Minutes

The Council of The Regional Municipality of York

Meeting #:
Date:	Thursday, June 20, 2019
Time:	9:00 A.m. - 10:30 A.m.
Location:	Council Chambers 17250 Yonge Street, Newmarket

Members:

• W. Emmerson,
• D. Barrow,
• M. Bevilacqua,
• J. DiPaola,
• M. Ferri,
• R. Grossi,
• V. Hackson,
• J. Heath,
• L. Jackson,
• J. Jones,
• J. Li,
• I. Lovatt,
• T. Mrakas,
• S. Pellegrini,
• C. Perrelli,
• M. Quirk,
• G. Rosati,
• F. Scarpitti,
• J. Taylor,
• and T. Vegh

Staff:

• D. Basso,
• K. Chislett,
• P. Freeman,
• J. Hulton,
• P. Jankowski,
• K. Kurji,
• B. Macgregor,
• E. Mahoney,
• L. Mirabella,
• C. Raynor,
• and M.F. Turner

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A.

Call to Order

Regional Chair Emmerson called the Board of Health meeting to order at 9:02 a.m.

B.

Disclosures of Interest

None.

C.

Presentations

None

D.

Communications

D.1

Public Health Units Proposed Boundary Changes

D.1.1

Simcoe Muskoka District Health Unit (SMDHU) - Proposed Boundary Changes

• Moved by Regional Councillor Rosati
  Seconded by Regional Councillor Jackson

  That the Board of Health receive the communication from Anita Dubeau, Chair, Simcoe Muskoka Board of Health dated May 15, 2019.

  Carried

D.1.2

Letter of Support for Simcoe Muskoka District Health Unit - Proposed Boundaries

• Moved by Regional Councillor Rosati
  Seconded by Regional Councillor Jackson

  That the Board of Health receive the communication from Nancy Jacko, Chairperson, North Bay Parry Sound District Health Unit Board of Health dated May 23, 2019.

  Carried

D.1.3

North East Public Health Regional Boundaries - Modernization of the Ontario Public Health System

• Moved by Regional Councillor Rosati
  Seconded by Regional Councillor Jackson

  That the Board of Health receive the communication from Rene Lapierre, Chair, Board of Health for Public Health Sudbury and Districts dated May 28, 2019.

  Carried

D.1.4

Northeastern Regional Public Health Regional Boundaries

• Moved by Regional Councillor Rosati
  Seconded by Regional Councillor Jackson

  That the Board of Health receive the communication from Carman Kidd, Chair, Timiskaming Board of Health dated June 4, 2019.

  Carried

D.2

Food Safety Program - Office of the Auditor General of Ontario Value for Money Audit

• Moved by Regional Councillor Rosati
  Seconded by Regional Councillor Jackson

  That the Board of Health receive the communication from Laura Pisko, Director, Health Improvement Policy and Programs Branch, Ministry of Health and Long-Term Care dated May 17, 2019.

  Carried

D.3

York Region Public Health: 2019-2020 Funding for New Dental Program for Low Income Seniors

• Moved by Regional Councillor Rosati
  Seconded by Regional Councillor Jackson

  That the Board of Health receive the communication from Christine Elliott, Deputy Premier and Minister of Health and Long-Term Care dated June 7, 2019.

  Carried

D.4

Public Health Branch Achieves Canada Awards for Excellence (CAE) Gold Certification in Excellence, Innovation and Wellness

• Moved by Regional Councillor Rosati
  Seconded by Regional Councillor Jackson

  That the Board of Health receive the communication from Kathryn Cestnick, Senior Vice President, Excellence Canada dated June 17, 2019.

  Carried

E.

Private Session

The Board of Health resolved into private session at 9:04 a.m. and resumed the public session at 12:17 p.m.

E.1

Presentation - Provincial Changes and 2020 Pressures for Public Health – Labour Relations and Acquisition / Disposition of Land

E.2

Potential Service Delivery Changes – Public Health Branch – Labour Relations and Acquisition / Disposition of Land

F.

Reports

F.1

Position and Mandate for a Restructured York Region Public Health

• A motion was brought forward by Regional Councillor Heath, seconded by Regional Councillor Jones, to amend the first paragraph of Clause 2 to read as follows: “Any future public health entity be guided by the following principles,” which was voted on and was Defeated.

  Moved by Mayor Scarpitti
  Seconded by Mayor Taylor

  That the Board of Health adopt the following recommendations, as amended, in the report dated June 12, 2019 from the Medical Officer of Health and the Commissioner of Community and Health Services:

  1. York Region Board of Health direct the Chair of the Board to send a letter to the Minister of Health, with copy to the Premier of Ontario, to include the following:
  1. Request that the geographic area of the restructured public health entity include only the existing geographic area of York Region.
  2. Request that the governance and operating model of the restructured public health entity maintain the integrated service model which currently exists for York Region Public Health, to continue leveraging of all municipal activities towards addressing the social determinants of health.
  3. Highlight opposition to the cost sharing changes which are estimated to increase the tax levy contributions to public health in the range of $12.7 million.
  4. Highlight that the proposed changes to the operating model and boundaries would create an additional tax levy burden on York Region due to the proposed amalgamation with the Simcoe Muskoka District Health Unit and associated increase in costs.

  2. Until the Ministry of Health makes its final decision on the geographic area, and governance and operating models for the new public health entity, York Region Board of Health authorize and direct the Medical Officer of Health to establish a team to engage with the Simcoe Muskoka District Health Unit, guided by the following principles:
     1. No significant service loss to York Region residents
     2. No reduction in employment for front line positions, given that the population of York Region continues to grow
     3. Protect current employees from job loss and maintain years of service as much as possible
     4. Ensure that York Region tax levy funding remains in York Region to fund services in the Region
     5. Do not exceed, on an annual basis, the total York Region tax levy funding currently contributed to deliver public health services, including both direct and indirect costs    
  3. York Region Board of Health authorize the Medical Officer of Health to request financial assistance from the Ministry of Health for planning and transition costs related to restructuring York Region Public Health.
  4. York Region Board of Health authorize the Medical Officer of Health to retain management consulting resources as required, to advise on the structure and governance of the new public health entity.
  5. This report be sent by the Regional Clerk to all nine local municipalities, York Region Members of Provincial Parliament, Canadian Union of Public Employees Local 905 (York Region Unit), Ontario Nurses Association Local 16, the Association of Municipalities of Ontario, the Association of Local Public Health Agencies, the Chief Medical Officer of Health of Ontario, the Ontario Health Agency and the other 34 Boards of Health.
  Carried

G.

Other Business

None.

H.

Adjournment

The Board of Health meeting adjourned at 12:40 p.m.

                                                           
Regional Clerk

 

 

                                                           
Regional Chair