Town’s contribution to Tri-County Regional Vocational Technical School District is based on the number of our students. Yesterday Mike circulated the list below:

Town’s contribution to Tri-County Regional Vocational Technical School District is based on the number of our students. Yesterday Mike circulated the list below:

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Posted in Budgets, Financial, Schools, Uncategorized
DOR is providing us these local aid figures for Medfield based on the Governor’s budget proposal (NB, the sum appears to be incorrect on the assessments):


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Posted in Budgets, Financial, State, Uncategorized
The state budget starts with the Governor’s proposal, moves on to the House’s proposal, to the Senate’s proposal, and then finally a House-Senate reconciliation committee to iron out the differences. The Governor has just filed his proposed budget, and he is keeping to his plan to have municipal aid track the percentage revenue increases. The analysis of the Governor’s proposed budget that follows was provided to me by the Massachusetts Municipal Association.

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Posted in Budgets, Financial, State, Uncategorized

Yesterday afternoon from 6-7 PM before the regular meeting of the Board of Selectmen there was a well attended session that was billed as a working meeting of the Board of Selectmen with Chief Kingsbury and Lieutenant Bennotti of the Medfield Fire Department to discuss the possible solutions for the town to the provision of Advanced Life Support (ALS) services to town residents. The MFD currently only provides intermediate basic life support (EMT) ambulance services to residents, and only one of the current seven full time firefighters is a paramedic.
One firefighter recently resigned, and will be replaced with a paramedic, however, until the whole service is staffed with paramedics, the two paramedics will not be able to provide paramedic services.
The ALS session was not covered by Medfield.TV – I do not know why not, as I was not involved in making that decision. Personally, I would have put it on TV.
Basically the Chief and the Lieutenant
Whether to hire the paramedics will be a decision for residents to make at at the annual town meeting (ATM).
Below are the Chief’s cost projections:

I suggest that these figures do not reflect the true cost to the town of the additional employees, as these estimates do not include the present value of the future retirement benefits the town will ultimately have to pay. Those retirement benefits (i.e. pension and health care) are called Other Post Employment Benefits (OPEB). To truly tell us the cost, the estimates should include the present value of the actuarial costs we incur each year to pay future retirement benefits to such employees.
The town was only recently required to figure out the value of its OPEB liability. Currently the unfunded actuarial cost for the town’s OPEB is over $40m. OPEB costs currently cost the town about $1.5m. per year, and the town only just recently (a couple of years ago) started to budget $400,000 a year to pay into a trust fund to partially cover the future OPEB as they come due. Therefore the town is still adding over $1m. a year to its OPEB liability, which is basically pushing off current town costs to be paid by future residents.
OPEB benefits to retired former town employees were until relatively recently not funded at all while those retirees were working, and even now the town is not fully funding its future OPEB liability. As we add new town employees, we may want to include the OPEB liabilities in our cost estimates.
Posted in Budgets, Financial, Fire Department, Town Meeting, Uncategorized

At the Board of Selectmen last night Chef Kingsbury handed out the attached estimate of what it would cost the town to hire eight new paramedics, such that the Medfield Fire Department would be staffed by four full time firefighters on duty, 24/7. Under this scenario, the Medfield Fire Department staffing would double from eight full time firefighters to sixteen firefighters, with half of the employees being paramedics, and half EMT’s.
Since 2000 we have provided EMT intermediate ambulance services, and we employ eight full time EMT’s to do so. We are staffed by two EMT’s per shift, 24/7.
I believe that the major treatment difference between EMT and paramedic services is the ability of the latter to administer medication and insert IV’s. I also understand that paramedics have about 1,640 hours of training beyond EMT’s.
At the meeting, ALS services were estimated to be used on 80% of the current runs, needed on maybe 60%, and currently ALS services are provided by ALS intercepts, if available, as the result of a ten year old agreement with the towns of Westwood, Walpole, and Norfolk. We split any fees received for runs with ALS intercepts with the other towns on a 50/50 basis.
The data that especially interested me was that the Medfield Fire Department does about 650 ambulance runs per year, or about two per day on average, and that each run takes up to an hour and a half. That would appear to mean that there is a lot of capacity for which we are staffed, to do more runs. When figured on a yearly average, if the two runs take about three hours, there is about twenty hours per day of non-run time. If all the departments in surrounding towns have the same issue, it seems that it cries out for a regional solution by which all departments are using more of that currently underutilized capacity.
There were several comments made about the safety issues of being properly staffed with employees who have the proper training, both for the safety of the firefighters themselves and for the safety of the public. One call firefighter assured that no apparatus ever leaves the station without being fully and properly staffed.
Alternatives that were also mentioned included:
Another alternative, that was not discussed, is whether the Medfield Fire Department could just be converted to an all paramedic service by requiring current employees to become paramedics within a set amount of time, say within the next three years. In the past the Chief has opined that was not possible.
The more I learn about ALS services, the more uncertain of the right solution I become. What is the proper balance between services and costs? I still need a lot of education, so I hope the selectmen get a lot more input. Today in follow up discussions with one of the meeting participants I was provided the Massachusetts EMERGENCY MEDICAL SERVICES PRE-HOSPITAL STATEWIDE TREATMENT PROTOCOLS, all 176 pages of it – so I have some homework to get me started.
![*]])RAJF'Ir* ALS Paramedic Budget Proposal (Estimated) Based on hiring 8 Firefighter Paramedics (Step 4) 2184 hrs (42per wk x 52) x $25.62 = $55,954 per $55,954 x 8 = $44 7 ,632 Additional annual personnel costs: Medic Stipend - $6000 x 8 = $48,000 Vacation-96hrs x 8 x $38.50 = $29,568 Sick Time-72hrs x 8 x $38.50 = $22,176 Holidays-11x8 x 10.5 x $26.62 = $23,673 Personal Time - 31.5hrs x 8 x $38.50 = $9702 Clothing - $600 x 8 = $4800 Cleaning - $300 x 8 = $2400 Town share health care - $50,000 Town share Medicare - $6500 Annual Estimated costs - $644,451 One time startup costs: Protective Clothing- 8 x $3200 = $25,600 Uniforms: - 8 x $600 - $4800 Medical Equip - $60,000 Estimated startup costs - $90,400 Year one estimate - $734,851 Annual Medical Control Fee $10,000 - Revolving Acct (pay $5000 now)](https://medfield02052.blog/wp-content/uploads/2016/12/20161221-chief-kingsbury-als-paramedic-budget-proposal.jpg?w=500)
Posted in Budgets, Fire Department, Uncategorized
I was just reading the Lincoln Institute’s piece on how property taxes in Massachusetts shape up compared to the rest of how the states in the United States do things. In general, Massachusetts cities and towns rely more on our property taxes, and less on sales taxes or fees to run our cities and towns than the rest of the states. Massachusetts towns get just below the average state monies contributed to them.

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Posted in Budgets, Uncategorized

ClearGov put our general financial data from the Massachusetts Department of Revenue on-line for us as a promotion, seeking to sell us more services.
http://www.cleargov.com/massachusetts/norfolk/town/medfield/2014
If residents want access to the details of the town’s finances, it too can be put on-line for them. The state and the City of Boston have both put their checkbooks online.
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Posted in Budgets, Financial, Uncategorized

Medfield was scheduled to get only one earmark in the FY17 state budget, $150,000 for the state to build a new road to the Charles River Overlook on state land, so that the easement over the town’s former MSH property could be eliminated. Per John Nunnari’s email this morning, Governor Baker vetoed that money. Many such vetoes are overridden by the legislature.
John closely follows the legislature for the architects, and always knows what is happening.
All,
Just fyi, but as part of the Governor’s veto message, the following has been eliminated:
2810-0100 For the operation of the division of state parks and recreation;…. provided further, that not less than $150,000 shall be expended for the creation of a roadway at the former Medfield State Hospital property in the town of Medfield
I’m hearing that the House/Senate intend to take up the Governors vetoes during Formal Sessions on Thursday – with the potential for it to extend into a rare Friday Formal Session.
House and Senate leadership are upset with the Gov’s $256M in reductions over 303 line items (which included approx.. $60M in earmarks – which the Medfield State Hospital roadway project would be considered).
More to come.
john
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Posted in Budgets, Financial, Legislature, Medfield State Hospital, State, Uncategorized

John Nunnari provided the final Medfield money in the state budget, which includes money for the state to build its own road to the Charles River Overlook, so Medfield does not have to encumber our MSH land with that access, if we decide it is not in our best interest.
| Municipality/Regional District | 7061-0008 Chapter 70 | Unrestricted General Government Aid | Annual Formula Local Aide |
| FY ’15 Actual Appropriation | $5,862,409.00 | $1,289,875.00 | $0.00 |
| FY ’16 Actual Appropriation | $5,925,859.00 | $1,336,310.00 | |
| Governors FY ’17 Proposal | $5,975,759.00 | $1,393,771.00 | $0.00 |
| Medfield (House FY ’17 Proposed Numbers) | $6,063,084.00 | $1,393,771.00 | $0.00 |
| Medfield (Senate FY 17 Proposed Numbers) | $6,063,084.00 | $1,393,771.00 | $0.00 |
| FY ’17 Conference Committee Report July +/- | $6,063,084.00 | $1,393,771.00 | $0.00 |
2810-0100 For the operation of the division of state parks and recreation;…. provided further, that not less than $150,000 shall be expended for the creation of a roadway at the former Medfield State Hospital property in the town of Medfield
John Nunnari, Assoc AIA
Executive Director, AIA MA
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Posted in Budgets, Legislature, State, Uncategorized

The state economic downturn will effect our state services, but not the state aid to education or local state aid for Medfield (see text I put in red below), as the state cuts monies for programs and cancels an income tax cut in order to balance its FY17 budget.
This Statehouse News Service article was shared by John Nunnari.
BUDGET CONFEREES CHOP $413 MIL, COUNT ON INCOME TAX CUT CANCELLATION
By Matt Murphy
STATE HOUSE NEWS SERVICE
STATE HOUSE, BOSTON, JUNE 29, 2016…..House and Senate leaders on Thursday will seek passage of a $39.15 billion budget accord for the fiscal year that begins on Friday, crafting a compromise in the face of unstable economic conditions that cuts $750 million in projected revenue and $413 million in proposed spending from previous plans.
The deal, reached on Wednesday by six negotiators from both branches, preserves increases to local aid and school funding for cities and towns, as well as substance abuse programs, but made tradeoffs that will result in many agencies and programs receiving level funding as the page turns Thursday night from fiscal 2016 to fiscal 2017.
The compromise plan would increase Chapter 70 school aid by $116 million and unrestricted local aid by $42 million, Dempsey told reporters.
House Ways and Means Chairman Brian Dempsey said the compromise cuts $260 million from the roughly $39.5 billion spending plans approved by the House and Senate in April and May, including $142 million from Medicaid by deferring some payments until fiscal 2018 and reducing caseload estimates in public assistance and health insurance programs.
The budget bill, which will be put before House and Senate lawmakers Thursday for passage, also cancels a proposed $200 million deposit in the state’s reserves due to lower than anticipated capital gains taxes, which have taken a hit from the volatility in the stock market.
Dempsey said the budget conferees, with the help of the Baker administration, identified $100 million in savings through “procurement efficiencies,” and are no longer assuming a reduction in the income tax rate from 5.1 percent to 5.05 percent in January, freeing up $80 million in taxes for spending.
“I think that this action on the part of the House and Senate, the conferees that have worked very, very hard over the last several weeks, shows that we are taking strong action that will certainly deal with the challenges and adjustments that we see with respect to revenue,” Dempsey said.
As a result of the lower anticipated revenues in fiscal 2017, automatic transfers to the School Building Authority and the MBTA from sales taxes will occur at lower levels, reducing the amount delivered to each entity by about $30 million, Dempsey said.
Senate budget chief Karen Spilka plans a 5 p.m. budget briefing.
[The News Service will have further budget coverage as more details become available]
END
06/29/2016
Serving the working press since 1910
http://www.statehousenews.com
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Posted in Budgets, State, Uncategorized