91-2181 ��!����� Council File �� / / / V
3�.
Green Sheet ��
RESOL ON
CITY OF SAI MINNESOTA
Presented By
Referred To � o tee t
�L�C��=�C
WHEREAS, the immunization of every child in Saint Paul is of vital importance to the
health and safety of City residents; and
WHEREAS, the City frequently encounters delays as it tries to obtain the release of
immunization records from other health care providers to the Public Health Division; and
WHEREAS, these delays needlessly waste City and other local resources and place
children at risk;
NOW, THEREFORE, BE IT RESOLVED, that the City of Saint Paul requests that the
Minnesota State Legislature empower parents to consent for an extended period of time to
allow a health care provider or child care provider to gain access to their children' s
immunization records.
imon � Nays Absent Requested by Department of:
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Adopted by Council: Date DE C 5 1991
Form Approved by City Attorney
Adoption tified by Counc'1 S retary
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By. ��'-� � y:
J r ` `=r, 9 1991
Approved b�/ yor: Date ���`� Approved by Mayor for Submission to Council
✓
gy: �'���'��"�� By:
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DEPARTMENT/OFFICE/COUNCIL DATE INITIATED N� �,g 9 O /
�ity counci� 11/25/91 GREEN SHEET
CONTACT PERSON&PHONE INITIAUDATE INITIAL/DATE
�DEPARTMENT DIRECTOR �CITY COUNCIL
Councilmember �r1CJ x4473 pgglGN �CITYATTORNEY �CITYCLERK
MUST BE ON COUNCIL ACaENDA BY(DATE) NUNBER FOR ❑BUDGET DIRECTOR �FIN.8 MGT.SERVICES DIR.
ROUTING
ORDER �MAYOR(OR ASSISTAN� �
TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE)
ACTION REQUESTED:
Supporting State legislation that would allow parents to consent for an
extended period of time to allow a health care or child care provider to
gain access to their children's immunization records.
RECOMMENDA710NS:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING GUESTIONS:
_PLANNING COMMISSION _ CIVIL SERVICE COMMISSION �• Has this person/firm ever worked under a contract for this depertment?
_CIB COMMITTEE _ YES NO
2. Hasthis personffirm ever been a city employee?
_STAFF — YES NO
_DISTRiCr CouRT _ 3. Does this person/firm possess a skill not normally possessed by any current city employeeT
3UPPORTS WHICH COUNCIL OBJECTIVE? YES NO
Explain all yes answers on separate sheet and attach to green sheet
INITIATINQ PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why):
The City frequently encounters delays as it tries to obtain the release of
immunization records from other health care providers to the Public Health
Division.
ADVANTAGES IF APPROVED:
Accelerating this release would help ensure the health and safety of the
children treated by the Public Health Division.
DISADVANTAOES IF APPROVED:
None.
DISADVANTAGES IF NOT APPROVED:
The delay in accessing records could jeapordize the safety of the children
of St. Paul.
TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETEO(CIRCLE ONE) YES NO
FUNDING SOURCE ACTIVITY NUMBER
FINANCIAL INFORMATION:(EXPLAIN) ��
NOTE: COMPLETE DIRECTIONS ARE INCLUDED IN THE GREEN SHEET INSTRUCTIONAL
MANUAL AVAILABLE IN THE PURCHASING OFFICE(PHONE NO. 298-4225).
ROUTING ORDER:
Below are correct routings for the five most frequent rypes of documents:
CONTRACTS(assumes authorized budget exists) COUNCIL RESOLUTION (Amend Budgets/Accept. Grants)
1. Outside Agency 1. Department Director
2. Department Director 2. City Attorney
3. City Attorney 3. Budget Director
4. Mayor(for contracts over$15,000) 4. MayoNAssistant
5. Human Rights(for contracts over$50,000) 5. City Council
8. Finance and Management Services Director 6. Chief Accountant, Finance and Management Services
7. Finance Accounting
ADMINISTRATIVE ORDERS(Budget Revision) COUNCIL RESOLUTION (all others,and Ordinances)
1. Activity Manager 1. Department Director
2. Department Accountant 2. Ciry Attorney
3. Department Director 3. Mayor Assistant
4. Budget Director 4. City Council
5. City Clerk
6. Chief Accountant, Finance and Management Services
ADMINISTRATIVE ORDERS(all others)
1. Department Director
2. City Attorney
3. Finance and Management Services Director
4. City Clerk
TOTAL NUMBER OF SIGNATURE PAGES
Indicate the#of pages on which signatures are required and paperclip or flag
eech of these pages.
ACTION REQUESTED
Describe what the projecUrequest seeks to accomplish in either chronologi-
cal order or order of importance,whichever is most appropriate for the
issue. Do not write complete sentences.Begin each item in your list with
a verb.
RECOMMENDATIONS
Complete if the issue in questfon has been presented before any body,public
or private.
SUPPORTS WHICH COUNCIL OBJECTIVE?
Indicate which Council objective(s)your projecUrequest supports by listing
the key word(s)(HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT,
BUDGET, SEWER SEPARATION). (SEE COMPLETE LIST IN INSTRUCTIONAL MANUAL.)
PERSONAL SERVICE CONTRACTS:
This information will be used to determine the city's liability for workers compensation claims,taxes and proper cfvll service hiring rules,
INITIATING PROBLEM, ISSUE, OPPORTUNITY
Explain the situation or conditions that created a need for your project
or request.
ADVANTAGES IF APPROVED
Indicate whether this is simply an annual budget procedure required by law/
charter or whether there are specific ways in which the City of Saint Paul
and its cftizens will benefit from this projecUactfon.
DISADVANTAGES IF APPROVED
What negative effects or major changes to existing or past processes might
this projecVrequest produce if it is passed(e.g.,traffic delays,noise,
tax increases or assessments)?To Whom?When?For how long?
DISADVANTAGES IF NOT APPROVED
What will be the negative consequences if the promised action is not
approved?Inability to deliver service?Continued high traffic, noise,
accident rate?Loss of revenue?
FINANCIAL IMPACT
Although you must tailor the information you provide here to the issue you
are addressing, in general you must answer two questions: How much is it
going to cost?Who is going to pay?
. �J�/-�/�i',
✓
IMMUNIZATION TRANSFERABILITY
BRIEFING PAPER
Backqround
In order to determine whether a child needs to be immunized, the
Health Division often must obtain the child's immunization records
from other health care providers. Under current state law, a
signed consent form from the child's parent is necessary before the
City, the school district or another health care provider can gain
access to these records from a health care provider.
Issue
With so many parents working, it is often difficult to locate a
parent and get the release signed. Delays ranging from two weeks
, to a month are not uncommon for receiving parental authorization
and obtaining the necessary records. Badly needed City, school
district and child care resources are wasted as staff are forced to
turn their attention away from the task of preventing disease in
order to track down parents for consent. In the meantime, the
children are placed at risk. Last year, City efforts to halt the
measles epidemic were hindered by the need to obtain signed consent
forms from parents.
In order to expedite its immunization efforts, the Saint Paul
Public Health Division is seeking a change in the state requirement
that parents sign a consent form authorizing each transfer of their
children' s immunization records. Among the changes that could be
made to the current law is a broadening of the present waiver to
let certain health care providers make more than one transfer per
waiver. Also possible is the replacement of the signed waiver with
a verbal consent that parents could give over the phone. A third
alternative would give boards of health expanded legal powers in
times of emergencies such as epidemics.
A change in the written consent requirement would expedite the
process of immunizing children for cities, counties, schools, camps
and day care facilities across the state.
Howard Orenstein indicated his support for the idea near the end of
session last year. He is interested in presenting it this year.
Recommendation
The City of Saint Paul requests that the State Legislature change
the requirement that a signed parental consent form be obtained
each time a health agency, school district, health care provider or
child care provider needs to gain access to a child's immunization
records.
. _ G�y�a��/✓
T A B L E O F C O N T E N T S
Initiate PAGE
CSSP {Apprvd by Committee, 9/13/91} . . . . . . . . . . . . 3
Property Tax Relief:
Local Government Aid {Apprvd by Committee, 10/18/91} . . 5
Constitutional Dedication of Sales Tax
{Apprvd by Committee, 10/18/91} . . 7
Fiscal Disparities {Apprvd by Committee, 10/18/91} . . . . . 8
� Polluted Lands {Approved by Council, 9/19/91) . . . . . . . 10
MELSA Funding {Apprvd by Committee, 10/18/91} . . . . . . . 13
Housing Issues {Apprvd by Committee, 11/22/91} . . . . . . . 17
HRA Expansion of Powers {Apprvd by Committee, 10/18/91} . . 24
Substantial SuQport
Metropolitan Parks/Como Park Dept Service
{Apprvd by Committee, 10/18/91� . . 27
URAP tApprvd by Committee, 10/18/91) . . . . . . . . . . . . 32
� Public Safety Issues {Apprvd by Committee, 11/22/91} . . . . 34
Maternal Child Health {Apprvd by Committee, 10/18/91} . . . 39
Parking Tag Income tApprvd by Committee, 10/18/91} . . . . . 41
Housing Court {Apprvd by Committee, 10/18/91) . . . . . . . 43
Photo Cop (No recommendation, lack of quorum, 11/8/91} . . . 45
Metropolitan Transportation Trust Fund
{No recommendation, lack of quorum, 11/8/91� . 47
Immunization Transferability/Medical Records
{Apprvd by Committee, 10/18/91� . . 49
Metropolitan State University
{No recommendation, lack of quorum, il/8/91} . 51
Presidential Primary Funding
{No recommendation, lack of quorum, 11/8/91) . 53
Cultural Tourism/Historical Preservation District
{No recommendation, lack of quorum, 11/8/91} . 55
Monitor
- Health Care Access {Apprvd by Committee, 10/18/91) . . . . . 58
Ayd Mill Road {Apprvd by Committee, 10/18/91} . . . . . . . 60
Service Charge Definition Change
• {Apprvd by Committee, 10/18/91) . . 62