SENATE CONCURRENT RESOLUTION NO. 28

(By Senator Walker)




Requesting the Joint Committee on Government and Finance to direct the Legislative Oversight Commission on Health and Human Resources Accountability to make a study of the ability of local health departments to deliver public health services to the citizens of West Virginia.

Whereas, Critical changes have taken place in the health care environment influenced by an aging population, health care financing, health care delivery systems, different disease patterns and increases in information technology; and
Whereas, State funding for local health departments has remained constant while county moneys have decreased; and
Whereas, The implementation of managed care has reduced the ability of local health departments to generate revenue from the delivery of clinical services; and
Whereas, The Federal Balanced Budget Act of 1997 has severely limited the capacity of certain local health departments to provide home health services; and
Whereas, Prevention and control of communicable and infectious disease, protection from environmental health risks, assessment and reporting of community health needs are basic-level public health services that must be provided effectively and efficiently; and
Whereas, There is a need to develop the resources necessary to ensure the maintenance of a public health system that will be a stable force in the state's restructured health care delivery system; therefore, be it
Resolved by the Legislature of West Virginia:
That the Joint Committee on Government and Finance is hereby requested to direct the Legislative Oversight Commission on Health and Human Resources Accountability to work in conjunction with the Bureau of Public Health and its public health transition project, to study public health in West Virginia in order to ensure the maintenance of a public health system that will provide stability to the state's restructured health care delivery system; and, be it
Further Resolved, That the Legislative Oversight Commission on Health and Human Resources Accountability, in conjunction with the Bureau of Public Health, assess the organizational, financial and service capacity of local health departments; define basic, minimum public health services; develop performance-based standards for local health departments; facilitate the establishment of streamlined reporting between the Bureau of Public Health and local health departments; and develop fair and equitable funding options for public health services; and, be it
Further Resolved, That the Joint Committee on Government and Finance is hereby requested to direct the Legislative Oversight Commission on Health and Human Resources Accountability to report to the regular session of the Legislature, 1999, on its findings, conclusions and recommendations, together with drafts of any legislation necessary to effectuate its recommendations; and, be it
Further Resolved, That the expenses necessary to conduct this interim study, to prepare a report and to draft necessary legislation be paid from legislative appropriations to the Jjoint Ccommittee on Ggovernment and Ffinance.