The URL can be used to link to this page

Home My WebLink AboutRes2019-076 Sponsored by: Meszaros Approved: August 26,2019 Reconsidered,Amended & Approved: September 9, 2019 CITY OF SEWARD,ALASKA RESOLUTION 2019-076 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SEWARD, ALASKA, APPROVING THE 2020 GRANT YEAR BUDGET FOR THE SEWARD COMMUNITY HEALTH CENTER AS REQUIRED BY THE CO-APPLICANT AGREEMENT BETWEEN THE CITY OF SEWARD AND THE SEWARD COMMUNITY HEALTH CENTER(CHC) WHEREAS, on December 13, 2010, the Seward City Council enacted Ordinance 2010- 008 establishing the powers and duties of the Governing Board of Directors ("Governing Board") charged with oversight of the Seward Community Health Center, as amended by Ordinance 2013- 013 on December 16,2013; and WHEREAS, the City of Seward ("City") and the Seward Community Health Center I. ("CHC") are co-applicants as a federally qualified health center in accordance with Section 330 of the Public Health Service Act(42 U.S.C. §254b); and WHEREAS, the City and the CHC entered into a Co-Applicant Agreement dated February 20, 2014, and the City Council authorized submission of the previous Service Area Competition Grant application via Resolution 2015-080 approved on September 2, 2015, wherein the parties agreed that the CHC budget would be submitted to the City Council after approval by the Governing Board and providing that "the City Council may not unilaterally revise a budget approved by the Governing Board or approve an alternate budget for the Health Center without review and final approval by the Governing Board, with subsequent follow-up by the City Council"; and WHEREAS, the Governing Board of the CHC approved the 2020 Seward Community Health Center Section 330 (Year 6) grant budget at a board meeting held on July 25, 2019, and the Coordinating Committee ("Committee") of the CHC met to review the grant budget on August 5, 2019, and both the Governing Board and the Committee recommend approval by the Seward City Council. NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF SEWARD,ALASKA that: Section 1. The Seward City Council hereby approves the 2020 budget of the Seward Community Health Center ("CHC"), representing the Year 6 grant budget for Section 330 funding through the Health Resources and Services Administration. Section 2. Both the City of Seward and the Seward Community Health Center agree to abide by the co-applicant agreement and all applicable laws,regulations, and governing policies. • CITY OF SEWARD,ALASKA RESOLUTION 2019-076 Section 3. The CHC is requesting a financial contribution from the City of Seward in the amount of$100,000 for the 2020 grant year which will be subject to approval by the Seward City Council during its upcoming budget deliberations. Section 4.This resolution shall take effect immediately upon adoption. PASSED AND APPROVED by the City Council of the City of Seward, Alaska, this 9`h day of September, 2019. THE CITY OF SEWARD, ALASKA C l Wm� Davi Squires, Ma or AYES: Seese,Towsley, Horn, Lane, McClure, Osenga, Squires NOES: None ABSENT: None ABSTAIN: None ATTEST: Brenda J. al ou, MMC City Clerk tosses aosoaQ (City Sep;�':t OF Sei ° y : • I SE " r n eee s . � Agenda Statement Meeting Date: August 26,2019 Through: Scott Meszaros, City Manager From: Kristin Erchinger,Finance Director Agenda Item: City Council Co-Applicant Approval of Section 330 Seward Community Health Center 2020 Budget BACKGROUND &JUSTIFICATION: The Seward City Council authorized the creation of the Seward Community Health Center(SCHC) and governing Board when it enacted Ordinance 2010-008 in December 2010, formalizing the powers and duties of the board of directors charged with overseeing the Seward Community Health Center. The City of Seward and SCHC are co-applicants for Section 330 federal funding to operate a federally qualified health center in Seward;together, the entities comprise the Health Center. The parties entered into a Co-Applicant Agreement(Agreement)on February 20,2014 approved by City Council Resolution 2014-018, and subsequently amended in Resolution 2018-067 approved on August 13,2018.This Agreement requires that the SCHC budget be approved first by the governing Board and then by the City Council, and includes the following language: §3.2.4"The Governing Board shall approve the annual operating and capital budget in accordance with Section 330 requirements and City policies. The overall plan and budget shall be prepared under the Governing Board's direction by the Health Center's management team and the Finance Committee of the Governing Board." §°3.2.5 "The Governing Board shall submit an annual budget for the health center to the City Council for approval,as a co-applicant requirement of Section 330. The Board shall submit the budget no later than October I of each year,for the following year. if the Board unreasonably fails to approve an annual budget,the City may still submit the annual funding request under Section 330 of the Federal Public Health Service Act.No budget shall become effective ivithout City Council approval. " §4. 2. d "The City Council shall be responsible for adopting the Health Center's annual operating and capital budgets as finally approved by the Governing Board; the City Council may not unilateralty revise a budget approved by the Governing Board or approve an alternate budget for the Health Center without review and final approval by the Governing Board,with subsequent follow-up by the Council in accordance with Seward City Code 2.10.030(a). In accordance with Section S of the Agreement,the parties also agree to participate in a Coordinating Committee comprised of one member each of the Governing Board, the City Council, the Health Center executive director, and the City Manager or his designee. This group met to review the proposed 2020 Seward Community Health Center budget and has recommended its approval. 25 Further,Health Resources and Services Administration (HRSA) issued Policy Information Notice 2013-01 on March 18,2014,requiring that health centers prepare and submit grant applications that contain a total budget for the health center scope of services for 12 months, and the budget must include a separate budget breakdown for the Section 330 funding proposed for the application period, showing costs supported by the grant and costs supported by other sources of non-HRSA funding(i.e.patient revenue, City grant funding, other funding). INTENT: Fulfill the City's obligation as co-applicant Section 330 grantee, to approve the 2020 Seward Community Health Center grant budget. CONSISTENCY CHECKLIST: Yes No N/A l' Comprehensive Plan (document source here): "Effective, accessible, affordable healthcare", P. 12. X 2 Strategic Plan (document source here): "Maintain and enhance medical X --services", p. 18 3 Other (list): Co-Applicant Agreement dated 2120,114,•HRSA PIN 2013- X 01, bb S-6. FISCAL NOTE: The SCHC anticipates HRSA federal funding for the period 2/l/19-1/31/20 totaling $1,323,419. Grant amounts are subject to change by HRSA, depending on patient visits. The SCHC requests $100,000 from the City to support its 2020 operations.As the clinic achieves its goal of increasing patient visits, it is expected that patient revenues will comprise a larger portion of clinic funding, necessitating less operating subsidy from the City. The clinic is estimating patient revenues of $1,336,001 in 2020. Approved by Finance Department: , ATTORNEY REVIEW: Yes No X RECOMMENDATION: City Council approve the Section 330 Co-Applicant Seward Community Health Center 2020 Budget. 26