Attendance (alphabetical): Jill Adams, Caroline Bass (via Telehealth), Trisha Beck, GleeAnn Clayton, Pamela Colson, Barb Fiechtl, Chris Giacovelli, Sherry Hancock, Kristina Hindert, M.D., Marcela Jaramillo, Barbara Johnson, Judi Nielsen, Jill Oberndorfer, Susan Ord, Gina Pola-Money, Diana Sagers and Maree Webb. Excused Absences: Colleen Fitzgerald, Catherine Nelson, and Fan Tait. Absentees: Brenda Broadbent, Paul Ebbert, M.D., Kristine Fawson, Timothy Floyd, Meredith Mannebach, and Shelley Wiseman. Baby Watch Staff: Janice Boswell (equipment), Lori Brady, (equipment),Vanya Mabey, Kimberly Morris, Ellen Parrish (minutes), Jennifer Saunders, and Janet Wade.

I. WELCOME/INTRODUCTIONS. The meeting commenced at 9:35 AM, conducted by Chris Giacovelli. Introductions were made. Telehealth site: St. George.

II. APPROVAL OF MINUTES. With no suggested changes.
A MOTION was made by Gina Pola-Money and seconded by Barbara Johnson to accept the Minutes of March 15, 2002 as written. Motion carried unanimously.

III. LEADERSHIP TEAM REPORT.
A. Summary of End of Year Accomplishments. Chris Giacovelli listed milestones the committee has achieved in the past year including:

1. The setting up of subcommittees. A great deal of work has gone into making these subcommittees productive.
2. The Parent Subcommittee is running so well. Chris thanked Jill especially for her work in this area.
3. The Finance Committee has also put in a lot of work. It hasn't been easy looking for money.
4. Mental Health Issues. Janet Wade has worked hard getting this started. The ICC needs to get involved in mental health issues for young children. There is much more work to be done.
5. EIRI grant (Opening Utah's Doors) support by the ICC.
Chris stated that the ICC's list of accomplishments should be used in the ICC Annual Report.

B. Nomination and Voting in New Leadership Team Member. After three years, Judi is retiring from her seat on the Leadership team, but will remain a member of the committee.

A NOMINATION was made by Chris Giacovelli and seconded by Judi Nielson to invite Barb Fiechtl to join the Leadership team. A VOTE in favor carried unanimously.

C. ICC Commitment Letters and meeting dates. Letters were mailed to committee members asking for a commitment to continue serving. Seven were returned. Kristina remarked that since some dates didn't look right she had held onto her letter. The committee reviewed the dates and agreed on the following:

September 20, 2002
November 15, 2002
January 17, 2003
March 21, 2003
May 16 2003

ICC will send out another announcement with the revised dates. Chris asked all members to return
their commitment letters promptly.

D. ICC Bylaws discussion. The committee has been looking at the Bylaws and Chris asked Susan to talk about this matter. Susan stated that Article III Functions, Section 1 states the functions of the committee: to advise, assist and give consent to the the lead agency. At issue is the "consent" point. Federal regulations outline the function of the ICC, which is to "advise and assist" the lead agency. Susan's research on the Bylaws showed that the word "consent" has been part of the Bylaws since the agency's inception. The committee then engaged in a discussion about amending the Bylaws. Barb Fiechtl pointed out that at the inception of the early intervention program major policy decisions were made. It is impossible to predict when policy will change and the "consent " part made the ICC more active and provides protection for both the ICC and the lead agency. Things are going well now without using the consent clause, but who knows what could happen in the future. Problem is when the State must act quickly and needs immediate consent from ICC. Chris asked for a motion to amend the Bylaws to strike the "consent" portion and no one so moved. The issue was tabled.
The Bylaws discussion then moved on to address the "ex officio" matter, and whether ICC members who do not have an official appointment by the governor take a non-voting role. Susan stated that as representatives of the agencies that comprise the ICC they vote on behalf of said agency, as the Governor tends to appoint agencies, not individuals.
The discussion concluded with the committee agreeing that before changes to the Bylaws are voted on in September, a copy of proposed Bylaws will be mailed out to everyone, with clarifications to the "ex-officio" part.

IV. BABY WATCH REPORT.

A. State Application for new fiscal year. Susan reported that BWEI is completing the federal application for funding. More detail on costs for direct service and administration are required. Susan assumes that this additional information will be used to justify how the funds are utlized to Congress. BWEI providers are also submitting their applications to the State to continue providing services for the coming year.

B. Congress and IDEA. IDEA is up for re-authorization this year. The issue of over-identification of children, especially among ethnic minorities is being highlighted. Full funding for IDEA, which Congress originally proposed at 40% has never been achieved. This issue continues to be presented as very important for the success of the program. Susan feels that data collection and analysis by individual states and OSEP will be increasingly important in justifying the true costs of special education services.
The new OSEP director, Stephanie Lee, according to her bio, has ties to Utah.

C. Budget and Eligibility Issues. BWEI is facing budgetary challenges. BWEI needs to be fully prepared for a budget request to the Legislature through the Health Department by August. We have to look at all funding sources, including insurance billing. Eligibility changes are in the preliminary stages, with many factors to consider including severity/mildness of disability, exit criteria, flexibility in the way we serve children (such as group process), and reducing levels of service. The committee discussed the merits of using exit criteria as a way to change eligibility with less impact. BWEI will keep the ICC informed. Susan remarked that CHARM, the State database, will contain more information and make it easier to measure eligibility. Several years down the road we will be better able to document our claims to the legislature.

D. Interagency Agreements. Jennifer Saunders provided copies of a new Interagency Agreement between BWEI and the Utah Schools for the Deaf/Blind to show how we do business between agencies. One function of the ICC is to establish interagency agreements and a member of the ICC was a key player in establishing the agreement. This is the first time we've had a written agreement between the sister agencies who provide early intervention services.

V. SUBCOMMITTEE REPORTS.

A. Parent Committee. Jill announced the next meeting May 21st 10-noon. On the agenda is Partners Plus Respite Care training, and Medicaid and CHIP waivers. Some members of the Parent Subcommittee are attending the Parent Leadership Workshop this month in Park City to learn ways for parents to become more involved, build intercultural communities, enhance interpersonal skills, and develop a leadership plan.

B. Finance. Nothing to report.

C. Mental Health. Kristina stated that the ICC needs to formalize the committee with scheduled meetings, minutes, planning and working. There would be possibilities for grants, etc. The committee could then collaborate with the Department of Mental Health, develop preferred practice guidelines and be more effective. Janet Wade remarked that at present, the committee is basically an e-mail one, but has been a vital group, with many people involved and lots of good work going on. The ICC committee discussed the merits and shortcomings of adding another subcommittee including funding issues, allotting more staff time, getting Mental Health agencies to buy into the concept, stimulating new ideas, and providing guidelines.
A MOTION was made by Kristina Hindert, M.D., and seconded by Sherry Hancock to create an ICC standing subcommittee on Infant Mental Health. A VOTE in favor carried unanimously.

VII. AGENDA ITEMS/ASSIGNMENTS FOR NEXT MEETING. Voting on amendments to ICC Bylaws.

VIII. NEXT SCHEDULED ICC MEETING. September 20, 2002 at 9:30 AM at DOH Children with Special Health Care Needs, 44 North Medical Drive, Salt Lake City, Utah.

IX. ADJOURNMENT. A MOTION was made by Chris Giacovelli and seconded by Judi Nielson that the meeting adjourn at 12:00 PM. Motion passed unanimously.

APPROVED AS TO FORM:

____________________________________
Chris Giacovelli, Chair for ICC

MINUTES SUBMITTED BY:

_____________________________________________
Ellen Parrish, Executive Secretary