* This transcript was created by voice-to-text technology. The transcript has not been edited for errors or omissions, it is for reference only and is not the official minutes of the meeting. [00:00:01] GOOD MORNING. UM, IT IS 7 47 AND I'D LIKE TO CALL THIS MEETING TO ORDER. WELCOME EVERYBODY TO THE CITY OF LONG BEACH HEALTH AND HUMAN SERVICES MEETING, UM, MONTHLY MEETING. I HOPE EVERYBODY HAD A PRODUCTIVE WEEK, A PRODUCTIVE MONTH SINCE WE LAST SAW EACH OTHER. UM, GOOD MORNING. GOOD MORNING. SO DO WE HAVE ANY, UH, MEMBERS OF THE PUBLIC? I SEE SOME NEW FACES. I'D LOVE FOR YOU TO INTRODUCE YOURSELF. HEY, EVERYONE. GOOD MORNING. MY NAME IS DEPARTMENT PRESENTING TODAY. EXCELLENT. THANK YOU. GOOD MORNING. LIKE TO INTRODUCE YOURSELF. YES. UH, GOOD MORNING. MY NAME'S HAROLD LA CRUZ. I ALSO WORK WITH THE HEALTH DEPARTMENT. I'M THE FILIPINO NATIVE HAWAII PACIFIC ISLAND. OKAY, EXCELLENT. WELCOME. AND BECAUSE, UM, YOU HAVEN'T MET EVERYBODY, I THOUGHT MAYBE WE CAN GO AROUND AND JUST INTRODUCE OURSELVES REAL QUICK. UM, I'M SABRINA SANDERS. I'M THE CHAIR OF THE HEALTHY HUMAN SERVICES, AND I'M A COMMUNITY LEADER. BETH, I WORK AT, UM, VICE PRESIDENT OF LONG BEACH. HI. GOOD MORNING, LEGISLATIVE PARTNERSHIP MANAGER AT THE GOOD MORNING. EVERYONE. IRE THE EXECUTIVE ASSISTANT TO THE DEPARTMENT OF HEALTH. EXCELLENT. THANK YOU EVERYBODY. UM, I'LL NOW ASK ALEJANDRA TO TAKE THE ROLL CALL. SURE. OKAY. CHAIR SANDERS HERE. VICE CHAIR. SHE IS ABSENT. BOARD MEMBER CLARK. HERE. BOARD MEMBER? YES. BOARD MEMBER HERE. BOARD MEMBER MCNEELY. BOARD MEMBER. RED. ABSENT. BOARD MEMBER TO JOHNNY. ABSENT. BOARD MEMBER. UM, VAN HERE. BOARD MEMBER WALTON FORM. EXCELLENT. WE WILL NOW REVIEW AND APPROVE THE MINUTES, SO WE HAVE THE MINUTES ON YOUR, ON YOUR TABLETOP. THANK YOU ALEJANDRA, FOR PUTTING TOGETHER THE PACKETS. UM, WE'LL TAKE A COUPLE MINUTES. GOOD MORNING, ALLISON. I'D LIKE TO SECURE A MOTION TO APPROVE THE MEETING. MEETING MINUTES. MOVE. MOVE. I GOT A FIRST, SECOND, SECOND. I GOT A FIRST AND A SECOND. ALL THOSE IN FAVOR? AYE. AYE. AND THE OPPOSITION. OKAY. ANY CHANGES TO THE MINUTES? DID HE CATCH ANYTHING OR MISSING ANYTHING? SO THE MANY MEETING MINUTES WERE A LITTLE BIT DIFFERENT THAN THE WEEK BEFORE, AND THE REASON BEING WAS ALEJANDRO WENT TO THE CITYWIDE TRAINING THAT JUST INSTITUTIONALIZED HER AND BECOMING MORE IN LINE WITH THE OTHER COMMISSIONS AND BOARDS. SO, UM, THANK YOU ALEJANDRA FOR TRYING . UM, ANY OTHER, ANY EDIT EDITS? ANY CHANGES? ALRIGHT, SO WE HAVE AN OPPORTUNITY FOR PUBLIC PARTICIPATION. UM, ANY MEMBERS OF THE PUBLIC WHO WOULD LIKE TO SPEAK. OKAY. AWESOME. AND THEN OUR EXECUTIVE STAFF POSITIONS. ALLISON, ARE YOU, ARE YOU READY? OKAY. YEAH. EXCELLENT. GOOD MORNING. GOOD MORNING. JUST A FEW HERE TODAY. UH, I WANT YOU TO KNOW THAT PRESENT EARLY EDUCATION, EARLY CHILDHOOD EDUCATION PLAN AND ARE MOVING INTO A PHASE OF, UM, EXECUTING A LEASE FOR THE CHALLENGE EDUCATION BUILDING ON THE WEST SIDE, WHICH IS SOMETHING THAT, UM, I'M REALLY EXCITED TO BE ABLE TO DO. AND SO THAT WILL BE HAPPENING. UM, I HAD THE OPPORTUNITY TO SIT WITH THE MAYOR, UM, WITH SOME IMMIGRANT RIGHT ORGANIZATIONS ON WEDNESDAY. UM, VERY CONCERNING INFORMATION ABOUT WAYS IN WHICH WE SUPPORT THIS COMMUNITY WITH RESPECT TO THE ORDERS OF THAT BEEN SPOKEN ABOUT, UH, WITH THIS ADMINISTRATION, UM, [00:05:02] LOTS OF CONVERSATION WILL NEED TO BE HAD BECAUSE IT SOUNDS LIKE A KIND OF SUPPORT THAT WE WERE ABLE TO RENDER WITH THE PANDEMIC, BUT THERE IS NO FUNDING COMING FOR THAT SUPPORT. AND THERE ARE NONPROFIT ORGANIZATIONS WHO ARE, UM, GEARED UP FOR THE WORK. UM, IT WOULD BE IMPORTANT FOR THE CITY AS WELL AS THE COMMUNITY TO SUPPORT THEM. ISSUES AROUND EVERYTHING FROM FOOD INSECURITY, UM, JUSTICE FOR PEOPLE WHO WILL NOT BE ABLE TO, TO EARN LIVING IN THE WAY THAT THEY HAVE BECAUSE OF THE FEAR. UH, WE HAVE EMPLOYEES AT CITY AND THROUGHOUT THIS COMMUNITY THAT ARE SUCCESSFUL CONTRIBUTORS, BUT THEIR FORMER STUDENTS AND, UM, THEY TOO ARE AT RISK. UM, SOME OF OUR WORK WILL NEED TO BE WITH HELPING PARENTS WITH CARE AFFIDAVITS IF PARENTS AREED AND CHILDREN WHO WERE BORN HERE ARE LEFT. UM, WE DON'T KNOW WHAT THAT'S GONNA LOOK LIKE RIGHT NOW, BUT WE'RE GONNA CERTAINLY BE A PART OF WORKING WITH OUR OFFICE OF EQUITY BECAUSE THEY DO THAT WORK. ERICA, UM, WAS HERE. TODAY'S OUR COLLECTIVE IMPACT GIRL. THEY WILL LEAD FROM HEALTH DEPARTMENT PERSPECTIVE AS WELL AS COMMUNITY HEALTH WHO WORKS FOR PEOPLE IN SIGNING UP UP FOLKS FOR CAL AIM. VERY WORRIED ABOUT, UM, PEOPLE HAVING HEALTH EQUITY AND ACCESS TO HEALTH SERVICES. UM, BECAUSE OUT FEAR THEY MAY NOT SEE US. SO JUST A LOT ON THE HORIZON THAT WE DO KNOW IS COMING. WE DUNNO WHAT WE'LL HAVE TO WORK WITH TO SUPPORT THESE EFFORTS. UM, BUT I WANNA SHARE THAT WITH YOU HERE AS A FOUNDATION FOR SOME OF THE WORK THAT WILL NEED TO BE DONE NEXT YEAR. UM, WE'LL ALSO BE PREPAR FOR 2026 BUDGET. UM, WE KNOW WE HAVE SOME CHALLENGES AROUND THAT. UH, WE'RE WORKING WITH OUR FINANCIAL MANAGEMENT, UM, TO ADDRESS IT. AND, UH, I JUST WANT YOU TO BE AWARE OF IT BECAUSE ADVOCACY AND SPACES THAT YOU CAN INFLUENCE OTHERS TO KNOW AND UNDERSTAND THE CHALLENGES WITH WORKING. UM, I'LL BE WORKING, UM, VERY HARD TO, UH, IDENTIFY NONPROFITS THAT MIGHT BE ABLE TO SUPPORT THE PHIL FROM A PHILANTHROPIC PERSPECTIVE. UM, WE, WE DON'T KNOW WHAT WILL GO AWAY FEDERALLY. UM, WE DUNNO WHAT THEY WILL DO TO STATE FUNDING. UM, BUT WE DO KNOW THAT WE NEED TO DEVELOP THOSE RELATIONSHIPS SO THAT THERE IS A PLAN IN PLACE, PERHAPS COVER WHAT THEY LOST BECAUSE WE KNOW THAT THERE ARE ALLIES THERE AND WE NEED TO FIND, UM, I REPORTED LAST MONTH THAT, UM, I WAS HOPING TO ANNOUNCE OUR DEPUTY IN THIS SPACE AND, UM, AS DECIDED AS I WAS, THAT DID NOT WORK OUT. SO WE ARE GONNA GO BACK TO JOIN THAT. I'M VERY SORRY. UM, BUT IT HAD MORE TO DO WITH, UM, CRYSTAL, THE CAMPUS PART THAT, THAT HAPPENED SUBSEQUENT TO OUR INTERVIEW PROCESS. WE WENT THROUGH A VERY ARDUOUS AND LONG NEGOTIATION, GET TO SOMETHING THAT WAS ACCEPTABLE. UM, BUT THERE, SORRY, MY TEAM IS JUST HEARING THAT. YEAH, IT'S DISAPPOINTING. IT'S DEFINITELY A LOT OF TRANSITION AND TRYING TIMES AND CHALLENGES AND, UM, GOOD LUCK TO YOU GUYS. AND, UM, IF THERE'S ANY OPPORTUNITY FOR, UM, ANYBODY IN, UH, PARTICIPANTS OF THE BOARD TO ADVOCATE, UM, TO PARTICIPATE, TO SUPPORT, UM, PLEASE, UM, REACH OUT OR BRING THE OPPORTUNITY TO THE GROUP. UM, I THINK WE NEED, CAN I ASK QUESTION? YES, OF COURSE. UM, ALLISON, YOU MENTIONED THAT YOU SAID IT WILL, IT SOUNDS LIKE IT WILL LOOK LIKE SOME OF THE THINGS THAT YOU HAD TO DO DURING COVID, BUT WITHOUT THE FUNDING. COULD YOU ELABORATE ON THAT? WHAT DOES THAT MEAN? SO THERE WAS, UM, FUNDING RECEIVED AS A PART OF THE CORONAVIRUS, UM, UM, AID RELIEF RELIEF [00:10:02] EMERGENCY. YES, YES, YES. UH, SO IT'S CALLED CARES ACT. SO THAT THAT FUNDING WAS THERE FOR US, UM, IN ABUNDANCE. IN FACT, WE JUST DID OUR, UH, LONG BEACH RECOVERY FAST CLOSE OUT ON YESTERDAY. UM, IT, IT REALLY TOOK ME BACK TO ALL OF THAT WAS HAPPENING AT THAT TIME. IT SEEMS SO DISTANT AND YET THE TRAUMA AND THE PAIN OF IT IS STILL SO PRESENT. BUT, UM, IT, IT FEELS LIKE A LIFETIME AGO. BUT, YOU KNOW, THERE WAS, THERE WAS MONEY, THERE WAS MONEY COMING IN. UM, IN THIS INSTANCE IT IS THE FEDERAL GOVERNMENT WHO IS ENACTING THIS LEGISLATION AND THIS ACTIVITY THAT IS GOING TO CREATE THE PROBLEM AND SUPPORTING THE PEOPLE THAT WILL BE IMPACTED BY IT. AND IN SOME CASES TARGETED BY IT WILL NOT BE SOMETHING THAT THEY WILL SUPPORT FINANCIALLY. MM-HMM . THERE WON'T BE MONEY FOR FULLY INSECURITY. THERE WON'T BE MONEY TO PROVIDE PEOPLE WITH THE FUNDS NEEDED FOR BRING TO THE COURT TO ACT ON THEIR BEHALF. UM, THERE WON'T BE MONEY FOR, UM, THE KIND OF PROTECTIONS THAT WILL BE NEEDED AS, AS I'M TOLD BY SOME OF THESE AGENCIES WHO HAVE, YOU KNOW, WORKED WITH, YOU KNOW, ICE FOR MANY YEARS, UM, MANY YEARS. THEY MOVE IN VERY CLANDESTINE AND AS, UM, THEY MOVE IN WAYS THAT ARE NOT ALWAYS FOR MM-HMM. THEY GET OTHER ORGANIZATIONS LIKE POLICE AND ASSIST THEM IN THEIR EFFORTS TO IDENTIFY PEOPLE IN SPACES, UH, WHERE THEY SHOULD BE PROTECTED MM-HMM . UM, BUT THEY'RE NOT. GOT IT. AND THAT TAKES GOT IT. YEAH. I CONCERNED ABOUT THE BEING ONE OF THOSE. ABSOLUTELY. ABSOLUTELY. YEAH. AND SO THAT WAS ONE OF THE CONVERSATIONS THAT ALSO TOOK PLACE WAS, YOU KNOW, BEING ABLE TO REALLY CREATE SOME SORT OF STRUCTURE AND SOME SORT OF SUPPORT AROUND THE PASSED IN 2018. UM, THAT WHILE WE ARE NOT A SANCTUARY CITY THAT VALUES ACT ALIGNS WITH SANCTUARY CITY, UM, VALUES, UM, BUT THEY ARE DEFINITELY, WE'LL BE REACHING OUT TO CREATE A NETWORK WHICH INCLUDES OUR EDUCATIONAL INSTITUTIONS. OKAY. THAT'S GOOD TO HEAR. THANK YOU ERICA. THE REST OF IT IS TERRIBLE TO HEAR, BUT THAT LAST PART IS GOOD TO HEAR. ABSOLUTELY. YEAH. ERIC, COULD YOU ADD ANYTHING ELSE TO THAT? BECAUSE YOU WERE IN THAT MEETING? AM I MISSING ANYTHING? YEAH, I WOULD JUST SAY THE MAYOR SEEMS VERY COMMITTED TO MAYOR STAFF A DIFFERENT, UM, AMENDMENTS THAT THE COMMUNITY GROUPS WANNA MAKE. AND SO MAYORS GONNA LOOK INTO IT TO SEE WHAT WOULD BE POSSIBLE C ATTORNEY TO SEE HOW HE, HIS POLICIES, HE SEEMS VERY COMMITTED. AND SO WE'RE HOPING THAT, UM, ACTION GET OUR KIND OF BOOTS ON THE GROUND, UM, ACTION. BUT MORE TO COME ON THAT FORTUNATE, THAT COMMUNITY REALLY WANNA WORK WITH US. UM, ONE KIND OF, I THINK OBVIOUS CHALLENGE THAT WE HAVE IS THAT IF, UM, WE KNOW THAT DEPARTMENT, WE'RE NOT OF COMMUNITY AND SO WE'RE NEEDS. EXCELLENT. THANK YOU. ANY OTHER QUESTIONS? NO, I MEAN, I THINK WE'RE CAN BE AHEAD OF THE GAME IF WE DON'T HAVE THE FUNDING. WE HAVE SOME OF THE WORKFLOW. WE WERE SO SUCCESSFUL, YOU KNOW, DURING COVID IN THIS CITY THAT THERE ARE SOME WAYS THAT WE ALREADY HAVE PATHS WE CAN CREATIVE ABOUT PARTNERSHIPS. SO I THINK WE'RE POISED TO HAVE SOME OF, SOME OF THE HEALTH RESOURCES ARE ALWAYS THE ISSUE. THAT'S AN EXCELLENT POINT. UH, THE NETWORKS THAT WERE CREATED, THE RELATIONSHIPS THAT WE'RE A TRUSTED MESSENGER. UM, AND ONE OF THE BIG, UM, ISSUES IS INFORMATION AND THE MISINFORMATION THAT GOES OUT. SO AS A TRUSTED, WE WANNA USE THAT PRIVILEGE. WELL AND, UM, YOU KNOW, REALLY BE THOUGHTFUL ABOUT WHAT WE PUT OUT HERE, WHAT TO WORK WITH, OTHER, UM, MESSAGES THAT ARE TRUSTED IN THE COMMUNITY TO ENSURE THAT PEOPLE ARE GETTING THE RIGHT INFORMATION. [00:15:01] I SEE IT AS MENTAL HEALTH. WE HAVE LOTS OF FUNDING AND WE DON'T GET TO THE PEOPLE THAT NEED THE HELP. WE'RE NOW GONNA HAVE, NOT FUNDING, BUT WE HAVE PEOPLE THAT NEED THE HELP. SO I THINK THERE IS SOME TO OVERLAP IN THERE TOO, WITH THE STIGMA AND THE TRUST. OH. WHICH IS AMAZING. YEAH. TO HAVE LEADERSHIP THAT REALLY GETS THE NUANCE YES. OF THE COMMUNITY. THANK. ALRIGHT, I'D LIKE TO, UH, SECURE A FIRST MOTION TO ACCEPT AND FILE THIS REPORT FROM THE DIRECTOR OF HEALTH AND HUMAN SERVICES. SO MOVE, GOT A FIRST, A SECOND. . FIRST AND SECOND. ALL THOSE IN FAVOR? AYE. EXCELLENT. THANK YOU VERY MUCH. UM, DO WE HAVE A REPORT FROM THE CITY HEALTH OFFICER? YES. UM, DR. DAVIS COULDN'T BE HERE WITH US, BUT, UH, SHE DID INCLUDE AN UPDATE, WHICH IS IN YOUR PACKET. OKAY. EXCELLENT. IF YOU CAN TAKE A COUPLE MINUTES TO REVIEW THAT AND THEN WE WILL, UM, ACCEPT THAT AS WELL. ALL RIGHT. CAN I GET A FIRST MOTION TO, UH, ACCEPT THE HEALTH OFFICER'S REPORT? I MOTION TO ACCEPT THE REPORT. SECOND, SECOND. FIRST AND SECOND. ALL THOSE IN FAVOR? AYE. AYE. EXCELLENT. THANK YOU SO MUCH. AND A CITY LEGISLATIVE AGENDA REPORT. GOOD MORNING EVERYONE. UH, SO THE LAST TIME WE MET WAS JUST A FEW DAYS AFTER THE ELECTION AND, UM, WE'RE JUST PROCESSING THAT INFORMATION AND TODAY I'M GONNA PROVIDE AN UPDATE ON THE POTENTIAL PUBLIC HEALTH IMPACTS OF THE TRUMP ADMINISTRATION. AND INFORMATION THAT WILL BE PRESENTED TODAY HAS BEEN GATHERED FROM OUR FEDERAL LOBBYISTS, UM, PUBLIC HEALTH ORGANIZATIONS, ADV ADVOCACY ORGANIZATIONS, INCLUDING NACHO AND AND PROJECT 2025. I'M SORRY, . OKAY. SO, UH, THIS UPDATE IS NOT EXHAUSTIVE BECAUSE WE CONTINUE TO LEARN MORE AND MORE ABOUT THOSE IMPACTS EVERY DAY. UM, AND SOME FOLKS MAY THINK THAT CALIFORNIANS ARE SHELTERED FROM THESE MAJOR POLICY IMPACTS, BUT WE'RE NOT. A BIG REASON FOR THAT IS BECAUSE THE STATE OF CALIFORNIA RECEIVES ONE THIRD OF ITS BUDGET FROM THE FEDERAL GOVERNMENT, AND 70, 75% OF THOSE FUNDS SUPPORT HEALTH AND HUMAN SERVICES. 66% OF THOSE FUNDS ALONE FOR HEALTH AND HUMAN SERVICES ARE FOR MEDI-CAL. AND MANY OF THE STATE GRANTS THAT WE APPLY ARE ACTUALLY, UH, PASS THROUGH FUNDS FROM THE FEDS. WHAT NUMBER WE 70? 75%. 75%. THANK YOU. OUR STATE BUDGET IS AT FOUR $50 BILLION AND WE RECEIVE, UM, 53. SO I'M GONNA BREAK IT DOWN INTO THREE SECTIONS. THE FIRST IS RELATED TO NEW LEADERSHIP. THE SECOND SECTION IS AROUND POLICY CHANGE, POTENTIAL POLICY CHANGE, AND THEN THE THIRD IS, SO WHAT ARE WE GONNA DO ABOUT IT? UM, SO WE'LL START WITH NEW LEADERSHIP. SO AS YOU ALL MAY ALREADY KNOW, UH, ROBERT F. KENNEDY JUNIOR HAS BEEN NOMINATED AS THE SECRETARY OF THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES. HE HAS NO BACKGROUND OR TRAINING IN PUBLIC HEALTH OR MEDICINE. HE HAS AN ANTI-VACCINE STANCE, BELIEVING THAT VACCINES MAY CAUSE AUTISM, OPPOSES WATER. FLUORIDATION WANTS TO FOCUS MORE ON CHRONIC DISEASE, BUT THROUGH NUTRITION AND FOOD RATHER THAN MEDICAL INTERVENTION. HE'S A PROPONENT OF RAW MILK, WHICH IS ESPECIALLY CONCERNING RIGHT NOW BECAUSE OF, UH, TO AND OUR RECALLS. UM, NEXT WE HAVE DR. DAVE WELDON HAS [00:20:01] BEEN NOMINATED AS THE CDC DIRECTOR. UM, HE IS A PHYSICIAN, UH, PRACTICES IN FLORIDA. HE'S A REPUBLIC. HE WAS A REPUBLICAN CONGRESSMAN WHO SERVED BETWEEN 2000, SORRY, 1995 AND 2009. AND DURING HIS TENURE, HE ARGUE THAT ABSTINENCE WAS THE MOST EFFECTIVE WAY TO PREVENT STIS. HIS VIEWS ON VACCINES ARE ALIGNED WITH RFP JUNIOR, BELIEVING THAT THE MEASLES VACCINE MAY CAUSE AUTISM IN CHILDREN. AND AS QUESTIONED LARGE AND EPIDEMIOLOGICAL STUDIES, UH, THAT HAVE REFUTED THE BETWEEN, UH, VACCINES AND AUTISM, HE BELIEVES THAT VACCINE SAFETY SHOULD BE PULLED OUT OF THE CDC AND BECOME ITS OWN SEPARATE ENTITY WITHIN THE DEPARTMENT OF HEALTH AND HUMAN SERVICES. HOWEVER, HE WAS ONE OF, UH, HE WAS ONE OF THREE REPUBLICANS TO SPONSOR A BIPARTISAN BILL TO PAY FOR, UM, HIV TB AND MALARIA PROGRAMS IN DEVELOPING COUNTRIES. UH, $15 BILLION WORTH. NEXT WE HAVE DR. ETTE OZ, WHO'S BEEN NOMINATED AS THE DIRECTOR OF C LIKE A, LIKE A NO, I ACTUALLY KNOW THAT ONE. LOVE TO HEAR ABOUT THAT. NO, YOU WOULDN'T. NO. . UM, SO HE'S BEEN NOMINATED AS THE DIRECTOR OF CENTERS FOR MEDICARE AND MEDICAID SERVICES. HE'S A HEART SURGEON AND FORMER DAYTIME TELEVISION HOST, BUT NO EXPERIENCE IN GOVERNMENT. UH, BROAD AN OPINION COLUMN IN FORBES IN FAVOR OF UNIVERSAL HEALTH COVERAGE FINANCE THROUGH A 20% PAYROLL TASK AND ELIMINATING, UM, EMPLOYER HEALTH COVERAGE. SO THAT'S KIND OF AT ODDS WITH THE REST OF PARTY, UM, BUT HAS BEEN GENERALLY SUPPORTIVE, INCREASING ACCESS TO HEALTHCARE, BUT HAS BEEN CRITICAL OF THE A CA. NEXT WE HAVE THE CHAIR OF HOUSE APPROPRIATIONS, AND THAT'S TOM COLE, A CONGRESSMAN FROM KENTUCKY. AND NACHO SAID THAT HE HAS BEEN A PROPONENT OF PUBLIC HEALTH AND HAS WORKED WELL WITH KENTUCKY. NEXT WE HAVE, UM, THE CHAIR OF SENATOR APPROPRIATIONS, SUSAN COLLINS, WHO'S, UH, SENATOR FROM MAINE. UH, SHE'S A REPUB, SHE'S A REPUBLICAN, BUT MODERATE. AND, UM, NA SAID THAT SHE'S A PROPONENT OF PUBLIC HEALTH AS WELL. SO THAT'S GOOD USE FOR US. UM, FINALLY WE HAVE ELON MUSK AND VE GROSS SWAMI LEADING A NEW, UM, BODY OF WORK IN THE GOVERNMENT. IT'S CALLED THE DEPARTMENT OF GOVERNMENTAL EFFICIENCY. AND THEY'LL WORK WITH THE, THE OFFICE OF MANAGEMENT AND BUDGET TO TRIP $2 TRILLION FROM THE FEDERAL BUDGET. AND THIS IS A COMMISSION, IT'S NOT A REGULATORY DEPARTMENT, SO THEY CAN ONLY MAKE RECOMMENDATIONS, BUT PRESIDENT-ELECT TRUMP CAN ACT ON THOSE RECOMMENDATIONS THROUGH EXECUTIVE, UM, ORDERS. AND THE, THE, THE CUTS WILL LIKELY HAPPEN IN NON-DEFENSE DISCRETIONARY PROGRAMS. I'M GONNA PAUSE THERE, SEE IF THERE ARE ANY QUESTIONS. OR BEFORE MOVING ON THE POLICIES THESE HAVE BY THE SENATE BEFORE THEY CAN GET THE POSITION RIGHT, ROBERT? YEAH, CERTAINLY. OKAY. SO HEARING NONE, WE'RE GONNA MOVE INTO HEALTH POLICIES. SO THIS IS THE LONG ONE. UM, SO WE'LL START WITH PUBLIC HEALTH. SO BASED OFF WHAT WE'RE LEARNING FROM IN PROJECT 2025, THEY RECOMMEND SPLITTING THE CDC INTO TWO AGENCIES. ONE FOR DATA COLLECTION AND SURVEILLANCE, AND THE OTHER FOR POLICY RECOMMENDATIONS. AND THIS WOULD SLOW DOWN EMERGENCY RESPONSES SIGNIFICANTLY. THEY WOULD PROHIBIT CDC FROM ISSUING PRESCRIPTIVE GUIDANCE, INCLUDING GUIDANCE ON VACCINES AND LIMIT PUBLIC HEALTH AUTHORITY. UM, AND IN JUNE OF 2024, THE HOUSE LED, UM, I'M SORRY, THE REPUBLICAN LIGHTHOUSE PROPOSED 24 FISCAL YEAR 24 25, UH, APPROPRIATIONS BILL. AND THEY PROPOSED A 20% REDUCTION TO CBC'S BUDGET, WHICH AMOUNTS TO $1.8 BILLION, ELIMINATING FUNDING ALTOGETHER FOR MULTIPLE PROGRAMS, INCLUDING THE CENTER FOR INJURY PREVENTION FIREARM, INJURY PREVENTION RESEARCH, TOBACCO PREVENTION, ENDING THE HIV EPIDEMIC ANYMORE FOR HRSA, THEY PROPOSED ELIMINATING TITLE 10 FAMILY PLANNING AND HEALTHY START, WHICH HELPS TO REDUCE DISPARITIES IN INFANT MENTALITY. [00:25:02] A SMALL PIECE OF GOOD NEWS IS THAT THEY DO NOT ANTICIPATE, UH, MAKING CUTS TO THE CD'S PUBLIC HEALTH INFRASTRUCTURE GRANT. UM, THIS HAS BEEN A WIDELY POPULAR PROGRAM THAT FLOODS, UM, STATE AND LOCAL HEALTH JURISDICTIONS AROUND INFRASTRUCTURE. AND WE HAVE THIS GRANT. WE, UH, RECEIVE ABOUT $6.8 BILLION, UH, FOR THIS. NEXT WE HAVE CAL AIM. SO LAUNCHED IN 2022. CAL AIM USES FEDERAL MEDICAID DOLLARS TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, BUT IT REQUIRES FEDERAL WAIVERS, UM, TO USE THESE THREATS IN UNTRADITIONAL WAYS. THINGS LIKE PAYING FOR COMMUNITY HEALTH WORKERS, SUPPORTING THE REENTRY POPULATION, CONNECTION TO HOUSING, ET CETERA. HOWEVER, THE WAIVERS END IN 2026 AND THERE'S CONCERN THAT THE NEW ADMINISTRATION WILL TERMINATE THE WAIVERS BASED ON HIS DISLIKE FOR CALIFORNIA IN GENERAL. NEXT, WE MOVE ON TO HOUSING. SO WE ANTICIPATE DECREASED, UH, FUNDING AND ANNUAL BUDGETS FOR AFFORDABLE HOUSING AND HOMELESSNESS PROGRAMS, CUTTING HOUSING BENEFITS THROUGH TIME LIMITS WORK REQUIREMENTS, HIGHER RENTS, UH, BAN FAMILIES WITH UNDOCUMENTED MEMBERS FROM LIVING IN FEDERALLY ASSISTED HOUSING. REPE, UH, REPEAL REGULATIONS MEANT TO PREVENT SEGREGATION AND COMPLY WITH THE FAIR HOUSING ACT. AND, UM, AND A HOMELESSNESS POLICY AS HOUSING FIRST, WHICH PLACES PEOPLE IN STABILIZED HOUSING THEN HELPS THEM TO ADDRESS THE DRUG AND MENTAL HEALTH ADDICTIONS. AND, UH, THE TRUMP ADMINISTRATION IS SAYING THAT THEY SAID SOBRIETY SHOULD BE A REQUIREMENT, BUT WE HAVE TRIED THIS MANY TIMES BEFORE AND IT'S NOT WORKED. UM, NEXT WE MOVE TO IMMIGRATION. UH, SO WE'RE LIKELY TO SEE, WE'RE UNLIKELY TO SEE MASS DEPORTATIONS IMMEDIATELY. THEY PLAN TO FOCUS ON MIGRANTS WITH CRIMINAL RECORDS AND PREVIOUS REMOVAL ORDERS. FIRST, AS ALLISON SAID EARLIER, AND DACA, UH, DECLARE A NATIONAL EMERGENCY TO SECURE FUNDING FOR THE WALL. UM, DECLARE A NATIONAL EMERGENCY TO USE MILITARY TO DETAIN UNDOCUMENTED IMMIGRANTS, WHICH MEANS THE ABILITY TO CREATE MORE SPACES FOR DETENTION CENTERS. UM, THE DEPARTMENT OF EDUCATION COULD POTENTIALLY SHARE FEDERAL COLLEGE FINANCIAL AID INFORMATION WITH IMMIGRANT, UH, IMMIGRATION AGENCY. SO PARENTS, STUDENTS WHOSE PARENTS, STUDENTS WHOSE PARENTS ARE UNDOCUMENTED MAY FOREGO FAF ALTOGETHER. UM, THERE'S INCREASED. THERE WILL BE INCREASED PRESSURE ON SANCTUARY CITIES TO FORCE COOPERATION WITH FEDERAL DEPORTATION EFFORTS. THERE'S SOME POTENTIAL TO END BIRTHRIGHT CITIZENSHIP, UM, AND REINSTATE THE PUBLIC CHARGE. SO THIS MAY LEAD TO A DECREASE IN ENROLLMENT FOR WIC, MEDI-CAL, MEDICARE, OR ANY OTHER PUBLIC, UH, ENTITLEMENT PROGRAM. AND SOME LOCAL HEALTH JURISDICTIONS ARE ALREADY SEEING A DROP IN ENHANCED CARE MANAGEMENT CASE LOADS THROUGH CAL A AND THEY'RE CONCERNED THAT IF THEY CONTINUE TO HAVE DIFFICULTY MAINTAINING A CASE LOAD, THEY'LL NOT PARTICIPATE WITH S PARTICULARLY CONCERNING BECAUSE CAL A IS JUST IN INFANCY. AND, UM, IF IT CAN IT BE SUSTAINABLE, THEN IT JUST, IT IT WON'T LAUNCH AT ALL, REALLY. OKAY. SO NEXT WE HAVE HEALTHCARE SERVICES. SO THERE ARE, UM, THREATS TO ADDING WORK REQUIREMENTS AND CAPPING BENEFITS FOR MEDICAID. THERE ARE THREATS OF DISMANTLING THE A CA, BUT THIS IS A PRETTY WIDELY POPULAR PROGRAM WITH HIGH UTILIZATION RATES, UM, IN RED STATES ALSO. SO THEY THINK THAT IT'S MORE, MORE TALK THAN ACTUAL ACTION. UM, AND THEN WE MOVE ON TO TARIFFS. SO THERE WILL BE, THIS HAS BEEN A KEY COMPONENT OF TRUMP'S CAMPAIGN AND SO AS TO BE TALKED ABOUT A 25% INCREASE ON MEXICO AND CANADA IMPORTS. AND THAT COULD HAVE, OH, AND AN ADDITIONAL 20% ON CHINESE IMPORTS. SO THAT COULD HAVE A BIG IMPACT ON THE SUPPLY CHAIN. AGAIN, UM, WHICH MAY IMPACT ANY CONSTRUCTION PROJECTS THAT WE MIGHT HAVE OR PUBLIC HEALTH, UH, BODY EQUIPMENT. THERE IS GOING TO BE A BIG ATTACK ON DIVERSITY, EQUITY, AND INCLUSION. AND THIS MIGHT LOOK LIKE ABOLISHING DEI OFFICES AND TERMINATING STAFF WITHIN THE FEDERAL GOVERNMENT. REDUCING DATA COLLECTION ON GROUPS BASED ON SEXUAL ORIENTATION, GENDER IDENTITY, RACE, ETHNICITY, MAKING IT MORE [00:30:01] DIFFICULT TO REDUCE DISPARITIES AND INTRODUCE LAWS THAT BAN GENDER AFFIRMING CARE FOR YOUTH OR FAMILY SURGERY. AND THEN OF COURSE, THERE'S ENERGY ON THE PUBLIC HEALTH IMPACTS OF CLIMATE CHANGE. SO THEY PLAN TO RESCIND ANY REMAINING FUNDING FROM THE INFLATION REDUCTION ACT. UM, REALLY GUT THE EPA BY REDUCING ITS BUDGET, UH, DECREASING ITS SIZE RESEARCH AND REACH CLOSE VACANCIES AND DECREASE ITS WORKFORCE. AND THEN, UH, ROLL BACK ENVIRONMENTAL JUSTICE PROGRAM. I'M GONNA PAUSE THERE, SEE IF THERE ARE ANY QUESTIONS. THAT WAS VERY STRESSFUL. I FEEL LIKE A LOT OF TENSION ON MY SHOULDERS RIGHT NOW. OTHER THAN THAT THIS IS, OKAY. SO, UM, WE'RE GONNA MOVE INTO WHAT ARE WE DOING TO PREPARE FOR THIS? SO AT THE STATE LEVEL, UM, THE LEGISLATURE IS INTRODUCING TWO BILLS. ONE IS, UM, FROM THE SENATE, UM, $25 MILLION TO THE CALIFORNIA DEPARTMENT OF JUSTICE TO BOLSTER LEGAL RESOURCES OF 10 MILLION FOR COUNTY COUNCILS AND CITY ATTORNEYS, AND 25 MILLION FOR LEGAL AID EFFORTS AND LEGAL SERVICES FOR LOCAL COMMUNITY SERVED. AND THEN THERE'S A SEPARATE BILL FROM THE ASSEMBLY, UH, TO IMMEDIATE IMMEDIATELY ALLOCATE $500,000 TO FUND INITIAL DO OJ CASE PREPARATION. UH, CIAC IS MEETING WITH ALL LOCAL HEALTH JURISDICTIONS TO UPLIFT CONCERNS, RECOMMENDATIONS TO CDPH. UM, AND THEN THEY'RE PROCESS OF SECURING A CONTRACT FOR A FEDERAL LOBBYIST TO ADVOCATE AT, UH, THE FEDERAL LEVEL. IN TERMS OF, UH, THE LONG BEACH HEALTH DEPARTMENT, WE ARE DOING OUR BEST TO FINALIZE ALL FEDERAL AND STATE PASS THROUGH CON, UH, GRANT CONTRACTS AS SOON AS POSSIBLE. PREFERABLY, OF COURSE, BEFORE JANUARY 10TH. UH, WE PLAN TO ANALYZE WIC AND MEDICAL ENROLLMENT RATES, UH, OR TRENDS FROM THE FIRST ADMIN FROM TRUMP'S FIRST ADMINISTRATION TO SEE HOW THAT HAS IMPACTED ENROLLMENT, BUT ALSO HOW WE CAN EFFECTIVELY TAILOR MESSAGING AROUND, UM, AROUND, UM, AROUND, UH, SORRY, AROUND MISINFORMATION, UM, AND HOW TO POTENTIALLY REDUCE THE CHILLING EFFECT THAT'S JUST TAKING PLACE IN . AND THEN ACTIVATING AND CONVENING TRUSTED CBO PARTNERS AS WE SPOKE TO EARLIER, UM, AS TRUSTED MESSENGERS TO RELAY ACCURATE INFORMATION. I I HAVE A QUESTION. WHAT'S THE, THE RATIONALE BEHIND THE INCREASED DOJ FUNDING, UH, LAWSUITS. SO THEY, THEY INTEND TO, THE TRUMP ADMINISTRATION IS GOING TO TRY TO ENFORCE A LOT OF REGULATIONS AND BILLS AND POTENTIAL LEGISLATION THAT MAY NOT BE CONSTITUTIONAL CONFLICT. CALIFORNIA LAW. YEAH. UM, SO THERE HAVE BEEN A LOT OF LAWSUITS IN THE PAST HERE, THE FIRST TRIP ADMINISTRATION, AND THEY EXPECT TO TAKE SIMILAR LEGAL ACTION. OKAY. THANK YOU. HALF A MILLION. UM, YEAH. $25 MILLION. 25 MILLION. YEAH. THAT'S NOT MILLION HALF WAS TO FUND INITIAL CASE PREPARATION RIGHT NOW. OKAY. A LITTLE BIT BETTER. IT'S KIND OF BASED UPON WHAT HAPPENED FOUR YEARS AGO MM-HMM . AND IT'S KIND OF, IF WE DON'T USE THE MONEY, YOU'RE NOT USING IT, BUT KIND, JUST SETTING IT ASIDE UP FRONT VERSUS REACTIONARY. YEAH. THANK YOU. YEAH, IT'S A LOT OF INFORMATION THAT WAS LIKE A LOT, A LOT OF INFORMATION. UM, SO YOU'RE CONTINUALLY LEARNING NEW THINGS EVERY DAY. AND SO I CAN CONTINUE TO KEEP YOU ALL, UH, POSTED AS I LEARN MORE. UM, BUT, UM, YEAH, THIS IS WHAT WE'RE . ANY OTHER QUESTIONS? WELL, THANK YOU VERY MUCH FOR THAT VERY DETAILED REPORT. I THINK IT'S IMPORTANT TO HAVE THOSE DIALOGUES UP FRONT AND THEN, UH, PLAN FOR IT. UM, ANYBODY WANT TO MAKE A FIRST MOTION TO ACCEPT THEN MAKE MOTION THE COURT? OKAY. SECOND. FIRST AND SECOND. [00:35:01] ALL THOSE IN FAVOR? AYE. AYE. ANY OPPOSITION? OKAY. EXCELLENT. THANK YOU. ALL RIGHT. REPORT WE'VE ALL BEEN WAITING FOR. ALRIGHT. ALL RIGHT. WE'D LIKE TO WELCOME, UM, THE FILIPINO, NATIVE HAWAIIAN PACIFIC ISLANDER, UM, HEALTH EQUITY COORDINATOR. AND ON THE, TO PROVIDE US AN UPDATE ON A REPORT THAT THEY HAD GIVEN A FEW MONTHS BACK. AND THIS CAME AT THE REQUEST OF THIS, UM, BOARD, UM, TO GIVE US AN INSIGHT ON WHAT THEIR FINDINGS WERE, THEIR INFORMATION, SO THAT WE AS A BOARD CAN BE FAMILIAR WITH, UM, SOME OF THE NEEDS OF OUR COMMUNITY. UM, A VERY, UM, TRANSITIONING, UM, DATA FORM BECAUSE OF THE OPPORTUNITY TO HAVE AN EQUITY TEAM, UM, REPRESENT OUR CITY HEALTH, AND THEN US AS HEALTH, UM, AND PROFESSIONALS IN OUR OWN ORGANIZATIONS TO BE ABLE TO BE EDUCATED AND AWARE OF WHAT, UM, OUR COMMUNITY NEEDS ARE, UM, AND WHAT SOME OF THE FINDINGS AND REPORTS ARE FROM THIS, UM, OUTSTANDING RESEARCH TEAM. SO I'LL PASS IT ON TO YOU. GOOD MORNING. AGAIN, BOARD MEMBERS, UH, THANK YOU AGAIN FOR THE OPPORTUNITY. UH, IT'S AN HONOR TO BE HERE WITH YOU ALL, UH, TALKING A LITTLE BIT MORE ABOUT OUR EXCITING WORK THAT WE'VE BEEN DOING TOGETHER. AND I'LL, I'LL ALSO BE PRESENTING WITH OUR HEALTH AND DATA ANALYTICS OFFICER, UH, . I'LL BE PASSING ON S SHORTLY. OKAY. UH, SO BEFORE I BEGIN, I JUST WANTED TO TALK A LITTLE BIT ABOUT MYSELF, UM, AS OUR INAUGURAL FILIPINO, NATIVE HAWAIIAN PACIFIC HIGHLANDER HEALTH EQUITY COORDINATOR. UM, THIS WORK IS REALLY NEAR AND DEAR TO MY HEART 'CAUSE I GREW UP IN LONG BEACH. UM, AND SO IT'S A REALLY, UH, BIG AND AMAZING OPPORTUNITY TO REALLY WORK WITH OUR COMMUNITY. UM, SO, UH, I I WANTED TO SHARE A LITTLE BIT ABOUT MY BACKGROUND BECAUSE I COME TO THIS WORK NOT ONLY AS A PUBLIC HEALTH PROFESSIONAL, BUT ACTUALLY AS A COMMUNITY ORGANIZER. UM, AND I THINK THAT'S IMPORTANT BECAUSE ONE OF MY FAVORITE COMMUNITY ORGANIZING QUOTES, UH, COMES FROM AN AUTHOR NAMED PAUL FERRAN. I'M NOT SURE IF ANYONE'S FAMILIAR WITH PAULO FERRAN. UM, AND ONE OF HIS, UH, MOST POPULAR QUOTES IS ATTEMPTING TO LIBERATE THE OPPRESSED WITHOUT THEIR CONSCIOUS PARTICIPATION IS TO TREAT THEM LIKE OBJECTS, UH, TO BE SAFE FROM A BURNING BUILDING. UM, AND SO I, I START WITH THAT. 'CAUSE WHEN I THINK ABOUT OUR COMMUNITY, I THINK WE HAVE TWO HATS. ONE IS TO TREAT THEM LIKE OBJECTS TO BE SAFE, UM, FROM A BURNING BUILDING. BUT THE OTHER IS TO REALLY TREAT THEM WITH DIGNITY AND RESPECT, UM, AND TO REALLY INVOLVE THEM FULLY IN THE PROCESS. AND SO I THINK THAT'S WHAT WE REALLY TRY TO DO AS OUR RACIAL AND HEALTH EQUITY TEAM. I THINK THAT'S WHAT WE DO IN ALL OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT AS MUCH AS POSSIBLE. HOW CAN WE REALLY INCORPORATE THE, UH, THE COMMUNITY IN AN AUTHENTIC WAY? UM, SO I WANTED TO START WITH THAT. 'CAUSE, UM, OUR FRAMEWORK THAT WE USE FOR OUR COMMUNITY HEALTH NEEDS ASSESSMENT ACTUALLY COMES FROM COMMUNITY BASED PARTICIPATORY RESEARCH. UM, AND SO I'M NOT SURE IF ANYONE IS FAMILIAR WITH CDPR. I SEE C NODDING HEADS, SO THAT'S GREAT. UM, AND SO BASICALLY WHAT CDPR IS, IS IT'S, UH, A FRAMEWORK OR AN APPROACH, UM, THAT REALLY VALUES AND RECOGNIZES THE STRENGTH OF THE COMMUNITY. AND SO IN THIS CASE, UH, WE'RE SPECIFICALLY TALKING ABOUT OUR NATIVE HAWAIIAN AND PACIFIC ISLAND COMMUNITY. UM, AND WHAT IT REALLY DOES IS IT, UH, ALLOWS THE COMMUNITY TO IDENTIFY WHAT ARE THE ISSUES MOST IMPORTANT TO THEM. UM, AND, UH, WHAT WE DO AS A TEAM IS WE TRY TO ENSURE THAT THERE ARE EQUITABLE PARTNERSHIPS, UM, AND THAT WE'RE ACTUALLY CREATING STRUCTURE STRUCTURES FOR THEIR PARTICIPATION. AND THEN FINALLY, IT'S REALLY ABOUT NOT JUST COLLECTING DATA, BUT HOW ARE WE APPLYING THIS RESEARCH INTO PRACTICE AND ACTUALLY CREATING POLICY AND CHANGE, UM, FROM THIS. SO ALLOWING OUR COMMUNITY TO HELP DRIVE THAT CHANGE, I THINK SIMILARLY TO HOW YOU ALL AS BOARD MEMBERS, UH, DRIVE CHANGE. UM, AND SO IN OUR FIRST PHASE, UM, THE FIRST STEP THAT WE DID WAS REALLY GOING TO OUR COMMUNITY AND STARTING TO BUILD OUT WHAT WE CALL OUR COMMUNITY ADVISORY COMMITTEE. UM, AND SO I'LL JUST SHORTEN THAT TO CAC TO SHORTEN THIS PRESENTATION A LITTLE BIT. UM, AND SO WHAT WE DID WAS, UM, WE FIRST MET WITH MANY COMMUNITY LEADERS FROM OUR NHPI COMMUNITY, UM, FROM VARIOUS ORGANIZATIONS WHEN WE ALLOWED THEM TO REALLY CONNECT US TO OTHER LEADERS IN THE COMMUNITY. UM, AND AS I STARTED TO LISTEN TO WHAT THEIR NEEDS WERE, UH, WE REALIZED THAT THERE WAS ALSO A HUGE NEED FOR CA. UM, AND I THINK WE SAW THIS DURING THE, UH, THE PANDEMIC WHEN, UH, ACTUALLY OUR NHPI COMMUNITY MEMBERS WERE, UH, DYING AT THE HIGHEST DEATH RATE COMPARED TO ANY ETHNIC GROUP. UM, AND I THINK EVEN WE AS A CITY, WE'RE NOT REALLY AWARE OF THAT 'CAUSE OF THE LACK OF DISAGGREGATED DATA FOR AN H. AND SO WE KNOW THAT HAVING DISAGGREGATED DATA FOR OUR COMMUNITY IS REALLY LIFE OR DEATH. AND SO AS, UH, AS A WAY TO REALLY PREVENT, UM, ANOTHER INCIDENT LIKE THAT IN THE FUTURE, WE WANTED TO MAKE SURE THAT WE'RE COLLECTING THE DATA THAT OUR COMMUNITY NEEDS. WE ALSO, THAT WE NEED, UM, AS, UH, AS A STATE. [00:40:01] UM, AND SO I'LL INTRODUCE THESE, UM, FIVE ORGANIZATIONS THAT EVENTUALLY JOINED, UM, OUR COMMUNITY ADVISORY COMMITTEE ON THE NEXT SLIDE. JUST WANTED TO TALK A LITTLE BIT MORE, UH, HIGHER LEVEL OF THE PROCESS, UH, BEFORE DOING SO. UM, AND SO AFTER WE FORMED THIS COMMUNITY ADVISORY COMMITTEE, WHAT WE ALLOWED OUR COMMUNITY, UH, OUR CAC TO DO, UM, JUST TO REALLY, UH, GUIDE AND REALLY DIRECT THE DIRECTION OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT. UM, SO WE USED OUR FILIPINO COMMUNITY HEALTH NEEDS ASSESSMENT AS A BLUEPRINT SINCE WE HAD JUST COMPLETED THAT AT THIS TIME. UM, BUT WE REALLY CAME TO THE TABLE WITH AN OPEN MIND AND IT REALLY ALLOWED OUR COMMUNITY ADVISOR COMMITTEE TO CHANGE, UM, PRETTY MUCH EVERYTHING THAT THEY WANTED TO CHANGE ABOUT THE C TODAY. UM, AND SO ONE OF THE MAJOR CHANGES THAT THEY WANTED TO DO WAS TO ACTUALLY SKIP FOCUS GROUPS. UM, SO FOR FILIPINO CHNA, WE DID FOCUS GROUPS AND WE ALLOWED THAT TO REALLY, UM, PULL OUT THE THEMES THAT WE WERE GOING TO USE IN OUR SURVEY. BUT BECAUSE OUR BRAND HPI COMMUNITY HAD ALREADY DONE FOCUS GROUPS, UM, IN 2021, UM, ON THEIR OWN INDEPENDENTLY, WE DECIDED TO BUILD OFF OF THAT WORK AND ACTUALLY START WITH A SURVEY AND ACTUALLY USE SOME OF THE SAVED FUNDING, UM, TO INVOLVE ARTISTS FROM OUR NHPI TEAM. AND SO THIS WAS A VERY INNOVATIVE APPROACH. UM, WE HAD NEVER, AS A RACIAL AND HEALTH EQUITY TEAM HEARD OF REALLY RESEARCH INVOLVING ARTISTS IN THIS KIND OF WAY. UM, BUT AS A WAY TO BE CULTURALLY COMPETENT AND RESPECTFUL OF HOW OUR NHPI COMMUNITY, UM, WANTED TO INTERPRET THE DATA, UM, WE WANTED TO REALLY ALLOW THEM, UM, TO, AS REALLY THE CULTURAL BEARERS, UM, AND THE STORYTELLERS OF THE COMMUNITY TO HELP BRING MEANING AND LIFE TO THE DATA. AND SO THIS IS ACTUALLY INSPIRED BY, UM, A EXHIBIT, A COMMUNITY EXHIBIT THAT OUR NHPI COMMUNITY DID IN, I THINK IT WAS 20 20 21 CALLED TO FOY. UM, IT WAS DONE IN COLLABORATION WITH THE PACIFIC ISLANDER ETHNIC ART MUSEUM. UM, AND THIS, UH, TOY FO MEANS THE RETURN IN SIMONON. UM, AND WHAT THEY DID WAS THEY WORKED WITH FIVE PACIFICA ARTISTS, UM, TO REALLY, UH, HAVE CONVERSATIONS ABOUT COVID AND THE IMPACT OF THE PANDEMIC ON OUR NHPI COMMUNITY. AND WHAT IT REALLY MEANT TO DO WAS TO JUST HUMANIZE, UM, THE, THE DEATH TOOL BEHIND, UM, THAT, THAT IMPACT OUR NHPI COMMUNITY. AND SO AS, AS OPPOSED TO SEEING IT AS NUMBERS, JUST AS DATA, THEY REALLY WANTED TO SEE, UM, THE TRUE IMPACT ON THE LIVES, AND NOT JUST THE, THE ONES THAT WERE LOST, BUT ON THE FAMILIES AS WELL. UM, AND SO I ACTUALLY GOT THE OPPORTUNITY TO, TO ACTUALLY SEE THIS EXHIBIT. IT WAS REALLY VERY MOVING. AND SO I THINK THAT HAD HAD A LOT OF INFLUENCE ON OUR DECISION, UH, TO TRY TO IMPLEMENT, UM, THAT SAME FRAMEWORK OF INVOLVING ARTISTS IN THIS PROCESS. UM, AND SO THAT LEADS US TO PHASE TWO, WHERE, UH, ONCE WE DEVELOPED THE SURVEY WITH OUR, OUR COMMITTEE, UM, WE ALLOWED THE PRIORITIES THAT CAME UP THROUGH THE SURVEY, UH, TO REALLY BE THE BASIS OF THE CONVERSATIONS THAT OUR ARTISTS LED. UM, AND SO WITH, WITH THAT INFORMATION, WE, UM, ARE ACTUALLY STILL CURRENTLY WORKING ON A REPORT, BUT WHILE OUR RESEARCH TEAM DEVELOPED THE MAIN FINDINGS, UM, FROM THAT SURVEY, UM, OUR ARTIST TEAM, UH, USED THE CONVERSATIONS THAT THEY FACILITATED TO ACTUALLY CREATE ART PIECES THAT WERE PRESENTED IN SEPTEMBER. AND SO WE HAVE SOME PICTURES OF THAT, UH, THAT WE'LL BE ABLE TO SHOW YOU LATER. AND WE'LL TALK A LITTLE BIT ABOUT WHAT THOSE, UH, THOSE, UH, SORRY, THOSE EXHIBITIONS WERE. UH, BUT UNFORTUNATELY WE WON'T BE ABLE TO SEE, UH, ON VIDEO TODAY, WHAT WE HOPE TO INCLUDE, UM, EITHER SNIPPETS, UM, OR WHATEVER THAT WE'RE ABLE TO WORK WITH THE ARTISTS TO DO, UM, IN THE ACTUAL FINAL REPORT THAT WE WENT TO SEE. UM, AND SO ONE, ONE LAST THING THAT I'LL, UH, JUST POINT OUT IN PHASE TWO, UH, ONE THING THAT WE WANTED TO DO WAS TO ACTUALLY ALLOW OUR TRUSTED COMMUNITY MESSENGERS, UH, TO ACTUALLY DO THE RECRUITMENT FOR OUR SURVEY. AND SO, UM, BY THE SUGGESTION OF OUR COMMITTEE, WE, UH, SELECTED FIVE DIFFERENT ORGANIZATIONS FROM OUR NHPI COMMUNITY TO ACTUALLY, UH, RECRUIT FOR OUR SURVEY AND ACTUALLY ADMINISTERED THE SURVEY. AND SO ONE OF THE THINGS THAT WE WERE AWARE OF, UM, WAS JUST THE LACK OF TRUST THAT EXISTED WITHIN THE NHBI COMMUNITY GOVERNMENT AND THE CITY. AND SO JUST TO REMEDIATE THAT A LITTLE BIT, WE, UH, SUBCONTRACTED FIVE DIFFERENT ORGANIZATIONS THAT WERE ALREADY DOING WORK IN THE COMMUNITY, UM, TO HELP SUPPORT THAT PROCESS. AND THEN FINALLY, PHASE THREE WAS OUR COMMITTEE COLLABORATING WITH OUR RESEARCH TEAM AND OUR ARTIST TEAM, UH, TO HOST A PRESENTATION, UH, THAT WE ACTUALLY DID IN SEPTEMBER AT THE, UH, BILLY JEAN TEAM LIBRARY. UH, THAT ALLISON, UH, ACTUALLY SO KINDLY OPENED UP AND GAVE OUR WELCOME FOR, UM, AND IT WAS JUST A REALLY HISTORIC DAY. 'CAUSE I DON'T THINK OUR NHPI COMMUNITY, UNFORTUNATELY, HAS HAD MANY OPPORTUNITIES, UH, TO ACTUALLY WORK WITH THE CITY IN THIS INTIMATE OF [00:45:01] A WAY. AND SO IT WAS A REALLY BIG, UH, DEMONSTRATION OF WHAT CAN, UH, REALLY HAPPEN WHEN OUR, WHEN OUR, WHEN OUR CITY SEES OUR COMMUNITY IN THIS WAY AND GIVES THEM THE POWER TO ACTUALLY BE TRANSFORM. OKAY. SORRY, THIS IS A MOUTHFUL. I'M GONNA GET A LITTLE BIT OF WATER, IF YOU DON'T MIND. SO I WON'T TALK TOO MUCH ABOUT OUR COMMITTEE, BUT I DO WANT TO JUST HAVE THESE INTRODUCE WHO SOME OF THE COMMITTEE MEMBERS WERE IN THE ORGANIZATIONS THAT THEY ACTUALLY REPRESENT. UM, AND SO A LOT OF THESE FOLKS ARE REALLY THE HEAVY HITTERS OF OUR NHPI COMMUNITY. IT WAS A REAL HONOR TO BE ABLE TO WORK WITH 'EM IN THIS WAY, UH, BECAUSE THESE ARE EXECUTIVE DIRECTORS, THESE ARE THE FOLKS THAT ARE REALLY INVOLVED IN ALL OF THE WORK WITHIN OUR HPI COMMUNITY IN SOCAL. UM, AND THEY REALLY STARTED OFF JUST AS EXECUTIVE DIRECTORS TO ME, BUT THEY ACTUALLY BECAME, UM, ALL AUNTIES, UH, TO ME IN THIS PROCESS. UM, I THINK IT'S JUST A BEAUTIFUL, UM, TESTAMENT TO WHAT CAN HAPPEN IF YOU REALLY TREAT OUR COMMUNITY IN AN AUTHENTIC WAY. YOU, YOU GO FROM JUST BEING LIKE CORDIAL RELATIONSHIPS TO ALMOST LIKE FAMILY IN THE PROCESS. UM, AND SO THE FIRST PERSON, UH, IS AUDREY ALO. UM, SHE ACTUALLY COMES FROM THE SOCAL PICKER, WHICH USED TO BE THE SOCAL, UH, PACIFIC ISLANDER COVID RESPONSE TEAM. SO IT WAS CREATED DURING COVID, UM, IN RESPONSE TO THAT LACK OF DATA AND A LACK OF, I THINK, INFORMATION THAT WAS BEING, UM, SENT TO OUR NHPI COMMUNITY IN A TIMELY MANNER. AND SO, AS A WAY TO KIND OF REMEDIATE SOME OF THOSE NEEDS, THEY ACTUALLY FORMED THE SOCAL PICKER, AND NOW THEY'RE CALLED THE, UH, SOCAL, UH, PACIFIC ISLANDER COMMUNITY RESPONSE TEAM. 'CAUSE NOW THEY'VE GOTTEN BROADER THAN JUST FOCUSING ON . UM, THERE'S AUNTIE FRIEND LUJAN, UH, WHO'S THE EXECUTIVE DIRECTOR OF THE PACIFIC ISLANDER ETHNIC ART MUSEUM. UH, SHE'S BEEN REALLY, UH, SHE'S ONE OF THE ELDERS OF THE COMMUNITY. AND I THINK, UM, SHE'S BEEN A BIG REASON WHY WE'VE BEEN ABLE TO GET SO MUCH PARTICIPATION FROM THE NHPI COMMUNITY IS WHATEVER AUNTIE SAYS IS WHAT GOES. SO, UM, AND THEN WE HAVE AUNTIE HEIDI KENGA, UH, FROM THE CONSIDER MORAL FOUNDATION. UH, KCF IS A CULTURE ORGANIZATION. SO THEY TEACH, UM, ABOUT NHPI CULTURE, UM, SPECIFICALLY CHAMORRO CULTURE. UM, THEY ALSO DO, UM, DANCE AS WELL. SO AT OUR ACTUALLY EVENT AT, AT OUR EVENT, THEY ACTUALLY DID, UM, A VERY BEAUTIFUL, UM, DEMONSTRATION OF THAT. UH, THEN WE HAVE MAY LYNN THOMPSON, UM, WHO'S ACTUALLY, UH, VERY INVOLVED IN HER CHURCH, BUT ALSO EMPOWERING PACIFIC ISLANDER COMMUNITIES. UM, HER CHURCH WAS ACTUALLY ONE OF THE SUBCONTRACTED ORGANIZATIONS THAT HELPED, UM, ADMINISTER THE SURVEY AS WELL. UM, AND THEN FINALLY WE HAVE PETER AKATA FROM FOE MOVEMENT. FOE MOVEMENT IS AN ORGANIZATION THAT WORKS WITH REENTRY AND ALSO PREVENTION AS WELL. UM, SO THEY DO REALLY IMPORTANT WORK, BUT A LOT OF, UH, THE FOLKS FROM FOE MOVEMENT ARE ACTUALLY FORMERLY INCARCERATED THEMSELVES. UM, AND SO THEY DO VERY DEEP AND MEANINGFUL. AND SO WITH THAT, I'LL PASS IT OVER TO CONTINUE. OKAY. GOOD MORNING EVERYONE. GOOD MORNING. UM, SO THROUGH THE EFFORTS OF COMMUNITY SERVING ORGANIZATION, A TOTAL OF 130, UH, SURVEYS FOR ADMINISTERED TO COMMUNITY MEMBERS BETWEEN APRIL AND MAY OF THIS YEAR. SO FOR THE PURPOSES OF THIS ASSESSMENT, A PARTICIPANT WAS CONSIDERED, AN ELIGIBLE PARTICIPANT, WAS CONSIDERED, UH, ANYONE WHO IDENTIFIES AS NATIVE HAWAIIAN OR PACIFIC ISLANDER, AT LEAST 18 YEARS OLD AND HAS EVER LIVED IN LONG BEACH THROUGH THE INSIDES OF COMMUNITY LEADERS. UM, WE LEARNED THAT MANY COMMUNITY MEMBERS MAY HAVE A HISTORY IN LONG BEACH, BUT MAY HAVE, UM, MOVED OUTTA LONG BEACH. SO THEY STILL HAD EXPERIENCES IN LONG BEACH, AND THAT'S WHY WE, UM, EXPANDED THE ELIGIBILITY CRITERIA. THE MAJORITY OF RESPONDERS, UM, WERE COLLECTED IN PERSON WHILE A HANDFUL OF PARTICIPANTS SUBMITTED, UM, RESPONSES ONLINE. SO BEFORE I DIVE INTO THE DATA, I DO WANT TO PROVIDE A BRIEF NOTE THAT THE SAMPLE WE'RE DISCUSSING TODAY IS FAIRLY SMALL. SO WE NEED TO BE CAREFUL WITH THE INTERPRETATION ON, UM, THIS DATA. THE PERCENTAGES WE SEE HERE MAY NOT NECESSARILY, UM, BE GENERALIZABLE TO THE GENERAL, UH, GREATER LONG BEACH, NATIVE HAWAIIAN PACIFIC VALLEY CARE COMMUNITY. HOWEVER, THIS DATA IS THE LARGEST DATA WE'VE EVER HAD IN THE CITY OF LONG BEACH FOR, UM, THIS PARTICULAR COMMUNITY. SO WE CAN LOOK AT THESE FINDINGS AS SIGNALS FOR, UM, UH, FOR OPPORTUNITIES FOR MORE, FOR FURTHER EXPLORATION. SO, WITH THAT SAID, LET'S DIVE INTO THE DATA. MAJORITY OF OUR SAMPLE, UM, UH, WAS ON THE YOUNGER END. AS YOU CAN SEE. UM, WE HAD MAJORITY OF OUR RESPONSE, UM, WERE BETWEEN 25 AND 44 YEARS OF AGE. AND [00:50:01] WE DID HAVE COVERAGE ACROSS ETHNICITIES. UM, MAJORITY OF OUR RESPONDERS WERE IDENTIFIED AS SAMOAN, BUT WE DID HAVE, UM, A, WE DID HAVE LARGER PARTICIPATION AS WELL AMONG RESPONDERS WHO IDENTIFY AS SHAMO AND LOGAN. UM, AS I MENTIONED EARLIER, A ALL ALL PARTICIPANTS HAVE LIVED IN LONG BEACH AT SOME POINTS IN THEIR LIVES. UM, MAJORITY OF OUR RESPONDERS, UH, AND PARTICIPANTS, SORRY, WERE IDENTIFIED AS PREVIOUS LONG BEACH RESIDENTS AND ONLY ABOUT 17%. UM, WERE CURRENTLY LIVING IN LONG BEACH. ON THE RIGHT, WE SEE PARTICIPANTS REPORTED BY INCOME ABOUT 11% REPORTED EARNING MORE THAN 135,000 IN 2023. AND THE REMAINING INCOMES REPORTED WERE SPLIT BETWEEN, UM, 50,000 OR LESS, UM, AND 50,000 TO, UH, 135,000 INCOME BRACKET. UM, WE DID HAVE OUR MOST REPRESENTATIVE WITH WITHIN THE 20,000 OR LESS. HOWEVER, I DO WANNA MENTION THAT ABOUT 30% OF PARTICIPANTS DID NOT ANSWER, UM, OR REFUSE TO RESPOND TO THIS QUESTION. AND THIS IS TYPICAL WHENEVER WE ASK ABOUT INCOME IN ANY SURVEY, THERE IS LARGE AMOUNT OF FOLKS THAT DON'T RESPOND TO THIS QUESTION. UM, WE DID HAVE A MAJORITY OF OUR, WELL, IT WAS KIND OF LIKE, ALMOST, ALMOST EQUAL, OR NOT REALLY, BUT LIKE 49% WERE US BORN AND 40%, UM, WERE BORN OUTSIDE OF THE US. UM, IN RESPECT TO DISABILITY, UM, MAJORITY DID REPORTED NOT HAVING A DISABILITY, BUT WE DID HAVE 25% OF OUR SAMPLE WHO IDENTIFIED, UM, WITH HAVING A PERMANENT OR LONG-TERM DISABILITY WITHIN THIS GROUP, VISUAL AND PHYSICAL DISABILITIES WERE MOST COMMON. UM, ALRIGHT, UM, SO NOW WE'RE JUST GONNA START DIGGING A LITTLE BIT INTO THE FOUR MAIN FOCUS AREAS, UM, OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. AND SO THESE WERE ACTUALLY ALSO IDENTIFIED BY OUR COMMUNITY ADVISORY COMMITTEE. THEY WANTED US TO FOCUS ON HEALTH STATUS AND BEHAVIOR, MENTAL HEALTH NUTRITION. AND SO THESE THREE WERE ALSO, UM, ALSO COVERED BY OUR FILIPINO COMMUNITY HEALTH NEEDS ASSESSMENT. BUT THE TOPIC THAT WAS DIFFERENT WAS ECONOMIC SECURITY. AND OUR COMMITTEE ACTUALLY FELT LIKE THIS WAS A VERY IMPORTANT TOPIC 'CAUSE OF THE TYPES OF JOBS THAT OUR NHPI COMMUNITY, UM, TYPICALLY, UM, UH, IS INVOLVED WITH. AND THEN ALSO BECAUSE OF SOME OF, SOME OF THE CULTURAL PRACTICES, UM, THAT I THINK HAVE A REALLY BIG ECONOMIC IMPACT ON THE NHBI COMMUNITY. AND ONE EXAMPLE OF THAT IS ACTUALLY FUNERALS. UM, AND SO WHEN A COMMUNITY, UH, NHBI COMMUNITY MEMBER PASSES AWAY, UM, THERE'S A PRACTICE OF REALLY COMING TOGETHER AS A COMMUNITY TO REALLY HELP SUPPORT THAT FAMILY FINANCIALLY. AND SO, UNFORTUNATELY, OTHER FAMILIES END UP GOING INTO DEBT BECAUSE OF THAT CULTURAL PRACTICE. AND SO THEY WANT US TO REALLY UNDERSTAND A LITTLE BIT MORE ABOUT WHAT'S GOING ON IN TERMS OF ECONOMIC SECURITY FOR ENERGY. UM, AND SO FOR OUR FIRST, UH, SECTION, UH, WE'RE JUST PULLING OUT A FEW OF THE HIGH LEVEL, UH, DATA POINTS. THERE'S OBVIOUSLY GONNA BE MORE IN THE FINAL REPORT, BUT THESE ARE THE ONES THAT WE ACTUALLY PRESENTED TO COMMUNITY MEMBERS IN SEPTEMBER. UM, SO THE FIRST ONE IS JUST LOOKING AT, UM, THE HEALTH CONDITIONS THAT OUR NHPI COMMUNITY WE'RE FACING. UM, AND SO WE CAN SEE THAT THE MOST COMMON ONES, UH, WERE ACTUALLY HIGH BLOOD PRESSURE, UM, AND DIABETES, UM, FOR WHAT THEY PERSONALLY EXPERIENCE. UM, AND WE SEE THAT THAT'S CONSISTENT IN TERMS OF THE FAMILY HISTORY AS WELL. WE SEE, UH, BOTH HIGH BLOOD PRESSURE AND DIABETES AS THE MOST COMMON, UM, AILMENTS THAT, UH, WERE IMPACTING THEIR FAMILY. UH, BUT WE ALSO SEE A LARGE IMPACT OF CANCER, OF HEART DISEASE GOUTS, UM, IN SMALLER PERCENTAGES OF ASTHMA AND, UH, PREDIABETES. AND THEN WHEN WE ASK OUR COMMUNITY MEMBERS ABOUT WHICH METHODS THAT THEY USE TO MANAGE THEIR HEALTH, UM, THE MOST COMMON WAS ACTUALLY PRAYER. UM, AND ONE BIG REASON OF THIS WAS, UH, ALSO BECAUSE OF THE, THE FOLKS THAT WERE ACTUALLY ADMINISTERING THE SURVEY, UH, THREE OF THEM WERE ACTUALLY CHURCHES THAT, UH, WERE INVOLVED WITH, UM, CURRENT OR FORMER LONG BEACH RESIDENTS. AND SO WE KNOW THAT THAT HAS A BIG INFLUENCE ON THE RESULTS. UH, BUT WE ALSO SEE, UH, A LOT OF COMMUNITY MEMBERS ALSO TALKING ABOUT MASSAGE AND MEDITATION, UM, AND THEN ALSO PRIMARY HEALTHCARE AS, UH, THE MAIN WAYS TO MANAGE THEIR HEALTH. AND THEN WITH THAT, I'LL PASS. SO THE SURVEY ASKS PARTICIPANTS, UM, WHERE DO THEY TYPICALLY GET THEIR HEALTH INFORMATION? THE MOST COMMON SOURCES WERE IDENTIFIED AS, UM, THEIR FAMILY, THEIR FRIENDS AND DOCTORS. THIS IS ACTUALLY REALLY INTERESTING, UM, THE DOCTOR ASPECT OF IT, UM, BECAUSE THIS HIGHLIGHTS THAT THERE'S A STRONG INFLUENCE ON [00:55:01] PERSONAL RELATIONSHIPS AS WELL AS TRUSTED MEDICAL PROVIDERS IN THE, IN THEIR COMMUNITY FOR HEALTH RELATED DECISIONS. UM, THIS ALSO SUGGESTS THAT OPPORTUNITIES FOR LEVERAGING THESE TRUSTED SOURCES TO HELP THIS COMMUNITY ACCESS INFORMATION, UM, THAT THEY NEED TO MAKE HEALTHIER CHOICES AND ALSO, UM, SEEK A FOSTER CARE. OTHER SIGNIFICANT SOURCES OF HEALTH INFORMATION WAS THE INTERNET, UH, SOCIAL MEDIA AND THE, AND CHURCH AS WELL. UM, WHEN IT COMES TO THE PREFERRED FORMAT FOR RECEIVING INFORMATION, THE EXAMPLE INDICATED, UH, A PREFERENCE FOR SOCIAL MEDIA, EMAIL, AND WEBSITE SUGGESTING THAT INTERNET IS RELATIVELY ACCESSIBLE, UM, SOURCE FOR THIS GROUP. HOWEVER, I DO LIKE TO NOTE THAT ONLY 12% OF OUR SAMPLE WAS, UM, AGE 65 OR OLDER. SO WITH THE MAJORITY OF, OF OUR SAMPLE BEING, UM, YOUNGER INDIVIDUALS, UM, WE ALSO ASKED COMMUNITY MEMBERS WHETHER THEY FELT THEY NEEDED PROFESSIONAL MENTAL HEALTH CARE. AND WE CAN SEE HERE THAT, UM, HOW THEY RESPONDED ON THE LEFT ABOUT 24%, UH, OF THE SAMPLE REPORTED THAT THIS WAS SOMETHING THEY FELT THEY NEEDED. IT WAS ALSO WORTH NOTING THAT ALMOST 20% OF THE SAMPLE PREFERRED NOT TO DISCLOSE THEIR FEELINGS REGARDING THIS TOPIC. ON THE RIGHT HAND SIDE, WE ZOOMED INTO THE GROUP OF RESPONDERS THAT SAID THAT THEY DID FEEL THAT THEY NEEDED MENTAL HEALTH SUPPORT. UM, WE ASKED THEM IF THEY ACTUALLY ENDED UP SEEKING MENTAL HEALTH CARE. UM, AND ABOUT 24% OF THEM SAID THAT THEY, UM, DID NOT SOCIABLE PORTION OF THIS GROUP. UM, 51%, UH, SAID, SORRY, 24% SAID THAT THEY, THAT THAT, UM, SORRY THEY DIDN'T RESPOND TO THIS, THIS QUESTION. SO THE DATA RAISES A FEW QUESTIONS. UM, DO PEOPLE IN THIS COMMUNITY TRULY NOT NEED MENTAL HEALTH CARE OR IS THERE A GENERAL DISCOMFORT WITH THIS TOPIC? ALSO, FOR THOSE WHO DO FEEL THAT THEY NEED MENTAL HEALTH CARE, WHAT ARE SOME BARRIERS THAT MIGHT BE PREVENTING THEM FROM SEEKING N AGAIN, UM, THIS IS A RELATIVELY SMALL SAMPLE, BUT THESE ARE JUST KIND OF QUESTIONS THAT MAY FURTHER, UM, INDICATE SOME FURTHER INSPIRATION FOR, FOR THESE QUESTIONS. SO THE TEAM EXPLORED, UH, THIS A LITTLE BIT FURTHER BY BREAKING DOWN THE DATA BY AGE GROUP. WE SAW THAT AS WE MOVED UP IN AGE GREATER PROPORTIONS OF RESPONDERS SAID THEY DIDN'T FEEL THEY NEEDED MENTAL HEALTH CARE. SO IF THERE IS A GENERAL DISCOMFORT WITH THIS TOPIC OF MENTAL HEALTH, THIS PROVIDES A HINT THAT PERHAPS THE DISCOMFORT IS STRONGER AMONG OLDER AGE GROUPS. HOWEVER, THIS IS JUST AN ASSUMPTION THAT NEEDS FURTHER INFORMATION. UM, THE FIGURE ON THE LEFT IS A RESULT OF TAKING HOUSEHOLD INCOMES WE SAW EARLIER, COMBINED WITH THE HOUSEHOLD SIZES, PEOPLE REPORTED AMONG, UM, THOSE INCOMES. SO WE'VE MAPPED THAT OUT ONTO THE FEDERAL DEFINITIONS OF LOW INCOME. BASED ON THIS INFORMATION, ABOUT 82% OF OUR SAMPLE WOULD BE CONSIDERED LOW INCOME. LIKE I NOTED EARLIER, THIS DOESN'T NECESSARILY MEAN THAT THIS IS, THIS IS, UM, SORRY, THIS IS THE GREATER LONG BEACH NATIONAL, UM, NATIVE HAWAIIAN PACIFIC ISLANDER POPULATION IS LOW INCOME. WE DIDN'T HAVE ENOUGH INCOME INFORMATION FOR 30% OF OUR SAMPLE, BUT, BUT THANK YOU. BUT WE THINK IT IS WORTH NOTING THAT SUCH A LARGE PORTION OF OUR SAMPLE WOULD BE CONSIDERED LOW INCOME TO PROVIDE YOU WITH AN ACTUAL POPULATION BASED ESTIMATE CALCULATED FROM THE CENSUS. PACIFIC ISLANDER POPULATION COMPARED TO OTHER ETHNICITIES HAVE, HAS, HAS THE HIGHEST SHARE OF THE PEOPLE LIVING BELOW THE POVERTY LEVEL. SPECIFICALLY 20% OF PACIFIC PACIFIC ISLANDER POPULATION IN LONG BEACH IS EXPERIENCING POVERTY. AND FOR REFERENCE, ONLY 9% OF OUR WHITE POPULATION IN LONG BEACH IS LIVE BELOW THE POVERTY LEVEL. HOUSING IS ANOTHER, UM, MARKER OF ECONOMIC SECURITY WE SEE ON THE RIGHT THAT MOST OF OUR SAMPLE IS RENTING AND THE REMAINING OF OUR SAMPLE IN BETWEEN OWNING A HOME AND STAYING WITH THEM. SO WE CAN CONDENSE A LITTLE BIT OF IT. YEAH, I THINK, I THINK WE'RE DONE WITH THIS PART HERE. OKAY. THANK YOU. YOU TOO. UM, SO I'M JUST GONNA SKIP OVER THE NUTRITION SLIDES, BUT I THINK THIS IS ALSO IN YOUR PACKET ALREADY. SO, YES. UM, YEAH, I THINK JUST THE MAIN POINT HERE IS JUST TALKING ABOUT, UM, JUST CULTURAL DYNAMICS AROUND NUTRITION, BUT ALSO WHEN WE THINK ABOUT FOOD INSECURITY AS WELL, THAT OBVIOUSLY HAS A HUGE INFLUENCE ON PEOPLE'S BACK CHOICES. UM, AND THEN WHAT I JUST WANTED TO SHOW A LITTLE BIT ABOUT, SO THESE WERE THE FOUR ARTISTS THAT WE GOT TO COLLABORATE WITH. UM, THESE WERE ACTUALLY SELECTED BY OUR COMMITTEE AS WELL. UM, BUT WE WERE INTENTIONAL ABOUT HAVING FOUR DIFFERENT MEDIUMS OF ART, UH, REPRESENTED. AND SO WE HAD A MOVEMENT BASED ART THAT WAS THE GUITAR INTERORAL FOUNDATION. WE [01:00:01] HAD, UH, ACTUALLY A SINGER THAT CREATED A SONG, WROTE A SONG AND PLAYED THE, UH, WAS IT THE GUITAR OR WAS IT YEAH, I THINK IT WAS A GUITAR. YEAH. , UH, ACTUALLY PLAYED THE GUITAR AND, UH, CREATED A SONG THAT ACTUALLY TALKED ABOUT MENTAL HEALTH. UM, AND THEN KIKI RIVERA CREATED A THEATER, UM, PIECE, UH, THAT WAS VERY, UH, ENTERTAINING. UM, AND THEN JP OR JASON RA UH, CREATED A VERY BEAUTIFUL VISUAL ARC, UM, DEMONSTRATION AS WELL. AND SO THIS IS JUST A LITTLE BIT OF THE IMAGES. SO ON THE LEFT IS THEOR FOUNDATION. THIS IS MICHAEL , THIS IS KIKI, UH, RIVERA. AND THEN IN THE BACK, THAT'S THE, UH, THE PAINTING ACTUALLY OF JP. AND SO THIS IS ALL GONNA BE IN THE FINAL REPORT, SO DON'T WORRY, YOU'LL BE ABLE TO SEE MORE OF IT, UM, PRETTY SOON. THEN. UH, WE'RE JUST GONNA GO THROUGH, I'LL KEEP THIS WITH BRIEF, BUT JUST LIKE I MENTIONED, THIS IS A REALLY SMALL SAMPLE SIZE, ONLY 130, UM, PARTICIPANTS PARTICIPATED IN THIS. UM, SO, UH, WE, WE DEFINITELY CAN'T GENERALIZE THESE RESULTS TO THE, TO THE LARGER NATIONAL, UH, NATIVE HAWAIIAN PACIFIC ADDED POPULATION. IN ADDITION TO THAT, UM, THE RECRUITMENT METHOD WAS CONVENIENT SAMPLING. SO THAT BRINGS, UM, UM, THAT IT WASN'T RANDOMIZED, IT WASN'T A RANDOMIZED SAMPLE. UH, THIRD ELIGIBILITY CRITERIA AFFECTED THE SCOPE OF OUR DATA AS WELL. UM, AND THEN, UH, FOURTH AND LASTLY IS THAT THE DECISION MAKING WAS GUIDED BY OUR ADVISORY COMMITTEE DECISION. SO THERE WASN'T, UM, A LOT OF EXPANSION IN, IN, IN THOSE CONVERSATIONS EITHER, WHICH LIMITED OUR SCOPE IN THIS PROJECT. UM, BUT, UM, EVEN THOUGH THESE LIMITATIONS UNDERSCORE THE IMPORTANCE OF KIND OF INTERPRETING IT DOES HINT THAT WE DO NEED A FURTHER EXPLORATION AMONG THIS COMMUNITY. THAT SLIDE. SO JUST OUR NEXT STEPS, UH, SO WE'RE CURRENTLY WORKING WITH UCLA AND THEIR DATA POLICY LAB, UM, TO FINALIZE A REPORT, UM, AND ALSO WORKING WITH OUR COMMITTEE, UH, TO DO SO AS WELL. AND THEN OUR PLAN IS TO ACTUALLY, UH, GO TO CITY COUNCIL TO PRESENT THIS FINAL REPORT, UH, WITH OUR COMMUNITY ADVISORY COMMITTEE. UM, AND THEN REALLY WORKING WITH OUR COMMITTEE TO DECIDE THE NEXT STEPS ON HOW DO WE, UM, START TO ENACT CHANGE NOW THAT WE HAVE, UM, SOME DATA, UM, AND SOME IDEA OF WHAT OUR ENERGY ACTIVITY. THANK YOU ALL SO MUCH FOR YOUR TIME. UM, SORRY FOR GOING . THANK YOU. AWESOME. WE HAVE QUESTIONS. I, I GOT QUESTIONS. SO AS FAR AS, UM, LIKE POTENTIAL RECOMMENDATIONS, THAT'S GONNA BE A LATER CONVERSATION. YEAH, I THINK REALLY THAT, THAT DEPENDS ON ONE FUNDING THAT WE HAVE AVAILABLE TO CONTINUE COLLABORATING WITH OUR COMMITTEE. UH, 'CAUSE ONE CONCERN THAT THEY HAD WAS NOT TO BE, UM, EXPECTED TO WORK FOR FREE. UM, BECAUSE I THINK WHEN WE, WE OFTENTIMES ASK COMMUNITY TO DO I THINK MUCH MORE THAN WHAT WE SHOULD BE ASKING OF THEM WITHOUT COMPENSATING THEM IN SOME TYPE OF A WAY. UM, BUT THAT IS THE PLAN TO REALLY CONTINUE THE WORK OF THE COMMITTEE, TO START DECIDING NOW THAT WE HAVE AN IDEA OF WHAT COMMUNITY MEMBERS NEED, WHAT DO WE ACTUALLY WANT TO SEE FROM EITHER THE CITY BUT ALSO FROM OURSELVES. MM-HMM . SO WE DO HOPE TO DEVELOP RECOMMENDATIONS, BUT I THINK WHEN WE DO, SO, I THINK IT'S STILL LOOKING EXCELLENT. DR. GUPTA, IF I'M CORRECT, YOU'RE SAYING THE MAJORITY OF RESPONDING WITH PREVIOUS RESIDENT OF LONG BEACH, THEN THESE DATA ARE NOT CORRECT. YOU WANT THE DATA IS FROM LONG BEACH AND THE SECOND THING WHY THEY LEFT LONG BEACH. WHAT WAS THE REASON FOR THEN TO MOVE OUTTA LONG BEACH? YEAH, I THINK THAT WOULD'VE BEEN A REALLY GREAT QUESTION TO ACTUALLY ASK IN OUR SURVEY. I THINK THAT'S SOMETHING THAT WE CAN INCLUDE IN THE FUTURE. UM, BUT I THINK IT WAS OUR COMMITTEE'S ACTUALLY DECISION TO EXPAND THE ELIGIBILITY CRITERIA TO INCLUDE FORMER RESIDENTS OF LONG BEACH BECAUSE THEY FELT THAT WHILE THEY MAY NOT CURRENTLY LIVE IN LONG BEACH, THEY STILL COME TO LONG BEACH. THEY STILL, UH, WORK A LOT. MANY OF THEM ACTUALLY WORK IN LONG BEACH STILL. BUT I THINK BECAUSE OF GENTRIFICATION AND JUST BEING PUSHED OUT OF THE CITY IS THE REASON WHY A LOT OF THEM HAVE ACTUALLY NEEDED TO, UH, MOVE TO RIVERSIDE, FOR EXAMPLE. SO PETER HAMADA ACTUALLY DROVE ALL THE WAY FROM MORENO VALLEY TO COME TO OUR MEETINGS, AND SO IT STILL HAS A LOT OF WORK IN THE AREA AS WELL. BUT I THINK IT JUST SPEAKS TO THE IMPACT OF, UH, LIKE THE DEPTH, THE IMPACT OF LIKE ECONOMICS AND HOW THAT AFFECTED THE DIASPORA, THE COMMUNITY. BUT I THINK THAT IS A VALID, THAT IT'S DIFFERENT THAN ONLY FOCUSING SPECIFICALLY ON OUR OMMUNITY THAT LIVES IN LONG BEACH. I APPLAUD THAT YOU BROKE UP OUR DATA. OFTENTIMES WE GROUP ALL ASIAN COMMUNITIES TOGETHER, EVEN ASIAN PACIFIC ISLANDER. UM, BUT LONG BEACH IS SO MUCH MORE THAN THAT. SO I, I REALLY APPLAUD THAT YOU DID BREAK, BREAK UP THIS COMMUNITY SO YOU CAN HAVE MORE INTENTIONAL, UM, UH, DATA TO PRESENT TO THE COMMUNITY. [01:05:02] UM, I ALSO THINK THAT THIS INFORMATION WOULD BE IMPORTANT TO THE, TO THE UNIVERSITIES AND THE, AND THE EDUCATIONAL SYSTEMS AROUND HERE. 'CAUSE THESE ARE OUR FAMILIES, OUR PARENTS, AND I, I, I DON'T KNOW WHO'S REALLY DONE THIS BEFORE IN CALIFORNIA, UM, OR IN LA COUNTY SPECIFIC TO THIS COMMUNITY. UM, SO I THINK IT WOULD GIVE US SOME EDUCATIONAL BACKGROUND AS WE SEE THE STUDENTS AND, UM, THE FAMILIES THAT WE WORK WITH. ANY OTHER QUESTIONS? I, WELL, THANK YOU VERY MUCH OF ALL THE EQUITY COMMUNITIES. UM, I'M JUST SO IMPRESSED AND, AND REALLY GRATEFUL. 'CAUSE THIS IS, I THINK THE, THE KIND OF INFORMATION THAT WE AS A COMMUNITY ARE LOOKING FOR TO HELP DRIVE, UM, WHERE, WHERE, WHERE WE WANT TO GO TO SERVE OUR, OUR CITY. SO THANK YOU VERY MUCH. I APPLAUD YOU. ALL RIGHT. WE'D LIKE TO ACCEPT THEIR REPORT. UM, CAN I GET A FIRST, CAN I GET A SECOND? SECOND? ALL THOSE IN FAVOR? AYE. EXCELLENT. THANK YOU VERY MUCH. THANK YOU TO THE GROUP FOR THE PRESENTATION. UM, OUR NEXT AGENDA ITEM IS, UH, THE BOARD GOALS AND INFRASTRUCTURE, WHICH IS A PRETTY BROAD TOPIC FOR ALL ADMINISTRATIVE BUSINESS OF THE BOARD. AND ON OUR AGENDA IS ELECTIONS. AND SO WE, UM, WOULD LIKE TO, UH, WE HAVE A, A CHAIR AND A AND A CO-CHAIR WHO HAVE BEEN IN THEIR LEADERSHIP ROLE FOR TWO YEARS. SO IT'S TIME FOR SOME NEW LEADERSHIP. UM, AND LAST WE PLANTED THE SEED, THE LAST MEETING AND, AND WE'D LIKE TO TAKE THOSE NOMINATIONS FOR, UM, BOARD CHAIR AND CO-CHAIR, UM, MOVING FORWARD FOR THIS BOARD. SO ANY NOMINATIONS? CAN YOU SPEAK A LITTLE BIT TO WHAT THE TWO ROLES OUTSIDE THE MEETING? YEAH, SO, UM, THIS PAST YEAR AND A HALF WE'VE BEEN WORKING ON, UM, A STRATEGIC PLAN. SO THAT WAS A LITTLE BIT MORE WORK THAN USUAL, AND THAT'S STILL IN THE QUEUE. THERE'S A SUBCOMMITTEE THAT'S WORKING ON THAT. THERE'S, IT'S KIND OF A SLOW PROCESS. UM, AND IT REALLY IS FACILITATING THE MEETINGS, YOU KNOW, CONNECTING WITH THE BOARD. WE HAVEN'T HAD ANY ONE-ON-ONE MEETINGS. UM, I THINK IT'S, UM, THAT HAPPENS IN SOME BOARD WHERE THERE'S A ONE ON ONE MEETING WITH THE, WITH THE DIRECTOR TO KIND OF LAY OUT WHAT THE AGENDA WOULD BE LIKE. MM-HMM . UM, THIS GROUP, I THINK WE INHERITED KIND OF A PRACTICE, UM, OF STANDARD, UM, AGENDA TOPICS. UM, IT'S WORKED. UM, PART OF UH, THE STRATEGIC PLANNING WAS, YOU KNOW, IS THIS WHERE WE STILL WANT TO CONTINUE IN MOVING FORWARD? AND I THINK THOSE ARE RECOMMENDATIONS, UM, THAT THERE WAS SOME GREAT FEEDBACK ON OUR RETREAT AND, AND THE STRATEGIC PLANNING THAT MAY LEAD TO RETHINKING WHAT THAT LOOKS LIKE. UM, AND I THINK THAT WOULD BE PART OF, UM, YOU KNOW, RETHINKING, UM, OUR AGENDAS AND, AND OUR CONVERSATIONS. UM, SO OUTSIDE OF THE STRATEGIC PLANNING, MOST OF THE WORK REALLY IS IN . YES. THE MEETING. YEAH. AND YOU KNOW, THERE'S BEEN TIMES WHERE WE WENT TO, UM, THE CITY HALL, CITY CITY COUNCIL MEETING AND ADVOCATED. THERE'S BEEN TIMES WHERE THERE WAS AGENDA ITEMS THAT WERE, UM, LOBBIED ON, UM, OR, UH, ACTIVITIES OR, UM, THE LETTERS, UM, ADVOCACY FOR THE SENIORS AND, AND KIND OF CHECKING IN ON THOSE SUBCOMMITTEES OR THOSE INDIVIDUALS OR LEADING THOSE, THOSE TASKS AND BRINGING THEM BACK TO, UM, THE BOARD, UM, HASN'T BEEN, YOU KNOW, HASN'T BEEN MUCH MORE THAN THAN THAT. OKAY. UM, YOU KNOW, OUR JOB IS TO UPLIFT AND SUPPORT THE, UM, THE HEALTH DEPARTMENT. UM, WE'RE NOT EMPLOYEES OF . WE DON'T SUPERVISE THEIR, THEIR STAFF OR THEIR EMPLOYEES. SO BEING VERY, UH, CAREFUL AND CONSCIOUS OF, OF WHAT THAT LOOKS LIKE. AND THEN HOW DO WE UPLIFT? UM, I KNOW OFTENTIMES BOARDS MAY BE ADVOCATING, MAYBE RAISING FUNDS, MAY, UM, HELPING TO LOBBY, UM, WHATEVER THE AGENDA ITEM MAY BE, UM, ON THE, ON THE QUEUE. SO I THINK SOME OF THOSE DISCUSSION ITEMS OF WHAT IS TO COME WILL HAPPEN FROM THE SUBCOMMITTEE OF, OF THIS STRATEGIC PLANNING. UM, THAT'S IN THE QUEUE AT THIS TIME. OKAY. THE CO-CHAIR KIND OF SITS IN FOR THE CHAIR WHEN THERE HASN'T BEEN, UM, THEY MEET, UH, WE, MYSELF AND BARBARA HAVE MEET ON A MONTHLY BASIS KIND OF DOING A CHECK-IN AND, AND FOLLOWING UP WITH WHAT HAPPENED LAST MONTH AND WHAT'S TO HAPPEN THIS MONTH. AND IT'S BEEN REALLY CONVENIENT 'CAUSE OFTENTIMES I MAY HAVE TO TRAVEL FOR WORK AND VICE VERSA. SO, UM, KIND OF BOUNCING OFF EACH OTHER. DR. WALTON ALMOST SET. WERE YOU VOLUNTEER? YEAH, I WAS [01:10:03] SECOND THAT. BEFORE WE HAVE THAT CONVERSATION, I WANT TO KNOW WHO'S PREPARED TO BE NOMINATED FOR VICE CHAIR. UH, I NOMINATE, UH, DR. WALTON, IF YOU'LL DO MUCH, I'LL DO IT. STAYED THE SAME. OKAY. AWESOME. ALRIGHT. AWESOME. WELL THANKS. WELL, WE STILL HAVEN'T DONE IN EXACTLY ANY OTHER NOMINATIONS. ALL PREP WORK. WE HAVE A BURNING DESIRE. THIS IS THE TIME YES. TO SHARE. IF YOU WANNA DO IT, PLEASE SPEAK UP NOW. BUT WE HAVE SUCH, YOU KNOW, SUCH CHANGE IN THIS COUNTRY. SOMEONE'S GOT DO'S, GOTTA DO SOMETHING. DO. BUT IF ONE OF YOU WANT TO, ANY OTHER NOMINATIONS, ANY OTHER NOMINATIONS, YOU BETTER BUCKLE UP MILES. WHO YOU'RE NEXT. . ALRIGHT, SO WE HAVE, IT'S OUR TERM, BUT YOU BETTER BE THINKING LONG TERM. ABSOLUTELY. WE HAVE A NOMINATION OF A TEAM, UM, DR. LAUREN WALTON FOR CO-CHAIR AND DR. BETH LESSEN FOR CHAIR. OKAY. UM, IS IT OKAY THAT WE VOTE FOR THEM AS A TEAM? UH, YEAH. WELL FIRST WE'RE ON THE BOARD AND FOR CLOSE AND INFRASTRUCTURE, SO WE HAVE TO CLOSE THAT ONE OPTION ON IT AND THEN YOU CAN, I THOUGHT THAT WAS THE, OKAY. UM, WELL, THE, CAN I GET A ? SHE PAID ATTENTION TO THAT TRAINING. A MOTION TO RECEIVE AND FILE, RECEIVE AND FILE THE, UM, RECOMMENDATION, WHATEVER WE HAVE. WORD GOALS AND INFRASTRUCTURE. SECOND. ALL RIGHT. FIRST AND SECOND. ALL THOSE IN FAVOR? AYE. ALL RIGHT. ANY OPPOSITION? EXCELLENT. SO WE HAVE ANOTHER MOTION. UM, WE HAVE ANOTHER ITEM AND THAT IS TO, UM, UH, UH, NOT AN ITEM, BUT UM, A VOTE. I'M SORRY, I'M TIRED. UM, VOTING FOR CHAIR AND CO-CHAIR OF THE BOARD. UM, ALL THOSE IN FAVOR OF DR. LAUREN WALTON AS CO-CHAIR. AND DR. BETH, UM, LASSEN IS, UM, CHAIR, UM, IF YOU CAN, UH, RAISE YOUR HAND. DO WE VOTE? I GUESS SO. VOTE. ALRIGHT. OVERWHELMING SUPPORT OF THAT VOTE. I, WE HAVE TO VOTE US. CONGRATULATIONS TO DR. AND DR. THANK YOU. EXCELLENT. THANK YOU. THANK YOU VERY MUCH FOR STEPPING UP AND, UM, PLAYING A LEADERSHIP ROLE IN A MUCH IMPORTANT, UM, POSITION IN THE CITY. WE APPRECIATE YOUR MENTORSHIP. YES, THANK YOU. FOR THE REST OF YOU. YOU'RE NEXT . NO PRESSURE. EXCELLENT. SO WE HAVE, WE HAVE A NEW LEADERSHIP THAT WILL, THAT WILL MOVE INTO ROLES IN JANUARY AND I'D BE HAPPY TO, UM, MEET WITH THE TWO OF YOU AND PASS THINGS ON AND NOTES AND ALL THAT KIND OF GOOD STUFF. UM, UH, ANY OTHER, SO WE DO HAVE OUR WORKING COMMITTEE FOR THE, UH, STRATEGIC PLAN AND, UM, DR. SANDERS HAS DROPPED THE BALL. UM, WORK HAS CALLED QUITE A BIT THE LAST MONTH. UM, SO I HAVE THE, I HAVE THE, THE WORK TASK HERE AND I WILL WORK ON IT ON MY TRAIN ON A, UM, DURING THE HOLIDAY BREAK AND HOPEFULLY HAVE A DRAFT OF THE SUBCOMMITTEE, UM, NEXT MONTH. SO DID YOU SAY TRAIN? I DON'T, I'M SO TIRED. I'M SORRY. . I'M WONDER WHERE YOU'RE GOING. TRAIN PLAN. OH, UH, YEAH, SO ANYWAY, SO NEXT MONTH. . YEAH. SO, UM, ANY OTHER ITEMS FOR, UM, BOARD GOALS? DR. SANDERS, I JUST WANNA THANK YOU GIVEN TO THIS BOARD, UM, WHILE I'VE ONLY BEEN IN THIS FOR A YEAR. I THANK YOU FOR, WITH SUCH GRACE AND ACTUALLY GETTING QUITE A BIT ACCOMPLISHED WITH NEW GOALS AND FOUNDATION FORWARD, SO THANK YOU. EXCELLENT JOB. YEAH, THANK YOU. ALRIGHT, SO OH, OH, THE CHAIR AND VICE CHAIR ELECTION. WERE AN AGENDA ITEM. YEAH. OH, I MISSED THAT. OKAY. BUT WE DID IT. WE DID IT. . WE'RE DONE. UM, WE'RE DONE. OKAY, GOOD. ANY PUBLIC COMMENTS, ANY ANNOUNCEMENTS, ANYTHING HAPPENING THAT WE SH WE SHOULD BE IN THE KNOW ABOUT? ANY RETREATS COMING UP PRESENT? OH, OUR UMA EVENT IS TOMORROW AT HILTON PARK, [01:15:01] WHICH WE TEND AND TWO. THAT'S FINE. UM, THEY ARE PLANNING, UM, MINI GREAT ACTIVITIES FOR CHILDREN AND ADULTS ALIKE. IT, IT IS A VERY SPIRITED EVENT WITH LOTS OF ACTIVITIES, MUSIC AND ART, AND I INVITE YOU ALL TO BE THERE. AWESOME. THANK YOU SO MUCH. AND THAT'S A HOT ONE. YES, UNFORTUNATELY I, TICKETS TO SEE WICKED TOMORROW MORNING. THE MOVIE. I'VE SEEN THE PLAY. I ALREADY HAVE THE TICKET, BUT IT'S, IT'S TWO HOURS AND 40 MINUTES. BUT I'LL SEND, UM, I'M GONNA SEE IF I CAN SEND SOME COLLEGE STUDENTS OVER. GOOD. WE APPRECIATE THAT. AWESOME. WE HAD TO MOVE IT FROM MICHELLE OBAMA BECAUSE IT WAS SO WELL ATTENDED THE LAST TWO YEARS. IT'S GROWN EACH YEAR. EXCELLENT. LEMME SEE IF WE, AWESOME. I THINK, UH, WE ARE NOW ADJOURNED. THANK YOU EVERYBODY. THANK YOU ALL. * This transcript was created by voice-to-text technology. The transcript has not been edited for errors or omissions, it is for reference only and is not the official minutes of the meeting.