day.