Table of Contents Table of Contents /Region Map /Board Members Page 2 Lettet to the Community Page 3 Area Agencies on Aging &Bexar Mental Retardation Authority Page 4 Criminal Justice & Government Services Page 5 HIV Health Services & Homeland Security Page 6 Housing Page 7 Natural Resources & Regional Data Center Page 8 Rural Public Transportation & Workforce Page 9 Membership Directory Page 10 Budget Page 11 200G Board Members Richard A. Evans, 2006 Board Chairman, Bandera County Judge Jack LeOnhardt, 2006 Board Vice-Chairman, City of Windcrest Mayor Tommy Adkisson, Bexar County Commissioner James E. Barden, Medina County Judge Diana Bautista, Atascosa County Judge James Craven, Ciry of Balcones Heights Mayor Gerald Dubinski, Olmos Park Mayor Paul Elizondo, Bexu County Commissioner Roger Flores, Ji., Ciry oFSan Amm~io Councilman Carlos A. Garcia, Frio County Judge Cesareo Guadarrama III, Guadalupe County Commissioner PatSick R. Heath, City of Boerne Mayor Delicia HeCrera, Ciry of San Amm~io Councilwoman Alger H. Kendall, Jn, Karnes County Judge Michael Kotus> Representing Soil & Water Conservation Districrs Lyle LaCSOn, Bexar County Commissioner Al J. Notzon III, Executive Director $Ceve Lopez, Ciry of Devine Mayor Jay P MiBikin, Coma) County Commissioner Molly Pruit[, NEISD Board Member Marvin Quinney, Wilson County Judge Linda Rivas, Representing HospiraL/Health Districrs Lours E. Rowe, Representing Special Districrs Donald $chtaub, Guadalupe Counry]udge Kimberly $[oker, Representing Public Utilities Mark Stroeher, Gillespie County Judge Don Tym[ak, City of Karnes Ciry Mayor Leticia Van de Putte, Stare of Tezas Senator Eddie John Vogt, Kendall County Judge Bill WHliams, Kerr County Commissioner Kevin Wolff, Ciry of San Anronio Councilman AACOG Region Map December 2006 Dear AACOG members and citizens of [he Region The Year 2006 has brought AACOG many changes. Two major changes this year were the transfer of the Bexar Mental Retardation Authority from the Center for Health Care Services to AACOG; and the transfer of the Ryan White programs from Bexaz County to AACOG. Next year will bring another time of transition and change, as Executive Director AI J. Notzon III retires in his 40th year of service to AACOG, with 35 of those years as Executive Director. We thank him for the tremendous work he has done for this agency since 1967. We look toward the Euture and welcoming in a new Executive Director in 2007. Through all these changes our mission has remained the same: "To enhance the lives of all residents of the Alamo Region by working in mutual respect and partnership wi[h all levels of government, the business secmr, and the community at large [o meet regional challenges and to create regional strengths." We remain steadfast in our commitment ro serving as a resource for all of the region's citizens. This annual report focuses on the accomplishments of AACOG's many programs, and the importance of our work in the region, as well as our contribution to the great work of this state and this nation. We are always cognizant that we are a patt of the "bigger picture° that is these United States. Regional Councils of Government and Planning Organizations throughout the nation are working together, to make America a wonderful place to live. AACOG proudly served as the host of the 40th Annual National Association of Regional Councils Conference in San Antonio in 2006. Thank you to all [he AACOG Board members and pawner organizations who work tirelessly to make lives better for the citizens of the Alamo Region. AACOG could not succeed wichour all of you. Regionally Yourr, Richard A. Evans Jack Leonhard[ Chairmau Vire Chairman AACOG Board afDirectors AACOG Board ofDirectarr Bandera County Judge Mayor, City of Windcren 2006AACOGBoard oflHrerrorr and Offirrrt Area Agencies on Aging The purpose of the Bexar and Alamo Area Agencies on Aging (AAAs) is to build a commumryry that supports older adults in the Alamo Region and allows them to age with di nity, security, and enhanced quality of life as web as to assure availability of high quality efficient, community services. The AACOG AAAs plan, coordinate, and adgmintster a range of comprehensive services and programs authorized by the Older Americans Act and [he Texas Department of Aging and Disability Services (DADS) for older Americans (age 60 and over) and their raregwers. In FY 2006, the two AAAs cumulativel~erved more than 18,623 seniors in the region wP h the following programs and services: Benefits Counseling, Care Coordination, Information, Referral & Assismnce, Le Assisance, Nutrition, Ombudsman, and Trans oration. One hundred and eighty-five (185) volunteers provided 9,142 hours of service m area seniors. Recognized as a National Best Practice Model, the Bexar County Assisted Living Task Force received a National Association of Development Councils Innovation Award. As of January 1, 21106, Medicare began to offer prescription drug benefits under the new Medicare Part D. The AAAs provided extensive outreach and education to Medicare beneficiaries, caregivers and providers on the speufica of the program and also provided enrollment assistance. By the end of the enrollment period, over 90% of eligible seniors had prescription drug coverage. In addition to the senior services already noted, the AACOG AAAs also participated in two national pilot programs that address two issues facing seniors: difficulty in navigating the social service system, and the emerging wrrelation between a healthy lifestyle and prolonged good health that can stretch senior health care dollars. The new Aging and Disability Resource Center (ADRC) addresses thedifficulry in connecting with services for individuals who are age 60+ and for adults who have a physiral or wgnrtive disability. The Center staff provide information, referral and counseling for public and private long-term services and supports; help individuals assess their eligibility Eor services; provide assistance with navigation of the social service network, and assist individuals in planning for their future long-term needs. The Bexar AAA participaes in an evidence-based disease prevention program designed to prevent or delay the onset of Type 2 diabetes among Hispanic elders with a grant from the Administration on Aging. &ojwt partners include the City of San Antonio Department oECommuniry Initiatives, the Texas Diabetes Institute, and OASIS. The program provides physical activity, low glycemic meals, and health education at five gram sites. I feel more energized and active,"said Mary Amador about her involvement in project SIEN (Seniors Involved in Exercise and NutritsonJ. "I feel like /have added years to my life. !enjoy the foods I eat. It comes natural to me to make heakhy choices and pick foods that are good to me. With the weight I lost, my cholesterol went down and my bones feel stronger." Bexar Mental Retardation Authority The Bexar Mental Retardation Authority (Bexar MRA) transferred aver to AACOG on September 1, 2006. The Bexar MRA is responsible for providing the development, implementation, and expansion of a wmprehensive plan for services to children and adults with mental retardation in Bexar County. Presently there are ap roximately 40,000 persons in Bexaz County with some degree of mental retardation, 25,000 persons in Texas on the waiting list for services, and 2,500 on the waiting Pst for services in Bexar County. The Bexar MRA assists individuals in determining if they are eligible for Mental Retardation services through the Texas Department of Aging and Disability Services (DADS). Those eligible for services include individuals with Mental Retardation, Autism, Pervasive Developmental Disorders or Persons with Related Conditions. In order to enroll in services a Determination of Mental Retardation (DMR) must be completed on each individual to determine if they are eligible. The Eligibility and Enrollment unit successfully completed DMR's on 334 individuals in Bexar County during Focal year 2006. Those individuals who are eligible will be offered an azray of services through Service Coordination. Our service azmy includes Respite, Supported Employment, Employment Assistance, Community Supports, Behavioral Supports and Day Habilitation. In FY2006, the Bexar MRA met all of DADS' Performance Measures and Outcome Targets for serving people with mental retazdation in the wmmuniry, state and intermediate care Facilities. The MR Service Coordination Program obtained the honorable stains of being the MRA with the largest Home and Community Semces (HCS) enrollment offers in Texas! Due to leg~~slative action last yeaz, 526 individuals who had been waiting for HCS services for as long as 10 years had the oppottunity to finally receive thu wmprehensive package of services. As part of DADS' Promoting Independence Initiative, the Bexar MRA conduced permanency planning by offering a choice of alternative Family settings ro 85 individuals under the age of 22 residing in facilities. M¢ryAmador (rrnur afphar¢J p¢rririfating in a healthy cooking thur at the Tex¢r Diabetes InrtNnu. "Things have changed a lot since my daughter was borer, when there were no answers to my questions about what was wrong, and no services available to help us."said Marie Ranged the mother of 61 year-old Sandra Raugel, who was born with brain damage in San Antonio in 1945. "Today zhe Bexar Mental Retardation Authority teaches new parents as weU as relocating parenu about the services that are available to help keep these children educated, happy, and productive in Life. They also offer meetings and conferences with parenu to make sere that they get involved with their children} Uves and that their voices are heard in the legislature. We can never shut our doors, bemuse there are hundreds ofindivrduals that need this rare." Criminal Justice The AACOG Criminal Justice Department reviewed and provided tfchnical assistance to 83 grans applications in 2006, which led to $4,634,901 in awarded funding to the region. This funding supports a variety of regional programs, such as law enforcement, victims' services, and juvenile justice sern Y~ fip"'4 } . s ~ ~ ~~c2 a'~s rhi~"+F P~, 6..ra'M''~~h q ~~a{y,f• t r3~{ t ~~ r~^ .roa' amp ~ x. ~ %. °3-Yn b ~, 2~ro ~ fla'.~P~""^l 4"'t '~-de H'~~,s y~ k, lr '. ',~„~' ~ ~~ s. ~ ". ' _ .o.,, ±i" c ;i~', ~S9 ~ 43 's`r SM 3'':~'~`{.a y ~sb~ < '"i` ~'~., k,~,'~t` @`~ '?aey "" x -.r!.?" ~H~';x ~ ~#y ~,}~~m`y c~4"~t xs r'e~ - } '' r . r. .,e z, : M1 .. Revenue Projected 2006 Percent 2006 Budgeted 2007 Percent 2007 Federal $19,536,150 64,19P $26,729,873 61.43% State $4,761,686 jg,(g% $7,062,950 16.36% Delegate Agency $3,973,981 13.06% $5,451,866 12,63% Other $1,732,910 $,69% $3,420,289 7,92% Member Dues $209,537 0,69% $209,537 0,44% Program Income $185,266 0,61% $210,036 0,49%p *Fund Balance $26,650 0.04°!° $69,324 0.16% *Interest Income $6,500 0,02% $6,500 0,02% *State Planning Grant $0 0.0% $~ 0.0% Total Revenues $30,432,680 100% $43,160,375 100% *Not included on chart due to small figure: Fund Balance, Interest Income & State Planning Grant. Expenditures Projected 2006 Percent 2006 Budgeted 2007 Percent 2007 Contractual $15,697, 024 gj,(% $25,961,090 6Q,2% Personnel $8,129,111 26.7% $10,564,503 24,g% Other Operating Expense $2,132,312 7,0% $3,140,659 7,3% Equipment $2,974,085 9,g% $1,632,011 3,7% Indirect/Leasing Fee $1,465,164 4,g% $1,790,588 4.1% Board Initiatives $34,984 Q,l% $71,524 0,2°f° Total Expenditures $30,432,680 100%° $43,160,375 100% • Budget includes a 5°I° colalmerit i (up to 3% cola and 2% merit). • Fringe rate 32% (current rate, used 31 % in 2006). -Employee insurance rates unchanged. irect rate 15% (currently at 17%). Allocation Plan Review in January 2007. 4 Staffing 2006 2007 Administration 20.50 24.85 Aging 29.40 2g,g5 Bexar MRA - 49.00 CJD/Homeland Security/911 16.59 15.40 Government Services 3.07 3,2g Natural Resources 13.35 12.30 Rural Public Transportation 44.74 37,60 Ryan White - 8.00 Weatherization 7.00 x,00 Workforce/Child Care 71.75 68.05 Total 206.40 254.40