WHATCOM COUNTY COUNCIL

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1 WHATCOM COUNTY COUNCL AGENDA BLL NO CLEARANCES nitial Date rjlat~eca}yef/.;):!,1 (Otjll{;ifj}fflr;g_ Agenda Date Assigned to: SM lii\lg:~~~~~tuj AprilS, 216 ntroduction Originator: Division Head: MAR Dept. Head: Prosecutor: ~ 3/Jfl/tb WHATCOM COUNTY COUNCL Purchasing/Budget: 1\ J\ Executive: ~ ~? t.( Zfi//{p TTLE OF DOCUM'/iNT: funding application. Apri/19, 216 Public Hearing Resolution and Public Hearing regarding Community Development Block Grant ATTACHMENTS: Memo from County Executive; Memorandum from Unity Care NW; CDBG Public Hearing handout; Resolution and Certffication of Compliance SEPA review required? ( ) Yes (X) NO Should Clerk schedule a hearing? ( X ) Yes ( ) NO SEP A review completed? ( ) Yes (X) NO Requested Date: April/9, 216 SUMMARY STATEMENT OR LEGAL NOTCE LANGUAGE: (lftllisitemisanordilumceorrequiresapublichearing,you must provide the language for use in the required public notice. Be specific and cite ReW or wee as appropriate. Be clear in explaining the intent of the action.) Public participation is a Community Development Block Grant (CDBG) requirement, and a Public Hearing meets that requirement. A CDBG applicant must inform residents and decision-makers of the availability ofcdbgfunds and provide an opportunity for community members to present potential projects and offer input on proposed projects. Unity Care Northwest is seeking the county's support as a CDBG Applicant for a pass-through grant from the Washington State Department a_{ Commerce CDBG Program for a 216 grant for up to $75, in CDBGfunding. Unity Care Northwest proposes the use of a CDBG in the construction of a nonprofit health care facility that will provide integrated medical, dental, pharmacy and behavioral health services for low-income residents in Ferndale, Lynden, Blaine and other parts of Northern Whatcom County. Unity Care Northwest will act as CDBG Subrecipient or subgrantee, and Whatcom County will be the lead agency in the CDBG application process. The attached Resolution authorizes the County Executive to sign and submit this CDBG application. Public Hearing Notice language: NOTCE S HEREBY GVEN that a public hearing will be held by the Whatcom County Council in the Council Chambers, Whatcom County Courthouse, 311 Grand Avenue, Bellingham, on Tuesday, Apri/19, 216 at 7:p.m. The puipose of the public hearing is to review community development and housing needs, inform citizens of the availability of funds and eligible uses of the state Community Development Block Grant (CDBG), and receive comments on proposed activities, particularly ji-om low- and moderate-income persons and persons residing in Whatcom County. Currently up to $7 5, may be available to What com County on a statewide competitive basis for funding public facility, community facility, economic development, planning and affordable housing projects that principally benefit low- and moderate-income persons. After the Public Hearing, a Resolution will be reviewed, which would authorize the County Executive to submit an application to the State of Washington for this funding. The draft grant application including an overview of the proposed project will be available for review at the Whatcom County Executive's office, Suite 18, 311 Grand Avenue, Bellingham, by April 14, 216. Comments may also be submitted in writing to the Whatcom County Council until the public hearing has been closed. The council chambers are handicap accessible. Arrangements to reasonably accommodate special needs, including handicap accessibility or interpreter, will be made upon receiving 96 hours advance notice. COMMTTEE ACTON: COUNCL ACTON: Related County Contract #: Related File Numbers: Ordinance or Resolution Number: Please Note: Once adopted and signed, ordinances and resolutions are available for viewing and printing on the County's website at: wltatcom. wa. us/council.

2 WHATCOM COUNTY EXECUTVE'S OFFCE County Courthouse 311 Grand Avenue, Suite #1 8 Bellingham, WA jack louws County Executive MEMORANDUM To: Whatcom County Council Mem From: Jack Louws, County Executiv,_lr-~ Subject: Unity Care Northwest - CDBG ant Application for the construction of an expanded health care facility in Ferndale Date: March 25, 216 We have been contacted by Unity Care Northwest regarding a proposed project that focuses on the construction of a health care facility that will provide integrated medical services to citizens of Ferndale, Lynden, Blaine and other parts of northern Whatcom County. They wish to apply for a CDBG General Purposes block grant, through Whatcom County, that will support the new construction of a facility that will replace the former clinic and add additional capacity and services including medical, dental, pharmacy and behavioral health services. They are requesting that Whatcom County act as the lead agency in the Community Development Block Grant application process. Through a subrecipient agreement with the County, they will administer the grant and oversee the project (up to $75, grant request). am attaching a memorandum from the Unity Care NW Director as well as the proposed clinic drawings and plans. am supporting this application and recommending to the Council its submission. As part of the application process, we are required to conduct a public hearing in order to receive public input on the use of CDBG funds and to inform the public on the nature of this project. As lead agency for this pass-through grant, the County Council is required to sign a Resolution in support of the application. Please note the attached Resolution. Thank you for your consideration of this matter. f you have any questions, please don't hesitate to contact me. /Enclosures Office (36) FAX (36) TRS: 711

3 nitycarenw To: From: Date: Subject: Jack Louws, Whatcom County Executive Desmond Skubi, Unity Care Northwest Executive Director March 22, 216 Request for assistance pursuing a Community Development Block Grant JACKLOUWS COUNTY EXECUTVE On behalf of Unity Care Northwest, request Whatcom County's assistance in the pursuit of a federal grant to assist with the construction of a new health care facility in Ferndale. Project Overview: n response to large and growing needs for primary care health services among people with low-incomes in Ferndale, Lynden, Blaine, and other parts of Northern Whatcom County, Unity Care Northwest asks that Whatcom County help Unity Care Northwest secure a federal grant for the construction of a health care facility that will provide integrated medical, dental, pharmacy, and behavioral health services. Grant Opportunity: This year, a grant of up to $75, may be available for the capital costs of construction from the Washington State Department of Commerce Community Development Block Grant (CDBG) General Purpose Grant Program. County Council Action Requested: Unity Care Northwest would like to request that County Council adopt a Resolution authorizing the Whatcom County Executive to apply for up to $75, in CDBG capital grant funding. f Council approves, Unity Care Northwest can work with the County Executive's Office to prepare a CDBG application for the June 1, 216, submittal deadline. North Whatcom County Health Center concept: The proposed integrated medical, dental, pharmacy and behavioral health facility would replace and expand Unity Care Northwest's current Ferndale clinic facilities, located on 3rd Street in Ferndale, that have reached their capacity. n 215 Unity Care Northwest's Ferndale Health Center provided medical care for 2,276 people, dental care for 2,292 people, and mental health services for 51 people, in a total of 12,847 patient visits. The expanded health center will significantly increase the agency's capacity, and will add on-site pharmacy services for patients. The total project budget is $11,591,. Architectural planning suggests the need for 23,393 square feet to meet the growing need for services in North Whatcom County. When fully staffed in 221, the new clinic will serve 9,5 patients, providing 42,875 visits and 64 full-time equivalent jobs. The Program for the new health center is reflected below, along with the staffing levels by full-time equivalent or FTE. Program: Areas of Care Medical Dental Behavioral Health Pharmacy Administration Total Provider FTE in Provider FTE in Total FTE by Current Ferndale New Ferndale Program in New Facility Facility Ferndale Facility 1. MD 3.MD 17 l.oarnp 2.ARNP 2. Dentist 5.5 Dentists.5 Hygiene 3. Hygiene BH 2. BH.1 Prescriber 4. Counselor.8 Prescriber 1l 1.2 Pharmacist FTE 21.5 FTE 64FTE 1616 Cornwall Avenue, Bellingham, WA UnityCareNW.org MEDCAL l -\ i BEHAVORAL HEALTH Service Volume in Patent Visits Per Year 18,25 Visits 18,125 Visits 6,5 Visits 34, Scripts 42,875 Visits

4 Unity Care NW n addition to expanding medical, dental, and behavioral health services, Unity Care Northwest will build a pharmacy that will provide low-cost prescriptions to qualifying patients. Unity Care Northwest will be the largest state-of the art, high-quality medical facility in North Whatcom County. Unity Care Northwest will provide services for anyone in need - the uninsured, or those on commercial insurance, Medicaid or Medicare. North Whatcom County Health Center Project Objectives: 1. Expand access to primary health care and dental services, including the addition of a pharmacy and lab. 2. Provide care for the whole person though a Patient Centered Medical Home (PCMH) model. The PCMH is a way of organizing primary care that emphasizes care coordination and communication to transform primary care into what patients want it to be. Medical homes can lead to higher quality and lower costs, and can improve patients' and providers' experience of care. The PCMH inspires quality of care, cultivates engaging patient relationships, and captures savings through expanded access and improved outcomes, reducing preventable hospital and emergency room use. 3. mprove dental outcomes and deliver cost savings by focusing on prevention to stop the cycle that causes dental disease, educate the next generation about preventive care, and move the community from treating urgent and chronic dental conditions towards prevention and maintenance. These efforts improve the lives of patients and families while reducing costs. 4. Become an essential partner in North Whatcom County. Unity Care Northwest will not only meet community health care needs, but it will also identify and help address other social service needs such as substance abuse and homelessness. Unity Care Northwest understands partnerships are essential and partners with public and private health entities to meet patient needs. Unity Care Northwest works with other non-profits, businesses, and governmental partners to solve community problems. Finally, this new health facility will vitalize Portal Way, leading to a new era of growth and prosperity. Agency Background: Unity Care Northwest is a non-profit provider of primary medical, dental, behavioral health, and pharmacy services governed by a Board of Directors whose majority use its services. Unity Care Northwest provides a sliding fee scale to assure that services are available regardless of the ability to pay. Unity Care's purpose is to increase the years of healthy life in the communities and people that it serves. Understanding community needs is at the heart of its work and its mission. Unity Care Northwest conducts exhaustive needs assessments every three years, and develops a Strategic Plan in response to the findings ofthe assessments. n 214, Unity Care Northwest completed a strategic plan and identified the relocation and expansion of its Ferndale Health Center to be a strategic priority, with the goal a strategically located health center sized to serve northern Whatcom County. A site was selected close to the Portal Way -5 freeway exit to facilitate access from communities to the north. Unity Care Northwest hired RMC Architects to complete architectural planning by May 216. Construction is anticipated to begin the summer of 217, after the required financing is assembled. Attachments: North Whatcom Clinic drawings and plans 1616 Cornwall Avenue, Bellingham, WA UnityCareNW.org MEDCAL "' 'll\ ficy Bl':HAVORAL HEALTH

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6 Unity Care NW Unity Care NW Ferndale Clinic 66 Portal Way Ferndale, WA TECTS

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8 Public Hearing Handout Appendix B-4 Department of Commerce t ( ) Helping rural communities with projects that benefit low- and moderate-income persons The Washington State CDBG Program offers five grant funds: General Purpose Grants $9,, For planning or construction of public infrastructure, community facility, affordable housing, and economic development projects. Application available in March and due in June. Economic Opportunity Grants $2,7, For state and local priority economic development projects that promote vibrant rural communities. Applications accepted while funds are available. Housing Enhancement Grants $2, For off-site infrastructure or the community facility component of a state Housing Trust Fund project. Applications accepted while funds are available. mminent Threat Grants $1, For unanticipated emergencies posing a serious immediate threat to public health and safety. Applications accepted while funds are available. Public Services Grants $1,5, For county and community action agencies to fund new or expanded services for lower income persons. Application available in February and due in April. Funding contingent on the US Dept of Housing & Urban Development approval of the state 1 s 216 Action Plan and CDBG allocation 121

9 HUD National Objectives CDBG project activities must meet one of three HUD National Objectives: 111 Principally benefits low-and moderate-income persons Aids in the prevention or elimination of slums or blight Addresses imminent threat to public health or safety CDBG Eligibility Guidelines Eligible applicants are Washington State cities/towns with less than 5, in population and not participating in a CDBG entitlement urban county consortium; and counties with less than 2, in population. Eligible cities/towns and counties are listed on the CDBG website. Special purpose districts, public housing authorities, community action agencies, economic development councils, other non-profit organizations, and ndian tribes are not eligible to apply directly to the state CDBG Program for funding, but may be a partner in projects and subrecipient of funding with an eligible city/town or county applicant. Application materials, due dates and income limits are on the CDBG website at: 122

10 Public Hearing Handout Appendix B-5 Federal Citizen Participation Requirements For Local Government Applicants to the State CDBG Program Federal Regulations 24 CFR (a) (a) Citizen participation requirements of a unit of genera/local government. Each unit of general local government shall meet the following requirements as required by the state at Sec (e) of this title. (1) Provide for and encourage citizen participation, particularly by low and moderate income persons who reside in slum or blighted areas and areas in which CDBG funds are proposed to be used; (2) Ensure that citizens will be given reasonable and timely access to local meetings, information, and records relating to the unit of local government's proposed and actual use of CDBG funds; (3) Furnish citizens information, including but not limited to: (i) (ii) (iii) (iv) The amount of CDBG funds expected to be made available for the current fiscal year (including the grant and anticipated program income); The range of activities that may be undertaken with the CDBG funds; The estimated amount of the CDBG funds proposed to be used for activities that will meet the national objective of benefit to low and moderate income persons; and The proposed CDBG activities likely to result in displacement and the unit of general local government's anti-displacement and relocation plans required under Sec (4) Provide technical assistance to groups representative of persons of low and moderate income that request assistance in developing proposals in accordance with the procedures developed by the state. Such assistance need not include providing funds to such groups; (5) Provide for a minimum of two public hearings, each at a different stage of the program, for the purpose of obtaining citizens' views and responding to proposals and questions. Together the hearings must cover community development and housing needs, development of proposed activities and a review of program performance. The public hearings to cover community development and housing needs must be held before submission of an application to the state. There must be reasonable notice of the hearings and they must be held at times and locations convenient to potential or actual beneficiaries, with accommodations for the handicapped. Public hearings shall be conducted in a manner to meet the needs of non-english speaking residents where a significant number of non-english speaking residents can reasonably be expected to participate; (6) Provide citizens with reasonable advance notice of, and opportunity to comment on, proposed activities in an application to the state and, for grants already made, activities which are proposed to be added, deleted or substantially changed from the unit of general local government's application to the state. Substantially changed means changes made in terms of purpose, scope, location or beneficiaries as defined by criteria established by the state. (7) Provide citizens the address, phone number, and times for submitting complaints and grievances, and provide timely written answers to written complaints and grievances, within 15 working days where practicable. 216 CDBG General Purpose Grant Application Handbook 123 March 216

11 SPONSORED BY: Consent PROPOSEDBY: ----~E~x~e~c~u~tiv~e~ NTRODUCTON DATE: 4/5/16 RESOLUTON NO~-- APPLCATON FOR A COMMUNTY DEVELOPMENT BLOCK GRANT (CDBG) WHEREAS, Whatcom County is authorized to apply to the state Department of Commerce for a Community Development Block Grant (CDBG); and WHEREAS, Whatcom County has identified a community development and housing priority need for which to seek CDBG funding; and and WHEREAS, it is necessary that certain conditions be met to receive CDBG funds; NOW, THEREFORE, be it resolved that Whatcom County authorizes submission of this application to the state Department of Commerce to request up to $75, from the CDBG General Purposes Grant Program to support the construction of a health care facility that will provide integrated medical, dental, pharmacy and behavioral health services to low-income residents in Whatcom County, and certifies that, if funded, it: Will comply with applicable provisions of Title of the Housing and Community Development Act of 1974, as amended, and other applicable state and federal laws; Has provided and will provide opportunities for citizen participation that satisfy the CDBG requirements of 24 CFR ; Will not use assessments against properties owned and occupied by low- and moderate-income persons or charge user fees to recover the capital costs of CDBGfunded public improvements from low- and moderate-income owner-occupants; Has established or will establish a plan to minimize displacement as a result of activities assisted with CDBG funds; and assist persons actually displaced as a result of such activities, as provided in the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 197, as amended; Has adopted or will adopt a policy(s) to reduce greenhouse gas emissions in accordance with RCW and certifies this project will adhere to this policy(s); Will provide opportunities for citizens to review and comment on proposed changes in the funded project and program performance; Page 1

12 Will conduct and administer its program in conformance with Title V of the Civil Rights Act of 1964 and the Fair Housing Act, will affirmatively further fair housing (Title V of the Civil Rights Act of 1968); and Has adopted and enforces a policy prohibiting the use of excessive force by law enforcement agencies within its jurisdiction against any individuals engaged in nonviolent civil rights demonstrations; and has adopted (or will adopt) and implement a policy of enforcing applicable state and local laws against physically barring entrance to or exit from a facility or location which is the subject of such nonviolent civil rights demonstration within its jurisdiction, in accordance with Section 1 4( 1) of the Title of the Housing and Community Development Act of 1974, as amended; Whatcom County designates Jack Louws, County Executive, as the authorized Chief Administrative Official and authorized representative to act in all official matters in connection with this application and Whatcom County's participation in the Washington State CDBG Program. APPROVED this day of April, 216. ATTEST: WHATCOM COUNTY COUNCL WHATCOM COUNTY, WASHNGTON Dana Brown-Davis, Clerk of the Council Barry Buchanan, Council Chair APPROVED AS TO FORM: ~ ~,..1, ' ia ' ~,Jl?:Mn=t/ Civil Deputy Prosecutor Page 2