National Council for Behavioral Health
Board Business Meeting Minutes DRAFT
June 9, 2016

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Board Members Present:

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Susan Blue, Chair

Don Miskowiec, First Vice Chair

Jeff Richardson, Second Vice Chair

Tim Swinfard, Secretary-Treasurer; Finance & Administration Committee Chair

Brent McGinty, Association Executives CommitteeChair

Matt Brooks, 100% Association Representative

Shirley Havenga, Nominating Committee Chair

Rich Leclerc, Audit Committee Chair; Public Policy Committee Vice Chair

Connie Peters, Addictions Committee Chair

Mick Pattinson, Membership Committee Co-Chair

Randy Tate, Membership Committee Co-Chair

Jeff Walter, Immediate Past Chair

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Victor Armstrong

Kevin Campbell

Danette Castle

Cari Cho
Carl Clark

Bob Davison

Mark Fontaine

Topher Hansen

Alan Hartl

Sara Howe

Susie Huhn

John Kastan

Kevin Norton

Steve Ronik

Art Schut

Rick Weaver

Ed Woods

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Staff in Attendance: Linda Rosenberg, Jeannie Campbell, Alicia Aebersold, Bruce Pelleu, Mohini Venkatesh, Betsy Schwartz, Laura Galbraith, Liane Kluge, Jessica Friedel, Kara Guerriero, Joe Parks

Others in Attendance: Lucinda de Rossi, California Association of Social Rehabilitation Agencies (CASRA)

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Susan Blue, Board Chair, called the meeting to order at 9:00 AM.

Committee Reports

Addictions Committee

Provided by Connie Peters, Chair

Kim Johnson, PhD, Director of the Center for Substance Abuse Treatment (CSAT) at SAMHSA, joined the Addictions Committee to discuss current programs supported by CSAT and to gain input from the committee as to future direction. Areas of concern included SAMHSA grants, the length of grants cycles versus the time it takes for an initiative to reach maturity, program and funding sustainability, and the impact to those in treatment. Dr. Johnson will be invited to the fall board/association meeting.

Joe Parks, MD, National Council Senior Medical Advisor, met with the Addictions Committee to discuss the Medical Directors Advisory Council and to outline other addictions related programs the National Council is engaged with.

Connie Peters and Sara Howe led a discussion around prevention strategies. Mark Fontaine also reported to the committee on Vivitrol programs in Florida.

Association/State Executives Committee

Provided by Brent McGinty, Chair

The Association/State Executives Committee recognized Mohini Venkatesh’s efforts with the group and welcomed Becky Vaughn as new staff lead for the Committee.

John Kastanand Susan Blue provided an update to the committee on the National Board’s Diversity Workgroup and the Children’s Ad Hoc Committee, providing some background as to why the board is focusing on these issues and what they’d like to accomplish. The board is very interested to engage with the association/state executives on these initiatives and welcomes any input or involvement.

Mohini Venkatesh, Vice President for Practice Improvement, and Rebecca Farley, Senior Policy Director,reviewed resources available to the association/state executives, including research opportunities via a partnership with the Vanguard Research Group, a variety of webinars, and upcoming issue brief on policy barriers to integration, and the CCBHC Resource Hub.

Nick Szubiak, Practice Improvement Director,provided an overview of the Opioid Epidemic Impact Initiative, a 21-state effort around the response to the opioid epidemic.

The meeting concluded with a review of current activities in each state represented and a brainstorming session around the planning for the September retreat.

Audit Committee (did not meet at June 2016 meeting)

Finance and Administration Committee

Provided by Tim Swinfard, Chair

The committee had a robust discussion around National Council’s investments, performing at level with the current market. The committee will take a look at alternate investment options at the Fall meeting.

Bruce Pelleu, CFO presented the year-to-date financials and budget report, noting that the organization is tracking on target/schedule. There were two one-time events to reorganize the FY2016 budget, related to Mental Health First Aid (agreement with MHAMD and investment in One-in-a-Million campaign) and a large foundation grant received. For the grant, revenue for the grant will be recognized in this year’s budget though expenses will be incurred in later years.

Individual reports were presented from IT and HR, noting the ongoing growth of the organization. Staff has increased 10% since the last board meeting. There was a discussion around the accounting system andin regards to security concerns. Future business opportunities were discussed, as were strategic investment opportunities, but were tabled for the Fall meeting.

The committee reviewed the budget timeline. The FY2017 membership dues proposal approved by the Membership Committee at this meeting, will be included as part of the Finance & Administration Committee’s review of the FY2017 budget that will take place during a committee meeting in September, prior to the budget being brought to the full board for approval on the board’s monthly call in September.

Membership Committee

Provided by Mick Pattinson, Co-Chair

The committee thanked Kara Guerriero, Vice President for Membership and Corporate Relations,for all of her work and welcomed Liane Kluge, Senior Membership Director, and Becky Vaughn, Vice President for Addictions and Member Services, who will be taking over membership responsibilities at the National Council, including the Membership Committee. The group reviewed the committee composition and invitedboard members to join the Membership Committee; anyone interested should talk to co-chairs Randy Tate and Mick Pattinson.

The committee reviewed a list of all members who have joined the National Council since 10/1/2015; there have been 481 new members YTD, 9-months into FY2016—a substantial number of those represent the merger of the Connecticut Nonprofit Providers Association and the Connecticut Community Providers Association (290 members) and the Oregon Prevention, Education, Recovery Association (30 members).

m/s/p: Motion to approve new members that have joined since 10/1/2015.

As part of the conversation about new members, the committee briefly discussed the new CRM/database and are looking forward to the capacity it will bring to the organization to know more about our members, what activities they are participating in, and how it will allow staff to track membership renewals and recruitment in new and more streamlined ways.

The committee reviewed and approved the FY2017 dues proposal as presented by staff and will forward the committee’s recommendations to the Finance & Administration Committee for review as part of the FY2017 budget process.

Kara Guerriero provided a brief summary of the 2016 member year to date, noting that there were 2,507 at the start of the FY2016; 2,414 renewed (96%), with 481 new members. Membership revenue received to date is 97% budget ($2,636,002). The FY2016 member year has been essentially closed out related to renewals with 93 non-renewed members; 39 (42%) from 100% Associations – lower than in the past few years; 15 (25%) merged/out-of-business; North Dakota didn’t renew as a 100%, with their 8 provider members; and 10 Affiliate Members dropped – high, but no surprises. Staff has also been tracking 480 potential member leads from 350 organizations.

A report was also provided on the National Council/SAAS merger, Year 2 – 19 new associations joined as part of the merger; the Florida Alcohol and Drug Abuse Association was already a 100% Association (+58 provider organizations); the Iowa Behavioral Health Association was the first to become a 100% Association post-merger (+24 members); the Illinois Alcohol and Drug Abuse Association joined as a 100% Association in Year 1 (+67 members); and the Oregon Prevention, Education and Recovery Association became a 100% Association in Year2 (+20 members). 82% of the associations renewed in Year 2; the Connecticut Association of Nonprofits merged with CCPA; the Michigan Addictions Association merged with the Michigan Association; the Maine Association of Substance Abuse Programs did not renew, nor did the Mississippi Association of Addiction Services. Also of note, the Rhode Island Addictions Association merged with the Rhode Island Council making a new entity, and the Maryland Addictions Directors Council, formerly a member of SAAS but did not come with the merger, joined the National Council directly.

In reference to the merger with the Connecticut Association of Nonprofits, it was suggested that the “Find A Provider” feature on the National Council’s website be reviewed so the non-human service members won’t be pulled. This can be done by modifying the coding from the database.

The committee engaged in a brief discussion about the membership structure, including the 100% Association/State structure and how staff set priorities and make negotiations. The committee also reviewed the board dashboard as presented by staff.

Nominating Committee

Provided by Shirley Havenga, Chair

The committee reviewed and certified the results of the spring 2016 board elections

  • Region 4: Linda McKinnon, Central Florida Behavioral Health Network (FL)
  • Region 7: Pat Coleman, Behavioral Health Response (MO)
  • Region 9: Vitka Eisen, HealthRIGHT 360 (CA)
  • Region 10: David Johnson, Navos (WA)
  • 100% Association Representative (unopposed): Matt Brooks, Indiana Council of Community Mental Health Centers (IN), re-elected to second term
  • Vice Chair, Public Policy Committee (unopposed): Sara Howe, Illinois Alcohol and Drug Dependence Association (IL)

m/s/p: Motion to accept the results of the Spring 2016 board elections as presented by the Nominating Committee.

The committee has reviewed board policies and procedures to reflect changes to the bylaws, effective September 2014. No substantive changes have been made and the committee will be presenting the updated policies and procedures to the full board for approval.

The Nominating Committee reviewed the current election process, and is proposing the addition of the following process to the Regional Elections Process portion of the Policies and Procedures:

Once voting is complete, the Nominating Committee will review the voting data as part of the process to certify the results of the elections. If there is a member of the Nominating Committee running concurrently for re-election, he/she will recuse him/herself from the conversation related to the relevant region.

Shirley put forward a motion to accept the new policies and procedures with the above referenced change. A question was posed about the review process when there are multiple candidates in a regional election, including multiple candidates from the same state, and when there is a candidate(s) from a state in which there is already a seated member on the board. Kara Guerriero explained that in each elections cycle, there are often issues that present themselves that the Nominating Committee decides to review, and after the elections cycle is completed, make recommendations to update the board policies and procedures. A number of examples were shared. Susan Blue noted that this issue was discussed in the Diversity Workgroup meeting and that the Nominating Committee will be discussing the issue with the Association/State ExecutivesCommittee.

The Nominating Committee motion was withdrawn. The edited policies and procedures will be posted on the board website for review and approval at a later date.

Public Policy Committee

Provided by Rich Leclerc, Vice Chair

MeiramBendatprovided a presentation to the committee on the topic of parity. He will be presenting at the NatCon17 so there will be opportunity to engage with him then.The board briefly discussed in impact of parity on our members as well as the need for network advocacy standards of care, measurement tools, the continued need for engagement on the addictions side, as well as conflict between new CMS rules that are more restrictive than what states have with managed care contracts. Staff will follow up on these issues and come back to the board with follow up.

Chuck Ingoglia, Senior Vice President for Public Policy and Practice Improvement,and Rebecca Farley presented on the Department of Labor’snew regulation regarding overtime,finalized in May 2016.The new rule will go into effect in December 2016 and efforts are being made to make sure that communications and messaging on this topic are effective and work to prepare our members for the rule change. Chuck and Rebecca will poll the committee on what impact this has on each of the states andon their members.

The committee also discussedproposed MACRA regulations and an upcoming webinar on the program.

Jeff Richardson noted that he wanted to discuss the CCBHC applications and MIPS.Mohini Venkatesh shared that the staff are engaging with CMS on this front, but that there are challenges related to the fact that behavioral health has historically been excluded from MIPS. The National Council staff will release guidance in the form of fact sheets on this and will also be planning ongoing webinars.

Medical Directors Advisory Council

Provided by Joe Parks, Senior Medical Advisor

The Medical Advisory Council discussed the planning of its technical paper related to lack of access to psychiatry. They expect to issue a white paper within the next 9 months.

Executive Committee/Chair’s Report

Provided by Susan Blue, Board Chair

Due to the number of new board members joining the board last year, the 2016 board retreat was used for board development. For the January 2017 retreat, the primary focus will be the future of National Council – who the members will be, what services will be delivered, what is the board’s vision for where the association is going. Staff will be engaging with a number of “Futurists” with expertise in this area to bring in for the retreat, but the majority of time will be spent on the board members working out these issues.

Susan questioned the board as to any concerns about holding the retreat in Puerto Rico due to the issues around the Zika virus.Staff are watching the issue and regularly reviewing CDC information on how many cases have been reported.Jeannie Campbell, Executive Vice President, noted that staff have reached out to the hotel to see what they are doing to protect guests. There are penalties for cancellation: $26k penalty if 90-days out; $35k penalty if we cancel 60-days out; $60k penalty if we cancel 30 days out. More information will be gathered prior to the July board meeting, when the discussion will continue.

Susan thanked Shirley Havenga and Topher Hansen, who are both rolling off the board, for valuable service to the National Council Board. They will be missed. As both are members of the Nominating Committee, two new members will need to be added. The Executive Committee is recommending Ed Woods and Brent McGinty to serve on the Nominating Committee, and Alan Hartl to be elevated to serve as Nominating Committee Chair.

m/s/p: Motion to accept the nominating of Ed Woods and Brent McGinty to serve as membersof the Nominating Committee

m/s/p: Motion to accept the nomination of Alan Hartl to serve as Nominating Committee Chair.

Susan Blue requested that staff leave the room so the board could meet in executive session to discuss the CEO’s annual review and contract.

Other Business

m/s/p: Resolved, that the Board of Directors approve, ratify and confirm all lawful acts of the Officers, Executive Committee and President/CEO from the Board Meeting of October 7, 2015 to the date of the present meeting, as reported to the board or as set forth in the record book and other official documents of the organizations.

The next regularly scheduled meeting of the Board of Directors will take place via conference call on July 21, 2016.

There being no other business, the meeting concluded at 11:00 am.

These minutes have been reviewed and approved by the National Council Board of Directors (x/X/2016).

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Susan Blue, Chair

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Tim Swinfard, Secretary/Treasurer

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