Karuk Tribe of California

Health Board Meeting Minutes

March 11, 2004

Happy Camp, California

 

The meeting was called to order at 5:00 PM by Arch Super, Chairman.

 

Roll Call

Present

Arch Super, Chairman

Leaf Hillman, Vice-Chairman

Florrine Super, Secretary

Leeon Hillman, Treasurer

Roy Arwood, Member

Florence Conrad, Member

Robert Goodwin, Member

 

Absent

Karen Derry, Member

 

Quorum is established.

 

Approval of the Agenda for March 11, 2004

 

Florrine Super moved and Florence Conrad seconded to approve the Agenda for March 11, 2004.  6 haa, 0 puuhara, 0 pupitihara.

 


1.                  Approval of the Minutes for February 12, 2004

 

Leaf Hillman moved and Leeon Hillman seconded to approve the Minutes for February 12, 2004.  6 haa, 0 puuhara, 0 pupitihara.

 

1.                  Jennifer Goodwin

Jennifer was present to discuss Tutoring Contracts for the Education Department.  She has met with Erin and they would like to make a revision to the Finance Policies stating that her Tutoring Contracts don’t have to be approved by Council each time.  They would instead be reviewed by Laura Mayton, Erin Hillman, Wes Valentine, and Arch Super and that would constitute approval.  They would like to work on policies and procedures for these Contracts once the Education Committee is established.  Bob would like to see the approval process specifically addressed in the policy to make it very clear.  They can bring that back at the Council Meeting for approval.  She also distributed copies of letters and forms that are used for the Tutoring Contracts.

 

She requested approval of the Contract for Consultant Services with the Scope of Work which details the program eligibility requirements.  Bob asked about how they would track the TERO tax to see if the vendors exceed $2,500 and then impose the tax.  Erin states the Finance Office can easily see how much they have been paid and Laura states the total budget for the year is very low so each person shouldn’t exceed that amount.  She has four Contracts that she would like to get approved right away and start using.  It is the parent’s responsibility to find a tutor and get the paperwork completed.  Laura suggests having the forms included in the policies and procedures as an attachment when they develop them the way the Finance Policy is done.  They would like a form number added to the bottom so they can easily identify where it came from.

 

Robert Goodwin moved and Leaf Hillman seconded to approve Contracts 04-C-32, 04-C-033,04-C-034,and 04-C-035 for tutoring.  6 haa, 0 puuhara, 0 pupitihara.

 

She also wanted to discuss the recent advertisement for the Education Committee.  She received three letters all from the Happy Camp community.  She would like to try again to see if she can get a response from Yreka and Orleans for that committee.  They could extend it and see what they get or have Council Members recruit.  They will work on recruiting as they have re-advertised and still not gotten a response on other committees.  Jennifer would like to have Sami Jo on the Committee as Housing administers the Student Rent Voucher Program and it would make things go more smoothly.  Florence will recruit for Orleans and Florrine will recruit forYreka.  They can select a Happy Camp one now and then there will also be Roy Arwood, Jennifer Goodwin, Arch Super, and Sami Jo, if she is interested, and they could add the others at a later date.

 

Robert Goodwin moved and Leaf Hillman moved to establish the Education Committee.  6 haa, 0 puuhara, 0 pupitihara.

 

1.                  Michael Moore

Mike was present to request permission to use Tribal vehicles to transport the Healing Path Talking Circle to Yreka to visit another Narcotics Anonymous Group.  There are 10-15 people in the group and it goes up and down.  Michael and Cheryl are current employees and would be covered by the insurance to drive.  The meeting is on March 27, 2004.  Wes Mayton could also drive if they need a third vehicle. 

 

Leaf Hillman moved and Robert Goodwin seconded to allow them to use the vehicles.  6 haa, 0 puuhara, 0 pupitihara.

 

Mike can work out the vehicles with Lynn and the insurance can be checked also.

 

1.                  Laura Mayton

Laura states the Auditors are coming next week and they are very prepared for the visit.  The federal guidelines specify that equipment of $5,000 and above need to be included in the fixed assets inventory but current Tribal policy is $2,000.  She would like to raise it up to $5,000 to avoid any intense scrutiny during the audit and it would also ease the process of tracking the fixed assets for financial statement purposes.  It will not change the purchasing process, it will only affect the accumulated depreciation that she calculates into the financial statements each year.

 

Leaf Hillman moved and Leeon Hillman seconded to revise the Finance Policy to reflect that fixed assets costing $5,000 or more will be accounted for on financial statements.  6 haa, 0 puuhara, 0 pupitihara.

 

1.                  Trista Parry

Trista was present to request approval of a grant for Dr. Drake and Philip Albers, Jr. to submit for $30,000 to Shasta Regional Community Foundation to cover the costs of the bikes and uniforms for the Diabetes Cycling Program.  04-R-17 was assigned for submission.

 

Leaf Hillman moved and Leeon Hillman seconded to approve Resolution 04-R-17 for submission of a grant proposal to Shasta Regional Community Foundation for $30,000.  6 haa, 0 puuhara, 0 pupitihara.

 

She also requested approval to move forward with the grant writing training they requested she look into with Sue Burcell.  The price was $2,450 for a three-day training for up to 35 participants. 

 

Consensus: To move forward with a Contract with Sue Burcell for June 1-3, 2004 and bring it back for approval.

 

She was joined by Tamara Barnett on behalf of the Happy Camp Youth Baseball Little League.  Last year they were sponsored to purchase hot dogs and juice for the kids for each game.  Last year they donated $250 and the cost was $317 for the entire season. They would like to request another donation for this year.

 

Leaf Hillman moved and Leeon Hillman seconded to approve a $350 donation from discretionary.  6 haa, 0 puuhara, 0 pupitihara.

 

They also announced that they looked at the uniforms and they plan to replace the uniforms this year.  They will name each Team and put on the Board at the ball field who sponsored the team so that they don’t have to change the uniforms each year when the sponsor’s change.

 

1.                  Dr. Kravis

Dr. Kravis is a veterinarian that recently moved to Seiad Valley and has a home there.  He would like to provide veterinary services to small animals in the surrounding area.  He did his first surgery yesterday in a mobile pet clinic that he brought with him tonight so they could see it.

 

He has met with an individual by the name of Keith Parker.  He would like to propose 1, 2, 5, and 10 year plans to them.  He asked if the property is Tribal land not under CA jurisdiction, they confirmed yes.  He states that in 10 years they could have a profitable veterinary center on this site ran by Native Americans that could support itself.  He states if they can find two young people that would be interested in becoming veterinary technicians and coming back here to work they could start a clinic.  He states that he is fairly certain that the Humane Society would be interested in supporting the costs of that type of project.  He states the schooling takes two years and the nearest school is either Chico or Sacramento.  He states the students learn skills that they cannot use under CA law but on Tribal land they could use them. 

 

He states that he spoke to Dr. Davis the veterinarian in charge at HSUS and they stated they didn’t plan on coming back this year but to support him they would in the Fall.

 

He states he would be interested in sitting on a committee if they would like to look into this further.

 

1.                  Committee Reports from Directors

Florrine asked about having letters sent to the Chairs of each committee to do reports each month.  Sara states she can work on that the beginning of next month.  Florrine also mentioned having those reports on the Health Board Agenda rather than Council because the Council meetings are so long.  They agree it should be left on both as a standing item.

 

There needs to be some research done for each committee to see what the appointment and expiration dates are for each member to keep on a schedule.  This will need to be addressed in a letter to each Committee Chair to research and report back along with a general status report of the committees status and activities and then they want copies of meeting minutes each month for the committees.

 

1.                  Old Business/Minutes

Emergency Preparedness for Elders: David Eisenberg had stated he would prepare a report on the survey for them.  Wes states he has not seen one yet and it is not in his report.

 

Karen had asked about backup heating for the Orleans homes at the last meeting, Florrine wondered what the status of that was.  Wes states part of that would be addressed by Housing but he understands that the Forest Service has donated a generator to the Tribe for use on those homes for backup power which would cover heat.  This may solve that problem.

 

Arch asked about Vickie Walden’s explanation on how the dental lab works was going to be explained.  She states that he had questions when he was signing checks and it is in her report and she can answer questions at that time if they have any.

 

They asked Wes what the status is of the Dentist.  He states that the Dentist that they have offered the position to has requested to negotiate disability insurance and this has slowed the process down.  He has been told that if he doesn’t have a response by next Friday the offer will be withdrawn.  Full disability insurance runs about $17,000 each year and it is very expensive.  He has already contacted the second dentist and she is still interested.

 

Arch asked about the CHS dental dollars that were close to running out.  That is also addressed in Marsha’s report as they have re-allocated some dollars.

 

They asked if Leaf has checked on the big screen TV from Housing for the Panamnik Center.  Leaf states he has not done that yet.

 

In Joe’s report they denied the request for $25,000 for Oak Knoll and they were going to discuss it with Trista on February 29, 2004 but did not.  She states they have to decide what they will do in the building before they can do a feasibility study.

 

When will the grand opening for the Panamnik Center be?  Once the furniture they approved has been ordered and installed they will schedule it.

 

How is courier service going?  They are getting it started this week and will start adding other duties as they move along.  Elsa states Housing is currently advertising for a courier as well and they should talk to Housing about it to see if they can combine some of the services and share the costs with Housing.

 

Have the kids that went to Sacramento done their presentations in the schools yet?  They will have to ask Philip Albers about it.

 

1.                  Lessie Aubrey, DQMC

Written report only.  No action items.  Florrine asked if the employee surveys were ready yet.  Barbara states there needs to be more analysis done and then it will be reported to the Council.

 

There was discussion regarding the office moving.  It has not been done yet due to the fact that all staff have not been consulted yet to get their input.

 

Arch states Lessie had expressed an interest in the general Management Team meetings.  There used to be Health Management Team meetings but they are not active.  There needs to be more communication between the offices so that everyone knows what is going on.  There was a suggestion to send out minutes from the Management Team Meetings to everyone so they know what is going on.

 

Leeon Hillman moved and Robert Goodwin seconded to approve Lessie’s report.  6 haa, 0 puuhara, 0 pupitihara.

 

1.                  Marsha Jackson, RPMS Site Manager

Marsha was present to review her written report with the Board.

 

She distributed the approved Levels of Care policy to them as there needed to be a change due to the pharmacy opening up.  She made an addition to Level II to state that prescription(s) that are not covered under the Health Pharmacy guidelines may be reimbursed on a case by case basis with the CHS appeal process applying.  This will help for prescriptions that may not be available in the Pharmacy.

 

Robert Goodwin moved and Leeon Hillman seconded to approve the change to the CSH Levels of Care.  6 haa, 0 puuhara, 0 pupitihara.

 

She states she has increased the dental line item to $40,000 to ensure they will have enough to cover the remainder of the year.  She apologizes but the register balances were not included in her report.

 

Leeon Hillman moved and Florrine Super seconded to approve Marsha’s report.  6 haa, 0 puuhara, 0 pupitihara.

 

1.                  Vickie Walden, RDA

Vickie was present to review her written report with the Board.  Her only addition was a letter from Dr. Carlson regarding his CEU training that he attended and she did not have it typed at the time her report was done.  She has some new figures for February now that she has finished her data entry and let them know what the changed numbers were.

 

She gave them an update on how the dental lab services work.  She explained that the reason they see non-Indian names on the lab checks is due to the fact that it is against the law for a dental lab to bill a patient directly and it is illegal for the patient to pay the lab directly as it is already included in the fee the Dentist charged, therefore; they pay the lab fees and collect the amounts through the billing department.  Either their insurance is billed or they pay cash directly to the Tribe.

 

She read the report from Dr. Carlson regarding his trip to San Francisco for continuing education credits.  Because he goes to his Alma Mater for the course he gets a discount and he also stays with friends while he is there to save money for the program and still get his credits.

 

Florrine Super moved and Leeon Hillman seconded to approve Vickie’s report.  6 haa, 0 puuhara, 0 pupitihara.

 

 

1.                  David Eisenberg, PHN

Not present, written report only, no action items.  Florrine announced that Sheila Jerry has been hired as the new CHR for the Yreka area.

 

Florence Conrad moved and Roy Arwood seconded to approve David’s report.  6 haa, 0 puuhara, 0 pupitihara.

 

1.                  Wes Valentine, Executive Director

Wes was present to review his written report.  He states Third Party revenues continue to do very well for this year.  They have received $131,000 for February.  This will provide a projected budget of $1,360,000 for the year excluding the catch-up billing that will come in from the billing specialist.

 

He states the General Accounting Office is conducting ICWA audits, they have not been selected but wanted them to keep in mind that it is a possibility.

 

Fred Nahwooksy’s contract for the People’s Center expired yesterday and he would like to know what they would like to do with it.  They can have a general discussion with him this evening in closed session.

 

He states they are starting to see an impact from the Governor’s proposed budget, they will lose funding in June for Robert Super’s Substance Abuse Program due to this cut.  Hector has been notified to begin looking into this to see if there is something that can be done on the congressional level.  They will look into the State Indian Health budget also because it is $250,000 of funding for the health program that could be lost.

 

He has been working with Hector on researching the third party contracts for the Pharmacy.  Hector is getting the same information Wes has regarding what other California Tribes are doing.  They will continue to work on that and come back to them with more information.

 

He states that the Pharmacy policies need to be reviewed due to the wording of the policy.  It states that Karuk Tribal Members will receive prescriptions free of charge, it did not specify what area they had to reside in to be eligible.  Currently, if the patients are being seen in the Tribe’s Clinic but live out of the service area they are being covered.  They cannot fill prescriptions from outside of the State but they need to determine what they will do about Members that live for example in San Diego or Los Angeles and are still in California but not in the service area.  The Council feels that they cannot cover that free of charge because it would cost them too much.  They agree it needs to read that they will cover Tribal Members in the area or that are seen at the Clinics free of charge.  The others can still get their prescriptions at the Pharmacy but there will be a cost associated with it.

 

The Providers requested that there be community clinic language added to the name of the Yreka Clinic.  He suggests they change their meeting with the Providers to April 14, 2004 rather than April 7, 2004 since the Health Board Meeting is early next month.  They re-scheduled the meeting for 10:00-1:00 on April 14, 2004 in Happy Camp.  They can discuss that further at that meeting.

 

He distributed Contract 04-C-031 with Barbara Norman to renew her contract for the Tribal Court.  The amount would not exceed $38,880 as that is what is budgeted for that service. 

 

 

Robert Goodwin moved and Leaf Hillman seconded to approve Contract 04-C-031 with Barbara Norman.  6 haa, 0 puuhara, 0 pupitihara.

 

Florrine states Barbara has also requested to meet with the Council and she is available whenever they are.

 

CRIHB has requested delegates for the CRIHB Board.  In the past it has been Council Members but it does not have to be if they are too busy.  It can be an employee, but they must be a Tribal Member.  The Tribe is now doing their own work and not using them as much but they should still stay involved.  They meet quarterly.  Roy would be interested in going to see what it is all about.  Florrine will go too.  Florence will be the alternate. 

 

Robert Goodwin moved and Leaf Hillman seconded to appoint Roy Arwood and Florrine Super as the CRIHB Delegates with Florence Conrad as an alternate.  6 haa, 0 puuhara, 0 pupitihara.

 

Robert Goodwin moved and Leeon Hillman seconded to approve Wes’ report.  6 haa, 0 puuhara, 0 pupitihara.

 

Leaf asked about the ICWA review.  He wanted to forward that to the ICWA Committee, Florrine is currently the Chairperson.  He would like to see them work on preparing for a review just in case it happens.  They have a meeting on 3/23 at 10:00 AM in Happy Camp.  They can also work on addressing the problems they encounter in that program with the courts and the Counties.  They can identify pitfalls in the system that are not the Tribe’s fault.

 

1.                  Joe Snapp, Drug and Alcohol Counselor

Not present, written only, no action items.  Florence pointed out that the mushroom growing was one of the ideas Joe had to sustain the operation of a Transitional Facility.  Joe has been looking at other options as well. 

 

Leaf Hillman moved and Robert Goodwin seconded to approve Joe’s report.  6 haa, 0 puuhara, 0 pupitihara.

 

1.                  Fred Nahwooksy, People’s Center

Fred was present to request approval of a grant application to the National Park Service Historic Preservation Fund in the amount of $28,775.  They will use Wes and Erin and Fred’s time as match for this grant.  Resolution 04-R-18 was assigned for this grant.

 

Leaf Hillman moved and Robert Goodwin seconded to approve Resolution 04-R-18 for submission of a grant to the National Park Service Historic Preservation Fund.  6 haa, 0 puuhara, 0 pupitihara.

 

1.                  Florrine Super

Florrine states she has two requests.  Her parents Peter and Nancy Super need $215.17 to cover the expenses of getting holes filled in their driveway due to the fact that they are in the process of paying for water upgrades that are around $1500 and required by the City of Grenada.  They are both Tribal Members and Elders.  The estimate is from Yreka Transit Mix to haul a truckload of fill dirt and spread it in the holes.  They asked if this could be a health and safety concern to be able to use other funds besides discretionary, they want to explore other areas instead.  Wes wonders if a portion of the water system expense can be covered to help save them some money for this expense. 

 

Leaf Hillman moved and Robert Goodwin seconded to approve $215.17 to Peter and Nancy Super.  Discretionary funds to be used as last resort.  5 haa, 0 puuhara, 1 pupitihara (Florrine Super).

 

Her second request is for her Women’s Basketball Team, she is requesting $150 toward their entry fee of $250 in the upcoming Happy Camp Tournament.  There are Tribal Members on the team. 

 

Leeon Hillman moved and Leaf Hillman seconded to approve a donation of $150 toward the Basketball Team from discretionary.  6 haa, 0 puuhara, 0 pupitihara.

 

She gave them a short update on the ICWA Committee meetings.  She invited them to attend the next meeting at which the supervisor of the CPS office will be present.  They are trying to get Remi Vista and Environmental Alternatives at the meeting to discuss the foster facility also.

 

She states the Public Law 280 meeting she recently attended it was very beneficial.  There were police, probation, Tribal representatives and CHP present to start working toward collaborating together since they are in a Public Law 280 state.  They also wanted to talk to the Forest Service about their ability to stop people on Tribal Trust land as well.  Lavone Kent is coordinating the next meeting and Barbara Norman plans on setting one up too.  Leaf suggests having someone from Fish and Game involved too. 

 

Closed Session from 8:00 PM to 11:45 PM

 

Directive: For Lynn Parton to prioritize the Closed Session with CHS first always, visitors/guests from out of town next, staff from out of town next, staff in town next, and Directors last.

 

Leaf Hillman moved and Leeon Hillman seconded to uphold the denial and pay $470.05 out of Third Party.  6 haa, 0 puuhara, 0 pupitihara.

 

Leaf Hillman moved and Florrine Super seconded to uphold  the denial and pay $1000.00 out Third Party.  6 haa, 0 puuhara, 0 pupitihara.

 

Directive: For Wes Valentine to look at budget and give Employee #1647 a raise.  Leaf will work with him on this.

 

Directive: For Leaf Hillman to work with Robert Super to help send individual to rehabilitation for 90 days.

 

Consensus: Employee #8840 will meet with Arch Super and Wes Valentine to go over job duties and expectations.

 

Directive: For Florrine Super to notify open position on the Council.

 

Consensus: To authorize meals for Election Committee if needed at meetings from discretionary.

 

Directive: For Wes Valentine and Sara Spence to work on Fred Nahwooksy’s Contract.

 

 

Robert Goodwin moved and Florrine Super seconded to approve Resolution 04-R-16 authorizing intervention by Daniel Pratt for ED.  6 haa, 0 puuhara, 0 pupitihara.

 

Consensus: Roy Arwood, Robert Super, Wes Valentine, and Sara Spence will meet with Tribal Member #1066 to have a pre-employment meeting and offer the position under specific guidelines.

 

Directive: For Sara Spence to talk with Barbara Norman about copyrighting the Tribe’s logos. And talk to Fred about ordering DNR logo and flag logo stickers to sell in the gift shop.

 

Leaf Hillman moved and Robert Goodwin seconded to approve credentialing and privileging for Steven Burns, Jesse Drake, John Carlson, Todd Weaver, and Michael Hess as presented.  6 haa, 0 puuhara, 0 pupitihara.

 

Leaf Hillman moved and Robert Goodwin seconded to pay the rest of ???.  6 haa, 0 puuhara, 0 pupitihara.

 

Directive: For Dion Wood to start the process on Tribal Member #399's grievance  right away.

 

Leaf Hillman moved and Florence Conrad seconded to send two people to Dallas, TX to the True Value 2004 Spring Market, March 26-29, 2004.  6 haa, 0 puuhara, 0 pupitihara.

 

Florrine Super moved and Robert Goodwin seconded to appoint April Attebery to the Election Committee.  6 haa, 0 puuhara, 0 pupitihara.

 

Leaf Hillman moved and Roy Arwood seconded to pay the vendor 50% of what was requested and send a notice that the services are no longer be needed.  6 haa, 0 puuhara, 0 pupitihara.

 

Directive: For Wes Valentine to talk with Arch Super and Employee #1467 about medical bills.

 

Leaf Hillman moved and Leeon Hillman seconded to adjourn at 11:50 PM.  6 haa, 0 puuhara, 0 pupitihara.

 

Next Meeting Date: April 8, 2004 at 5:00 PM in Happy Camp.

 

Respectfully Submitted by,

 

 

___________________________________

Arch Super, Chairman

 

Recording Secretary,

Sara Spence