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91-2185��V��` !�''-;� , Council File # �''�/ ✓ �J Green Sheet # R SOLUTION ITY OF S PAUL, MINNESOTA Presented By �CG'�" Referred To - Committee: Date WH8REA8, an estimated 400, 000 Minnesotans lack health insurance; al�►d WHEREAB, more than 50, 000 Saint Paul residents are estimated to be without health care insurance;. and AHEREAS, more than $4 million in City and County tax levy funds are currently used to provide health care services for the uninsured; and WHEREA3, Governor Carlson vetoed a bill that would have provided health care access to uninsured Minnesotans; NOW, THERFFORE, BE IT RESOLVED, that the City of Saint Paul supports legislative efforts to provide preventative health services to the working poor and other Minnesotans. � , Ye Navs Absent smon =� Requested by Department of: oswstz on acca ee -�' e t tman �- une —�' By: Adopted by Council: Date nE� 5 19�� Farm Approved by City Attorney Adoption Ce ied by Coucnail S��r tary By: By: ` � .� Approved by Mayor for Submission to Approved by �r: Date � � g �gg� Council , ;, 8 `��r.4��t1 BY� Y= . �:°�'=#;'=�; G�C 1 �a '91 . ��/�/�'S DEPARTMENT/OFFICE/COUNCIL DATE INITIATED N� 18 910 � city counci� 11/25/91 GREEN SHEET - CONTACT PERSON�PHONE a DEPARTMENT DIRECTORNITIAUDATE O CITY COUNCIL INITIAL/DATE Councilmember Long x4473 ASSIGN �CITYATTORNEY O CITVCLERK MUST BE ON COUNCIL AGENDA BY(DATE) NUMBER FOR ❑BUDGET DIRECTOR �FIN.&MGT.SERVICES DIR. ROUTING ORDER �MAYOR(OR ASSISTANT) � TOTAL#OF SIGNATURE PAGES (CLIP ALL LOCATIONS FOR SIGNATURE) ACTION HEQUESTED: Supports legislation to provide preventative health services to the working poor and other Minnesotans. RECOMMENDATIONS:Approve(A)or Reject(R) PERSONAL SERVICE CONTRACTS MUST ANSWER THE FOLLOWING�UESTIONS: _ PLANNING COMMISSION _ CIVIL SERVICE COMMISSION �• Has this person/firm ever worked under a contract for this depertment? _CIB COMMITTEE _ YES NO " 2. Has this person/firm ever been a ciry employee? _STAFF — YES NO _DISTRICT CouRT — 3. Does this person/firm possess a skill not normally possessed by any current city employee? SUPPORTS WHICH COUNCIL 08JECTIVE? YES NO Explaln all yes answers on separate sheat and attach to green sheet INITIATINO PROBLEM,ISSUE,OPPORTUNITY(Who,What,When,Where,Why): The City allocates more than $500, 000 tax levy and CDBG dollars to operate community health clinics and is still unable to ensure that all St. Paulites have adequate health coverage. ADVANTAGES IF APPROVED: The City will be able allocate these funds in other areas and still ensure adequate health care coverage for everyone in the City. DISADVANTAGES IF APPROVED: None. DISADVANTAGES IF NOTAPPROVED: The City will have to continue to spend limited resources to ensure that only a portion of St. Paulites receive health care. TOTAL AMOUNT OF TRANSACTION S COST/REVENUE BUDGETED(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 tor 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. Mayor/Assistant 5. Human Rights(for contracts over$50,000) 5. City Council 6. 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. City Attorney 3. Department Director 3. Mayor Assistant 4. Budget Director 4. Ciry Council 5. City Clerk 6. Chief Accountant, Finance and Management Services ADMINISTRATIVE ORDERS(all others) 1. Department Director 2. Ciry 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 compiete sentences. Begin each item in your list with a verb. RECOMMENDATIONS Complete if the issue in question has been presented before any body, public or private. SUPPORTS WHICH COUNCIL OBJECTIVE? Indicate which Council objective(s)your project/request supports by listing the key word(s) (HOUSING, RECREATION, NEIGHBORHOODS, ECONOMIC DEVELOPMENT, BUDCiET,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 civil 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 citizens will benefit from this projecVaction. DISADVANTAGES IF APPROVED What negative effects or major changes to existing or past processes might this projecUrequest produce if it is passed(e.g.,iraffic 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?Inabiliry 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 a�swer two questions: How much is it going to cost?Who is going to pay? , - �y�a��s ✓ HEALTH CARE ACCESS BRIEFING PAPER - Backaround An estimated 400, 000 Minnesotans are without health insurance. A conservative estimate of 50, 000 uninsured adults and children live in Saint Paul and suburban Ramsey County. A key fact is that Saint Paul and Ramsey County contribute almost $4 million tax dollars annually to provide subsidized health care for uninsured/underinsured people without access to low cost services. Access to basic preventative health care is essential to reducing the costly impact of serious health problems. For example, the $110, 000 bill of two respirator-dependent children resulting from two cases of ineasles could have provided measles vaccine to 3 , 142 children. Issue Saint Paul tax levy dollars and federal CDBG funds are currently contributing more than $500, 000 annually to the operation of community clinics. With the passage of state health care legislation, the City would be �able to reduce or eliminate its expenditures in this area while resting assured that citizens will receive the preventative medical care they need. :� Last year, several different proposals were presented at the Legislature. At the end of the session the Legislature passed a health care access bill that was vetoed by Governor Carlson. Representative Ogren and other DFL leaders will very likely be pushing again for a health care access program. Recommendation The City of Saint Paul supports legislative efforts to provide preventative health services to the working poor and other Minnesotans. . . �,�� 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 Support Metropolitan Parks/Como Park Dept Service {Apprvd by Committee, 10/18/91) . . 27 URAP {Apprvd by Committee, 10/18/91} . . . . . . . . . . . 32 Public Safety Issues {Apprvd by Committee, il/22/91} . . . . 34 Maternal Child Health {Apprvd by Committee, 10/18/91} . . . 39 Parking Tag Income {Apprvd 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, 11/8/91} . 51 Presidential Primary Funding {No recommendation, lack of quorum, 11/8/91} . 53 Cultural Tourism/Histarical 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