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The Nursing Home Committee is comprised of the following (7) board members: 1. David Heath - Chair 2. Carl Borngasser - Vice-Chair 3. Frank Deninger 4. Daryl Holt 5. Helen Holz 6. Dick Spafford 7. Jack Vietti
To view minutes of the Community Advisory Committee meetings, click here
LIVINGSTON COUNTY BOARD NURSING HOME COMMITTEE
Committee Chairman Arnold Natzke called the meeting to order at 5:16 p.m. in the Clavey Room at the Livingston County Court House, Pontiac, Illinois.
Present: Natzke, Heath, Deninger, Holz, Borngasser, Spafford Absent: Jones, Vietti Others Present: Jeanne Rapp,
Motion by Heath, second by Holz to approve the agenda as presented. MOTION CARRIED WITH ALL AYES.
Motion by Holz, second by Deninger to approve the minutes of the November 8th, 2006. MOTION CARRIED WITH ALL AYES.
The Committee reviewed the invoices presented. Motion by Heath, second by Borngasser to pay all invoices. MOTION CARRIED WITH ALL AYES.
There being no further business to come before the Committee, motion by Spafford, second by Deninger to adjourn. MOTION CARRIED WITH ALL AYES. Meeting adjourned at 5:20.
_____________________________ Alina Hartley Admin. Asst. - Pro Tem
LIVINGSTON COUNTY BOARD NURSING HOME COMMITTEE
Committee Chairman Arnold Natzke called the meeting to order at 1:30 p.m. in the Clavey Room at the Livingston County Court House, Pontiac, Illinois.
Present: Natzke, Vietti, Heath, Deninger, Holz, Borngasser, Spafford Jones Absent: None Others Present: Jeanne Rapp, Bill Fairfield, Scott Gima (Vice President of Management Performance Associates), Sandra Harmon, several members of the public, several media representatives.
Motion by Holz, second by Jones to amend the agenda as follows: Under Business to come before the Committee, delete A., ; and to move Public Comment to before the Executive Session. MOTION CARRIED WITH ALL AYES.
Motion by Spafford, second by Deninger to approve the minutes of September 6, 2006. MOTION CARRIED WITH ALL AYES.
BUSINESS TO COME BEFORE THE COMMITTEE:
Committee Chairman Arnold Natzke introduced Scott Gima from Management Performance.
Gima took this time to introduce the new Administrator at Livingston Manor, LeAnn Thomas. Committee members welcomed her.
Financial Issues
Accounting Issues: Census average for the month of August was 80, with todays census at 81. Medicare census is at 3-4. Plans are to start making strides in getting the census up to increase revenues.
There is $305,686.90 as a bank balance at the end of August. The first property tax distribution came in August. There are no invoices outstanding. All bills are being paid on time. August showed a monthly profit of $134, 263.49 due to the property tax. A repayment of $150,000.00 has been made to the working cash and a second payment of $150,000.00 will be due back to the County by 11/30/06. Receivable totals have decreased significantly. Two payments were received by Medicaid during the month of August. We are also receiving Medicare payments in a more timely fashion.
Transfer of Funds
There is no request for a transfer this month, due to the tax levy distribution. Budget Update
In figuring revenues for next year’s budget, Gima said they looked at census, payor mix, and room rates for each class. When figuring the budget for next year, they have conservatively projected census to be at 83. Payor mix, they feel, will remain about the same with exception to Medicare. Their goal is to average 8 Medicare. They feel that is very attainable. With additional rehab, Medicare rates are expected to go up. Private Pay rates will be increasing by 5%. Revenues for 2007 are projected at $3,689,536. However, Gima wanted to point out that the property tax receipts has not been added to the budget due to oversight.
On the expense side, two components to the expense side are labor and non-labor. On the labor side they took the numbers for staffing that they have now, took a look at their rates of pay, increased the rates by 3.4%. That gives them the labor costs. Non-labor costs were addressed line by line of the budget. Some line items were removed. A large non-labor cost is fuel. A 10% increase was added to the cost from last year. $ 20,000.00 was also added to the nursing capital expenditures. $15,700 was added to building repairs for redecorating rooms. Total expenses right now would be $4,053,917.
With the addition of the property tax for 2007 to the budget, the ending result is that Livingston Manor would have a positive number at the end of the year. The other good news that may be coming is that with the new IGT agreement, the nursing home could be looking at a 10% increase in their daily rates. This would be an increase in Medicaid revenues at about $202,000 that has not been figured into the budget as there is no official agreement yet, but Gima feels that it will happen. With that increase added to the property tax, they are looking at a positive net income of $348,547.00 for the year.
Intergovernmental Transfer
Gima reviewed with the Committee, the process of the Intergovernmental Transfer agreement. Changes will be happening. If the Federal government is in agreement to the changes that has been proposed, the bottom line is that the Medicaid rates at Livingston Manor will be going up 10%. Gima will keep the Committee updated and posted on any news.
Director of Nursing
A new Director of Nursing has been hired at Livingston Manor. Her name is Michele Dunlavey. Clinical issues will begin to be addressed. Communications will be improving. There is an open door policy between the Administrator and staff. The hardest thing to do is to prioritize issues that need to be addressed, but it will get done. Gima reported to the Committee some of the items that will begin to be looked at.
Public Comment
Edna Rutherford – Livingston Manor gives good loving care. Build us a new nursing home. Steve Bartley – People in the community are very appreciative of Scott, the progress that has been made and the direction you are moving. Harriet Cochran – We have a moral obligation to take care of our residents in the County and feels that a new home is the only way to fulfill some of these things and to increase your private pay. Dorie Diemer – She feels that Livingston Manor would have a full house if they were to build a new home because of the bathroom issues. She feels a lot of those issues would be corrected with a new nursing home and the census would increase.
Motion by Deninger, second by Borngasser to go into Executive Session pursuant to 5 ILCS 120/2 (c) (1) – Personnel Matters 5 ILCS 120/2 (c) (II) – Pending and threaten Litigation. MOTION CARRIED WITH A ROLL CALL VOTE: All voted aye. None Nay. Executive Session began at 2:30 p.m
Regular session resumed at 2:55 p.m.
ACTION RESULTING FROM EXECUTIVE SESSION:
No action taken.
Review and Approval of Bills
The Committee reviewed the invoices presented. Motion by Deninger, second by Borngasser to approve the bills to pay. MOTION CARRIED WITH ALL AYES.
Adjournment
There being no further business to come before the Committee, motion by Spafford, second by Vietti to adjourn. Meeting adjourned at 3:00 p.m.
____________________________________ Sandra Harmon, Administrative Asst.
LIVINGSTON COUNTY BOARD NURSING HOME COMMITTEE MINUTES OF SEPTEMBER 6th, 2006
Committee Chairman Arnold Natzke called the meeting to order at 1:36 p.m. in the Board Room at the Livingston County Court House, Pontiac, Illinois.
Present: Natzke, Vietti, Heath, Deninger, Holz, Borngasser, Spafford Absent: Jones Others Present: Jeanne Rapp, Bill Flott, Roger Wahls, Bruce Koerner, Scott Gima (Vice President of Management Performance Associates), several members of the public, several media representatives.
Chair Natzke stated that he would like to amend the agenda by deleting item a. Plan of Correction – Alarm Systems. He then called for any additional changes to the agenda, with none being requested, there was a motion by Holz, second by Deninger to approve the agenda as amended. MOTION CARRIED WITH ALL AYES.
The Committee reviewed the minutes of the August 9h, 2006 meeting. Motion by Spafford, second by Heath to approve the minutes of the August 9th, 2006 meeting. MOTION CARRIED WITH ALL AYES.
BUSINESS TO COME BEFORE THE COMMITTEE:
Accounting Issues: Scott Gima distributed and reviewed the Financial Report with the Committee. He discussed the change of format and advised they are working with WTI to see what can be done to change the report writing capabilities system so that they can have a formatted report without having to go through several spreadsheets. The goal is to have operating revenues and operating expenses separated out from non-operating revenues and expenses. Excess revenues over/under expenditures for the month was -$49,468 and year-to-date there is an operating loss of -$743,516. There is no request for a transfer of funds this month and that is because the tax levy distribution was received from the County Treasurer. In response to question on the current census, Gima indicated that it is the same as the previous month.
Budget Update: Gima advised that a new budget process has been started. It is incomplete at this time.
Hiring Freeze/Waiver Request: Gima asked the committee to grant a waiver on the hiring freeze for the Per Diem Pool. Gima advised that the nursing home has not hired anyone to replace personnel that has left since the first of the year and there has been a decrease in employment of 17 positions. The difficulty comes when they have had to tap into the Registry pool. The Per Diem Pool consists mostly CNAs with no guarantee of hours. They would call someone from the Per Diem Pool to pick up the shift when someone calls in. This would reduce the reliance on the Registry which costs about $20 per hour. It will be cheaper to use our own CNAs rather than use from the Registry. Motion by Heath, second by Borngasser to recommend to the Board that there be a creation of the Per Diem Pool. MOTION CARRIED WITH ALL AYES.
Intergovernmental Transfer (update) Gima explained the IGT program to the Committee. At the present time there is discussion on what the percentage of increase payments will be. The counties are asking 30% IGT add-on. All counties will have to be in agreement to any base add-on rate.
Proposal: Market Demand Analysis Heath reports on the need for a market study to better understand all the nursing homes in the surrounding area. Have asked MPA on their proposal as to how they would do that. All committee members have received a copy of the proposal. The goal is to have the market study completed and in the committee’s hands by December 1 of this year. Scott reviews the proposal with the committee. Motion by Heath, second by Spafford to present to the Board for approval that MPA perform the market study and demand analysis for a fee not to exceed $20,000 and be submitted to the Nursing Home Committee on or before December 1, 2006. Discussion follows. MOTION CARRIED BY ROLL CALL VOTE, WITH ALL AYES.
Natzke indicated that there were a couple of matters which needed to be addressed to the Committee and the Public, and then allow public comment before the Committee goes into Executive Session.
Natzke advised that the County Clerk, Kristy Masching, issued a media release on 9/6/06, which Natzke read parts of to the Committee and public. Natzke voiced his concerns over a flyer which is being distributed in the county regarding the Nursing Home. His main concern was over a statement on the flyer that says board members say the county nursing home will be closing sometime in February ’07, after November elections. This statement is incorrect, nothing has been said about closing. He reiterated that the County Board and Nursing Home Committee are wanting nothing but to work together with the public on this matter. Deninger indicated that this would not stop the Board from doing what is best for Livingston County. Several members of the public voiced their concerns over the desires of the public for a new nursing home not being met and the need for an updated facility.
REVIEW AND APPROVAL OF BILLS: The Committee reviewed the invoices presented. Motion by Vietti, second by Heath to approve the bills. MOTION CARRIED WITH AYES.
EXECUTIVE SESSION: Motion by Spafford, second by Borngasser to go into Executive Session pursuant to 5 ILCS 120/2 (c) (1) – Personnel Matters and 5 ILCS 120/2 (c) (11) – Pending Litigation. MOTION CARRIED WITH ALL AYES. Executive Session began at 3:18 p.m.
Regular session resumed at 3:37 p.m.
ACTION RESULTING FROM EXECUTIVE SESSION: Motion by Borngasser, second by Spafford that a maternity leave of absence be granted to a nursing home employee. MOTION CARRIED WITH ALL AYES.
Motion by Heath, second by Deninger that the nursing home retain Bennett System for $34,977 to install doors with delayed egress, audible alarms and enunciator panels at the nursing station, with the money to come out of the landfill building fund. MOTION CARRIED BY ROLL CALL VOTE WITH ALL AYES.
ADJOURNMENT: There being no further business to come before the Committee, motion by Vietti, second by Deninger to adjourn. Meeting adjourned at 3:40 p.m. ____________________________________ Rebecca Stilwell, Administrative Asst., Pro-Tem
LIVINGSTON COUNTY BOARD NURSING HOME COMMITTEE
Committee Chairman Arnold Natzke called the meeting to order at 1:30 p.m. at the Livingston County Court House, Pontiac, Illinois.
Present: Natzke, Vietti, Jones, Heath, Deninger, Holz, Borngasser, Spafford Absent: None Others Present: Jeanne Rapp, Franey, Wahls, Bruce Koerner, Donovan Gardner, Scott Gima (Vice President of Management Performance Associates), several members of the public, several media representatives.
Chair Natzke stated that he would like to add to the agenda item g. Petitions for county wide mandatory question. He then called for any additional changes to the agenda, with none being requested, there was a motion by Holz, second by Deninger to approve the agenda as amended. MOTION CARRIED WITH ALL AYES.
The Committee reviewed the minutes of the July 5th, 2006 meeting. Motion by Borngasser, second by Jones to approve the minutes of the July 5th, 2006 meeting. MOTION CARRIED WITH ALL AYES.
BUSINESS TO COME BEFORE THE COMMITTEE:
Census: Scott Gima stated that the average daily census has been between 81-82 residents with 7-8 of those being Medicare. Gima stated that MPA is continuing to work with discharge administrators at hospitals in Pontiac, Bloomington, & Peoria to identify possible barriers. Gima stated that they are now taking admissions seven days per week as opposed to five.
Transfer: $85,000 from Pontiac Landfill (nursing home fund) for maintenance and payroll: The Committee discussed the need to transfer $85,000 for payroll & other financial obligations. Gima stated that one cash flow issue would be in Medicare billing. Gima stated that currently we are about one month behind on billing Medicare; we have just billed Medicare part A for June and will hopefully be billing July this week. Gima stated that they are working on the workflow within the business office to correct this issue. Motion by Heath, second by Deninger to recommend to the full board the transfer of $85,000 from Pontiac Landfill (nursing home fund). MOTION CARRIED ON ROLL CALL VOTE. All voted Aye; None Nay.
Business Office & Financial Statements: The Committee reviewed the monthly financial statement. Gima stated they have been spending a lot of time working in the business office verifying the revenue and expenses are accurate. He noted that one issue is that there is no Office Manager, no one person who has a clear understanding of everything that is going on within the office. Gima stated that there is a lot of manual labor and double entry being done to convert data from one software program to another. WTI has been contacted to see if corrections can be made which would reduce the manual labor and the margin of error. Gima stated that the current version of the Ad-On program is very old and is a DOS based version of the program. The DOS version is no longer supported by the vendor, and because it is not supported it is unclear what kind of bugs may be in the system and would cause the information to be inaccurate. They are currently looking at costs of upgrading the Ad-On system to a windows program.
Software & Productivity Covered under Business Office & Financial Statements
Medicare & Rehab Services Gima stated that Medicare is one of the main areas where we are looking to improve our revenues and volume. He stated that the two major cost items in relation to Medicare or pharmacy and rehabilitation services. Presently the reimbursement to the pharmacy and to the rahab facility is open ended, meaning that we are paid on a fixed per day basis by Medicare and we are paying the pharmacy per bill and the rehab by 15 minute increments, which places all the risk on us. Gima stated that they are currently working on a fixed rate contract with pharmacy. Gima also stated that they are currently working with the hospital to renegotiate that contract as well, including providing therapy 7 days a week compared to the current 5.
Intergovernmental Transfer: Scott Gima updated the Committee on the IGT program which county homes participate in that allows an addition 10% reimbursement for Medicaid patients. Gima stated that they had been involved with teleconferences with the Illinois Department of Health & Family Services regarding changes that may be taking place. First, the federal government does not want the amount of money transferred in to be dependent on the census; they want to have the same lump sum payment due to the county every month. Second, it is very possible that the Illinois Department of Health & Family Services will ask the counties homes to opt out of the case mix reimbursement system that goes into effect on January 1st.
Petitions for County Wide Mandatory Question: Natzke stated that on Monday afternoon petitions were given to the County Board Chair. The petitions were not received in time to be placed on the Nursing Home Committee agenda due to the Illinois Open Meetings Act 48 hour requirement; therefore, action for this item will be taken at the Administrative Committee meeting to be held on Thursday, August 10, 2006. Natzke then read the last paragraph of the Media Release dated July 24, 2006. Natzke also read a letter from Thomas Blakeman to Stephan Bartley dated August 8, 2006, regarding the petitions, in its entirety.
EXECUTIVE SESSION: Motion by Spafford, second by Vietti to go into Executive Session pursuant to 5 ILCS 120/2 (c) (1) – Personnel Matters and 5 ILCS 120/2 (c) (11) – Pending Litigation. MOTION CARRIED WITH ALL AYES. Executive Session began at 2:25 p.m.
Regular session resumed at 3:20 p.m.
ACTION RESULTING FROM EXECUTIVE SESSION: None taken.
REVIEW AND APPROVAL OF BILLS: The Committee reviewed the invoices presented. Motion by Heath, second by Borngasser to approve the bills. MOTION CARRIED WITH AYES.
ADJOURNMENT: There being no further business to come before the Committee, motion by Deninger, second by Holz to adjourn. Meeting adjourned at 3:23 p.m. ____________________________________ Alina Hartley, Administrative Asst.
LIVINGSTON COUNTY BOARD NURSING HOME COMMITTEE
Committee Chairman Arnold Natzke called the meeting to order at 1:30 p.m. at the Livingston County Court House, Pontiac, Illinois.
Present: Natzke, Vietti, Jones, Heath, Deninger, Holz, Borngasser, Spafford Absent: None Others Present: Jeanne Rapp, Karen Walters, Bruce Koerner, Mike Scavotto (President of Management Performance Associates), Susan Gero
Chair Natzke called for any additions or changes to the agenda, with none being requested, there was a motion by Deninger, second by Holz to approve the agenda. MOTION CARRIED WITH ALL AYES.
The Committee reviewed the minutes of the June 7th, 2006 meeting. Motion by Borngasser, second by Spafford to approve the minutes of the June 7th, 2006 meeting. MOTION CARRIED WITH ALL AYES.
BUSINESS TO COME BEFORE THE COMMITTEE:
May 2006 Financial Report: Mike Scavotto of Management Performance Associates (MPA) reviewed with the committee the monthly financial report. He reported the current census at 81 with only 8 being on the Medicare program.
Transfer: $100,000 from Pontiac Landfill (nursing home fund) for operating expenses and payroll: The Committee discussed the need to transfer $100,000 for operating expenses and payroll. Motion by Holz, second by Heath to recommend to the full board the transfer of $100,000 from Pontiac Landfill (nursing home fund). MOTION CARRIED ON ROLL CALL VOTE. All voted Aye; None Nay.
Medicare Program: Current Position and Outlook for Improvement: Scavotto stated that the per diem for Medicare is quite low and that better activity records could raise the home’s Medicare reimbursement rate. The state’s Medicare program is driven by coding and the reimbursement formula factors for various rehabilitation services. Many of the services the Manor is presently providing are not documented properly in order to be considered in the states formula which is resulting in a low reimbursement. Scavotto stated that they plan to be more aggressive in documenting which should result is raising the home’s Medicare reimbursement rate. Scavotto also stated that the current contracts with vendors; i.e. pharmacy drugs, etc. will be renegotiated on a per diem basis.
Illinois Case Mix Reimbursement System: What’s it all about: Scavotto stated the Illinois Case Mix Reimbursement System was devised by the Illinois Department of Healthcare and Family Services. It is a system of reimbursement system based on each patients Minimum Data Set (MDS). The system which went into effect July 1, 2006, is based on three components, capitol, support and case mix and is an intensive documentation process. The reimbursement will be adjusted quarterly based upon the home’s documentation. Scavotto explained that basically you get credit for how much you interface with your residents. Scavotto recommended the purchase of a computerized program called Carewatch in order to track each residents activities; he estimated the initial start-up cost to be between $6,000 and $7,000. Motion to authorize the purchase of the Carewatch software and training for such by Vietti, second by Jones. MOTION CARRIED ON ROLL CALL VOTE. All voted Aye, none Nay.
Baseline Operating Position for Livingston Manor: Scavotto reviewed with the Committee a Baseline Operating Position Report which reflected: 1) a 5 year statistical record of percentage changes for Medicaid, private pay, and Medicare, 2) a 4 year percentage changes of audited revenue and expenses and 3) a 5 year percentage changes in staffing level versus census. Scavotto stated that he felt the per diem rates for private pay and IPA were in line, but a per diem of $219 for Medicare is really low so they will be working to increase that number.
Ad Hoc Committee Report: The Committee reviewed Donovan Gardner’s final report. Heath stated that he felt that Donovan had presented everything that was requested of him. Heath stated that in September the Ad Hoc Committee would like to recommend MPA conduct a full marketing study / business plan to be submitted by December 1st.
EXECUTIVE SESSION: Executive Session was not needed.
REVIEW AND APPROVAL OF BILLS: The Committee reviewed the invoices presented. Motion by Heath, second by Vietti to approve the bills. MOTION CARRIED WITH AYES.
ADJOURNMENT: There being no further business to come before the Committee, motion by Spafford, second by Borngasser to adjourn. Meeting adjourned at 2:37 p.m. ____________________________________ Alina Hartley, Administrative Asst.
LIVINGSTON COUNTY BOARD NURSING HOME COMMITTEE
Committee Chairman Arnold Natzke called the meeting to order at 1:35 p.m. at the Livingston County Court House, Pontiac, Illinois.
Present: Natzke, Vietti, Jones, Heath, Deninger, Holz, Borngasser, Spafford Absent: None Others Present: Jeanne Rapp, Ron Jaeger, John Franey, Donovan Gardner, Karen Walters (Pantagraph), Sheila (Daily Leader) Sheila Simons (D.O.N.), Sandy Harmon, Bruce Koerner
Chair Natzke called for any additions or changes to the agenda; with none being requested there was a motion by Holz, second by Jones to approve the agenda. MOTION CARRIED WITH ALL AYES.
The Committee reviewed the minutes of the May 3rd, 2006 meetings. Motion by Jones, second by Heath to approve the minutes of the May 3rd, 2006 meeting. MOTION CARRIED WITH ALL AYES.
BUSINESS TO COME BEFORE THE COMMITTEE:
STAFFING ISSUES: Ron Jaeger presented the Committee with a letter dated June 1, 2006 requesting authorization to replace one full time cook. Jaeger stated that the intention is to fill this position internally and reduce staff by one full time employee. Motion by Holz, second by Heath to approve and recommend to personnel and finance the hiring of 1 full time cook. MOTION CARRIED WITH ALL AYES.
ACCOUNTS PAYABLE UPDATE: Jaeger noted that a line item had been added to the financial report listing total invoices outstanding. Jaeger stated that the outstanding invoices totaled $99,000 with $22,000 of that being left over from April. Rapp stated that there is a resolution to transfer funds in the amount of $180,000 on the finance agenda, to meet payroll and operations expense.
MONTHLY FINANCIAL REPORT: Jaeger reviewed with the Committee the monthly financial report. Jaeger reported that he has been working with staff on getting the report on a more current basis by reviewing their processes. Jaeger stated that the report for May is much more up to date and accurate. Jaeger noted that one of the challenges will be in Medicare due to the accrual basis the home is run on and the way Medicare bills are submitted. Jaeger stated that the current amount owed from Medicare is approximately $100,000. Jaeger stated that the staff has been working hard to improve efficiencies.
REVIEW AND APPROVAL OF BILLS: The Committee reviewed the invoices presented. Motion by Vietti, second by Deninger to approve the bills. MOTION CARRIED WITH AYES.
PUBLIC COMMENT: Glen Ludwig commented that he has glad to see changes in financial reported. He also stated that he is pleased with the up tick in reporting and communication
EXECUTIVE SESSION: Pursuant to 5 ILCS 120/2(c)(1) - Personnel matters a motion was made by Vietti, second by Borngasser to go into executive session. MOTION CARRIED ON ALL AYES. Close session began at 1:50 p.m.
Regular session resumed at 2:52 p.m..
ACTION TAKEN FROM EXECUTIVE SESSION: Motion by Heath, second by Vietti to retain Management Performance Associates as a management firm for a term of three years effective June 12th, 2006. MOTION CARRIED ON ROLL CALL VOTE. All voted AYE; none NAY.
ADJOURNMENT: There being no further business to come before the Committee, motion by Spafford, second by Heath to adjourn. Meeting adjourned at 2:55 p.m. ____________________________________ Alina Hartley, Administrative Asst.
LIVINGSTON COUNTY BOARD NURSING HOME COMMITTEE
Committee Chairman Arnold Natzke called the meeting to order at 1:30 p.m. at the Livingston County Court House, Pontiac, Illinois.
Present: Natzke, Vietti, Jones, Heath, Deninger, Holz, Borngasser, Spafford, Rapp Absent: None Others Present: Jeanne Rapp, Richard Bracken, John Franey, Roger Wahls, Donovan Gardner, Karen Walters (Pantagraph), Sheila (Daily Leader)
Motion by Deninger, second by Holz to approve the agenda. MOTION CARRIED WITH ALL AYES.
The Committee reviewed the minutes of the April 5th, 13th, & 27th, 2006 meetings. Motion by Jones, second by Heath to approve the minutes of the April 5th, 13th, & 27th, 2006 meetings. MOTION CARRIED WITH ALL AYES.
BUSINESS TO COME BEFORE THE COMMITTEE: |
