HEALTH AND HUMAN SERVICES COMMITTEE MEETING AGENDA Date & Time of Meeting: Monday, August 26, 2019 at 4:00 p.m. Meeting Location: Courthouse Assembly Room (B105), 500 Forest Street, Wausau WI Health & Human Services Committee Members: Matt Bootz, Chair; Tim Buttke, Vice-chair, Bill Miller; Donna Krause, Mary Ann Crosby, Maynard Tremelling, Katie Rosenberg Marathon County Mission Statement: Marathon County Government serves people by leading, coordinating, and providing county, regional, and statewide initiatives. It directly or in cooperation with other public and private partners provides services and creates opportunities that make Marathon County and the surrounding area a preferred place to live, work, visit, and do business. (Last updated: 12-20-05) Health & Human Services Committee Mission Statement: Provide leadership for the implementation of the strategic plan, monitoring outcomes, reviewing and recommending to the County Board policies related to health and human services initiatives of Marathon County. 1. Call Meeting to Order 2. Public Comment (15 minute limit) 3. Approval of the July 22, 2019, Committee meeting minutes. 4. Policy Issues for Discussion and Possible Action: A. Referral from the Board of Health – Creation of a Workplace Naloxone Use Program 1) Policy Question – should the committee direct the County Administrator to develop a workplace Naloxone Use Program? 5. Operational Functions required by Statute, Ordinance, or Resolution: None 6. Educational Presentations/Outcome Monitoring Reports and Committee Discussion A. Marathon County 2018-2022 Strategic Plan – discussion with Board Vice-Chair 1) Review of Objectives where the committee has been designated at “lead committee” 2) What discussions has the committee had to move the objectives forward and what discussions should it have in the future? B. Medicaid Benefits for Incarcerated Individuals: Termination vs. Suspension and efforts of staff to learn more 7. Next Meeting Logistics and Topics: A. Committee members are asked to bring ideas for future discussion B. Next Scheduled Meeting: September 23, 2019 at 4:00 p.m. 8. Announcements 9. Adjournment “Any person planning to attend this meeting who needs some type of special accommodation in order to participate should call the County Clerk’s Office at 715-261-1500 or e-mail [email protected] one business day before the meeting. SIGNED /s/ Matt Bootz Presiding Officer or Designee FAXED TO: Wausau Daily Herald, City Pages, and NOTICE POSTED AT COURTHOUSE FAXED TO: Other Media Groups FAXED BY: BY: FAXED DATE: DATE: FAXED TIME: TIME: MARATHON COUNTY HEALTH AND HUMAN SERVICES COMMITTEE MEETING MINUTES Monday, July 22, 2019 – 4:00 p.m. Courthouse Assembly Room (B105), 500 Forest Street, Wausau WI 54403 Attendance: Present Absent Matt Bootz, Chair X Tim Buttke, Vice Chair EX Bill Miller EX Donna Krause X Katie Rosenberg X Maynard Tremelling X Mary Ann Crosby X Also Present: John Robinson, Sandi Cihlar, Michael Loy, Lance Leonhard, Peter Weinschenk, Joan Theurer 1. Call Meeting to Order Chair Bootz called the meeting to order at 4:05 p.m. Public Comment: None. 2. Approval of the June 24, 2019, Committee meeting minutes. MOTION BY ROSENBERG, SECOND BY TREMELLING TO APPROVE THE JUNE 24, 2019 HEALTH & HUMAN SERVICES COMMITTEE MEETING MINUTES. MOTION CARRIED. 3. Policy Issues for Discussion and Possible Action: None 4. Operational Functions required by Statute, Ordinance, or Resolution: None 5. Educational Presentations and Committee Discussion A. Presentation from the Board of Health relative to the potential impact of Medicaid Expansion Discussion Board of Health Chair John Robinson, Board of Health member Sandi Cihlar and Marathon County Health Officer Joan Theurer appear before the committee. Robinson explains that the BOH has been evaluating the potential impact of Medicaid expansion on access to health care for residents in the State of Wisconsin. Robinson explains that expanding access to health care is extremely important in the county’s pursuit of its goal of being the healthiest, safest, and most prosperous. Theurer explains to the committee that much of the information that she is delivering was received from policy experts with the State Department of Health Services and other public health professional organizations. Theurer explains that since 1970, WI has fallen from 7th to 27? In state health rankings, WI ranks in the bottom quartile of state for per capita public health funding. Theurer discusses the concept of health equity and how inequity in health, and health care access, impacts our community and the State. Theurer also explains to the committee that under the previously proposed Medicaid expansion, the State of Wisconsin would receive significant amounts of new funding. Theurer explains that in Marathon County, $1.1 million would be devoted to programming related to childhood lead poisoning and abatement, $1.8 million for programing for new mothers, approximately $1 million for dental related services, approximately $1 million for expanded behavioral health programs, $1.6 million for children’s long-term support, $1.5 million for physician funding, $8.6 million for increased hospital funding, and other important program funding. 1 Robinson explains that the Board of Health has adopted the resolution supporting federal Medicaid expansion, which was circulated to the committee. Follow up: None at this time. Committee Chair to consider further action, including further education on Medicaid practices relative to incarcerated individuals. B. Presentation from Chair Bootz on Health and Human Services issues discussed at NACO Discussion Chair Bootz expresses to the committee that he recently attended NACo and will work with county administration to make materials available to committee members. Bootz explains that many of the presentations were similar to the presentations from the last session. Bootz specifically references presentations that he attended relative to marijuana legalization and Medicaid coverage rules for incarcerated individuals. Follow up: County Administration to work to make these materials electronically accessible to committee members. 6. Next Meeting Logistics and Topics: A. Committee members are asked to bring ideas for future discussion B. Next Scheduled Meeting: Monday, August 26, 2019 at 4:00 p.m. at the Courthouse Assembly Room 7. Announcements: 8. Adjournment There being no further business to discuss, MOTION BY ROSENBERG, SECOND BY CROSBY, TO ADJOURN THE HEALTH & HUMAN SERVICES COMMITTEE MEETING. MOTION CARRIED, MEETING ADJOURNED AT 4:49 p.m. Minutes Prepared By Lance Leonhard on July 22, 2019. 2 Marathon County Board of Health Statement re: Workplace Naloxone Use Program Adopted August 6, 2019 Summary The Marathon County Board of Health recommends the Marathon County Administrator to direct county departments to assess the need and feasibility of implementing a program to make naloxone available in the workplace in the event of an overdose of employees, clients, customers, and visitors. The Marathon County Administrator will establish a set of criteria to ensure Department Heads are consistent in the assessment and resulting recommendation as to the merits of implementing a Workplace Naloxone Use Program. Issue Substance abuse continues to impact communities throughout Wisconsin, including Marathon County. One of the prevalent illicit substance of abuse is opioids, including heroin and prescription pain killers. Opioid overdoses resulted in 13 deaths in 2017 and 11 deaths in 2016 of Marathon County residents. i Naloxone is a very effective drug for reversing opioid overdoses. Serious side effects from naloxone are very rare. Using naloxone during an overdose far outweighs any risk of side effects. ii Approximately 85% of all overdoses are witnessed. Seen as a harm reduction tool, the availability of naloxone, along with overdose prevention trainings, are listed among the recommendations included in the Wisconsin’s Heroin Epidemic: Strategies and Solutions report.iii The Centers for Disease Control and Prevention recommend that workplaces are to consider a program to make naloxone available in the event of an overdose. Considerations In assessing the need and feasibility for implementing a program to make naloxone available in the workplace, the Centers for Disease Control and Prevention, Using Naloxone to Reverse Opioid Overdose in the Workplace: Information for Employers and Workers outlined the following considerations: 1. Is there evidence of opioid use onsite or has your workplace experienced an opioid overdose? 2. Are there frequent visitors, clients, patients, or other members of the public that may be at increased risk of opioid overdose? 3. Is there staff willing to be trained and willing to provide naloxone? Does your workplace offer other first aid or emergency response interventions (first aid kits, AEDs, trained first aid providers)? Can naloxone be added and stored safely? 1 4. What liability and legal considerations should be addressed? What are the implications for licensed and non‐licensed health care workers under Wisconsin’s Good Samaritan law? 5. How quickly can professional emergency response personnel access your workplace to provide assistance? When assessing the merits of implementing a workplace naloxone use program, the safety of administering at off‐site work locations needs to be addressed. For county departments where it has been determined there is a need to implement a workplace naloxone use program, additional