Thursday December 10, 2015 JAC Index 121015pm1 Continue UW Agency 067 12/10/2015 1:31:50 PM Ross: Meeting called back to order. We finished catcon. We have exception requests to go through. Mai: pg 34, IT – governor denied the exception request. It infrastructure, servers for storage. It ties into the data exchange where state and UW back each other up. Research data storage. Ross: If we don’t fund it, what happens. Mai: We have to fund it. Nicholas: Rationale for not approving? Mai: No Nicholas: Priority Aylward: My original submission was 7M. These three are the top priority. UW must replace this infrastructure within the next biennium. Ross: Possible to use external data storage Aylward: More expensive to go to the cloud with these services. In the next 5 years, it may be equal. Mai: MS degree in counseling in Casper, denied by the Governor. Section 345. UW did not commit the funding as it was one time funding. $ was part of reversion identified in the governor’s budget. Harshman: What happened to the other 43? Mai Small amount still at UW. Small amount spent. Statewide nursing degree governor denied. Public media infrastructure 1M for 2nd phase Wyoming public radio. Governor recommended .5M. Outreach school – upgrades could be handled at two locations, Lingle would be left off. Pg 42 rodeo – continuation for training services, basic doctoring by athletic trainers for the rodeo team Ross: Mai: A lot of use of that program. Pg. 50 Brucellosis study – would like to make it recurring as part of the standard budget. Pg 56: 2M in one-time manner for high value carbon engineering. Director Northam could speak to it. Ross: Governor took out of LSRA. Northam: Carbon engineering is for low temperature conversion of coal for high-demand materials, carbon fiber and graphing. Going back to where we were before the oil industry. Powder River basin coal is very well suited for this type of transformation. It has lots of water and volatiles. This process will not consume the volume of coal that powering plants does but it is a potential place to replace some of the revenue. Need to work on catalysts, engineering initiatives. Incorporate with enhanced oil recovery for carbon negative process. 2M for seed fund for remaining technology steps. Stubson: what point does 2M get you to? Northam: Similar to 2012 request for unconventional reservoir request where we leveraged 40M private. Using the same model.. Within 5 years, we believe we can have a pilot program. Perkins: Is it important for facilities and mfc. to be located near the feed stock. Northam: It is advantageous but not essential. Mines are close to the distribution networks of railways and highways. We are looking at it as a Wyoming business development opportunity. Connolly: Funds used for recruiting faculty – recurring funds? Northam: Same faculty UW is trying to attract for Tier 1 engineering. One niche is unconventional reservoirs. The other is this. We will use the funding in the 2M, more than likely, that Dean Pishko is hiring for tier 1 engineering. Mai: reduction is shifting of personnel. It is a technical correction – page 57. Last one is matching funds on page 74. We requested 23M. Governor recommended 11.5M. Entrepreneurial matching funds. $3M wildlife landscape eco system scientist chair. Don’t forget about that Moneta field that BLM and others have expressed interest in developing and it lays in identified migration corridor. #3M high value energy research. Northam: 3.5m is follow on of $20M appropriated last year. $. Split. Companies are spending money on research while oil prices are low because low cost operators will be able to survive in the mkt. when it returns. We will prioritize the use of the 3.5M to bring in new partners. I think we could match 3 or 4x that amount in the next year. High Bay Building. Ross; page 74 and 74, paragraph 3, scaled down from 15. What would 15 do? Northam: When we proposed 15, we were looking at twice that amount for uncongenial reservoirs and carbon engineering. We realized we might be a few years early for the carbon. Research instrumentation. One partner contributed $12M, which went to bldg.. equipment. Extra matching funds would accelerate that program. Stubson: Traunch 3 appropriation from last year is matched already? Northam: Correct Stubson: You need $5M to cover the match that has already been made? Northam: That is correct. One donor has accepted the risk of money not being matched. Stubson: Option - cover the $5M Ross: We are not leading the way compared to other universities. This is critical to our economy. Northam: School of Energy Resources and college of engineering are working together. One faculty member has been very successful in bringing in money. We need other young faculty that can leverage our capabilities. We will use additional funds, if available, for improved recovery and other things. We have faculty ready to move in that direction. 12/10/2015 2:03:28 PM John Benson: Wyoming technology center. UW foundation approached by a donor who wants to give $5M to push entrepreneurship. Donor gave 100,000. It was matched by 100,000 to explore this. Business Development. Technology business competition in the spring. Laramie, Casper, Sheridan have UW business centers. We have found there to be high interest. Harshman: This was available last year but did not make cut in section 345? Benson: Correct. Yes, it would be an endowment. After 2 years, you can spend 2%. In business for 10 years. UW patented technology of hydroponic towers. Center of entrepreneurship is self-=motivation. Ross: Where is hydroponic business located? Benson: In Laramie. Started with towers, then turned it into turn key business. Towers are on a green wall in Paris. Greear: Matching funds for the star up and endowment. Benson: Donor made a separate gift for the start-up of 100,000. Burns: matching funds of $23M. Governor is giving half. Do you have a recommendation on a break down for how to spend it, according to the Governor rec. Mai: The $ 5M for entrepreneurship. , 3M for wildlife migration piece. Strike number 2 (water mgt) as it was repurposed to the wildlife migration piece. Number 3 is 3.5 M Dr. Northam described. Ben Blalock: Over $231M for matching funds since 2011. Talked with Andy Burke and UW. We have a donor to make a 3M gift with a matching fund to create a professorship in wildlife migration and habitat. Ross; Can we generate the person in-house or from outside of the University? Blalock: outside Gern: Will be searched for nationally. Nicholas: $ 6M will become an endowment? Gern: yes Harshman: Section 345 cam available July. Matching? Blalock: Gave $ amounts of matches for section 345. Harshman: What are the increments? Turn in quarterly? Blalock: We work with state treasurer’s office and commitment is quarterly. 12/10/2015 2:21:03 PM Mai: page 75, item number 4, amendment to prior appropriation Pishko: $5M appropriated earlier, for petroleum engineering, for a specific chair. We seek flexibility so we can attract more donors. Petroleum engineering is now a separate dept. Perkins: Clarification – It will still be an endowment? Pishko: yes Stubson: Last year prioritized contingency funding for aircraft. Is contingent funding no longer needed? Pishko: The purpose is still out there for developing a different aircraft. Stubson: Funds used to scope out what you want for the replacement aircraft. Pishko: yes Ross: 5 minute stretch. 12/10/2015 2:37:17 PM Ross: Meeting called back to order Asay: Special Advisor to the President. Dr. Joe Stiner, Dr. Kevin Murray is new director of medical education, Dr. Robinson, Jill Jensen (asst director of shared business services) Agency 167 UW Medical Education. Funds used to be part of the block grant. Budget 167 has 4 operational divisions. Page 9 – request for continuation of footnote for authority. We would like that footnote to be continued Ross: Background. Changes with University of Washington Asay: University of Washington School of Medicine contract to provide education for WWAMI program Washington, Wyoming, Montana and Idaho. Changes in U of Washington Curriculum. Change beginning in fall of 2018. We would go from having 20 to 40 students on campus. Ross: Six months for the second year in Laramie. Asay: yes Ross: problems with critical mass of positions, lots being done out of classroom Robinson: Clinical capacity question in Laramie. It is limited. We have used clinicians for all of mentoring relationships. Last year we reached out to the Cheyenne community. It welcomed us. We use 10 physicians in Laramie and 10 in Cheyenne. We will now use 20 in each community. We are the only WWAMI state that is only hosting for half a year. Ross: Presents a facility problem? Asay: Two cap con requests Burns: University of Washington is changing to hosting from 3 years to 2.5 for Wyoming students. Robinson: Past model: yr 1 in Wyoming. yr 2 for science in Washington. yr 3 and 4 clinical rotation within the 5 states. New model is that all science and foundation is taught in your home state. Individualized attention within smaller states. Burns: So only six months spent in Washington. Robinson: yes. Negotiated for 2 clinical rotations in Seattle for experience available in large community. Burns: Picking up cost for half year Robinson: Money will flow back to Wyoming Burns: Tuition change Robinson: have not worked out details. We will not pay a whole year tuition to Washington. Nicholas: Students will go to Cheyenne for 2nd semester or travel between here and Cheyenne? Robinson: Students paired up with physicians go with the physician for one day a week. Model is to flip flop between fall and spring for the two sets of students. Nicholas: Tuition model? Robinson: We will deliver the instruction for half of the second year so we will keep the tuition for that. The 2nd half of the year, the students will go to Seattle. University of Washington will keep he tuition for the 2nd half. Ross: slots funded? Robinson: 20 students per year. We have 8 to 10 people on the waiting list. We have a strong pool of applicants. Asay: Benefit of WWAMI – keeping doctors in our state and access to medical school. Page 34 – Priority number 2 –Governor approved request for tuition and fee increase. Change in curriculum at Univ. of Washington will include the cost at UW. (additional clinical education, doctors over PHDs) Number 3 – request for spending authority in other funds. We need the continuation of a footnote for diversion of the funds. Pg. 36 picture. Student tuition goes into an endowment fund, which was set up by statute. It requires that nay payment from these WHAMI students goes into a fund. There are sufficient funds in endowment to meet criteria of statute. We want to divert the funds to cover the increased expense. Pg. 38 footnote – we need continuation of it. Nicholas: ? Asay: WWAMI students required to come back to Wyoming and practice for 3 years. 30% do not return so students are required to pay back money plus interest. Governor recommended two PT and five AWAC positions. Connolly: tuition money? Robinson: State pays every dime of the education for these students. There is a payment of $12,000 per year that the students pay to UW. It is a support payment and flows into the endowment. Connolly: It is a fee outside of tuition. First year or year 1-4 Robinson: 12,240 each year. 1st year is for studies. Yrs. 2-4 the money is sent to the endowment, called tuition support payment. Endowment money is used to pay for board prep, fees for board exam, travel. Connolly: State money that goes to students pays for what? Asay: The state money goes to pay tuition at Washington or salaries of program people at UW. Greear: With proposed diversion, have you done the analysis to see if you are inflation proofing the endowment. The statute says it goes to the endowment. I question if our footnotes can change that statute. Asay: We see the fund increasing even with the diversion. Robinson: Inflation question is if with the diversion will we have enough? Greear: yes. If we pull too much out, will it lose its purpose? Robinson: 3560,000 to 400,000 per year goes into the endowment for people who do not return to Wyoming. Fund increase by 4% per year to keep up with tuition increases in Seattle. I think so. Greear: what % of inflation? Robinson: Historically 4% inflation for tuition at Seattle. Asay: We do not touch the corpus. We are diverting money that would go into the fund. $65000 for tuition at Seattle. Stubson: The 7 positions? Robinson: In the past one physician has taught all 20 students the skills to do an exam and an interview. We went down to 1 physician per 5 students. At hospital, we have 3 clinicians involved as well. This endowment has $200,000 per year we never touch. Ross: The $12,000? Asay: it is student paying Mai: page 35 – reference in third paragraph. The 12,240 is paid yearly by all year of WWAMI students. All payments go into Corpus of the fund, when they are at UW. Inflation proofing – folks at table think it is tuition inflation. It is not. Inflation proofing is non-issue because interest is earned beyond spending. It can accumulate forever. In terms of inflations, you are beyond the needs of the students already. The 12,240 is paid by students. The legislative appropriation is paying for the Seattle Washington. Whether than asking for additional appropriation or having students pay, they would like to use the endowment proceeds. 1.4M biennium amount generated by tuition payments. The difference in what they want to spend would still flow to the corpus. Burns: If student borrowed the money, practiced in Wyoming so the state wrote off the washing ton tuition. Would the student owe 48000+ for the loan? Mai: correct Burns: number of personnel Robinson: Burns: Active learning model that Seattle is adopting? Robinson: That is correct Connolly: page 35 – Last sentence says revenue generated by endowment provides scholarship and assistance. What is being given to students from the endowment? Dean: We provide funding for travel, board preparation study material, pay for 1st board exams. It is not scholarship that would automatically return to replace the $12,000/ It is for other things that support their education. Connolly: how much generated from the endowment yearly? Asay: $400,000 Wasserburger: Tuition yearly for our WWAMI students yearly? Asay: Around $65000 per year Wasserburger: Reported 77,200 per student in supplemental budget request. Nicholas: Cap con for level 1 and 2 study page 131 – asking for additional classroom space. Size, preliminary costs? Asay: More space and different style of space. WWAMI space holds 20 students, was designed for 10. Anatomy lab is most inadequate. 18000 sq. feet. No cost estimates. We do not know if it will renovation or new building. Request for level 2 study on page31. Governor recommended 300,000 of LSRA Nicholas: Is there a continuation of anatomy for 2nd year, different class than first year? Asay: Different students have different cadavers and pieces that must be preserved. Ability to preserve cadavers and pro sections is ineffective. Ross: Levels 3 is construction for state. What is level 2? Did you do a level 1 study? Asay: UW has done level 1. It looked at additional spaces on campus. We followed up with a different study and looked at those options further. No agreement on those options. We are under a time line for the 2nd cohort of hosting the students in 2018. We may be able to get another year. We have to plan now. Harshman: 18500 sq. ft. identified as needed. Asay: yes. Requirement to provide similar facilities as other WWAMI members. Harshman: How much per sq ft? 7 M Mai: Full disclosure. A lot of work was done early on last year investigating spaces. We thought we had drop dead deadline of fall of 18 or would not have accredited ancillary program. We explored off campus options in Laramie community. Time limits did not mesh with appropriation schedule. Those were removed. We hired an external consultant who expertise with WWAMI program and schools involved in it. Consultants ranked variable alternatives. Harshman: Does it have to be in Laramie? Can it be in Cheyenne? Mai: Assumed in Laramie or on campus. Study finalized in mid Oct. STEM building freed up space, which was evaluated. Health Sciences buildings. They checked the viability of the spaces with the WWAMI cohorts and University of Washington. I would say it is part of a level 1 but was really a 3rd party opinion. There is a distinct possibility we may be able to extend that deadline another couple of years, which creates questions for all of us. If we built this science building, there will be space freed up in other science buildings. I would not call it a level 1 study. We need to do level 1 and 2 study. Wasserburger: Clinical experience is critical and we will have it. Would it be better to build in the front range? Asay: Building or contracting with a different university? Wasserburger: Would it be better to build near a major hospital near Denver? Asay: Discussion of moving to Cheyenne or Casper. Because these are students, they expect and we are required to maintain accreditation for other campus lifestyle and benefits. We would not have them in Cheyenne or Casper. Harshman: Discussion of PA program. Medical school in Casper Dean: If students move to other area, they are 5ht or 6th in line for access to doctors. All nursing students, many pharmacy students travel to Cheyenne. It is not an unusual request. Greear: may I have a list of what we have used the fund for – for the students? Asay: Exception request for $5 m for set aside for WWAMI space. We believe this can wait as does the Governor. Priority 3 for cap con 0 UW family medicine program facility in Cheyenne. Background on residencies: In 2013, UW created a board, education health center of Wyoming, which joined with UW to be a co-applicant for the designation as a federally qualified health center. Note from Governor that facilities look for options to increase efficiencies. Benefits are increased benefits from Medicare and Medicaid and decrease pricing if there is a pharmacy in the facility. The facility in Cheyenne opened in 1980. There has been no significant remodeling. Efficiency is impeded based on the structure. Request for level 1 and 2 study. $1M, denied by the Governor. Burns: Where is this facility? Ayers: 17th and Pebrican. Nicholas: a full remodel? Ayers: request for study to figure out what needs to be done. Plans have not been discussed. Nicholas: got dollar amt. from building commission but seems like a large amount. Ayers: Budget for agency 167 – page 14 Priority number 8, Casper. Umbrella over Casper and Cheyenne facility although budgets are for each facility. Request for 3 FT positions. Authority request to spend special revenue. Governor denied. Ross: special revenue fund? Ayers: Revenue is GF and clinic income. Purpose is residency education. We are family medicine residencies. 2nd purpose for opportunity for clinical education for other medical students. Nurses, WWAMI students, pharmacy students. 3rd purpose is to provide direct care and specifically to those who can’t afford it. Ross: Colonoscopy Harshman: Both clinics were financially on thin ice, talk of closing them. Casper center broke away. Designation issue. Have the financial problems been solved? Asay: explanation of financial condition. In Casper, patient numbers are increasing. Getting more money from Medicare and Medicaid and have money from a pharmacy. In Cheyenne, the clinic revenue projected is going to be short. Expect revenues to be less than the standard budget. Page 25. We are asking for more GF to overcome for the clinic income shortfall. In 2015, legislature appropriated 1M-, used reserves money. Similar to this year. We thought our reserve had 850,000. Trustees wanted a footnote included for use of the reserve. Since then we have found we can take care of this amount from the reserve account. It is a one- time fix. We do not know if we will have the reserve next year. Projection problem or revenue problem, I am not sure. Governor recommended denial in GF. Further recommended it would be a one-time revenue source. Page 26 additional governor recommendation. Programs around for 4 years. Governor recommends study by DOH with UW of the centers. $200,000 from reserve account. Ross: Dean: Previous study was done. Medicaid GMC funding. Now is a good time to bring stakeholders together. Hill: Each year the Governor looks at the GF appropriation and asks if there is a better way to do this. As compared to previous study, we would like to look at alternative models to see if there are other options. Governor treats the centers as a single entity, shared revenue stream. 1st – train doctors 2nd – serve indigent population. Study under auspices of dept. of health. Come back with recommendations so you can quit talking about this every time we have a budget. Greear: Where do we come up with $200,000? If we authorize it, that is what it will cost. Is it for consultants? Assay: It would be an appropriate amount if they get a consultant to assist them. Hill: Total not for a single consultant. Private providers, actuarial. 12/10/2015 4:04:30 PM Assay: page 23 – Request for priority 6 – position elimination. Effort to have the Cheyenne programs budget in line with what they can make through clinic income. Inability to hire this position. $329,000+ savings to the GF. Nicholas: How you form the study will result in the answer. Is it possible for UW to come up with drafts for the study? We need more about what the study would entail before we would fund it. Assay: I understand Nicholas: Can you have it to us within a month? Assay: yes. We would like further discussion of this study. We would request your help. Perkins: Is there any way to leverage our discussion of additional cohort under the WWAMI program with the residency program? Stiner: College of medicine in the 1970’s. Right now Cheyenne center is providing mentoring to the WWAMI students. Assay: page 23 – Cheyenne – requesting ability to reduce the amount of spending authority in Cheyenne by $440,000 to align budget with projections of clinic income. Priority 11 for equipment. Governor recommended approval with payment from reserve. Casper- equipment request page 16 – Governor Approval with payment from cash balance reserve instead of GF. Pg. 15 – Casper is using vacancy savings. Request for additional authority to spend clinic income for priority 9. 500,000+ Governor recommended approval of salary and benefits for UW IT positon and board position. Casper clinic is paying their salaries. 229, 0000+ governor recommended. Denial of the remainder of the request. If Casper revenue continues may seek options through a B-11. 12/10/2015 4:14:11 PM WyDent is on page 45. Loan for service program. UW contracts with two dental schools. 3 year period of service or pay back tuition with interest. 3% per year for inflation. 296,000+ Governor approval of GF. Perkins: Table on page 46 – 100% pass through for tuition at Creighton or University of Nebraska. Who is doing the monitoring of these folks to make sure they fulfill their obligation? Stiner: My office. Perkins: Service requirement monitoring. Require a full time practice for 3 years. They report to my office and to the UW dept. of financial aid. Required to provide 10% of practice to Medicaid patients which is self -reported. If a graduate requests something other than full time employment in the state we take it to the Board for their approval. Individual decision made. Perkins: Concept that Wyoming is underserved with dentists. How do we know if we have achieved equilibrium? Stiner: Wyoming workforce services data. Over 50% of current practicing dentists are over the age of 50. Perkins: Are we still underserved? Stiner: yes. 8 students in the WyDent program. Still short by 4 or 5 for the anticipated need. Burns: Entire dental school time in Nebraska? Stiner: yes Nicholas: Do we monitor past the 3 year service requirement? Stiner: We do. 12/10/2015 4:22:48 PM Stiner: 74 positions returned, 51 practicing in state, 23 have left after performing 3 year service in state. WWAMI, 66 graduates in WY, 51 in state, 5 out-of-state, 10 left state. Asay: Page 52, nurse practitioner, 2006, program cut in 2014. Need for mental health practitioners. 12/10/2015 4:38:18 PM WICHE Frank Galey, Dean of the College of Agriculture Galey: State program as well community colleges, direction of 3 commissioners, appointed by the governor. 3 exchange programs. Undergraduate, reduction in tuition for participants. Professional is for medical exchange schools. Request of standard budget of $5M. Approval by Governor. Exception requests of administrative 1. $62,000 reoccurring costs include WICHE dues, 2. Advertising and promotion of $1790. 3. Contract help to monitor for return to state to practice requirement for WICHE students. Escalate the amount of money into professional program. Approval by Governor. 12/10/2015 4:47:05 PM 211 Board of Equalization, Jayne Mockler and Robin Cooley, Jessica Brown Mockler: Standard budget, training and replacement of computers requests, page 9. Travel and training monies requested, denied. Funded printer replacements thru LSRA. 12/10/2015 5:05:46 PM 023 Public Service Commission Alan Minier, page 3. Standard budget approved by governor. Personnel services and universal service fund, large $$ items. Page 10, Exception requests. Computer, software, printer replacements and hearing room enhancements, funded by mil levy on gross intrastate regulation on utilities, some federal grant monies. Need another GPS, replacement of furnishings and equipment. ETS support services. More money from federal government, so less levy monies. 12/10/2015 5:20:01 PM