[{"_1":2,"_98":-5,"_99":-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",[32,75,86],{"_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",6224993,"mediaKeyId","3541460-32458957b01358355baae78e4be633ac","parentId",3541460,"title","Board hears maintenance-of-effort budget plan as county awaits state decisions on fellowship and Medicaid changes","audioSeconds",707,"startMs",49000,"endMs",756000,"viewUrl","/Search/View?dp=1&key=3541460-32458957b01358355baae78e4be633ac&start=49&end=756","thumbnailUrl","https://assets.pipeline.soar.com/3541460-32458957b01358355baae78e4be633ac/thumbnail_49000.jpg","articleUrl","/articles/6224993/Tompkins-County/New-York/Board-hears-maintenance-of-effort-budget-plan-as-county-awaits-state-decisions-on-fellowship-and-Medicaid-changes","mediaUrl","https://secure.pipeline.soar.com/6224993-caa3beb9cf9e9d5972d9d28e4cbb6bbf/orig.mp4?Expires=1773641274&Signature=dmgrm2jjMW51imv9btSkSGBIzP1ahxYhBWI7j7-D-UjyfXZuVSKTpRf9RPuokzFED-i7SF~GOIUkO2C70A-ayv7V6mtU8YJg64yeUvviY9WDeNXCdOqqhAVvo5a8dPC1wOmHLn9tmChAVp5OG~VSzpRTFWo8-DU3iJoiseARqbM~pVR8STLcAqSJnAALc-jK7zuu2oUoVRU3GyqkCqTt-hUcQahomfotSHTEtm3~ph48T4nVRS2uENqIqklIrLhGMrNxsf0B3X7nddTgHM7CnOcoNlkOO9NNYYJeqpbgukT4zP6n7ibHQAhNCj0OlzOH0~aKgCkdmO6fubK1jiyzOQ__&Key-Pair-Id=KUT5TJCACFTXG","author","Tompkins County, NY","date","2025-05-28T04:45:55Z","article","Tompkins County health staff told the Board of Health they are preparing a maintenance-of-effort budget for the coming fiscal cycle while awaiting additional details and reimbursements from state and federal sources.

Jeremy, a Tompkins County health department staff member, said some state and federal claims are still being processed and \"are not hitting our books yet,\" so the department will present a maintenance-of-effort budget now and revisit it after the county's July budget retreat if new information requires adjustments.

A legislative representative on the call, John, said tax revenue has been \"relatively flat\" and said legislators plan to be conservative with spending to avoid raising taxes. He also raised concerns about SNAP and Medicaid, including discussions about potential state or county supplements and looming work requirements for Medicaid recipients.

Board members received an update on a health fellowship program: Jeremy said the state signaled an extension without a fixed end date, and the county will provisionally allocate funds \"just in case\" until an official end date is provided. He noted that the amount covered by the state will likely decline over time, and county staff will refigure expenses and notify county administration and the legislature when a firm date is set.

The board had no formal vote related to the budget at the meeting; staff advised members that additional budget details will be presented after the July retreat and that changes could be made at that time.","mediaType","Video","parentTitle","Tompkins County May 2025 Board of Health 2025-05-27","oneSentenceSummary","Tompkins County health staff briefed the Board of Health on a maintenance-of-effort budget approach while some state and federal reimbursements are still processing; board members and a legislative representative raised concerns about SNAP, Medicaid work requirements and uncertainty around an HHS fellowship end date.","taxTitle","Tompkins County, New York","taxId",52737,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":79,"_47":80,"_49":81,"_51":82,"_53":83,"_55":56,"_57":58,"_59":84,"_61":62,"_63":64,"_65":85,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6224999,"Board endorses legal route to close unlicensed cannabis stores and approves maximum fines for flavored-vape violations",0,1879000,"/Search/View?dp=1&key=3541460-32458957b01358355baae78e4be633ac&start=1879&end=1879","https://assets.pipeline.soar.com/3541460-32458957b01358355baae78e4be633ac/thumbnail_1879000.jpg","/articles/6224999/Tompkins-County/New-York/Board-endorses-legal-route-to-close-unlicensed-cannabis-stores-and-approves-maximum-fines-for-flavored-vape-violations","https://secure.pipeline.soar.com/6224999-285f932075ad8e7e1747b3eca8d760d4/orig.mp4?Expires=1773641274&Signature=TN3nhmyGwxHdfGUT9O-WKRM5Hat0r88QixgMVxgiA8NLTm6npw2uU7p2VSnCP54rRaQxmsUvA1DjiBgPQhlSILXNck9o4NIRCDs7HmIjmx~B4BPNlNKtWL5kYVDjJxnLEMpnqUwmvD~PXRUQQFPO-vjnVD0of7ocU~mgR-8oPNs7oubuvaNS1ttOwfTwBC1HYA8fDjaDJpD254AP-Tpf~2orS6vpMllpzLjhhQb209IYsxyqgvFnO138pIf0czHWBVE6bRIATQ-HXxB4AAUyrchg-7EXrHj9Vu~HyByGW-EHpDkEakYZFjtBHT7V8mD8Avp~nNJn83jjY~sqRW7URQ__&Key-Pair-Id=KUT5TJCACFTXG","Tompkins County officials on the Board of Health meeting discussed legal steps to shut unlicensed cannabis retailers and approved an enforcement action that set penalties for flavored-vape violations at the maximum amounts allowed under state rules.

Board members discussed pursuing eviction actions under the Real Property Actions and Proceedings Law (RPAPL) section 715-a to force landlords to remove tenants who operate unlicensed cannabis sales. Paulia, a county legal staff member, explained the procedure: \"The real property actions and proceedings law ... provides for it. We would give the landlord notification, that they need to evict that tenant who has engaged in unlicensed cannabis sales. And if they don't do it within 5 days, we can do it for them. And we would just file a petition with the court, go to court, and, the judge would issue an order of eviction.\" The board discussed coordination with the sheriff's office and the county attorney.

Separately, the board reviewed civil penalties for flavored-vape violations and sales to underage persons. Liz, representing environmental health, described the penalty structure in detail: \"The penalty is 1,500 for the sale to person 21. Right. That is the maximum we can charge for an initial sale... and then there is the 250 surcharge per violation... there is a maximum of a hundred dollars per vape product.\" The board voted to approve the enforcement action; the chair said the vote was unanimous.

Board members noted legal distinctions between enforcement options: RPAPL §715-a applies specifically to unlicensed cannabis sales and works through landlord-tenant eviction procedures, while enforcement of flavored-vape sales typically falls to civil penalties or state-level actions when minors are involved. Paulia clarified that selling flavored vapes is primarily a civil enforcement matter and that criminal charges for selling to minors are handled differently and may require state action.

Board members asked whether shutting stores would prevent them from converting to licensed operations; legal staff said the eviction route is primarily aimed at stopping unlicensed sales quickly and may require substantial initial effort to shut down multiple locations. The board directed staff to proceed with the enforcement action approved at the meeting.","The Tompkins County Board of Health discussed using landlord-eviction provisions under New York law to close unlicensed cannabis retailers and unanimously approved enforcement penalties for flavored-vape violations and sale to underage persons at the maximum amounts allowed under state guidance.",{"_33":87,"_35":36,"_37":38,"_39":88,"_41":89,"_43":90,"_45":91,"_47":92,"_49":93,"_51":94,"_53":95,"_55":56,"_57":58,"_59":96,"_61":62,"_63":64,"_65":97,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6225004,"Tompkins County Board of Health highlights progress integrating public- and mental-health services",621,716000,1337000,"/Search/View?dp=1&key=3541460-32458957b01358355baae78e4be633ac&start=716&end=1337","https://assets.pipeline.soar.com/3541460-32458957b01358355baae78e4be633ac/thumbnail_716000.jpg","/articles/6225004/Tompkins-County/New-York/Tompkins-County-Board-of-Health-highlights-progress-integrating-public-and-mental-health-services","https://secure.pipeline.soar.com/6225004-9635ce390e167bbc2b54ff76d1d32852/orig.mp4?Expires=1773641274&Signature=ULD~qsLQ9~sHbLP04UJZ8eIukuMxwh~6tBoVyNoipkrnmt5bDLBeb71k9G-N7jF7-z5Uxl~Q41w-NLqjtuxv7AQwoSnwHpyc-6Z7LMHA71HWD1Aae7DiVg4E5LooHTvJZSRlpjioMLsh6chfgNQw569An7Bsccz1EOY1qAtPrvzQM~QHowkq9LeoMhEg51ngnmRVPHZVs4Wfc3hKehfAQ8D1fWD08hMs6AD8LuB4lQ421lbMwH5Nqt6SbdbGe~ovmxGhdKqryjQfNgfhpXjyFEd8rl~GI1FoFKAz4juqP15UoYOIs4j-9wK~8frzh8vWaZr8kXJiz0yFbRrfG9ipjA__&Key-Pair-Id=KUT5TJCACFTXG","Tompkins County health officials on the Board of Health meeting described steps taken to integrate public health and mental health services and said the changes are intended to make care easier to access for residents.

Jeremy, a Tompkins County health department staff member who presented the update, said the county pursued integration to treat “each individual as a whole person rather than go please go downtown and engage with mental health and then come uptown and engage with some physical health here.” He told the board the Brown Road Mental Health Clinic, which opened in November, lets people see multiple providers in one building.

The board was told the integration involved reorganizing under a single whole-health commissioner with three deputy positions; consolidating many administrative functions into one team for billing, reporting and public information; and creating a referral system for staff to send clients to appropriate programs. Jeremy said the referral tool uses checkboxes and automated emails and that a committee reviews referrals monthly to track how well the system works.

The presentation emphasized capacity gains from co-locating staff and services: county staff reported taking clients “across the hallway” to access needed care, reducing repeated intake steps and delays. Officials also described new positions created by rewriting job descriptions rather than requesting additional legislative funding, including a data analyst, HR personnel, a planner and a billing coordinator who can bill across programs.

A county public-health clinician who identified themself as “Doctor” noted concerns about Medicaid coverage and argued that untreated patients often become sicker and cost more to care for later. Board member Frank asked about future space for integrated services and was told county leadership is eyeing an empty fifth floor in a county building as a possible integrated hub.

Presenters and board members cautioned that state regulations and funding structures can push agencies back toward separation, so the county has built administrative and quality units to keep integration sustainable. Jeremy said some other counties have tried similar approaches and later reversed them; Tompkins County leaders said they are maintaining an active management structure to keep services coordinated.

Board members were directed to the full, longer presentation and to materials included in the meeting packet for additional detail and a recording link promised by staff.","Tompkins County health officials reviewed steps taken since 2019 to integrate public health and mental health services, citing new clinic space, a referral system and unified administrative functions intended to reduce barriers to care.","actionData","errors"]

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Board hears maintenance-of-effort budget plan as county awaits state decisions on fellowship and Medicaid changes

Board endorses legal route to close unlicensed cannabis stores and approves maximum fines for flavored-vape violations

Tompkins County Board of Health highlights progress integrating public- and mental-health services