1. PRESENTATION REGARDING THE MARICOPA COUNTY CONSTABLES' WARRANTS PROGRAM This presentation will provide an update to the Board of Supervisors on the success of the Constables' pilot Warrants Program, which collects unpaid fines from defendants. These are defendants who had warrants issued for their arrests for failing to pay their fines. (C-25-12-001-P-00) Phil Hazlett, Constable -North Valley Justice Ron Myers, Constable-Arrowhead Justice J. Kevin Jones, Constable- San Marcos Justice

2. COUNTY SUPERVISORS ASSOCIATION 2011 LEGISLATIVE PRESENTATION County Supervisors Association (CSA) 2011 Legislative Presentation. (C-20-11-132-P-00) Craig Sullivan, Director, CSA Presentation

3. PASSPORT TO WELLNESS PROGRAM Approve a voluntary program, designed to increase utilization of recommended preventive services based on age and gender, for employees, spouses and their dependent children enrolled in a County-sponsored medical plan, which encourages prevention and early detection of diseases. The Program requires the completion of periodic exams, medical screenings, immunizations and oral health exams which are available at no cost. Each employee and/or spouse who completes the program requirements will receive $100 taxable incentive payment. Each dependent child who completes the program requirements will receive $50 taxable incentive payment. In order for spouses and dependent children to qualify for the incentive payment, the employee must complete his/her program requirements. Timely screening can detect diseases in their early phase and prevent needless deaths. Yet, despite the well-known benefits of these interventions, many employees and their dependents are not taking advantage of preventive services even though these services have been offered at no cost for the past several years. Based on CIGNA data for claims incurred between July 2008 and June 2009 and paid through June 2009, preventive care as a percent of total medical spend decreased from 2.4% to 2.2% and compares to a CIGNA Book of Business norm of 2.0%. The Healthcare Effectiveness Data and Information Set (HEDIS) is collected from over 1,000 different health plans (more than 90% of all managed health care plans and some PPO plans) to measure performance on important dimensions of care and services. Each year, the National Committee for Quality Assurance (NCQA) produces The State of Health Care Quality Report with HEDIS results from their annual health care system survey. HEDIS data for flu shots for adults show in 2005, less than half of the age 50-64 high-risk group (e.g., people with asthma) had a flu shot, and about one quarter of the 18-49 high-risk group had one. Total direct hospitalization costs of an influenza epidemic are estimated to be over $3 billion. The cost of delivering the flu vaccine has been estimated to be around $15 per person. Achieving 90% vaccination coverage would reduce deaths by over 15,000 annually in a year with an average flu season (i.e., not a major epidemic). Vaccination rates for HMO members in commercial plans for 2009 were 51.3%. 6,583 Maricopa County enrollees received flu shots in FY2011 which is a 26% utilization rate. Early detection of breast cancer is associated with better survival rates and more treatment options. The five-year survival rate is 89% and the 10-year survival rate is 81%. The annual cost for breast cancer treatment is approximately $7 billion. Treating breast cancer detected in its earliest, pre-invasive stage costs significantly less than if the cancer is detected at more advanced stages. Breast cancer screening rates for HMO commercial members in 2009 were 71.3%. Maricopa County enrollees have a 69% breast cancer screening rate. The one-year survival rate for cervical cancer is 88%; the five-year survival rate is 71%. Earlier detection is associated with higher survival rates. Death from cervical cancer is rare among women who have regular screening, regardless of race or age. The cost of treating cervical cancer is between $300 and $400 million annually and is concentrated in care of women detected at a late stage. Cervical cancer screening rates for HMO commercial members in 2009 were 77.3%. Maricopa County enrollees have a 69% cervical cancer screening rate. More than two in five adults do not receive the necessary colorectal cancer screening. Colorectal screening of asymptomatic individuals can identify polyps whose removal can prevent more than 90% of colorectal cancers. In the last 15 years, deaths associated with colorectal cancer have decreased, primarily because screening has increased the likelihood of detecting and removing polyps. Colorectal cancer screening rates for HMO commercial members in 2009 were 60.7%. Maricopa County enrollees have a colon cancer screening rate of 38%. (C-39-11-001-M-00)

4. ECONOMIC UPDATE BY ELLIOTT D. POLLACK Presentation by Elliott D. Pollack on recent economic trends and future outlook, in particular for Arizona and Maricopa County. (C-49-12-004-P-00) Elliot D. Pollack, Economist

5. PRESENTATION ON TAX LEVY ADOPTION Presentation regarding the FY 2012 Tax Levy Adoption. (C-49-12-010-P-00) Sandi Wilson, Deputy County Manager Cynthia Goelz, Budget Administrator

6. FY 2012 PROPERTY TAX LEVY The Maricopa County Board of Supervisors resolves that: 1. Pursuant to A.R.S. §§ 42-17151 and 48-3620, and based on the budget it has duly adopted for Maricopa County and the budget adopted by the Maricopa County Flood Control District Board of Directors, the Board fixes and determines the amount to be raised from primary property taxation and secondary property taxation and the Tax Year 2011 tax rates for Maricopa County and the Maricopa County Flood Control District as follows: • Fiscal Year 2012 Maricopa County Primary Tax Rate at $1.2407 per $100 of net assessed valuation with a levy of $477,571,468. • Fiscal Year 2012 Flood Control District Secondary Tax Rate at $0.1780 per $100 of net assessed valuation with a levy of $62,401,172. 2. Based on the amount of taxes to be raised by property taxation determined by each governmental entity set forth in the “Maricopa County 2011 Tax Levy Packet”, the Maricopa County Board of Supervisors has calculated the numerical tax rates necessary to raise the requested revenues, and pursuant to the direction of each such government entity, levies the amounts of taxes and sets the resulting tax rates, all as set forth in the “Maricopa County 2011 Tax Levy Packet”, and 3. As required by statute, the Maricopa County Board of Supervisors has calculated, and therefore levies, the amount of taxes and sets the resulting tax rates for specific statutory purposes as set forth in the “Maricopa County 2011 Tax Levy Packet”. 4. Pursuant to A.R.S. §42-18003, the Maricopa County Treasurer is directed to collect taxes as required by law from the persons listed on the tax roll. The County Treasurer is now therefore responsible for collecting the totals of all taxes levied on the roll. On December 13, 2010, the Board of Supervisors approved the “Budgeting for Results Budget Policy Guidelines,” which established the Board’s direction for development of the FY 2012 budget. The Board of Supervisors adopted the FY 2012 budget on June 20, 2011. While the Budget Policy Guidelines called for a primary property tax levy that allowed for no increase from FY 2011, even from new properties added to the tax rolls, the property tax levy will actually be decreasing to $477,571,468. As a result, the FY 2012 Property Tax Levy is a tax reduction of $23,942,085 pursuant to A.R.S. §42-17107. This results in a flat tax bill of $ 154.47 on the median-valued home (valued for primary property tax purposes at $124,500 for Tax Year 2011 compared with $147,000 for Tax Year 2010). On December 13, 2010, the Flood Control District of Maricopa County Board of Directors approved the policy guidelines that the Flood Control District used to prepare and submit its budget. The Flood Control District Board of Directors adopted the FY 2012 Budget on June 20, 2011, and pursuant to A.R.S. 48-3620 certified the budget to the Maricopa County Board of Supervisors and presented a copy to the Maricopa County Board of Supervisors and the Maricopa County Treasurer. While the Flood Control District Budget Guidelines called for a property tax levy of $68 million, the Flood Control Districts property tax levy will actually decrease to $62,401,172. This reduction in the Flood Control District’s property tax levy results in a flat tax bill of $ 22.16 on the median-valued home (valued for secondary property tax purposes at $124,500 for Tax Year 2011 compared with $148,800 for Tax Year 2010). (C-49-12-001-M-00)

I-1. FY 2012 STREET LIGHTING DISTRICT AND SPECIAL IMPROVEMENT DISTRICT PROPERTY TAX LEVIES Pursuant to A.R.S. §48-955, the Board of Supervisors resolves that for each of the County Improvement Districts listed on the schedules referenced herein, based on the budget duly adopted by each of the County Improvement Districts, it fixes and determines the Tax Year 2011 tax levy and/or tax rate for each County Improvement District per the FY 2012 Budget Schedules entitled “District Assessment of Special Districts” and “Street Lighting Improvement Districts Levies.” • Tentative Budget Adoption: May 23, 2011 • Public Hearing: June 20, 2011 • Final Budget Adoption: June 20, 2011 (C-49-12-003-M-00)

L-1. LIBRARY DISTRICT FY 2012 SECONDARY PROPERTY TAX LEVY Pursuant to A.R.S. §48-3903, the Maricopa County Library District Board of Directors resolves that, based on the FY 2012 budget it has adopted for the Maricopa County Library District, it fixes and determines the amount to be raised from secondary property taxation and the Tax Year 2011 tax rate for the Maricopa County Library District at $0.0492 per $100 of net assessed valuation with a levy of $19,070,066. On December 13, 2010 the Maricopa County Library District Board of Directors approved the policy guidelines that the Library District used to prepare and submit its budget. The Board of Directors adopted the FY 2012 budget on June 20, 2011, and pursuant to A.R.S. §48-252 presented a copy to the Maricopa County Board of Supervisors and the Maricopa County Treasurer. While the Library District Budget Guidelines called for no increase from the FY 2011 property tax levy, including taxes levied on new construction, the Library District secondary property tax levy will actually be decreasing to $19,070,066. This reduction in the Library District’s property tax levy results in a flat tax bill of $ 6.13 on the median-valued home (valued for secondary property tax purposes at $124,500 for Tax Year 2011 compared with $148,800 for Tax Year 2010). (C-49-12-002-M-00)

7. EXECUTIVE SESSION