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r - <br />JAN 1 't989 <br />4=> M <br />58 <br />plan process with the City. We spent a great deal of money on <br />that design, which was supposed to be based on our projected <br />needs, and it disturbs him to hear that we now need to spend more <br />money to redesign and add on considerable space. If these needs <br />are actually that severe, he felt we should re -prioritize to move <br />ahead with the facility that we have already planned for and put <br />it on the property we have already acquired rather than leapfrog <br />all over the community and the best solution at this time would <br />be just to rent some space. Commissioner Scurlock was concerned <br />about providing adequately for the need, but not going overboard <br />as he believed this could be an all -consuming creature. <br />Commissioner Eggert explained that it has been several years <br />since the proposed Health Building was designed, and the big <br />difference is that the state has mandated Primary Care, which has <br />triggered the change in space needs. We do have a plan and there <br />is the ability to add some square footage to it. She was not <br />aware that we had reprioritized and moved the Health Building <br />from the first 5 years; she also was not aware this had been <br />finally site planned. Commissioner Eggert believed $80,000 was <br />paid to that architect, and it, therefore, was felt it would be <br />more economical to reopen that contract and go forward. <br />Commissioner Scurlock continued to stress that we developed <br />a long term plan, and he found it hard to believe that state <br />mandates have changed that significantly. <br />Dr. Berman assured him that they have. Two major state <br />programs have provided additional funding for additional <br />servicing in this community. One is a maternity program pro- <br />viding prenatal care that was not part of the original program, <br />and we are now providing prenatal care to almost 400 of the <br />deliveries that take place in the county. He stressed that this <br />happened after the proposed Health Building was designed. The <br />second added program is the Primary Care Program, which is <br />something Health Departments have not been into before. We are <br />mandated to provide basic level care to people below the federal <br />32 <br />