October 15, 2012 - City of Laredo

COUNCIL COMMUNICATION
DATE: I SUBJECT: PUBLIC HEARING AND INTRODUCTORY ORDINANCE
Authorizing the City Manager to enter into contract with the Texas Health and
Human Services Commission (HHS) and amending the City of Laredo Health
Department FY 20 12-201 3 budget by appropriating revenues and expenditures in
the amount $497,023.00 with an in-kind match of $49,702.00 for a total of
$546,725.00 for continuation of the Nurse-Family Partnership (NFP) for the City
of Laredo Health Department (CLHD) to provide evidence-based nurse home
visitation for first-time mothers and their children for the period beginning
September 1, 20 12 through August 3 1, 201 3. Continuation of this program will
be contingent on funding availability.
INITIATED BY:
STAFF SOURCE:
Cynthia Collazo
Hector F. Gonzalez, M.D., M.P.H.
Deputy City Manager Health Director -
PREVIOUS COUNCIL ACTION: On October 17.20 1 1. Council amroved Ordinance 20 1 1-0- 140.
BACKGROUND:
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The Texas Health and Human Services Commission (HHS) has contracted with the City of Laredo Health
Department (CLHD) for a Nurse-Family Partnership (NFP) to provide home visitation services for first-time
mothers to enhance early and timely access to care, improve women's health outcome and imporve children's
growth, development and wellness as well as assure prevention of potential risks in women and child neglect
and abuse.
LaredoIWebb County has the third largest birth rate in the state of Texas and over 45% udunderinsured and/or
medically indigent. It is also a health professions shortage area. Teen pregnancy is a critical unrnet need with
334 recorded teen pregnancies in 2009. Late prenatal care is also a problem with over 60% of maternity patients
seen in the second or early third trimester, increasing the risk of infant mortality and reducing the positive birth
outcomes for the mother and newborn child. A project such as the NFP integrated into the CLHD maternity and
prevention routine services will greatly improve outcomes, assure the continuum of care and link first time
mothers, their children and their families to all social services needed to improve the quality of life.
BUDGET ON NEXT PAGE
FINANCIAL: The City of Laredo Health Department will receive $497,023.00 in funds from HHS and
will contribute $49,702.00 as in-kind match for the period beginning September 1, 2012 through August
3 1,20 13. The revenue account 226-0000-32 1-630 1 will increase by $497,023 .OO and the revenue account
for the in-kind match 226-0000-3 72- 1 100 will increase by $49,702.00. The expenditure division 226-
6104 with the project number HENFO2 will increase by $546,725.00.
RECOMMENDATION: STAFF: Recommends that Council approve the
Ordinance.