Health & Human Needs Committee - Regular Meeting

Okay. This call to meeting the order. The first order of business will be consideration of the minutes. All had an opportunity to read the minutes, and I'm ready to make a a motion.

Move approval.

We have a motion to approve. Is there a second? I second it. Okay. We have a second. Is there any discussion? You're in on accepting minutes? No. I have to admit that I am not a Robertson rules Mhmm. Rule. So if I if I go off track here, somebody let me know. We don't

have to.

Don't worry. Okay.

You guys have two

I've never been able to all the meetings I've ever done, I just can't. So, anyway, we'll have to take a vote on that. So all in favor say aye. Aye. Opposed? Abstained? Motion carried. Thank you. We don't have any presentations. We don't have any action items. Okay? Correct. I have your chair's report. Well, this is my first meeting, so I guess we'll you want me to cover the things that are here under at Chair Street?

Just it's just the meeting. Yeah. Well, or you and I can do it together. Okay.

So the first one is are you ready? Mhmm. Okay. The first one is the the meet the well, it's not really a meet and greet that we're doing, but a meeting, with the legislature to, talk about what we see the needs for Dane County or I what you have here attached are issue briefs that have been done by, WAN, the Wisconsin Aging Advocacy Network. And, so if we can follow through on those, the legislature will be familiar with them because they will be getting copies.

But if you'd like to go through them, we can certainly do that. Although, for time today, we don't have a lot of time. Yeah.

Maybe, could could we start with the the the dates of the meeting? Let me let me pull it up. So the the first piece

oh, sorry. Sorry.

The first piece is the the date of the meeting. So the meeting is the 06/07/2017. From 01:30 to three at the job Center. We were are going to need a head count, so we are looking for information on who would be able to attend that meeting and who would not, be able to attend. So people can look at their schedule for June 17 at 01:30.

We will be at the job center. That is the room that we have reserved.

Just a big conference room. Right?

Yes. In the the back of the building. Yes. That that that's our first piece of if we can know if people are able to attend on the seventeenth. So if people can, maybe during the next week, look at their calendar and RSVP to Jennifer so that I have a head count of who is able to attend.

So in your inboxes, you have this save the date. So it is June 17 from 01:30 to three. At the event will be our governing board. The Area Agency on Aging has their committees that will attend, their legislative advocacy, their nutrition. They have a new advisory committee along with their board. And then transportation also has a a commission that would attend.

I'll be there for sure, Jen.

Okay. Perfect. I would like to be there. Great.

Is that Elizabeth? Yep. Okay.

His hand up too. Okay. Question?

Sorry. No.

No. Okay. Hand up.

Thank you. He was just saying he's gonna be here.

So then the the the format for the event would be a gen a general welcome. Something like that. And then we have the issue briefs that were emailed out. So the first issue brief is reinvesting in aging and disability resource centers. And then for each of the issue briefs, there is going to be a consumer or customer from Dade County that's going to talk on these different topics about, you know Oh, it's

impacting them. Yes.

How it's impacting them, how how the service is important to them. So the the one issue briefs that we're going to cover is the reinvesting in ADRCs, home delivered meals, then falls prevention, and then a local one that the group decided to also cover was increasing money for transportation.

Oh, just for specialized transportation? Transportation. Yes. And

so each of those topics will have a customer that will speak on them and talk about the importance of those programs in their their life.

Do we do we know who the people are, or have we got recommendations?

So at our last planning meeting, had that's what people are bringing next week when we meet is the contact information for those people.

I have a question.

Yes.

Thinking that we do a lot of work with transition for children with disabilities who turn adult, and there's really nothing about that part of our program on this list. Is there any way that that could be covered in some way?

For this event, we had a planning committee who met and and went off of topics to to plan. Mhmm. And we're cohosting with the Area Agency on Aging and Transportation. This was the list that they came up with. So for this event, that's not on the table.

But if we would want to do it, one on transition in the future, we could do that. We should also write up issues surrounding transition, you know, things that we want to highlight, things that we would want legislators to know. So each legislator that is attending this event will receive a packet, which would have the issue briefs in the packet that we will be leaving with them or their staffers or whoever attends. So yeah, so that is the kind of the the plan at the the moment for this this one coming up really soon, but that's not to say that we couldn't do something different in the future.

And we have time. I mean, we can do it over the summer.

Yeah. And maybe I'm being my bureaucrat head is somehow vibrating, and, I'm thinking of what, you know, what's the volume of business in that area and other areas as well. I mean, that might that sort of data might also be

I don't know.

In terms of background information.

So I'm just waiting Not not

a presentation per se, but Mhmm. Just simply

Well, Casey can probably address that.

Well and we can have Bill come and talk, also. So Bill Hoosier is the supervisor who runs our school transition program. And with the elimination of waitlist for CLTS, we are definitely seeing more kids come through high school transition. We are also, the the makeup of the kids coming through transition has changed some over the years. So pre CLTS elimination of wait lists, the majority of kids we saw through high school transition came to us through the high schools not being connected to children services.

And post of CLTS waitlist, most kids are coming to us connected. We're still seeing those not connected, but the percentages have kinda swapped. Oh, Sarah, you have your hand up.

Yes. Remind me again of the agency briefs and the idea that they were going to be presented. I saw them, but whose, like, idea was that? And so they're going to be presented at the meeting. And then, it's just so we kind of have something to say because we didn't want, like, a free for this committee didn't kinda want it to be, like, a free for all where we just talked to legislators, and we just wanted an agenda. Just explain to me how that happened.

Yeah. So the idea behind this meeting, an in district meeting, came out of, what's typically called the aging advocacy day. So every year, aging advocates typically have had an aging advocacy day at the Capitol. But because, most legislators right now are home in their districts, the Aging Advocacy Network had encouraged, local districts to host an event, which is what Esther had brought to the committee. The committee voted and felt like, yes.

We would like to do a local event. We reached out to the Area Agency on Aging, and that's how David elected a committee. At that time, he was the chair. So David had appointed Esther and Ken as our committee chairs for

I never

planning the meeting with the Area Agency on Aging. So that planning committee got us to the point where we are right now and picked the issues that we are meeting on and are have developed our our schedule and agenda for the day and the format. So that's how we got to where we are. I think if in the future, just our board wants to do something different, we could Yeah. Do something different and and plan it differently.

But this is where we got from what Esther brought forward and we voted on and, went through the the correct channels. So in the future, if we'd wanna do a new potential action item for the board to vote on and the board wants to plan something in the future, they can. Right now, Lacey Fox was the county lobbyist. She has taken a different position, but she is going to continue to function and work on this event with us. Lacey also vetted all of these topics with the county legislative agenda, and gave us the approval on them.

And so we also, will have a new county lobbyist probably in the future. But Lacey is staying on working with the committee through this event and also doing her new job.

It's a real advantage to have her Yes. Working with us because she knows, you know, she knows the capital. She knows all the people in it. And we were lucky to Yeah. To get her involved.

She went to all of our legislative offices and personally invited everyone to come to the event.

And she can easily check, to make sure that it's not in conflict, which she did, not in conflict with the county's legislative agenda for the year, which in is is something we need to do. But in to answer your question, Ken, I think we can do a lot of what's going to take. You need to have an in-depth discussion on what we think the issues are that we wanna go forward. But I will say that this fall, I'm hoping that we will move forward with some action items with the county exec in regard to the ADR funding and, you know, maybe have some meetings in order to do that. So we'll have to you know, if you look at the if you look at the issue briefs that are that you have, it's it's a good format.

Oh, yeah. No. I don't

And so we should think well, for the administration, need to think about the issue with the transition with the students. And there, I think Casey might be able to help us with that, to put together something dissimilar that looks like that and then go forward with that. There's not we are expected to do advocacy, so we we should be moving forward on issues that we feel are important.

Well, I apologize for bringing it up. After the fact, after missing every meeting, I I do have to give myself a nice excuse of medical issues over the past

couple of

months that have not been very easy to live through.

So It's not too late because the 10 lead budget won't start till August or no. October is when the county exec does the October budget. So we've got time. We can put something together, and we can have you know, we can work with the with the county board and with the county exec and see how far we can get with it.

Well, let me just throw one other thing out and not for necessarily this particular event. But having been an elected official at one point and having worked with programs that are very different than than our program. When I was being lobbied or being informed by city staff, some kind of numerical

Mhmm.

Approach. Not so not solely numerical. I mean, anecdotal things and all this other things. It's just fine. But but I always found myself having the word how much in my head when I went you know? Well, gee, I'm working dollars. I'm working with forestry, and gee, they would give me these numbers about how many teams it took to do the city and how often they could do it. And I started, oh my god. We don't have enough. And it it also became real clear to me, and, you know, I became a real advocate for that. So that that's what

I've done a

I mean, this is just my maybe my thing, but I just thought I'd share it because it

I've I've chaired GEO, the triple a legislative advocacy committee for many years and and brought in hundreds of dollars to the triple a office. I had a lot of experience working with the county board. And I don't know if I don't know think I ever met you, though, Dave. Maybe it's been probably six, seven years since I've done any of that. But I used to do that, so I'm I'm with you. We have to give them we have to give them what they need to be able to make a decision. Right. And, they don't have an easy job. I mean, you know, they've got, they've got nowhere near the money they need.

Yeah. That's good.

So what I'm saying is that we need to and if that's I mean, I my recommendation would be if that's something you're really interested in that you take that and maybe if somebody wants to join you, maybe bring us a draft.

Well, I don't have the I have Yeah. Some access here and and look at what we what the data set

Oh, yeah. But but using the information and put it together in a recommendation for the board to to move forward on.

Alright.

Okay? And any I mean, I that's almost true for anything else we might wanna look at. I mean, I don't know. Jennifer would know better than I do because I'm in the aging community, so I I don't know what although in the aging community and the disability community work together, The networks work together really well. So a lot of times we're on the same page with needs.

So, you know, I don't know what's out there, but I don't know where Dane County may have some special kind of needs that we need to address. And I'm all for that. I'm I'm gonna, you know, move ahead. So if there are issues that we need that we feel are important to our constituents Mhmm. Let's work on it. Right. Okay? So any questions on Jennifer did a great job of explaining this. We don't know how many people are gonna show up. I just assume we don't know from the.

That's why Lacey is bringing who Oh, she is. Attending to our next planning meeting, and then everyone in charge of a committee is bringing numbers for their committee. That's why I said if if you are able to attend, if you could just shoot me an email by the end of the week, that would be helpful so that I unless you told me now when I wrote it down so that we can have numbers, so we know how many people we do have attending.

I I must confess. I screwed up the last meeting. I thought I I called at 03:00 and said, Jennifer, I can't get in. She said, Astro, we met an hour ago.

Well, I can't say anything except we got my phones.

Sarah? Yeah.

So quick question. In terms of attendance for this, is this community or just the people who are on the committees?

So we are in it's by invitation. So it's committees

and Okay.

So it's not a it's not an open to everyone. No. Okay.

So any other questions on that? And we any questions on the issue briefs? You probably can take a look at those. We don't have do anything with them today. I mean No.

But if someone has any questions about them or wants to speak further, feel free to give Jennifer a call.

Where can these be accessed?

I sent them via email to everyone, and they're also They're here on They're on the agenda, but they will also be I sent them to you today again. Okay.

I will.

And they will be in the minutes. So and I can I will mail you a hard copy today?

Thank you. Tomorrow. Okay. You know me well. Yeah. That's good. That's one key key part. Alright. I think the specialized equipment or specialized transportation Yeah. Miss Daniel Brown, do we want him to come and talk to us about that, or do we need to have we got enough information?

Well, I I included the the issue brief. So I think if if people want by the time we meet next, we will

have already had the meeting. Oh, that's true. Yep. So I guess that won't work.

But we can Well But if they have questions, they can call me, and then I can get the answers from Nathaniel. Right.

I think probably I haven't looked at that. Okay. So I need to look at that issue brief and see if there are any questions because we want to be able to speak like we know what we're talking about when we're there. So we should look at all the rest of them, I'm pretty familiar with, but that one not. That's all that I have Okay. Today. I mean, I may have things down the road as it is to come, but since I'm so new, I'm Perfect. You know? So board member reports. Yep.

We and no one submit anything. So next is

Your receipt. Yes.

Alright. And I am going to start out talking to you about this new act, which is on supportive decision making or next of kin. Next of kin. Yeah. Act one fifteen passed the legislature, and it is called next of kin decision making.

And I believe it's going to have a a big impact on the people that we serve and something that the EDRC is going to get pretty involved with. So I wanted to kind of bring it to you and bring it to your attention. And so this modifies Wisconsin statute 50.06 and establishes a decision maker who is called a patient representative. Right now, the state is in the process of developing forms that hospitals would use to, appoint a patient representative. But it removes the requirement for guardianship or protective placement to be filed, and it would allow the authorized patient representative to place a person in a nursing home or in an assisted living.

And it would also give them the permission to access their finances and and pay their bills, etcetera. And so this goes into effect June 1, And it's probably something that people don't know is out there. So this is especially important for people who do not have their power of attorney for health care or finance done and if that person ends up in the hospital. So there's an order of hierarchy in this legislation. So the first person and next of kin is your spouse or domestic partner.

Then it would be your child, your son or daughter, potentially a parent if you are not married or you don't have children. It could be a sibling. It could be a grandparent, or it could be a close friend. The the difference with your power of attorney for health care, you you appoint who that person is. With a guardianship, a court order happens, and the person is looked at through the court to see if they're fit to serve.

In this, patient representative, there's there's no such requirement to do any type of background check. So that is is one thing that is a little bit concerning. So the criteria for the hospital to appoint a patient representative is the person has to be incapacitated or lack their legal decision making ability, and they need to have placement outside of the hospital, which would be a nursing home or an assisted living, and that they would go there directly from the hospital. There does have to be a person available for them to appoint, and the that appointed person has to consent to that person going to a facility. It it cannot be used if the person is going home, if the next of kin objects to a placement or potentially if there is a disagreement between family members or if the person's primary disability is mental health or IDD, they cannot.

But, the state is developing a form that the patient representative would sign. It would authorize them to be able to do those admissions. It would also authorize them to make health care decisions for the patient, but they may have never discussed with the patient what the person wants for their health care. It also allows them to manage their finances with a guardianship. If a guardianship went through, there's often oversight of those finances through a guardianship.

This patient representative, there's not. And it also allows them to apply for Medicaid. So upon them signing, they can admit a person to a facility. These patient representatives does not have a time restriction on it, but they have the same authority as a guardian, but not the same protections. And if if a person then wants to object to their patient representative, they would have to go through a court process to object. The the patient?

Yeah. The patient

who if they don't have access to their finances, I'm not sure how they would have the ability to take something to court. Yeah. There are lots

of concerns with this. Yep.

Yep. So it says that the patient's representative authority expires once the person regains decision capacity, but that's not really how how that's determined. How does

that one choose?

If they're no longer needing to be in long term in a in a facility, it would end if they got this if it ends up having to go to a guardianship, that would end. Or if a valid power of attorney is found, it would also end. So this is kind of the the how or or the the level of power. So supportive decision making is the most that leaves the person with their most decision making up to guardianship, but this patient representative is right below a guardianship.

Where did this come from?

It it came from the hospitals. Yeah. They

wanna get rid of patients. Don't wanna. Yep. IDD? It looks like it.

Intellectual disability. So if if you have an intellectual

d?

Intellectual developmental dis disability. Wonderful.

Thank you.

Yeah.

So if the person is in the hospital and is incapacitated to doctors in the past, if someone was in the hospital and incapacitated, the hospital's attorneys would need to file for guardianship. So now the hospital attorneys no longer have to file for guardianship. They can just appoint these patient representatives and move the person on to the next level.

Does this also apply to minors?

Don't think minors would have their parents. So parents can make decisions for minors anyway.

Well, if the minor didn't have a parent.

Do you have an guardian? Most likely. Oh,

I don't think so because they're a minor, but I would have to ask. That, I don't know.

I've never seen it. I haven't well, I haven't haven't seen right first.

There I'm really sorry to interrupt. Is there a oh, there is a Geraldine here.

I was just getting ready to get ready to go. No. You're right. It's out here.

I'll let

him know that you're out here.

Okay. Okay. You. I hate it when I'm a girl who likes

that. Oops. Sorry. So so so yeah. So, Sarah, sorry. I see you have your hand up.

Can finish your you can finish your thought. That's okay. You're mid mid sentence, Jennifer.

Yeah. So then, yes. So the the hospital selects this, person following the next of kin hierarchy. You know? But you think of maybe spouses that have separated that have never officially divorced. You know, there's lots of of different things that that could happen. Then yes. And then they have to file the next of kin. Something is filed with probate, but but nothing nothing has to be acted on. It's just filed.

So so Okay. The statute right now, it says that a person may request a patient's capacity to be reassessed. But then then there must be someone who does that and someone who files for that and someone a process to do that. Somebody would need to draft a petition and file it with the court that if the facility has concerns, they have to notice notify adult protective services, And a court can review and remove a patient representative, but, it needs to be brought before the court for that to happen.

Okay. My

question I'm sorry. My question was what who pushed for this? It looks like on that chart that you did that this is a little bit more restrictive than power of attorney. Who pushed who pushed for this and why? Because it used to be, oh, you know, everyone was pushing to get power of attorney power of attorney.

Get your power of attorney. But why do they want this? Because not everybody's getting their power of attorney early. Like, for example, I got mine a few weeks ago because I was concerned about thinking you know, because thinking about what if something happens to me, and they're pushing this more, you know, with your doctors and stuff.

You know?

With with, with long term care, they always ask you, you know, have you looked into a power of attorney yet? So why this and why from a advocacy standpoint? Why have something more restrictive?

So I I have to say that I think there were a lot of advocates that didn't support this legislation. I think so I I can't say from an advocacy standpoint that necessarily all people who who that it necessarily was supported, and there was a lot of advocates that didn't support it. But it was pushed by the hospitals, and it it ended up passing and go and getting through. So I think that, you know, as an aging and disability resource center, we have concerns about this and that it's one step below a guardianship. It doesn't have the protections for people as a guardianship.

So I think that's one thing that we, as an ADRC, are going to want to do is to, a, educate people that this passed and that this is a possibility. And the way they can prevent this from happening is by doing their power of attorney for health care and doing their power of attorney for finance.

Right. I always thought that hospitals pushed power of attorney. So I guess my question is, if hospitals push power of attorney, why do they wanna have a more restrict why does the industry want a more restrictive thing in place? And are they not gonna be pushing power of attorney anymore, or is this, like, the news? Like

Just because they push a power of attorney doesn't mean that a person has done it.

Right. Well So is this easier for them to do than power of attorney?

But I don't I haven't talked to a hospital to ask them.

Okay. The

hospitals identified people not having their power of attorney completed and being stuck in their facility and needing to go to a different level of care as an issue. That's the issue that they brought forward, and

this was

answer to that issue.

I see.

Seems to me this takes the lawyers out of them too.

It does. Expensive for them. Yes.

Yeah. Okay. So, I mean It just kind of sucks that they have to do. Let's do another alternative, but let's make the other alternative more more restrictive from an advocacy. Like, it's like, what?

Right. So so, Sarah, kind of turning what you're saying then as an an ADRC or as a a person who advocates for people's rights, you know, we are going to want to educate people that if they want to choose who makes decisions for them, if they are unable to make decisions for themselves, that they need to do their power of attorney for health care. They need to do their power of attorney for finance, that educating people because a lot of people don't know that this legislation passed. You know, I would say, look at yourselves here as a a a barometer of of what's happening, and probably the majority of people here today didn't know that this passed. And so you may if you don't have your power of attorney done and end up in an accident, this may happen to you.

So just bringing

this Mine does. Something

that I want the board to be aware of. We as an ADRC are also meeting with other parts of the department, like our APS and our Area Agency on Aging about how we can do, like, a public education campaign about the importance of your power of attorney for health care and choosing who, makes those decisions for you and having those conversations with that person about what you truly want.

And and looking at how this could be amended down the road. Yes. I mean, I think that it was the legislature's attempt to fix the problem. They just didn't do it all the way. I mean, it's

it's not everything that's needed. Yeah. So there are three it's this is a a three year kind of in three years, they're supposed to relook at this. Mhmm. And so Sure. Sure. So, yeah. So there it is set to be relooked at in three years. But I think as as someone who is concerned about people being educated and people making informed decisions, we want to get the word out that this legislation passed and what it means for people if they do not have a power of attorney for health care or finance completed.

That's something you're going to do?

I I think we are well, I think that, you know, that's also something that that the board, you know, knowing that this happened, you can also go out into your own areas and say, did you know this legislation passed? Have you done your power of attorney for health care? It's super important that you do that if you want to be in charge of of what happens to you should something happen to you.

So, yeah, if if you end up in hospitals. Yep.

One question and one comment. The question is, what is the statutory reference? It

is chapter fifty Nine zero six. Yes.

50 o

six? Yeah. Zero six. Okay.

And the comment is that my experience in other contexts is that families can get a family member gets named to this. They can really get bullied by both the facility people or the entity that they're trying that that there might be a sort of a conveyor belt from the hospital to a certain facility, and and there's nothing of a conflict of interest in here. And there's probably 30 ways of getting around it if there were, so it's not important. But it just I just don't

Well, another concern is the potential for fraud. Yeah.

Well, yeah. That that too. Didn't even thought of that. But I've been just have seen families bullied into making decisions that they think is the right decision because the person who's helping them has a certain bias. And there's usually a bias much less towards community type support versus institutional support. Now, if it's an acute illness, that might be different. But I didn't agree. That that's my my comment.

Yeah. Yeah. Yeah. So so just wanted to, a, educate you on this new legislation, and, b, kind of talk about how we will be doing an education campaign to help people do their their power of attorneys. Sarah? You're muted.

I guess another food for thought. Do we know what, if any, education is going to be done at health care facilities? Because I think I alluded to this to a little earlier. Because right now, when you meet with you know, when a nurse is is doing, like, your pre physical or something, sometimes, you know, they will be like, do you have a power of attorney or your case manager through your, if you have a case manager, through long term care, you know, do you have your power of attorney? Have you heard at all from the other industries? Are they gonna

I have

not, Sarah, but I have to feel like this is an issue where people weren't doing them because the the hospitals are the ones that brought it forward. So as much as, you know, the hospitals talk to people about them, obviously, they're feeling that this is a large enough issue that they needed legislation to address it. That that people were not doing that power of attorney for health care and that they didn't have it to activate. They were having to go through a guardianship process, which takes a very long time, and that this was their answer to be able to move people to another level of care.

Okay. UW Health is now at this time just solely no and maybe something talking to our providers about, you know, do you push, you know, asking, as provider if they, talk about power of attorney. The in in the past six or so months

Doing it are

two different things.

Yeah. So first, needing to Yeah. Follow through and actually

do the paperwork. So all the case matter

I see. I see. Yeah. There's a gap between the education at the clinic level and the actual action. Okay.

Doing the paperwork. Got it. So we want to educate people, make it easy for people to actually do the paperwork and then do it. And then sometimes people do it, and then they don't file it with their clinic and the hospital. So if they do it and the hospital and the clinic don't have it, then they also don't know that it has occurred. And so then it's not on file, and no one knows it exists.

From personal experience, UW Health made it very easy to do it. I said I wanted to do it. They're, like, called the social worker. The social worker's like, hey. If this is too hard for you, come in and do an appointment with me. We will send it right away into the into your webs or whatever, and we will you just give it to us, and now it's on file. So for anybody here wanting to do it, at least with UW Health,

social

workers, it's part of their job is a lot of what they do is the power of attorneys. And it's fairly easy. You could get anybody to be your witness to sign it. So just now, especially, go ahead and get her done if you haven't.

Elizabeth? Yeah.

I guess what strikes me is that this is so incredibly one-sided and I believe sloppily written so that it is, a detriment to the patient and has no protections to speak of for the patient and is just incredibly easy for the hospital to sloppy, just hand them off. And and it it really concerns me that this passed the legislature in such a quiet fashion so that we didn't even know that it was happening. And I just wanted to state that. It it just looks so industry specific. It's and disregards the patient.

Yeah. Yep. So now yeah. So just wanted to yeah. Like I said, educate the board that this happened and that, you know, now we want the public to know that it's out there so someone doesn't end up in the hospital without a decision maker and this then they they have a patient representative appointed, and just what they can do to make their wishes known and to, pick who, is their decision maker for them. And, also, you know, with your power of attorney for health care, if you end up wanting to change it or deactivate it, it's it's much easier. A person's rights are more protected.

Great. Any questions? No? Okay. You can come back and revisit this later. Yep. Yeah.

So this the state is coming out with forms which come out June 1. So as things continue, I will, bring this back as a topic, you know, and and kind of looking and and educating on on what we will be doing to, you know, educate the public about this new legislation and and how people can do their power of attorney and and have that on file so that they have a a decision maker that they have approved.

Which part of the state is putting this form out?

The department of health. Health services? Yeah.

Do we know what

No. So public public health is in charge of developing the form.

Figures. Okay.

The other piece that's out there that's has some questions is just how financial institutions will look at this. Mhmm. Because there are some financial institutions that do not even like the state of Wisconsin power of attorney for finance form and don't want to acknowledge it. So just also, yeah, how financial institutions are going to look at this. And if someone is stuck placing a person in a facility and then not being able to access their finances.

And yeah. So there's just lots of things to watch with this. But it did pay us that it's here, and it goes into effect June 1.

And it means we need to keep an eye on them.

Yes. Yep. I'm sorry to make

a protest that is too late and, not not appropriate, but I was just kind of appalled. So sorry.

Yeah. So, you know yeah. So it's definitely something for you to to educate, you know, your you the people you come into contact with that this legislation is passed and that people should do their power of attorney for health care and finance paperwork and file it so that they're not stuck inadvertently getting appointed a patient representative and then, yeah, not having protections of a guardianship, but having all of their rights taken away like a guardianship.

Thank you. It's not too late, Elizabeth, to that because you can, the more you educate and the more we talk to, like, our legislature legislators and stuff, you know, this could be changed. So

you know?

Yeah. A new law doesn't mean the end. It could mean the beginning. So don't apologize. It's just something else something you're passionate about, you know, go for it.

Yeah. It's something else we just have to add to our list.

Yeah. Dave, do you know if is there anything on the county's legislative agenda that that comes anywhere near addressing this? I can't even hear from you. I just wanted to ask because No.

I can look for that.

Sometimes they're kind of hidden, you know, could be hidden.

I mean, when we talk about human services stuff

let me pull it up.

It's I mean, the the legislative agenda in general is pretty high level. Yeah. What what it it it because it's they don't want to again, when we talked to Lacey and she came to all the committees and to the board and was you know, took feedback. And it's just the more specific you are, the more pigeonholed

That's right.

You know, the

lobbyists get. So it's

But sometimes things like this get lost in other wording, you know, and other things. So I mean, I

don't even know how this would be something that people could have predicted would come. You know? Like, that that's one of the the kind of catch 20 twos is that, you know, it's not something you would have seen coming.

Right.

But to address Elizabeth's concern, I think that Sarah's right. It's it's never too late to try to change something, but we're gonna have to we're gonna have to wait and see what happens. We're gonna have to have statistics. We're gonna have to have, you know, proof that this doesn't work in order to make a case for changing it.

So I think there's gonna be a lot of legal familial suits against this that's gonna make a mess. Mhmm.

Yeah. Yeah. But there's something we can put on our radar screen. Yeah.

Thank you for letting us

know. Yes.

And to be continued. So we will be doing some more education to come. And, yeah. Thank you. So next, ADRC updates.

Probably the the biggest update is that I am going out on leave as of May 27. And Bill Hoosier, who is a supervisor here at the ADRC, will be my acting replacement while I am out on leave. And so Bill will be doing definitely the next board meeting, and, hopefully, by then, I'll be back depending on my rehab, how fast I get back here. But so I will be out for a period of time. I will miss our legislative agenda meeting, but Bill will be here for

that

also. Unfortunately, Bill had off today, and my surgery that I'm having got scheduled pretty fast. So I couldn't bring Bill here, but some of you have met Bill before. Yeah. So Bill will be our, yes, our interim leader while I am gone.

Our other updates is we have hit May. So our workers are 100% time reporting in the new system and the old system right now. Because starting in July, we are totally time reporting down in the new system, and we wanna make sure that our drawdown is accurate. So we're having people do both systems right now so that we can compare at the end of the day their time reporting in the database system versus their time reporting on their time sheet because we don't want to risk people that drawing down and claiming the the Medicaid funding and the ERC contract funding that we have in the past. So that is just rolling out, and May is our first month.

People were trained in April. We are having meetings

in

our unit meetings with staff, we are having kind of special meetings with staff to answer any questions or work through issues. We've, you know, given them the protected time in the morning and late in the afternoon to keep up with this to make sure that all of that goes well. We are still in the county hiring freeze, so we still have some vacated positions. Most recently now, we are going to be extending our referral form that we have with the Beacon to the men's shelter because of the the issues with closing the men's shelter and moving to the new men's shelter and the different capacity to see if there's some people there who are potentially in need of long term care that we have not seen through the beacon. So we will be doing some outreach and education and and work with the men's shelter to work on on on the anybody who potentially needs a referral.

Do you think we've missed very many? I don't know.

Not everyone uses the Beacon who uses the shelter, and people come and go all the time. Some people come and then leave and come back and leave. And so maybe maybe we'll see.

I just wondered how it impact

the workload. Yeah. That we're gonna have to watch, like, how how it impacts workload because we are you know, once someone requests a functional screen, we have thirty days to complete that functional screen. So we'll just have to make sure that we, yeah, have the capacity to take on that extra business. So those are are my big updates right now. Any question?

Good luck. Thank you.

It'll be great.

Perfect. So I'm hoping. Let me see. So the next item is future meeting items and dates. Yep. So our next meeting will be June 8. Do we have items that we know about today that we want on the agenda? Anybody in particular who had

Well

got something?

I won't be here. I'll be in Norway. So to that end, I have here a history of AA in Wisconsin. And those of you who don't know, there's a clubhouse on Carroll Street called the five eleven Alamo Society, And it's there for the sole purpose of allowing eight a meetings. And in the modern era, lots of different 12 step meetings. So we have Al Anon. We have NA. We have SAA, which is sex addicts. I'm sure you've got someone else. But in any event, these are OA, which has nothing to do with sea shanties.

However, this is available at five eleven, of course. I have a few copies here if anyone would like any. But we don't use up today. We'll leave some here, and you can tell me if you want some more, and I'll bring them out. But Five eleven is the third oldest continually operating aloe club in the world.

First one was in Minneapolis. The second one was in St. Louis, and we're number three. And I was just explaining earlier to Ken that we're really trying to get some inroads with the university who, on paper, have incredible denial, but there is a student fatigue problem. And, of course,

we're essentially on campus. Yeah.

I mean, we're right down at the end of what would you call it, Frat Row on Lyndon Street. So as you can clearly tell, I'm old, and we need young people in there. This is our primary trusted moment. Of course, we're welcoming anyone. And if you would like to start a meeting there of some sort, there was something there I didn't mention. My gosh. Come on down. We'll get you in.

Well, maybe if we do some advocating for something that might replace me. Do you working with the dean of students?

No.

I would say that's what he's the calls.

We're working with the very, very tangential recovery groups they have there. So we've we've got maybe half a little toe in the door.

I tried to get a meeting with the dean of students.

We had. Oh, We're nobody.

Well, try again.

Thank you

so you don't succeed. Okay. It's fine. Yeah. Any but are there any issues for next meeting? I mean, we'll have a We'll do it next time. Yeah. Yeah. We'll have a full agenda. So any other businesses allowed by law?

Nothing is allowed by law.

Public comment on items that are not on the agenda. We don't have any public, I don't think, available. So, if there's no further discussion Adjournment. Do you have a motion on the floor for to adjourn? Do we have

I second.

Do we have a second? So is there any discussion about adjourning? No. All in favor, aye. Aye. Abstained. Motion carried. Thank you.