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[00:00:01]

NO, WE'RE GOOD.

YEAH.

OKAY, GREAT.

THANK YOU.

UM, WELCOME.

WE WERE NOT ABLE TO MEET LAST MONTH BECAUSE WE COULD NOT GET A QUORUM, BUT NOW WE CAN.

SO, YAY.

UM, I JUST WANTED TO LET YOU ALL KNOW THAT THE MAYOR'S OFFICE REACHED OUT.

THIS WAS ODD BECAUSE THIS DIDN'T HAPPEN WHEN I WAS APPOINTED, BUT THE MAYOR'S OFFICE REACHED OUT AND ASKED ME IF I WOULD TALK WITH FOUR PEOPLE WHO THEY WERE INTERESTED IN PUTTING ON THE BOARD, ON THE COMMISSION, UM, IN ADVANCE OF THEM BEING PLACED, WHICH, LIKE I SAID, WAS ODD BECAUSE I, NO ONE EVER DID THAT WITH ME.

DID ANYONE DO THAT WITH ANY OF YOU? NO.

NO.

SO I GUESS THIS IS A NEW THING THAT THEY'RE ASKING, WHICH I THOUGHT INITIALLY I THOUGHT WAS STRANGE, BUT THEN WHEN I DID IT, IT WORKED OUT.

IT WAS A GOOD IDEA BECAUSE ONE OF THE FOUR, UM, YOU KNOW, THEY WERE ALL FINE, BUT ONE OF THE FOUR WASN'T ABLE TO MAKE THE MEETING TIME.

AND WHEN SHE HEARD THAT IT WASN'T FLEXIBLE AND YOU, IF YOU PARTICIPATE, YOU HAVE TO BE HERE FOR THE MEETING TIME.

SHE TOOK A STEP BACK, UM, WHICH WAS A SHAME BECAUSE SHE WAS A VETERINARIAN AND IT'S, YOU KNOW, HOW HARD IT IS TO GET A VETERINARIAN IN THE SPOT.

UM, BUT SHE WASN'T ABLE TO DO IT.

SO THE OTHER THREE WERE ALL FINE AND I ANTICIPATE THAT THEY WILL BE PLACED ON, UH, THE COMMISSION FOR FORTHRIGHT TO WAIT IMMINENTLY.

SO POSTHASTE POSTHASTE.

SO HOPEFULLY WE WILL HAVE ADDITIONAL MEMBERS, UM, IN NOT TOO LONG, AND IT WILL BE LESS CHALLENGING TO MAKE A QUORUM, UM, ALTHOUGH IT'S A PERCENTAGE, SO WHATEVER.

BUT, YOU KNOW, THOSE NEW MEMBERS ARE VERY BRIGHT-EYED AND BUSHY TAILED AND MAKE IT TO ALL THE MEETINGS IN THE FIRST YEAR.

RIGHT.

SO HOPEFULLY THAT WILL, THAT WILL WORK.

UM, OKAY.

LET'S DO A ROLL CALL.

ALEJANDRA, I OF COURSE, I SAY THAT THE SECOND THAT ALEJANDRA STEPS AWAY FROM THE LECTURER.

THAT'S OKAY.

SORRY, ALEJANDRA.

NO, YOU, YOU WANNA, SHALL WE, SHALL WE MOVE TO ROLL CALL? YES, FOR SURE.

GREAT.

THANK YOU.

OKAY.

UM, CHAIR LESS HERE.

UH, VICE CHAIR WAL HERE.

UM, BOARD MEMBER CLARK IS ABSENT A BOARD MEMBER.

LUTA? YES.

BOARD MEMBER SANDERS.

BOARD MEMBER MC IS ABSENT.

BOARD MEMBER.

RED EAGLE.

ABSENT BOARD MEMBER TNI? YES.

BOARD MEMBER? UH, .

ABSENT.

AND BOARD MEMBER? UH, SCHWAR HERE.

OKAY.

WE HAVE A BOARD.

FANTASTIC.

OUR FIRST ITEM ON THE AGENDA IS, UM, OUR BOARD OF HEALTH.

WE RECOMMEND THE MINUTES APPROVING THE MINUTES.

OUR FIRST ITEM IS APPROVING THE MINUTES.

I'LL, I'M HOPING EVERYONE CAN TAKE A MOMENT JUST TO REVIEW.

I KNOW IT'S HARD TO REMEMBER THAT FAR BACK, BUT IF THERE ARE ANY CORRECTIONS, I MOTION TO APPROVE MINUTES.

ANY SECOND.

MOVED BY SABRINA, SECOND BY BARBARA.

UH, ALL IN FAVOR? AYE.

OPPOSED? OKAY.

MOTION CARRIES.

UM, AND NOW, OH, THAT'S RIGHT.

ARE THERE ANY PUBLIC COMMENTS? SEEING NONE, WE CAN MOVE ON TO THE, UM, MONTHLY REPORT FROM THE DIRECTOR.

THE DIRECTOR IS NOT HERE.

NOT HERE.

SO MAYBE WE CAN, UM, MOVE, MAYBE WE CAN SKIP UNTIL SHE GETS HERE.

YEAH.

UM, HOW ABOUT WE RECEIVE THE REPORT FROM THE CITY HEALTH OFFICER, DR. DAVIS.

GOOD MORNING.

WE HAVE A PACKAGE.

SO, UM, I'LL SAY FLU HAS, UM, GONE DOWN.

OH, THANK GOD.

THAT'S GOOD.

.

UM, SO THAT'S THAT.

UH, I WAS JUST GONNA TALK ABOUT MEASLES, UM, BECAUSE WE ARE HAVING AN OUTBREAK IN TEXAS AND MEXICO MM-HMM .

AND IT SOUNDS LIKE IT MIGHT BE MOVING TO OKLAHOMA, IF I'M NOT MISTAKEN.

EXPECTED CASES, BUT THERE'S OVER 250 CASES JUST WITHIN THOSE TWO STATES.

AND IT'S STILL RISING.

SO NEW MEXICO AND TEXAS.

YOU, SO, YEAH.

OKAY.

SO IT STARTED IN TEXAS AND THEN IT'S MOVED OVER TO LIKE AN ADJOINING COUNTY IN NEW MEXICO.

IT'S LIKE ONE BIG GEOGRAPHICAL AREA, THOSE TWO STATES, UM, WITH MORE THAN 250 REPORTED CASES THAT IT'S GOING UP.

UM, AND THEN JUST FOR A COMPARISON, IN ALL OF 2024, THERE WAS 285 CASES WITHIN THE UNITED STATES.

ALTOGETHER.

WE'RE

[00:05:01]

ALREADY AT OVER TWO 50 WITH THIS OUTBREAK ALONE.

UM, THERE HAVE BEEN SEVERAL HOSPITALIZATIONS AND THERE HAVE BEEN TWO DEATHS.

UM, ONE DEATH AND A CHILD, HEALTHY CHILD, AND THEN ANOTHER DEATH AND AN IMMUNOCOMPROMISED, UH, ADULT, I BELIEVE.

UM, SO THEY FEEL LIKE THERE'S PROBABLY AN UNDERREPORTING.

UM, UH, THE VAST MAJORITY OF EVERYBODY THAT'S GETTING INFECTED IS UNVACCINATED.

UM, SO THE GENERAL, YOU KNOW, RISK TO THE GENERAL PUBLIC IS LOW, BUT THERE ARE A LOT OF RECOMMENDATIONS IF YOU'RE GOING INTO THE WEST TEXAS, THAT OUTBREAK AREA, THE WEST TEXAS AREA TO MAKE SURE THAT YOU'RE UP TO DATE ON YOUR VACCINE.

UM, AND SO MOST OF THE CASES IN CALIFORNIA HAVE BEEN, ALL OF THE CASES IN CALIFORNIA HAVE BEEN TRAVEL RELATED.

UM, THE COUNTRY, THERE'S BEEN, I THINK WE HAVE FIVE IN CALIFORNIA AND THEY ALL TRAVELED TO VIETNAM.

SO, UM, BUT THERE HAVEN'T BEEN ANY SECONDARY CASES.

UM, AND THEN JUST ALONG WITH THAT, UH, SO THE CDC IS ON THE GROUND THERE, HELPING THEM WITH THE OUTBREAK.

UM, THE, JUST RELATED TO THAT, THE CDC NOMINEE, THE NOMINEE TO BE THE CDC DIRECTOR DID WITHDRAW 'CAUSE HE DID NOT HAVE ENOUGH VOTES AS DR.

WELDON.

UM, THE COMMENTARY SUGGESTS THAT IT WAS DUE TO HIS CRITICAL STANCE ON VACCINES.

UM, WHICH HE KIND OF, HE, HE SAYS HE'S NOT CRITICAL ON VACCINES, YOU KNOW, HE'S JUST CONCERNED ABOUT, UM, ACTIVE AND MM-HMM .

WAS THE SCIENCE, WAS THE STUDY LINK TO AUTISM, YOU KNOW, DID THAT GIVE YOU FOOD? UM, KIND OF LIKE A CONSPIRACY THAT THE CDC TRIED TO COVER THINGS UP AND THAT THE BIG PHARMACEUTICAL ONE TRIED TO COVER THINGS UP.

SO, UM, SO WE WILL SEE WHAT, WHERE WE END UP WITH.

UM, BUT THAT WAS BASICALLY ALL FOR ME, UNLESS SOMEBODY HAS QUESTIONS.

THIS HAS BEEN ONE HECK OF A YEAR FOR VIRUSES THIS WINTER.

UM, ALL I KNOW IS MY CONNECTION WITH SCHOOLS AND HOW MANY PEOPLE ARE JUST OUT ALL THE TIME.

UM, PARTICULARLY CHILDREN, BUT NOT JUST, IT WAS A ROUGH, UH, FLU SEASON.

THEY DID COME OUT WITH THE, UM, THE DATA THAT SHOWS THAT THE FLU VACCINE WAS 50% EFFECTIVE IN PREVENTING HOSPITALIZATIONS, WHICH IS PRETTY GOOD.

MM-HMM .

UM, THAT'S A PRETTY GOOD THING THEY DID.

THE FEDERAL GOVERNMENT DHS DID CANCEL THE MEETING.

THAT STARTS THE PROCESS OF DETERMINING THE FLU VEXING FORMULATION FOR NEXT YEAR, FOR NEXT SEASON.

SO THAT WAS SUPPOSED TO HAPPEN.

THEY CANCELED THAT.

YEAH.

OKAY.

SO THAT WAS SUPPOSED TO HAPPEN IN FEBRUARY THAT GOT CANCELED.

THERE'S NO DATE OF IT GETTING, UH, RESCHEDULED.

UM, AND SO BASICALLY WHAT HAPPENS IS YOU HAVE THE FDA STARTS THE PROCESS AND THEY GO THROUGH LIKE SAFETY AND SCIENCE, AND THEN THEY TAKE THAT INFORMATION AND THEY GIVE IT TO THE, UM, A CIP, WHICH IS THE CDC FOLKS.

AND THEN THEY MAKE ALL THE RECOMMENDATIONS.

SO THAT, THAT'S KIND OF HOW IT GOES.

AND BOTH OF THOSE ENTITIES, THE FDA ENTITY AND THE CDC ENTITY ARE BOTH CANCELED ALL THEIR MEETINGS RIGHT NOW, BEING THOSE LONGER CAN.

SO THE, UM, THEY DID RELEASE A STATEMENT, HHFS RELEASED A STATEMENT SAYING THAT THEY ARE IN CONVERSATION WITH THEIR COMMUNITY PARTNERS AND, UM, THAT WE DO EXPECT TO HAVE AN UPDATED FLU VACCINE, UH, IN TIME FOR NEXT SEASON.

OKAY.

UM, THEY USUALLY GO WITH THE WHO RECOMMENDATIONS AND THE WHO HAS MADE THEIR RECOMMENDATIONS.

SO I DON'T KNOW IF THEY'RE JUST LIKE, NOT GONNA DO ANY OF THE MEETINGS AND JUST SAY, YOU KNOW, GO FORTH WITH THE WHO OR, I DON'T KNOW, BUT IT NEEDS TO HAPPEN BY JUNE.

THAT'S WHEN THE MANUFACTURERS NEED TO START MANUFACTURING.

SO THEY NEED TO .

UM, OKAY.

BUT YEAH, NO, IT'S BEEN, UM, AND KIDS HAVE BEEN REALLY PARTICULARLY HARD HIT WITH THIS FLU SEASON AND THEY'VE BEEN HOSPITALIZED WITH LIKE, SOME NEUROLOGICAL THINGS AND YEAH, IT'S BEEN TOUGH.

IT'S BEEN NASTY.

MM-HMM .

ADULTS.

ADULTS, YEAH.

UH, I THINK OVER 70% OF THE CASES ARE LESS THAN 18 YEARS OF AGE.

SO THEY ARE MOSTLY IN CHILDREN.

A QUESTION ABOUT COULD BE RISK.

SO IF YOU WERE BORN BEFORE 1957, YOU'RE ACTUALLY CONSIDERED IMMUNE BECAUSE

[00:10:01]

MEASLES ITSELF WAS SO COMMON THEN THAT THEY JUST FIGURE EVERYBODY GOT IT.

SO, WOW.

THAT'S CONSIDERED IMMUNE.

AND THEN AFTER THAT IS WHEN YOU NEED TO HAVE HAD, THE SECOND QUESTION IS, WE HAD HAD FLU SEASON A COUPLE OF YEARS AGO.

THE REASON WAS THERE WAS MIDSEASON MUTATION AND THAT'S WHY THE VACCINE, UM, .

YEAH.

DID THAT HAPPEN TO SEE? I HAVEN'T HEARD THAT.

IT SEEMED LIKE IT WAS JUST A BAD SEASON.

THE, AND, YOU KNOW, FLU VACCINE PEOPLE TAKING THE FLU VACCINE WAS DOWN, SO THAT PROBABLY CONTRIBUTED AS WELL.

BUT I, I, I HAVEN'T HEARD ABOUT ANY MUTATIONS.

I HAVEN'T HEARD FROM IT MOVING FROM A TO B YET.

'CAUSE THAT CAN HAPPEN.

AND THEN YOU END UP WITH LIKE A SECOND SPIKE.

IT'S LIKE A DIFFERENT LITTLE FAMILY OF FLU VIRUSES.

UM, BUT I'VE HEARD THAT.

SO, ANY OTHER QUESTIONS FOR DR. DAVID? THANK YOU.

UM, CAN I GET A MOTION TO ACCEPT THE REPORT FROM THE CITY HEALTH OFFICER? SO I, OKAY.

I GOT DR.

ANI SECOND.

DR.

GUPTA.

ALL IN FAVOR? AYE.

OPPOSED? GREAT.

UM, NOW IF, IF YOU'RE READY, WE'LL UM, RECEIVE OUR REPORT FROM THE DIRECTOR.

GOOD MORNING.

GOOD MORNING.

MORNING FIRST.

LEMME START BY APOLOGIZING FOR BEING LATE.

UM, IT'S BEEN AN INTERESTING WEEK.

YEAH.

UM, I'M JUST YESTERDAY.

UH, I AM SORRY.

NO, ME.

YEAH, ME TOO.

YEAH.

UM, YOU KNOW, I CAN'T TELL YOU HOW HEAVY, UH, IT WAS THERE.

UM, AND COLLEAGUES WHO, AND PEOPLE, I WENT WITH THE NATIONAL ASSOCIATION OF HOUSING DEVELOPMENT OFFICIALS.

AND THESE ARE, UH, HOUSING AUTHORITY EXECUTIVES.

I SERVE ON A NATIONAL COMMITTEE.

UM, THERE WERE PEOPLE WHO CAME OUT OF THESE, YOU KNOW, IN TEARS FEELING UNSEEN, UNHEARD, UH, LEGISLATIVE AIDS THAT NEVER PICKED UP THE PAPER, THE, UM, TO WRITE ANYTHING.

JUST LITERALLY KEPT CHECKING THEIR WATCHES AS IF THEY JUST WANTED YOU TO GET UP AND MOVE ON.

UM, THEY, THEY JUST, THEY WEREN'T HURT.

UM, THERE WAS A LOT GOING ON.

OF COURSE, A LOT OF IT WAS ABOUT THE BUDGET, UH, IN GENERAL.

UM, WE DID GET THE CALIFORNIA CONTINGENCY ABOUT 30 MINUTES WITH ADAM AND HIS STAFF LISTED.

AGING WAS VERY, VERY HELPFUL.

UM, PAD'S OFFICE.

UH, ANDREA WAS JUST, SHE'S ALWAYS AMAZING.

UM, JUST A STRONG, STRONG STAND FOR HEALTH AND HER HOUSING.

UM, SHE'S EXTREMELY INFORMED, BUT WHAT WE HEARD OVER AND OVER IS THAT THESE LEGISLATIVE OFFICES AND THE ELECTEDS ARE LEARNING ABOUT THINGS AS WE ARE LEARNING ABOUT THEM.

AND THEY HAVE TO LEAN ON US TO PROVIDE THAT INFORMATION BECAUSE THEY'RE NOT GETTING IT.

WE RECEIVED NOTICE LAST THURSDAY, THAT HUB IS GOING TO STOP PAYING US FOR OUR EMERGENCY HOMELESS VOUCHER.

HOMELESS HOUSING VOUCHERS.

THESE WERE VOUCHER DURING THE PANDEMIC.

WE GOT 5 82.

WE WERE ONE OF THE PERSONS STATE TO GIVE THEM ALL THIS STUFF.

IT HELPED US AMIDST DURING THE HOMELESS, UH, EMERGENCY 5 82.

WE HAD AMAZING RETENTION BECAUSE WE GOT THE END OF 22 IN 23 LEASING BECAUSE IT'S HARD TO GET PEOPLE INTO HOUSING.

BUT THESE CAME WITH INCENTIVES.

WE WERE ABLE TO PAY OWNERS.

WE WERE ABLE TO MAKE A DEPOSIT.

GENERALLY WITH SECTION EIGHT, NOTHING HAPPENS UNTIL YOU GET IN THERE.

YOU START PAYING.

BUT THIS HELPED PEOPLE GET IN.

WE GOT 508 2, WE LEASE THE 5 8 2, YOU'RE DOWN TO 5 49.

AND, AND THESE WERE PEOPLE WHO WERE HOMELESS, BUT THEY MAINTAINED THEIR HOUSING IS WHAT THIS SAYS.

'CAUSE WE COULD NOT TURN OVER ANY OF THOSE VOUCHERS ONCE YOU GOT A PERSON ON THEM.

IF THEY LEFT THE PROGRAM, WE CANNOT RELEASE THAT.

WE KNEW THAT BECAUSE THIS WAS ONLY A 10 YEAR ALLOCATION, BUT IT WAS 10.

AND AT THE END OF THIS YEAR IT WOULD BE FOUR.

AND NOT GETTING MORE MONEY IS WHAT THEY'RE SAYING.

SO BECAUSE THIS APPROPRIATION WAS COMMITTED BY CONGRESS, SEEMS LIKE IT WOULD BE REQUIRED THAT IT SHOULD ONLY BE

[00:15:01]

BY CONGRESS.

THAT IT CAN BE CUT IN.

WE'LL SEE, EVERYTHING ELSE IS BEING LITIGATED.

SO I SUPPOSE THIS TOO SHALL BE ALSO.

SO THE MAYOR IS LOOKING INTO, UH, SOME RESOURCES THROUGH PICASA, WHICH IS THE, THE WAY THAT HE CHAIRS AROUND AFFORDABLE HOUSING, UM, THE COUNTY.

UM, AND, UM, THERE, THERE, THERE WERE, THERE WAS ONLY THE SOLIDARITY IN SERVING THE POPULATION THAT WE HAVE ALWAYS SERVED AND DOING THE WORK THAT WE'VE ALWAYS DONE, THAT I FOUND TO REALLY BE POSITIVE ABOUT OUR .

MY COLLEAGUES DID NOT ALL HAVE THAT SAME EXPERIENCE.

UH, SO WILL ALIGN OURSELVES MORE CLOSELY WITH THESE OFFICES TO LET THEM KNOW WHAT IS GOING ON.

UH, THEY'RE CLOSE.

50% OF HUD OFFICES AROUND THE COUNTRY BE ONE THAT REMAIN OPEN, BUT THEY'LL OBVIOUSLY BE TAKING ON THE WEIGHT OF THE REGION.

AND SO WILL FEW REMAINING OFFICES.

UM, THERE ARE THINGS LIKE MORTGAGE COUNSELING, UM, AND OTHER KINDS OF SERVICES RELATIVE TO FHA THAT ARE LAW.

BUT YOU GET RID OF THE PEOPLE, YOU CAN'T DO THEM.

MM-HMM .

SO WE DON'T KNOW WHAT THAT'S GOING TO LOOK LIKE EITHER.

UM, BUT WE'LL CONTINUE TO WORK ON THAT.

UM, WE HAD, UH, I DUNNO IF YOU GUYS MENTIONED, WE HAD THE CDC FELLOWS THAT, YOU KNOW, A COUPLE OF WEEKS AGO TOLD THAT THEY HAD DECEASED WORKING OVER THE WEEKEND.

UM, THEY WENT HOME FOR, WHAT, THREE WEEKS? OH.

LIKE THAT.

THEY CAME BACK LAST THURSDAY.

SOMETHING LIKE THAT.

YEAH.

.

SO WONDERFUL.

WE DON'T KNOW WHAT'S HAPPENING.

WE'RE TRYING TO BE NIMBLE.

I APPLAUD OUR TEAM FOR JUST CONTINUING TO SHOW UP EVERY DAY WITH POSITIVITY TO CONTINUE DOING THEIR WORK.

UM, BUT THERE IS NO OFFICIAL NEWS COMING ABOUT ANY OF THESE THINGS OTHER THAN THE INDUSTRY ASSOCIATIONS THAT ARE TRYING TO FOLLOW THE MONEY AND THE NEWS.

UM, SO IT DOESN'T HAPPEN IN THE STANDARD WAY THAT IT ALWAYS BE.

SO WE WILL ADJUST ACCORDINGLY.

UM, AND THERE IS NOTHING THAT WE HAVE SHUT DOWN AT THIS TIME.

AND IT IS BUDGET SEASON.

UM, WE ARE IN OUR BARE BUDGET RIGHT NOW.

UM, TOM IS NOT REQUIRING ANY SPECIFIC CUT, BUT THERE HAS TO BE AN OFFSET FOR ANYTHING THAT WE ASK FOR.

AND THE TRUTH IS, IS THAT WE'RE NOT STRUCTURALLY FUNDED.

WE HAVE RUN A DEFICIT BECAUSE OF THE WAY THAT THEY CALCULATE OUR MONEY.

WE ARE HOPING FOR STRUCTURAL FUNDING IN THIS BUDGET SEASON, BUT THERE CAN'T BE AN OFFSET AND WE DON'T HAVE ANY REVENUE TO GENERATE, TO OFFSET IT WITH.

BUT WE DO HAVE NEEDS, WE HAVE NEEDS STILL AROUND TV.

IT CONTINUES TO BE AT A CRISIS LEVEL, BUT IT'S NOT AN EMERGENCY.

UM, BECAUSE, YOU KNOW, LEGALLY THEY DON'T WANT TO CONTINUE THAT.

UM, BUT WE ARE LOOKING INTO WHETHER OR NOT WE CAN DO IT WITHOUT THE STATE OF EMERGENCY.

UM, WE ARE DOING SECOND INTERVIEWS WITH THE DEPUTY DIRECTOR NEXT WEEK.

I WOULD, UH, APPRECIATE ANYONE WHO CAN, UH, SERVE WITH US THE AFTERNOON OF THE 20TH.

PLEASE.

LEMME KNOW IF YOU ARE INTERESTED.

UH, THINK THEY'RE VIRTUAL.

OH, GOOD, GOOD, GOOD.

OKAY.

UM, SO YES, UM, THEY ARE BETWEEN ONE AND FIVE, UH, PM ON THE 20TH.

SO IF YOU'RE AVAILABLE, PLEASE LET KNOW.

UH, AND IT WON'T TAKE, UH, THAT LONG.

WE, WE HAVE, WE HAVE THREE FOR SURE.

WE HAVE A DEBRIEF AT FOUR.

WE SHOULD BE THREE BY FOUR 30 IS ABOUT WHAT WE'RE ASKING.

UM, WITH THAT SAID, UM, THERE ARE LOTS OF CHANGES AT THE COUNTY AS WELL.

THEY ARE ATTEMPT TO DISBAND LASA, WHICH IS LOS ANGELES PUBLIC COURT, IF YOU'VE SEEN THE AUDIT REPORTS.

UM, IT'S NOT A BOOK, BUT IT'S, UM, TO MANAGE.

AND WE THROW MONEY INTO SOMETHING AND IT'S BIGGER THAN YOU CAN MANAGE.

THIS IS WHAT YOU GET.

UM, AND, UH, THEY ARE LOOKING AT OUR MODEL BECAUSE, UM, OUR HOUSING AUTHORITY

[00:20:01]

AND OUR, UH, COORDINATED ENTRY SYSTEM, WHICH IS WHAT WASA IS FOR THE COUNTY.

WE ARE CONNECTED TO ONE ANOTHER.

SO WE MOVE IN TANDEM.

AND, UM, THE MODEL HAS ITS CHALLENGES BECAUSE THE CRISIS HAS ITS CHALLENGES, BUT THE MODEL ITSELF WORKS.

SO, UM, A LOT OF THE COUNTY IS LOOKING TO US TO PROVIDE GUIDANCE AND, UH, DIRECTION.

UH, PASADENA DOES DO THE SAME THING, OBVIOUSLY ON A SMALLER SCALE.

UH, BUT, UH, WE ARE, UH, GOING TO BE IN THE FOREFRONT OF, YOU KNOW, ASSISTING WITH THE COUNTY, UH, AND HOW THEY MAKE THAT HAPPEN.

UH, I THINK THAT'S IT FOR NOW.

I'M STILL TRAUMATIZED, UH, THE BETWEEN THE TIME DIFFERENCE IN TRAVEL AND THE TIME CHANGE AND WHAT HAPPENS.

UM, YEAH.

BUT I THANK YOU ALL FOR BEING HERE.

UM, I KNOW WE DIDN'T MEET LAST MONTH, BUT GLAD YOU WERE HERE THIS MONTH.

AND, UH, WE ARE PUSHING TO GET A RESPONSE ON HOW CITY COUNCIL WANTS TO MOVE ON MESSAGING AROUND, UM, CLOSURES.

WE HAVE OUR FIRST ONE SINCE THE LAST ONE.

THE SEWER, STEEL YESTERDAY.

AL WAS CANCELED, UM, FOR THIS WEEKEND IN ADVANCE OF THE SEWER.

THAT'S A STORY.

UM, BUT WE'RE GONNA BE MEETING AROUND THAT AND HOW WE CAN GET PUBLIC NOTICE AFTER THIS MEETING.

I'M CALLING THE LONG BEACH JUNIOR CREW AND THE LONG BEACH ROWING ASSOCIATION TO MAKE SURE THEY HAVE THAT MESSAGING.

AND, UM, I'LL BE ATTENDING THEIR MEETING SO THAT CAN HEAR FROM THEM AS TO HOW THEY NEED TO BE COMMUNICATED WITH.

UM, BUT CD THREE IS INVOLVED AND, UH, WE'LL KEEP YOU ALL POSTED BECAUSE THERE THAT THEY SEE, BUT I'M SURE THEY'RE GONNA WANNA INPUT FROM CB THREE, UM, AS TO HOW TO DO THAT.

THANK YOU.

THANK YOU.

ANY QUESTIONS FOR DIRECTOR? THE FEEDBACK ON THE HOMELESS HOUSING IN LA COUNTY IS THAT, IS THAT THE BOARD THAT OVERSEES THE FUNDING FROM THE MEASURE? AND AS YOU KNOW, MEASURE H 27, MEASURE A WAS SUPPOSED TO, IT IS GOING APPROVED THAT IT WILL TAKE ITS PLACE.

WHAT WE HAVE HERE IN LONG BEACH IS A LITTLE BIT CHALLENGED TO OUR ABILITY TO BEGIN COLLECTING MONEY ON THAT MEASURE.

UM, AND IT'S BEING LITIGATED FROM, UH, THAT, UH, JUST FOR THIS YEAR ALONE.

AND, UM, IT WAS TO BEGIN APRIL ONE.

IT'S LITIGATED.

SO WE KNOW IT'S DELAYED.

IT'S PERCENT SALES TAX.

YES.

WAS THAT WAS VOTED AND CODE? YES.

BUT WHEN IT CAN START, WAS THE ISSUE BASED ON A MAXIMUM TAX? UH, THERE, THERE, THERE'S SOME ISSUE WITH THE LANGUAGE AND HOW IT'S BEING.

SO I JUST READ THE PAPER, SAID YESTERDAY WAS SUPPOSED TO GO, DID, DID I MISS SOMETHING THIS WEEK? WELL, IT MAY NOT.

IT WAS SUPPOSED TO, I DON'T BELIEVE.

OKAY.

AND WHEN YOU, HOW MUCH FEDERAL MONEY DO YOU GET FOR ALL THESE PROGRAMS? HOW MUCH MONEY DO YOU GET? FEDERAL MONEY? YEAH.

FEDERAL MONEY IS INVOLVED IN ALL THESE PROGRAMS. I'LL GET THOSE NUMBERS TO YOU.

WE GET DIFFERENT AMOUNTS ON BOTH THE PUBLIC HEALTH SIDE AND SERVICES SIDE.

WE'VE GONE BACK AND FORTH ABOUT THE NUMBERS BECAUSE SOME OF THE MONEY THAT WE GET FROM THE STATE IS A FEDERAL PASS THROUGH FROM THEM.

SO IT GETS VERY DIFFICULT IN TERMS OF WHAT WE ACTUALLY SAY.

OH, OKAY.

BECAUSE THE SOURCE IS A BIT MURKY.

[00:25:02]

YEAH, I CAN GO WITH THAT.

YEAH.

I, OUR LAST NUMBERS, AND IT WAS A CAVEAT THAT THEY'RE STILL TRYING TO ANALYZE IT BECAUSE IT'S WORKING, IT'S CLOSE TO 70% AND THAT'S FEDERAL AND STATE.

SO IT'S SIGNIFICANT.

AND WHEN YOU TALK ABOUT STRUCTURAL FUNDING, IS THAT SORT OF SO STRUCTURAL FUNDING IS THE FUNDING THAT WE CAN COUNT ON THAT IS PROVIDED TO US THROUGH THIS.

OKAY.

THEY HAVE ALWAYS, UM, SUPPLEMENTED, UM, THE HEALTH DEPARTMENT, BUT NOT IN A STRUCTURAL FUNDING WAY.

AND WHAT THE LARGEST PORTION OF WHAT THEY PROVIDE TO US IS ON THE HUMAN SERVICES SIDE WITH RESPECT TO HOMELESSNESS.

THAT'S WHERE, UM, THE BIGGEST AMOUNT OF DOLLARS HAVE COME IN.

UM, STRUCTURAL FUNDING IS SOMETHING THAT THEY LOOKED INTO WITH DIRECT TO THE SUGAR TAX AROUND, UM, CARBONATED BEVERAGES, UM, WHICH COULD BE A SOURCE OF REVENUE FOR US.

BUT OF COURSE, THAT'S NOT BEEN PROPOSED AS A VALID INITIATIVE.

AND SOME OF THE CONCERNS AROUND TAXES, UM, YOU KNOW, DEFINITELY PLAY INTO THAT MM-HMM .

UM, SO STRUCTURAL FUNDING IS WHAT WE CAN BE ASSURED OF GETTING.

WE HAVE IN THE PAST HAD REALIGNMENT DOLLARS.

WE HAVE MONEY THAT WE GENERATED FROM OUR COOPER FUND, WHICH IS OUR FEES THAT ARE GENERATED WHEN WE GO OUT INTO ENVIRONMENTAL SKILLS.

IT'S ALL TIED IN THOUGH WITH FIRE.

SO IT'S NOT LIKE WE SHARE THAT ACCOUNT, BUT IT'S BEEN IN A DEFICIT AS WELL.

UM, YEAH.

AND A LOT OF THINGS HAVE CHANGED AROUND, UM, THE WAY THAT WE CALCULATE OUR INDIRECT COSTS.

'CAUSE WHILE MOST OF OUR, UH, DEPARTMENT IS GRANT FUNDED, THERE'S NOT A GRANT THAT CAN PAY FOR INDIRECT COSTS AND DIRECT COST OF THE COST OF THINGS LIKE, UM, LEGAL OR TECHNOLOGY SERVICES.

THE, THE OVERHEAD COSTS THAT CANNOT BE TIED TO A PROGRAM BASED ON UTILIZATION.

UM, WE SHOULD HAVE A NEGOTIATED RATE.

BUT THE FEDS HAVE BEEN INCONSISTENT IN APPROVING THOSE FEDERAL RATES ACROSS THE PROGRAMS THAT WE HAVE.

SO THERE ARE SOME STATE PROGRAMS FOR WHICH WE HAVE AN INDIRECT RATE THAT WE CAN CHARGE OVER AND ABOVE.

BUT WHAT DOESN'T GENERALLY CHANGE IS WHAT THEY GIVE YOU.

WHAT YOU THEY WILL DO IS IF YOU GET $5 MILLION, YOU STILL, YOUR ENTIRE PIE IS GONNA BE FIVE, $5 MILLION.

BUT WHAT YOU CAN DO IS CHARGE A CERTAIN AMOUNT AT WHATEVER YOUR APPROVED RATE IS FOR THOSE CREDIT.

AND SOME OF THOSE WE DON'T HAVE A NEGOTIATED RATE.

THANK YOU.

SO WHAT WE DO, YOU KNOW, WANT TO ADVOCATE FOR IS SOCIAL FUNDING MANAGER SUPPORT.

WHAT WE DO, IT'S JUST PRIORITIES, IMPLEMENTATION, REVENUES, UM, THAT MAKE THAT CHANGE.

THANK YOU.

ANY OTHER QUESTIONS? OKAY.

SEEING NONE, CAN I RECEIVE A MOTION TO RECEIVE THE DIRECTOR'S ANNUAL REPORT? I'LL MOVE LAUREN.

SECOND.

BARBARA.

ALL IN FAVOR? AYE.

AYE.

OPPOSED? WE ALL SOUND MUCH MORE DEPRESSED THAN WE DID A COUPLE MINUTES AGO BEFORE WE WERE LIKE I, AND NOW WE'RE LIKE, OH, .

THAT'S OKAY.

YOU'RE NOT, YOU'RE NOT .

NO.

ALRIGHT.

RIGHT.

DON'T WORRY.

ANDREA IS SAYING, HOLD MY BEER .

DEBBIE DOWNER.

ANDREA'S SAYING, HOLD MY BEER.

I IT'S OUR TURN.

UM, OKAY.

MOVING ON TO GETTING WORSE AND WORSE.

ANDREA .

GOOD MORNING EVERYONE.

GOOD MORNING.

MY NAME IS ANDREA LEE.

I'M THE LEGISLATIVE MANAGER FOR THE HEALTH DEPARTMENT.

AND TODAY I'LL PROVIDE AN UPDATE ON THE PUBLIC HEALTH POLICY OF THE FEDERAL ADMINISTRATION.

INFORMATION PRESENTED TODAY WAS GATHERED FROM OUR FEDERAL LOBBYIST, UM, PUBLIC HEALTH ADVOCACY ORGANIZATIONS.

AND INFORMATION PRESENTED TODAY IS UPDATED AS OF YESTERDAY, UH, MARCH 13TH.

AND THIS UPDATE IS NOT EXHAUSTED BECAUSE WE CONTINUE TO LEARN CHANGES EVERY HOUR.

REALLY.

UH, THE UPDATE IS BROKEN DOWN INTO THREE MAIN BUCKETS.

FIRST IS THE LEADERSHIP, SECOND IS POLICY AND BUDGET UPDATES.

AND THEN THE THIRD IS, WHAT IS THE HEALTH DEPARTMENT DOING TO PREPARE OR RESPOND? AND I'LL TAKE BREAKS IN BETWEEN EACH SECTION, JUST SO SO WE CAN BREATHE IF YOU HAVE ANY QUESTIONS.

UM,

[00:30:01]

SO WE'LL START FIRST WITH, UH, UPCOMING CONFIRMATIONS ON NEW LEADERSHIP.

SO FIRST, THE SENATE HEALTH EDUCATION, LABOR AND PENSIONS SUBCOMMITTEE OR HEALTH, UM, CON CONFIRMS DR.

MARTY MAC'S NOMINATION FOR THE FDA, UH, YESTERDAY, THE FULL SENATE WILL LIKELY CONFIRM WITH HIM IN THE NEXT FEW WEEKS.

HE'S A SURGEON AND PUBLIC POLICY RESEARCHER AT JOHN HOPKINS.

NEXT, THE HEALTH COMMITTEE HAD A CONFIRMATION HEARING ON MARCH 5TH FOR DR.

J TO LEAD THE NIH, AND HE'S A STANFORD POLICY PROFESSOR.

AND THE HEALTH RESOURCES SERVICES ADMINISTRATION, OR HRSA, HAS ANNOUNCED THE RETURN OF TOM ANGLES, WHO LED THE BUREAU FROM 2019 TO 2021.

AND BEFORE JOINING HRSA, HE WAS THE WISCONSIN, UM, STATE SECRETARY OF THE, SORRY.

HE WAS THE DEPUTY SECRETARY OF THE WISCONSIN DEPARTMENT OF HEALTH SERVICES.

UM, THE SENATE HEALTH COMMITTEE EXPECTS TO HOLD A CONFIRMATION, CONFIRMATION HEARING FOR DR.

NETTE OZ, UH, TO LEAD THE CENTERS FOR MEDICARE AND MEDICAID SERVICES TODAY.

UM, AND THEN AS DR. DAVIS HAD MENTIONED, THE WHITE HOUSE WITHDREW THEIR NOMINATION FOR DR. DAVID WELDON, FOR DIRECTOR OF CC BECAUSE THEY VOTES TO BE CONFIRMED.

HE'S A PHYSICIAN AND REPUBLICAN, FORMER REPUBLICAN CONGRESS MEMBER FROM 1995 TO 2009.

AND DURING HIS TENURE, HE ARGUED THAT WAS THE MOST EFFECTIVE WAY TO, HE WAS ON VERY ALIGNED WITH SENATOR I SECRETARY.

ANY QUESTIONS OR COMMENTS ON THIS PARTICULAR SECTION? I DID JUST SEE A DEADLINE TODAY THOUGH THAT, UM, DR.

OZ, UM, MAY HAVE NOT PAID HIS SOCIAL SECURITY AND SOME OTHER MEDICARE OR SOMETHING.

SO WHO KNOWS WHAT THING.

OKAY.

SO NEXT WE HAVE THE BUDGET UPDATES.

MM-HMM .

SO THE BIG HEADLINES HAVE BEEN, UH, THE CONGRESSIONAL 25 FISCAL YEAR 20.

SO THE CURRENT CONTINUING RE EXPIRES TODAY, AND THE HOUSE NARROWLY PASSED A THIRD CONTINUING RESOLUTION BILL ON MARCH 11TH TO FUND THE FEDERAL GOVERNMENT UNTIL SEPTEMBER 30.

AT FISCAL YEAR 24 LEVELS, THE CR BILL MOVES TO THE SENATE, WHICH REQUIRES 60 VOTES TO MOVE FORWARD TO THE PRESIDENT.

TO, INTO, HOWEVER, SIGNATURES ARE CONCERNED THAT THE CR DOES NOT INCLUDE SUFFICIENT GUARDRAILS TO ENSURE THAT APPROPRIATED FUNDS ARE SPENT ON PROGRAMS AS INTENDED.

SO THEY'RE CONCERNED THAT THE WHITE HOUSE WILL HAVE THE AUTHORITY TO SHIFT FUNDING AROUND FOR PROGRAM TO PROGRAM, UH, WHICH IS REALLY NOT THE NORM.

UM, SO ON MARCH 12TH, SENATE MINORITY LEADER, CHUCK SCHUMER SAID THAT THE SENATE DOES NOT HAVE THE VOTES TO MOVE THE VOTE FORWARD.

IF LAWMAKERS CANNOT COME TO AN AGREEMENT WITH FEDERAL SHUT DOWN AT, UH, 1201 ON MARCH 15TH, IF THE CR BILL IS PASSED, IT'LL REMOVE 15 BILLION WORTH OF EARMARKS APPROPRIATED FOR 20, FISCAL 25, 1 THAT WAS SECURED BY THE DEPARTMENT TO SUSTAIN CCR, THE CD'S CONTINGENCY IN CASE'S A FEDERAL AS THEIR HAS, THEY'VE BEEN COMMUNICATING WITH OUR, BUT NOT ABOUT, UM, WHAT TO DO IF THIS HAPPENS.

NEXT WE HAVE FEDERAL WORKFORCE REDUCTION.

SO, JUST RECENTLY, A FEW DAYS AGO, 1300 WORKERS, OR 37.6% OF THE DEPARTMENT OF EDUCATION'S WORKFORCE WERE LAID OFF AS PART OF DO'S REDUCTION IN FORCE INITIATIVE.

AND WHILE 90% OF FUNDING FOR PUBLIC K THROUGH 12 EDUCATION COMES FROM THE STATES, 10% COMES FROM FEDERAL FUNDING TO SUPPORT LOW INCOME STUDENTS AND THOSE WITH DISABILITIES.

IN RESPONSE, 27, UH, 21, DEMOCRATIC ATTORNEYS GENERAL SUED THE TRUMP ADMINISTRATION.

UH, JUST YESTERDAY OVER THE MASSING, THE SUIT SAYS THAT THE CUTS HAVE BEEN SO SEVERE THAT THEY HAVE PREVENTED DUTIES MANDATED BY LAW.

AND SEVEN REGIONAL OFFICES, UM, OF THE DEPARTMENT'S OFFICE OF CIVIL RIGHTS HAVE BEEN CLOSED ENTIRELY.

AND JUST YESTERDAY, A FEDERAL JUDGE ORDERED THAT THE FEDERAL ADMINISTRATION REHIRE PROBATIONARY WORKERS AS THEIR FIRES WERE UNLAWFUL.

THE ORDER DIRECTED TO THE TREASURY VETERANS AFFAIRS, AGRICULTURE, DEFENSE, ENERGY AND INTERIOR DEPARTMENTS.

AND THE LAWSUIT WAS BROUGHT EMPLOYEE UNIONS WHO CHALLENGE FOR NEXT, WE HAVE INCLUSIVE LANGUAGE FLAG.

A COUPLE DAYS AGO, THE NEW YORK TIMES PUBLISHED A LIST OF OVER 200

[00:35:01]

WORDS OR TERMS THAT THE FEDERAL GOVERNMENT HAS PUBLIC FACING WEBSITES.

SOME TERMS INCLUDE, SOME OF SOME TERMS INCLUDE SOME OF THE EXPECTED, SUCH AS DIVERSITY, INCLUSION, EQUITY, HOWEVER, THE LIST ALSO INCLUDES UNEXPECTED WORDS AND TERMS SUCH AS WOMEN, UM, DISABILITY UNDERSERVED.

SO FORMAL AND INFORMAL GOVERNMENT MEMOS HAVE PROVIDED GUIDANCE ON REFRAINING FROM USING THESE TERMS. BUT THEY SH SHOW THEY FALL SHORT OF INSTITUTING AN OUTRIGHT BAN OF THE WORDS AND TERMS. BUT THIS LIST WILL LIKELY BE USED TO AUTOMATICALLY ALERT GRANT PROPOSAL REVIEWS.

SO WE ON OUR UNDER DEVELOPMENT TEAM, HAVE TO BE CAREFUL ABOUT WHAT WE WRITE REPORT FOR FEDERAL ON FE ON FEBRUARY 21.

UM, THIS BRINGS UP CONCERNS ABOUT FREE SPEECH.

AND THERE HAVE BEEN BLOCKS THAT EXECUTIVE ORDERS, UM, AIMED AT ANY OF THE GOVERNMENT'S SUPPORT FOR DPI PROGRAMS. NEXT, WE MOVE TO THE NATIONAL INSTITUTES OF NATIONAL INSTITUTE OF HEALTH.

AND WHILE THE, THE HEALTH DEPARTMENT DOES NOT RECEIVE REP FROM NIH FINDINGS FROM RESEARCH STUDIES INFORM EVIDENCE BASED, EVIDENCE-BASED BEST PRACTICES, UH, FOR A FAST VARIETY OF PUBLIC HEALTH PROGRESS.

ON MARCH 5TH, A FEDERAL ADMINISTRATION DON NATIONWIDE PRELIMINARY INJUNCTION THAT BLOCKS THE FEDERAL ADMINISTRATION FROM ISSUING BLANKET OVERHEAD PAYMENTS TO 15% ON NIH GRANTS.

HOWEVER, EVEN THOUGH THAT THIS, EVEN THOUGH THERE IS A BLOCK OF THE COURTS, SOME UNIVERSITIES ARE ALREADY RESPONDING.

SO, UM, SOME NATIONS, INCLUDING USC, THE UNIVERSITY OF SOUTHERN CALIFORNIA, HAVE PAUSED THEIR PHD PROGRAMS IN SCIENCE BASED SECTORS DUE TO FUNDING.

AND THIS IS HAVING REAL IMPACTS ON LOCAL ECONOMIES.

UM, AS MANY UNIVERSITIES ARE LARGE EMPLOYERS, ESPECIALLY IN THESE SMALL COMMUNITIES.

UH, THEY SAID THAT EVERY SALARY INVESTED FROM NIH $2 AND 50 CENTS IS INVESTED IN THE LOCAL ECONOMY.

AND ONE UNIVERSITY, THE UNIVERSITY, IF THIS 50% GOES THROUGH, IT WILL LIKELY SHUT DOWN THE ENTIRE STATE BECAUSE IT'S THE LARGEST EMPLOYER.

UM, AND TWO RESEARCH INITIATIVES WERE RECENTLY CANCELED, UM, THREE DOZEN GRANTS ON VACCINE HESITANCY AND STRATEGIES TO INCREASE VACCINE UPTAKE AND AT LEAST 24 TERMINATION LETTERS SENT TO DIFFERENT UNIVERSITIES FOR RESEARCHING T LGBTQ POPULATIONS.

NEXT, WE MOVE ON TO THE ENVIRONMENTAL PROTECTION AGENCY EPA.

SO THE FEDERAL 30 ENVIRONMENTAL REGULATIONS THAT PROTECT FROM AIR AND WATER POLLUTION TO UNLEASH AMERICAN ENERGY.

A FEW OF THE CHANGES INCLUDE ROLLING BACK RESTRICTIONS ON CARBON DIOXIDE EMISSIONS FROM POWER PLANTS, REDUCING TAILPIPE POLLUTION STANDARDS, EASING LIMITS OUR MERCURY EMISSIONS FROM POWER, ELIMINATING EPAS LEGAL AUTHORITY TO REGULATE CARBON DIOXIDE AND OTHER GREENHOUSE GASES, AND CUTTING FEDERAL FUNDING FOR THIS TRANSITION INTO RENEWABLE ENERGY.

AND THESE CHANGES MAY LEAD TO INCREASES IN ASTHMA PRIOR CANCERS.

UM, AND WE MOVE ON TO TARIFFS.

SO THEY, THERE'S BEEN A LOT OF BACK AND FORTH ON TARIFF.

UM, AND SO US ISSUED 25% TARIFFS ON CANADA, UH, CANADIAN AND MEXICAN IMPORTS, ALONG WITH A 10TH PERCENT INCREASE IN CHINESE IMPORTS IN EARLY MARCH, UM, THE FEDERAL ADMINISTRATION HAD LOCKED BACK ON MEXICAN TARIFFS THAT FOLLOWED WITHIN THE US MEXICO CANADA AGREEMENT UNTIL APRIL 2ND.

UM, BUT THERE ARE NOW WORLDWIDE TARIFFS ON STEEL AND ALUMINUM IMPORTS THAT TOOK EFFECT.

ON MARCH 12TH, THE EUROPEAN UNION AND 20 TARIFFS, UM, EXPECTED TO EFFECT APRIL CANADA ANNOUNCED 25 PERCENTILE ON STEEL ALUMINUM COMPUTER SPORTS EQUIP TO 29 CANADIAN.

AND AS YOU ALL HAVE PROBABLY SEEN, THE STOCK MARKET HAS RESPONDED, CRIMES IMMEDIATE AFTER THE INAUGURATION AND THE ELECTION, MOST ECONOMISTS PREDICTED TO TO HIGHER INFLATION.

SOME ECONOMISTS ARE PREDICTING, UM, THE CHANCE A 40% CHANCE OF A US RECESSION.

AND, UH, THIS WILL HAVE SIGNIFICANT IMPACTS ON THE HEALTH DEPARTMENT.

SO THE COST OF PROGRAM SUPPLIES AND GOODS WILL INCREASE, UH, PUBLIC HEALTH EQUIPMENT, LAB EQUIPMENT WILL INCREASE, UM, AND THERE WILL BE INCREASES IN CONSTRUCTION IF THERE ARE ANY CAPITAL IMPROVEMENT

[00:40:01]

PROJECTS.

LARGE LOSSES AT THE STOCK MARKET WILL ALSO HAVE TANGIBLE IMPACTS ON THE HEALTH DEPARTMENT WORKFORCE.

SO PENSIONS, FIVE 20 NINES DEFERRED COMPENSATIONS HAVE ALL IMPACTED.

I'LL PAUSE THERE.

AND THEN FINALLY, THE HEALTH DEPARTMENT UPDATES.

SO WE ARE, WE'RE CONTINUING TO MONITOR CONGRESSIONAL MOVEMENT ON BUDGET CONVERSATIONS AS THE DEADLINE APPROACHES, AND WE'RE PREPARED TO COMMUNICATE POTENTIAL IMPACTS, UH, TO CLIENTS AND PROGRAM PARTICIPANTS AROUND HOUSING AUTHORITY, WIC AND RESH.

UM, AND WE'RE WORKING ALSO WITH THE PUBLIC AFFAIRS TEAM TO COMMUNICATE WITH THE PUBLIC TO CLARIFY WHAT THE HEALTH DEPARTMENT COLLECTS IN TERMS OF IMMIGRATION STATUS, UM, AND WHAT WE ARE EXPECTED TO DISCLOSE TO THE DEFENDERS.

UM, WE HAVE A, WE HAVE A STRONG PARTNERSHIP WITH LA COUNTY AND THEY SAID THAT IF ANY CBOS EXPRESSING NEED FOR SUPPORT AROUND KNOW YOUR RIGHTS, UM, TRAININGS THE COUNTY MAY BE ABLE TO PROVIDE.

SO REACH OUT TO ME IF THERE IS A NEED FOR THAT IN YOUR, UM, SPACES.

UM, AND THEN ICE PROTOCOLS, WE'RE WORKING WITH THE CITY ATTORNEYS OFFICE CASE WE'RE AT LEADING, UM, AND CHANGES.

SO WE JUST RECENTLY MET WITH, UM, THE, THE TEAM THAT COORDINATES THE PUBLIC HEALTH INFRASTRUCTURE GRANT, WHICH IS A LARGE CC GRANT THAT WE REALLY RELY ON FOR AND CONTINGENCY AND MEDICAID.

SO WE'RE KIND OF BASIS OF THOSE, THOSE CASES.

SO THAT'S MY UPDATE FOR TODAY.

ANSWER MIGHT HAVE ANY QUESTIONS.

THANK YOU.

SEEING NONE, CAN I GET A MOTION TO RELUCTANTLY RECEIVE THE LEGISLATIVE REPORT? I THANK YOU DR.

GUPTA.

THANK YOU.

ALL THOSE IN FAVOR? AYE.

OPPOSED? THANK YOU, ANDREA.

SOMEONE HAD TO DO IT.

APPRECIATE IT.

ALWAYS, ALWAYS.

THANK YOU.

UM, OKAY.

DISCUSSION ON THE BOARD OF HEALTH POLICY INSIGHTS AND COLLABORATION.

CAN I GET SOME GUIDANCE ON WHAT THAT MEANS? SO WE WERE HOPING TO, AFTER MY UPDATE, YES.

WE WERE HOPING TO OPEN IT UP TO THE BOARD.

OKAY, GREAT.

TO TALK A LITTLE BIT ABOUT WHAT YOU ARE ARE EXPERIENCING IN TERMS OF CHALLENGES, SUCCESSES, UM, AND LEARN A LITTLE BIT MORE.

WHAT'S HAPPENING IN YOUR SPACES, TERRIFIC PARTICULAR AREAS OR OPPORTUNITIES FOR COLLABORATION.

SO FOR EXAMPLE, ONE THING THAT WE'VE BEEN HEARING ARE RUMORS IN COMMUNITY ABOUT ICE BEING AT HOSPITALS.

UM, BUT WE'RE NOT HEARING IT DIRECTLY FROM HOSPITALS MM-HMM .

SO HAVING TO LIKE, LIKE SHUT THOSE RUMOR MILLS DOWN.

LIKE WHAT ARE SOME POSSIBLE WAYS FOR BETTER WITH EACH OTHER WHEN THESE TYPES OF THINGS ARE HAPPENING.

UM, SO THAT'S JUST AN EXAMPLE OF, UM, OF WHAT WE'RE HOPING TO GATHER TODAY.

WE HAD A SIMILAR MEETING WITH L ABOUT A MONTH AGO OR SO, AND, UM, WE JUST LEARNED A LITTLE ABOUT WHAT THEY'RE DOING AROUND MESSAGING, AROUND SUPPORTING THEIR STUDENTS AND FAMILIES, UM, WHO ARE REALLY SCARED ABOUT ICE BEING ON CAMPUSES.

SO THAT, THAT WAS KIND OF THE IMPETUS FOR POTENTIALLY BRINGING THAT TO THE BOARD TODAY.

GREAT.

THANK YOU FOR CLARIFICATION.

WOULD ANYONE LIKE TO START? I HAVE PLENTY TO SAY, BUT I'LL WAIT.

WE'VE GOT ALL SORTS OF STUFF GOING ON.

YEAH.

WHEN I THINK I COME FROM A RURAL COMMUNITY AND VERY IZED, SO, UM, I WATCH MEDICAID AND SOME OF THESE RESOURCES WILL COMMUNITY.

UM, SO ONE THING I THINK ABOUT AS WE WERE READING THIS, YOU KNOW, WE HAD THIS CONVERSATION ABOUT ACCESS TO HEALTHCARE AND, UM, AND WHAT THAT LOOKS LIKE, UM, FOR

[00:45:01]

LOW INCOME COMMUNITIES.

SO I THINK THERE'S CONVERSATIONS THAT COULD HAPPEN WITHIN THE HEALTH DEPARTMENT, BUT ALSO THAT COULD HELP INFORM THE COMMUNITY BECAUSE THERE'S GONNA BE A RIPPLE EFFECT WITH MENTAL HEALTH, HOMELESSNESS, JUST OVERALL COMMUNITY WELLNESS.

AND I THINK WHILE WE'RE TALKING ABOUT WHAT HAPPENS WITHIN THE HEALTH DEPARTMENT, WE NEED TO TALK ABOUT OVERALL COMMUNITY WELLNESS, RIGHT? AND SO, AND YOU KNOW, WE ALSO ARE CAREFUL NOT TO REACT.

AND I, I'M A BIG THING I, NOT FEAR MONITORING, BUT IT'S GOOD TO HAVE CONVERSATIONS AND, AND CREATE.

I THINK I'VE TALKED ABOUT THE, THE, THE BEAUTY OF SOME OF THE WORK THAT WAS HAPPENING RELATED TO EQUITY, BUT KNOWING, FORECASTING WHAT'S HAPPENING RELATED TO THIS ADMINISTRATION.

SO I THINK IF ANYTHING, THERE'S OPPORTUNITY TO HAVE CONVERSATIONS ABOUT HOW THESE THINGS MAY AFFECT THE LARGER, UM, COMMUNITY.

UM, FOR A COMMUNITY HAS A LARGE LOW INCOME POPULATION.

ACCESS IS A WHOLE LOT OF RESOURCE, WHAT THAT MEANS FOR WELLNESS, FOR COMMUNITY.

SO THE COLLABORATION, THE PLANNING, UH, YOU KNOW, OPENS UP OPPORTUNITIES, UH, FOR THINGS THAT WE'VE BROUGHT TO THE TABLE HERE.

UM, SO I THINK THAT'S WHERE IT COULD BE A LEADERSHIP ROLE FOR THE HEALTH DEPARTMENT.

IT'S NOT WITH WHAT HAPPENS WITHIN THE HEALTH DEPARTMENT, BUT WHAT HAPPENS WITHIN THE COMMUNITY, UM, WITH ALL THE FOR-PROFIT, NON-PROFIT ET UM, RELATED TO THESE CONVERSATIONS.

UM, INCREASED COLLABORATION, NOT BECAUSE OF INNOVATION, BUT BECAUSE OF WE HAVE TO, UM, I MEAN, THERE'S A LOT THINGS THAT I THINK HELP WORK RESULT OF ALL THESE THINGS MAKES SENSE.

AND SO WE HAD TO DEAL WITH THIS, YOU KNOW, WITH KAISER AS A HEALTH, UH, PLAN AND SORT OF WHAT WE WERE GONNA SAY, UM, KEEPING IN LINE WITH WHAT IS ACCEPTABLE TO SAY AND WHAT'S NOT ACCEPTABLE TO SAY, AND HOW WE ARE GONNA DELIVER CARE AND CONTINUE IN OUR MISSION TO DELIVER CARE, UH, AND PROTECT THOSE PATIENTS THAT COME FOR CARE, UM, AND GET THAT OUT THAT NOTHING HAS CHANGED IN TERMS OF WHAT OUR MISSION IS TO HELP TAKE CARE OF YOUR FAMILIES.

UM, SO THEY TALKED WITH THE DOCS ABOUT WHAT YOU CAN DO AND THE NURSING STAFF, WHAT YOU CAN DO TO KEEP PEOPLE SAFE.

AND, AND WE HAVE INCREASED SECURITY, WE HAVE ARMED SECURITY NOW.

EVERYTHING HAS CHANGED, BUT REALLY ALLOWING PEOPLE TO KNOW THAT EVEN THOUGH THE ADMINISTRATION CHANGES, THE FACT THAT THEY ARE ENTITLED TO HEALTHCARE IS HERE.

SO SOMEHOW GETTING THAT OUT IN A WAY, IN SOME SAFE SPACES.

SO THAT'S WHERE THE COLLABORATION, I THINK COMES FROM SOME OF THE SAFE SPACES, UM, WHERE PEOPLE ARE GONNA GO AND HEAR THAT THEY CAN STILL ACCESS CARE AND THERE IS SOME LEVEL OF PROTECTION BECAUSE WE HEAR THE SAME THINGS THEY HEAR IN SOCIAL MEDIA ABOUT, YOU KNOW, ICE BEING ALL OVER THE PLACE.

AND ACTUALLY IT HASN'T HAPPENED.

IT'S A SCARE TACTIC FOR MOST OF US.

UM, BUT IT'S ENOUGH TO KEEP SICK PEOPLE AWAY FROM GETTING HELP.

SO IF YOU WANTED SOME LANGUAGE SINCE, YOU KNOW, I COULD PROBABLY PROVIDE SOME LANGUAGE THAT WE'VE USED.

YEAH, WE SEND OUT THROUGH KP.ORG SOME OF THE STUFF, BUT SOME OF IT'S INTERNAL LANGUAGE WE CAN TALK ABOUT, UH, WHAT WE'VE DONE SO YOU DON'T HAVE TO RECREATE THE WHEEL.

THAT BE GREAT.

SURE.

UM, ON CAMPUS WE'VE SPENT A LOT OF TIME AND RESOURCES, UM, DEALING WITH SOME OF THE CHANGES.

ONE, YOU TALKED ABOUT RUMORS, ABOUT ICE APPEARANCES.

WE, UM, WE GET A LOT OF RUMORS THAT ICE IS ON CAMPUS.

UM, NONE OF THEM ARE FOUNDED.

ICE HAS NOT BEEN ON OUR CAMPUS THAT I KNOW OF.

AND I WOULD KNOW BECAUSE WE HAVE A ON CAMPUS, THERE'S A PARKING LICENSE PLATE LEADER TO, IT'S A SYSTEM THAT HELPS DETERMINE WHETHER YOU HAVE A PARKING PASS.

BUT IT, AS A RESULT, WE KNOW WE WOULD KNOW IF A FEDERAL LICENSE PLATE HAD COME ONTO OUR CAMPUS.

AND IT HASN'T.

UM, BUT THERE HAVE BEEN.

BUT EVERY TIME THERE'S A RUMOR STARTED USUALLY BY A SOCIAL MEDIA POST, BUT NOT ALWAYS.

UM, IT THROWS PEOPLE INTO A TAILSPIN AND STUDENTS DON'T COME TO SCHOOL.

AND, UM, STAFF RUN AROUND TRYING TO FIGURE OUT WHAT'S GOING ON.

SO WE'VE, WE'VE DETERMINED THAT MOST OF THOSE THINGS ARE PROBABLY TROLLS, YOU KNOW, SPREADING, YOU KNOW, DELIBERATELY KIND OF INSTIGATING CHAOS.

BUT, UM, BUT IT'S DIFFICULT IN, OBVIOUSLY FOLKS DON'T WANNA IGNORE.

THERE ARE MANY PEOPLE WHO DON'T WANNA IGNORE THE POSSIBILITY THAT IT MAY BE TRUE.

SO THAT'S CHALLENGING TO, TO COMBAT.

AND, UM, AND THE TRUTH IS THAT WE'RE NOT AT LIBERTY

[00:50:02]

AT THIS TIME.

WE DON'T BELIEVE THAT WE'RE AT LIBERTY TO ALERT THE COMMUNITY IF IT DID HAPPEN, BECAUSE, UM, THAT COULD BE PERCEIVED AS OBSTRUCTIVE.

SO IN ABSENCE OF US SAYING, IF THIS HAPPENS, WE'LL TELL YOU SO DON'T LISTEN TO ANYBODY ELSE.

WE CAN'T SAY THAT.

SO WE CAN'T GET ANYONE, WE CAN'T PERSUADE PEOPLE NOT TO, TO LISTEN TO THE SOCIAL MEDIA POSTS BECAUSE THEY KNOW THAT THERE WOULDN'T BE A MORE CREDIBLE WAY OF LEARNING IF IT WOULD HAPPEN.

SO THERE ISN'T AN EFFECTIVE WAY OF PUTTING AN END TO THAT KIND OF, UM, INSTIGATION.

WE ALSO HAD, UM, BECAUSE OF THE TEMPORARY STOP ON GRANT FUNDING, THAT CAUSED A BUNCH OF PROBLEMS ON OUR CAMPUS.

AND BECAUSE AS YOU CAN IMAGINE OUT A, AT A RESEARCH, WE'RE AN R TWO WHERE RESEARCH TWO INSTITUTION, THERE WAS A LOT OF DISRUPTION AROUND A LOT OF ACTIVITY ON CAMPUS AND WHAT COULD PROCEED AND WHAT COULDN'T PROCEED.

AND WHEN, UM, AND EACH GRANT HAS A DIFFERENT FUNDING DELIVERY METHOD.

SOME ARE FULLY FUNDED, AND WE'VE ALREADY GOT THE MONEY AND OTHER GRANTS WE GET REIMBURSED AFTER WE EX, AFTER WE EXPEND.

SO, UM, THAT CREATED A FLURRY OF ACTIVITY.

WE ALSO HAD TO SPEND A LOT OF TIME EDUCATING THE COMMUNITY ABOUT WHAT THE APPROPRIATE COURSE OF ACTION IS.

IF FEDERAL AGENTS DO COME TO CAMPUS.

UM, A LOT OF PEOPLE WERE SCARED BECAUSE THEY SEE PICTURES IN THE NEWS OR HEAR THINGS, AND THEY DON'T KNOW WHAT THEY'RE, WHAT THEY ARE SUPPOSED TO DO.

IF A FEDERAL OFFICER APPROACHES THEM AND ARE AFRAID THAT BLESS YOU AND ARE AFRAID THAT THEY, THAT IF THEY ACCIDENTALLY DO THE WRONG THING, THEY WOULD GET IN TROUBLE FROM SOME, FROM THE OFFICER OR FROM SOMEONE ELSE.

SO WE'VE SPENT MONTHS EDUCATING OUR CAMPUS COMMUNITY ON THE APPROPRIATE PR PROCESS TO FOLLOW IF, UM, AN ICE AGENT WERE TO APPROACH SOMEONE.

UM, AND TO DO THAT, WE'VE NEEDED TO GET A LOT OF GUIDANCE FROM ATTORNEYS BECAUSE, WELL, HOW WOULD I KNOW THAT? SO WE HAD TO FIND OUT.

SO IT, AS YOU MIGHT IMAGINE THIS, THESE CHANGES, THESE RAPID FIRE CHANGES ARE DEMANDING QUITE A LOT OF, UM, RESOURCES AND ATTENTION.

UM, AS PREDICTED, WE'VE ALSO HAD TO, WE'VE HAD QUESTIONS ON OUR CAMPUS.

WE HAVE, UM, WHERE OUR CAMPUS HEALTH CENTER IS A PLACE WHERE GENDER AFFIRMING CARE CAN BE ACTUALLY INITIATED, NOT JUST CONTINUED, WHICH IS UNUSUAL FOR A COLLEGE CAMPUS.

MOST COLLEGE CAMPUSES WILL HELP, WILL CONTINUE, BUT IT NEEDED TO HAVE BEEN INITIATED ELSEWHERE.

BUT ON OUR CAMPUS, IT CAN BE INITIATED.

SO WE HAVE SOME QUESTIONS ABOUT WHETHER THAT WILL BE ABLE TO CONTINUE.

THERE ARE QUESTIONS ABOUT, UM, YOU KNOW, THE STATE PAST LEGISLATION REQUIRING MEDICAL ABORTION TO BE AVAILABLE AT COLLEGE PUBLIC COLLEGE HEALTH CENTERS.

UM, WE HAVE QUESTIONS ABOUT HOW THAT'S GOING TO PLAY OUT WITH FEDERAL INITIATIVES.

UM, WE'VE NEEDED TO SEEK COUNSEL ON WHETHER WE NEED TO BE PAYING ATTENTION TO THOSE 200 TERMS YET.

UM, WE, WE ARE NOT UNTIL THERE IS ACTUAL LEGISLATION.

UM, GOSH, WHAT ELSE? LIKE OTHER THAN THAT, MRS. LINCOLN, HOW WAS THE PLAY? WE, THERE HAVE BEEN, YOU KNOW, EVERY, EVERY ONE OF THESE CHANGES CAUSES THE DISBANDING OF THE OFFICE OF CIVIL RIGHTS.

FOR EXAMPLE, THE, THE, THE GUTTING OF THE OFFICE OF CIVIL RIGHTS HAS SOME, MOST PEOPLE ON CAMPUS ARE VERY COMFORTABLE KNOWING THAT WE STILL ACCOMMODATE PEOPLE WITH DISABILITIES THE SAME WAY THAT WE ALWAYS DID.

UM, BUT, UH, BUT YOU KNOW, OUR CAMPUS IS IN PARK ESTATES AND, YOU KNOW, ORANGE COUNTY IS A SNEEZE AWAY.

SO THERE'S SOME PEOPLE ON OUR CAMPUS WHO THINK, GREAT, NOW WE DON'T HAVE TO DO IT ANYMORE.

AND WE ARE REINFORCING TO OUR CAMPUS COMMUNITY THAT REGARDLESS OF WHETHER THE WATCHDOG AGENCY OR THE UM, ENFORCEMENT AGENCY IS FULLY FUNCTIONING, THE LAWS ARE STILL THE LAWS AND WE NEED TO ABIDE BY THEM.

UM, YOU KNOW, THERE, FORTUNATELY THAT'S

[00:55:01]

A MINORITY OF FOLKS ON OUR CAMPUS.

MOST PEOPLE ARE VERY ENTHUSIASTIC ABOUT ACCOMMODATING ISSUES, .

BUT THERE'S A, THERE'S A WIDE VARIETY STARTING WITH ICE, BUT MOVING THROUGH ALL OF THE, THE OTHER CHANGES.

UM, AND AS AN ASIDE SIDE, NOT FOR THE RECORD ALEJANDRA, BUT AS AN ASIDE, WHEN I, I'M FROM NEW YORK AND I, UM, WORKED AS A PSYCHOLOGIST.

I WORKED BRIEFLY, BUT FOR A WHILE, FOR A LITTLE WHILE ALONGSIDE MEADES PERSONALLY.

UM, AND I, FROM MY PERSONAL EXPERIENCE, PROFESSIONAL EXPERIENCE WORKING WITH HIM, UM, HE HAS STRONG FEELINGS ABOUT MEDICAL CONDITION, RESOURCES BEING USED ON MEDICAL CONDITIONS THAT WERE AVOIDABLE THROUGH LIFESTYLE CHANGE.

HE IS, UM, HE'S VERY FIT AND LIVES A VERY DISCIPLINED LIFESTYLE AND DOES, AND HAS HISTORICALLY EXPRESSED A BELIEF THAT RESOURCES ARE, SHOULD NOT NECESSARILY BE ALLOCATED TO TREAT CONDITIONS THAT ARE IN HIS MIND AVOIDABLE.

SO ANYTHING RELATED TO SMOKING, UM, SMOKING OVERNUTRITION, UM, OVER SUBSTANCE ABUSE, ALCOHOL ABUSE, AND LACK OF EXERCISE, ANYTHING THAT HE PERCEIVES AS AVOIDABLE WITH THROUGH LIFESTYLE CHOICE.

UM, HE IS NOT ENTHUSIASTIC ABOUT PUTTING RESOURCES TOWARD WHICH HAS, WHICH I'M, I AM CURIOUS TO SEE THE IMPLICATIONS FOR MEDICAID AND MEDICARE.

HE DOESN'T UNDERSTAND SOCIAL DETERMINANTS OF HEALTH.

HE DOES NOT, HISTORICALLY.

IT, HE, IT IS A VERY, UM, INDIVIDUALISTIC WORLDVIEW.

AND THERE HE DOES NOT SPEAK TO SOCIAL DETERMINANTS OR CULTURAL IMPACTS OR, SO I PERSONALLY HAVE CONCERNS ABOUT MEDICAID COVERAGE FOR CERTAIN CONDITIONS GOING FORWARD.

HE'S FINE WITH CON ANYTHING CONGENITAL COOL WITH THAT, BUT, UM, STRUGGLES WITH SOME OF THOSE OTHER THINGS.

WHAT I BELIEVE THAT THERE ARE CERTAIN CONDITIONS AND CERTAIN LIFE, YOU CANNOT JUST CHANGE LIFE, YOU KNOW? SURE.

THERE ARE CERTAIN GROUPS, NO MATTER WHAT THEY'LL DO.

YEAH.

THEY CANNOT CHANGE IT.

LIKE SOME OF THE OB PEOPLE YES.

THEY COULD NOT LOSE WITH NO MATTER WHAT THEY DO.

CORRECT.

MM-HMM .

SOMETHING LIKE THAT MM-HMM .

SOME OTHER SURGERY.

SO YOU CANNOT JUST TELL, OKAY, GO AHEAD AND JUST KEEP ON THE LIFE.

THAT'S CHANGE.

RIGHT.

THAT'S WRONG.

RIGHT.

WE'RE SUPPOSED TO HAVE EVERYTHING.

RIGHT.

IF I, I AGREE WITH YOU.

LIFE COMPLETELY AGREE.

YES.

I CHANGE YES.

FOR SUPPOSE SOMEBODY ELSE CANNOT CHANGE, THEN WE SHOULD BE ABLE TO HELP THAT PERSON.

YES.

BUT YES, I AGREE WITH YOU.

I THINK EVERYONE HERE PROBABLY AGREES WITH YOU.

I THINK EVERYONE HERE PROBABLY AGREES WITH YOU.

YES.

REMEMBER DR.

OZ BECAME FAMOUS GOING ON OPRAH, SHOWING THE DIFFERENCE BETWEEN A DISEASED ORGAN AND A HEALTHY ORGAN, AND EXPLAINING THAT THIS IS BECAUSE OF SMOKING AND THIS IS BECAUSE OF DIET, AND THIS IS BECAUSE OF, SO HE SHOWED THE DIFFERENCE.

I HELD THESE ORGANS IN GLOVED HANDS FOR HIM.

THIS IS A DISEASED FATTY LIVER.

THIS IS A HEALTHY LIVER.

UM, AND THIS IS WHEN YOU EAT POORLY.

SO THIS IS NOT WHAT I'M SHARING FOR ANYONE WHO'S SEEN THE, THE, THE EVOLUTION OF HIS CAREER, IT SHOULDN'T BE THAT SHOCKING BECAUSE THAT'S WHERE HE GOT, THAT'S WHERE HIS FAME CAME FROM.

NO, BUT HE SHOULD BE OPEN-MINDED FOR THOSE PEOPLE BECAUSE NO, I LOVE THAT IDEA.

EXACTLY WHY HE WAS CHOSEN.

YEAH.

BECAUSE OF HIS BELIEF NEED EXTRA VALUE.

YES, THAT'S CORRECT.

HE SHOULD BE WILLING TO GIVE THOSE EXTRA.

YES.

WHAT IS IT LAW, WHAT WE ARE DOING FOR THEM.

[01:00:01]

YES.

AND I THINK THE CHARGE HAS BEEN TO, UM, CUT RESOURCES AND SAVE MONEY FROM THESE PROGRAMS AND KNOWING WHAT HIS, UH, PROFESSIONAL OPINIONS ARE CAN GIVE US SOME PREDICTIVE INSIGHT INTO HOW HE MAY CHOOSE TO CUT AND SAVE MONEY.

MM-HMM .

AND INSTEAD OF PUTTING THE PROGRAMS, WE SHOULD GO AFTER THE INSURANCES.

YOU KNOW, THAT IS NEVER GOING TO HAPPEN.

THEY CAN REDUCE THE WORKFORCE, THEY CAN REDUCE THEIR PRIDE AND HELP MORE PEOPLE.

THAT IS UNLIKELY TO HAPPEN.

YES.

BUT I AGREE WITH YOU.

I WOULD LIKE TO SEE THAT TOO.

YES.

THEY SHOULD INCREASE MORE PROGRAMS TO HELP COMMUNITY.

I AGREE.

BUT TO THE, THAT'S WHY WE ARE HERE.

YES.

SO WHEN YOU ASK LIKE, WHAT'S GOING ON IN THE COMMUNITY, THOSE ARE SOME OF THE THINGS HAPPENING ON THE CAMPUS.

UM, AND THAT'S WHAT I KNOW ABOUT THIS PARTICULAR PERSON WHO WILL BE SETTING QUITE A LOT OF POLICY.

THERE WILL LIKELY BE VERY REAL IMPLICATIONS FOR THE STATE COUNTY INITIATIVE, WHICH IS ALL ABOUT SOCIAL DETERMINANTS OF COLOR.

YEP.

AND WE'RE MISSING A LOT TO HELP RESOURCES TO BUILDING THAT INFRASTRUCTURE.

SO YES.

YES.

IT'S A GOOD SEGUE INTO OUR NEXT TOPIC.

I DO THINK, I MEAN, I DON'T, I I DON'T KNOW IF THIS IS ACCURATE OR NOT, BUT BASED ON MY EXPERIENCE, I DO THINK THAT FUNDING FOR PROGRAMS TO HELP PEOPLE CHANGE THEIR LIFESTYLE MIGHT SURVIVE.

LIKE SMOKING CESSATION MIGHT CONTINUE TO BE COVERED.

AND, UM, YOU KNOW, THINGS TO HELP PEOPLE.

IT'S POSSIBLE THAT SUBSTANCE, SUBSTANCE ABUSE TREATMENT MIGHT BE OKAY BECAUSE HE WAS VERY, HE WAS ALWAYS VERY FOCUSED ON CHANGING THE LIFE, ANYTHING TO HELP CHANGE THE LIFESTYLE.

SO THERE ARE SOME THINGS THAT MIGHT SURVIVE, BUT THE TREATMENT OF THINGS THAT COME FROM NOT BEING ABLE TO CHANGE WHAT HE PERCEIVES HIS LIFESTYLE MAY BE IN JEOPARDY.

CALIFORNIA HAS DONE A LOT OF WORK.

BASICALLY THE SOCIAL DETERMINANTS AS IT RELATES TO GENERAL OH, THE ACES A ACES.

OH, THAT'S THE KAISER PERMANENTE.

YEAH.

YEAH, YEAH.

ALMOST SEEMS LIKE THERE'S 80 DEGREE, YOU KNOW, EIGHT 80 DEGREE AWAY FROM THAT MENTALITY.

THAT'S CORRECT.

THAT BECAUSE YEAH.

HE DOESN'T REALLY CONSIDER TRAUMA IN THE, THAT HE DOESN'T, OR AT LEAST HE DIDN'T.

I MEAN, IT'S BEEN A WHILE SINCE I'VE LIVED IN CALIFORNIA IN NEW YORK AND, AND HAD CONTACT WITH HIM.

BUT AT THAT TIME, TRAUMA WAS NOT A CONSIDERATION.

30 YEARS.

YEAH.

HE WAS, HE WAS NOT TALKING ABOUT THAT ACES MUCH LIKE PERSONAL, VERY PERSONAL RESPONSIBILITY.

I LEAD DISCIPLINE, LIFESTYLE.

YOU CAN'T DO YEAH.

LIKE OBESITY AND PEOPLE LIVE FOOD DESERTS.

HE HE IS, HE HAS VERY, HE HAS ANTIPATHY AROUND OBESITY ISSUES.

HE IS, UM, HE IS NOT EMPATHETIC AROUND OBESITY ISSUES.

HE LEADS A VERY DISCIPLINED LIFESTYLE.

HIS FAMILY MEMBERS ALL LEAD A VERY DISCIPLINED LIFESTYLE.

AND IF EVERYONE ELSE DID TOO, THESE WOULD, THESE DISEASES WOULDN'T EXIST.

PRIVILEGED.

YES.

IT'S DEEPLY, IT'S A VERY PRIVILEGED KIND OF MINDSET BECAUSE YOU CAN'T SEE WHAT YOU DON'T CORRECT.

EXPERIENCE.

CORRECT.

HOPEFULLY WE CAN INFORM, HOPEFULLY.

AND THAT'S LIKE THE, THAT'S LIKE THE PHILOSOPHY OF EVERYTHING.

YEAH.

YEAH.

SURE.

YEAH.

I CAN DO IT.

WHY CAN'T YOU? EXACTLY.

YEAH.

RIGHT.

UM, SO THAT'S, THAT'S WHAT I HAVE.

WE'VE GOT A LOT OF STUDENTS.

WE'VE, AS A RESULT OF ALL OF THIS, THE, UM, CAMPUS MENTAL HEALTH IS NOT IN A GOOD PLACE.

OUR STUDENTS' MENTAL HEALTH HAS, AL HAS BEEN FRAGILE FOR A LONG TIME, CERTAINLY SINCE COVID.

UM, AND IT'S TAKEN A HUGE DIP.

SO MENTAL HEALTH IS NOT IN A GREAT, IN A GREAT PLACE.

NOT JUST HISTORICALLY THAT'S BEEN A STUDENT ISSUE.

NOW IT'S AN EVERYONE ISSUE NOW.

YOU KNOW, IT USED TO BE THAT THE EMPLOYEES OH YEAH.

IT USED TO BE THAT THE EMPLOYEES WERE THE ROCKS FOR THE STUDENTS, BUT NOW EVERYONE'S, YOU KNOW, KIND OF ACROSS THE BOARD IN A HARD, FRAGILE, EMOTIONAL PLACE.

SOME OF THE STUDIES NOW ARE SEEING ABOUT 81% OF PEOPLE IN GENERAL ARE STRUGGLING WHO NEVER STRUGGLED OR STRUGGLING WITH SOME TYPE.

USUALLY ANXIETY.

YEAH.

OF A MENTAL HEALTH CONDITION.

[01:05:01]

YEAH.

81% OF THE POPUL IN THE COUNTRY.

YEAH.

WE'RE SEEING PEOPLE WHO HAVE ALWAYS, LIKE THE FRAGILITY IS PERVASIVE.

CORRECT.

WELL, THEY LIVED ON THE FRINGES.

I MEAN, AND THEN ANYBODY WHO WAS THERE ON THE FRINGES, THEY'VE FALLEN OFF THE CLIFF BECAUSE THERE JUST REALLY ISN'T AN ANCHOR ANYMORE.

YEAH.

SO ONE OF MY STUDENTS IS A, UH, DELTA STEWARD.

STEWARD MM-HMM .

SHARING ABOUT THE INCREASED STUFF THAT THEY'RE EXPERIE THE AIR.

OH, SURE.

THAT'S DOORS ARE CLOSING.

SHE'S TALKING ABOUT HER TRAINING THAT THEY GO THROUGH.

SHE GOES, OH YEAH.

SERVING, YOU KNOW, COFFEE OR WHATEVER IS, YOU KNOW, JUST A LITTLE BIT, MAJORITY OF HER STUFF HAS TO DO WITH WATER.

IT'S ALWAYS BEEN LIKE THAT.

DEALING WITH PEOPLE.

WE TALKED ABOUT EVERYTHING FROM, SHE WAS INTERESTING.

AND I'M REALLY CONCERNED ABOUT HIGHER.

VERY CONCERNED.

WE HAVEN'T HAD, WELL, IT'S UNDER ATTACK.

HIGHER EDUCATION IS VERY, I'M TALKING ABOUT OUR MENTAL HEALTH OF OUR STASH.

OH YEAH.

OH, OH, ABSOLUTELY.

IT'S, IT'S SHOCKING HOW QUICKLY IT ERODED.

WE TENDED TO DO THIS VERY SAFE.

ARE YOU DOING ANYTHING TO RESPOND TO THE MENTAL HEALTH NEEDS? YEAH, I MEAN, THERE'S A, THE SAME IS TRUE FOR OUR WORK.

YEAH.

I I THINK IT'S PROBABLY EVERYWHERE.

UM, I DON'T THINK THAT WE'RE UNIQUE WHERE IT'S A LITTLE BIT, IT MIGHT BE A LITTLE BIT EXAGGERATED IN OUR ENVIRONMENTS BECAUSE THERE'S SUCH AN OBVIOUS ATTACK ON OUR INDUSTRY.

LIKE, IT'S CLEAR THAT, UM, HIGHER ED IS UNDER ATTACK AND IT'S HISTORICALLY BEEN A VERY, ESPECIALLY IN STATES LIKE CALIFORNIA, IT'S HISTORICALLY BEEN A VERY SAFE CHOICE.

LIKE, PEOPLE, PEOPLE GO INTO HIGHER EDUCATION, NOT FOR THE MONEY, FOR THE SECURITY.

SO, YOU KNOW, A, A DOCTOR COULD MAKE A LOT MORE MONEY OR A COUNSELOR COULD MAKE A LOT MORE MONEY WORKING IN HEALTHCARE.

BUT GO INTO HIGHER EDUCATION BECAUSE, YOU KNOW, YEAR YOU, YOU, YOU'VE GOT YOUR PENSION PLAN, YOU'VE GOT YOUR BENEFITS, YOU KNOW WHAT LIFE IS GONNA LOOK LIKE.

IT'S, YOU'RE GONNA DO THIS MANY YEARS, YOU'RE GONNA BE ABLE TO RETIRE.

IT'S A SECURITY CHOICE.

AND THE ATTACK ON HIGHER EDUCATION IS UNDERMINING THE SECURITY THAT PEOPLE HAVE GONE INTO THIS INDUSTRY AND COUNTED ON IN THIS INDUSTRY FOR, UM, FOR DECADES.

PROBABLY FOR CENTURIES, ACTUALLY FOR PROBABLY OVER A CENTURY.

SO, UM, I, I DO THINK THAT THE MENTAL HEALTH DIP IS HAPPENING EVERYWHERE, BUT MAYBE A LITTLE BIT MORE ON COLLEGE CAMPUSES BECAUSE OF THE OVERT, UM, THE, THE ADMINISTRATION'S OVERT ATTACK ON THAT GROUP.

DO WE HAVE A PHILOSOPHY OF LOCAL CRISIS, WHICH MEANS IN, IN LIEU OF THE PARENTS, BECAUSE WE'RE RECEIVING YOUR CHILD.

AND AS EDUCATORS, WE'RE RESPONSIBLE FOR THAT NEXT LEVEL OF SUPPORT TO ADULTS.

SO WE'RE SUPPOSED TO BE, THAT'S OUR JOB.

RIGHT.

WORKFORCE, WORKFORCE, ET CETERA.

UM, BUT I DON'T THINK WE'VE DEALT, AND WE DID THAT GRACEFULLY AND RIGHT THROUGH THE PANDEMIC, BUT WE NEVER GAVE OURSELVES HAVE TRAUMA ABOUT TRAUMA.

VERY, VERY CONCERNED ABOUT.

YEAH.

AND THEN ON TOP OF THAT, YOU KNOW, THERE'S, THERE ARE ALL THESE LARGE NATIONAL ISSUES.

UM, AND THEN ON TOP OF THAT, WE'VE, AT LEAST EVEN IN CALIFORNIA, WHERE FOLKS FEEL RELATIVELY MORE SECURE IN MANY WAYS, UM, IN HIGHER EDUCATION, WE'RE GETTING HUGE CUTS.

AND MULTIPLE CAMPUSES ARE LAYING, ARE IN LAYOFFS.

MM-HMM .

SO LIKE THEY'RE JUST GETTING HIT ON ALL, BUT MM-HMM .

FROM ALL ANGLES WITH A SENSE OF, UM, QUESTIONABLE SECURITY.

LIKE THERE'S, THERE'S, THEY'VE LOST A SENSE OF STABILITY MM-HMM .

SO IT'S REALLY HAVING AN IMPACT ON MENTAL HEALTH FOR EVERYBODY.

AND TO YOUR QUESTION, WE WE'RE DOING A LOT, WE'RE TRYING TO DO A LOT FOR STUDENTS.

IT'S HARDER FOR A NUMBER OF REASONS.

IT'S HARDER TO PUT THINGS IN PLACE FOR EMPLOYEES.

UM, BUT THERE'S A LOT OF TR THERE'S STILL, WE'VE ROLLED OUT ONLINE TRAININGS AROUND HOW TO EFFECTIVELY SUPPORT ONE ANOTHER.

WE'VE DONE A LOT OF WORK ON, YOU KNOW, BEING COGNIZANT OF MENTAL HEALTH ISSUES WHEN WE'RE OPERATING AS A TEAM, BEING PREPARED TO, YOU KNOW, STEP UP AND HELP OTHERS WHEN THEY NEED TO STEP BACK AND TAKE CARE OF THEMSELVES, VICE VERSA.

BUT THERE ISN'T SOMETHING SYSTEMATIC IN PLACE.

UM, WE WERE TRYING TO CONTRACT WITH A TELEHEALTH COMPANY, BUT THE ONE OF THE UNIONS HAS BLOCKED OUR ABILITY TO DO THAT.

THAT'S TOO BAD.

[01:10:01]

YEAH.

'CAUSE THAT'S WHAT WE'RE SAYING.

YOU KNOW, WE HAVE SECOND VICTIMS FOR HEALTHCARE AND WE HAVE PEER-TO-PEER SUPPORTS.

I MEAN, IN PLACE, I MEAN, BECAUSE A, BECAUSE OF OUR HIGH SUICIDE RATES.

YEAH.

I MEAN, IT REALLY CAME BECAUSE OF BAD THINGS HAPPENED.

SO I JUST HOPE THAT BAD THINGS DON'T HAVE TO HAPPEN FOR PEOPLE TO SEE THE VALUE OF JUST BASIC THERAPY.

YEAH.

SO COST EFFECTIVE.

YEAH.

AND SO THERE'S ANXIETY AND THERE'S, UM, DEPRESSION INCREASING, BUT THERE'S ALSO CONFLICT AND AGGRESSION INCREASING.

OH YEAH.

SO IT'S NOT JUST INTERNALIZING BEHAVIOR, IT'S ALSO EXTERNALIZING BEHAVIOR.

OKAY.

SO THAT WAS AN INTERESTING DISCUSSION.

ANY, ANY OTHER, UH, CAN I RECEIVE A MOTION TO RECEIVE THE DISCUSSION ON THE BOARD OF HEALTH POLICY INSIGHTS AND COLLABORATION? ? YES.

NO, WE ACTUALLY LOST, SORRY.

OH, WE LOST FORM.

OH, I DIDN'T SEE HE, I THINK HE JUST WENT TO THE BATHROOM.

OH.

I DON'T KNOW IF HE LEFT EITHER.

I DON'T KNOW.

OH, WOW.

WELL, WHY DON'T WE WAIT FIVE MINUTES AND IF WE DON'T HAVE QUORUM ANYMORE, THEN WE HAVE TO SAY GOODBYE.

YEAH, THERE WAS A LOT.

I MEAN, THAT'S A PACKAGE.

OKAY.

WE JUST CAN'T.

YEAH.

OKAY.

ALRIGHT.

WELL WE CAN JUST CHAT AND IF HE COMES BACK, WE'LL VOTE ON THAT.

AND IF HE DOESN'T, THEN WE WON'T.

INTERESTING.

UM, I, I HAVE TO SAY, THIS IS THE FIRST FOR ME.

I'VE NEVER BEEN IN A MEETING, CERTAINLY NOT CHAIRING WHEN WE'VE STARTED WITH A QUORUM AND THEN IN THE MIDDLE OF A DISCUSSION WE'VE LOST IT.

SO THAT'S NEW TERRITORY FOR ME.

THAT HASN'T BEEN OUR CASE STUDY MEETING.

OKAY.

OH, I'M SORRY TO HEAR THAT.

, I THINK WE'VE HAD HERE THE LAST FEW YEARS.

OKAY, GREAT.

WELL, UM, DID WE WANNA, UM, I WON'T TAKE IT PERSONALLY.

YEAH, WE, DOES ANYONE WANNA TALK ABOUT THE LONG BEACH COMMUNITY FOUNDATION HEALTH AND HUMAN SERVICES FUND? CAN WE, CAN WE, CAN WE TALK ABOUT THE FUND? ARE WE ALLOWED LEGALLY TO TALK ABOUT THE HEALTH AND HUMAN SERVICES FUND? RIGHT.

WE CAN'T START WITH BOARD.

OKAY.

NO.

HAS BE BEFORE WE DISCUSS.

NOPE.

NO, BECAUSE THAT'S ACTUALLY THE WHOLE POINT OF THE LEGISLATION.

THAT'S WHY WHEN YOU SAID THAT, I WAS CONFUSED BECAUSE THE WHOLE POINT OF HAVING A QUORUM FOR, I THINK WE'RE BROWN ACT, ARE WE BROWN OR ROMERO? BROWN? WE'RE BROWN.

MM-HMM .

THE BROWN ACT.

THE WHOLE POINT OF NEEDING A QUORUM IS THAT SMALL GROUPS WON'T DISCUSS AMONGST THEMSELVES AND KIND OF JERRY RIG THE BEHAVIOR OF THE BOARD.

THEY DON'T LOBBY AS A GROUP AND THEN TAKE OVER.

OH, WOW.

SO WE'RE NOT ALLOWED TO HAVE SMALLER, NO SIDE, NO SIDELINES.

I REMEMBER NOW SOME REASON THOUGH DIDN'T MAKES SENSE.

WELL, YOU KNOW, BARBARA AND I HAVE TO LEAVE ANYWAY AT SOME POINT, SO I HAVE TO I KNOW.

, CAN I JUST MAKE A SUGGESTION THAT WE DOING THE STRATEGIC PLANS, UH, OF THE AGENDA, CAN WE TALK ABOUT IT, THE AGENDA SO WE CAN CLOSE OUT THAT A LITTLE BIT? UM, AS LONG AS NASIR COMES BACK.

SURE.

CAN WE, CAN WE INTRODUCE WHO YOU ARE? YEAH.

HI, MY NAME'S ALIYA HAYES.

I'M THE PUBLIC DEVELOPMENT SPECIALIST IN THE HEALTH DEPARTMENT.

SO I LEAD THE COMPETITIVE GRANT PROCESS ACROSS.

AND SAY YOUR FIRST NAME AGAIN? AALIYAH.

AALIYAH.

THANK YOU.

AND SO I WAS GONNA PRESENT ON THE HEALTH HUMAN SERVICE.

WELL, I HOPE THAT YOU CAN.

IS HE STILL HERE? DO YOU KNOW? I DON'T THINK HE'S, BUT, UH, ALI WANTS TO GO CHECK SEEN HIM ANYWHERE.

OH, HE GHOSTED US.

THAT'S SO WEIRD.

HE JUST LIKE STOOD UP AND WALKED OUT.

SO, YOU KNOW WHAT? I THINK HE'S USED US GETTING OUT AT NINE, SO.

OH.

OH, IS THAT RIGHT? OH, WOW.

OKAY.

ABOUT 9, 9, 9.

OKAY.

SO DID I P**S HIM OFF? MAYBE I DID.

NO, I DON'T THINK SO.

OH, IT WAS YOU THAT IT MIGHT HAVE BEEN.

I MEAN, I WAS TALKING ABOUT MAYBE HE REALLY LIKES DR.

OZ.

I DON'T KNOW.

REACHED OUT.

WHAT YOU SAID HE SHOULDN'T BE BECAUSE THAT I DIDN'T SAY, I DIDN'T SAY GOOD OR BAD.

I JUST SAID HOW HE FEELS.

YEAH, I THINK USUALLY A LOT PEOPLE.

OKAY, WELL THEN I THINK WE HAVE TO ADJOURN 'CAUSE WE CAN'T TALK ABOUT ANYTHING ELSE.

THAT'S, NO, WE CAN, WE CAN'T TALK, I DON'T THINK.

NO, I DON'T BELIEVE WE CAN.

I THINK THE WHOLE POINT OF THE BROWN ACT IS THAT WE CAN'T TALK IN SMALLER GROUPS.

OKAY.

ISN'T THAT KIND OF WEIRD? WELL, DR.

HANNI, THE

[01:15:01]

POWER OF ONE.

YES.

YOU ARE INDISPENSABLE, DR.

AND WE WILL MISS YOU.

ALL RIGHT.

I GUESS THE MEETING IS ADJOURNED AT 9 0 9.

UM, I'M IN NEW ORLEANS.

SORRY, CHICAGO.

IT'S ONE OF MY FAVORITES TOO.

OH, LUCKY GIRL.

I'M IN CHICAGO.

SHE'S IN NEW ORLEANS.

I KNOW.

DON'T YOU WANNA BE IN NEW ORLEANS? ONE AT FOUR 30? I THINK I WILL.

I'M GOING TO NEW ORLEANS AND THEN I HAVE TO GO TO DC FROM NEW ORLEANS, BUT I'M, I'M GOING TO, SORRY, SAY THAT AGAIN.

YEAH, WE'RE RUNNING IT.

YEAH.

IT'S ME, EBONY, AND ISAAC RUNNING IT.

YEAH.

YEAH.

SO WE'RE GONNA DO A CSU RECEPTION ON TUESDAY, AND THEN ACTUALLY ON THE 20TH I'LL BE IN DC SO I WON'T ACTUALLY BE IN NEW ORLEANS ANYMORE, BUT I I STILL WON'T BE HERE.

WE'LL HAVE THE INFORMATION OUT TO YOU TODAY.

I HAVE TO GO FROM NEW ORLEANS TO DC.

DON'T LOVE IT.

DON'T LOVE DOUBLE TRAVEL.

AND I DON'T LIKE GOING TO DC.

I USED TO, BUT I DON'T ANYMORE.

IT'LL BE, IT'S, IT'LL BE, YOU HAVE TO DO A WHOLE DIFFERENT YEAH.

I'M NOT INTERESTED.

I'M NOT INTERESTED, BUT YET HERE I GO.

ABLE TO TAKE YOUR FAMILY BAD.

NO, MY FAMILY'S STAYING HERE.

YEAH.

I JUST, I'M FROM THE EAST COAST.

I'VE BEEN TO DC A MILLION TIMES AND I HAVE TO GO WORK, SO I'M JUST LIKE, I'M, I'M GOING A MUSEUM, RIGHT? YEAH.

BEEN THERE.

YOU'RE LIKE, EH, NO, IT'S JUST, I USED TO LIVE THERE.

DID YOU? IT'S A GREAT PLACE TO LIVE FOR THREE YEARS.

26 YEAR OF THE YOUNG CHILD.

NO.

CHILD CELEBRATION OF A YOUNG CHILD EVENT.

UM, IT'S A BIG DEAL.

WE'D LOVE TO HAVE YOU AS BOARD MEMBERS COME.

IT'S SATURDAY, RIGHT? YES.

UM, IT'S A SATURDAY.

WE ALSO HAVE PUBLIC HEALTH.

WEEK OF APRIL.

THE WEEK OF APRIL.

ALEJANDRE.

IS THIS STILL GOING? SEVENTH? AND SO, OH, THANK YOU.

STOP.

I WANTED TO TELL ON ALL.

WE'LL DO THAT.

WE'LL DO THAT.

HEY, ALLISON, NEXT WEEK ON MARCH.