Human Services Levy Council Millage Recommendation Presented by Franz J. Hoge – Chair

1. Human Services Levy Council Millage Recommendation Presented by Franz J. Hoge – Chair April 10, 2007

2. Levy Council Consideration Process • Received presentations on community need: • Alcohol, Drug Addiction and Mental Health Services (ADAMHS) • Children Services • Combined Health District • Mental Retardation /Developmental Disabilities (MR/DD) • Frail Elderly Services Advisory Committee • Non-Profit Alliance of Executives (Community Supported Services) • Juvenile Court • Stillwater Center • Homeless Solutions Staff • Greater Dayton Area Hospital Association (Indigent Healthcare) • Reviewed community circumstances • Discussed / deliberated options given all information • Developed consensus recommendation

3. General Challenges • Challenging economic conditions • Lack of and reducing state funding to address increasing local issues • Losses in local revenue due to changes in the state taxing structure: • Utility deregulation phase out of about $1.2 million per year • Corporate franchise tax elimination and replacement with new • commercial activity tax will phase out about $10 million per year • when fully realized • Tangible personal property phase out • Losses in other state funding: • Reduction in medicaid reimbursement rates for institutional care • Some other reimbursements have been fixed or will decline • Increasing human services needs

4. Human Services Needs ADAMHS State funding for treatment programs is reducing Backlog for services puts stress on other human services systems Significantly more county residents would benefit from access to additional services Children Services Assure safe / quality foster care for needy youth More families are living with “at risk” conditions Children entering care, including those with mental health needs, are displaying a higher severity of problems

5. Human Services Needs Combined Health District Spiraling increases in the cost of healthcare Significant increases in uninsured families and individuals are bringing increased stress on our public health clinics The costs to protect our community by providing water and restaurant inspections, monitoring air quality and protecting against disasters is increasing MR/DD Caregivers are aging (many 70+) and need assistance for their adult children Increasing numbers of young children in need of early intervention services Changes in how we house, care for, and employ people with disabilities

6. Human Services Needs Frail Elderly Seniors Population is aging and increasing demand for service needs The need for in-home services is growing The stress on caregivers is increasing Juvenile Court Increased needs for intervention and prevention services Increasing offenses by girls require the need for new services Stillwater Decreases in state funding

7. Human Services Needs Homeless The number of homeless individuals and families (with children) is increasing Predatory lending is forcing families to lose their homes The lack of affordable housing is severe The shelter system and need for stability services are stretched Statistics show that caring for the temporarily homeless helps them regain self-sufficiency Statistics show not housing the homeless leads to increased illness, risky behaviors, criminal activity, and other problems

8. The Need to Care for Those That Can’t Children and adults with disabilities and developmental delays Children neglected and abused by parents and caregivers Families and individuals that have fallen through the safety net of help Increasing numbers of seniors that have been productive for many years need assurances of quality of life To assist individuals and families with unaffordable health needs Juveniles need more help to make good decisions Children and adults that need immediate emergency assistance To protect all of our citizens by assuring clean water, clean air and protections against the risk of community disasters

9. What’s Helping Recovery – Research shows that treatment works. The successful recovery rate from treatment is about 80%. This investment supports self-sufficency, keeps people employed and gets others back to work. Housing – Stability is key to improvement. Without access to housing it is difficult to addess other limiting conditions. In Home Services – By keeping people in their own homes where possible vs. early institutionalization, money is saved and quality of life is improved. Early Intervention / Prevention – It is much easier and less costly to maintain stability than it is to restore stability.

10. 2009 – 2012 Average Level of Need (in $ millions) Per Year ADAMHS $ 32.1 Children Services $ 24.8 Combined Health $ 20.4 MR/DD $ 36.4 Major Mandated Agency Total $ 113.7 Frail Elderly $ 17.9 Supported Services $ 5.1 Indigent Healthcare * $ 6.9 Other Programs $ 14.2 Total Agency & Program Needs $ 157.8 Average Revenue if Continued $ 98.4 Difference ($ 59.4) ($ 59.4) = Replacement of 5.21 mills + approaching 5 mills of increase * Does not include all Indigent Healthcare needs. Healthcare Safety Net Task Force has not completed their review / recommendation, but identified $85 million in 2005 uncompensated healthcare costs. $85 million = almost 8 mills.

11. Human Services Levy Council Recommendation After careful consideration of all of the factors discussed, the Human Services Levy Council approved the following recommendation to the Montgomery County Board of County Commissioners: Replacement of 5.21 mills + Increase of 2 mills Impact of Approximate Need vs Recommendation Additional Needs Above Revenue if Continued $ 59.4 million Projected Additional Revenue from Replacement + 2 mills $ 35.8 million Unfunded Community Need $ 23.6 million

12. Tax Impact of Approximate Need vs Recommendation Based on Appraised Home Value of $100,000 The Levy Council’s Recommended Option Replacement + 2 mills Increase in Taxes $123 per year or about $10 per month The Presented Need Replacement + 5 mills Increase in Taxes $215 per year or about $18 per month

13. What’s at Risk if Levy Fails This levy equals almost half of all local funding for health and human services. Collections of about $40 million from Levy A (5.21 mills) will end with December 2008. Levy funds serve as the local match for over $51 million in federal revenues. Levy funds help access over $33 million in state revenues. Levy funds are also used by non-profits and governmental agencies to match a high number of grants that support a wide range of services throughout the community. The vital services to those in need will be greatly reduced at a time when these needs are increasing.