2023-222-Minutes for Meeting May 17,2023 Recorded 7/18/2023Recorded in Deschutes County CJ2023-222
Steve Dennison, County Clerk
Commissioners' Journal 07/18/2023 9:07:11 AM
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BOARD OF
COMMISSIONERS
1300 NW Wall Street, Bend, Oregon
(541) 388-6570
2023-222
FOR RECORDING STAMP ONLY
BOCC MEETING MINUTES
WEDNESDAY May 17, 2023
Barnes Sawyer Rooms
Live Streamed Video
Present were Commissioners Tony DeBone (via Zoom), Patti Adair and Phil Chang. Also present were
Nick Lelack, County Administrator; Kim Riley, Assistant County Counsel; and Brenda Fritsvold, BOCC
Executive Assistant.
This meeting was audio and video recorded and can be accessed at the Deschutes County
Meeting Portal website www.deschutes.org/meetings.
CALL TO ORDER: Vice Chair Adair called the meeting to order at 9:00 a.m.
PLEDGE OF ALLEGIANCE
CITIZEN INPUT:
• Carl Shoemaker said a few weeks ago, he was having tea in a coffee shop in
downtown Bend when three sheriff's deputies entered the shop and spoke to the
person working there. Mr. Shoemaker said this occurred the same day he had
provided citizen input to the Board at its meeting.
• Marc Stokamp objected that at a recent hearing before the Planning Commission,
persons providing testimony via Zoom were given priority over those who wished to
testify in person. He said this policy devalues in -person participation in civic matters
and was concerned about not discouraging active public engagement.
CONSENT AGENDA: Before the Board was Consideration of the Consent Agenda.
BOCC MEETING MAY 17, 2023 PAGE 1 OF 6
1. Approval of Board Order No. 2023-21 to establish a no -parking zone in Oregon
Water Wonderland II
2. Authorization to grant a Public Utility Easement to the City of Bend over a portion
of County -owned property
3. Approval of Board Order No. 2023-019 to rename Pronghorn Club Drive to
Juniper Preserve Drive
4. Approval of a Notice of Intent to Award a contract for inmate food and
commissary services to Summit Food Services, LLC
5. Approval of minutes of April 17 and 19, 2023 BOCC meetings
DEBONE: Move Board approval of the Consent Agenda as presented
CHANG: Second
VOTE: DEBONE: Yes
CHANG: Yes
ADAIR: Vice Chair votes yes. Motion Carried
Commissioner DeBone expressed appreciation to the Road Department and
others who worked through the process to establish the no -parking zone in
Oregon Water Wonderland.
ACTION ITEMS:
6. Presentation from Visit Central Oregon
Julia Theisen, CEO, Visit Central Oregon (Central Oregon Visitors
Association/COVA) and Mackenzie Ballard, Vice President of Marketing,
presented key initiatives and results from COVA's current fiscal year and shared
information on the organization's budget for the upcoming year. Among the
information provided was the 2022 economic impact of tourism on Central
Oregon, historical and current Transit Room Tax collections in Deschutes
County, and hotel occupancy rates in the region as well as average daily room
rates looking back to 2019. COVA"s strategic goals were also shared along with
marketing highlights and results of recent promotional campaigns.
Responding to Commissioner Chang, Theisen said Visit Central Oregon has
approximately $1.1 million in reserves.
BOCC MEETING MAY 17, 2023 PAGE 2 OF 6
Commissioner DeBone relayed his support for increasing the amount allocated
to COVA's Future Fund program by $100,000, if possible, to facilitate more high -
value investments as were accomplished this year.
Commissioner Adair asked that COVA consider contributing to the proposed
trust fund for affordable housing to assist in workforce development.
Commissioner DeBone noted that technology has facilitated persons living in
recreational or other vehicles by choice, which allows them to move from place
to place. This recent phenomenon has increased the demand for places to
temporarily park such vehicles. Theisen said COVA is willing to explore
partnering with the County on how to market the various facilities which cater to
this population.
Commissioner Chang expressed appreciation for the Future Fund program,
saying it enables reinvestment in what makes Central Oregon an attractive place
to visit.
Theisen reported questions received from a member of the County's Budget
Committee and shared her answers, which included information on COVA's efforts
to attract business from assorted markets such as persons with accessibility
challenges and those interested in astrotourism (stargazing).
7. Grant application to the Substance Abuse and Mental Health Services
Administration for Community Behavioral Health Clinic Improvement and
Advancement
Behavioral Health Director Holly Harris explained the request to apply to the
Substance Abuse and Mental Health Services Administration for a Certified
Community Behavioral Health Clinic Improvement and Advancement grant. The
program will award funding up to $1,000,000 per year for up to four years. If
received, Health Services would use the funds to expand treatment of behavioral
health, physical health, and substance use disorder conditions. Harris described the
specific staff additions that would be made along with related expenses such as
computer hardware, training, and a vehicle.
Cheryl Smallman, Health Services Business Manager, summarized that this grant
would be used to target specific health issues such as diabetes and hypertension.
DEBONE: Move to authorize staff to apply to the Substance Abuse and Mental
Health Services Administration for a Certified Community Behavioral
Health Clinic Improvement and Advancement grant as described
CHANG: Second
BOCC MEETING MAY 17, 2023 PAGE 3 OF 6
VOTE: DEBONE: Yes
CHANG: Yes
ADAIR: Vice Chair votes yes. Motion Carried
8. Approval of Oregon Health Authority grant amendment #173133-9 for
Mobile Crisis Intervention Services
Behavioral Health Director Holly Harris said this amendment corrects a previous
amendment which OHA found to contain errors (omissions and duplications). The
corrected amendment results in a net funding increase of $161,280.91 to the County
for the period of January 1 through June 30, 2023.
CHANG: Move approval of Board signature of Document No. 2023-472, an
amendment to a grant agreement with the Oregon Health Authority
for Mobile Crisis Intervention Services
DEBONE: Second
VOTE: DEBONE: Yes
CHANG: Yes
ADAIR: Vice Chair votes yes. Motion Carried
9. FY 2024 Proposed Fee Schedule Changes
Laura Skundrick, Management Analyst, reviewed the proposed FY 2024 changes to
fee schedules for Deschutes County and the County Service Districts in preparation
for a public hearing in June before the budgets are adopted.
Commissioner Chang asked for clarification about the fees charged for appeals of
land use applications. Sherri Pinner, Senior Management Analyst for the Community
Development Department, said the fee to file an appeal of a land use decision is
$250. If a matter is appealed to the Board, a deposit equal to 20% of the original
application must be made against which staff costs are posted, with any remaining
balance refunded. The deposit for an appeal to LUBA is $5,000. Beginning July 1 st
the County will no longer require deposits on applications which staff anticipates
may be appealed to the Hearings Officer.
Chief Financial Officer Robert Tintle and Deputy Tax Collector Judi Hasse said pet
license fees now offer a senior discount, which was not offered before.
With respect to charges for public records, Assistant County Counsel Kim Riley said
the County cannot charge more than the actual cost of providing the records.
BOCC MEETING MAY 17, 2023 PAGE 4 OF 6
OTHER ITEMS:
• Deputy County Administrator Erik Kropp and County Assessor Scot Langton
relayed a request from EDCO to add the County's logo to a letter opposing
certain amendments to HB 2199, the bill which would extend the state's
enterprise zone program. Langton explained the amendments are
undesirable as they would exclude school district taxes and shorten the
extension sunset date. EDCO and the County both support HB 2199 as
unamended, which would extend the sunset date of the enterprise zone
program from June 25, 2025 to June 30, 2035.
CHANG: Move to modify the County's position of support on HB 2199 to
oppose the proposed -1 (dash -one) amendment and add the County's
logo to the letter opposing this amendment
DEBONE: Second
VOTE: DEBONE: Yes
CHANG: Yes
ADAIR: Vice Chair votes yes. Motion Carried
• Commissioner Chang reported on the REDI Board meeting this morning and
said he will not be able to attend the Made in Redmond Tour on June 9th.
• Commissioner Adair said Bend Mayor Pro Tern Megan Perkins attended
yesterday's FireFree meeting; she hoped that next time elected officials from
Sisters, Redmond and La Pine will attend as more Firewise communities are
needed.
EXECUTIVE SESSION: None
ADJOURN:
Being no further items to come before the Board, the meeting was adjourned at 11:24 a.m.
DATED this P day of
Commissioners.
2023 for the Deschutes County Board of
AN ONY DEBON7E, CHAIR
PATTI ADAIR, VICE CHAIR
BOCC MEETING MAY 17, 2023 PAGE 5 OF 6
PHIL CHANG, COMMISSIONER
ATTEST:
M-c �ly
RECORDING SECRETARY
BOCC MEETING MAY 17, 2023 PAGE 6 OF 6
O
BOARD OF COMMISSIONERS' MEETING
a �
REQUEST TO SPEAK
Citizen Input or Testimony
Subject: r (` Date:
Name C - S � r� �P_ ma
Address 31 2- iv k
- 101
Phone #s
E-mail address
In Favor Neutral/Undecided Opposed
Submitting written documents as part of testimony? Yes No
If so, please give a°copy to the Recording Secretary for the record.
SUBMIT COMPLETED REQUEST TO
RECORDING SECRETARY BEFORE MEETING BEGINS
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BOARD OF COMMISSIONERS' MEETING
1D U n1 TV GT Tn Q1DV A
Citizen Input or Testimony
Subject: CSLC ��C�Z Date:
Name ,kL % L'� �
Address���'\(�UU�U���
Phone #s`
E-mail address���
1-1 In Favor ❑ Neutral/UndecidedOpposed
Submitting written documents as part of testimony. Yes No
If so, please give a copy to the Recording Secretary for the record.
SUBMIT COMPLETED REQUEST TO
RECORDING SECRETARY BEFORE MEETING BEGINS
BOARD OF
COMMISSIONERS
MEETING DATE: May 17, 2023
SUBJECT: Presentation from Visit Central Oregon
BACKGROUND AND POLICY IMPLICATIONS:
Visit Central Oregon will present key initiatives and results from this fiscal year as well as its
budget for next fiscal year.
In the past, this annual presentation was provided during budget week. Partner agency
presentations were moved to a time prior to budget week.
ATTENDANCE:
Julia Theisen, CEO, Visit Central Oregon
Mackenzie Ballard, VP Marketing, Visit Central Oregon
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BOARD OF
COMMISSIONERS
MEETING DATE: May 17, 2023
SUBJECT: Request approval to apply for a SAMHSA CCBHC-IA grant
RECOMMENDED MOTION:
Move approval to apply for the Substance Abuse and Mental Health Services
Administration grant for Certified Community Behavioral Health Clinic Improvement and
Advancement Grant
BACKGROUND AND POLICY IMPLICATIONS:
The Substance Abuse and Mental Health Services Administration (SAMHSA) is accepting
applications for the Certified Community Behavioral Health Clinic (CCBHC) Improvement
and Advancement Grant (CCBHC-IA) program. The CCBHC-IA program supports CCBHCs
that have been certified by their states or that participated in a previous CCBHC-Expansion
award to further expand or improve their CCBHC services. With this program, SAMHSA
aims to improve access to community -based mental health and substance use disorder
treatment and support, including 24/7 crisis services, to anyone in their service area who
needs it, regardless of their ability to pay. The program will award funding up to $1,000,000
per year, per award, for up to four years. The anticipated project start date is September
30, 2023.
The purpose is to transform community behavioral health systems and provide
comprehensive, coordinated behavioral health care by (a) enhancing and improving
CCBHCs that meet the CCBHC Certification Criteria; (b) providing a comprehensive range of
outreach, screening, assessment, treatment, care coordination, and recovery supports
based on a needs assessment with fidelity to the CCBHC Certification Criteria; and (c)
supporting recovery from mental illness and/or substance use disorders by providing
access to high -quality mental health and substance use services, regardless of an
individual's ability to pay. This includes any individuals with a mental or substance use
disorder who seeks care, including those with a serious mental illness (SMI), substance use
disorders (SUD), including opioid use disorder; children and adolescents with a serious
emotional disturbance (SED); individuals with a co-occurring disorder (COD); and
individuals experiencing a mental health or substance use -related crisis. SAMHSA expects
that applicants will include a focus on groups facing health disparities as identified in the
community needs assessment in the population of focus.
Deschutes County Health Service's (DCHS) grant proposal will be focused on enhancing and
expanding integration of behavioral health, physical health, and substance use disorder
treatment for clients with co-occurring diagnoses through improvements in access, care
coordination, and the use of evidence based practices. The scope of this project will include
both Adult Outpatient teams located in our Courtney Clinic and an expansion of our Crisis
team into our North County Hub (NoCo). Funding will be used to hire the following:
1.0 FTE Administrative Analyst to provide administrative support for grant
implementation and data tracking.
• 2.0 FTE Behavioral Health Specialist 1--one will support the crisis response in our
NoCo Hub and the other will support Adult Outpatient integrated Care (AOP IC)
team in further integration with Mosaic Medical with a focus on access and care
coordination.
1.0 FTE Behavioral Health Specialist II to support the crisis response in our NoCo
Hub.
2.0 FTE Peer Support Specialist --one will support AOP IC team with a focus on co-
occurring medical and mental health recovery and the other will support Adult
Outpatient Complex Care (AOP CC) team with a focus on co-occurring substance use
and mental health recovery.
• 1.0 FTE Licensed Professional Nurse to support AOP medical team in further
integration with Primary Care, proving medical screenings and care coordination.
Additionally, grant funding will support computers and equipment, training, supplies, a
vehicle, and 10% indirect. If awarded, DCHS expects to hire all positions within four months
of the grant start date.
If awarded, two new staff will be placed at the North County Hub and the other five new
staff will be co -located with other providers at the Courtney Office. Additional indirect
expenses incurred above the 10% allowable will be covered by Behavioral Health Reserves
for the duration of the grant period.
BUDGET IMPACTS:
See 5-Year Fiscal Analysis.
ATTENDANCE:
Holly Harris, Deputy Director, Health Services
Kristin Mozzochi, Manager, BH Program
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BOARD OF
COMMISSIONERS
MEETING DATE: May 17, 2023
SUBJECT: FY 2024 Proposed Fee Schedule Changes
RECOMMENDED MOTION:
Review and discuss Deschutes County and County Service Districts FY 2024 Proposed Fee
Schedule changes in preparation for a public hearing in June.
BACKGROUND AND POLICY IMPLICATIONS:
Per chapter 4.12 of the Deschutes County Code, "Fees and charges for services shall be
reviewed for compatibility with the actual cost of providing service each year, and shall be
adjusted and set as of each July 1 st."
This discussion focuses on the proposed fee changes for FY 2024 in preparation for the
upcoming proposed budget public hearing. Some changes are based on inflationary
factors. Others are driven by external factors such as local, state, and federal mandates.
Still, others reflect changes made to capture the actual cost of service provided. The more
significant changes are accompanied by a memo from the related department explaining
the type of change reflected.
BUDGET IMPACTS:
Fee schedule proposed changes are reflected in the FY 2024 proposed budget.
ATTENDANCE:
Laura Skundrick, Management Analyst
Stephanie Robinson, Grants & Operations Specialist, Administration
Jeff Sageser, Clerk's Office Supervisor
Sherri Pinner, Senior Management Analyst, CDD
Trevor Stephens, Business Manager, Community Justice
Jessica Chandler, Executive Assistant to District Attorney Steve Gunnels
Geoff Hinds, Fair & Expo Director
Shad Campbell, IT Applications Manager
Cheryl Smallman, Health Services Business Officer
Holly Harris, Behavioral Health Director
Arielle Samuel, Health Services Administrative Manager
Thomas Kuhn, Public Health Program Manager
Eric Mone, Health Services Supervisor
Anne Kilty, Clinical & Family Services Manager
Erik Kropp, Deputy County Administrator
Joe Brundage, Sheriff's Office Management Analyst
Tim Brownell, Solid Waste Director
Robert Tintle, Chief Financial Officer
Judi Hasse, Deputy Tax Collector
FY24 Fee Schedule Proposed Changes
Table of Contents
Deschutes County
DeschutesCounty - General........................................................................................................
1
CountyClerk...................................................................................................................................
1
CommunityDevelopment............................................................................................................
3
BuildingSafety Division...........................................................................................
4
Environmental Soils Division..................................................................................
14
PlanningDivision.....................................................................................................
16
Community Justice
AdultParole & Probation.......................................................................................
19
Juvenile Community Justice...................................................................................
20
DistrictAttorney............................................................................................................................
20
Fairgrounds Services
DeschutesCounty Fair............................................................................................
20
Fair& Expo...............................................................................................................
21
RV Park....................................................................................................................
23
Fair& Rodeo............................................................................................................
23
Information Technology
GISMaps & Services...............................................................................................
23
GISData.....................................................................................................................
23
Health Services
BehavioralHealth....................................................................................................
24
PublicHealth...........................................................................................................
24
Environmental Health Division.............................................................................
29
RiskManagement.........................................................................................................................
31
Sheriff's Office...............................................................................................................................
31
SolidWaste....................................................................................................................................
34
Treasurer / Tax
DogLicensing..........................................................................................................
35
RoomTax.................................................................................................................
35
Department Memo Explaining Fee Change
Deschutes Countv - General................................................................................. 36
CommunityDevelopment.................................................................................... 37
HealthServices......................................................................................................... 41
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Memorandum
Date: April 10, 2023
To: Finance Department
From: Administrative Services Department
Re: Fee for after-hours conference room use in Deschutes Services Building, Effective July 1,
2023
In accordance with Deschutes County Code (Chapter 4.12.020), and in conjunction with the annual
review of the fee schedule, Administrative Services is requesting a change to the FY24 general fee
schedule. The department is requesting to add a $65/hour fee for after-hours conference room
use in the Deschutes Services Building.
There is currently no fee for after-hours meeting room use. After-hours room use results in
additional costs for the County, because County policy requires that staff be on -site when meeting
rooms are being used. This proposed fee will help offset staffing costs.
This fee will not apply to County meetings or activities.
36
COMMUNITY DEVELOPMENT
To: Board of County Commissioners
From: Peter Gutowsky, Director
Sherri Pinner, Senior Management Analyst
Date: May 17, 2023
RE: CDD Requested Fee Schedule Adjustments FY 2023-24
The Community Development Department (CDD) is primarily a fee -supported department. CDD's FY 2023-24
requested budget highlights are based on the following foundations:
1. CDD's FY24 requested budget includes resource and expenditure budgets to maintain current business
demands including level application volume, fee increases, reserve transfers and general fund requests.
CDD's personnel and materials & services budgets increased due to costs associated with:
a. COLA, PERS, HBT, and step increases;
b. Inflationary increases for materials and services;
c. Completion of Comprehensive Plan Update ($90K);
d. Hearings officer services for land use appeals.
2. Assumes permit and application volumes will remain level with FY23 volumes
3. Budgeted expenditures are $1.3M more than base budgeted revenues. A balanced budget will be
achieved through a combination of fee increases, reserve transfers, and/or reduction of fund balance.
4. General Fund Requests:
a. Increase general fund allocation for cost of land use appeal hearings officer services from $40K to
$100K.
b. Continuation of $20K marijuana tax revenue for code compliance assistance.
CDD proposes the following fee changes to its FY24 fee schedule:
The requested fee increases offset inflationary costs and the majority of the difference between projected
operating expenses and revenues, allowing the department to maintain current and anticipated service levels.
• Building Valuation Fees:
o Code Compliance Fee -from .25% to .27%
o Public Counter Information Fee - from .30% to .35%
o Advanced Planning Fee -from .29% to .34%
Application Fees:
o Building Safety Supplemental Permits - 4%
o Electrical and Current Planning - 15%
o Onsite Wastewater - 20%
37
International Code Council increase to building valuation calculation:
The International Code Council (ICC) building valuation table identifies the average construction cost per square
foot by type of construction, which is used by building jurisdictions when calculating permit fees. The ICC building
valuation table in Accela is updated each April 1 sl by the State of Oregon and does not change Deschutes County's
fee schedule.
Effective April 1, 2023, average construction cost per square foot increased 10.9%.
CDD proposes to add the following fees for FY24:
1. CDD NEW - Code Compliance Court Fine or Fee - Amounts due determined by Circuit Court or Hearings
Officer Determination.
2. CDBS NEW - Deferred Submittal Plan Review Fee - recommendation from Oregon Building Codes
Division.
3. CDBS NEW - Solar Building Permit - Non -Prescriptive Path System - recommendation from Oregon
Building Codes Division.
4. CDBS NEW - Commercial Fire Suppression - recommendation from Oregon Building Codes Division.
5. CDBSMF NEW - State Cabana Fee - recommendation from Oregon Building Codes Division.
6. CDES NEW - Alternative Treatment Technology (ATT) Systems to Sand Filter - to account for increase costs
associated with multiple required field inspections related to sand filter systems.
7. CDES NEW - Residential System Variance Plan Review - identify residential plan reviews from commercial
plan reviews.
8. CDPN NEW - Accessory Dwelling Unit Review - review of accessory dwelling unit land use application.
9. CDPN NEW -Noise Ordinance Variance Appeal- separate fee to acknowledge amount of staff time
allocated with this appeal type.
10. CDPN NEW - Oregon Liquor and Cannabis Commission License - Original Application - fee allowed under
ORS 471.166 (8).
11. CDPN NEW - Oregon Liquor and Cannabis Commission License - Change in Ownership, Location or
Privilege - fee allowed under ORS 471.166 (8).
12. CDPN NEW - Oregon Liquor and Cannabis Commission License - Renewal or Temporary Application - fee
allowed under ORS 471.166 (8).
CDD proposes to revise the following fees for FY24.
1. CDPN 73 - Plan Amendment (without goal exception) - increase fee an additional $2K to cover the cost of
required hearing. Hearing costs incurred to be paid with current planning revenues, not general fund.
2. CDPN 74 - Plan Amendment (including goal exception/UGB expansion) - increase fee an additional $2K to
cover the cost of required hearing. Hearing costs incurred to be paid with current planning revenues, not
general fund.
3. CDPN 118 - Zone Change - increase fee an additional $2K to cover the cost of required hearing. Hearing
costs incurred to be paid with current planning revenues, not general fund.
CDD proposes to eliminate the following fees for FY24:
1. CDD 6 - Coin -copy Machine - no longer applicable.
2. CDD 35 - La Pine Special Sewer District SDC 5/8" meter - collected by City of La Pine.
3. CDD 36 - La Pine Special Sewer District SDC 3/4" meter - collected by City of La Pine.
4. CDD 37 - La Pine Special Sewer District SDC 1" meter - collected by City of La Pine.
5. CDBSPL 4 - One and Two Family/4 bath - no longer applicable.
38
6. CDBSPL 7 - Remodel Minimum Fee - no longer applicable.
7. CDBSM 8 -12 - Remove program managed at State of Oregon.
8. CDBSE 26 - No longer applicable
9. CDBSE 29 & 30 - No Longer applicable
10. CDBSE 35 - Bulk labels - no long applicable
11. CDBSMP 1 - 9 - Remove - refer to OAR 918-600-0030.
12. CDBSRP 1 - 9 - Remove - refer to OAR 918-650-0030
13. CDPN 29 - Hearings Officer and Administrative Deposit - no longer applicable - hearing services covered
by general fund.
14. CDPN 119 - Oregon Liquor and Cannabis Commission License Issuance and Renewal - no longer
applicable - replaced with three new processing fees noted above.
CDD proposes the following maintenance items for FY24:
1. CDES 9 -Alternative Treatment Technology (ATT) System to Drain Field -revise description to identify fee
as related to drain fields.
2. Various description enhancements for clarity.
in addition to CDD's requested fee increases, revisions, and maintenance items, the following fee
increases apply to partner organizations' System Development Charges (SDC's):
1. Road Department Transportation SDC's - est. increase of 10.3% (construction cost index, see attached
memo)
2. Bend Park and Recreation District (BPRD): SDC's will be adopted in early May 2023. BPRD will notify CDD
of adopted fees.
The Oregon Building Codes Division Recommended Rate Revisions:
1. CDBS 16 - 19 - Change to flat rate per OAR 918-050-0140
2. CDBS 29 - 32 - Recommended fee correction - small adjustment
3. CDBSPL 63 - Recommended fee correction - small adjustment
4. CDBSPL 73 - Recommended fee correction
5. CDBSM 31 - 35 - Recommended fee correction
6. CDBSE 20 - 30 - Revise fees to match OAR 918-309-0070 recommended rates
39
Date: March 22, 2023
To: Nick Lelack, County Administrator
From: Chris Doty, Road Department Director
RE: SDC Inflation Adjustment per ENR Construction Cost Index
Per Resolution 2013-020, the County's Transportation System Development Charge (SDC) is prescribed to be
adjusted annually to account for inflation, as follows:
Section 4(G): Unless otherwise adjusted by order of the Board of County Commission, on each
succeeding July 1 after 2014, the SDC, consisting of the improvement fee, the reimbursement, if any
and the administrative recovery charge shall be adjusted by the annual percentage increase or
decrease in the construction cost index, published in the immediately preceding January by the
Engineering News Record for the City of Seattle, Washington. The calculation shall use the immediately
preceding July 1 and the then -applicable rate per peak hour trip as the starting point.
Per the Engineering News Record, the construction cost index within the Seattle, WA area from January 2022
to January 2023 reports an increase of 10.3%.
In accordance with Resolution 2013-020, the Transportation SDC will increase 10.3% (+$523) from $5,080 per
peak hour trip to $5,603 (effective July 1, 2023) with fee component breakdown as follows:
Improvement Fee: $5,406
Reimbursement Fee: $ 128
Administrative Charae: $ 69
Total: $5,603 (per peak hour trip)
For a single family residential unit, this equates to an SDC of $4,538 based on the
County's local trip generation rate of 0.81 PM peak hour trips per unit.
40
To: Board of County Commissioners
Daniel Emerson, Budget Manager
From: Arielle Samuel, Health Services Revenue & Contracts Manager
CC: Janice Garceau, Health Services Director
Cheryl Smallman, Health Services Business Officer
Date: 4/10/2023
Re: FY 2024 Health Services Fee Changes
Summary of Changes:
Behavioral Health billable rates are increasing by 11% on average. The majority of Public
Health fees are mandated by the State. All other fees, pursuant to County Code Section
4.12.030, are proposed to receive an annual adjustment commensurate with the consumer price
index (CPI).
Summary of Fee Increase (by Program) from FY 2021 through FY 20241
Program
2021
2022 _
2023
2024
Behavioral Health Fees
2%
2%
-5% tv,
11%
Actual Cost of Service & Adedwwd
Vital Records
20% (1)
0%
0%
0%
Fees Mandated by State
Patient Office & Well Service Visits
2%
1%
7%
6°%
Actual Cost of Service
Targeted Case Management
31 % 00
0%
0%
0%
Fees Alandated by state
Procedures
-3% 00
1°%
7%
6%
Actual Cost of Service
Immunizations
11%
3°%
3%
3%
Fees Mandated by State
Laboratory Processing Specimen
0°%
-31 °% f v)
0°%
0°%
Actual cost of Service
in -House Testing & Injections
0%
0%
0%
0%
Actual Cost ofSemce
Diabetes Prevention
new
0%
80°%
180%
(vr) Fees Mandated by state
Environmental Health
0%
1°%
7%
10°%
(l) Increase due to new one time applicant verification fee of $1.25-
(19 State of Oregon fee increase
-
00 Most FY21 procedure fees increased by 2%, however a significant reduction in the actual cost of service to the
LEEP procedure resulted itr a not decrease.
(IV) Actual cost of laboratory charge decreased from $54 to $37
(V) Increased budgeted vacancy rate from G% to 10%, resulting in overall decrease in fees.
(VI) Aledicaid increase on average 8.5%, whereas Medicare rate nearly doubled
Percentage is calculated from previous year and rounded to nearest whole number.
41
Behavioral Health
Health Services utilizes a "unit cost calculator" tool to set the behavioral health service fees at
"Actual Cost of Service". This tool was created to provide Oregon Community Mental Health
Programs with a standardized, reliable methodology for calculating unit costs for services. The
outputs/fees recommended by this calculator are used to justify the dollar amount charged for
services provided by Behavioral Health, both to outside parties and clients. Health Services
Department accommodates clients with an inability to pay by applying a sliding fee scale based
on an individual's income in comparison to the Federal Poverty Guidelines.
The primary inputs to the fee setting formula are budgeted expenditures, FTE count of direct
service personnel, type of direct service personnel, and number of hours available for services.
These figures are consistent with the FY 2024 Requested Budget. Using the inputs, the model
calculates a billable rate for each service provided by type of direct service personnel. Billable
rates are summarized on the County's fee schedule by service or type of direct service personnel.
The update to the unit cost calculator for FY 2024 resulted in an average net increase to billable
rates of 11 %. The actual range of change experienced amongst the different service types and
direct service personnel types was from a 0% to an 18% increase. The FY 2024 results include
10% budgeted vacancy, which is the same as the previous year. Specifically, direct -service
provider salaries totaled $11.3 million across 163.4 FTE in at time of Requested Budget for FY
2023 whereas salaries totaled $13.2 million across 177.6 FTE in FY 2024.
Health Services is adding two items to the fee schedule, though neither service is new —
Screenings and Service Plan Development for the WRAP Program in Intensive Youth Services.
Screenings are calculated separately and should be called out separately for consistency.
Similarly, the Service Plan Development for WRAP is on the existing fee schedule for per hour
services, but the department also bills Medicaid monthly per enrolled member.
Some fee descriptions are updated to provide clarity to the services, and additional notes
removed that are no longer pertinent. These updates include:
• Percentage updates to the enactment authority column to align with 2023 PacificSource
contract.
• Adult Community Treatment Program has been changed to Assertive Community Treatment
Program to accurately reflect the title of the services as described by Medicaid.
• Group Counseling has been changed to Group Counseling <45 min to differentiate between
the two types of group services listed on the fee schedule.
• Two notes have been removed — "Clients are encouraged to use insurance benefits" as it is
irrelevant to the fee schedule itself and "Charges may vary based on programs and locations of
service and most fees are based on a sliding scale" as the entire statement is inaccurate.
42
Public Health
Public Health fees for Patient Office Visits and Well Service Visits are calculated based on an
actual cost analysis completed in FY 2016. The formula for calculating the fees is dictated by
the Oregon Health Authority. The FY 2024 fees for Office Visits and Well Services are
increased by 6.4%, commensurate with the annual change in the CPI.
STD and HIV Patient Office Visits are calculated by actual cost of service as of FY 2021 and
are increased by 6.4% commensurate with the annual change in CPI.
Medical Procedures are increased by 6.4% commensurate to the annual change in CPI.
There were several edits made to the list of medical procedures to remove outdated procedures
and to provide clarity to the descriptions, such as "Administration & Interpretation HRA" was
removed because it is no longer done in the clinic.
Family Connects Oregon expanded to privately -insured clients as of January 2023. The fees
for Medicaid and commercial insurance are set by the State of Oregon. The new commercial
insurance fees are added into the fee schedule. A fee missed in FY 2023 under the Medicaid
section, "In -home visit additional child," is added in the FY 2024 fee schedule.
Certified Community Health Worker Program allows Perinatal Care Coordination team
members who are certified Community Health Workers to bill for care coordination services.
Charges are set by the State, only one fee changed with a decrease of $1.
Fees for the Immunizations (incl. Special Programs & Vaccines) program are mandated by the
Department of Human Services and adjust on a semi-annual basis. The most recent mandated
fees reflect an average 3% increase. HPV Vaccine 4 is no longer manufactured and is removed.
Diabetes Prevention fees are regulated by The Centers for Medicare and Medicaid Services.
Medicare fees increased an average of 8.5% and Medicaid increased the online class fee by
almost 100%, from $23/day to $45/day. Clarification was added to the units for Core
maintenance sessions and ongoing maintenance sessions were split into two fees based on the
month's post -Core sessions.
The Environmental Health program is proposing a general fee increase of 10%.—The fee for
online renewal of licenses will increase from 2.6% per transaction to 3.4% per transaction in FY
2024. No changes are proposed for certification fees, training fees, and late fees.
There are no proposed changes to the following fees for FY 2024:
• Vital Records (fees mandated by the State of Oregon)
• Laboratory Processing Specimen fees and various handling fees reflect actual cost of
services and have not changed
• In -House Testing & Iniections
Targeted Case Management (fees mandated by the Department of Human Services)
43
Brenda Fritsvold
From:
Sent:
Cc:
Subject:
Attachments:
Follow Up Flag:
Flag Status:
BOCC (bcc) —
Erik Kropp
Tuesday, May 16, 2023 4:06 PM
Nick Lelack; David Doyle; Kim Riley; Whitney Hale; Jen Patterson; Brenda Fritsvold; Scot
Langton; Doug Riggs; Erik Kropp
Enterprise Zone Bill: request from EDCO, will bring up tomorrow under "other items"
HB 2199 Introduced.pdf; HB 2199-1 Amendments.pdf; Oppose HB 2199A &
3457A.docx; RE: Enterprise zone ; HB 3457 Introduced.pdf
Follow up
Flagged
I will bring this up at tomorrow's Board meeting under other items:
HB 2199 is the bill related to extension of the enterprise zone program. As introduced (attached), the Board supported
the bill with a priority 2. The bill was recently amended (see attached HB 2199-1 Amendments). EDCO opposes the -1
amendments and is asking Deschutes County to add the County logo to a letter drafted by the Oregon Economic
Development Association opposing HB 2199-1 and HB 3457A (attached is HB 3457 Introduced —the HB 3457A version of
the bill is not available yet).
Also attached is an email from Jon Stark (see "RE: Enterprise zone" Outlook item) with his comments on HB 2199-1
Amendments.
I will pose two questions for the Board:
Does the BOCC want to change its position on HB 2199-1?
Does the BOCC support adding the County's logo to the OEDA letter which opposes HB 2199-1?
Thanks
-Erik
Erik Kropp I Deputy County Administrator
1300 NW Wall Street I Bend, Oregon 97703
Tel: (541) 388-6584 1
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Enhancing the lives of citizens by delivering quality services in a cost-effective manner.
The 2023 Session started with a bi-partisan focus on implementing the Semiconductor Task Force
Recommendations, including our existing, effective incentives. Instead, HB's 2199 and HB 3457 have been
amended and would dismantle our existing job recruitment tools. If passed, these bills would risk losing the
billions in new revenue Oregon receives because of these incentives.
The Enterprise Zone Program has brought investment, jobs, income taxes and other benefits to our local
governments for almost four decades. Strategic Investment Partnerships ensure that when local governments
attract new capital investment and jobs that the state and taxing districts split the income tax windfalls. Changing
them significantly get us very little but cost us significant opportunities.
Problems with HB 2199A:
• Transparency: Many companies will be disincentivized from pursuing an agreement with the local
government sponsor to protect competitors and others from learning of expansion plans. Economic
development is built on confidentiality, displaying company information on a public municipal website
poses competitive and market risks for prospective investment.
• Notifying neighboring jurisdictions: Notifying neighboring jurisdictions could pit local jurisdictions
against one another and result in taxing districts challenging projects designed for the benefit of the entire
community. The E-Zone process is already tremendously complicated. Adding another step will also
disincentivize applications.
• 5-year sunset extension until 2030: Companies looking to expand into Oregon want to have assurance
outside of a 5-year timeframe. Some plans take years to execute. Shorter sunsets allow for more political
fights over these valuable tools. Further, the law can be changed at anytime, and changes to E-Zones have
been proposed nearly every session.
• Exclusion of school district taxes for the period of extension: Significantly erodes the value (and thus the
leverage) for local governments. This provision ignores the demonstrated return on investment in
statewide income tax collection. Further, it burdens our county assessor's offices. Currently, many E-Zone
abatement recipients work closely with partners in K-12 districts, community college and higher education
institutions to provide family wage employment opportunities to Oregon residents and ongoing training for
existing employees to support growth potential and career pathways.
Problems with HB 3457
Undercutting local government leverage: Offering a larger benefit allows local governments to negotiate deals
that meet specific community needs.
Reduces CHIPS ACT opportunities: Cuts to Gain Share disincentivize the use of the tool for major SIP contracts
that are likely to arise out of the semiconductor CHIPS Act opportunities.
Imposes unnecessary uncertainty. Adding a sunset to SIP gives prospective partners less certainty and sends a
message to prospective employers that Oregon is unwilling to demonstrate its commitment to new investment
and jobs.
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BOARD OF
COMMISSIONERS
BOARD OF COUNTY COMMISSIONERS MEETING
9:00 AM, WEDNESDAY, MAY 17, 2023
Barnes Sawyer Rooms - Deschutes Services Building
(541) 388-6570 1 www.deschutes.org
MEETING FORMAT: In accordance with Oregon state law, this meeting is open to the public and
can be accessed and attended in person or remotely, with the exception of any executive session.
Members of the public may view the meeting in real time via YouTube using this link:
http://bit.ly/3mminzyr. To view the meeting via Zoom, see below.
Citizen Input: The public may comment on any topic that is not on the current agenda.
Alternatively, comments may be submitted on any topic at any time by emailing
citizeninput@deschutes.org or leaving a voice message at 541-385-1734.
When in -person comment from the public is allowed at the meeting, public comment will also be
allowed via computer, phone or other virtual means.
Zoom Meeting Information: This meeting may be accessed via Zoom using a phone or computer.
• To join the meeting from a computer, copy and paste this link: bit.ly/3h3ogdD.
• To join by phone, call 253-215-8782 and enter webinar ID # 899 4635 9970 followed by the
passcode 013510.
If joining by a browser, use the raise hand icon to indicate you would like to provide public
comment, if and when allowed. If using a phone, press *6 to indicate you would like to speak and
*9 to unmute yourself when you are called on.
Deschutes County encourages persons with disabilities to participate in all
programs and activities. This event/location is accessible to people with disabilities.
If you need accommodations to make participation possible, call (541) 388-6572 or
email brenda.fritsvold@deschutes.org.
CALL TO ORDER
PLEDGE OF ALLEGIANCE
CITIZEN INPUT: Citizen Input may be provided as comment on any topic that is not on the
agenda.
Note: In addition to the option of providing in -person comments at the meeting, citizen input comments
may be emailed to citizeninput@deschutes.org or you may leave a brief voicemail at 541.385.1734.
CONSENT AGENDA
1. Approval of Board Order No. 2023-21 to establish a no -parking zone in Oregon Water
Wonderland II
2. Authorization to grant a Public Utility Easement to the City of Bend over a portion of
County -owned property
3. Approval of Board Order No. 2023-019 to rename Pronghorn Club Drive to Juniper
Preserve Drive
4. Approval of a Notice of Intent to Award a contract for inmate food and commissary
services to Summit Food Services, LLC
5. Approval of minutes of April 17 and 19, 2023 BOCC meetings
ACTION ITEMS
6. 9:10 AM Presentation from Visit Central Oregon
7. 9:40 AM Grant application to the'Substance Abuse and Mental Health Services
Administration for Community Behavioral Health Clinic Improvement and
Advancement
8. 9:50 AM Approval of Oregon Health Authority grant amendment #173133-9 for
Mobile Crisis Intervention Services
9. 10:10 AM FY 2024 Proposed Fee Schedule Changes
OTHER ITEMS
These can be any items not included on the agenda that the Commissioners wish to discuss as part of
the meeting, pursuant to ORS 192.640.
May 17, 2023 BOARD OF COUNTY COMMISSIONERS MEETING Page 2 of 3
EXECUTIVE SESSION
At any time during the meeting, an executive session could be called to address issues relating to ORS
192.660(2)(e), real property negotiations, ORS 192.660(2)(h), litigation; ORS 192.660(2)(d), labor
negotiations, ORS 192.660(2)(b), personnel issues; or other executive session categories.
Executive sessions are closed to the public; however, with few exceptions and under specific guidelines,
are open to the media.
ADJOURN
May 17, 2023 BOARD OF COUNTY COMMISSIONERS MEETING Page 3 of 3