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Consent Agenda
Public Healt
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Mark McCauley, County Administrator
FROM: Apple Martine, Director
Anna McEnery, DD & BH Coordinator
DATE:
SUBJECT: Agenda Item — Memorandum of Understanding Agreement with Jefferson
County Juvenile Court; for the Truancy Reform Project; January 1, 2023 —
December 311 2024; $20,000.00
STATEMENT OF ISSUE:
Jefferson County Public Health, (JCPH) requests Board approval of a Memorandum of Understanding, (MOU)
with Jefferson County Juvenile Court for the Truancy Reform Project; January 1, 2023 — December 31, 2024;
$20,000.00; ($10,000.00 in 2023 and $10,000.00 in 2024).
ANALYSIS/STRATEGIC GOALS/PRO'S and COWS:
This Memorandum of Understanding, is with the Jefferson County Juvenile Court; for the Truancy Reform
Project for Jefferson County youth with behavioral or emotional problems, affected by substance abuse,
chemical dependency and mental health issues. Direct services (e.g. Functional Family Therapy) will be
provided to youth participants and their families in the Truancy Reform Project.
FISCAL IMPACT/COST BENEFIT ANALYSIS:
This is sales tax revenue raised by the County and deposited in the 131 Fund, (1/10 of 1% Fund); is allocated
by the Board of County Commissioners, (BoCC) with advice from the Behavioral Health Advisory Committee.
The agreement states that funding is subject to availability and if the sales tax revenue decreases, the vendor
will be contacted and the Memorandum of Understanding may be renegotiated.
This Memorandum of Understanding results from an RFP process and is recommended to the Board of County
Commissioners, (BoCC) by the Behavioral Health Advisory Committee.
Community Health Environmental Public Health
Developmental Disabilities 360-385-9444
360-385-9400 (f) 360-379-4487
360-385-9401 (f) Always working for a safer and healthier community
AD-22-061
RECOMMENDATION:
Jefferson County Public Health, (JCPH) requests approval of a Memorandum of Understanding with the
Jefferson County Juvenile Court; to provide the Truancy Reform Project; January 1, 2023 — December 31,
2024; $20,000.00; ($10,000.00 in 2023 and $10,000.00 in 2024).
REVIEWED BY:
Mark McCauley, County°Administrator
Community Health Environmental Public Health
Developmental Disabilities 360-385-9444
360-385-9400 (f) 360-379-4487
360-385-9401 (f) Always working for a safer and healthier community
MEMORANDUM OF UNDERSTANDING
Between
Jefferson County Juvenile Court
and
Jefferson County Board of County Commissioners as Administrator of
1/10th of 1% Behavioral Health Sales Tax Fund — 2023-2024
WHEREAS, this Memorandum of Understanding (MOU) is between Jefferson County Juvenile
Court (Court) and the Jefferson County Board of County Commissioners (County) which administers
the 1/1Oth of 1% Behavioral Health Sales Tax; (Fund 131); through Jefferson County Public Health;
and
WHEREAS, this Memorandum of Understanding describes the mutually -agreed conditions under
which 1/1Oth of 1% Behavioral Health Sales Tax; (Fund 131); is being allocated to Jefferson County
Juvenile Court for the Truancy Reform Project for youth with behavioral or emotional problems
affected by substance abuse, chemical dependency and mental health issues; and
WHEREAS, the Jefferson County Behavioral Health Advisory Committee voted to recommend the
1/10th of 1% Behavioral Health Sales Tax; (Fund 131); be allocated for Functional Family Therapy
Services in 2023-2024 as follows; January 1, 2023 — December 31, 2024; $20,000.00; ($10,000.00 in
2023 and $10,000.00 in 2024); $20,000.00 for Truancy Reform Project in Jefferson County Juvenile
Court; and
WHEREAS, the Board of County Commissioners approved a 2023-2024 County Budget that
allocates funding from the 1 /1 Oth of 1 % Behavioral Health Sales Tax; (Fund 131); the consistent with
the Jefferson County Behavioral Health Advisory Committee's recommendations; and
WHEREAS, the Juvenile Court will administer the contracts and expenditures to provide the
Functional Family Therapy Services pursuant to this MOU from January 1, 2023 to December 31,
2024; and
WHEREAS, Work performed between January 1, 2023 and the execution of this Agreement that is
consistent with the provisions of this Agreement is hereby ratified; and
WHEREAS, all funds from the 1/IOth of 1% Behavioral Health Sales Tax; (Fund 131); may only be
used for their intended purpose within that budget year, and any unexpended funds remaining at the
end of a budget year must be retained in the 1/10'h of 1% Behavioral Health Sales Tax; (Fund 131);
fund balance, to be available for allocation for eligible services in future years; and
WHEREAS, Juvenile Court agrees to regularly report deliverables and metrics to Jefferson County
through the Jefferson County Public Health as specified under this MOU as a condition of receiving,
1/IOth of 1% Behavioral Health Sales Tax; (Fund 131); and to facilitate overall management of the
Fund;
NOW, THEREFORE, it is mutually agreed that:
1. The County, as administrator of the 1/101h of 1% Behavioral Health Sales Tax; (Fund 131);
Jefferson County Juvenile Court mutually agrees for the Court to provide case management
services and other services to individuals enrolled in the Truancy Reform Project in Juvenile
Court, as described in this MOU,
.D-22-obi 1 of 11
including EXHIBIT A: Scope of Work: Functional Family Therapy -Truancy Reform
Project and EXHIBIT B: TRUANCY, At -Risk Family FFT Logic Model and Performance
Measures and EXHIBIT C: Jefferson County,l/loth of 1% Behavioral Health Sales Tax,
(Fund 131); Spreadsheet attached hereto and incorporated herein.
2. Funding from the 1/10th of 1% Behavioral Health Sales Tax; (Fund 131); to the Juvenile Court
for the services pursuant to this MOU shall be up to $10,000.00 in 2023 and up to $10,000.00 in
2024 as described in the following Budget Table; on page two; subject to modification pursuant
to Section 8 of this MOU.
3. Juvenile Court will use the 1/10th of 1% Behavioral Health Sales Tax; (Fund 131); for direct
services (e.g. Functional Family Therapy) for participants in the Truancy Reform Project; per the
following Budget Table;
Description
Service Period
Amount from Fund 131
Functional Family Therapy Cost per
1/1/2023—
Family: $2500.00
12/31/2023
$7,500.00
Projected # of Families Served: 3
Individual Counseling
l/1/2023-
$2,500.00
$120 an hour for 20 hours
12/31/2023
Subtotal-2023
$10,000.00
Functional Family Therapy Cost per
1/l/2024 —
Family: $2500.00
12/31/2024
$7,500.00
Projected # of Families Served: 3
Individual Counseling
l/l/2024-
$2500.00
$120 an hour for 20 hours
12/31/2024
Subtotal-2024
$10,000.00
Total Funding for Juvenile Court for
$20,000.00
2023-2024
4. Funding approved pursuant to this MOU will be included in the 2023 and 2024 expenditure
appropriation budgets of Juvenile Court. In addition, a quarterly transfer from the 1/10th of 1%
Behavioral Health Sales Tax; (Fund 131); for a total equal to the amount expended during the
YTD period minus previous expenditure reimbursements from this award not to exceed the
authorized annual amounts in the Budget Table above, will be made to the Juvenile Court
revenue budget upon timely submittal of required reports. Funds provided pursuant to this MOU
will be tracked separately by the Court and may only be used for its intended purpose within that
budget year. At the end of each budget year, if documented actual authorized expenditures
pursuant to this MOU services related to/for the Truancy Reform Project are less than the
authorized budgeted amount, the difference will be transferred back to the 1/101h of 1%
Behavioral Health Sales Tax; (Fund 131); Juvenile Court will not exceed the amount provided by
the 1/IOth of 1% Behavioral Health Sales Tax; (Fund 131); without obtaining an appropriation.
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5. Funding provided by the 1/1Oth of 1% Behavioral Health Sales Tax; (Fund 131); will be used to
monitor participant compliance and as well as help participants improve psychiatric symptoms
and functioning, reduce substance use, reduce hospitalizations, increase housing stability, reduce
arrests, and improve quality of life. Funding will be used to assist participants with the above
areas. Funding listed in the table on page two are approximations for each line item and may be
shared between the descriptions, with budget updates given to Public Health.
6. Juvenile Court will use the 1/10th of 1% Behavioral Health Sales Tax; (Fund 131) Spreadsheet;
see EXHIBIT C - Jefferson County,l/loth of 1% Behavioral Health Sales Tax; (Fund 131);
Spreadsheet for actual paid monthly expenses that have incurred.
7. Provide monthly financial reports per EXHIBIT C - Jefferson County, 1/loth of 1%
Behavioral Health Sales Tax; (Fund 131); Spreadsheet for actual paid monthly expenses that
have incurred and email them quarterly to the Auditor's Chief Accountant and to Public Health.
Juvenile Court and any Contractors it may use to provide Case Management with the 1/1Oth of
1 % Behavioral Health Sales Tax; (Fund 131); shall comply with the following:
ATTACHMENT A - Jefferson County 1/10th of 1% Behavioral Health Sales Tax Match
Policy.
a. The County reserves first right to use as match, the Chemical Dependency or Mental Health
Treatment Sales and Use Tax, (now known as the 1/101h of 1% Behavioral Health Sales Tax)
and the services funded by them for purposes of qualifying for additional funding and grants.
The County may allow the Contractor to use the 1/10th of 1% Behavioral Health Sales Tax
funds as match, at the County's sole discretion. Should the County decline to use the 1/10th
of 1% Behavioral Health Sales Tax funds as match for additional funding and/or grants, then
the County may authorize the Contractor to use such funds for match consistent with this
MOU; as required by ATTACHMENT A - Jefferson County 1/loth of 1% Behavioral
Health Sales Tax Funding Match Policy.
b. Where the Court or its Contractor proposes to use 1/10th of 1% Behavioral Health Sales Tax;
(Fund 131); funds for match, the Court or its Contractor shall be solely responsible for
compliance with all state and federal laws and regulations, including but not limited to DSHS,
CMS and DBHR funding rules, applicable to the use of 1/10th of 1% Behavioral Health Sales
Tax funds as match. The Court or its Contractor shall document it has met this responsibility
by submitting in writing to the Juvenile Court and County Administrator their match formula,
allocation plan and any other documentation required of them by ATTACHMENT A -
Jefferson County 1/10th of 1% Behavioral Health Sales Tax Funding Match Policy. The
County may withhold authorization to utilize the 1/IOth of 1% Behavioral Health Sales Tax as
match. The Court's or its Contractor's failure to provide adequate documentation does not
relieve the Court or its Contractor of their responsibility to comply with all state and federal
laws and regulations related to match.
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9. This MOU may be amended by mutual written agreement of both parties. The basis for
amending this agreement includes, but is not limited to, an increase or decrease in sales tax
funding, or addition of required tasks not addressed in this agreement.
10. This MOU shall remain in effect from January 1, 2023 until December 31, 2024, unless
terminated before then by either party with 30 days' prior written notice, except that the
requirements to provide financial and program reports and other documentation required
pursuant to EXHIBIT A, EXHIBIT B, EXHIBIT C and ATTACHMENT A shall remain in
effect until fulfilled. All work performed in 2023 and 2024 consistent with this MOU prior to its
adoption is hereby ratified.
DATED this day of , 202_.
Jefferson County Board of Commissioners Jefferson County Juvenile Court
Heidi Eisenhour, Chair Date Shannon Burns, Date
Juvenile Courts Administrator
Attest:
Approved, as to Form Only:
December 20, 2022
Carolyn Gallaway, Clerk of the Board Philip Hunsucker, Chief Civil Deputy
Prosecuting Attorney
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EXHIBIT A
Scope of Work: Truancy, At -Risk Family FFT
Jefferson County Juvenile Court agrees to utilize the 1/IO'h of 1% Behavioral Health Sales Tax; (Fund
131); provided through this MOU to provide the following services and provide tracking reports as
follows:
1. Provide the intervention of Functional Family Therapy (FFT) to youth who are referred
via: Jefferson County Truancy Petition, At Risk Youth Petition, Child In Need of
Services Petition, or youth referred through community partners including self -referrals.
All referrals will be in writing by Jefferson County Juvenile Services, in accordance with
the FFT model, which shall include but is not limited to:
a) Concepts and practice contained in the most recent Blueprints for Violence
Prevention: Functional Family Therapy;
b) General Precepts/Practice/Assessment practices contained in FFT initial 3-Day
Training and 1-Day Systems Training;
c) Clinical Guidance as supplied by:
➢ FFT, Inc.; Local FFT Supervisor in formal consultation and any FFT site
visits.
2. Provide individual counseling, up to 20 hours for youth who are referred via: Jefferson
County Truancy Petition, At Risk Youth Petition, Child in Need of Services Petition, or
youth referred through community partners, including self -referrals. All referrals will be
in writing, using referral form specific for this funding, by Jefferson County Juvenile
Services.
3. Make referrals to Functional Family Therapy and Individual Counseling services "in
conjunction" with any current treatment program, and require a mutual exchange of
information release to increase the effectiveness of all co-occurring treatment modalities.
4. Assure that youth referred for truancy from school districts, undergo the WARNS
(Washington Assessment of Risk and Needs for Students) Assessment. This assessment
identifies risk factors that are related to truant behaviors. Families that are referred and
have a petition for At Risk Youth or Child in Need of Services are screened for services
through the petition process and will receive an additional WARNS assessment. Families
referred outside of the above, will receive a family screening through the PACT
assessment.
5. Collect and share data statistics; school attendance data, court and school referral data,
WARNS assessment data, court collection of referral dates, start dates and completion
dates, and school outcome data for school attendance, for the administration of the
Truancy, At Risk Family FFT and for reporting purposes.
6. EXHIBIT B: The Truancy, At -Risk Family FFT Logic Model and Performance
Measures are attached hereto and incorporated herein.
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7. The 1/1Oth of 1% Behavioral Health Sales Tax; (Fund 131); provides support
needed to operate the Truancy, At -Risk Family FFT and will support those youth
that are referred through non -court involved means. This protects public safety
while reducing the student's risk for future justice involvement and placement in a
higher, more restrictive level of care or incarceration. Funds provide Functional
Family Therapy Intervention and Individual Counseling to referred youth and their
families that otherwise would only qualify under an official "court involved"
referral.
8. If the Court utilizes funds under this MOU to hire a Contractor to provide case
management services or administration and billing services subject to this MOU, the Court
agrees to prepare for BOCC approval a professional services agreement with the
Contractor, which Agreement has been approved by the County's Risk Management and
Legal review, and which requires Contractor's compliance with the provisions of this
MOU, including compliance with the provisions of Section 8 of this MOU, and requires
the Contractor to timely provide all financial and program reports and other documentation
necessary for the Court to comply with this MOU.
9. Provide at least the following for the referrals for FFT and Individual Counseling; so the
Behavioral Health Advisory Committee is able to review usage of allocated funds in order
to assure access to appropriate treatments and services:
a) Provide monthly financial reports per EXHIBIT C - Jefferson County,1/loth of 1%
Behavioral Health Sales Tax; (Fund 131); Spreadsheet for actual paid monthly
expenses that have incurred and email them quarterly to the Auditor's Chief
Accountant and to Public Health.
b) Juvenile Court will provide an estimate of projected expenditures under this MOU for
the remainder of the year at the end of October of 2021 and at the end of October 2022
to Public Health.
c) Juvenile Court will provide all 2022 invoices to the Auditor's office for processing
during the Open Period, (a.k.a. 13th Month, in January); and the final reporting by Jan
20, 2023 and Jan 19, 2024.
d) Provide to Jefferson County through Jefferson County Public Health a copy of any
service contracts (and all amendments associated therewith) with the 1/1Oth of 1%
Behavioral Health Sales Tax; (Fund 131); under this MOU.
e) Jefferson County Juvenile Court will provide quarterly statistics in an electronic form
that is developed and may be revised by Jefferson County Public Health and the Kitsap
Health District, in consultation with the Court, for statistical and program data
collection.
f) Jefferson County Juvenile Court will ensure that quarterly electronic reports are sent
to Amanda Tjemsland of Kitsap County Health District, at:
Amanda.Tjemsland@kitsgMublichealth.org and that a copy of each electronic report is
also sent to Anna McEnery of Jefferson County Public Health at
amcenerykco jefferson.wa.us.
• After reviewing reports, any questions will be referred back to the Court.
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EXHIBIT B
TRUANCY, At -Risk Family FFT Logic Model —
Jefferson County 1/101h of 1 % Sales Tax
Truancy/At-Risk Project with FFT Intervention - School, LEA, Court and Family
Therapy Collaboration
(NOTE: An additional Logic Model specifically for the FFT intervention
http://www.episcenter.psu.edu/sites/default/files/ebp/functional-family-therapy-logic-model-REV %204-2014.pdf)
INPUT
Truancy: 1. Student meets legal "truant"
definition and truancy referral by school
received;
2. WARNS assessment completed, CTB
scheduled; CTB, notified of FFT eligibility
status including CD/MH risks;
3. CTB held and FFT included in Student
Truancy Intervention Agreement, with priority
given to middle school students/family if
necessary.
3a. If youth is non -compliant with CTB
recommendations, Court may refer eligible
youth when a "finding of truancy" is reached;
4. Referral made to FFT provider within 1 week
by JC Truancy Coordinator, and hand-off
session with family and FFT therapist is held.
5. If the youth does not have a connected adult
to engage in FFT the youth may be referred to
individual counseling.
At -Risk Family: 1. Prevention referral received
from law enforcement, school, parent or child;
2. WARNS or other non -offender assessment
completed and determines risk factors in areas
of MH/CD and family dysfunction;
3. If family willing, referral made for early
intervention FFT, if not willing, youth will be
referred to individual counseling.
PROCESS
OUTCOMES
Truancy: 1 Youth is participating
and engaged in appropriate
educational program,
communication at home is
improved;
2. Factors leading to truant behavior
are addressed;
3. Youth has improved education
outcomes such as better attendance
and educational progress.
4. Youth no longer meets "truant"
definition and is dismissed from
court truancy intervention
At -Risk Family: 1. Factors leading
to family distress are addressed;
2. Youth is not exhibiting same
risky behaviors and is following
appropriate household rules, and is
successfully addressing substance
use or mental health issues;
3. Youth & Family no longer meet
At Risk definition and services
terminated.
1. Referred youth and their families receive Functional
Family Therapy Intervention, moving through all phases
successfully:
Engagement
Motivation
Relational Assessment
Behavior Change
Generalization
2. JC BECCA Counselor is notified of progress through
the phases;
3. Barriers to educational success and family support are
identified;
4. Family completes FFT and therapist reports completion
to JC Becca Counselor.
5. If the youth does not have a connected adult, the youth
may participate in individual counseling. Specific goals
will be targeted and the JC BECCA Counselor will be
notified of progress and completion.
OUTPUTS
Truancy: 1. Youth an family
have developed skills t address
behaviors related to truancy;
2. Action plan created to
specifically address barriers to
educational success 3. Student
attends school and potentially
increases other pro -social
opportunities e.g.; school
activities.
4. Youth and family's belief that
education has personal value is
improved.
At -Risk Family: 1. At -risk
behaviors reduced and/or better
specific management of family's
identified issues;
2. Overall improvement of family
functioning; and reduced at -risk
behaviors;
3. Behavior change successful;
family environment improved to
preserve family unit.
Any discontinuation of FFT or Individual
Counseling will be reported to the Juvenile Court
Becca Counselor.
School will decide the path forward for truancy;
for At Risk Prevention.
The Becca Counselor will consider the
appropriateness of moving forward with
encouraging a formal filing of an at -risk youth or a
child in need of services petition.
EXHIBIT C:
JEFFERSON CO 1/1011 of 1% Behavioral Health Sales Tax; (Fund 131)
SPREADSHEET
TRUANCY REFORM PROJECT-2023
TRUANCY REFORM PROJECT TOTAL AWARD: $10,000
Month of
Vendor Svc Date Paid Amount Description/Service
Total FTC Court YTD
Expended $0.00
Total FTC Court Remaining $0.00
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EXHIBIT C:
JEFFERSON CO 1/10" of 1% Behavioral Health Sales Tax; (Fund 131)
SPREADSHEET
TRUANCY REFORM PROJECT-2024
TRUANCY REFORM PROJECT AWARD: $10,000
Month of
Vendor Svc Date Paid Amount Description/Service
Total FTC Court YTD
Expended $0.00
Total FTC Court Remaining $0.00
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ATTACHMENT A
JEFFERSON COUNTY 1/10th of 1% BEHAVIORAL HEALTH SALES TAX FUNDING
MATCH POLICY
Definitions:
Match: is a requirement for the grantee to provide contributions of a specified amount or
percentage to match funds provided by another grantor. Matching can be in the form of cash
or in -kind contributions.
Regulations: The specific requirements for matching funds are unique to each federal or state
program. The A-102 Common Rule provides criteria for acceptable costs and contributions in
regard to match.
Jefferson County Policy:
In 2005, the Washington State Legislature created an option for counties to raise the local sales tax by
0.1 percent, (the 1/1Oth of 1% sales tax initiative) to augment state funding for behavioral health
treatment. Jefferson County collects and distributes the 1/10t' of 1% Behavioral Health Sales Tax
fund. Services purchased by the County are allocated through a formal Request for Proposal (RFP)
process, review and contracting; staffed by Jefferson County Public Health, overseen by Jefferson
County Behavioral Health Advisory Committee and adopted by the Board of County Commissioners,
(BOCC). BOCC does not assume any fiscal responsibility/liability for any of the Contractors they
contract for services with.
Jefferson County reserves the first right to use as match the 1/10a' of 1% Behavioral Health Sales Tax
funds and the services funded by them for purposes of qualifying for additional funding and grants.
County may make available to the Contractor the 1/10t' of 1% Behavioral Health Sales Tax funds for
the Contractor to propose as match to state, federal or other entities, at the County's sole discretion.
Contractor shall not use the 1/10t' of 1% Behavioral Health Sales Tax funds for match without prior
authorization by the Jefferson County Administrator and County fiscal team. To request
authorization of availability of the funds for match, Contractor must apply to the County
Administrator in writing, and include their match formula and allocation plan and may include other
documentation to support their request. The County Administrator will authorize or deny the
availability of match funds in writing within 30 days of the application.
If the County informs the Contractor of the availability of the 1/10t' of 1% Behavioral Health Sales
Tax funds for match, then the Contractor shall be solely responsible for compliance with all state and
federal laws and regulations, including, but not limited to DSHS, CMS and BIRR funding rules,
applicable to the use of 1/IO'h of 1% Behavioral Health Sales Tax funds as match. Following state,
federal and local guidelines for match is the responsibility of the Contractor.
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For example, if a Contractor provides Title XIX Medicaid services (the Policy 19.50.02 or 42CFR
430.30) they are required by those rules to actually bill Medicaid for the services at the same time. If
no Medicaid billing exists, the match would not comply with state and federal guidelines for match.
Concurrent with its request for authorization of the availability of match, Contractor shall document it
has met its responsibility to follow state, federal and local guidelines for match by submitting in
writing to the County Administrator their match formula, allocation plan, and other documentation
made mandatory pursuant to this Agreement and this Attachment A. At a minimum, the Contractor
shall also provide the following to the County Administrator:
1. DSHS requires contractors to complete and submit a "Local Match Certification" form
(DSHS 06-155) or a form that has equivalent data elements prior to any agreement for
DSHS services. Submit a copy of this application and form when requesting match
availability from the County and at each monthly billing.
2. Submit the current administrative policy within WA State regulating your services and
the use of local match.
3. Submit to the County your last financial audit showing your use of match, County
funds and tracking systems.
4. Submit to the County the terms of the agreement showing the 1/IOth of 1% Behavioral
Health Sales Tax fund allocation is an allowable source of match.
5. Provide documentation that your financial reporting system tracks matching funds at a
level that meets the level of documentation required by federal or state statutes.
The County may reject permission for Contractor to utilize the 1/101h of 1% Behavioral Health Sales
Tax funding as match.
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