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MONTANASTATEUBFIARY
i
NTANA
DepartmentofPublicHealth&HumanServices
May 1999
1999 Legislative Roundup
Lawmakers in the 1999 Legislature showed their sincere concern
for the health and long-term well being of Montanans by
approving far-reaching programs to protect children, people with
mental illness and a new generation tempted by tobacco.
"From a prevention perspective, we are very pleased that
legislators acknowledged the value in these health programs and
supported our efforts," said Nancy Ellery, Health Policy and
Services Division Administrator for the Department of Public MAY
Health and Human Services.
AsthmaandAllergyAwarenessMonth
The key programs are the Children's Health Insurance Plan (CHIP) HepatitisAwarenessMonth
as presented in Senate Bill 81, a Public Mental Health Delivery OlderAmericansMonth
system, as presented in Senate Bill 534, and guidelines for
spending millions of dollars for tobacco prevention and May11
education, as outlined in House Bill 2. HealthyCommunitiesCoalition
MetNetConference
Perhaps the most significant spending decisions came in the final 10am tonoon
week of the session when lawmakers, after considerable debate, Contact:LyndaBlades444-7324
ampopnreoyveodveprlatnhsetnoexatllotcwaoteyeaabrosu.tT$h6e7bmrielalikodnowofntiosbaasccfoolsloewtst:lement MMeanyta1l3HealthRules
• $28.4 million to a reserve account for two years; the 2001 PublicHearing
Legislature will then decide how to allocate that portion. 3p.m.,DPHHSAuditorium
• $20 million to the state general fund to pay for day-to-day Contract: DawnSliva444-4087
operations. May14
• $8 million to CHIP (details belov\/). MentalHealthMetNet
• $7 million for a tobacco prevention and education program Statewidelocations
(details belov\^. 9a.m.
• $2 million to the Montana Comprehensive Health Association, Contact:LauraMcNamara444-4928
which provides comprehensive health insurance benefits to May14-15
individuals regardless of their health condition. The program is "StateoftheArtDiabetesCare"
funded through premiums paid by enrollees and assessments GreatFallsCivicCenter
paid by health insurers. Contact:ToddHanwell444-0593
• $1.6 million for a "Youth Challenge Program" operated by the May15
National Guard The program is aimed at high school dropouts Racefor—theCure
and provides education, guidance and counseling. 10am, StateCapitol
CHIP Program May24-26
CprHeIvPenhtiavsebheeeanlthincaarpeilcotovpehraasgee stoinc9e43Jacnhuialrdryen1,tphrroovuigdhinagge 18. CCBoountnttcaeucrCtr:oepnBpteevPrlAKaxinennlgisneIgnnnC7o7n1f-e8r5e8nc0ex121
Senate Bill 81 will significantly expand the pilot program, May26-28
boosting total enrollment to more than 10,000 children and ConcurrentPlanningConference
adding dental and vision care services. Eligibility is dependent BillingsSheraton
upon a family's income. Contact: BevAxelsen771-8580x121
"The pilot has been going really well," CHIP Coordinator Mary Noel May31
said. "Our feedback shows that children are receiving a lot of MemorialDay
preventive services that they otherwise wouldn't have obtained. Holiday
—
That's the key to this program keeping children healthy."
June18
CHIP is a joint federal-state program. For fiscal year 2000, PublicHealthImp—rovementTaskForce
$2.56 million in state tobacco settlement money will bring in 10a.m.to3p.m. Kalispell
$11.74 million in federal funding. VContact:MelanieReynolds444-4474
For more information about CHIP contact Noel at (406) 444-6971.
("1999 Legislative Roundup. . ." continued on Page 2)
(1999 Legislative Roundup . . . continued from Page 1) iDnPteHrHeSstewdanintsbetcoohmeianrgfmroemmbienrdisviodfualtshewnheowarMeental
Tobacco Prevention Project Health Oversight Advisory Council. Please send
letters of interest by May 30 to: DPHHS Public
Another prevention project that will see significant Information Officer, PO Box 4210, Room 301, Helena,
eprxepvaennstiioonn,tohvaenrksseetno laetgiDslPaHtiHveSsbuyppCohrrtisisDtevoebnayc.co MnaTme5,96a0d4d.resLsetatnedrstsehloeuplhdoniencnluudmebetrheasindwievlilduaals's
The $7 million allocation will allow Montana to create specific personal or professional reasons why he or
a comprehensive tobacco use prevention program. The she would be a good council member.
DPHHS plan calls for: In the meantime, the state's interim Mental Health
• Establishing community-based prevention projects in Services Plan is developing an eligibility card and
each county. handbooks for providers and consumers that will
• Increasing tobacco use prevention education contain information about eligibility and benefits.
throughout public schools.
• Providing tobacco use cessation programs for Miscellaneous
Montana residents. Other noteworthy developments from the session
• Conducting a statewide public prevention education include:
and awareness campaign.
• Enhancing existing health programs that address • Elimination of the "$7-per-family" fee for services
tobacco-related disease. provided by the Child Support Enforcement
• Starting special projects for Native American and Division. Lawmakers replaced fee-generated money
smokeless tobacco users. with $413,000 of general fund money for each
• Monitoring the overall impact and effectiveness of year of the 2000-01 biennium. "This is a one-time-
these programs. only general fund infusion, which will need to be
"We're going to be preventing children from beginning a discussed next session," CSED Administrator Mary
lifetime of addiction to tobacco products," Deveny said. Ann Wellbank said. The fee system will be
"We're going to be helping those who are already eliminated July 1, 1999.
addicted to tobacco to quit using it, and we're going to • Several interesting Human and Community Services
be protecting non-smokers from the hazardous effects of items. For example, lawmakers appropriated
second hand smoke." funding in House Bill 2 for start-up money for a
Mental Health Services Plan cpiolnoftispcraotgerdamgatmoeusaenismuarlpslupsrofcoeosdsecdomamtodMiotniteasnaand
The program that likely gained as much attention duhng State Prison for distribution to Montana food banks.
the Legislature as any other involves state publicly Lawmakers also passed SB353, which prevents
funded mental health services. DPHHS and Magellan DPHHS from discontinuing Medicaid and Food
Health Services have agreed to cancel their contract, Stamp provisions for families sanctioned via the
and the state will operate the mental health program FAIM (welfare reform) program. Lawmakers killed,
starting July 1 until a new system is developed. on a 51-49 vote. Senate Bill 469, which would
Two transition periods will result from legislative have made surplus state vehicles available to FAIM
direction and the intent of Senate Bill 534: One participants at reduced cost.
transition is under way, involving Magellan's departure • The Disability Services Division will be able to
and the emergence of DPHHS to operate an interim move nearly 350 developmentally disabled
system — the Mental Health Services Plan. A second Montanans from a waiting list and into community
transition will take place in 2000 when a new system services thanks to funding in House Bill 2. As of
is developed to replace the managed care program February, the waiting list for such services totaled
Magellan oversaw. more than 900 people.
DPHHS is making sure the new system develops with • More than 7,500 nursing home aides, foster
patience and sensitivity to consumers and service parents, personal care workers and others will
providers. No key decisions or draft proposals will be receive an average 25-cent-per-hour pay raise. Many
made until a new Mental Health Oversight Advisory salaries for these employees are near $6 per-hour,
Council is seated this summer. The council, as which has created high turnover.
mandated in SB534, will "provide input to the • Among the highlights in the Senior and Long Term
Department (DPHHS) in the development and Care Division: Funding was secured to hire an
management of any public mental health system." additional three Adult Protective Services (APS)
Consumers will comprise at least half of the council. social workers: APS shifts to the SLTC Division on
cOlraetorphngreese,rsuemmmneeternamttbiafvaelemrsih,sleyaawlinmtldhelmaipbrneocrrvleisupddr,eeerssmec,enotmnlabestgeiuivsrmelesartooofrfastd,thvheoDecPapHtueHbslS,ic at Jypuerlaoyvrido1.efrStLrhaTetCebiailensnconrierauesmceeaifvnoedrdawlfillulnitdsbienpgraobfgloreraamtos1p-froporevriecdeaencth
CmoumsmtisbesicoonnesridoefreIdnsuwrhaencne.meGmeboegrrsaphariecarpepporiensteendt.ation sbeirevnincieusmtounadneradtdhietioMneadlic1a3i0dpHeoopmlee aonvder the
Additionally, SB534 requires the Governor to appoint a Community Based Waiver.
Mental Health Managed Care Ombudsman for a 4-year
term. The Ombudsman will represent the interests of
consumers.
Security Changes Coming for Capitol Complex Buildings
The General Services Administration (GSA) is their system badges. The badges may be
set to begin a new security project on the worn externally as a form of employee
Capitol Complex within the next six months. identification or carried in a purse or wallet.
Money for the project was appropriated by This system is complex and will be able to
the 1997 Legislature with Governor Racicot's determine which employees have entered a
etarlpehepprcrlotoaurvcgoaehnloi.mcuotslTotthchekeosf.pCrtaohpTjieehtceotel'xsptrCeormojnameaipclntlekwfexioylclewudisstohdiosonotrobelocks edbIfuemiaaplcldtcoiianyvrgead,eteaidtsislwatohnsetdartmoairntiansmtteeeow,ldenaco,narrdtdphaeintirsmwscauhanerieddc.nhtclabIyfnuiallbnedeaivnegs.
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security system is scheduled to take place in that keys be returned.
late summer and early fall.
Once the contract has been awarded for the
The security system that GSA is considering security project, more details regarding the
is a "proximity reader system" that will require system will be available. Rob Virts, DPHHS
employees to carry system Safety Coordinator, will provide additional
identification badges to gain information later this summer once details
access to certain buildings are available about how the security system
throughout the complex after will affect employees in the Cogswell and
"" hours. At this point, most Sanders buildings. At that time Virts will
doors in the complex will remain outline the plan for the external doors in
unlocked during regular working hours and both buildings as well as the
will be locked after hours. In order to gain projected installation dates.
access after hours, employees must pass their Supervisors are encouraged to
identification badge within one foot of the contact Virts at 444-6823 to arrange
proximity reader door lock to unlock that for him to speak at bureau or
door. Employees will have the option of division meetings in July and
attaching their state picture identification to August.
Outlook Conversion Reminder
Most DPHHS employees Management Intern
across Montana have Recruitment Upcoming
already converted to In June, DPHHS will begin recruiting for
Outlook as the primary Management Interns for 2000. Each
electronic mailing system. employee will receive recruitment notices
cHoenlveenratotfhfiiscemsonwitlhl, and employees should be wpirtohvidteheisrpepciafyiccheicnkfso.rmTahtieonnootnicehsowwillto
registered for training.
apply.
The Child Support Enforcement Division
conversion is scheduled for May 14; Cogswell, Applicants must have at least two years
Sanders and Old Livestock buildings for May 21; of service with DPHHS and must be a
and all remaining Helena offices for May 28. grade 13 or have a bachelor"s degree.
ATnrseaey,da OrtuoetmidneTldreeatyre,aunprdninoerFoeltdodeedrcso.nivtEeemrmspsilooinnyeteehmsepirlwioZlyliepebseIn Telehmaperlnopyrmeoaegnsraagwmeitmpheronmvtiadnaeansgdeanmleeaondpteprosrphotitupennitstikyailllfso.tro
able to transfer about 50 messages from Zip to If you have questions about the
Outlook. Calendars will automatically be Management Intern Program or the
converted to Outlook. recruitment process, contact Personnel
Officer Carol Seaman, Human Resources,
For more information about training, contact at (406) 444-3426.
Rita Cross via e-mail.
Introduction
Karin Ferlicka, Vital Records Administration Supervisor
Office of Vital Statistics, Operations and Technology Division
111 N. Sanders — PO Box 4210 — Helena, MT 59604
Telephone: (406) 444-5249
Fax: (406) 444-1803
What do all the following have in common? A parent running away with their children; an individual
seeking birth parents; children wanting to play an organized team sport; and a fugitive fleeing the
country.
If you have absolutely no idea, call Karin Ferlicka, Vital Records Administration Supervisor. The
connection, Karin will tell you, is birth certificate requests, which keep her constantly intrigued. "What
I like most about my job is it's unpredictable. Something is different every day," Karin says with
enthusiasm.
A vault holds the history of Montana's births dating back to 1860. Prior to the early 1920's, the
records are sparse because a birth certificate was considered a "status symbol" and was not required
until 1907. By the 1920's, systems were in place for recording births, but the advent of Social Security
is what really created a need for folks to have a formal document. Karin and her staff are kept busy
logging in nearly 11,000 births annually and an average of 1,500 requests per month for copies. That
doesn't include recording or copying death certificates, recording delayed birth certificates, research,
training and joining the electronic superhighway.
Within the past year Karin has been involved with formatting birth certificates electronically to better
serve consumers. Clerk and Recorder Offices in 15 Montana counties can now quickly respond to
requests for certified copies of birth certificates for Montanans born after 1920. The goal is to provide
all 56 counties with access to electronic birth records, rather than only having them available from the
state office. Hospitals across the state are also being brought on-line by transmitting birth records to
the state so new parents can promptly receive birth certificates. Eventually, death certificates will also
be automated.
With adoption cases, Karin "tends to bend an ear and understand" because she was able to locate her
birth mother after her employment helped her understand the system.
She is proud of her 19-year marriage to her high-school sweetheart, her two sons (age 16 and 13), and
a job she loves.
Success Stories from Helena Featured in Healthy Communities Video Conference
^^^^i The Montana Healthy Communities The May 11 Healthy Communities Network '99
^^^^\ Advisory Coalition is continuing its video conference will be broadcast to:
Y^^Pp^ series of statewide interactive video Anaconda, Billings, Bozeman, Butte, Glasgow,
•^^^conferences, which are designed to help Glendive, Great Falls, Havre, Helena, Kalispell,
participants create healthier communities and Miles City, Missoula and Sidney. Call the
learn from successful statewide activities. University of Montana at (406) 243-2094
for specific viewing addresses and to
The third session in the free training series, register. For more information about the
"PnHeoreocanel.ptthTiyhoenCso,sm"emsuissniiostneitewifslo:lr ThMihagehyliPg1e1hotpflcer'oosmmmu10niat.ym. to MLyonndtaanBalaHdeeasltahty(4C0o6m)mu4n4i4t-i7e3s24.Initiative, call
"listening" success stories from the Helena The remaining installment in the video series is
Healthy Communities Coalition. Conference scheduled for July (Community Indicators,
presenters Cindy Lewis, Director of Marketing Stories from Missoula). A specific
and Community Health at St. Peter's Hospital, date and time will be
and Kate Wilson, Health Educator at the Lewis announced. I u'^giii)
and Clark City-County Health Department, will
speak about their experiences conducting
community-wide focus groups.
April Showers Bring May Sniffles and Sneezes
May is National Allergy and Asthma An estimated 14.6 million people in the U.S.
Awareness Month, and the 1999 theme have asthma, and the American Lung
focuses on youth: "Children Without Limits: Association estimates that 26,860 adults and
Asthma and Allergies Shouldn't Stop Kids 16,682 children in Montana have asthma.
from Being Kids." More than 5,000 people die of asthma in the
U.S. annually.
Asthma is a chronic, inflammatory lung
disease characterized by recurrent breathing The State of Montana presently does not track
problems usually triggered by allergens, the actual number of people afflicted with
although infection, exercise, cold air and asthma, although DPHHS is studying ways to
other factors may also be triggers. People gather statistics and disseminate information
with asthma have acute episodes when air to the public, according to the Health Policy
passages in the lungs become narrow, and Services Division.
alpenradodbilaneigrmwstaoyasrb,erewaththiehcinhrgesoudvlietfrsfirceouaflctyts.entsoSituciecvrhetalinungs TWthiheledMaDaPMnHcaHGgSreadwa,sCtaQhrumeaalPirrtoyegsAorusarmsc,uer4as4nt4cafe-f18Smp3ee4cm.ibaleirstisin
triggers and become inflamed and clogged.
The basicasctahusmea oifs nloutngknabonwonr.mality in CampHuff'/\/PuffforK/ds
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increased by 72 percent among fun, educational camping experience with
children between 1982 and 1994. The complete medical supervision provided
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Lung Association, 1-800-586-4872.
Association.
State Disability Determination Office Receives National Citation
For the third consecutive year, outstanding in the DDS office, 2550 Prospect Ave. in Helena.
customer service has brought national Governor Marc Racicot and Social Security
recognition to the state office responsible for Regional Administrator Richard Gonzales will
determining Social Security disability eligibility. present the honors.
The Montana Disability Determination Services The DDS office, part of the Department of
Bureau, under the supervision of Michelle Public Health and Human Services, has about
Thibodeau, placed second in 1998 out of 54 40 employees who review requests for Social
national offices in terms of outstanding Security Disability benefits. The state works in
performance, according to the Social Security conjunction with the federal Social Security
Administration's Denver office. And one bureau Administration to establish medical eligibility.
employee. Nan Cervenka, was individually
rouetcsotgannidziendgfolreahdeerrship of IMnonatalentaterDtDoSRapceircfoot,rmGaonnczealiensalwlroatree,as"wThaes
the group that oversees characterized as excellent or outstanding. ...
The quality, quantity and timeliness of the work
disability hearings.
product consistently surpassed national
The Bureau will receive averages by a significant degree."
Social Security's highest
honor, the Commissioner's
Citation, during a ceremony
and reception May 11 at 11:30 a.m
'Concurrent Planning' Conferences Focus on Children
Conferences on "concurrent planning" — a method used to find permanent homes for children
placed in out-of-home care — are scheduled later this month in Butte and Billings.
Concurrent Planning is a method of developing two plans simultaneously in order to achieve
permanency for children in out-of-home care. Trained "concurrent planning" families work with
birth families to assist in regaining physical custody of children while agreeing to provide
permanent, long-term placements for children, such as adoption or long-term foster care, if
reunification is not possible.
Sessions will be of special interest to foster and adoptive parents, social workers, guardians ad
litem, attorneys, judges, tribal social services representatives, mental health professionals and
"multidisciplinary" team members.
The conferences are sponsored by the Department of Public Health and Human Services and five
children's advocacy groups from across the state: Families for Kids, The Casey Family Program,
Catholic Social Services, Lutheran Social Services and Missoula Youth Homes.
Conferences are May 24-26 at the Butte Copper King Inn and May 26-28 at the Billings Sheraton.
There is no registration cost. For more information, contact Bev Axelsen at 771-8580 ext. 121, or
e-mail at [email protected].
Child Support Project Cultural Exchange
Raises Awareness Statewide
In early April, the DPHHS Child Support Enforcement
Division publicly released the names of nearly 4,000
parents who had open cases since 1995 and hadn't made
a payment in a year.
Through mid April the results were encouraging: CSED had
received more than $122,000 from those listed, or from
friends and family members making payments on behalf of
those listed.
Of the original 3,986 names listed, 759 had been removed
— —
as of April 21 about 19 percent after payments had
been received and payment plans created.
In addition, more than 400 individuals had contacted CSED
with "tips" on the whereabouts of individuals or their
assets and income, and the delinquency list on the DPHHS
website www.dphhs.state.mt.us/hot/unpaid.htm had
( )
attracted more than 9,000 visits.
The division also collected a record $4.7 million in March,
likely a direct result of advance publicity the delinquency
list received.
Smoking Prevention Program Started
State employees interested in stopping nicotine use, PatCahill, ChildandFamilyServicesDivision
including smoking and chewing tobacco, are northcentralregionaladministrator,andCarl
invited to attend Nicotine Anonymous, a 12-step pJreontseecnt,ivaelseanw/eicnefsorecxepmereinetncofef,icreercweinttfliycfiild
program started by Bobbi Renner of the Health participatedInthefirstCulturalExchangewith
Policy and Services Division. BlackfeettribalmembersinBrowning. The
exchange, facilitatedbyMaryOlsonandStanley
The group meets Thursday nights from 8 to 9 p.m. at the SpottedWolf, willprovideDPHHSstaffan
First Presbyterian Church, Solomon Room, 535 N. Ewing in oopnpocrhitludniptryotteoct"isohnaidsoswu"esthienirBtrroiwbanlicnogu,ntaenrdpatrritbsal
Helena. memberswilldothesameinDPHHSfieldoffices.
Mathews Elected to National Vocational Rehabilitation Office
Congratulations to Joe Mathews, administrator of the DPHHS Disability
Services Division, for his recent election as Secretary/Treasurer of the national
Council of State Adnninistrators of Vocational Rehabilitation.
Mathews, who has a 25-year career with the Montana Vocational Rehabilitation
and Developmental Disability programs, was nominated by his peers in the
western region, and then was elected by the 82-member national council.
"It's a real honor, not just to be serving in this capacity, but to have been
selected by my peers," Mathews said. "I'm excited about new opportunities to
bring program and policy information back to Montana."
In his role, which begins July 1, Mathews will serve on the council's Executive Planning Team
and will help develop strategies, activities and working with Congress. The council is primarily
an educational group that helps develop responses to policies, promote awareness and train
states about implementing laws and regulations.
WIC Program Celebrates 25 Years: 22,000 Montanans Benefit Monthly
The Women, Infants and Children's Program Nearly half of all infants born in Montana
(WIC) celebrated its 25* Anniversary May 4-5 receive WIC benefits, and the program serves
during the annual WIC Conference and more than 22,000 Montana women,
Membership Meeting in Helena. Board infants and children monthly.
members, managers and personnel from more Nationally, one in five pregnant
than 40 Montana WIC offices attended and women (and children under five
heard a keynote address from Lt. Governor years old) benefit from the
Judy Martz. nutritious food, education, support
and health care referrals offered
Across Montana this month, anniversary through WIC at some 10,000 *>t
celebrations are focusing on outreach
clinics.
efforts to those eligible, but not
enrolled in WIC. Offices are holding
seminars, distributing "new Mom
and Baby" kits, and starting a
promotional campaign to
encourage participation. Nursing Society
WIC is the Special Supplemental Honors Eckerson
Nutrition Program for Women, Infants and
Children. In Montana, WIC is under the Marci Eckerson, the Immunization Nurse
direction of DPHHS. Authorized nationally Consultant in the DPHHS Health Policy
since 1974, this federal grant program has and Services Division, was honored April
provided funding and assistance to improve 17 with the Beginning Leader Award,
the nutrition and health care of women, presented to a recent nursing graduate
infants and children up to age 5. who demonstrates excellence in
leadership.
WIC assists parents in providing their children
with proper nutrition during the early growing The Honor Society of Nursing, Sigma
years. WIC helps assure normal growth, Theta Tau, Zeta Upsilon Chapter,
reduces anemia risks, increases immunization presented the award. Eckerson is a 1994
rates, improves access to regular health care graduate of Carroll College.
and improves diets.
pNeeowpsleainndtihnefoDrPmaHtHiSonaarbeouptretsheentperdoignratmhissand Twwhwe.dDpPhhHsH.Sstawteeb.mtsi.tues.canThbee nveiswistleedttaetrhcttapn:/b/e
monthly newsletter. This edition was produced found in the Resource Room section.
by a committee of employees from various areas
of the agency. The Newsletter Committee Newsletter Committee members are:
wmealycobmeessenytoubrysrueggguelsatriomnasilaonrdZciopmMamielnetds.to Iadneyas Editor: Ken Pekoe
committee member. Reporters: Bette Hall John Zeeck
Kim Evermann Patty Smith
DPHHS attempts to provide reasonable Jan Lombardi Susan Ramsey
accommodations for any known disability that Distribution
may interfere with a person participating in Coordinator: Kate Potter
any service, program or activity of the Designer: Peggy Bronson,
department. Alternative accessible formats of Publications & Graphics
this document will be provided upon request.
For more information, call (406) 444-2596.
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