Minutes 11-05-2020 Virtual Business Meeting

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22 was asked to sign a document that required him to put CI over his role as a Commissioner. He said he will vote to start the process of exploring disengagement, and perhaps CI will make real changes this time. He said it is time for action. Chair Rich agreed with Commissioners Dorosin and Bedford. She said the BOCC is fully behind Club Nova, and wants to see the new building come to fruition. She said she feels Cl never intended to give Club Nova the money, and the members of Club Nova have put extreme effort into fund raising. She said Cl agreed to give the money, and Club Nova has met every requirement made of them by Cl, thus CI must make good on giving the $500,000. She said Orange County has been a CI client for many years, and CI has benefitted from County funding, and needs to keep its pledge to Club Nova, regardless of what the County decides to do. She said Commissioner Bedford has laid out the details clearly, and this will be a long process if the County remains partners with Cl. She said it is possible that Cl will make great strides and changes, and the disengagement may not be necessary. She said these concerns have been discussed in the BOCC for 8 years, and all she ever hears from residents are complaints and concerns. She said these are difficult situations and families are fragile and need help, not roadblocks. She said she will support Commissioner Bedford's recommendation. Commissioner McKee said he will vote to initiate the disengagement process, and will observe how CI responds. Commissioner Greene said this has been a good discussion. She said there are serious concerns among the community, and she will not support the motion to initiate the disengagement process. She says the statute reads to her as this being a vote to disengage, not one to consider disengagement. Commissioner Marcoplos agreed with Commissioner Greene, and said he will vote no to initiating this disengagement process. Commissioner Price said she needs more information before making a decision on disengagement. Chair Rich said there has been a great deal of dialogue and information received on this topic, and, while it is complicated, she thinks staff has laid out a good and timely plan. Commissioner Bedford said in February 2019 a letter was sent from Deputy Secretary Dave Richards, which said the MCOs were not to offer an inducement to change or maintain affiliation. She said Cl has completely violated this with the $500,000 to Club Nova. A motion was made by Commissioner Dorosin, seconded by Commissioner Bedford to authorize the County Manager to initiate the formal disengagement process from the County's current Local Management Entity-Managed Care Organization, Cardinal Innovations Healthcare, and to seek realignment with Alliance Health to administer mental behavioral services for Orange County residents. Trey Sutton said CI posts current meeting minutes online, and meetings have never been moved. He said CI has been completely flexible with Club Nova, and has never moved the goal post. He said much of Commissioner Bedford's comments are inaccurate, and apologized that Commissioner Dorosin was asked to sign something with which he felt uncomfortable. He said this practice was before his tenure at Cl. He said this is a serious decision, and asked if the BOCC would slow down. Commissioners Price said her request for more information is related to Alliance, as opposed to complaints about Cl. She said there is no one on the Cl board because no one from Orange County applied. Commissioner Bedford said CI asked her to sign a conflict of interest statement in 2018, which is during Trey Sutton's tenure. Commissioner Greene asked Commissioner Bedford to restate her comments about the February 2019 letter, and prohibition on inducements.