[{"_1":2,"_99":-5,"_100":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,87],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},"mediaId",6378216,"mediaKeyId","2138306-140096d6222adcaaa6149123470c40a4","parentId",2138306,"title","Warren County Health Services committee approves appointments, leases and several budget amendments","audioSeconds",570,"startMs",1779000,"endMs",2349000,"viewUrl","/Search/View?dp=1&key=2138306-140096d6222adcaaa6149123470c40a4&start=1779&end=2349","thumbnailUrl","https://assets.pipeline.soar.com/2138306-140096d6222adcaaa6149123470c40a4/thumbnail_1779000.jpg","articleUrl","/articles/6378216/Warren-County/New-York/Warren-County-Health-Services-committee-approves-appointments-leases-and-several-budget-amendments","mediaUrl","https://secure.pipeline.soar.com/6378216-864ff1bd1ae3f73868d11c2a9a686537/orig.mp4?Expires=1775406669&Signature=gmSUnxCxohtbm6mAltn--ccPB1kCE2qgxCWEdVa76~3JvNMerta7J0hI4z3juoArUbKRefOTkJVlR3koGb5YvVHbMODTovPiZDUJlz41xvSwa30PrGKcG4ocmZbTMOoK4WJ8PTLglPkSoyowtdyZEBA~BJNT4IaDlJLGzh5hwufmYdZaOvmLlJCoFypyVywsoWwHa8NZh1mrj6KNbcSGhwR2Isavwf~Bm67XzFNWPRit1Q4iDEFZbywBqP6GILNrAe7GqJk19VR-K3AFivFGuG2C3Ht4IrkLRFTWPwDin~wDKVIbLkRcJviarYAk4U5Q6Oc8XFPIM7MJWKJsu8wCCA__&Key-Pair-Id=KUT5TJCACFTXG","author","Warren County New York","date","2025-01-21T00:00:00Z","article","Warren County’s Health Services Committee on Monday approved a slate of routine resolutions covering committee appointments, a lease extension for clinic space, and several budget amendments for public-health programs.

Appointments and lease: The committee reappointed members to the county Health Services Professional Advisory Committee for Jan. 1–Dec. 31, 2025, and reappointed members to the Local Early Intervention Coordinating Council for the same term. The group also authorized a one-year lease extension with Hudson Headwaters Health Network (Hornsberg Health Center) to provide space for Women, Infants and Children (WIC) clinics from Jan. 1, 2025, through Dec. 31, 2025, with the Board Chair authorized to renew future leases if mutually beneficial.

Budget amendments and settlements: The committee amended the 2025 budget to record (1) $7,941.65 in revenue and expenses tied to the governor’s traffic and safety committee child passenger car seat safety grant; (2) $5,107.18 carried-over delivery-system reform incentive payment funds for home care technology; and (3) $190,942.56 to reflect two years’ worth of JUUL settlement award revenue and expenses (about half of the county’s anticipated $381,885.14 settlement share). Committee members said the county has contacted the state attorney general’s office regarding the settlement payment timing.

Why it matters: The actions fund ongoing public-health programs and preserve clinic space for WIC services. The JUUL settlement funding, once available, will be used for prevention and outreach work in the county.

Public-health programming and outreach: Health staff briefed the committee on routine revenue and expenditure reports and said they plan a community health improvement process for 2025–2030, including public input via an online survey and outreach events. Staff highlighted upcoming program activities: pediatric dental visits to elementary schools, the Tar Wars tobacco prevention program, colorectal cancer awareness in March and heart-health promotions in February.

Votes at a glance: The committee called the question and approved each resolution during the meeting; motions were typically made and seconded by county supervisors and recorded as approved without extended debate.

Ending: Staff asked supervisors to help publicize the community health assessment survey and said they will circulate more detailed budget and referral reports on request.","mediaType","Video","parentTitle","Warren County BOS Committee Meetings - 1/21/25 - Health Services","oneSentenceSummary","The committee approved annual committee appointments, extended a lease for WIC clinics, and amended 2025 budgets to reflect several grants and settlement proceeds, including a JUUL settlement installment. Health staff also outlined outreach plans tied to the community health improvement process.","taxTitle","Warren County, New York","taxId",5049,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6378221,"Warren County expands meal reimbursements, but Lake Pleasant senior site closed again after mold find",216,46000,262000,"/Search/View?dp=1&key=2138306-140096d6222adcaaa6149123470c40a4&start=46&end=262","https://assets.pipeline.soar.com/2138306-140096d6222adcaaa6149123470c40a4/thumbnail_46000.jpg","/articles/6378221/Warren-County/New-York/Warren-County-expands-meal-reimbursements-but-Lake-Pleasant-senior-site-closed-again-after-mold-find","https://secure.pipeline.soar.com/6378221-cdb35f9f3efbc98a46f4431c6bab033e/orig.mp4?Expires=1775406669&Signature=LzrwxwGP1OvImNYd9SRFucY6FMOV5jySycgFSQLrpORXMY-Z-U~tcqwkBuniKxEDNowXvlavq-6aznGQgUDSao6~MGAppNrv2gUOloguvRsd3T16F5QjRj8CJ01RRy2wDd22Z1I-z0tbsP1d0ohc3cZsjl73Wa1UiOxtnXJOySNsIXb0wyezzN0-rOHlyGGw2Qbk77TvQh29iK8EhWiX9pthYO5p0JvO35Oma0RXK~DRl1YDWmMCC1juhKh14Pc~P7BnOrAF4f5AhINOuWlDLJGDSEj05zzivjQ1KMAXvKZXHRtHonCqFpAZ4C7P4ZDoLdYtZFaO~-i8KkIbf-ZGGA__&Key-Pair-Id=KUT5TJCACFTXG","Warren County supervisors on Monday approved a federal grant application and a contract amendment to support senior meals while staff updated the committee on repeated mold at the Lake Pleasant senior center, which currently remains closed.

The committee voted to submit the Medicare Improvements for Patients and Providers Act application for the Sept. 1, 2024, through Aug. 31, 2025 period seeking $40,523 in 100% funded aid. Committee records show the application was released Dec. 19 and is due Jan. 24.

The group also approved an amendment to a contract with Countryside Adult Home to raise the per-meal reimbursement from $5.00 to $5.50 and to increase the contract’s not-to-exceed amount to $150,000. The motion to bring the contract amendment was made by Supervisor Runyon and seconded by Supervisor Thomas; the committee called the question and approved the change.

Lake Pleasant senior site: Staff provided an update on repeated mold findings at the Lake Pleasant Senior Center. The center underwent mold remediation and reopened in September, staff said, but mold was found again in December and the site has been closed since. Needham Risk Management visited the site on Jan. 10 and the county is awaiting results of that assessment. In the meantime, seniors continue to receive meals through home delivery and grab-and-go pickup; the county reported there is no interruption in meal delivery even though dining at the site is suspended.

New York State Department of Health involvement: A committee member told the group that the New York State Department of Health had urged reopening the Lake Pleasant site. County representatives said they pushed back and asked for a site inspection; staff said remediation responsibility would fall to the town if mold is confirmed at the site. The county indicated there is no cost to the county for the town to remediate in that scenario.

Why it matters: The contract amendment and the grant application preserve funding and delivery options for Warren County’s older residents. The mold closure is a local service disruption that required an immediate operational response to ensure continued meal service.

Ending: County staff will report back after Needham Risk Management delivers its findings and will update the committee on any further remediation, reopening timeline and related costs.","The Health Services Committee approved a federal grant application and a contract increase for senior meals while staff reported repeated mold at the Lake Pleasant senior center that left the dining site closed and seniors served by home-delivered and grab-and-go meals.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6378226,"Warren County officials flag rising competency-restoration costs, seek state fixes",1225,433000,1658000,"/Search/View?dp=1&key=2138306-140096d6222adcaaa6149123470c40a4&start=433&end=1658","https://assets.pipeline.soar.com/2138306-140096d6222adcaaa6149123470c40a4/thumbnail_433000.jpg","/articles/6378226/Warren-County/New-York/Warren-County-officials-flag-rising-competency-restoration-costs-seek-state-fixes","https://secure.pipeline.soar.com/6378226-610c91edbd989d8c6c66eb85ae96d330/orig.mp4?Expires=1775406669&Signature=nwKXxDuWCJpQKRsgUyLGoYmP5tmDI57y9AFv8os4vXJczdQAcR9~-0MkPkhLIlwX~yJDKb~mWXEgR-VWaxS~1j6z-LqnbussdnHZSA4YEyrhukMlsucmt4f4dLJDbtVFRTmv-k0MKnm1wFSaX6rxQN4n9fyOoaCrRp9Bsl0y6BmucAEEgFqeY5YhOkG4BrV3rRkg8BIs-a2NnjiCiSTmZNMNcnJYMT-11yZyUDJhd62n5rpPChmHSDmUeW44vh-X9Z6-vB6ahsSevZVztEMbZ~xIIt2SIkcF23F9MlrE2tCcb~tQAQeA4boNW4FnI1~P5Y1xcnfRuGG1rhUCFOSC9A__&Key-Pair-Id=KUT5TJCACFTXG","Warren County supervisors and Health Services staff on Monday discussed a sharp rise in competency-restoration expenses that left the county well over budget for the year.

The committee heard that charges for court-ordered competency evaluations and state facility care came in at a total of $1,600,000 for the most recent accounting period, and that the county’s 2025 budgeted amount of about $600,000 will not cover current spending patterns.

The county’s health staff and committee members tied the rise to a 2021 change in how the state allocates costs, an increase in per-diem rates charged by state facilities and a higher caseload. “The expenses have really just been off the charts this year and it came in at a total of 1,600,000,” Rob York, staff member, told the committee.

Why it matters: competence-restoration care sends defendants found unable to understand charges or assist in their defense to state-run facilities. Warren County now pays more and sees longer stays, creating a significant local budget burden and prompting calls for policy change at the state level.

What the committee heard: Staff and supervisors said several factors are driving the cost increase. Speakers reported that New York State in 2021 stopped covering an assumed portion of the expense, leaving counties to carry a larger share. Committee members also cited higher per-diem facility costs — from “a little less than $1,000 a day” to “almost $1,500 a day,” according to staff — and a roughly doubled caseload compared with earlier years.

Tammy, a health department staff member who compiled the county’s chart of historical expenses, told the committee that length of stay has increased and that some individuals remain at state facilities for more than a year. Tammy said county staff see signs that the lines between restoration treatment and longer-term institutional care have blurred and that more detailed analysis is needed.

County staff reported they have begun outreach to criminal justice partners: “We have started some meetings. Christine has called some meetings, and we're pulling in Jason Carasone, our DA, and Greg Canale, a public defender, for some of their input,” Rob York said. The committee agreed to continue those conversations to identify local steps and to inform advocacy with state officials.

Options discussed: Staff and elected officials described possible avenues, including (1) pushing the state to revisit the funding allocation; (2) studying local patterns that drive length of stay and per-diem costs; and (3) exploring legal pathways such as Jackson hearings to determine whether some long-stay individuals are restorable. Committee members noted that Jackson hearings are typically used when restoration appears unlikely; staff said the county will investigate how and when to pursue those proceedings.

What was not decided: The committee did not take formal action beyond agreeing to continue stakeholder meetings. No changes to county policy or budget were adopted at the meeting.

Next steps: County staff will convene meetings with the district attorney’s office and the public defender to review case-level drivers and will continue to work with the New York State Association of Counties and state legislators on potential statutory or budgetary remedies.

Ending: Supervisors expressed concern about the scale of the cost increase and asked staff to return with more detailed case-level data and proposals for next steps.","Warren County Health Services Committee members were briefed on a spike in competency restoration expenses that exceeded $1.6 million for the year, discussed state funding changes and per-diem increases, and agreed to convene local criminal justice stakeholders to explore responses.","actionData","errors"]

Article not found

Warren County Health Services committee approves appointments, leases and several budget amendments

Warren County expands meal reimbursements, but Lake Pleasant senior site closed again after mold find

Warren County officials flag rising competency-restoration costs, seek state fixes