October 25, 2016 Board Member Lunch: Noon / Meeting: 12:15 p.m. MARC Conference Center 2 nd Floor - Board Room AGENDA

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1 October 25, 2016 Board Member Lunch: Noon / Meeting: 12:15 p.m. MARC Conference Center 2 nd Floor - Board Room AGENDA 1. Introductions and Board Sharing Time 2. Recognition of MARC Employee 3. REPORT AND DISCUSSION: Local government involvement in KC Rising and GradForce KC Initiatives Related Policy Issue: Strategies to advance regional economic competitiveness 4. REPORT: Update on Cargill Foundation grant to enhance emergency services to vulnerable populations during disaster events Related Policy Issue: Plans and investments to build and maintain core capacities in emergency planning and response capabilities 5. REPORT: Approve the 2017 State Legislative Agendas Related Policy Issue: Promote unified regional positions on state policy and legislation CONSENT AGENDA (ADMINISTRATIVE MATTERS) 6. VOTE: Approve Consent Agenda a. Approve minutes of the September 27, 2016 Board meeting b. Authorize contract with Kansas Eastern Region Insurance Trust for accounting and administrative services for 2017 and 2018 c. Approve actions taken at the October Head Start Advisory Committee meeting d. Approve contract with Management Information Technology USA, Inc. for annual renewal of the ChildPlus.net contract for Mid-America Head Start e. Authorize increase in the Aging Services SFY 2017 contract with the Kansas City Area Transportation Authority f. Approve the th Quarter Amendment to the Transportation Improvement Program g. Authorize receipt of FFY CMAQ and STP funds for MARC s Air Quality Public Education, RideShare, Active Transportation, Planning Sustainable Places and Operation Green Light Programs h. Authorize the renewal of the contract with Rita Parker for cooperative purchasing coordination services in 2017 i. Authorize application and accept grant funds for emergency services program

2 7. Executive Director s Report 8. Other Business 9. Adjournment Please notify the Mid-America Regional Council at (816) at least 48 hours in advance if you require special accommodations to attend this meeting (i.e., qualified interpreter, large print reader, hearing assistance). We will make every effort to meet reasonable requests. Free parking is available when visiting MARC. Visitors and guests should park on the upper level of the garage. An entrance directly into the conference area is available from this level. To enter this level from Broadway, turn west into the Rivergate Center parking lot. Please use any of the available spaces on the upper level at the top of the ramp.

3 MARC Board of Directors Member Name Jurisdiction Title Allen, Jim Johnson County Commissioner Barnes, Lee City of Kansas City Councilmember Bixby, Dennis Leavenworth County Commissioner Boeshaar, Rick City of Mission Hill Mayor Burnett, Scott Jackson County Legislator Copeland, Michael City of Olathe Mayor Eilert, Ed Johnson County Commission Chairman Fields, Vernon City of Basehor Councilmember Gallagher, Danny Miami County Commissioner Gerlach, Carl City of Overland Park Mayor Hall, Heather City of Kansas City Councilmember Harrington, Jeff City of Bonner Springs Mayor Holland, Mark Unified Government of WyCo/KCK Mayor/CEO Holland, Robert Leavenworth County Commission Chairman James, Sly City of Kansas City Mayor Johnson, Harold Unified Government of WyCo/KCK Commissioner Kellogg, Kevin City of Raymore Councilmember Markley, Angela Unified Government of WyCo/KCK Commissioner Martin, Jeremy City of Oak Grove Mayor McKiernan, Brian Unified Government of WyCo/KCK Commissioner McTaggart, John City of Edwardsville Mayor Medsker, Mike Cass County Recorder of Deeds Morrow, Chris City of Gardner Mayor Nolte, Jerry Clay County Presiding Commissioner Odom, Jimmy Cass County Commissioner Owen, Gene Clay County Commissioner Preisinger, Mark City of Leavenworth City Commissioner Reed, Jermaine City of Kansas City Councilmember Rhoads, Randy City of Lee s Summit Mayor Ridgeway, Luann Clay County Commissioner Roberts, Rob Miami County Commission Chairman Roper, Beverlee Platte County Commissioner Ross, Carson City of Blue Springs Mayor Schieber, Ron Platte County Presiding Commissioner Schwach, Paula City of Westwood Hills Mayor Shaffer, Ron Johnson County Commissioner Skoog, Curt City of Overland Park Councilmember Soper, Duane Platte County Commissioner Spears, Fred City of Overland Park Councilmember Stark, Holly City of Peculiar Mayor Suter, Carol City of Gladstone Councilmember Vogt, Marge City of Olathe Councilmember Wagner, Scott City of Kansas City Mayor Pro Tem Walters, Jim Unified Government of WyCo/KCK Commissioner Weir, Eileen City of Independence Mayor White, Frank Jackson County County Executive Whiting, Chris City of Independence Mayor Pro Tem Wilhite, Gary Ray County Presiding Commissioner Ye, John City of Westwood Mayor

4 AGENDA REPORT MARC Board of Directors October 2016 Item No. 1 ISSUE: Introductions and Board Sharing Time BACKGROUND: Time has been reserved on the MARC agenda for introductions and items of interest to Board members. The Board Chair encourages board members to raise matters for discussion at future meetings or other issues of general concern or interest. RECOMMENDATION: None.

5 AGENDA REPORT MARC Board of Directors October 2016 Item No. 2 ISSUE: Recognition of MARC Employee BACKGROUND: Jacqui Moore has reached a significant milestone in her employment with MARC. Jacqui is the Director of Aging Services, and is celebrating 45 years at MARC. Jacqui will be recognized at the meeting for her contributions to the agency. RECOMMENDATION: None. Information only. STAFF CONTACT: David Warm

6 AGENDA REPORT MARC Board of Directors October 2016 Item No. 3 ISSUE: REPORT: Briefing on local government involvement in KC Rising Human Capital and GradForce KC Initiatives BACKGROUND: On February 29, KC Rising partners hosted a one-year update of the KC Rising initiative. KC Rising is led through a partnership between MARC, the Civic Council of Greater Kansas City and the Kansas City Area Development Council. The steering committee leadership reported on progress by the Trade, Innovation and Entrepreneurship and Human Capital work groups. Among the initiatives announced and either launched or near implementation in 2016 are the Regional Export Plan by the World Trade Center; a new capital resource, KC Rise Fund, to support business startup and expansion; and a Talent Toolkit by KCADC designed to help attract information technology and other talent to the Kansas City region. The Talent-to-Industry Exchange (TIE) program was selected as the signature strategy of the KC Rising Human Capital Workgroup because it simultaneously addresses all three human capital goals attraction, alignment and access. The TIES program has also been recommended by GradForce KC, the program supported through the Lumina Community Partnership at MARC. It provides a mechanism to address workforce needs in a sector-specific manner that supports the broader KC Rising framework. MARC has secured funding through the U.S. Economic Development

7 AGENDA REPORT MARC Board of Directors Administration, the Civic Council of Greater Kansas City, and Honeywell International to support the Design + Construct industry sector in 2016 and early A second TIE is underway around Life Sciences in partnership with the Greater Kansas City Life Sciences Institute. The TIES process includes data and analysis, key interviews and focus groups with employers, and dialogue between employers and educational institutions to create an action plan including short- and long-term talent development strategies. KC Degrees is advancing through recommendations from both KC Rising s Human Capital work group and the GradForce KC initiative. Funded by the Ewing Marion Kauffman Foundation and local universities, the program is designed to help some of the more than 300,000 adults in the Kansas City area with some college but no degree reach college attainment. KC Degrees will be supported with technical assistance from a national organization, Graduate! Network funded by the Lumina Foundation. The program is supported by an Outreach and Marketing Manager and College Success Navigators to help adults assess their career goals and determine the best educational program in the metro area to meet their needs. Partners will include colleges and universities, employers and community organizations. Continued support will help the interested adults to successfully enroll, persist, and complete college. The program is aligned with the KC Scholars scholarship program announced in late September by the Ewing Marion Kauffman Foundation. The FAFSA Challenge is funded through the National College Access Network, and Kansas City is one of 22 cities selected to participate in a national challenge to increase the number of students completing the Free Application for Federal Student Aid (FAFSA) an important part of the college application process. The $55,000 grant will support regional efforts to increase FAFSA applications by 10 percent for the graduating high school class of Recent changes to the FAFSA application process make it easier for parents and students to apply for federal aid. MARC is working with the Kansas City, MO School District to promote the importance of completing the FAFSA application. The school district has launched a challenge among its high schools to increase application completion from 55 percent of all seniors to 75 percent. Gateways KC is a new initiative bringing together institutions of higher education, nonprofit agencies, government and economic development organizations to support efforts to attract and retain immigrants and international students as an economic development strategy. The program will identify steps to help the region becoming more welcoming to immigrants and students, connect them with appropriate services, support their efforts to create new businesses and fill jobs offered by area businesses. RWIN is the Regional Workforce Intelligence Network, an initiative designed to help economic development, workforce development, educational institutions and nonprofits work together using up-to-date labor market information to identify collaborative steps to address the region s human capital needs. Local government officials are involved in KC Rising and GradForce KC. MARC staff will highlight current work underway and seek Board discussion on how cities and counties can become more involved in these efforts to create a more prepared workforce to grow the region s economy, as well as other aspects of the KC Rising strategy. Attached is an overview of all related initiatives.

8 AGENDA REPORT RECOMMENDATION: None. Information only. MARC Board of Directors STAFF CONTACT: David Warm Marlene Nagel Sheri Gonzales Warren

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10 AGENDA REPORT MARC Board of Directors October 2016 Item No. 4 ISSUE: REPORT: Update on Cargill Foundation grant to enhance emergency services to vulnerable populations during disaster events BACKGROUND: With funding from the Margaret A. Cargill Foundation, MARC is working to strengthen planning for and with vulnerable populations through community engagement. The vulnerable populations identified include seniors; persons with hearing, vision or cognitive disabilities; people living in poverty; children, cultural or geographically isolated and those with limited English proficiency. Agencies were identified and a survey of emergency management and agencies serving these vulnerable populations has been conducted to better understand agencies capacity to operate in disaster situations and current emergency management efforts. Several workshops were held to bring together emergency planners, emergency service providers and organizations that serve the vulnerable populations to make connections, understand expectations, identify challenges and discuss strategies to increase resiliency of the organizations and supporting those who might be affected in a disaster. A guidebook has been prepared as a tool for organizations to assist their clients and consumers to prepare in advance for emergencies. Staff will provide a brief review of the grant activities and findings from the grant. MARC Board members will be asked to help in identifying effective strategies for promoting the use of the preparedness guide and identifying future work that would be of value in increasing the resiliency of service agencies and residents with special needs or circumstances. RECOMMENDATION: None. Information only. STAFF CONTACT: Erin Lynch

11 AGENDA REPORT MARC Board of Directors October 2016 Item No. 5 ISSUE: REPORT: Approve the 2017 State Legislative Agendas BACKGROUND: Each year, the MARC Board adopts a state legislative platform, after receiving input from committees and organizations. The platform is communicated to area local governments and organizations to coordinate positions of importance to the region, and as appropriate positions are communicated to the area state legislators. Issues that have been identified for 2017 are included in the attached document. RECOMMENDATION: Approve the 2017 Missouri and Kansas Legislative Agendas. STAFF CONTACT: Marlene Nagel

12 MISSOURI TRANSPORTATION Transportation Revenues Insufficient revenues at the state level will require continued attention on transportation funding by the Missouri General Assembly. State legislators are urged to protect the integrity of current state funding and to work toward identifying new resources to address highway, major roadway and bridge infrastructure, public transit, bicycle, pedestrian and aviation needs in the state and the Kansas City metro area. The Missouri Department of Transportation has been working with regional agencies, local communities, transit providers and other partners through the On the Move planning process to identify long-range transportation needs in Missouri. MARC supports the need for increased funding for statewide, multi-modal transportation priorities in Missouri. MARC recommends that transportation funding options considered include user based fees and taxes and not be limited to retail sales taxes. In 2016, the General Assembly activated a new, multi=modal Missouri Moves Cost Share program and the Missouri Department of Transportation issued a call for applications, to which there was a tremendous response. MARC supports the continuation of the Cost Share program in future years. Amtrak State legislators are urged to support funding to maintain and expand passenger rail services (Amtrak) in Missouri. The State of Missouri currently supports the Missouri River Runner Amtrak service between Kansas City and St. Louis. Ridership on Missouri River Runner declined in FY 2016, with a total of 172,032 passengers as compared to 185,591 passengers in FY This decrease in ridership is primarily due to low gas prices and recurrent bus bridges due to construction on the high-speed rail corridor between St. Louis and Chicago. Transportation Safety Texting Ban for All Ages Broaden state restrictions on texting while driving to apply to drivers of all ages. Distracted driving is a serious threat to personal and public safety on our public highways. According to National Highway Traffic Safety Administration (NHTSA) research, 3,328 people were killed and an estimated 421,000 were injured in distraction-related crashes in Thirty-nine states now have bans on text messaging for all drivers. In 2009, the Missouri General Assembly enacted a law banning texting while driving for drivers 21 years old and younger. Texting while driving is a serious distraction regardless of the age of the driver. Between one-fourth and one-fifth of all traffic fatalities involved distracted drivers in the greater Kansas City area. Primary Seatbelt Law Support passage of a primary seat belt law. Seven out of 10 Missourians killed in a traffic crash are unbuckled. Seat belts reduce the risk of fatal injury by 45 percent. Missouri s current seat belt law ( RSMo) is a secondary law, which means that law enforcement officers cannot pull over vehicles solely for a seat belt violation. Missouri s 2012 overall seat belt usage rate is 79 percent, compared to 86 percent nationwide. National data demonstrates that seat belt use continues to be higher in the states with primary laws. The current law restricts law enforcement s ability to protect the traveling public and sends the wrong message to the public.

13 Cell Phone Ban for Young Drivers Enact provisions that restrict cell phone use for young drivers who lack driving experience under the graduated drivers licenses (GDL). The current GDL does restrict text messaging but not cell phone use. Thirty-two states have GDL laws that ban cell phone use. Motorcycle Helmet Law Maintain current state law requiring motorcycle helmet use. The universal motorcycle helmet law that was enacted by the General Assembly in 1967 has saved hundreds of Missouri lives. Based on studies of the effects of other states' enactment, repeal, or weakening of universal helmet laws, use approached 100 percent when all motorcyclists were required to wear helmets, compared with about 50 percent when there was no helmet law or a law applying only to some riders. In states that either reinstated or enacted universal motorcycle helmet laws, helmet use increased dramatically, and motorcyclist deaths and injuries decreased. In states that repealed or weakened their universal helmet laws, helmet use declined sharply, and motorcyclist deaths and injuries rose. Transit Operator Safety Transit operators, including the Kansas City Area Transportation Authority, are increasingly concerned about violence on public transit facilities. Support legislation that strengths protections for transit operators from workplace violence. Aviation -- Disposal of Abandoned Aircraft Current State law in Missouri prohibits airports and their sponsoring agencies from removing aircraft that are abandoned on airport property. Over time, abandoned aircraft begin to deteriorate, creating health hazards and visual blight on airport grounds. Furthermore, abandoned aircraft occupy limited storage space that in many cases provides a critical revenue source for airports. MARC supports the passage of legislation in Missouri that allows airports to remove abandoned aircraft from airport property. ENVIRONMENT Solid Waste and Recycling The Mid-America Regional Council Solid Waste Management District has worked to reduce waste going to area landfills for over 20 years. There are 20 districts in Missouri, including the MARC Solid Waste Management District which serves the five Missouri counties in the Kansas City region. These districts encourage waste reduction, waste diversion and recycling through public education and programs and grants to improve the infrastructure for waste diversion and recycling. Of the $2.11/ton landfill tipping fee that supports solid waste management in the state of Missouri, $1.28/ton is authorized for the districts operations and the remainder for state program operations and management The MARC SWMD encourages the Joint Committee and the General Assembly to continue to support the districts to make effective decisions through local decision making authority, to set rules that foster efficient district management and operations, and to maintain the tipping fee to landfills as an adequate source of funding for the state s solid waste management program and the regional solid waste districts. State legislators are urged to continue support for solid waste management districts throughout the state of Missouri in order to protect local government rights to develop and implement local and regional integrated solid waste management systems and strategies, including waste disposal and

14 materials diversion facilities and services, which are designed to protect human health and the environment and to maximize waste reduction and diversion. State legislators are urged to reduce or eliminate the two-year notice statute governing how local governments inform private haulers of its intention to provide solid waste services. The scope of this statute now extends well beyond the original intent to provide proper notice when jurisdictions annex new areas served by private residential haulers. As local governments evaluate measures to increase the efficiency of solid waste management and recycling and reduce the impact of hauling operations on local infrastructure, the current law restricts local authority to provide for quality and affordable services to residents in a timely manner. Energy Conservation Energy conservation is important to the region s economy and quality of life. A consensus position prepared with the Greater Kansas City Chamber of Commerce encourages investments in energy reliability and efficiency, balancing long-term public health and environmental protections with economic growth. MARC encourage policies that include use of renewable energy for transportation and residential and non-residential services, such as solar; green infrastructure; and PACE (Property Assessed Clean Energy). EARLY LEARNING MARC, through its Metropolitan Council on Early Learning (MCEL), supports public policies and investments that will increase access to high quality early learning programs for Missouri s children and families. High-quality early care and education helps give children the boost they need to succeed in school, provides parents with the support and peace of mind they need to be productive at work, and strengthens our economy in the short- and long-term. That is why funding quality early childhood programs that ensure more Missouri children have the tools they need to succeed in school and in life is a good investment. Research shows that for every dollar invested in early childhood education, the state saves at least $7 down the road. Those savings come from such outcomes as fewer criminals in our justice system, fewer adults on public assistance, fewer teen pregnancies and a stronger workforce. Child Care Program Health and Safety Support efforts to strengthen health and safety standards for unlicensed child care providers. Child Subsidies Support efforts to increase the income eligibility rate for families who qualify for child care subsidies from the current 150% up to 185% of the Federal Poverty Level. Support efforts to increase the child care reimbursement rate for child care subsidies up to 75% of the current market rate. Universal Voluntary Pre-kindergarten Support legislation that will allow public school districts and charter schools to contract with community based child care providers for pre-k services through the funding formulary. During the 2014 legislative session the Missouri General Assembly passed HB 1689, which provides prekindergarten state funding to districts and charter schools for children ages 3 and 4 eligible for free/reduced lunch. Funding is capped at 4 percent of the district and charter school s total number of pupils who are eligible for free/reduced lunch. Unaccredited schools will receive funding during the

15 2015/2016 school year; provisionally accredited districts will receive funding during the 2016/2017 school year; all other district funding is contingent upon full funding of the foundation formula. Quality Rating and Improvement Systems (QRIS) Support efforts to fund the development and implementation of an Early Childhood Program Quality Performance Report pilot program. As part of SB638, the ban on quality rating systems was repealed, allowing the Department of Elementary and Secondary Education to develop a three-year pilot program. Establishing quality indicators will help ensure that Missouri children have access to high-quality early learning programs that will prepare them to learn and improve their success in school and in life. In addition, linking quality indicators to increased rates of child care subsidies will help Missouri child care providers offset the added costs of providing quality early learning programs. Missouri has developed similar systems to rate nursing homes in the state, and Missouri families deserve to have the best information available to them as they search for the learning environments for their children Efforts have been underway for a number of years to enable voters to broaden the scope of communication devices where users are levied a fee to support 9-1-1, and with revisions to state statutes to allow for a county fee on all communication devices, including landline, wireless and VOIP devices to support emergency telephone costs. The legislation that advanced in the last session (HB1904) would have created a statewide fee for pre-paid wireless devices to support small communities and rural areas in particular those areas that do not have E by enhancing their systems to accommodate and locate wireless calls for emergency services. A portion of the pre-paid device fee will be returned to the county where the fee is generated. The Kansas City regional system offers high quality services to area residents, businesses and visitors. The Kansas City regional system handles nearly two million 9-1-1calls annually and an additional two million non-emergency calls among 42 public safety answer points. The region s counties recognize the critical importance of this system and have invested in improvements to receive and process all calls, including those from wireless devices. Three-fourths of all calls received in the Kansas City region come from wireless devices. The region s high quality system is threatened as the financial resources supporting its maintenance and operation are declining. National industry experts estimate that over 40 percent of all households rely exclusively on wireless communications devices and do not have a land-line phone in their homes. The FCC estimates that only 6 percent of all homes will have land-line phones by Missouri wireless customers do not contribute to the cost of operations, and Missouri is the only state in the nation that has not enacted a surcharge to support wireless The General Assembly is urged to support legislation to enable counties to ask voters to approve a fee on all communications devices to support emergency costs. The legislators are also asked to support legislation that would allow for a statewide fee on pre-paid wireless devices to provide resources for small communities to enhance their systems. Higher Education and Workforce Development Support maintenance of state funding for higher education, recognizing the importance of postsecondary attainment by area residents to meet the needs for business growth. Budget cuts to higher education have required reductions in programs and services and increases in tuition and fees. Through KC Rising and other community initiatives, the importance of increasing post-secondary attainment requires affordable higher education.

16 Enable high school students to gain college credit at any of the public and not-for-profit institutions in the Kansas City area that offer the programming to support their career interests. High school students are able to take college courses during their senior high school year and attain college credit. Increasing the number of higher education institutions to public and not-for-profit ones in the Kansas City region would enable students to select the classes that could help them pursue their career goals. FUNDING FOR OLDER ADULT SERVICES The General Assembly appropriates state funds to supplement federal funds to meet the growing needs of elderly residents of the state. These state and federal funds are administered by Area Agencies on Aging, including the Mid-America Regional Council. Funding reductions have resulted in cutbacks in services to the growing number of older adults throughout the state and in the Kansas City area, including home delivered meals to home bound and frail elderly. Changes in Medicaid and Medicare with federal health care reform will result in the need for increased information services for many of the state s senior adults. State legislators are urged to support maintaining or restore lost funding for Area Agencies on Aging for home delivered meals and to provide enhanced information and care coordination and other direct services at existing or increased levels. In addition, state legislators are urged to support funding for the Area Agencies on Aging in Missouri to provide benefits counseling to assist seniors in understanding the changes in Medicare and Medicaid, and to access services for which they may be eligible. The Missouri Silver Haired Legislature and the Missouri Association of Area Agencies on Aging have voiced support for a new fee on Medicare insurance policies purchased through insurance brokers. The fee would be allocated to Area Agencies on Aging to support services for vulnerable older adults. This proposal is being discussed by statewide and regional organizations to determine Kansas City regional support is appropriate. EMERGENCY MEDICAL SERVICES Support legislation authorizing an Interstate Compact with the state of Kansas for EMS agencies to more easily cross the state line for mutual aid, disaster response and daily patient transports. This authorization would make patient transports easier in clarifying adherence to home state rules on medications and procedures. Support legislation that allows for Crisis Intervention Training for EMS personnel to be equipped to work with behavioral health patients. Support legislation that gives authority and limits liability of EMS agencies in treating and transporting special needs patients and standardize how EMS personnel would serve these patients. EMS need to be able to place behavioral patients under hold to transport them safely to services. The ability to transport patients unable to give their consent, and to have the necessary training to allow for safety for the EMS personnel and the patient is important. PUBLIC HEALTH Support for Expansion of Health Care Services Recent data shows that there are almost 250,000 residents in the Kansas City region without health care insurance, including 140,000 in the five Missouri counties. There are a number of additional residents with limited coverage, including high deductibles that limit health care access. Under the Affordable Care Act, states are able to work with the federal government to expand and reform Medicaid so that more families and individuals that are currently uninsured may secure coverage. The expansion of

17 health care coverage would allow these residents to access more appropriate health care to meet their needs, rather than expensive hospital emergency room visits. The ability of low-income Missouri residents to access non-emergency room health care supports better use of the entire health care system and reduces the risk for those without coverage from experiencing more serious health problems due to lack of early treatment. The MARC Board encourages the General Assembly to support expansion and reform of Medicaid to increase health care coverage for the region s most vulnerable populations and reduces the costs of uncompensated emergency care to hospitals and safety net providers. Prescription Drug Monitoring Program (Registry for Opioids) Support the creation of a statewide prescription registry for opioids. The growing number of overdoses and deaths from opioids and heroin is of increasing concern to communities across the state of Missouri, urban, suburban and rural. Most states across the nation have allowed for the establishment of a Prescription Registry to allow physicians to determine the frequency and recent status of opioid (pain medication) prescribed to patients before prescribing additional medicine. Research has shown that opioids are highly addictive, and due to cost, lead those addicted to heroin. Emergency room visits for overdoses from heroin or opioids in the Kansas City area (5 Missouri counties) has increased from 56 per year in 2008 and 2009 to 254 cases in Legislation was introduced in 2016 to create a Missouri registry but did not survive the legislative session. LOCAL GOVERNMENT AUTHORITY Effective local government is built on the longstanding principle of home rule that is embedded in many statutory provisions, which enables cities and counties to legislate and determine local affairs. While state and federal governments have an obligation to encourage and assist sound municipal and county management, many state and federal statutory, budgetary and regulatory actions limit the ability of local leaders to make decisions. They often impose financial burdens and impede the ability of local communities to govern themselves. The MARC Board urges the Missouri General Assembly to consider the impacts of state statutes and budget decisions on local governments, to avoid unfunded requirements, and to support the principle of flexible home rule to maximize opportunities for local self-determination. KANSAS TRANSPORTATION The Kansas Legislature passed T-WORKS in May 2010 to support continued investment in the state s transportation system. The Kansas Department of Transportation has outlined a spending plan to provide $4.6 billion on projects to ensure the preservation of the state s highways and bridges. The Kansas Legislature is encouraged to ensure that any additional funds committed to T-WORKS from the State Highway Fund are not redirected for other state budget needs. MARC supports the implementation of an effective multi-modal transportation program aligned with the region s priorities; supports measures to encourage regional approaches to public transit and transportation planning, and supports the practice of long-term multi-year comprehensive transportation programs developed through a combination of KDOT technical analysis together with local government and other stakeholder involvement. The Kansas Legislature should restore lost funding and protect existing T-WORKS funds for transportation purposes.

18 Amtrak State legislators are urged to support funding to maintain and expand passenger rail services (Amtrak) in Kansas. Amtrak has indicated that it cannot continue to operate the Southwest Chief service through western Kansas, Colorado and Northern New Mexico without upgrades to existing railroad tracks. Without these track upgrades, the Southwest Chief could be rerouted through Wichita, Oklahoma and Texas, or eliminated. Separate efforts have been underway to extend the Heartland Flyer service between Ft. Worth and Oklahoma City north to Wichita and a connection with either the Southwest Chief or a direct connection on to Kansas City. Ridership in Kansas in FY13 was 50,146. Transportation Safety Primary Seatbelt Law Kansas passed a primary seatbelt law in Kansas seatbelt usage rates went from 80 percent in 2012 to 81 percent in The national average seatbelt usage rate was 86 percent for The current law has a $60 fine - not including court costs - for those 17 and under and a $10 fine court cost included for those 18 and over. States with higher fines have shown to increase seatbelt usage rates. MARC supports the consideration of legislative action to amend the current law to make the fine $30 for everyone. Maximum Speed Limit In 2011 Kansas increased the maximum speed limit on state highways from 70 mph to 75 in Since then traffic fatalities have increased on routes with 75 mph speed limits while decreasing significantly on the remainder of the state highway system. MARC encourages the state legislature to retain the current maximum speed limit of 75 mph and the secretary of transportation to review existing 75 mph routes to determine if some speed limits should be reduced to improve public safety. ENVIRONMENT Energy Conservation Energy conservation is important to the region s economy and quality of life. A consensus position prepared with the Greater Kansas City Chamber of Commerce encourages investments in energy reliability and efficiency, balancing long-term public health and environmental protections with economic growth. MARC encourage policies that include use of renewable energy for transportation and residential and non-residential services, such as solar; green infrastructure; and PACE (Property Assessed Clean Energy). EARLY LEARNING MARC, through its Metropolitan Council on Early Learning (MCEL), supports public policies and investments that will increase access to high quality early learning programs for Kansas children and families. High-quality early care and education helps give children the boost they need to succeed in school, provides parents with the support and peace of mind they need to be productive at work, and strengthens our economy in the short- and long-term. That is why funding quality early childhood programs that ensure more Kansas children have the tools they need to succeed in school and in life is a good investment. Research shows that for every dollar invested in early childhood education, the state saves at least $7 down the road. Those savings come from such outcomes as fewer criminals in our justice system, fewer adults on public assistance, fewer teen pregnancies and a stronger workforce. MARC, in partnership with other organizations, supports the following public policies and investments that will increase access to high quality early learning programs for Kansas children and families.

19 Children s Initiatives Fund and the Kansas Endowment for Youth Fund Support efforts to protect existing funding for the CIF and KEY funds and work to secure future funding to protect these critical investments in early childhood programs across Kansas. The Children s Initiatives Fund (CIF) and the Kansas Endowment for Youth Fund (KEY) were created by the Legislature in Funding for both comes from payments made to the state from the master tobacco settlement. The CIF dollars are dedicated to quality early childhood programs programs like Early Head Start, Pre- K and Parents as Teachers and is administered by the Kansas Children s Cabinet and Trust Fund. The KEY also receives funding from the master tobacco settlement and serves as an endowment for the longterm benefit of funding children s programs. As we look into the next decade, the Children s Initiatives Fund (CIF) will be one of the most important elements of the early education system in Kansas. The CIF funds the majority of early childhood programs, and the system of oversight for this funding source ensures that programs are evidence-based and coordinated. However, CIF funding has remained stagnant for more than half a decade resulting in a significant strain on programs and creating the need for increased funding in order to maintain current service levels. A top priority is to ensure that all CIF funding is directed to programs focused on early childhood care and education and restore the money previously directed to other purposes to provide an increase to strengthen early childhood programs allowing them to maintain a robust level of services. Parents as Teachers (PAT) Support efforts to restore funding for PAT and increase access for all families to participate in this nationally recognized parenting education program. Full Day Kindergarten and Voluntary Pre-K Support efforts to fund full day Kindergarten and provide funding for voluntary pre-k programs through the establishment of a new school funding formulary. HIGHER EDUCATION AND WORKFORCE DEVELOPMENT Support maintenance of state funding for higher education, recognizing the importance of postsecondary attainment by area residents to meet the needs for business growth. Enable high school students to gain college credit at any of the public and not-for-profit institutions in the Kansas City area that offer the programming to support their career interests. EMERGENCY MEDICAL SERVICES Area ambulance services work through the Mid-America Regional Council Emergency Rescue (MARCER) to ensure high quality pre-hospital emergency care. MARCER is considering support for the following legislative issues in 2017: Use of NARCAN to treat heroin overdoses Support use of Narcan by basic EMTs and other public safety personnel. Kansas is one of only three states without legislation to allow basic EMT's, police officers, or firefighters to use Narcan and one of few that does not allow key bystanders such as halfway houses, relatives, etc. to have Narcan on hand and for use for Opioid overdoses. Narcan, or naloxone, is an antidote for heroin or opioid overdoses. Allowing more basic emergency medical service (EMS) staff to administer naloxone could reduce drug

20 overdose deaths that involve opioids, according to a Centers for Disease Control and Prevention (CDC). Naloxone is a prescription drug that can reverse the effects of prescription opioid and heroin overdose, and can be life-saving if administered in time. A majority of states have adopted national guidelines that prohibit basic EMS staff from administering the drug as an injection. As of 2014, only 12 states allowed basic EMS staff to administer naloxone for a suspected opioid overdose; all 50 states allow advanced EMS staff to administer the overdose reversal treatment. Ground Emergency Medical Transport (GEMT) Emergency Medical Services agencies are building a coalition of stakeholders to support state legislation that would permit public agencies providing emergency medical service (EMS) the ability to receive supplemental reimbursement for services currently being performed. The enhanced reimbursement would allow EMS agencies to receive reimbursement to cover costs for providing services to those patients without the ability to pay (uncompensated care). For over 30 years Kansas hospitals and other health care agencies in our state have been using Federal programs like GEMT to receive reimbursement for uncompensated care. GEMT is not new. Currently, Washington, California, Texas, Indiana, North Carolina, Massachusetts, and Louisiana use some form of these programs to draw down Federal dollars to help offset the cost of providing ground emergency medical services. With this enabling legislation, a fire department or an ambulance district, as recognized units of government, are allowed to recover the costs associated with providing care through Intergovernmental Transfer, Provider Assessment and/or Certified Public Expenditures (CPE). With GEMT, EMS providers in Kansas can recoup up to 61 percent of the cost to deliver care. The program is strictly voluntary and the Federal government only approves those who specifically request this reimbursement. The Legislature is urged to pass enabling legislation to allow EMS agencies to bill the federal government to cover a portion of the cost of uncompensated care. PUBLIC HEALTH Support the Expansion of Health Care Services Recent data shows that there are almost 250,000 residents in the Kansas City region without health care insurance. There are number of additional residents with limited coverage, including high deductibles that limit health care access. Under the Affordable Care Act, states are able to work with the federal government to expand Medicaid to more families and individuals that are currently uninsured. The expansion of health care coverage would allow these residents to access more appropriate health care to meet their needs, rather than expensive hospital emergency room visits. The additional coverage would support the delivery of health care system, including private physicians and safety net providers. The MARC Board supports expansion and reform of Medicaid to increase health care coverage for the region s most vulnerable populations. LOCAL GOVERNMENT AUTHORITY Effective local government is built on the longstanding principle of home rule that is embedded in many statutory provisions, which enables cities and counties to legislate and determine local affairs. While state and federal governments have an obligation to encourage and assist sound municipal and county management, many state and federal statutory, budgetary and regulatory actions limit the ability of local leaders to make decisions. They often impose financial burdens and impede the ability of local communities to govern themselves. The MARC Board urges the Kansas Legislature to consider the impacts of state statutes and budget decisions on local governments, to avoid unfunded requirements, and to support the principle of flexible home rule to maximize opportunities for local selfdetermination.

21 AGENDA REPORT MARC Board of Directors October 2016 Item No. 6-a ISSUE: VOTE: Approve minutes of the September 27, 2016 Board meeting BACKGROUND: The minutes of the September 27, 2016 meeting are enclosed. RECOMMENDATION: Approve the minutes of the September 27, 2016 meeting. STAFF CONTACT: David Warm Mary Laird

22 BOARD OF DIRECTORS 600 Broadway, Suite 200 Kansas City, Missouri September 27, :15 p.m. Minutes of Meeting COMMITTEE MEMBERS PRESENT Councilmember Carol Suter, Gladstone, Mo. MARC Board 1 st Vice Chair Commissioner Beverlee Roper, Platte County, Mo. MARC Board Treasurer Mayor Randy Rhoads, Lee s Summit, Mo. MARC Board Secretary Commissioner Jimmy Odom, Cass County, Mo. Legislator Scott Burnett, Jackson County, Mo. Mayor Carson Ross, Blue Springs, Mo. Councilmember Lee Barnes, Kansas City, Mo. Mayor Holly Stark, Peculiar, Mo. Commission Chairman Dennis Bixby, Leavenworth County, Kan. Commissioner Rob Roberts, Miami County, Kan. Commissioner Harold Johnson, Unified Government of Wyandotte County/Kansas City, Kan. Commissioner Jim Walters, Unified Government of Wyandotte County/Kansas City, Kan. Mayor John McTaggart, Edwardsville, Kan. Mayor Chris Morrow, Gardner, Kan. Mayor Rick Boeshaar, Mission Hills, Kan. OTHERS PRESENT Mary Lou Brown, Jackson County, Mo. Jeff Fox, The Examiner - Independence/Blue Springs/Grain Valley Jon Gallion, city of Basehor, Kan. Geoff Jolley, Congressman Emanuel Cleaver s office Michael Webb, city of Edwardsville, Kan. STAFF PRESENT David A. Warm, executive director, and other MARC staff members INTRODUCTIONS AND BOARD SHARING TIME In the absence of Councilmember Skoog, Councilmember Suter called the meeting to order at 12:22 p.m. She thanked participants for attending the meeting, and members introduced themselves and shared items of interest from their jurisdictions. Revised agenda items 6-c and 6-d were distributed. RECOGNITION OF MARC EMPLOYEES Becky Hall and Hassan Al-Rubaie have each reached a significant milestone in their employment with MARC. Becky is an Accountant in the Financial Affairs Department, and Hassan is a Communications

23 Technician in the Public Safety Department. Both are celebrating 10 years at MARC. Mr. Warm recognized Becky and Hassan for their contributions to the agency, and Councilmember Suter presented them with gifts of appreciation. REPORT ON THE PURPOSE, IMPACT AND FUTURE OF THE PLANNING SUSTAINABLE PLACES INITIATIVE; APPROVE PROJECT FUNDING RECOMMENDATIONS AND RELATED AGREEMENTS Beth Dawson, Senior Land Use Planner, said that the Kansas City region s vision of vibrant, green and connected centers and corridors is central to both the Creating Sustainable Places initiative and Transportation Outlook 2040, the region's long-range transportation plan. In 2012, MARC s Total Transportation Policy Committee (TTPC) and the Creating Sustainable Places (CSP) Coordinating Committee joined forces to launch Planning Sustainable Places (PSP), a combined initiative to provide communities with pre-development resources to advance sustainable projects from planning to construction in their corridors and centers. The Sustainable Places Policy Committee (SPPC), CSP Coordinating Committee s successor group, worked with MARC staff earlier this year to refine the 2017 criteria for eligibility and the award process. MARC issued a call for projects that closed on June 24, MARC staff conducted an initial review and scoring of the 26 applications and worked with the Sustainable Places Policy Committee to develop a recommended list of awardees. The Committee developed the final recommended project list on September 9, 2016, which were included in the meeting packet. Complete street plans, trail plans, transportation hub plans, and corridor plans are just some of the projects included in the proposed list. These projects will be developed with a focus on the integration of transportation, land use and environment, and will include robust citizen engagement. The recommendation includes 19 planning projects from across the region: 10 sustainable places plans 7 project development activities 2 implementation activities The Committee weighed several considerations when developing the recommended list including project scores, scalability, local jurisdiction priorities, geography, eligibility, replicability and alignment with PSP program objectives. Local sponsors are responsible for local match requirements. The consultant contracts for the projects will be held by MARC, authorization for those individual contracts will be brought to the board after they have been negotiated. The two Kansas project development projects will be contracted directly with the Kansas Department of Transportation, so MARC will not hold the contracts for those projects. The PSP Program is funded via three specific sources: $ 600,000 Missouri Surface Transportation Program Livable Communities Pilot Planning Program (FFY 2017) $ 832,540 Kansas Surface Transportation Program Livable Communities Pilot Planning Program (FFY 2017) $ 578,900 - Local Match from Project Sponsors $2,011,440 Total Sources $107,440 will support MARC s program management, deployment, and administrative responsibilities. Ms. Dawson displayed photos of before and after views of completed projects in the Burlington Street Corridor in North Kansas City and the Downtown Broadway Complete Street in Louisburg. Looking to the program s future, the program will continue its award-winning work. In 2015, the program was recognized for excellence in planning by both the Kansas and Missouri American Planning