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2025-242-Minutes for Meeting May 14,2025 Recorded 7/31/2025
X\ E S C0 j BOARD OF COMMISSIONERS 1300 NW Wall Street, Bend, Oregon (541) 388-6570 Recorded in Deschutes County OJ2025-242 Steve Dennison; County Clerk 07/31 /2025 10:53:57 AM commissioners' Journal 011 ��F�-=�: 1! I I I II !I IIII II I I II I II I III I I III 2025-242 FOR RECORDING STAMP ONLY DESCHUTES COUNTY BUDGET COMMITTEE MEETING Wednesday, May 14, 2025 The Budget Committee meetings were held in the Barnes Sawyer room at 1300 NW Wall Street in Bend and were livestreamed on YouTube and through the virtual meeting platform Zoom. Audio and video recordings may be accessed at www.deschutes.org/meetings. Present were Budget Committee members Krisanna Clark -Endicott, Jim Fister and Judy Trego, and Commissioners Patti Adair, Phil Chang and Tony DeBone. Also present were County Administrator Nick Lelack, Deputy County Administrator Erik Kropp, Deputy County Administrator Whitney Hale, Chief Financial Officer Robert T intie, Budget and Financial Planning Manager Cam Sparks, Senior Budget and Financial Planning Analyst Dan Kieffer, Management Analyst Laura Skundrick, and BOCC Executive Assistant Brenda Fritsvold. Call to Order: Chair Fister called the meeting to order at 8:32 am. Public Comment: None Health Services Health Services Director)anice Garceau introduced the presentation of the proposed FY2026 budget for Health Services, narrating an overview of the department's mission, divisions, staffing and general responsibilities. She listed accomplishments from FY2025 and reported her upcoming retirement at the end of May. Cheryl Smallman, Health Services Business Officer, provided an overview of the Health Services Department and its three divisions —Behavioral Health, Public Health, and Administrative Services —saying the department's proposed FY2026 budget reduces total staff by 6.67 FTE (two limited duration positions and 4.67 regular). She described the positions which will be eliminated and said that although the County applied for $10 million in BHRN funding, it has recently learned that it will receive just $6.6 million over the next four years. DESCHUTES COUNTY BUDGET MEETING May 14, 2025 Page 1 of 11 Smallman next reviewed information on Fund 274 - Operations, and Fund 270 - Behavioral Health Reserve. Noteworthy expenses in Fund 274 include major one-time expenditures for the remodel of the La Pine facility and the acquisition of additional workspace in Bend. Commissioner Adair said the most recent State financial forecast anticipates available revenues will be down by $755 million. Discussion ensued regarding the receipt of CCBHC funds from the State. Garceau explained that these revenues are transferred to reserves when received and then used as needed. In response to Commissioner Adair, Smallman confirmed that the Behavioral Health reserve is projected to be $35.6 million at the end of FY2025. Responding to Commissioner Adair, Garceau said the County -owned facility at 236 Kingwood in Redmond is closed to the public two days every week due to staffing limitations, although services are still offered at this location. It's expected to reopen full- time on July 1 st. Garceau listed short-term fiscal issues facing Health Services, including funding instability and increasing personnel and indirect costs. Long-term fiscal issues include the uncertainty of continued Medicaid and Public Health funding levels, the cost of offering after-hours services at the Stabilization Center, and the need for more workspace in downtown Bend. Garceau then spoke to the possible long-term impacts of client and case acuity as many nannies ctriiaalP with chrnnic disease. serious addictions, and mental health illnesses. As the number of such cases and their acuity increases, it becomes harder to hire and retain staff to address them. She shared initiatives to be undertaken in 2026, including the opening of a residential treatment facility in Redmond. Behavioral Health Director Holly Harris listed programs and assistance offered by the County, which is designated as a mandated provider of mental health services under ORS 430.610. Discussion ensued of the number of clients in the Aid & Assist program, the growing number of persons being civilly committed, and the lack of sufficient funding from the state to shoulder these services. Continuing, Harris said the County has served as a Certified Community Behavioral Health Clinic (CCHBC) since 2017. The services provided are integrated with primary care to address disease and decrease mortality; all costs are reimbursed by Medicaid. She next reviewed division highlights from FY2025, including the purchase of a five -bed adult foster home. Health Services is currently in negotiations to purchase another residence for adults with mental health conditions, and the Oregon Health Authority has submitted a letter of intent to contribute $3 million towards a 15-bed children's psychiatric facility in Central Oregon. Commissioner Adair reported that Rimrock's facility for teenagers is now accepting girl patients as well as boys. May 14, 2025 BUDGET COMMITTEE MEETING Page 2 of 11 Following Smallman's review of Behavioral Health's five-year budget forecast, Public Health Director Heather Kaisner explained the County's mandated role of serving as a Local Public Health Authority which requires providing certain services and programs. She shared division highlights from 2025, including work done by the Healthy Schools program and its successful prevention of one in five behavioral health -related emergency department visits for youth aged 11 to 17. Fister asked to see more data from the results of the Healthy Schools program. Smallman then reviewed Public Health's five-year budget forecast, noting the transfer of $112,000 of General Fund monies from Behavioral Health to Public Health to meet the latter's programming and operational needs. Opportunities and unknowns in the short- term for Public Health include federal funding appropriations, community partner collaborations, and efforts to secure state funding for Public Health modernization efforts. Clark -Endicott asked if Health Services is at risk of losing federal funding if it does not eliminate its DEI Strategist. Garceau explained that this position is responsible for work which is required of the County by the State. Saying the County would end that work if so directed by contracts which it enters into to receive funding, Garceau added that she personally valued the work done by this position and appreciated all of the good results it has had in the community. Cni inty Administrator Nick I Plack added that counties in manv other states are not subiect _ �. _I .._....... - --- - - - --- - - - - - - - , to requirements like those of the Oregon Health Authority, and Deschutes County must continue DEI work in order to receive funding from OHA. In response to Commissioner Chang, Kaisner said measles is not a benign disease, and because a 75% vaccination rate is needed to stave off a community outbreak, any decrease in vaccination rates is concerning. Adding that the County's aim is to protect children younger than one year of age who cannot be vaccinated, she described the work involved in contact tracing and community outreach when a case is discovered and the infectious person has been in public areas. A break was announced at 10:30 am. The meeting resumed at 10:42 am. At Fister's suggestion, the Committee modified the agenda to take up the recommendations from the Elected Officials Compensation Board before recessing for lunch. The Budget Committee convened as the Budget Committee for the Deschutes County Extension & 4-H District. Deschutes County Extension & 4-H District Nicole Strong, Regional Director of the OSU Extension & 4-H District, provided an overview of the District, noting it serves approximately 700 4-H club members. May 14, 2025 BUDGET COMMITTEE MEETING Page 3 of 11 Comment from the public was invited. There was no one who wished to speak. Dan Denning, Advisory Council Member, said the District's Master Gardeners program has more than 100 volunteers. Strong listed the Extension's programs and shared accomplishments from the past year, citing workshops offered in emergency preparedness, food preservation, and food safety as well as work done to mentor middle and high school students in career and college readiness. The Extension also offers workshops in forestry and fire prevention. Strong then reviewed the District's proposed FY2026 budget, describing resources and expenditures. Commissioner Chang commented that the available contingency in FY2025 of $302,000 has significantly decreased to $137,000. Explaining this reduction was due to large one-time costs such as upgrades to the Extension's hybrid classroom technology, Strong hoped to experience lower materials and services expenses in FY2026. Strong next reviewed current challenges and future initiatives, the latter of which includes a mobile Extension vehicle. She reported that Kristopher Elliott was named Vice Provost and Director of the Extension and invited the Budget Committee members to attend the High Desert Garden Tour on July 19t" ACTION: Trego moved approval of the Deschutes County Extension & 4-H Service District FY2026 budget of $1,076,000 and to set the tax rate at $0.0224 per $1,000 of assessed valuation. Clark -Endicott seconded the motion, which carried 6 - 0. The Budget Committee convened as the Budget Committee for the Sunriver Service District. Sunriver Service District Fister stated that in view of his status as a Sunriver Service District Board Member, he will recuse himself from voting on the SSD budget but still participate in the discussions. Comment from the public comment was invited. There was no one who wished to speak. Mindy Holliday, Sunriver Service District (SSD) Administrator, introduced Police Chief Pete Rasic, who was recently hired, and Deputy Fire Chief Rod Bjorvik. She reviewed accomplishments from the last year, including completing construction of and moving into the new Public Safety Building and the implementation of a license plate reader system. Holliday next presented information on Fund 715, Fund 716 and Fund 717, saying that negotiations are in process for the fire and police collective bargaining agreements, and work is being done to replace end -of -service lifesaving equipment. She listed short- and long-term fiscal issues, current challenges, and future initiatives. Fister elaborated on the work being done to develop a Building Reserve Fund and shared the intention to transfer surplus funds from the Public Safety Building project to reserves. May 14, 5057 BUDGET COMMITTEE MEETING Page 4 of 11 In response to Commissioner Chang regarding ideas for increasing SSD revenues, Holliday said the District could apply for grants or possibly offer to expand the reach of District services (including law enforcement) to surrounding areas. ACTION: Adair moved approval of the Sunriver Service District FY2026 budget of $11,061,403 and to set the tax rate at $3.4500 per $1,000 of assessed valuation. Trego seconded the motion, which carried 5 - 1 - 0, with Fister abstaining. ACTION: Trego moved approval of the Sunriver Service District Reserve FY2026 budget of $3,166,902. Chang seconded the motion, which carried 5 - 1 - 0, with Fister abstaining. ACTION: Adair moved approval of the Sunriver Service District Capital FY2026 budget of $1,140,900 and to set the local option capital improvement tax rate at $0.4700 per $1,000 of assessed valuation. DeBone seconded the motion, which carried 5 - 1 - 0, with Fister abstaining. The Budget Committee convened as the Budget Committee for the Black Butte Ranch Service District. Black Butte Ranch Service District Rlark Rutte Ranrh Chief of Police Todd Rich presented an executive summary of BRRSD's FY2026 budget, explaining personnel costs as well as expected expenses for materials, services and capital. Comment from the public comment was invited. There was no one who wished to speak. Chief Rich added that the District is down to four patrol officers, one lieutenant, and himself. Although a new CBA was negotiated which resulted in some staff cost increases, these costs will reduce overall by $63,000 by keeping the fifth officer position vacant. In response to Commissioner DeBone, the Chief said the District has placed a new, increased five-year local option levy on the May 20th ballot. If approved, the levy would result in increased revenues of $128,000 per year. Adding that the BBRSD has just 300 registered voters, District Board Member Lee Ferguson said the ballot measure did not state it was for law enforcement, nor did it make clear that the measure is for a partial replacement levy and not entirely new. To address possible confusion, the members of the District Board called every registered voter to explain after the ballots were mailed out. ACTION: Adair moved approval of the Black Butte Ranch Service District FY2026 budget of $3,363,860 and to set the tax rate at $1.0499 per $1,000 of May 14, 2025 BUDGET COMMITTEE MEETING Page 5 of 11 assessed valuation. DeBone seconded the motion, which carried 6 - 0. ACTION: Trego moved to set the local option operating tax rate of the Black Butte Ranch Service District at $0.7800 per $1,000 of assessed valuation, based on the results of the May 20, 2025 election, if approved by voters. Chang seconded the motion, which carried 6 - 0. In response to Fister, CFO Tintle said if the levy is not approved, the matter of Black Butte's local option operating tax rate would come back to the BOCC. The Budget Committee reconvened as the Deschutes County Budget Committee. Elected Officials Compensation Board Recommendations Deputy County Administrator Whitney Hale reviewed that the Elected Officials Compensation Board (EOCB) met in February and March. After assessing current compensation levels and comparing them with the information returned from the designated comparables, the EOBC recommended adjustments in salaries for the District Attorney and the County Commissioners only. Commissioner DeBone stated his appreciation for the work of the EOCB. Noting that the BOCC will expand by two members in January of 2027, he appreciated discussing the budget impact of adding those positions. As a member of the EOCB. Trego explained her reasons for proposing that the Commissioner salaries be reduced and said it is important that people who are considering running for a Commissioner position know the compensation amount before making that decision. Commissioner Chang said when the County's voters approved the proposal to expand the BOCC from three members to five, they did not indicate that they opposed paying for that expansion. He suggested that the Budget Committee consider reverting Commissioner salaries to what they were two years ago before an 11 % pay increase was approved. Another option may be to make four of the BOCC positions part-time instead of full-time. Trego did not support making any of the BOCC positions part-time as she believed that the reason the BOCC expansion was approved was because voters seek more Commissioner connection with constituents. Commissioner Adair reminded that she has saved the County about $175,000 by refusing a PERS retirement account. Adding that Deschutes County is still growing, she did not support lowering the Commissioner's salaries at this point. Commissioner DeBone said Commissioner Chang's statement that the voters approved expanding the BOCC because the current Commissioners are not doing a good job was offensive. He supported making zero adjustment to the BOCC salaries at this time. May 14, 2025 BUDGET COMMITTEE MEETING Page 6 of 11 Clark -Endicott said the BOCC serves to determine policy, while the County Administrator is responsible for the day-to-day operations of the County. Saying the proposal for a reduced salary is not a reflection of the quality of work done by current Commissioners, she spoke to the County's current financial outlook and said adding two new Commissioners will divide the BOCC's responsibilities among five Commissioners instead of three. She agreed that the question of compensation should be decided before people file for the two added positions. Fister explained his earlier support for the EOCB's recommendation to increase Commissioner salaries in FY2024 as well as his support for trying to control costs at this point in time. Noting that the BOCC currently has three members, not five, he said the EOCB could look at Commissioner duties next year after a districting proposal has been developed. He concluded that a temporary compensation change for the upcoming year only was worth discussing. Trego stressed the condition of the County's finances at this time and said she was open to considering adjustments when the financial situation improves. Referring to the provided information from the selected comparables, Commissioner Chang disputed the relevance of data from two private industry survey sources in the context of Commissioner salaries. Discussion ensued regarding the use of data from private industry positions and whether that is appropriate. MOTION: Trego moved that the Budget Committee accept the recommendations from the Elected Officials Compensation Board as submitted. Clark -Endicott seconded the motion, which fa W3 - 3 (Chang, Clark -Endicott, and Trego in favor). A lunch recess was announced at 12:10 pm. The meeting reconvened at 12:40 pm. Continued Discussion of Elected Officials Compensation Board Recommendations ACTION: Clark -Endicott moved that the Budget Committee accept the recommendations from the Elected Officials Compensation Board with respect to all positions except the District Attorney and County Commissioners. Trego seconded the motion, which carried 6 - 0. Commissioner Chang advised that next year, the Budget Committee take a careful look at what the Treasurer position would pay if it were re -consolidated with the CFO position as was the case for many years. Saying that staff in the DA's office are experiencing significant pressure due to a very high workload, Commissioner Adair suggested not changing the current compensation paid to the District Attorney as recommended but instead adding another Deputy DA position. May 14, 2025 BUDGET COMMITTEE MEETING Page 7 of 11 Discussion ensued of the DA's compensation and the EOCB's recommendation to increase the County's portion of the DA's salary by about $25,000 in FY2026. MOTION: Trego moved that the Budget Committee accept the recommendation from the Elected Officials Compensation Board to adjust the County -paid portion of the District Attorneys salary to bring the position's total pay to $255,031.71. Clark -Endicott seconded the motion, which faiied3 - 3 (Adair, Trego and Fister in favor). Commissioner Chang said the current salary paid to Deschutes Countys District Attorney is in line with that paid by both Lane County and Marion County. In response to Commissioner Chang, Sparks said applying a 2.5% COLA to his current Commissioner salary of $120,514 would result in an annual salary of $123,219. MOTION: Chang moved to modify the recommendation from the Elected Officials Compensation Board to set Commissioner salaries at $123,219 for FY2026. Clark -Endicott seconded the motion, which faiied2 - 4 (Chang and Clark -Endicott in favor). There being no further motions with respect to compensation for elected officials, the compensation paid to the District Attorney and the County Commissioners will be unchanged in FY2026 from FY2025. Deliberations of Special Request and Limited Growth Proposals Following discussion, the Budget Committee was in consensus to leave the listed special requests in the FY2026 Budget: • DCSO: $400,000 in capital outlay to replace the jail's computer control system • Solid Waste: add one FTE Customer Service Clerk • Solid Waste: add three FTE site attendants Commissioner Adair spoke to her request to add one Deputy District Attorney (DA) FTE. Discussion ensued regarding the possibility of adding another Deputy DA position, whether that would be a regular position or limited duration, and how it could be funded. Sparks shared that a median -level Deputy DA position costs about $208,000 annually. In response to discussion, Lelack stressed that ARPA interest funds represent one-time revenues. Tintle added that County policy states that one-time funds should not be used for recurring staff costs. A break was announced at 1:46 pm. The meeting resumed at 1:57 pm. Discussion ensued regarding possible sources of funding to add a Deputy DA position, including using savings realized from not increasing the District Attorney's salary (and May 14, 2025 BUDGET COMMITTEE MEETING Page 8 of 11 attendant benefits) —in FY2026, these would have totaled $36,011. Adding a new Deputy DA position would cost $211,906 in FY2026—utilizing the cost savings from not approving the recommendation of the Elected Officials Compensation Board to raise the District Attorney's salary would result in a FY2026 cost of $175,895 for the new position. Tintle suggested this new position be construed as an ongoing request to be paid from General Fund dollars after the remaining ARPA interest funds of $348,171 are exhausted. Deschutes County FY2026 Budget Approval ACTION: Clark -Endicott moved to add 1.0 FTE Deputy DA position in FY2026 as discussed. Chang seconded the motion, which carried 4 - 2 (Chang and Trego opposing). A recess was announced at 2:03 pm. The meeting resumed at 2:13 pm. ACTION: Adair moved to approve the Deschutes County FY2026 budget of $658,727,347, adjusted for approved changes, and to set the tax rate at $1.2783 per $1,000 of assessed valuation. Trego seconded the motion, which carried 6 - 0. Deschutes County 9-1-1 Service District FY2026 Budget Approval The Budget Committee convened as the Budget Committee for the 9-1-1 Service District and opened the public hearing. There being no one who wished to speak, the public hearing was closed. ACTION: Adair moved to approve the Deschutes County 9-1-1 Service District FY2026 budget of $23,567,100 and set the tax rate at $0.3618 per $1,000 of assessed valuation (Fund 705). Chang seconded the motion, which carried 6 - 0. ACTION: Trego moved to approve Deschutes County 9-1-1 Service District FY2026 Equipment Reserve budget of $5,258,000 (Fund 710). Chang seconded the motion, which carried 6 - 0. Countywide Law Enforcement District (District #1) FY 2026 Budget Approval The Budget Committee convened as the Budget Committee for the Countywide Law Enforcement District (District #1) and opened the public hearing. There being no one who wished to speak, the public hearing was closed. ACTION: Chang moved to approve the Countywide Law Enforcement County Service District FY2026 budget of $55,439,000, adjusted for approved changes, and set the tax rate at $1.2500 per $1,000 of assessed valuation. Clark -Endicott seconded the motion, which carried 6 - 0. May 14, 2025 BUDGET COMMITTEE MEETING Page 9 of 11 Rural Law Enforcement District (District #2) FY 2026 Budget Approval The Budget Committee convened as the Budget Committee for the Rural Law Enforcement District (District #2) and opened the public hearing. There being no one who wished to speak, the public hearing was closed. ACTION: Trego moved to approve the Rural Law Enforcement County Service District FY2026 budget of $22,342,000, adjusted for approved changes, and set the tax rate at $1.55 per $1,000 of assessed valuation. Adair seconded the motion, which carried 6 - 0. The Budget Committee reconvened as the Deschutes County Budget Committee. A break was announced at 2:59 pm. The meeting resumed at 3:04 pm. Closing Comments Commissioner DeBone reviewed that the County's FY2026 Budget discussions were undertaken with the clarity that the future projected structural imbalance in the General fund is happening now. Adding that Deschutes County is still growing, he spoke to the need for capital funding and looked forward to the mid -year budget meeting when the State's revenue and spending amounts will be known. Trego snoke to the enormous amount of work done by staff and the nPPd to make diffin ilt decisions. Explaining that she voted against adding a position in the DA's office because every department has needs, she said Health Services in particular has huge challenges ahead and she hoped they are able to advocate for the County at the federal level. Fister said the discussions this week were very productive, with some deep but necessary cuts made. He suggested reminding the Elected Officials Compensation Board next year of its recommendations for this year. Commissioner Chang said implementing a limited growth budget was difficult but necessary. Noting the great deal of uncertainty at the federal and state levels for funding related to community wildfire protection and other needs, he encouraged continued advocacy efforts. Clark -Endicott appreciated the limited growth approach and all the work by staff. She asked to be informed as decisions are made at the federal and state level which impact the County's budget. Saying that Oregon has even higher taxes than California, Commissioner Adair urged being creative and holding the state accountable for all of its revenues. Adjournment: May 14, 2025 BUDGET COMMITTEE MEETING Page 10 of 11 Upon no further business, Chair Fister adjourned the Budget Committee meeting at 3:38 on a� 1 DATED this A day of �J 2025 for the Deschutes County Board of Commissioners. ATTEST: f N�—Aej� J---Ylt ) i' RECORDING PHIL CHANG, COMMISSIONER May 14, 2025 BUDGET COMMITTEE MEETING Page 11 of 11 • • • • co E , c- • ro= = u [a i r� u W ram.+ L 4ma V o 4-1 L �a 4w ono N N LL E 0 0 I 4 4 0 m u Ln w V% E oolll� W � a- o Q0 N m 06 o + � ® 0 LL W V) � o � O N � p N O Ln c LPL > Q ra L Z3 L7 U V I� V 4-1 r V Ci ~i r10 Y �O w yJs Vi z a z � jbq W bA � N � W Q — O CY � E IL � � •°� o \ 4 �' CC' w Q Ln , N ® O w - N ® � o T-- m = N06 UO LPL .® 7�; vn 2 V N b.0 o DD C O u N i 1v2 4- N D c p L � y S U O Til U. 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' ql rd 17w N ° in m 0 r co co - ON C7 'q' In m In N Cn r co er} C7i k CI ' ` iq IJR 1f! bR 0 In 0 ��c�y C4 Ln i Ln N ' 6i U-1 cq . m 0 m r-, IN -no t 0" cr1 C cr; CA at Ln 0 9 0 r'fl rYt n1 cn M N Inq u5 r," P, m T tfT AA to W u1: W N m ram.. ih c+I c p- w m w ut f c7i e1 c1 cv ni CL y V ro V q V c U b4 C w di a _ V) I F" tLJ � d1 � 4`' 1A 0 boil C�i 1i11 �C t1J C C j a @ 1p l� lPl r u� Ci III N � � U Cl � V m 0 DESCHUTES COUNTY HEALTH SERVICES PROVIDERS Community members frequently inquire about the role of Health Services. Health Services is a vital County department dedicated to addressing a wide range of mandates and meeting the diverse health needs of the community. Our Mission is to promote and protect the health and safety of our community. This overarching mission takes form in a set of priorities aimed at ensuring access, community well-being, meaningful outcomes, a prepared workforce, sustainable use of resources and resilience in the face of emergencies. Below we highlight the work of Health Services staff to better illustrate what Health Services does in the community. The staff featured represent just a few of the key roles dedicated to achieving the priorities and goals of Health Services. BEHAVIORAL HEALTH MEDICAL TEAM: Skilled nkArsing in the community Kim started with the county in 2021 as a nurse serving our Assertive Community Treatment team. She typically carries a caseload of 30 to 40 clients with severe mental health conditions and co-occurring physical health and or substance abuse issues. She works as part of a small intensive community based interdisciplinary team that provides comprehensive, holistic care. Kim's role on the team is to develop and implement a holistic nursing care plan focused on medication adherence, health literacy, and health education. On any given day, you may find Kim administering medications, educating clients and family members, and monitoring treatment progress. Other duties include case management, crisis intervention, advocacy and training. Ultimately, Kim works to empower our clients to manage their complex health conditions as independently as possible. 1JPage 2025 DHCS program & Staff Profiles COMMUNICABLE DISEASE PROGRAM: Preventing outbreaks, protecting our community Charlotte has been serving Deschutes County since January of 2022 as a Public Health Nurse and Disease Intervention Specialist in the STI / HIV Program where she follows -up on reportable STIs ensuring treatment, providing education, and working to reduce transmission in Central Oregon. On any given day Charlotte can be found in the clinic testing and treating clients, on our outreach testing van providing screening services to the community, or in the field searching for individuals with high barriers to getting care such as a recent field visit to took for a pregnant woman living in a homeless camp who tested positive for syphilis and needed adequate treatment to prevent congenital syphilis. Our STI/HIV Program responded to 538 reportable diseases and provided 1,164 STI tests (HIV, Hep C, and syphilis). Kelly is a Tri-County Infection Prevention Public Health Nurse and has been with Deschutes County since August 2022. In her time here, she has been the lead investigator for 148 congregate setting outbreaks white providing backup support for another 54 outbreaks. She works with the medical and administrative staff at these facilities to mitigate current outbreaks while working to implement measures to prevent future outbreaks, thus protecting both the residents and staff from avoidable infections within healthcare settings. Adrienne is a Regional Communicable Disease Epidemiologist where she conducts regional surveillance on communicable diseases and other health indicators, and shares timely information with staff, health care providers, partners, and the public, through multiple channels of communication. 418 people subscribed to her flu reports in 2024. The data she provides helps healthcare professionals make important decisions regarding client/patient care and education INTELLECTUAL & DEVELOPMENTAL DISABILITIES SERVICES: Supporting disabled persons in their homes Josie has been a Services Coordinator with the Intellectual and Developmental Disabilities program for 27 years. She has a passion for providing case management to school aged clients and typically has 50-55 kids on her caseload. Over all her years of service, she has maintained an ability to listen and engage families and individuals with empathy as well as exhibiting a positive and encouraging outlook. Josie is a silent leader in the IDD program. She is recognized by her colleagues as a model for how to take a person -centered and relational approach in every interaction. She uses her vast experience and knowledge of our community, as well as her ability to build trusting relationships with people, to help families navigate through whatever disability -related challenges they may be dealing with. 21Page 2025 DHCS Program & Staff profiles PREVENTION: Reducing suicide risk and strengthening youth Bethany has been a prevention specialist in Public Health since 2021. This past year, she helped to train over 1,400 people in our community to learn risk factors and warning signs for suicide. Attendees ranged from community members to staff from schools, churches, parks and recreation districts and the healthcare system. This work helps to save lives. One training participant shared, "I feel much more prepared to offer help and support to a person considering suicide. I feel more secure in myabilityto ask the right questions." If you or someone you know is having thoughts of suicide please call, text, or chat 988 for help at any time, day or night. Close to 4,000 families at Caldera High School and High Desert Middle School received important health information for their kids thanks to the efforts of Healthy Schools Public Health Specialist, Haitey. Hailey ensured that families in these schools received timely information on everything from teen driving safety, Cell Phone Safety to e-bike safety and mental health resources. Hailey has been with County in various roles since 2019. In 2023 she completed a master's in public health so she could expand her career at DCHS to make a direct, positive impact in our community. OLDER ADULTS TEAM: Supporting mentally ill adults in their home as they age Life expectancy for people with Serious Mental Illness (SMI) has increased. The Older Adults Team (3.5 FTE) which provided 1,800 visits in 2024, team is on the frontline of learning how to support people with SMI after age 70. Becky, a case manager who has worked with the Older Adults team for five years, supports a caseload of 40 complex older adult clients who are at risk for psychiatric and medical complications due to the complexity of cognitive decline combined with serious mental illness. Becky's days are filled with helping her clients with daily living activities such as: shopping, medication adherence, paying bills, communicating with care givers, supporting transitions into higher levels of care, and maintaining access to medical care. She engages with medical specialists and caregivers to help them understand the complexity of the client's illnesses and advocates for assessment of conditions that would go undiagnosed and untreated without her efforts. Becky is part of a team that believes in providing excellent care, where the dignity and respect for each client and their wishes are honored. As the silver tsunami approaches (all baby boomers will be age 65 or older by 2030), the demand for this specialty is likely to increase in our community. 31Page 2025 DHCS Program & Staff Profiles FOUNDATIONS: Rental assistance for adults with severe mental illness Mara is the case manager for the FOUNDATIONS program, a state -funded rental assistance program developed in 2014 to address a lack of access to affordable housing for people with Serious and Persistent Mental Illness (SPMI). This program administers long-term rental assistance and provides direct in -home supports to keep participants housed. On a daily basis, Mara advocates with property management companies, ensures rent payments are processed, supports participants with understanding and following their lease, teaches budgeting skills, how to be a good neighbor, and many other services that support high risk individuals with gaining and maintaining housing. For many, Mara's work is the difference between stable housing and houselessness. In 2024, this two -person team provided 982 visits, $219,095 in rental assistance to 52 households and countless services to keep this vulnerable population housed. ENVIRONMENTAL HEALTH & PREPAREDNESS: Ensuring safety of our food and water With 25 years at Deschutes County, Jeff's expertise is evident. Last year, he conducted 32 comprehensive sanitary surveys on public water systems to ensure safe drinking water. His efforts also included addressing 25 violations, following up on 17 significant deficiencies, and managing 5 boil water advisories. He led the Private Well Awareness Program, mentoring an intern, sampling 51 wells, and providing homeowners with technical guidance. Beyond routine work, Jeff dedicated many hours to keeping the Saddleback community's 104 homes supplied with water, coordinating stakeholders to resolve regulatory, legal, and infrastructure challenges —ultimately helping to secure a new well and operator for the system. Adrienne became a Registered Environmental Health Specialist only recently, but in her two years with DCHS, she has hit the ground running. She took on the Mobile Food Unit (MFU) inspection program, creating successful relationships in a constantly evolving industry. With over 290 licensed MFUs and 35 pods —plus four more proposed in Bend —these inspections are a major part of the county's food safety efforts. In 2024 alone, 79 pre -opening inspections highlighted the continued growth of this food service model. Adrienne conducted 547 field inspections, including routine checks, reinspection's, complaint investigations, and consultations, ensuring compliance, mitigating risks, and educating operators on disease prevention. 41Page 2025 DHCS Program & Staff Profiles CRISIS PROGRAM: Crisis response, freeing Officer time, and saving lives The Deschutes County Behavioral Health Crisis Program provides essential crisis services to the community through the Deschutes County Stabilization Center (DCSC). These services include voluntary crisis walk-in and 23-hour adult respite, the Community - Based Crisis Response Team (CCRT), and Crisis Intervention Training (CIT). At the heart of this program are dedicated professionals who bring empathy, resilience, and unwavering commitment to those in crisis. This team has served over 10,108 individuals out of the Stabilization center and 6,205 individuals since beginning CCRT in May 2023. The impact of the Crisis Program is broad: Law Enforcement drop-off time is under 4 minutes, returning officers to the street to provide public safety; 166 people self -report they would have ended their life without our help; and 3,083 do not know what they would have done without us. Darla, a licensed counselor, has been a vital part of the crisis program for nearly three years. Her passion for behavioral health stems from a lifelong role as a source of support for others, couper� L cl Seri+h r�nrnnnnI nvr�nrinnnnc. +hn+ I —A hnr+n n� �ra� �n n nnrnnr in ,.Iir,K 1'1,. I - d VVIU1 J.Jr,IJVI IQI Gn'.JGIIGIII,GJ UIGII Lc,U Ilcl LV t. UIOUc U 1, C11GGI 11I %,UUII0VUlls. VQIIQ believes in the power of personal growth and balance, and her dedication shines through in her daily work. Most days, Darla will be the first one to volunteer to see a youth in crisis at DCSC. She never shies away from supporting any individual in crisis, whether it is at the Stabilization center, or on CCRT. Dominique (Dom), is one of the program's newest Peer Support Specialists, working night shift. His journey within the crisis team began before he was officially hired by DCBH, as he initially served as a security contractor at the stabilization center. He later transitioned into a Behavioral Health Technician role before becoming a Peer Support Specialist. Dom's deep connection with the client population and his commitment to their well-being led him to shift from day work to night shifts, where he finds the most fulfillment in admitting clients to respite, talking with them as they settle in, and providing hope and support as they face a crisis. As a peer, Dom now has the opportunity to bring his unique lived experience to directly supporting clients, a role in which he continues to thrive and grow. Katie is a case manager and an integral part of the crisis program since 2021, serving as a team lead primarily within CCRT. With a remarkable ability to remain calm in crisis, she skillfully provides support over the phone or in person, whether in an office setting or on the 51Page 2025 DHCS Program & Staff Profiles side of a road with someone in crisis. Katie's empathy and patience help her to connect deeply with those in crisis, offering them critical support and guidance. Her ability to manage high -stakes situations with grace and composure is invaluable to the program. Each of these dedicated professionals plays a crucial role in supporting individuals during their most difficult moments. Their compassion, resilience, and unwavering commitment to crisis work make a profound impact on the community, ensuring that no one has to face their struggles alone. WOMEN, INFANTS & CHILDREN (WIC): Ensuring nutrition and care to newborns Ashley is a registered dietitian for Deschutes County WIC Program. As a WIC dietitian she assesses the nutritional E needs of WIC participants, provides personalized nutrition counseling and education, and develops individualized care - plans. In 2024, Ashley provided 1,585 nutrition counseling OREGON visits covering topics like gestational diabetes, food allergies, and childhood feeding problems, to name a few. In 2024, WIC enrolled 1,015 infants, 684 pregnant individuals, and overall had 8,773 client appointments and 11,183 nutrition education contacts. DCHS WIC ended the year with a participating caseload of 3,419 of which 56%were children 1-5 years old, 20% infants, and 25% pregnant individuals. PERINATAL CARE COORDINATION: Getting children off to a healthy start Theresa, a Perinatal Care Coordinator for Deschutes County Health Services, helps pregnant and postpartum individuals' access and enroll in local programs and resources that support healthy birth and health outcomes. In 2024, she assisted 597 individuals with programs such as WIC, OHP, and Nurse Home Visiting, as well as prenatal and postpartum care, behavioral health, dental, primary, and vision care. Theresa makes it easyfor individuals to reach out for help, meeting them at our Public Health buildings, on the phone, by tetehealth, and is embedded in our two largest OB offices. WRAPAROUND: Keeping high risk children in their homes, schools and community Rebekah is a Wraparound Care Coordinator with Intensive Youth Services, bringing 15 years of experience. The Wraparound Program supports 95 children and families (ages 0-18) at risk of out -of -home, school, or community placement due to mental health challenges. These include children in emergency rooms, hospitals, juvenile detention, or those with complex behavioral, intellectual, medical, or substance use needs. Rebekah facilitates team meetings across Deschutes County and Northern Klamath, traveling extensively. Using the Wraparound fidelity model, she collaborates with community 61Page 2025 DHCS Program & Staff Profiles partners and natural supports to create personalized, community -based plans. She also provides skill -building sessions in homes, groups, and individually, focusing on problem - solving, emotion regulation, coping skills, community integration, and social skills. In crises, Rebekah swiftly develops safety plans, coordinates therapist assessments, and provides tools for environmental changes to support client well-being and keep children in their home and community. Additionally, she bridges the gap between Behavioral Health and Intellectual Disabilities services by offering training and on -site consultation. YOUND ADULTS IN TRANSITION & THE DROP: Inviting at -risk youth and young adults in Dustin, a Case Manager and Certified Drug & Alcohol Counselor with 8 years at Intensive Youth Services, supports 77 young adults (ages 14-25) on the Young Adults in Transition team. His day often starts with urgent situations, such as clients in police custody, facing homelessness, or experiencing mental health crises. Dustin coordinates with therapists, families, medical providers, schools, and community partners to create plans that may include inpatient care referrals, harm reduction, medication management, and therapy. He covers the communities of Sisters, Redmond, M—A nnrl I nDino nrnvirlinr9lnr-nl nnnnintmonta fnrijonrl nn moniirnn rnnnnrrtinno uonu, ui — ..-v, l...v —� a wv uNNvn�u��v�— �vv�.vv�.. vie �vuvu�vv vv����vvI,w school/work improvement, and skill -building to enhance coping and functioning. Dustin also leads multidisciplinary meetings, facilitates substance abuse groups, and oversees the Bend Drop -in Center (The Drop) three days a week. In 2024, The Drop served over 1,000 clients in Deschutes County, with 761 visits in Bend. ADMINISTRATIVE SUPPORTS FOR OUR WORK: Data Driven Planning and Language Access Tyler chose a career as a Data Analyst in public health to use his skills for meaningful impact in underserved communities, promoting equitable healthcare access. He says, "It's a personal mission to contribute to systems that improve lives through data -driven strategies." Tyler came to Health Services in part to support the historic launch of our Certified Community Behavioral Health Clinic (CCBHC) pilot project, which had significant data and accountability requirements. As a Lead Data Analyst, Tyler helped build and track CCBHC metrics, a major achievement 71Page 2025 DHCS Program & Staff Profiles which ultimately demonstrated DOHS' strong performance as compared to the State and other CCBHCs. Some of Tyler's proudest accomplishments are expanding the capacity of data -sharing tools Like Power BI dashboards and optimizing processes to save time and resources. For example, Tyler's projects freed up .25 FTE for the fiscal team by merging data sets and saved 60 hours/year of staff time by automating chart searches. Tyler currently supports nine grants, which account for 35% of our budget. Fun fact: In college, Tyler worked at Walla Walla Foundry, creating art castings for global artists. Notable projects included the SeaTac Airport Bronze Deborah Butterfield horse sculpture, Blackleaf. Carmen Salazar, our Language Access Program Analyst, Leads the program with dedication and expertise. She has worked for Health Services for 14 years and now holds a critical role in ensuring that individuals with limited English proficiency, particularly Spanish speakers, can access health services in a language they understand. Carmen's responsibilities include identifying and mnnnrsinrf wonrinr nartnarchinc,racanrrhine nnlnr initintivoc iiiuugnFjvvuvh."....,p....................b.... .u�v..+, and training County staff in how best to serve non-English speakers and the deaf community. As a qualified bilingual medical interpreter with extensive experience across multiple programs and departments within Deschutes County Health Services, she brings a deep cultural and Linguistic understanding to her work. This bicultural perspective helps patients feel more comfortable and confident when receiving care. Currently, the Language Access Program actively supports 280 clients through interpretation and translation services across various health programs. Health Services also has bilingual staff answering phones, providing mental health therapy, and delivering nursing care in the community. Carmen ensures the resources needed to do this work are available and that we meet our contractual and service obligation to provide 100% of client facing information — such as doctor's instructions, after -visit summaries, and care plans —in the language patients understand. Her work is foundational to our efforts to ensure access and provide high -quality care to all residents of Deschutes County, regardless of the language they speak. 81Page 2025 DHCS Program & Staff Profiles V) Q0 w N U O >, (N pC rC W Q t/) LU Q LJ w` t/1 Lj- FY26 Annual Report Department Level Financials Program Level Financials Capital Requests Line Item Budgets Limited Growth Forms on o Behavioral Health Continuum o Behavioral Health Key Statistics o Behavioral Health Administration o Access and Integration o Comprehensive Care for Youth and Families o Crisis Program o Acute and Forensic Services o intellectual and Developmental Information ® Intellectual and Developmental Disabilities o Intensive Adult o Medical Team o Outpatient Complex Care • Public Health Information o Public Health Key Metrics o Public Health Administration o Prevention & Health Promotion o Environmental Health, Preparedness & Engagement • Communicable Diseases, & Prevention Management o Clinical & Family Services • Launched a scholarship; program to expand the mental health workforce. • Intern applications increased by 47% and retention improved by 63%. • A Forensic & Acute Services Program was launched to bring together forensic and residential care teams to improve coordination for our highest risk clients. • The Drop opened drop -in services to at risk youth in Redmond. • Collaboration helped raise funds for a child psychiatric facility in Central Oregon. • Renovations at CCYF, SOLO, WSSB, and Courtney buildings were planned to improve functionality while making use of existing properties. Additional. Milestones • The Stabilization Center celebrated its 41" year of saving lives, keeping officers on the street and supporting crisis work in the community. • The Health Services Director completed visits with all 46 teams to roll out key problem -solving and cultureimprovement projects across Health Services. As I contemplate leaving this work for retirement, I'm aware of the uncertainty of this time, of the impact change can have on the communities we serve and on those of us who serve them. I'm reminded of the wise words of others who navigated uncertainty. Dan Rather, a respected journalist who witnessed decades of events, wrote: "Two powerful words...shaped both my personal and professional life ... These words, often shared by my father, have guided me through challenges and triumphs ... He would often say, 'Steady."Courage! when things seemed uncertain, offering both comfort and strength." And from Sarah -Patton Boyle, a prominent civil rights advocate in the 1950's and 1960's: "Service is love in action, love "made flesh"; service is the body, the incarnation of love. Love is the impetus, service the act, and creativity the result with many by-products." These values - love, courage, steadiness, creativity - are at the core of all we accomplished together this year, the by-products of our creativity and care. They will be the bedrock of how we continue to serve with steadiness through change and uncertainty. I'm heartened by the visits I had with your teams. Your dedication, collaboration, skills, and genuine care for the people we serve shine. While the content of this report is factual and at times dry, I hope that you, our staff and community partners, can see yourselves within. It is the concrete representation of each of you and of the acts of service you engage in every day with unflagging integrity and dedication to the people and community we serve. I want to express my deep gratitude for my time with you. I've learned so much from your humility, courage, resilience, talent and love for our community. It's been an honor. each of you. With sincere thanks, /_4zl,.,,_ Health Services Director To Promote and Protect the Health and Safety of Our Community 13 To promote and protect the health and safety of our community. We envision a future where every person in our community has access to resources that promote physical, mental, and social well-being. Through compassion, innovation, and collaboration, we strive to create a healthy and resilient community. Empowerment Prioritizing actions to drive change, ensure access, build capacity and promote resilience. Excellence Bringing the highest level of ethics, skill, and integrity to deliver quality services. Equity& Inclusion Embracing diversity and advancing health equity through awareness and respect in our workplace and community. Healthy Workplace Starting from within, acting with self-awareness, humility, and grace to promote a workplace characterized by physical and emotional safety. Partnership Building relationships that reflect growth, authenticity, and mutual respect. Innovation Bringing curiosity, flexibility, and courage to solving complex problems. Stewardship Applying the best data, science, and information available to manage public resources effectively and efficiently. Richard Fawcett, MQ, Health Officer, •(AJUNIY 3IONERS H AUTHORITY, LOCAL "H AUTHRITY 1i 16% 14Y 12% I G% 8% 6% 4 2% 0% I PERSONNELNIGHLIGHTS 423 38 Total FTE Director's office 2.00 Number of new positions Admin Services 53.50 created in FY24 Behavioral Health 291.82 Public Health 99.93 12 Number of positions reallocated in FY25 Vacancy Over Time - CY2024 k, 10 11 J) -Admin Behavioral Health PubliC Health HSTotal 201/. 18% 161/0 14% 12% 1 6% 4% 2% 0% Recommend Deschutes County Health Services as an Employer CY2021 CY2022 CY2023 CY2024 wMActual --Yaqgm Health Services Employee Turnover Rate FY20 FY71 FY2 2 FY23 FY24 FY25 MMMMT7M i Transfer In - OMP Reserve 12% interfund Grants 1% WeDSILe: I I LLP�j�_VVV�VVV.U�UbLA �JULtj�ZS.Ul Y41_1V_9_1 wtv 1U V lug Ul- I IsgUl Ll I FY 25 HighlightSand ACCOMplishments • Launched a comprehensive orientation program covering Health Services, Purpose, Mission, Vision, Values, and Culture for new hires. • Formalized Chartered Workgroups to drive meaningful support and measurable outcomes. • Implemented a Culture Framework across the department based on staff survey feedback. • Directed fiscal and talent resources toward impactful improvement projects. • supported streamlining of Behavioral Health and Public Health for cost savings and better performance. • Partnered on key community initiatives like the Regional Health Improvement Assessment, Juniper Ridge Safe Stay Area, and legislative efforts to reduce administrative burdens. FY 26 Challenges and opportunities • Addressing the imbalance in Public Health and Behavioral Health funding, revenue streams, Oi7n, rind expenditi ires. • ongoing strain on services due to housing needs, climate -related emergencies, and increasing acuity among those served. HE ChMeS 8fld Detail DIRECTOR HLTH SVCS EXECUTIVE ASSISTANT 1 1 • Fiscal Services • Uaia aria AnalytlUs i 1viu1 iuyc 1 itVi 1L • Contract Services • Accounting and Grant Management Manages a complex and diverse set of business support services to ensure the department has the tools, equipment and facilities necessary to serve the community safely. • Medical Records • Front Office • Health Information Technology • Procurement • Departmentwide Safety and • Infrastructure Continuity of Operation Planning • Asset Management • Billing and Credentialing • 'Fleet Vehicle Management • 'Vital Records MN N� U RW 1q% A & Provides auditing and oversight of department work to assure ethical conduct and compliance with local, state, federal, and professional standards and regulations. • Compliance and Quality • Policies and Procedures • Incident Reporting ® HR Support • Language Access • Diversity Equity & Inclusion • Auditing ® Workforce Development • Protective Services ® Privacy Invoices and Average Turnaround valid sH Claims tnvoi(e -DaysTurnaround and 77% 77% 79% 74 .9 6000 • Launched Vital Records online death certificate platform. • Implemented my EOP, a mobile application that staff are able to access emergency preparedness plans. • DCHS became an "Outreach and Engagement" provider for health -related social needs. This includes broadly screening for social determinants of health and providing resources to reduce barriers by connecting Oregon Health Plan members with resources. OpportunitiesFY 26 Challenges and • Staffing across all areas of Administrative Services has not kept pace with other service areas, resulting in absorption of workload without additional bandwidth. • Understaffing and turnover at both Public Health and Behavioral Health front desks makes public facing coverage across eight buildings in three cities a challenge. • Language access needs (interpreting/translation) have continued to grow, with challenges in building capacity both internally and externally. • A new opportunity, through Oregon Health Plan that connects community members with supports around social determinants of health challenges is proving challenging to bill and recoup revenue related to it. • Develop a service vision and long-term office space plan for downtown Bend though Health Services participation in the County's space planning committee. Funding • Awarded an 18-month Community Capacity Building grant through.PacificSource to stand up social determinant of health technology supports. Prograffl Changes • Bringing in additional resource, and developing clarity and consistency in policy, for bilingual staffing and language access services. • Move 1.0 FTE Supervisor from Crisis Program to Admin Services • Combining Public Health Front Office, Women, Infant, and Child (WIC) Front Office, and Vital Records into one team, overseen by Admin Services. 20 ADMIN SUPPORT SPEC 5 5 ADMIN SUPPORT TECH 5 11.8 6.8 ADMINISTRATIVE ASSISTANT 1 ' 1 APPL SYS ANALYST I 1 1 BEHAVL HLTH TEC H 1 1 BUSINESS OFFICER, HS 1 - 1 CLINICAL INFO SYS ADMIN 4 4 COMPLIANCE, QLIALTIY & ASSURANCE OFFICER, HS 1 1 CONTRACT SPECIALIST 1 1 CREDENTIALING SPEC 1 1 HUMAN RESANALYST ' 1 1 LANGUAGE ACCESS COORDINATOR 0 0.5 0. LANGUAGE ACCESS PROGRAM ANALYST 1 1 MANACE MENTANALYSS 5 S MANAGER BUSINESS 1 1 MANAGER HS OPERATIONS 1 1 MEDICAL RECORDS TECH 2 2 OPERATIONS COORDINATOR, HS 1 1 OPERATIONS OFFICER, HS 1 1 PATI ENT ACCT SPEC i 0.7 0.7 PATIENT AC CT SPEC iI 1.7 1.7 QUAUTYANALYST 4.5 4.5 QUALITYANALYSi, SENIOR 1 2 1 SR. DEI STRATEGIST, HS 1 1 SUPERVISOR HLTH SERV 1 1 SUPERVISOR, ADMIN 1 3 2 6 #3 IVI Behavioral Health operational Budget 3% Budget supported by General Funds Health Services Director Janice Garceau Behavioral Health Director Holly Harris Mental Health Authority (LMHA) to provide services mandated by ORS 430.610 What We Do As the designated CMHP, Deschutes County Behavioral Health ensures a system of comprehensive, coordinated, services to meet the mental health needs of the community. We provide accessible, timely, community -based behavioral health services to Deschutes County residents regardless of ability to pay. Local Mental Health Delegations of Authority • Local Mental Health Authority: County Commissioners - BoCC • Local Mental Health Agency (LMHA): Deschutes County Behavioral Health Division is authorized by the BoCC to perform Public Health LMHA requirements and responsibilities on behalf of the county (Behavioral Health is a division of Health Services) • Local Mental Health Administrator: DCHS Behavioral Health Director, authorized by the BoCC to oversee the Local Mental Health Agency 22 A 24-hour program that responds by phone or face-to- face. Services may include assessment, intervention planning, information and referral services. In addition, we provide brief crisis stabilization through individual or group treatment. • Intervention Planning • referral Services • 24/7 Crisis Coverage • 24/7 Mobile Crisis Services • Stabilization • Co Responders Individual and group treatment services to adults, children, and families with mental health and or alcohol and drug concerns. • Referral Services for continued care • Individual, Family and Group Counseling • Integrated Care with Mosaic Medical • Co -Occurring Substance Use Treatment • Psychiatric Care and medication management • Veterans Services • Parent Child Interaction Therapy (PCIT) • Care Coordination and Skills Training Provides specialty mental healthcare for individuals ages 0-25 and their families through an array of integrated, intensive outpatient care teams. • Generation Parent Management Training Oregon (GEN-PMTO) • Parent Child Interaction Therapy (PCIT) • Young Adults in Transition • The Drop • Behavioral Health Resource Network • Affirming Care (True Colors) • School Based Health Centers • System of Care • Early assessment and support alliance • Wraoaround Care coordination, referrals, treatment and supports for individuals who are forensically involved or in acute care / residential settings. • Exceptional Needs Care Coordination (ENCC) • Aid and Assist • Psychiatric Security Review Board • CHOICE MODEL • Civil Commitment investigation and monitoring • Forensic Diversion Provides intake, referrals, and care coordination for individuals of all ages, in addition, provides training and technology support to clinical staff. • Screenings/ Assessments • Referrals • Treatment Recommendations • Case Management • Brief Therapy • CCBHC Coordination • Rapid Engagement • CANS Assessments for DHS • Administrative Support for Behavioral Health Teams • BH Medical Team community based intensive treatment supports to adults with an SPMI diagnoses. • Aid and Assist • Rental Assistance • Supported Employment • Coordination of Residential � Spectrum • Two Housing Property Support • Outpatient SPMI BH • Older Adult BH Care • Integrated Care with Mosaic Medical • ACT • Homeless Outreach Services & Harm Reduction Supports people with intellectual and/or developmental disabilities (I/DD). Services are aimed at greater access to social interaction, community engagement, and employment opportunities. • Screening and investigating allegations of abuse for adults with I/DD • coordinating protective services to avoid occurrences of abuse • Applications and eligibility for services • Case Management services - assessment, service plans, authorizing/referring to chosen services and support • Monitoring authorized services Coordinated Care Organizations are the Managed Care Entities (MCEs) tasked with managing Medicaid dollars to ensure the provision of required healthcare services to OHP members in their region. CCOs contract with CMHPs for behavioral health services to their members. CCO contracts are negotiated annually, Deschutes County includes Fee for Service Revenue, Capitation and Program Allocation lines of reimbursement. The Oregon Health Authority provides Medicaid and State General Fund dollars to CMHPs through County Financial • Assistance Award (CFAA) contracts for services to indigent uninsured and key strategic investments such as block grants or pilot projects. Deschutes County receives local, state and federal grant funds. Most grants are time limited and cover distinct costs. Some grants, such as CCBHC and federal CAHOOTS funding provide enhanced Medicaid payments intended to expand services. 24 k Decreased Scores for Patient Health Questionaire 9 501/6 43% 4556 41% 42% 40% 37% �37 Yo 3 5% 30% 25% 230/ 2 W/o 15% 15% 100/0 5% 0% CY2018 CY2019 CY2020 CY2021 CY2022 CY2023 CY2024 CLIENT VISITS SINCE CCBHC IMPLEMENTATION 81347 SZ7nrit'l 77000 72000 67000 62000 100% 9 VYO 8 W/. 7 0% 60(X) 500 4 0% 30% 2 (Y.Y. 101/1, 0% 31 CY2018 CY2019 CY2020 CY2021 CY2022 CY2023 CY2024 CY2018 CY2019 CY2020 CY2021 CY2022 CY2023 CY2024 ammactual -Tarpt • Focus on reducing costly, negative health outcomes upstream. • Increase coordination with primary care • Conduct routine BMI screenings hypertension, diabetes, etc. • Enhance systems to stabilize individuals outside of emergency department and hospital through Peers, Stabilization Services, and Psychiatry. 26 DetailHE cnanges and Wrffft.Tsi *EPUTY DIRECTOR HS MANAGER, PROGRAM i 6.5 7.5 0 0.91 0.91 Clients 'Face-to-Face"'.o within 1 week 80% 0% 40% 20% 0% CY2019 CY2020 CY2021 CY2022 CY2023 CY2024 Actual -Target 28 Program • None. DetailHE ChangeS and ADM IN SUPPORT SPEC 6.5 6.5 BEHAVL HLTH SPEC 1 1 1 BEHAVL HLTH SPEC I I/BHS I I, Li c. 8 8 Primary Contact: Shannon Brister-Raugust, Program Manager https!www.c eschutes.or' heap .a e co prehensiye-care- uth- fa m dies-youn -adults u ,jam .9 Young dult outpatient NEYA An outpatient treatment program that specializesin the care and treatment for children through young adults. SGDOOI Based Services Healthcare clinics that offer a range of medical and mental health services located in a school. DOHS operates seven School -Based Health Centers in partnership with La Pine Community Health and Mosaic Medical. The EASA team offers support' services to individuals ages 12-27, who suffer from the kind of psychosis that would lead to schizophrenia if left untreated. WraparQUOURRAP Community -based support for children and youth whose mental health needs have not been met through usual services, and their families. Young AdUItS in r i The YAT team offers support and services for ages 14-24 who suffer from mental health and/or behavioral challenges. Transitional treatment and intervention helps young adults to graduate school, live a healthy, positive life and be a confident and beneficial member of our community. holders regarding barrier of children's residential care; resulted in a formal Request for Information to the Oregon Health Authority. • Expansion of services in Redmond, Oregon. We obtained a portion of our North County Campus (IYS NOCO), renovating facilities to support a second IYS campus. • Expanded Fee for Service billing to all Wraparound Medicaid enrollees. • Successfully completed 4 Year, 4 million -dollar Substance Abuse and Mental Health Services Grant. FY 26 Challenges and Opportunities • We continue to experience a shortage of Comprehensive Care for Youth, Families and Young Adults positions and providers in South County. Particularly, the need for additional therapy and case management staff in the LaPine School Based Health Center. Currently this site is staffed at a .75 QMHP, which is insufficient in supporting the volume of students and referrals. • Ongoing work at the OHA level continues, to bring Psychiatric Residential Care to Central Oregon. The Central Oregon System of Care, and Acute Care Council, in partnership with St. Charles, Pacific Source, Deschutes/Crook/Jefferson Counties, and local schools are all supportive of these actions, but need OHA funding and support. A vendor and land have been identified, if funding is available. In addition to Psychiatric Residential Care, we are working with local elected officials and community partners to decrease the gap in care for youth who enter the hospital in need of acute care services. The data highlights significant system gaps, which lead to inadequate support to our young people. 2026 presents some unique opportunities to close this gap, through legislation and partnership by increasing residential, crisis and acute care services. • Comprehensive Care for Youth, Families and Young Adults has significant space challenges in Bend. There are opportunities that would combine all youth, family and young adult services into one centralized location. • We experienced a 45% increase in The Drop attendance and have heard from our community an increased need for Drop -In hours. The Drop is currently staffed by Peers and Case Managers, who have full time caseloads and duties outlined by OAR's in addition to The Drop. Additionally,; The Drop is shared space with the Behavioral Health waiting room in Bend, and unstaffed during non -Drop hours in Redmond, limiting expansion. To expand The Drop hours, additional staffing and space are required. A 0% 9% 8 ME on CLIENT VISITS AT THE DROP CENTER T 4 5 O/o 31 FROM CY2023 100% 5 WS 0% Wraparound Graduates Attend School (.y2oi9 y 2 0/1, CY2021 (-Y2M 02M (Y2024 ommA(mod Wraparound Families Participating in Strengths 98% 97% Based Planning 97% 99% CY2019 CY2020 CY2021 CY2022 CY2023 CY2024 32 Number of People Served Through Crisis Walk-in 2500 2000 1500 1000 893 500 0 CY2020 Number of Emergency Department Diversions From Stabilization Center (Opened Oct. 2020) 2000 2084 500 1901 400 368 1342 300 ............ CY2021 CY2022 CY2023 CY2024 192 200 100 0 CY2020 CY2021 453 646 3356 174 PEOPLE SERVED THROUGH PEOPLE SERVED THROUGH NUMBER OF PEOPLE FACE i0 FACES ON CCfli PHONE BASED SUPPORT FOR DROPPED OFF BY LAW 'P36% CCAT ENFORCEMENT FROM CY2023 t 148%.', 4$% FROM CY2023 FROM CY2023 33 • t,,ammunity pasea crisis iearr� �t,�.rciy races s�rv�a �3�v;pe✓ape trrr�uyrr HrrUrr�-r�ca��u support. Opportunities • Staffing a 24/7 facility and community -based team continues to be a challenge within the behavioral health field, however we have been able to remain operational 24/7 for both programs. • There continues to be a need for increased beds across various levels of care in the state of Oregon for all ages, but in particular youth in crisis. Deschutes County, in collaboration with community partners are working to increase level of care options in our community for all ages and needs. Funding • A couple one-time grants are ending, including House Bill 5202 for 1.5 million. The crisis program continues to look for opportunities to receive consistent, ongoing funding in order for programs to remain operational 24/7. If any current grants we receive were to end, this woula also 'impact operations, however that is not currently anticipated. PrOgraM Changes • None HE Changes and Detail AD IN SUPPORT SPCLST 1 1 BEHAVL HLTH SPEC 1 9.2 7.2 -2 BEHAVL HLTH SPEC It/ BHS 11, LIC. 15.6 13.6 -2 BEHAVL HLTH TECH 4.2 4.2 MANAGER, BH PROGRAM 0.5 0.5 PEER SUPPORTSPECLST 7.2 5.2 -2 SUPERVISOR BH 2 1 -1 SUPERVISOR ADMIN 1 0 - Ct 1E79:12%lic D W1 TW Cr-a%l '4 -11 x m,- ENCC's support members who are older or have disabilities,multiple chronic conditions, high health care needs, or special health care needs. They support these individuals in referrals to residential placement services, coordination of care between providers, and ongoing case management with community residential facilities and 'licensed care systems. Aid and Assist This program serves individuals who have been found unable to aid and assist in their own defense against criminal charges as a result of their mental illness. Individuals receive treatment, skills training, case management and resource coordination, and `monitoring in order to restore their ability to participate in the legal process. affliatric SecuritBoard This program serves individuals under the jurisdiction of the State PSRB. Individuals receive monitoring specific to the conditions of their community release as well as treatment, case management and other services as indicated. Civil The civil commitment team serves individuals who have been ordered to treatment by a court as a result of their mental illness. Individuals receive assessment and monitoring throughout the process, and the team coordinates with the courts, local hospitals, attorneys and other entities involved in the process. ForensicI ri The Forensic Diversion team works with individuals who have current or previous involvement in the criminal justice system and who struggle with mental health issues. The team's goal is to prevent recidivism and provide supports to help individuals remain in the community successfully. mentai Health court -Mental Health Court is a program where individuals agree to participate in mental health treatment and other requirements for a period of 12-18 months. If the program is completed successfully, charges can be reduced or dropped entirely. Typical participation requirements include taking medications, going to therapeutic appointments, attending substance treatment if appropriate, regular drug testing, and frequent case management appointments. 35 around clients involved in the systems. • The Forensic Diversion team added a new case manager position, which is embedded with the Parole and Probation (P&P) Department, to improve access to behavioral health services for those individuals under P&P opportunitiesFY 26 Challenges and • Community programs in the forensic realm continue to be underfunded, while caseloads increase and responsibility is funneled to counties to provide solutions for these populations. • There is a severe shortage in community resources needed for these populations, specifically residential treatment services. Funding • 'None Program ® None FTE Ch3ngeS and Detail ADMINISTRATIVE ASSISTANT 0 1 BEHAVIORAL HEALTH SPEC II/BEHAVL HLTH SPEC II, LIC 0 5.5 BEHAVL HLTH SPEC 1 0 6 PEER SUPPORT SPECLST 0 3 SUPERVISOR BH 0 2 • Case Management: Case management services are provided to all eligible kids and adults. • Adult Abuse Investigation: Investigative authority for I/DD Adults in Deschutes, Crook and Jefferson Counties. • Foster Home Licensing: Adult and child foster licensing, certification, renewal and monitoring. When Case Management is fully funded: o Rapid Response to changing needs or crisis situations. o Services are coordinated with community partners. o Assurance that individual needs and goals are being met. o Long term relationship with their Service Coordinators. o Prevention and protection from abuse and neglect. o Timely access to medical supports, employment, and housing. In order to participate in the match program the following must be met: o Actual expenses are more than State base rate (FY26 expenses must be >$6.1 million). o Reach service goals (# of encounters): 11k encounters per year. o Have enough CGF (approximately 41% of Actual expense). o Have enough CGF for uncovered indirect costs. IntellectuaILDevello nDeschutes Count • Intake, eligibility determination, referral • Case management and service coordination for adults and children • Individualized planning and support • Protective service investigations and support (for adults) • Vocational services • Residential services • Family support r OG�JTES COGS • Comprehensive in -home supports z { • Foster care • Employment First4 ' 'I Annual Increase in Service Population 1200 1000 800 600 400 200 20`% 16000 18% 14000 1&Y 12000 14% 10000 12% 8000 10% 6000 8'% 4000 6% 2000 4% 0 2% 0 0% CY2020 CY2021 CY2022 CY2023 CY2.024 Actual - 1WV,,A 100070 Individual Service Plans Renewed on Time 38 Billable Contacts CY2019 CY2020 CY2021 CY2022 CY2023 CY2024 iments • uompiezea a; prograf ] UUUII Jy LIIU JIULU k4UUIILY /AbbUIUI ILC ICUI I 1 VVRI 1 U 1 1191 1 U%V I CG VI compliance consistent with prior program reviews. • Administered a grant projectutilizing over $100,000 in ARPA funding to provide disaster readiness supplies and ,equipment for individuals with I/DD, increasing their readiness and decreasing their reliance upon first responders during emergencies. Challenges • The I/DD program is partnering with Behavioral Health in the development of a new residential licensed home to serve adults with I/DD who have co-occurring mental health conditions. This project will help serve these specific needs locally rather than relying upon seeking these types of services outside Deschutes County. • Program is faced with transitioning this next budget year to a new electronic record system the State (DHS-ODDS) is developing and rolling out state-wide. This will be a significant change for our personnel to navigate while maintaining the high level of service quality our community relies upon us for. • Sustainability: Funding projections from our contractor are uncertain and operating costs continue to increase, so our program will be actively explorina efficiencies that will allow us to continue at current service and quality levels while our enrollment numbers continue to climb. i" 6I.i l `f I i v f1.j% r 1 1 will 1 L4J1 I Vv W., vw DDS 1 27 27 DDS 11 MANAGEMENT ANALYST 1 1 SIB ACCOUNTI HG TECH 1 1 SUPERVISOR HLTH SER'V 1 1 SUPERVISOR IDDS 3 3 %A1 i%A 1V%, �w . — Primary contact Kara Cronin, _Pro gram Dana e_r WebaLitg: _https:flwww.desch utes.orgLhealth [page /i ntensive- adult -services _Assertivecommunit y !_routment (A —CT) - ACT is a community -based program that provides intensive community based behavioral health treatment to adults with Severe and Persistent Mental Illness (SPMI). ACT's high intensity supports serves individuals who are most at -risk for psychiatric hospitalization and for whom traditional outpatient services have not been successful. CQAST)_ COAST is a group of specialty programs that provide services to individuals with SPMI diagnosis. community-suppQrt services (Css)- CSS Outpatient Treatment Team provides a blend of community and office -based services, focused on intensive treatment and supports for individuals living with a SPMI. Harriman Health Care - Peer Support Specialists on the CSS team work in coordination with the co -located and integrated Mosaic Medical primary care clinic, to improve medical and behavioral health outcomes for people with SPMI. HoMelegg OUtreaCh SerVICOS 1eq_M(H_051). HOST team provides street outreach and case management support to houseless individuals with Serious Mental Illness and/or Substance Use Disorders. Intensive Adult Services (IAS) Clients Who Show for IAS Appointments 94% 1001 7 2 84% 85% 7 4 9K 2 Cr,", 0 IX CY2019 CY2020 MWI CY2022 CY2023 CYZ024 -Actual -Target 10011S say;, % of Rental Assistance Clients Stably Housed 1001% Wl;. 80-1111, 60-A 4 01,.; 044 891.111c CY2019 CY2020 CY2021 CY2022 CY2023 CY2024 NEMActual -Target % of Harriman Health Care (HHC) Clients Who Showed for HHC Appointments say Z6 75% 011V1 CY2019 CY2020 CY2021 CY2022 CY2023 CY2024 41 opportunitiesFY 26 Challenges and There are some community housing programs coming online that are likely going to support our clientele. Funding • We are exploring potential certification for Environmental Council of the States (ECOS) that may expand revenue for our Older Adult and Homeless Outreach Services teams. • Older Adult Behavioral Health Initiative (OABHI) is funding an additional position for our Older Adult team. • The department underwent some restructuring, creating a Forensic and Acute Care Services program. Residential, Aid and Assist, PSRB, and Mental Health Court are now a part of this new program and are no longer a part of Intensive Adult Services. Detail ADMINISTRATIVE ASSISTANT 1 -1 BEHAVL HLTH TECH 1.6 -16 BEHAVL HLTH SPEC I 22 16 -6 BEHAVL HLTH SPEC III BEHAVL HLTH SPEC II, LIC 14 11.5 -2.5 COMM HEALTH SPEC 1 1 1 COMM HEALTH SPEC III 1 -1 PEER SUPPORT SPECLST 12 10 -2 PUBLIC HTH NURSE 11 0.5 0.5 Medical Director 0.09 0.9 SUPERVISOR BH 4 3 -1 SUPERVISOR HLTH SERV 1 1 Providers rotate one timea month for half a day partnering with the homeless outreach team to bring psychiatric services directly to China Hat. Much of the work is building rapport and working to identify people suffering from severe mental illness an assessment, medication if indicated, and connection to services. 0 Addiction Medicine P—grammllng_ Use knowledge and expertise of our staff to enhance our SUD Services agency wide. Harm Reduption (HRP) HRP provides syringe exchange, Narcan and other supplies and supports to people who use drugs, with the goal of reducing health and safety risks associated with substance use. 180 160 140 120 100 so 60 Number of known overdose reversals from D;CWS Harm Reduction Services MIN CY2020 CY2021 CY2022 CY2023 CY2024 43 • Added urgent care, drop -in crisis psychiatric services to the Stabilization Center. • Expanded Harm Reduction Services to Sisters`. • Hosted 5 Psychiatric Mental HealthNurse Practitioner (PMHNP) students. OpportunitiesFY 26 Challenges and • Continue to expand crisis psychiatric services at Deschutes County Stabilization Center (DCSC). • Continue to expand and restructure street psychiatry to meet the need of our unhoused population. • Continue our efforts to eliminate all telehealth contracts and transition to all in person LMHP's. • Add a clozapine clinic to support independence and stability for clients ready to transition to maintenancemodel. FY 25 Funding Changes • None. PrOgraM Changes • The Harm Reduction team was moved under the medical team umbrella. • The team added a supervisor to support the team growth. HE changes and l MEDICALDIRECTOR 1 0 -1. BEHAVL HLTH TECH 0.375 1.005 0.63 BEHAVL HLTH SPEC I 0 1 1 COMM HEALTH SPEC Ill 0 1 1 PSYCH NURSE PRACTNR 4 3.5 -0.5 PSYCHIATRIST 3.8 3.8 PUBLIC HTH NURSE It 5.625 5.625 SUPERVISOR HLTH SERV 1 1 Adult QuIpatt t t ( Located at our Courtney Clinic in Bend, our AOPIC teamprovides outpatient mental health care with a focus on providing treatment in partnership with Mosaic medical to serve people who are experiencing co-occurring mental health, chronic medical, and substance use challenges. Adult Outpqtlent Comp ex Care (A-OPCC)- Located at our Courtney Clinic in Bend, our AOPCC team provides outpatient treatment with a focus on providing co-occurring substance use and mental health treatment. We provide a wide array of options including peer support, case management, groups, psychiatric care, and individual counseling. Located in La Pine, provides outpatient mental health and substance use treatment to all ages in South Deschutes County and North Klamath County. Services include counseling, psychiatric care, case management, peer support, supported employment, and care coordination. Our SoCo Hub partners with La Pine Community Health Center to support clients in meeting their health and wellness goals. North County Hub (KOCO)- Located in Redmond, provides outpatient mental health and substance use treatment services to people of all ages with a focus on improving health and wellbeing. Community and office based services are offered to residents of Northern Deschutes County. A multidisciplinary team approach is utilized to support people in meeting their treatment goals. Mosaic Medical provides onsite medical care, working in partnership with our NoCo staff. r 45 changes made to our documentation requirements. This has improved morale and work satisfaction. Engaged in a continuous improvement process to identify gaps and improve our processes to better serve our clients. FY 26 MUMS 8nd Opportunities • Space continues to be a challenge in our South County Clinic. We do not have enough space to accommodate all the staff that we have and the services that we provide. • Our North County and AOP teams are in need of additional funding to support a more robust case management and peer support team. • High level of acuity and complex needs of the population we serve coupled with a lack of access to needed resources that support recovery. FY 25 Funding Changes ® None. Emergency Department Visits for High Utilizer Coordination of Care Increase of Co -Enrolled Clients w/ Population Served w/Mosaic Medical Mosaic Medical and LaPine Community Health Clinic 400 347 342 334 354 343 350 8OX 300 70')' 6 (YX, 250 0 200 40% 30% 2 0% 100 01X 0% 50 86% 83% 81% 47% 1 CY 2020 CY2021 CY2022 CY2023 CY2024 0 CY2020 CY2021 CY2022 CY2023 CY2024 WMActual -Target ` a' �'s 4 i �;: 11 600 400 200 0 100% 901% 801% 7 GX 60% 501% 4 0% 3 0% 20%, 101 0% 25 6 20A L 1 2 14 6.1 0 w"e. wtakm Oregon E"IwV,086ZT we SyiZelil (ORPHEUSFW6 (a%u1,X0 Oiftg kfflefkaf) NA4 toe] nI a wf"14y,Q25, CY2019 CY2020 CY2021 CY2022 CY2023 CY2024 % of DCHS Clients that are Pregnant Receiving Prenatal Care in the 1st Trimester 95% 90% 93% 91% 92% 89.50% CY2019 CY2020 CY2021 CY2022 CY2023 CY2024 WMActual -faigM 48 E3 To Promote and Protect the Health and Safety of Our Community $20e8M What We Do Public Health Operating Budget Public Health promotes and protects the health of everyone who lives, works, Budget and plays in Deschutes County: 23% . Prevent, investigate and protect people from communicable diseases. . Ensure safe food and water. Budget supported e Promote health and prevent chronic disease and injury. by General Funds . Prepare for and respond to natural or human caused emergencies and emerging health threats. 90.95 • Ensure equitable access to preventive health services. • Create and ensure conditions that equitably improve health and well- being for all • Foster policy, systems and environmental change to prevent and reduce unhealthy behaviors and reduce healthcare costs. • Convene community engagement to sustainably prioritize change across multiple sectors and systems of care. , p %AEALTFf or uG F G 4.e pablic hearth O r»rfa7rn7etwo �4"'ti o t Accitt0i0 Health Services ® Local Public Health Authority: County Commissioners - BoCC. Director ® Local Public Health Agency aPHA): Deschutes County Public Health Division is Janice Garceau authorized by the BoCC to perform Public Health requirements and responsibilities on behalf of the county (Public Health is a division of Health Services). Public Health ® Local Public Health Administrator: DCHS PH Director, authorized by the BoCC to Director oversee the Local Public Health Agency. Heather Kaisner 49 The Oregon Health Authority provides Federal Grant and State General Fund dollars to local public health • authorities through the Intergovernmental Agreement (IGA) for the Financing of Public Health Services. The IGA sets forth the duties, functions and responsibilities of the local public health authority. Deschutes County Public Health receives local, state, and federal grant funds. Most grants are time limited and cover distinct costs and programs. A limited number of Public Health services collect fees through licensing, birth and death certificates, and insurance billing for clinical preventative services. Local resources applied to help cover costs of mandated or other county service priorities not covered by health issues. Primary .Contact'. HeatherKa.1sneir, Public Health Dep ty irector W e b ai t a�_b t t P—s !Lw w w . d e s c h u t e s . o r g health P-.-a g -el P--u b lil c - —he a I t h Broad Public Health Goal, Promote and protect the health of people in Deschutes County through: * Preventing the spread of communicable diseases and outbreaks * Food and consumer safety, * Clean and safe drinking water * Ensuring access to essential preventative health services * Helping new parents and babies get off to a healthy start * Education about healthy lifestyles * Reducing and preventing high -risk behaviors among youth * Responding to pandemics, climate impacts, and other emerging health P Ub 01 CH ea I t hM od e r Wi z a VI o n A set of foundational capabilities and programs to ensure a core set of public health services is available in every county in Oregon. Deschutes County Public Health continues to move toward full implementation of Public Health Modernization and received increased State funding in the FY 24-25 Biennium. This public health transformation focuses on ensuring all communities have the same health protections through a sustainable public health system ready to respond to current and future public health challenges. Modernized framework for governmental public health services 0 Additional progranis NMI pirmiam"-. pubfir Health Modernization Foundalronal programs and capavilifies are Cn at every eqtily aW Wwal rew� present heafth department. 0 0101i" 0myluiv mwxw 0 Adk A-,. wrn a, t md eryd'ln"Vv' 51 is o active monitoring ana implementation or a spiKe response ana communication plan, o real time data collaboration with the County Medical Examiner, o providing monthly situational awareness to community partners, o development of public education campaigns, o implementation of a county -wide needs assessment, and feasibility assessment of community Naloxone distribution containers. • Preliminary data is showing Deschutes County rate of overdose deaths is substantially lower than the State rate. • Continued to assess programs and services to ensure ongoing sustainability and changing community needs. This resulted in moving HIV case management services to a local community -based organization and pivoting away from providing direct reproductive health services to ensuring quality access and providing technical and subject matter expertise to all clinics in the community. • Stable funding for core Public Health services to prevent and respond to emerging issues and threats continues to be a challenge. • Continued challenges in recruiting and retaining clinical Registered Nurse (RN) positions. • Growing threat of communicable diseases such as syphilis, pertussis, and measles. • Opportunity to advocate for more primary prevention and public health modernization funding at the State level. � '� o ;. " _ � ;� � , conditions that are harmful to our community both socially and; financially. Primary Contact: Jessica Jacks, Program Manager ebsite. tt ,/ www.deschutes.or , health p e tay ng--nealthy= prevention Adolle-scent -Health Provides information, training, and materials to assure comprehensive sexuality education is accessible to all adolescents. Coordinates the My Future -My Choice (MFMC) program for Deschutes County. MFMC is a sexuality education curriculum that meets 6th grade requirements set by the Oregon Department of Education. HeafthyUhools Local partnership between Deschutes County and Bend -La Pine Schools embedding public health services directly within schools to assure students, families, and school staff have access to high quality prevention and health promotion programs and services through their K-12 school. i o m w a ks i Public Health expertise to ensure proactive policies, systems, and environments are in place in order to prevent suicide death and attempts and to promote community resilience among all age groups. GamblingSubstance Misuse and Problem Public Health expertise to ensure policies, systems, and environments align to prevent and reduce problem gambling, misuse of tobacco, alcohol, cannabis, and prescription drug or illicit drug use among all age groups. Fosters youth -adult partnerships and youth -led projects to ensure student voice and leadership in mental health promotion and advocacy for School Based Health Centers. 2022 Deschutes 11th Grade, 30-Day Use of Substances 25 zz.s Suicide Death Rate by Age, Deschutes County, 2000-2024 a Atcohoi MaIijuanrw E-cigarette "DeFellU es Oregon OPHAT, CDC Wonder 2022 Oregon Student Health Survey * data for 2023-2024 is preliminary and subject to change • Creation and implementation of the Overdose Surveillance and Response Plan, which outlines how Deschutes County mobilizes and responds to increases in substance -related harms, especially fatalities. • Collaborative development of a Central Oregon Secure firearm Storage program, including a marketing campaign, community awareness, and distribution of firearm locks and safes for suicide prevention. • In partnership with Spanish-speaking community, partners, ensure all Prevention and Health Promotion resources, educational materials, campaigns, and outreach events are translated and culturally relevant. FY 26 Challenges and Opportunities • Prevention requires long-term investment to result in cost savings and improved community health (e.g. reductions in costs for healthcare, criminal justice, education, social welfare, etc.). • Funding has historically been stratified across few stable resources and multiple short-term grants. This results in frequent staff "turnover, instability of program delivery, an -a' requires stall to spend time on resource development instead of program implementation. • Oregon suicide legislation has significant gaps; all suicide postvention legislation are unfunded. In addition, legislation does not include Community Colleges, does not include youth who have parents who have died by suicide, nor youth who have attempted suicide. • Overdose postvention legislation has been based on suicide postvention legislation, which has not been evaluated for effectiveness and is also an unfunded mandate. • Changes in some OHA program requirements are allowing for integration of service areas across Prevention where prior requirements were very siloing. An example is fiscal support from Tobacco Prevention for Healthy Schools programming. Differences to 3,61 t Deschutes County youth behavioral health ED visas between the intervention and comparison groups before and after unplementation of Healthy Schools Tp.t 1111 1 11 81 1 1llt Healthy Schools 2019 2020 2021 Z022 —intervention Group —Comparison Group S00 450 408 400 324 197 350 c 300 u, 250 a 200 6 150 E 100 0� Healthy Schools Family Night Zu23 2u24 IIntervention Begins to reach stUdenas Intervention Gtoup -..kxpected number of ED visits based on baseline and comparison trend lines prevention community collaboration. • The Behavioral Health 2023 Shared Savings Investment funds were awarded to Deschutes County for Calendar year 2026 to support Healthy Schools. • The Opioid Settlement Board through OHA has awarded counties one-time funds to support" primary drug prevention strategies and workforce support • The CDC Drug Free Communities grant sunsets in September 2025. • The OHA anticipates a 20% reduction in biennial allocations for Tobacco Prevention. r • Loss of the 1.0 FTE Public Health Educator II in Adolescent Health. This work prevents or delays initiation of adolescent sex, prevents sexually transmitted infections and teen pregnancies, and builds youth's skills to make informed choices about relationships and their health. l s• COMM HEALTH SPEC 11 6.8 i COMM HEALTH EPIDEMIOLOGISTr PUBLIC HEALTH ED 1 0.3 i i development, ;and communication. These efforts continue to be integrated across all public health program areas. The Environmental Public Health Program stands out for its dedication to community protection, ensuring the safety of vital resources' like food, air, and water. Through a combination of prevention education initiatives and regulatory inspections, the program actively safeguards public health, reflecting a commitment to proactive health promotion and disease prevention. Primary Contact: Emily Horton, Program Manager Website: https:J/www.desohutes.org health page/environmental-health https://www.deschutes.org health page emergency_preparedness Monitors and strengthens the abilities of Deschutes County and our healthcare systems to protect the public's health in disaster situations, such as disease pandemics and epidemics, chemical and radiological releases, severe weather, and natural disasters. w ®� �, ®® ®� Assessing the effectiveness of public health programs and their outcomes, as well as continuously analyzing health risks within our community. CommunicaVions outreach and engagement efforts targeting all communities and demographic groups, with a specific focus on tailored outreach for those experiencing health inequities. Fostering collaborative relationships across different sectors of the community and engaging in strategic planning with community -based organizations and partners to achieve public health objectives. CrisisHealth Risk and i i Disseminating information regarding local public health risks and advising individuals on steps to safeguard themselves, their families and the community. - - - - - - Inspection of 63 local area school lunch programs serving students of Deschutes County. Food Handier and Manager TraWning_ Food handler training and certified food manager training offered to local business owners and their staff. RrLinking Water Education and Regmiatory Management Administration and enforcement of drinking water quality standards for the 185 Deschutes County public water systems. Educational outreach and technical support for private well owners throughout the county. Child-care FaCirifles inspection and educational outreach of 165 Childcare facilities, including pre-school, Headstart and Pre-K. Enmonmental Hazgrd Resp nse a_ Response to detected elevated blood lead level cases including education, investigation and environmental assessment. Respond to 300-400 animal bites/year. Provide consultation on rabies risk, quarantine and testing options to individuals, families, veterinarians and community organizations. Respond to community questions and concerns for environmental health hazards such as blue green algae, air quality and mold. Indo2r Air QUarity_ErogLam Direct outreach and education to schools and childcares including providing air quality monitors and follow up related to poor air quality. Climate and Health Community education, communications and coordination for climate and health issues including wildfire smoke, extreme heat, drought, vector borne disease, and wildfires. (standards 3, 7 and 9). • Award winning Public Health Emergency Preparedness Program- Expanded exercises and Medical Reserve Corps development through mission sets and training.; ies • Continuing reliance on fees foenges and ur Environmental Health EH services. g ( ) • Economic challenges for licensed Mobile Food Units (MFU), Oregon State Fire Marshal now requiring installation of a Type 1 grease hood. Requirement went into effect Jan. 1, 2025. Average cost of hood is $3k-6k. Anticipated decrease in number of MFU operating. • Upcoming retirements of staff with decades of experience, program expertise and institutional knowledge. Leveraging built relationships with community partners and better capitalization on Oregon Health Authority Community Based Organization funding work to align programmatic goals and objectives with community organizations. Funding • NEHA-FDA Grants: o Year 1 (April 1, 2025-March 31, 2026) $21,500 a Year 2 (April 1, 2026 - March 31, 2027) $15,000 o Year 3 (April 1, 2027 - March 31, 2028) $15,000 • increased county investment in EH including Video Lottery Funds, Transient Room Tax, and County General Funds. • MRC STRONG Grant ending Program • EHS-Net Grant: Anticipated. $200,000 for budget period beginning Sept. 30, 2025. Expected Award Announcement Date: August 29, 2025 "C' � £ � � � � t � �l � a � �e�' 9 � ��c�'?'"�%4;� B J '.. �1r ✓-��jpj 4 �.Fa"t'�: • 63 flu vaccines provided to the Community tnrougn outreacn and safety net c11nICS. 4/v otner vaccines provided through safety net clinic. • 418 people subscribed to the flu report in 2024, compared to 472 in 2023 and 382 in 2022 • Successful, timely school exclusion process during school year 2023/2024. • Strengthened Local Public Health Authority (LPHA) 'partnership with congregate settings. • Created and updated Standard Operating Procedures (SOPs) for immunization programs. • 98% of syphilis cases were interviewed and received appropriate treatment: 74% of these cases received treatment from the STI/HIV nurses, • The STI/HIV Team conducted 59 outreach testing events in CY24 providing rapid testing, education and referrals (401 HIV, 372 Hep C, and 391 syphilis). • Initiated framework for conducting a community assessment of reproductive health access and barriers. Y 26 MflengeS and Oppoitunities • Vaccine hesitancy. • Staffing changes causing increased workloads. • Syphilis is a complicated disease STI nurses spent over 180 hours in CY24 following up on syphilis labs that did not result in a case. • Increased opportunities to collaborate with providers and the community through the 'Access to Preventive Clinical Services' program element. n.Ls cute , A" - W', 1.,. anti Ci. _� gin. 2015 7-1 ,..`u;e,«:. :Ufegu. ,t7i,-7t1�4 V.1 Program • The Ryan White Case Management Program will be transitioned to Eastern Oregon Council on Independent Living (EOCIL) starting FY26. EOCIL has provided Ryan White services since 2003 and currently serves 14 other Eastern Oregon Counties. FTE Changes and Detail ADM IN SUPPORT SPEC 0.8 0.8 COMM HEALTH SPEC II ` 2 MANAGEMENT ANALYST 1 1 PUBLIC HEALTH Ea l 0.7 0 -0.7 PUBLIC ;E U I EU IIO PUBUCHTH NURSE II 5 4 -1 PUBLICHTH NURSE III - -1 1 SUPERVISOR HLTH SERV 2 2 , Pertussis Case Counts, Deschutes County(2008-2024) so 72 70 60 61 60 3 50 40 (pj 40 y 30 22 U 20 14 ® 6 la 0 190 ^o'' ,A,� rg3 41 Year Investigatedand Controlled Communicable Disease Outbreaks 500 450 432 400 350 300 2'0 200 172 1S0 NO 50 20 own CY2014 CY2020 CYZ021 193 645 67 CY2022 CY2023 CY2024 # of Non Covid-19 Communicable Diseases/STDs subscriptions to the Flu Report Reported & Investigated 500 d400 ldilb 40 4'72 4W 1200 962 1009 4.10 418 420 ICAO 696 934 934 S(k. 40U 382 600 3651 3Gd SeYJ 40* 34© 200 320 n 3CX1 CY2019 CY2020 CY2021 CY7.022 CY2023 MOM CY OL CYi0 2 (NNI cyY 024 63 100% 9 (YI/I a TI, 70Y. 60% 5a/I 4 W,, 301/. 20' X 101/. 0% % of DOHS Clients that are Pregnant Receiving Prenatal Care in the 1st Trimester 95% 90% 93% 91% 92% 89.50% 100% CY2019 CY2020 CY2021 CY2022 CY2023 CY2024 Percent of Oregon Health Plan Births Served by WIC 0. o . < ...... 0. a « e ... e . .0 .... s > . o . .0 . > ... 9()% 660 CY2019 CY2020 CY2021 CY2022 CY2023 CY2024 WMActUal —0—Target —4—Actual 64 UeClInIny (;USe1UUUS. AL LIIU Url/A UK:" H IIUI ftivitm III IVIUY /-U/--+, VV I,— VVUb I wuujllwuu I UI consistently serving above their assigned caseload. Deschutes County WIC accounts for 4% of the state's caseload, yet it accounts for 10% of the state's increased participation. • PCC celebrated its 9th anniversary in October 2024. With the expansion and growth of the program, the team has been able to cast a wider net in the community providing more support to pregnant and postpartum people. Since the PCC program was launched, they have served over 8,000 pregnant and postpartum individuals in the community! FY 26 Challenges and Opportunities • The Clinical & Family Services leadership team with the support of Health Services' Business Intelligence team are developing a data -driven strategic plan that will optimize the NFSS and PCC team structures to balance workloads, provide redundancy for TML/vacancies, decrease burnout, enhance longevity, and increase revenue thereby ensuring sustainability. • Family Connects Oregon continues to evolve at the state and local levels, challenged by underutilization. The latter half of FY25 and FY26 will be focused on assessment and optimization of the Family Connects program including community demand, staffing support, and fiscal stewardship. WIC's great success at reaching and serving more 17 families in Deschutes County has resulted in increased staff workload and coverage pressures. The challenge will be to meet this demand and prepare for continued increase in participants while maintaining awareness of fiscal constraints. AD►MIN SUPPORT SPEC 2 2 MANAGER CIJNICALSERVICES 0.2 0 -0.2 LANGUAGE ACCESS 000 RD! NATOR 0.5 0 -0. ADMI N SUPPORT TECH 6.8 0 -6.$ MEDICAL ASSISTANCE,CERTIFIED 0.3 0 -0.3 NURSE PRACTITIONER 1 0 -1 PHYS CLINICAL SVC 0.5 0 -0.5 PUBUCHEALTH EC I 2.6 2.6 PUBLIC HEALTH EU II 4 4 PUBUCHEALTH ED III 0.75 0.75 PUBLICHTH NURSE 11 6.35 7.35 1 PUBUCHTH NURSE 111 2 1 -1 REGISTERED DIETITIAN 1.4 1.4 SUPERVISQRADMIN 1 0 -1 SUPERVISOR HLTH SERV 3 2 -1 d o o0 o 0 0 2 0 o t 2 0 ! o to (D O Cl) (o O LO (D O Ln Cl) OO N OV N e R i t i (0 (o N N ti O O O 1-- (0 (O LO t- LL LL r 00 O t- M d M O O V 0) V V N L=6 � O Cl)r- 0000 ((o Nh t- OD E 'C M Co Cl) o0 00 � d7 O In Co N O N E 0 E fH Cl) O n U3 6q fA (Y of V c 0 0 0 0 0 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ,�R, @ CA � C C ++ 4 LO CD CO 0 00 0 M O N LO O d 0 0 C ,a t� N O N t- Cly 0' p E a) e d o E U U 0) d N_ o N_ lil N CD CD (A (o t- N (�j N CD LO (fl O O O 00 O CV ' ' O O 0) N ' co (o 01 t- O O O O (0 .a M O v O N w Ln t-- N LO O ti (fl Ln v 0 V N (= (o O y N 00 O C4 Lf 0) 0) M � r Cl) 00 V' (o Co m In ti O 00 O >- Q LO O r Ln t� (o N (o LL Cl) 'IT o O O fR 69 K3 ? 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C O U1 O ro ro (d ro N U rl O 'A W W S4 }4 E C O U U) 1 q S4 E F E E q) N 1 r 44 C F E r U1 r-Irl rl rl O O N E , U I ro m lD M m 4j (: r JJ Ln 4J p w 1 y4 o 11 In io O O m O m O z7 rD 1 E H r1 H r, H U H F H H Qn 1 Cl m C1 C1 O N W 0 * v IT It 'v * * m * * Ln Limited Growth Strategies by Department Department/Office: Health Services - Public Health 2. Limited Growth Target: $190,000 from limited growth; $1,800,000 original funding gap 3. What % of Total Budget is the Department/Office's Limited Growth Target: 0.8% 4. Over the past three years, what trends are observed about the Department / Office's total budget utilization? On average, Public Health underspent its budget by approximately $1.5M, expending 91 % of budget. However, this fluctuated from $2.3M in FY 2022 and $795K in FY 2024. While Public Health budgets for vacancy savings, the amount under budget correlates to higher levels of vacancy rates (above what was budgeted). For instance, FY 2022 experienced $2.3M under budget with an average 15% vacancy (3% budgeted) whereas FY 2024's average vacancy was 9% (6% budgeted) and was under budget by $795K. The amount of reimbursement grants can further misconstrue numbers; meaning, while actuals may be under budget, there may not be revenue received for expenses not incurred. 5. Over the past three years, what trends are observed about the Department / Office's vacancy rate? Over the past three years, the vacancy rate fluctuated --a high of 23% in June 2022 and low of 4% in July 2024 (which is closer to pre-Covid levels). Over this timeframe, the average vacancy rate has been 11%. 6. Please describe limited growth strategies here. As Public Health looks ahead to FY 2026, many state awards remain flat, Covid-related emergency funding ends, community needs shift, and county funding becomes limited. The identified funding need of $1.8 million is addressed through the following strategies: Approximately 30% of the savings comes from proactively assessing programs and service needs during FY 2025, resulting in ending some direct services (such as the Reproductive Health clinical services) and transitioning other services to community -based organizations (such as the Ryan White Program). The decision to end clinical services took into account decreased patient utilization, increased community access, increased access to OHP, and longer lasting birth control options. This resulted in fiscal savings that will be applied to FY 2026 to mitigate the impacts of limited growth targets and increased personnel and indirect costs in FY 2026. Approximately 10% savings comes from eliminating 1.0 FTE, a vacant Infection Prevention Specialist. Several other positions are also ending, including 2.0 FTE limited duration staff and 3.7 FTE related to the Reproductive Health Clinic. 103 Limited Growth Strategies by Department Approximately 30% of the savings necessary is resolved through actively seeking additional funding — both competitive grants as well as negotiating and leveraging enhanced payment models. (e.g., PacificSource and Medicaid Administrative Claims (MAC) reimbursement). The Prevention Program actively sought and was awarded several local and state funding opportunities, a net increase of approximately $300,000 in FY 2026. This, coupled with a higher indirect rate of 15% instead of 10% on most grants, provided an opportunity to redistribute County General Funds to Environmental Health to assist in offsetting the County investment and higher fees. The department negotiated a higher per member per month rate with its Coordinated Care Organization for the Perinatal Care Continuum, increasing revenue by $50,000 annually. The department is training and adding additional individuals to the MAC program in FY 2026, a program that allows for enhanced Medicaid reimbursement with a local match. It is anticipated to add $240,000 in additional Medicaid revenue. Approximately 30% of limited growth target -related savings comes from Environmental Health (EH), which had approximately $665,000 gap when maintaining TRT investment at the FY 2025 level. To address this, the department is employing a number of strategies, such as: • Reclassify an anticipated vacant Environmental Health Specialist III to an Environmental Health Specialist II, savings of approximately $34,000; • Increase EH fees an average of 5 percent, additional revenue of $100,000; RPallnratP Cm inty C;PnPral Funds from other departmental programs to offset, includiniz $140,000 from Prevention (due to new grants identified as stated above), $86,000 from closure of Reproductive Health Clinics, and $112,000 from Behavioral Health; • Request continued Video Lottery Fund investment of $208,770, a 16 percent reduction from FY 2025 allocation. Board approved $108,770 of Video Lottery funds and $100,000 of Transient Room Tax revenue. WIZ! • • LJLJ .uq • 9 U .N .'A ._ L0] 0 (Y) �.r V) i-J N tA E 1.1.1 � o lfl ®-. 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LL a E s I. 1 8 8 3 B END L A P I N E S c h o o l s EG UCAT[ NG THRIVING STV DEN'rS April 14, 2025 OFFICE OF THE SUPERINTENDENT Dear Deschutes County Board of County Commissioners and Budget Committee: Education Center 520 N. W. Wall Street Bend, Oregon 97703 This letter is to confirm Bend -La Pine Schools' commitment to work with you for years to come through the Healthy Schools initiative, including our commitment to 50% matching funding. We have seen extensive benefit to our districts' students and families and staff and administrators in this short amount of time and we are eager to maintain this momentum. This partnership has resulteu m dramatic health benefits for our students. For example, we have preliminary results indicating that, for the 2024 calendar year, 21 % (84 of 408) of expected behavioral health emergencies were prevented. Healthy Schools has prevented emergences related to behavioral health by: • improving linkages to care and community resources for prevention and early intervention, • reducing policy -to -practice and research -to -practice gaps in Health curriculum and instruction, • increasing health communications and engagement opportunities for families, and • improving coordination as a "Whole School, Whole Community, Whole Child" system of support for prevention efforts. Schools are being asked to do more and more in order to address growing public health issues and crises (such as vaping, youth mental health, opioid use). Healthy Schools has helped to ensure that prevention expertise is reaching our students and staff and not resting on the shoulders of our teachers and administrators to do work that they were not trained in. This allows our teachers and administrators to focus on the work they do best. Thank you for this opportunity to partner and strengthen our community together. Dr. Steven Cook Superintendent, Bend -La Pine Schools 126 w 541-593-8622 Sunriver ��'� ssdadmin@sunriversd.org g Service District �Qv 57475Abbot Dr, Sunriver 'ypa PO Box 2108, Sunriver, OR 97707 MEMORANDUM Date: May 14, 2025 To: Deschutes County Budget Committee From: Sunriver Service District Board and Staff RE: Fiscal Year `26 Budget Summary The Sunriver Service District is pleased to deliver its Fiscal Year `26 Budget for approval. The District remains conscious of its mission to provide public safety for the Sunriver community and support partners in the surrounding area. We also remain diligent in our use of taxpayer funds. 124/'25 Fiscal Year Recap While the District is projecting to finish FY'25 under budget with a surplus, this was mostly accomplished through a lack of staffing in key Police Department positions. We have taken significant action to fill these positions, and do not expect significant savings in personnel again for the upcoming fiscal year. The District also continued its transition of HR, Finance, and Legal to in-house or less expensive contract services. Our public safety building project was finished on -time and on -budget, though several open items remain deferred to be addressed later. 125/126 Fiscal Year For FY'26 the District is monitoring staffing levels. We will hold the Police Captain position open for at least half a year while the new Police Chief looks at organizational efficiencies. We are also evaluating fire reorganization but have not modeled that into the budget at this time. The District continues to look at the Reserve plans given the addition of the new building and future maintenance costs. Operating Fund The Operating Fund (715) supports the personnel, materials and services necessary for the District to function. Revenues are budgeted to grow at 3.2%, as the District bounds are mostly developed. Personnel costs are increasing at 6.7% due to cost -of -living wage increases required by labor contracts and increases in insurance, while materials and services costs remain flat. Combined with the Reserve Fund contribution, overall expenses are growing at 5.2%. Department Changes/Goals Police Department Evaluating a reorganization to reduce administrative overhead. Continued focus on recruiting and retention. Adding seasonal resources, such as bike patrol. Fire Department • Continue to evaluate staffing models and overall organizational structure. • Integration of some training and command coverage with La Pine Fire. • Evaluate overtime budget and ways to be more fiscally responsible. Administration Department • Administrating health and wellness programs for employees. • The Administration budget now manages district -wide expenses. • Maintain financial policy compliance using contracted CPA resource. • Explore ways to reduce District contract costs. Reserve Fund Reserve Fund (716) resources are budgeted to remain flat given interest income, as well as a net recovery contribution from Fund 715. The proposed capital requests include replacement of one Fire vehicle, and replacement of end -of -service life-saving equipment. Police will evaluate the addition of rifle suppressor equipment to aid training and protect hearing. The District is expecting a significant impact on the Reserve Fund in the future due to replacement of a first -line ambulance. Public Safety Building Fund The Public Safety Building Fund (717) is dedicated to the building construction project and levy proceeds to repay the building loan. The multi -year project to remodel the existing fire station and add on a police station for an all-inclusive public safety building is functionally completed. There are some deferred projects that the District will evaluate, with funding in the FY'26 plan to repave our south fire apron. All activities are on hold pending a completed reserve analysis. The District continues to be diligent nl maintaining LIU-, 3%J11GUu1G anu costa of u,%. nevv' uui/uing o ion A""" vu, ua a vu�Yuy va u. Future Initiatives The District is engaging in new bargaining contracts for Police and Fire. It was agreed to delay Police negotiations for six months to accommodate changes on both the management and union side. Fire contract is currently in bargaining and may extend into the fiscal year. All departments have modeled a 3% personnel salary increase in this budget. The District acknowledges the need to be increasingly conscious of costs given the inability to increase tax collection rates for the foreseeable future. We continue to explore a variety of options to address revenue and costs. We appreciate your work on the Budget Committee and respectfully ask for approval of the Sunriver Service District FY'26 budget. Thank you. 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O M M 00 N to tQ a O to OL t) ❑ t) N ' O O 'p, F- W m Q M C.)to U F- W o d T V-m 3,= Y � �-0 z V — to '', U) O U ',. 0) Q R A Q 0) O U N L ll LL1 y t6 r.+ O .0. 0 O J O LL U J Q )C Q �3+ Z L n 0) Z ~ Q LL m ❑,m!J h',, Q L d r r Z o 0 0 0 C) o U ice c C?, C) LnZ c O � 'M � M C') co M,W lM!W O W V t) Q O 0 0 00 OZ = O'. LL N ''. J W CD o'o o'W o',QZ r o'� 0 �t �,'' T Black Butte mRanch m_ A m rv% Police Department To: Deschutes County Commissioners From: Todd Rich, Chief of Police RE: Executive Budget Summary Fiscal Year 2026 This year's proposed budget is not substantially different to previous years. Income The Black Butte Ranch Service District ("District") is seeking a new, increased five-year local option levy on May 20th of this year. If approved, the new local option levy rate will increase to $0.78 per $1,000, up from its current $0.65 per $1,000. The new local option levy rate, combined with increases in property values, are projected to raise an additional $128,020 for FY 26. Personnel qta ffin u Several staff changes occurred in the District over the past 12 months including the appointment of a new Chief of Police, and the retiring of our sergeant and administrative manager. The sergeant position was not replaced; however, the administrative manager was replaced. The District's Managing Board has chosen not to back fill the department's 5cn officer position to reduce costs. Our current staffing levels are as follows: Chief of Police Lieutenant (4) Officers Administrative Manager (2) Part-time seasonal volunteers Collective Bargaining Agreement The District has negotiated a new collective bargaining agreement with the patrol officers pending final approval in the next few weeks. The new CBA will maintain the same level of protection and benefits enjoyed by the officers up to now, with the addition of a 15% pay PMB 8244/POB 8000•Black Butte Ranch•Oregon 97759•Phone541/595-2191• Fax541/595-1033 www. Blackbuttepol ice.orq E-Mail info@ Blackbuttepolice.org Biackutteiiii=i Police Department A raise over the next two years. Black Butte officers are the lowest paid in Central Oregon and this new CBA will take a meaningful step to bring them closer to their counterparts. PERS The District is subject to significant increases in the required PERS contributions for the upcoming 2025-2027 period. These increases range between 128.5% and 197.6% depending on the employee's PERS category. According to PERS, these increases are mainly driven by the Transition Liability Surplus Rate coming to an end. Health Insurance Health insurance costs for our sworn employees will remain in line with previous years while the health insurance premiums for our administrative employees through the Deschutes County Health Insurance Plan have risen. Personnel Summary Despite some significant increases in a few categories, our personnel services budget has stayed at a level that will not push the overall budget beyond our resources. This occurred due to our reduction in staff, and obtaining more accurate costs of individual personnel items. The FY 2025 budget was also significantly over budgeted in health insurance and PERS, allowing us to absorb those new costs. Material and Services The FY 2026 Material and Services category has grown 6.0%, down from the previous year's 16% increase. Capital The total capital outlay for FY 26 is $63,464 with the bulk of that being used for the purchase of the administrative vehicle. PMB 8244/POB 8000•Black Butte Ranch•Oregon 97759•Phone 541/595-2191 • Fax541/595-1033 www. Blackbuttepol ice.org E-MaiI+info@ BlackbuttepoIice. org Black Butte Ranch Summary Police Department Pp This budget reflects a more accurate accounting of the needs of the District versus years prior. Reduction in staff levels and more accurate accounting will help offset the increased costs in salaries, PERS, and health insurance. We do not have any concerns or requests for assistance at this time and hope to end FY 2026 with a further increase in our reserves to ensure the longevity of the District. Respectfully submitted, Todd Rich Chief of Police PMB 8244/POB 8000•Black Butte Ranch•Oregon 97759•Phone541/595-2191• Fax541/595-1033 www.BlackbuttepoIice.org E-MaiI*info@BIackbuttepoIice.org Beginning Working Capital $ 1,474,044 $ 1,501,532 $ 1,298,231 $ 1,835,923 $ $ 41% Property Taxes 1,242,797 1,297,595 1,296,000 1,464,488 13% Charges for Services 13,200 13,200 13,200 13,200 0% Interest Revenue 44,461 72,160 - 50,000 - Other Non -Operational Revenue 22,952 22,896 40,000 250 -99% Total Resources $2,797,454 90 .0 Personnel Services $ 980,276 $ 1,025,067 $ 1,195,831 $ 1,132,062 $ $ -5% Materials and Services 242,249 254,893 318,040 339,265 7% Capital Outlay 33,495 154,534 12,000 63,464 429% Contingency - 350,000 400,000 14% Reserve for future expenditure 44,293 700,000 1480% Unapproriated Ending Fund Balance - 7217,267 729,069 0% Total Requirements : $ i Black Butte Ranch Police Department Special District FY 2026 Proposed Budget 2022-2023 2023-2024 2024-2025 2025-2026 Actual Actual Adopted Proposed Resources Beginning Net Capital $ 1,474,044 $ 1,501,532 $ 1,298,231 $ 1,835,923 Prop Tax Collect 98 - BBR CSD@1.049 762,666 797,342 788,000 828,468 99 - BBR CSD Loc Opt @$.55 - - - - 99 - BBR CSD Loc Opt @$.65 472,577 494,063 488,000 - 99 - BBR CSD Loc Opt @$.78 - - - 616,020 Prior Year Tax Collections 7,554 6,190 20,000 20,000 LGIP Interest 44,461 72,160 - 50,000 All Other Income 22,952 22,896 40,000 250 BBR Corporation Contract 12,000 12,000 12,000 12,000 BBR Association Contract 1,200 1,200 1,200 1,200 Total Revenue $ 2,797,454 $ 2,907,383 $ 2,647,431 $ 3,363,860 Personnel Services Police Chief (1 FTE) $ 111,204 $ 122,865 $ 119,818 $ 126,000 Police Lieutenant (1 FTE) - 22,262 93,500 98,175.00 Police Sergeant (1 FTE in 22) 86,439 89,541 - - Patrol Officer (5 FTE in 22) 295,971 315,972 355,325 315,832 CSO (1 PTE) 28,657 16,445 - - PTO Payoff 10,095 - 36,000 26,000 Office part-time - - - 1,200 Admin Manager (1 FTE) 71;546 71;663 75;246 79;008 Overtime 23,657 13,043 25,000 30,000 Certification pay 6,900 6,675 9,000 12,700 Public Information Officer - - - 4,000 Firearm Instructor 938 638 900 1,200 Longevity 135 - - 4,736 Medicare 9,182 9,556 11,500 12,705 Social Security 4,212 5,020 6,000 4,000 PERS Employeer Portion 119,944 99,741 150,000 216,124 PERS Employee 6% 33,980 61,721 31,080 23,531 State Unemployment Insurance 627 446 772 850 Workers Comp 13,586 23,388 17,850 18,500 WBF - Workers Benefit Fund 194 180 - 300 Long Term Disability Insurance - Union 475 Health/Dental Insurance 163,011 165,913 263,340 156,725 Guest Instructors 500 - Total Personnel $ 980,276 $ 1,025,067 $ 1,195,831 $ 1,132,062 M&S Deschutes County Services $ 35,496 $ 26,436 $ 69,000 $ 52,462 Bank Fees 286 1 - - Payroll Processing 2,383 2,570 - 3,000 Advertising 600 2,000 750 Association Dues and Fees 11,401 23,532 3,000 30,653 Meeting Supplies 218 221 - - 2022-2023 2023.2024 2024-2025 2025-2026 Actual Actual Adopted Proposed Subscriptions 7,121 5,708 23,000 4,175 Office and Supplies 9,964 11,390 15,000 15,000 Ammunition/Range 2,455 2,478 3,000 3,000 Communication Services 13,003 17,259 20,560 Telephone - - 12,520 - Penalties fines - - - Equipment Maintenance and Repairs - - 5,000 5,000 Non -Capital Equipment 8,738 2,598 10,500 8,500 AED Equipment and Maintenance 554 889 - - Insurance Premiums (vehicle and property) 24,905 30,012 27,500 35,000 Vehicle Operations 32,617 37,170 - 44,750 Travel/Milage 223 - 2,000 4,000 Vehicle R&M - - 15,000 - Gas/Diesel/Oil - - 23,520 - Building Rental/Utlities 68,819 64,205 61,000 67,895 Emergency Preparedness - - - 2,000 Professional Service - - - 1,020 Auditing/Account Services 5,220 11,672 10,000 10,000 Legal - 4,998 12,000 12,000 Education and Training 6,944 4,545 9,000 7,000 Uniforms 8,412 7,059 10,000 10,000 Community Programs - - - 2,500 Misc 2,891 2,150 5,000 - Total M&S $ 242,249 $ 254,893 $ 318,040 $ 339,265 Capitol Equipment Automobiles and SUVs 7,980 131,310 12,000 53,764 Capital Equipment 25,515 23,224 - 9,700 Total Capital $ 33,495 $ 154,534 $ 12,000 $ 63,464 General Operating Contingency $ $ - $ 350,000 $ 400,000 Reserved for future expenditure - 44,293 700,000 Unapproriated Ending Fund Balance - 727,267 729,069 Total Revenue $ 2,797,454 $ 2,907,383 $ 2,647,431 $ 3,363,860 Total Expenditures 1,256,020 1,434,495 2,647,431 3,363,860 Fund Balance $ 1,541,434 $ 1,472,888 $ - $ - From: Whitney Hale Cc: Nick Lelack; Erik Kr000; Robert Tintle; Camilla Sparks Subject: Elected Officials Compensation Committee Update Date: Friday, March 14, 2025 10:46:10 AM Attachments: EO Salary Survey Data.xlsx Outlook -Deschutes .ono Bcc Elected Officials, Good Morning, This morning the Elected Officials Compensation Committee met, reviewed the attached data and recommendations from HR Answers, and recommended compensation rates for elected officials for FY 2026. All rates were approved unanimously, with the exception of the vote on commissioner compensation, which was a 2-1 vote. The committee's recommendations (included below) will be voted on by the full Budget Committee in May. Classification Recommendation _s_............... i Assessor Recommend 0% adjustment. I Clerk Recommend 0% adjustment. Commissioner* Recommend multiplying proposed salary j of $142,899 by three (size of current I Board) and dividing that number by five (size of future Board) which results in a FY 2026 salary of $85,739.40. DA* Recommend an adjustment to the County portion to bring total compensation to $255,031.70. Sheriff Recommend 0% adjustment. Justice of the Peace Recommend 0% adjustment Treasurer Recommend 0% adjustment. Please feel free to reach out if you have any questions - I'm happy to connect. Best, Whitney \)T E S COG2-A o � ELECTED OFFICIALS COMPENSATION BOARD MEETING 9:00 AM, FRIDAY, MARCH 14, 2025 Allen Room - Deschutes Services Building - 1300 NW Wall St - Bend (541) 388-6570 1 www.deschutes.org AGENDA 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. Zoom Meeting Information: This meeting may be accessed via Zoom using a phone or computer. • To join the meeting via Zoom from a computer, use this link: http://bit.l /3y h3ogdD. • To join by phone, call 253-215-8782 and enter webinar ID # 899 4635 9970 followed by the passcode 013510. CALL TO ORDER AGENDA ITEMS 1. Review of data assembled from the selected comparables (Marion, Lane and Clackamas counties, and private sector compilations from two survey sources) 2. Discussion of FY 2026 compensation levels for elected officials ADJOURNMENT COI E S C0 '^ DESCHUTES COUNTY Summary Elected Officials m FY26 Compensation Board Survey Data as 7/1/2025 This survey includes the following elected positions: Assessor Clerk Commissioner District Attorney Sheriff Justice of the Peace Treasurer Salary data was collected from the following Oregon Counties: Population Clackamas 423,228 Lane 380,181 Marion 346,763 Deschutes 210,543 https://worldpopulationreview.com/us-counties/states/or County Compensation Board: https://www.oregonlaws.org/ors/204.112 Table of Contents COLA Summary and Director Pay Reference Compensation Board Blank Recommendation Page Elected Official Total Compensation Survey Summary Elected Official Compensation Survey Detail Pages Assessor Clerk Commissioners District Attorney Sheriff Justice of Peace Treasurer/Chief Financial Officer LL w Z W w W w } O J a ui w LL O Q D U) U Z U U U U U aJ U d � `o n n in (0 V) U) fn LL m a d o o o 0 0 0 0 N > y a N N N N N N N Ol c d d a d d d d d O J E >> W 3>> 3 EEEEEEE E a m m z m m m m m } W W W W W W W LL 9 n. 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D ro m O J a a U D A a a o d a E m d d d d d d d d w Q U > > > > > > > > O U U U U U U U U ¢ E E E E E E E d E E E E E E E E � E 0800008 O ¢ ¢ G ¢ ¢ ¢ ¢ ¢ m' E r ¢ o E a d � E d d d d d d d d d 0 aY E > >>>>>> > t W U U U U U U U U E oN C E m E E m m E E m m E E m m m jp d a N (n (n (n (n (n (n (n (n O y d N N N N N N d d Q 0 0000000 0 0 0 0 0 0 0 a Q d d d d d d d d N{ LL N N N N N N N N co aaaaQaa @ e6 O N ¢ c d J a y D d a y E E d d d d d d d d o, > > > > a U U U U U U U U �� os EEEEEEE E y o m m m m m In co m m (n m o)c jp W Q coW (o N O E N N N N N N N N d � w 69 dN� � 0000000 0 ¢❑ O, d d d d d d d d N C h Q Q Q Q Q Q Q Q a c d ¢C J W d d U d V N C a V o O L IL N L w m x Cc.uNiCy T o E V o u 0 u c E Y U w Q H U U m Q C o U Hill lill N c m d d d d d d d Y m m m m m m m c d d w U U U U U U U a r N E E E E E E E a 3 000000 0 d d d N N d d N Q N N N N N N N ¢¢aaaa a d O O (n o � o� c mc m o. o N y j d d d d d d d c m m m m m m m m +yy- o 0 0 0 0 0 0 Q m m U U U U U U U 'O o- 5 E EEEEEE (n (n (n (n N fn E (n o. a a m d d. m v w a h a 000000 0 LL N Q Q Q Q Q Q Q N c 'm m m N t O N E O W c 9 a V c o L a R x O F C E V o u U c E U a p w U 0 v Q c 0 U �vT E S C o DESCHUTES COUNTY Compensation Board - Recommendation Summary Elected Officials - FY26 Changes effective July 1, 2025 Elected Officials FY25 Adjustment Recommendation Notes/Consideration Role is 15% above the goal' at base pay and 16% Assessor 0 above at total pay Role is 10% above the goal' at base pay and 12% Clerk 0 above at total pay Role is 6% below the goal` at base pay and 6% Commissioners up to 6% below at total pay Role is 17% below the goal` at base pay and 15% District Attorney up to 17% below at total pay Role is 1 % above the goal` at base pay and 2% below at total pay, in addition the role is 19% above Sheriff 0 the next in command at th ehighest potential step (7) Role is 9% above the goal` at base pay and 10% Justice of Peace 0 above at total pay Role is 4% above the goal* at base pay and 5% I Treasurer) 0 I above at total pay *County Compensation Philosophy: 5% above Market Average FY26 Recommended Cost of Living Adjustment: 0 Recommendations made with the goal to maintain County's Compensation Philosophy. Revised Survey only data reflects recommended FY26 COLAs for Deschutes County data. Data collected from: Clackamas Count Lane Count Marion Count Economics Research Institute All Industry, $438M, Geo Level to Deschutes County Comp Analyst All Industry, $200-500M, Geo Level to Deschutes County FR M 'o N N O Cl) r- Co00 O N :( . NNMcli jcl) 00 (0 00 H} EA fR 611. cN O 00 m O � sg v3 S» u3 0 0 0 �. >, W, 6 a. a 0 J (D Q r0 Q cfl 0 0 o 0 0 !- O to tl- O O N r-� q O tV d' C 0 0 0 0 O O 00 (O y0 (p (p (O M O LU i0 9 a. W a M W N N M cl a) 4m Lo r O LO Cl) 3 N r i U Z Q N E O C iA ER V> EA Efl Og �o ao 3 X cif w iy � I� a'S O. •c U m E � c CO a c Q 0 o C 0 h N 03 h V co Q U Q y O G o N a c� V1 •6 N to Q O a 2 N d v X v X +0.. Cl)h Q Z O C.)'� a a "O N _N m •a+ (6 i+ f6 @ C.)' 0io m d E + E v E v E £ d Q o m o m C 0 a 7 t U U m U d a U m a. 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J a \ / w \ « ■ 3 k _ k k k »»« ?\ —co 3 m 3 m @ ) a ° = w m \ @ / & 2 \ 7 CL E + E \ CL E \ ( @ « o 0 0 0 / /k \ / \ / § § CL § / ( ) 0 J w o f a s & y to$ $ \ \ E j ( G a J a J N a cn LO UC LL M o C � 3 W Q O J v W L LLLL N } M Z N 0 (U z O U N O 00 to O It O 00 tl M O M w M fl- to V O f-- O to O to M N M O h f0 ' GO N M O W LO — V fl- CO r' N n 'IT� V' 0) 00 (0 o f� 0 L 0 o 0 M 60 V� Q�l (a v> F» 6s Gly UY c» F» 0 W, (L a'tm �_ J L 0 O 7 a c 0 0 0 0 0 0 N LQ � M ^ O O M f0 Cl) co C 0 v W v Y_ T 0 0 0 0 0 = o 0 0 0 C. (.0 (.0 .iw s) W a N 00 LO r0 O MO 00 a CO O OD O> co LO ce) rn m rn 00 � o0 � M 00 Lo — A LO N (D M N f/) of fA l !6 0) a O D >C C a fR ER EH tq 64 fR EA 0 8Y RLD a LO N } U. LL 3 � 3 w m o ur a c > S? U cu ~ m o m Ca m U° � = o Ucr .' wcr o V w d crd w U) w 6 w C V7 O V O V O a) d d a) ' �''+ d � V � d :Z X v N V O 'a ~ O 7 3 N N a) N N N N aI C N mUCl C _!, U U K f6 o cu N C cu N C a) n ID ` Vt ` ° ) ) Ua CL g g ° a a M ooc;o ddo > ) m o W 0 c n°o c 0 0 C N N O QQ N x m '�AT ES COG2k owl 9:00 am ELECTED OFFICIALS COMPENSATION BOARD MEETING MINUTES FRIDAY March 14, 2025 Allen Room Live Streamed Video Present were Board members Jim Fister; Krisanna Clark -Endicott (via Zoom); and Judy Trego. Also present were County Administrator Nick Lelack; Deputy County Administrator Erik Kropp; Deputy County Administrator Whitney Hale; Chief Financial Officer Robert Tintle; Budget & Financial Planning Manager Cam Sparks; and BOCC Executive Assistant Brenda Fritsvold (via Zoom). This meeting was audio and video recorded and can be accessed on Deschutes Countys YouTube channel Iattps:Aw4°.youtabe,cQmvatch?v=hWD4KNl f , t sr .= outa.ke. CALL TO ORDER: The meeting was called to order at 9:01 am. Board Member jim Fister reviewed the agenda and explained that the purpose of the meeting is to set compensation amounts for the County's elected officials in FY 2026 which takes effect on July 1, 2025. Laurie Grenya, president and owner of HR Answers, presented data returned from surveying the designated comparabies for the County —namely, the counties of Marion, Lane, Clackamas —in addition to private industry data from two survey sources, filtered according to both budget and staff size. Grenya explained how the information was collected, noting that the three counties used as eomparables are also undergoing compensation reviews and therefore their compensation amounts are subject to change. Noting that the Board will set the base pay of each position, subject to intermediate approval by the Budget Committee and final approval by the Board of County Commissioners, Grenya reminded that the Countys compensation philosophy is to pay 5% above the base pay average. She then reviewed the recommended adjustment for each position along with the reasons for each recommendation, saying that no adjustment is recommended for some of the positions. Fister said last year or the year before, the Countys compensation amounts were determined to be below goal in most of the elected official positions. He questioned why several of the positions now show as above goal. ELECTED OFFICIALS COMPENSATION BOARD MEETING MARCH 14, 2025 PAGE 1 OF 5 14 Grenya responded that happened as a result of looking at the full market using the all -industry survey sources, which includes private market data in addition to that from the public sector. Trego reminded that the last few years, the Elected Officials Compensation Board worked to increase the pay for positions which were determined to be underpaid. In response to Fister, Budget & Financial Planning Manager Cam Sparks said the general CPI currently utilized by the County is 2.5%. Assessor It was noted that the current compensation for the position of Assessor is 15% above the County's compensation philosophy goal at base pay and 16% above that goal at total pay, Motion: Trego moved approval of the recommendation of no adjustment to the compensation for the Assessor position in FY 2026. Clark -Endicott seconded the motion, which carried 3 - 0. Clerk It was noted that the current compensation for the position of Clerk is 10% above the County's compensation philosophy goal at base pay and 12% above that goal at total pay, Motion: Trego moved approval of the recommendation of no adjustment to the compensation for the Clerk position in FY 2026. Clark -Endicott seconded the motion, which carried 3 - 0. Commissioner Fister noted that the Commissioner's current salary is $135,364, and the recommendation is to increase it to $142,899. Discussion ensued that Lane and Marion Counties each have five -member County Commissioner Boards. Clark -Endicott noted that all three comparable counties have populations higher than Deschutes County. With regard to the voter -approved measure to expand the Board of County Commissioners from three to five, Fister noted that the Elected Officials Compensation Board is determining compensation only for the current three Commissioners at this time as the two additional Commissioners will not take office until January 1, 2027. Trego spoke to the job description, duties and role of County ELECTED OFFICIALS COMPENSATION BOARD MEETING MARCH 14, 2025 PAGE 2 OF 5 15 Commissioners; noted that each Commissioner decides the amount of time to spend on the job; and pointed out that their compensation was increased the past two years. Saying that the financial condition of the County must be considered, she was concerned about the projected additional $300,000 needed to compensate another two Commissioners and supported spreading the total amount paid to the current three Commissioners between the five who will serve on the expanded BOCC. Grenya said when looking at compensation, the assumption is that everyone is performing well. She added that the current three Commissioners will continue to do the same amount of work until the Other two are added. Clark -Endicott agreed with Trego about the budgetary constraints and said the BOCC positions are not meant to be career positions —rather, Commissioners are elected to represent the constituency in matters concerning local government. She said anyone interested in running to be a Commissioner should know how much the compensation will be before they file to run. Noting that CEOs of private companies are paid very well, Fister said lowering the BOCC salary or holding it steady could disincentivize some people from running for these positions. Trego and Clark -Endicott said it is difficult to compare these positions with any in the private sector, since the BOCC entails public service to the community. Following discussion, the proposed salary for Commissioners was reached by multiplying the recommended amount ($142,899) by three and dividing it by five. Motion: Trego moved to set the amount of Commissioner compensation at $85,739 in FY 2026. Clark -Endicott seconded the motion, which carried 2 -1 (Fister opposing). • District Attorney (DA) It was noted that this position is compensated at 17% below the County's compensation philosophy goal at base pay and 15% below that goal at total pay. While the State pays the majority of the DNS salary, the County has historically elected to pay an additional amount. Saying that compensation increases above 10% are unheard of in ELECTED OFFICIALS COMPENSATION BOARD MEETING MARCH 14, 2025 PAGE 3 OF 5 m government as well as in private industry, Grenya recommended an increase of 10% or 11 % to meet the average of the market compensation for this position. ...,MW - • .. Budget & Financial Planning Manager Cam Sparks reminded that the State pays most of the DA's salary. Subsequent to receiving advice from County Counsel Dave Doyle, the following motion was made: *Motion: Trego moved to strike the previous approved motion relating to the District Attorney's salary and approve an adjustment to the County -paid portion of the DA's salary to bring the position's total pay to $255,031.71. Clark -Endicott seconded the motion, which carried 3 - 0. Sheriff It was noted that the current compensation for the position of Sheriff is 1 % above the County's compensation philosophy goal at base pay and 2% below at total pay, Fister spoke to the position of Undersheriff and the need to avoid compression between the Sheriff and Undersheriff compensation levels. Deputy County Administrator Whitney Hale shared that the compensation range for the position of Undersheriff is $139,570 - $1 g7,037, Discussion ensued regarding the larger sizes of the comparable counties, the fact that the FY 2026 COLA may be 2.5%, and the appropriateness of making no change to the Sheriff's salary at this time but looking at it again next year. Motion: Trego moved approval of the recommendation of no adjustment to the compensation for the Sheriff position in FY 2026. Clark -Endicott seconded the motion, which carried 3 - 0. justice of the Peace The current compensation for this position was reviewed along with those from the three counties used as comparables. it was noted that this position is currently compensated at 9% above the County's compensation philosophy goal at base pay and 10% above that goal at total pay. Motion: Trego moved approval of the recommendation of no adjustment to the compensation for the justice of the Peace position in FY 2026. Clark -Endicott ELECTED OFFICIALS COMPENSATION BOARD MEETING MARCH 14, 2025 PAGE 4 OF 5 17 seconded the motion, which carried 3 - 0. Treasurer The current compensation for this position was reviewed along with those from the three counties used as comparables. This position is compensated on the basis of a half-time basis; the current compensation amount is 4% above the County's compensation philosophy goal at base pay and 5% above that goal at total pay. Motion: Trego moved approval of the recommendation of no adjustment to the compensation for the Treasurer position in FY 2026. Clark -Endicott seconded the motion, which carried 3 - 0. ADJOURN: Being no further items to come before the Board, the meeting was adjourned at 10:08 am. RESPECTFULLY SUBMITTED: ELECTED OFFICIALS COMPENSATION BOARD MEETING MARCH 14, 2025 PAGE 5 OF 5 18 `\X E S CMG 2� BOARD OF COMMISSIONERS FY 2026 BUDGET COMMITTEE MEETING 8:30 AM, WEDNESDAY, MAY 14, 2025 Barnes Sawyer Rooms - Deschutes Services Building - 1300 NW Wall St - Bend (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/3mminzy. To view the meeting via Zoom, see below. Public Comment: There will be time specified each day for public comment. 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. AGENDA AND MATERIALS 1. FY 2026 Budget Committee Agenda 2. FY 2026 Budget Committee PowerPoint Presentations 3. FY 2026 Budget Committee Supplemental Materials 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@desch.utes.org. �V TES (-0 o ""%_.i" 8:30 - 8:40 AM FY 2026 BUDGET COMMITTEE AGENDA Day 3 - Wednesday, May 14, 2025 Reconvene Deschutes County Budget Meeting Review agenda changes and follow-up items Public Comment DIRECT SERVICES CONTINUED 8:40 - 10:40am Health Services Fund 270, 274, 276 (Page 147/137, 139, 177) 10:40 - 10:45 AM Recess SPECIAL SERVICE DISTRICTS 10:45 - 10:55 AM Deschutes County Extension & 4-H District Fund 720 (Page 217/394) Open Public Meeting Introductions Public Comment Budget Discussion Motion to: Approve Deschutes County Extension & 4-H Service District budget of $1,076,000 and set tax rate at $0.0224 per $1,000 of assessed valuation. Motions seconded Budget Committee votes Close Public Meeting 10:55 - 11:10 AM Sunriver Service District Non -county fund, see handouts in budget binder Open Public Meeting Introductions Public Comment Budget Discussion 1. Approve Sunriver Service District budget of $11,061,403 and set tax rate at $3.4500 per $1,000 of assessed valuation. 2. Approve Sunriver Service District Reserve budget of $3,166,902. 3. Approve Sunriver Service District Capital budget of $1,140,900 and set local option capital improvement tax rate at $0.4700 per $1,000 of assessed valuation. Motions to: Motions seconded Budget Committee votes Close Public Meeting 11:10 - 11:25 AM Black Butte Service District Non -county fund, see handouts in budget binder Open Public Meeting Introductions Public Comment Chair Janice Garceau Nicole Strong Chair Budget Committee Chair Sunriver Board Chair Budget Committee Chair Chief Todd Rich Q v"C E S `OG2< FY 2026 BUDGET COMMITTEE AGENDA Day 3 - Wednesday, May 14, 2025 (continued) Budget Discussion Motion 1. Approve Black Butte Ranch Service District budget of $3,363,860 and set tax rate at $1.0499 per $1,000 of assessed valuation. 2. Set local option operating tax rate at $0.6500 per $1,000 of assessed valuation. Motions seconded Budget Committee votes Budget Committee Close Public Meeting Chair ADDITIONAL DEPARTMENT INFORMATION Budget Committee 11:25 - 12:05 PM Additional Special Request OR Limited Growth information as requested by the Budget Committee Open Public Meeting Chair 12:05 - 12:35 PM Lunch DELIBERATIONS Budget Committee 12:35 - 2:45 PM Deliberations of Special Request and Limited Growth proposals 2:45 - 3:45 PM Elected Officials Compensation Approval Budget Committee Motion to: Approve Elected Officials Compensation Committee Salary Recommendations from 03/14/25 Public Meeting Motion seconded Budget Committee votes 3:45 - 4:00 PM Recess 4:00 - 4:15 PM Budget Approval Budget Committee Motion to: Approve Deschutes County budget of $X adjusted for approved changes and set the tax rate at $1.2783 per $1,000 of assessed valuation. Motion seconded Budget Committee votes Close Deschutes County Budget Meeting Chair Deschutes County 9-1-1 Service District Budget Committee Fund 705/710 Open Public Meeting Chair Introductions Public Comment Budget Discussion Motion to: 1. Approve Deschutes County 9-1-1 Service District budget of $23,567,100 and set tax rate at $0.3618 per $1,000 of assessed valuation (Fund 705). 2. Approve Deschutes County 9-1-1 Service District Equipment Reserve budget of $5,258,000 (Fund 710). Motions seconded Budget Committee votes Close Public Meeting Chair o uT E S COG�< FY 2026 BUDGET COMMITTEE AGENDA Day 3 - Wednesday, May 14, 2025 (continued) SO - Countywide Law Enforcement District #1 Budget Committee Fund 701 Open Public Meeting Chair Introductions Public Comment Budget Discussion Motion to: Motion to approve Countywide Law Enforcement County Service District budget of $x adjusted for approved changes and set the tax rate at $1.2500 per $1,000 of assessed valuation. Motion seconded Budget Committee votes Close Countywide Law Enforcement District Budget Meeting Chair 50 - Rural Law Enforcement District #2 Budget Committee Fund 702 Open Public Meeting Chair Introductions Public Comment Budget Discussion Motion to: Motion to approve Rural Law Enforcement County Service District budget of $x adjusted for approved changes and set the tax rate at $1.55 per $1,000 of assessed valuation. Motion seconded Budget Committee votes Close Rural Law Enforcement County District Budget Meeting Chair 4:15 PM - 4:30 PM Closing Comments Budget Committee/Budget Officer/Finance/ Adjourn Chair