* 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. THAT WAS GREAT BECAUSE [00:00:01] THE DRIVE FROM HERE TO DOWNTOWN LA IS NOT CUTE. YEAH. THE PARTY BUS WAS SUCH A GOOD IDEA. YEAH, THAT'S FINE. AND THAT WAS SUCH A FUN GAME. I HAD NEVER BEEN TO SPARKS BEFORE. IT WAS REALLY COOL. OKAY, SO WE HAD COLLEGE TO ORDER AT 7 46 AND NOW YOU'LL TAKE ROLL. GO AHEAD CHAIR. LESSONS STILL HERE. , VICE CHAIR. WALTON. STILL NOT. UM, BOARD MEMBER CLERK HERE. BOARD MEMBER GUPTA. YES. BOARD MEMBER SANDERS. ABSENT. BOARD MEMBER MCNEELY. HERE. BOARD MEMBER BARRIOS. HERE. BOARD MEMBER . BOARD MEMBER. VAN . HERE. BOARD MEMBER ANCY. HERE. BOARD MEMBER SHEEN? HERE. BOARD MEMBER RELA HERE. BOARD MEMBER ZA HERE. OKAY. WE HAVE A FLOOR. THANK YOU. AND I, I WOULD LOVE TO, SO YOU'VE JUST HEARD EVERYONE'S NAME, BUT I'D LIKE TO WELCOME OUR NEW OUR, YOUR NEW BOARD MEMBERS. YES. I'M NOT HALLUCINATING. RIGHT. SO I'D LIKE TO WELCOME YOU AND IF YOU'D LIKE TO JUST SAY HI AND SHARE, UM, A LITTLE BIT ABOUT WHO YOU ARE AND WHY YOU DECIDED TO JOIN THE COMMISSION, THAT WOULD BE GREAT. UH, MY NAME IS GABRIELA. I GO BY GABBY. UH, NICE TO MEET YOU GUYS. I'M EXCITED. I'M A REPRESENTATIVE FROM HEALTHCARE. SO THAT'S MY, THAT IS MY, UM, MY OFFICIAL POSITION HERE. UH, I WAS REALLY EXCITED ABOUT PARTICIPATING IN SOMETHING THAT WOULD AFFECT THE POPULATION THAT I REPRESENTED. GREAT. AND SO I SEE THINGS FROM THE MICRO LEVEL AND THIS I THOUGHT WAS A GREAT OPPORTUNITY TO KIND OF PUT THINGS INTO ACTION THAT WOULD ASSIST THEM FROM, YOU KNOW, OF, OF GOVERNMENT. SO I'M SUPER EXCITED. SO, YOU KNOW, READY? PLEASE TEACH ME. TEACH . I DUNNO HOW MUCH WE CAN TEACH. BUT THANK YOU SO MUCH FOR, FOR COMING AND JOINING THE COMMISSION. EXCITED TO HAVE YOU AND WILLIAM. MORNING. MORNING. MY NAME'S WILL. I'M A GENERAL DENTIST. I'M NOT FROM LONG BEACH ORIGINALLY, BUT MY WIFE IS. I'VE BEEN IN THE MILITARY, WASN'T IN THE MILITARY UNTIL DECEMBER, UH, LAST YEAR SINCE MY 20 BIRTHDAY. SO I'VE BEEN IN SOME FORM, GOVERNMENT SERVICE MOST MY LIFE. UM, PRACTICE WHEN I WAS TRANSITIONING OUTTA THE MILITARY, I WANTED TO STAY INVOLVED SOMEHOW. SO, UM, THROUGH THIS DOING BUSINESS STILL. THAT'S GREAT. THANK YOU. WE, WE HAVEN'T HAD A DENTIST IN A LITTLE WHILE, SO WE'RE EXCITED TO HAVE YOU. THANKS. UM, WELL WELCOME TO BOTH OF OUR NEW MEMBERS. EXCITING. UM, SO WE ARE GOING TO START WITH A, I'M, I'M GOING TO ENTERTAIN A MOTION TO RECOMMEND THE APPROVAL OF THE MINUTES FROM, SO TAKE A MOMENT, TAKE A LOOK AT THE MINUTES. IF YOU WERE HERE, LET ME KNOW IF YOU SEE ANYTHING THAT NEEDS CHANGING. IF YOU WEREN'T HERE, HANG OUT, HANG OUT FOR A SECOND. MOTION. SO MOVED, SECONDED BY MILES. UH, ALL IN FAVOR? AYE. GREAT. ANY OPPOSED? WONDERFUL. AND THEN, UM, WE ARE AT THE DIRECTOR OF HEALTH AND HUMAN SERVICES REPORT, BUT I DON'T SEE THE DIRECTOR OF HEALTH AND HUMAN SERVICES. SHE IS ON HER WAY. OKAY. SO HOW ABOUT WE SKIP THAT ONE AND GO TO THE CITY HEALTH OFFICER FIRST? UM, GOOD MORNING EVERYONE. MORNING, UH, DR. DAVIS, FOLKS ON THE CITY HEALTH OFFICES, CITY OF LONG BEACH. UM, AND A COUPLE OF, THERE'S BEEN A LOT GOING ON. UM, SO THE THINGS HIGHLIGHT, THERE'S BEEN A LOT GOING ON. IT'S, YEAH. UM, THE VACCINE, UM, SITUATION IS BEEN COMPLICATED. SO, UM, CAN WE GET THEM? ARE WE GONNA BE ABLE TO GET VACCINES? ? WE'RE NOT SURE YET. YOU, YES, SO OH YES. FLU VACCINE. EVERYTHING'S THE SAME. YEAH, SO THAT'S GOOD. AND THERE'S ACTUALLY SOME EXPANDED OPTIONS. SO THERE'S THE ADJUVANT, UH, THE KIND OF STRONGER VACCINE FOR PEOPLE THAT ARE GREATER THAN 65. AGE AND OLDER. THE SAME RECOMMENDATIONS, EVERYBODY'S ON THE SAME PAGE, SO THAT'S GOOD. UM, WHERE THE, UH, DIFFERENCES COME IN IS AROUND THE COVID-19 VACCINE AND REALLY WHAT THE, THE TWO KIND OF CAMPS ARE. THE, UM, HEALTH AND HUMAN SECRETARIES, UH, APPOINTEES TO THE, UM, ADVISORY, UM, COMMITTEE ON IMMUNIZATION PRACTICES, WHICH IS PART OF THE CDC, THE FDA, UM, AND FOLKS ON THE [00:05:01] CDC. AND THEN DOCTORS, SCIENTISTS AND MEDICAL ORGANIZATIONS ARE KIND OF IN THE OTHER CAMP. AND SO, UM, THE, THE GOVERNMENTAL APPOINTED POSITION PEOPLE, UH, BASICALLY ARE SAYING THAT THE NEW FORMULATION OF 25, 26 COVID-19 VACCINE IS GOING TO BE, UM, APPROVED FOR LABELED AUTHORIZED FOR PEOPLE WHO ARE 65 YEARS OF AGE AND OLDER AND PEOPLE LESS THAN 65 YEARS OF AGE. IF YOU HAVE A, A MEDICAL RISK FACTOR, UM, THAT PUTS YOU AT HIGHER RISK. RIGHT NOW, THE, THE LIST OF RISK FACTORS IS VERY BROAD. SO PHYSICAL INACTIVITY COUNTS IF YOU'VE EVER SMOKED THAT COUNTS. UM, AND THEN, YOU KNOW, ALL LEVELS OF ANY ORGAN ISSUE COUNTS. UM, SO ANY KIND WRONG DISEASE, THAT TYPE OF THING. SO WHERE THE GAPS REALLY ARE FOR THAT LABEL IS IN YOUNGER PEOPLE BECAUSE, UM, THEY DON'T TEND TO HAVE A LOT OF HEALTH CONDITIONS. AND, UM, THOSE WHO ARE LESS THAN TWO ARE ACTUALLY, UM, AT THE SAME HOSPITALIZATION RISK AS PEOPLE WHO ARE IN 65. LIKE IT'S AN AT RISK GROUP. UM, AND THEN PREGNANCY IS ON THE LIST RIGHT NOW OF HIGH RISK CONDITIONS, BUT IT'S SOMETHING THAT THE CC HAS KEPT SILENT ABOUT. THEY WON'T SAY YOU SHOULD VACCINATE OR YOU SHOULDN'T VACCINATE. UM, SO THAT'S WHERE ALL THE CONFUSION IS COMING IN. SO THE DOCTORS AND SCIENTISTS AND MEDICAL ORGANIZATIONS ARE, UH, BANDING TOGETHER TO LOOK AT THE EVIDENCE AND MAKE THEIR OWN RECOMMENDATIONS. 'CAUSE THE A CIP EVERYBODY WAS FIRED AND THEN THEY NEEDED NEW PEOPLE. UM, AND THE PEOPLE THAT, UH, THAT ARE IN THERE ARE REALLY ADHERING TO, UM, RFPS, ANTI-VACCINATION, UM, PRIORITIES. AND SO, UH, WHAT'S GOING ON? SO, UM, THE AMERICAN ACADEMY OF PEDIATRICS IS ABOUT THEIR OWN RECOMMENDATIONS, WHICH THEY DO EVERY YEAR. IT USUALLY ALIGNS WITH, UM, THE CDC THIS YEAR DOES IT FOR ALL CHILDREN. SO IT REALLY, IT RECOMMENDS FOR EVERYBODY UNDER TWO AND THEN FROM TWO TO, YOU KNOW, 18 IF YOU HAVE A RISK CONDITION. AND THEY SAY AS WELL. UM, AND THEN THEY, THE AMERICAN ACADEMY OF FAMILY PHYSICIANS CAME OUT WITH THEIR RECOMMENDATION TO SAY ALL ADULTS BASICALLY, UM, SHOULD GET IT. AND THEN THE UM, UH, SOMEBODY, OH, THE, UM, AP, SO THE AMERICAN COLLEGE OF OBGYN CAME OUT AND SAID THAT PREGNANT PEOPLE SHOULD GET VACCINATED AS WELL. SO THERE'S JUST A LOT. AND SO WHAT WE'VE DONE ON THE WEST COAST IS WE'VE FORMED A WESTERN HEALTH ALLIANCE. SO ONE OF THE OTHER BIG GAPS IS HEALTHCARE WORKERS. 'CAUSE IF YOU'RE A HEALTHCARE WORKER, BUT YOU DON'T HAVE A UNDERLYING CONDITION, SO YOU'RE KIND OF AT HIGH RISK IS BECAUSE YOU'RE A HEALTHCARE WORKER, BUT YOU DON'T HAVE MENTAL HEALTH CONDITION. THE VACCINE RIGHT NOW IS NOT LABELED FOR, UM, DOCTORS CAN, UH, AND DO ALL THE TIME, USE ANY OFF LABEL. UM, BUT THERE'S A LOT LIKE OF LANGUAGE OF LIKE, YOU KNOW, YOU DON'T USE THIS, BUT YOU'RE SUPPOSED TO. THERE'S ALL THESE LITTLE THREATS THAT ARE IN EVERYTHING THAT THE FEDERAL GOVERNMENT PUTS OUT NOW. UM, AND THAT'S SIGNIFICANT. UM, AND SO WHAT THE WEST COAST HAS DONE IS WE'VE PUT TOGETHER A WESTERN, UH, HEALTH ALLIANCE, UM, WHICH WE DID ALSO DURING COVID. AND SO, UM, IT'S HAWAII, OREGON, WASHINGTON, AND CALIFORNIA RIGHT NOW. AND WE ARE, UH, GOING THROUGH THE DATA OURSELVES AND PUTTING OUT OUR OWN RECOMMENDATION. WE'RE ALSO MEETING WITH HEALTH INSURERS. 'CAUSE THAT'S ANOTHER BIG QUESTION BECAUSE THE HEALTH INSURANCE USUALLY GO THROUGH LIKE IF CDC AND A CI CAN SAY DO IT. THAT'S WHAT WE'LL COVER. SO THAT'S A WHOLE LEGAL THAT THEY'RE WORKING ON. UM, AND THEN WORKING ON MESSAGING, HAVING ONE VOICE AROUND THE IMPORTANCE OF, UM, THAT. SO, UM, AND THEN THERE'S ALSO SOME LEGISLATION THAT'S, UM, MOVING THROUGH THE, UH, CALIFORNIA HOUSES RIGHT NOW. UM, THE SESSION IS OVER ON SATURDAY AND SO THIS WILL NEED TO BE PASSED BY THEN. AND BASICALLY WHAT THAT DOES IS IN OUR CODE OF REGULATIONS, HEALTH AND SAFETY CODES, ALL OF OUR GOVERNMENTAL LANGUAGE, WHEN IT COMES AROUND VACCINE, IT, IT POINTS TO A CIP AND THE UNITED STATES PUBLIC HEALTH TASK FORCE, UM, WERE ALSO CONCERNED IS GONNA TO START, THEY POSTPONE THE MEETING OR THAT THEY'RE GONNA FIRE ALL THOSE PEOPLE PUT. UM, AND SO, UH, THEY, THE LEGISLATION, THE NEW LEGISLATION IS LOOKING TO TAKE OUT ALL THAT LANGUAGE AND TO REPLACE IT WITH, UM, LIKE SCIENTIFIC EXPERTS AND THE CALIFORNIA DEPART PUBLIC HEALTH, UM, UH, AND THINGS LIKE THAT. SO THEY ARE LOOKING IN THIS LEGISLATION THAT REQUIREMENTS FOR HEALTH INSURANCE COVERAGE, UM, WHICH VACCINES CAN BE GIVEN BY PHARMACISTS BECAUSE THAT'S REALLY WHERE VACCINE HAS MOVED, IS INTO PHARMACIES. AND SO THERE'S A LOT OF QUESTIONS ABOUT THE PHARMACIES BE, UM, AUTHORIZED TO GIVE IT, [00:10:01] WILL THEY BE COVERED BY LIABILITY INSURANCE? UM, THEY LOOK AT LIABILITY AND UM, YEAH. SO THAT'S KIND OF WHAT'S GOING ON NOW. SO THERE'S JUST A LOT OF CONFUSION. AND IN THE MIDDLE OF THAT, UM, THERE WE'RE HEARING THAT THE 25, 26 FORMULATION IS SLOWLY COMING OUT. IT IS GOING TO PHARMACIES. UM, YOU SHOULD BE ABLE TO GET IT. YOU CAN SELF ATTEST IF YOU'RE LESS THAN 65 AND SAY YOU HAVE A HEALTH CONDITION. THAT SHOULDN'T BE A BIG, A BIG DEAL AS FAR AS THAT GOES. UM, I THINK THE, THE BIG PROBLEM IS GONNA BE FOR KIDS. IT WAS HARD LAST YEAR FOR KIDS TO GET THE VACCINE. MOST PEDIATRICIANS AREN'T CARRYING IT. A LOT OF PHARMACIES DON'T HAVE IT. UM, SO I THINK THAT'S WHERE THE BIG GAP IS. UM, AND THEN I THINK JUST THE CONFUSION IN GENERAL. WE HAD REALLY LOW UPTAKE LAST YEAR AND SO I JUST SEE THIS, YOU KNOW, I CAN DO THAT. UM, SO I THINK THOSE ARE KIND OF THE BIG THINGS THAT ARE GOING ON WITH VACCINE. UM, I THINK THIS IS WHERE KAISER REALLY SHINES BECAUSE THEY DON'T WANT PEOPLE TO GET SICK 'CAUSE IT COSTS THEM MORE MONEY. SO THEY'RE BIG ON VACCINATION AND THEY'VE ALREADY PUT OUT AN EMAIL SAYING, YOU CAN GET THIS, YOU AND YOUR CHILDREN WILL BE VACCINATED BY THE 15TH. LIKE BY, WE'LL START ON THE 15TH. OKAY. SO, I DON'T KNOW. I KIND OF LOOKED AT IT AND SAID, I'LL BELIEVE IT WHEN I SEE IT. BUT IT WAS PROMISING AT LEAST THAT A BIG HEALTH ORGANIZATION LOCALLY IS SAYING, WE'RE WE'RE DOING THIS AND YOU'RE FOR YOU AND YOUR KIDS AND STARTING AT THIS POINT. SO FINGERS CROSSED THAT THAT'LL MEAN SOMETHING. YEAH. YEAH. DR, I HAVE A QUESTION. MY TODAY ABOUT SEVEN, EIGHT YEARS OLD GOT POSITIVE, SAID, HOW WILL HIS PEDIATRICIAN, THE COVID VACCINE? UM, I MEAN AT, THAT WOULD PROBABLY HAVE TO BE A CONVERSATION WITH PEDIATRICIAN. LIKE, I DON'T KNOW WHY THEY PEDIATRICIANS HAVE BELIEFS TOO. TWO TIMES. YOU KNOW, I DON'T UNDERSTAND. YOU GET A DIFFERENT PEDIATRICIAN YOU CAN KEEP ON GETTING YEAH. YOUR IMMUNITY WANES, YOUR NATURAL IMMUNITY WANES THE IMMUNITY FROM HOWEVER YOU GET IT. EVENTUALLY IT WANES. SO YEAH. LIKE THE THREE MONTHS OR SO. YEAH. I WASN'T SURPRISED. YEAH, SOMETIMES, I MEAN, I THINK THAT'S ONE OF THE THINGS IS THAT ONE OF THE MESSAGES IS THAT WE'RE TRYING TO BE PROACTIVE AND REALLY REACH OUT TO PARENTS SO THAT THEY ARE, THAT THEY, YOU KNOW, ASK. AND IT IS REALLY HARD. REALLY HARD. SO, UH, AND THEN I THINK THERE'LL, THERE'LL BE, SO LAST YEAR WE HAD THE ORDER THAT YOU GET THROUGH YOUR HEALTHCARE WORKER, YOU NEEDED TO GET THE COVID VACCINE OR MASK. UM, BUT THIS YEAR, 'CAUSE IT'S THE COVID VACCINE IS NOT LABELED FOR HEALTHY INDIVIDUALS THAT ARE LESS THAN 65. UM, WE CAN'T REALLY DO THAT BECAUSE IT'LL BE SO HARD TO HAVE ACCESS FOR IT. UM, AND SO THE FLU VACCINE, THE FLU VACCINE OR, UM, BE IN, UH, THAT'LL BE IN ORDER THIS YEAR. AND THEN ALSO, UM, UH, JUST FOR HIGH RISK PLACES LIKE SKILLED NURSING FACILITIES, UM, WE'RE GONNA REQUIRE THAT HEALTHCARE WORKERS JUST ASK FOR THE RESPIRATORY IN GENERAL. THERE ISN'T LIKE A RECOMMENDATION THAT CAN BE MADE. I GUESS LIKE FOR THIS, LIKE WESTERN HEALTH ALLIANCE FOR EXAMPLE, THEY CAN'T MAKE A RECOMMENDATION TO LIKE HEALTHCARE FACILITIES IN GENERAL. SO THAT'S HOW IT'S ALWAYS BEEN. IT'S LIKE IF YOU DON'T, IF YOU DECLINE ANY LIKE FLU COVID VACCINATION, THEN THE ALTERNATE IS THAT UMAS AND LIKE IN GENERAL, THAT SHOULD CONTINUE TO BE A POLICY. I'M ASSUMING IT WILL FOR LOS ANGELES COUNTY. OKAY. INCLUDING LONG BEACH AROUND FLU. OKAY. BUT NOT NECESSARILY COVID SPECIFICALLY BECAUSE THE INDICATIONS ON THE VACCINES DON'T MATCH. SO IT JUST FELT LIKE THERE WAS A, WE'RE REQUIRING SOMETHING THAT THE FEDERAL GOVERNMENT IS NOT SUPPORTING IN THEIR RELATED. I SEE. YEAH. UM, BUT WE'RE STILL RECOMMENDING IT. YEAH. LIKE FOR HEALTHCARE WORKERS. UM, THE OTHER BIG THING IS THAT I HAVE ACCEPTED A POSITION IN ORANGE COUNTY, UH, AS THEIR DEPUTY HEALTH OFFICER. OH. WORKING IN COMMUNICABLE DISEASES. THAT WILL BE MY FOCUS THERE. UM, SO MY LAST DAY ACTUALLY, OR NEXT WEEK. OH. SO I JUST WANTED TO SAY YOU THANK YOU FOR EVERYTHING. WELL, CONGRATULATIONS. YEAH. THANK YOU. BUT WE'LL MISS YOU. YES. [00:15:01] WELL TOO YEAH. YOU'RE, YOU GOT US THROUGH COVID. . I, WE ALL HAD TOGETHER. YEAH. LONG BEACH WAS, UM, UH, WE DID VERY, WE DID COVID REALLY WELL. YEAH. REALLY WELL. THERE'S A LOT OF OTHER JURISDICTIONS WERE KIND OF JUST DIVIDED. YEAH. BUT A LOT OF THAT WAS BECAUSE OF YOU REALLY LIKE OUR UNIVERSITY. I, I DIDN'T EVEN, I HADN'T EVEN MET YOU YET. I JUST WALKED AROUND SAYING, DR. DAVIS SAYS THIS. DR. DAVIS SAYS THAT. . . YEAH. AND DR. FUL IS WONDERFUL. SHE IS. SHE'S, SHE IS. SO WE WERE LIKE, IF SHE IS, THANK YOU. WELL, CONGRATULATIONS. BUT WE'LL BE, WE'LL MISS YOU, DYLAN HERE. YES. WE STILL TALK TO . UM, I THINK I NEED TO, ARE THERE ANY QUESTIONS FOR DR. DAVIS BESIDES, WHY IS SHE LEAVING US? NO, I'M JUST KIDDING. . YEAH, YOU, YEAH. SO MEASLES IS STILL, UH, ALIVE AND WELL. UM, I THINK THERE'S BEEN ABOUT 19 OR CASES IN CALIFORNIA. MOST OF THEM ARE TRAVEL RELATED, ABOUT 14 CASES IN THE COUNTRY. UM, WHICH IS THE HIGHEST THAT WE'VE BEEN SINCE WE ELIMINATED BRAZIL, . UM, THE TEXAS OUTBREAK IS OVER, SO THAT'S GOOD. UH, THAT WAS WHERE A LOT OF OUR, UH, CASES WERE COMING FROM. UM, CANADA AND MEXICO ARE STILL HAVING A LOT OF PROBLEMS. UM, AND IT SOUNDS LIKE IT'S ALSO MOVING DOWN TO SOUTH AMERICA, UM, FOR, WHILE I SAY, UM, AND YES. SO ONE OF THE COMPLICATIONS OF MEASLES IS, IT'S CALLED SSPE. IT'S LIKE THIS NEUROLOGICAL DEGENERATIVE DISORDER THAT YOU CAN GET MANY YEARS AFTER YOU GIVE MEASLES. UM, YOU TEND, YOU TEND TO SEE IT MORE WHEN YOU GET MEASLES AS A, LIKE A CHILD OR A YOUNG CHILD. AND THEN LIKE SOME TWO TO SEVEN YEARS LATER, UM, IT'S UNIVERSALLY FATAL. LIKE IT'S PROGRESSIVE. UM, AND YEAH, A CHILD DIED OF IT. I SAW IT IN THE NEWS AS WELL. THAT'S HOW I CHILD. SO IT'S JUST, YEAH. ANOTHER HIGHLIGHT OF THE IMPORTANCE OF BEING VACCINATED. LIKE IT'S NOT JUST THE ILLNESS THAT YOU HAVE RIGHT NOW, UM, WHICH IS BAD ENOUGH, BUT ALSO THIS, THIS THINGS THAT CAN COME FROM IT LATER. YEAH. SO WHAT'S REALLY SCARY IS FLORIDA, I MEAN, I JUST, AND IT'S AN ENTRY POINT FOR SO MANY PEOPLE. I JUST, I WONDER IF THAT IS REALLY WISE. YEAH. THEY ARE. FLORIDA'S THE FIRST STATE THAT IS TRYING TO UN MANDATE ANY VACCINE FOR SCHOOL ENTRY. SO THEY'RE, BUT THERE'S, THEY'RE, BECAUSE IT'S IN THE LAWS, IT'S ALL THE STUFF THAT, LIKE WE'RE BATTLING WITH, WITH CALIFORNIA AND EVERYTHING THAT'S IN THE LAW, THEY'RE NOT GONNA JUST BE ABLE TO DO IT. UM, THEY'RE GONNA HAVE TO GET IT OUT OF THE, UM, THE LEGISLATIVE LANGUAGE. SO THAT'LL BE THE NEXT STEP. UM, AND POLLS HAVE SHOWN THAT PEOPLE AREN'T EXCITED NECESSARILY ABOUT THE COVID VACCINE OR VERY LIKE, PRO COVID VACCINE NECESSARILY, BUT THEY'RE OVERWHELMINGLY PRO-VACCINE IN GENERAL AND PRO-VACCINE FOR THEIR KIDS AND PRO-VACCINE FOR SCHOOL. UM, SO I HOPE THAT THAT RISES UP. THAT, UM, THAT PARENTS WILL BE LIKE, I DON'T WANT MY KIDS TO GO TO SCHOOL IN A ENVIRONMENT WHERE PEOPLE ARE VACCINATED. 'CAUSE I DO THINK IT'S GONNA HAVE TO MOVE OUTTA PUBLIC HEALTH. I THINK JUST THE, THE TRUST AND THE VILIFICATION AND THE, UM, ATTACKING, UM, HAS REALLY WEAKENED THAT VOICE. UM, A LOT OF PEOPLE FROM CC COMBINED, UM, THE SHOOTING AND, UM, DIRECTOR EZ IS FIRING. SO YEAH. IT HAS TO, YEAH, I THINK IT HAS TO BE A PUBLIC GROUNDSWELL FROM STAKEHOLDERS OF, OF THE, OF THE, OF THE MEASLES CASES ARE THE MA I'M ASSUMING THE MAJORITY OF PEOPLE INFECTED ARE PEOPLE WHO WERE NOT VACCINATED. RIGHT. SO THEY'RE EITHER, BUT THERE, ARE THERE PEOPLE WHO ARE, WERE THERE ARE, THERE ARE SIGNIFICANT NUMBERS OR SMALL NUMBERS, LIKE MAYBE 3%. OKAY. SMALL NUMBERS. YEAH. UM, AND USUALLY IT'S MUCH MILDER AND YOU DON'T TEND TO GET THE, THE COMPLICATIONS. THOSE COMPLICATIONS, YEAH. OKAY. FOR THOSE OF US WITH CHILDREN, THAT'S, THAT'S REASSURING. . YES. YES. GETTING VACCINATED IS LIKE THE BEST THING TO DO. VERY PROTECTIVE. UM, YEAH. YEAH. ANYTHING YOU GOT, I'LL TAKE . ANY OTHER QUESTIONS FOR DR. DAVIS? IF NOT, I'LL ENTERTAIN A MOTION TO ACCEPT TO FILE HER REPORT. GREAT. BARBARA. AND SECOND BY PAULA. FABULOUS. UH, IN FAVOR, [00:20:01] AYE. ANY OPPOSED? MOTION PASSES. THANK YOU DR. DAVIS. AND CONGRATULATIONS AGAIN. UH, ARE WE READY FOR OUR CITY HEALTH OFFICER REPORT? NOT THE DIRECTOR OF HEALTH REPORT? YES, WE HAVE OUR DEPUTY CLERK OF ERICA. THANK YOU. HI, ERICA. HOW ARE YOU? HI. GOOD. I HAVEN'T HAD THE OPPORTUNITY TO MEET ALL OF YOU, BUT MY NAME IS ERICA VALENCIA HERE SHORTLY. UM, I'M THE DEPUTY DIRECTOR FOR THE HEALTH DEPARTMENT AND I'VE BEEN HERE FOR, WELL, I'VE BEEN WITH THE CITY FOR 10 YEARS HERE IN THIS POSITION FOR FOUR MONTHS OR SO, SOMETHING LIKE THAT. UM, IT'S VERY NICE TO MEET YOU. WE HAD A MUCH SMALLER BOARD LAST TIME. I NOW WE HAVE SO MANY FACES, SO THAT'S GREAT. UM, I WANTED TO BRIEFLY JUST UPDATE YOU ALL ON, UM, THE BUDGET, THE CITY, THE FISCAL YEAR 26 BUDGET. AND SO, UM, WE WERE REALLY GRATEFUL TO HAVE A LOT OF COMMUNITY SUPPORT SHOW UP AND SHOW OUT TO PUBLIC HEALTH. I THINK PEOPLE ARE REALLY AWARE OF KIND OF WHAT'S BEEN HAPPENING AT THE FEDERAL LEVEL. WE'VE SUBMITTED PRESS RELEASES FOR ANY OF OUR, UH, PROGRAMS THAT HAVE SUNSETTED. AND I THINK THAT REALLY HELPED TO RALLY SOME PEOPLE AROUND KIND OF, YOU KNOW, WHAT'S GOING ON IN PUBLIC HEALTH AND HOW THEY CAN REALLY SUPPORT US. AND SO, UM, AS A RESULT OF THAT, THE CITY COUNCIL DID ADD, THERE'S A COUPLE OF PROCESSES TO THE BUDGET. SO ONE IS THAT THE CITY MANAGER PROVIDES HIS RECOMMENDATIONS TO THE MAYOR AND THE CITY COUNCIL. AND THEN FROM THERE THE MAYOR PROVIDES SOME RECOMMENDATIONS TO ADD TO THE BUDGET. AND THEN FROM THERE, THE BUDGET OVERSIGHT COMMITTEE HAS A SERIES OF LISTENING SESSIONS, AND THEN THEY ADD TO THEIR BUDGET WHEN THEY MIGHT BE MISSING, AND THEN THEIR KIND OF TASK FIGURING OUT HOW TO FIND THE MONEY TO PAY FOR ALL OF THESE THINGS. AND SO I'M JUST GONNA GO AHEAD AND READ YOU A LIST OF SOME OF THE ITEMS THAT CAME OUT OF THE BUDGET. AND IT'S A LITTLE COMPLICATED BECAUSE IT'S NOT JUST IN ONE PLACE. SO GIMME JUST ONE SECOND. BUT WE DID RECEIVE FUNDING FOR, UH, TO CONTINUE OUR FE OUR, UH, COMMUNITY CRISIS RESPONSE TEAM. FOR THOSE OF YOU WHO KNOW WHAT THAT IS OR DON'T DUNNO WHAT THAT IS. THAT'S OUR, UH, ALTERNATIVE CRISIS RESPONSE TEAM. SO, UH, PEOPLE COULD CALL IF SOMEONE IS IN A MENTAL HEALTH CRISIS AND WE SEND OUR STAFF TO, UH, TO SUPPORT THEM, AND THEY'RE, AND THEY'RE DISPATCHED DIRECTLY THROUGH OUR 9 1 1 CALLS FOR SERVICE. WE'LL CONTINUE THAT PROGRAM NEXT FISCAL YEAR. WE'RE ALSO LOOKING INTO SOME STRUCTURAL MONEY TO BE ABLE TO SUSTAIN IT BEYOND FISCAL SCHOOL YEAR 26. SO THAT WAS VERY EXCITING. HEY, NICE. UH, WE ALSO RECEIVED, UH, $170,000 TO CONTINUE OUR YOUTH PARTICIPATORY BUDGETING PROCESS. SO WE'RE GOING TO, UH, FUNDING FOR ONE OF OUR STAFF THAT OVERSEES THAT PROCESS HAS SUNSETTED, AND NOW THEY'RE GOING TO REVIEW IT FOR AT LEAST ONE MORE YEAR. THIS IS ALL ONE TIME FUNDING. UH, AND THEN THEY'VE ALSO ADDED SOME MONEY FOR YOUTH PARTICIPATORY BUDGETING AND FOR OUTREACH. AND, UM, TO GO DIRECTLY TO COMMUNITY. WE HAVE $25,000 THAT'S GOING TO GO TO OUR VETERANS COMMISSION. AND THEY'RE GONNA BE, I DON'T KNOW IF YOU'VE SEEN THE MATTERS THAT ARE AROUND THE VA, UM, BUT WE'LL BE CONTINUING THAT PROGRAM. NEXT YEAR. WE RECEIVED $285,000 FOR A SAFE PASSAGE PROGRAMMING TO CONTINUE IN NORTH LONG BEACH. NORTH LONG BEACH. UM, SAFE PASSAGE PROGRAM IS RUN BY A SECOND CALL AND THERE'S A TEAM OF INTERVENTION WORKERS THAT ARE THERE IN THE MORNING, IN THE AFTERNOON, DURING THE DAY AT HOW PARK JORDAN HIGH SCHOOL TO KIND OF ENGAGE YOUTH, ENGAGE THEIR FAMILIES. AND, UM, THE, THE DATA'S PRETTY STRIKING IF YOU EVER WANNA REPORT ALL THE DATA. THEY ALSO PRESENTED TO THE BOARD OVERSIGHT COMMITTEE IF YOU WANTED TO LISTEN TO THAT. THE DATA'S LIKE VERY COMPELLING AS TO WHY WE NEED SOME, UH, ADULTS AND INTERVENTIONISTS IN THAT SPACE. UM, AND THEN WE RECEIVED $160,000 TO CONTINUE SAFE PASSAGE PROGRAMMING IN CENTRAL LONG BEACH. AND THAT'S AT FRANKLIN, WHITTIER AND LINCOLN, UM, AND LINCOLN. AND THAT'S WITH DAYS LONG BEACH. UM, OKAY. UM, THIS WAS KIND OF, UH, INTERESTING. WE RECEIVED SOME IN COLLABORATION WITH ECONOMIC DEVELOPMENT. WE ARE TO PUT ON SOME COMMUNITY ACTIVATION EVENTS. AND SO THEY'RE GOING TO BE, UM, PROVIDING COMMUNITY FUNDING FOR COMMUNITY COMMUNITY ACTIVATION EVENTS CITYWIDE. BUT ONE OF THE CRITERIA FOR THOSE EVENTS WILL BE SOME EVENTS THAT ARE PERTINENT TO VIOLENCE PREVENTION. SO WE'LL BE, WELL THE MONEY'S NOT COMING TO US DIRECTLY, BUT WE WILL BE WORKING WITH THEM TO KIND OF FIGURE OUT, UM, APPLICATIONS, WHAT KINDS OF AGENCIES AND WHAT KIND OF EFFECT THEY SHOULD BE FUNDING. UH, WE RECEIVED $318,000 TO FUND TWO POSITIONS, A PUBLIC HEALTH NURSE AND A HEALTH EDUCATOR IN THE BLACK INFANT HEALTH PROGRAM. SO OUR BLACK INFANT HEALTH PROGRAM HAS BEEN A STAPLE IN LONG BEACH FOR MANY, MANY, MANY YEARS. UM, WHAT WE DID NOTICE IS THAT IT DOES HAVE A SIGNIFICANT IMPACT TO [00:25:01] OUR DEFICIT. AND SO THESE TWO POSITIONS WILL BE CONTINUED TO BE SUSTAINED FOR THIS NEXT FISCAL YEAR. AND WE ANTICIPATE RECEIVING SOME STRUCTURAL FUNDING FISCAL YEAR 27 TO BE ABLE TO CONTINUE THOSE TWO POSITIONS. SO THAT WAS VERY EXCITING TO BE ABLE TO RETAIN THOSE TWO. WE ALSO RECEIVED, UM, SOME MONEY TO, TO HAVE A, UH, HEALING RESPONSE IN ONE OF OUR BUREAUS. SO THAT'S WHEN THERE'S A VICTIM OF GUN VIOLENCE, WE HAVE SOME FUNDING TO BE ABLE TO PROVIDE SERVICES TO THEIR FAMILIES. UM, THAT CAN COME IN THE FORM OF, YOU KNOW, THERE WAS A HATE CRIME THAT HAPPENED RECENTLY IN LONG BEACH, AND THE FAMILY WAS ACTUALLY IN RANCHO CUCAMONGA. SO WE GAVE THEM MONEY TO BE ABLE TO STAY AT A HOTEL WHILE THEIR CHILD WAS IN THE ICU, THINGS LIKE THAT. SO IF THEY NEED GROCERIES, IF THEY NEED FOOD, IF THEY NEED ACCESS TO SERVICES, THIS, THIS KIND OF POT OF FUNDING WOULD BE ABLE TO SUPPORT THEM. AND THEN LASTLY, WE RECEIVED SOME MONEY FOR FENTANYL KITS AND, UM, A POSITION FOR OUR, NOT TO BE CONFUSED COMMUNITY CRISIS RESPONSE TEAM, BUT OUR RESPONSE TEAM FOR ENVIRONMENTAL HEALTH OR C-R-C-R-T. BUT WHAT IS THE COMPLAINT RESPONSE COMPLAINT RESPONSE TEAM. UM, AND THEY ALLOCATED $25,000 TO A VE OUR VETERANS. IT'S NOT OUR VETERANS' COLLABORATIVE, IT'S A NONPROFIT CALLED THE VETERANS COLLABORATIVE, UM, TO DO SOME WORK AROUND SOCIAL SERVICES. AND THAT'S ALL THAT WE HAVE. SO IT'S KIND OF A, YOU KNOW, WE ARE IN A BUDGET DEFICIT FOR, WELL, IT'S A BALANCE BUDGET, BUT MOVING FORWARD WE WILL BE IN A BUDGET DEFICIT. AND SO, UM, WE ARE REALLY EXCITED TO GET THESE ADDITIONAL FUNDING, EVEN IF THEY ARE, EVEN IF IT'S IN THE FORM OF ONE 10 FUNDS, BECAUSE WE ARE ABLE TO SUSTAIN THE CRITICAL PROGRAM. SO WE TRY TO FIGURE OUT, FIGURE HOW TO CONTINUE THEM BEYOND THAT FISCAL FISCAL YEAR. SO IT'S AN EXCITING TIME FOR HELP TO BE ABLE TO, UM, TO SAY THAT WE RECEIVE FUNDING IN THIS, THIS CRITICAL YEAR. ANY QUESTIONS AROUND THE BUDGET? SEEMS LIKE A BETTER BUDGET THAN OH, 100%. YEAH. BLESSING. YEAH. BUT, BUT LET'S BE CLEAR THOUGH. THESE ADDED FUNDS DO CONTRIBUTE TO OUR DEFICIT. SO WHEN WE SPEAK ABOUT IT, WE DID GET THE, THE FUNDS, WE DID SAVE THE PROGRAMMING, BUT IT WILL CONTRIBUTE TO WHAT OUR DEFICIT NUMBER WILL LOOK LIKE UNTIL WE ARE ABLE TO NEGOTIATE WHAT THE CITY'S SUB WILL BE EACH YEAR GOING FORWARD. NOW THAT WE HAVE DEPLETED THE HEALTH FUND. CAN YOU EXPAND ON THAT? SO, UM, THERE, THERE HAVE BEEN SOME CHANGES IN THE METHODOLOGY AS TO HOW THEY, UM, CHARGE US FOR INDIRECT COST. THINGS LIKE OUR TECHNOLOGY COST, ADMINISTRATIVE OVERHEAD, WE ARE NOT ABLE TO PAY FOR OUT OF OUR GRANTS. FUNDS THAT HAVE COME THROUGH TO US HAVE BEEN THROUGH, UM, REALIGNMENT AND THE HEALTH FUND THAT ARE GENERATED BY TAXES THAT WE GET INTO THE CITY. THAT METHODOLOGY WAS CHANGED BECAUSE THEY ACKNOWLEDGE THAT THE GRANTS DON'T PAY FOR THEMSELVES. THERE WILL ALWAYS HAVE TO BE A SUBSIDY, BUT THE AMOUNT OF THAT SUBSIDY IS WHAT WE ARE TRYING TO DETERMINE. AND THE COSTS THAT ARE NON-REIMBURSABLE. WE'RE TRYING TO MINIMIZE. WHEN WE GAVE EQUITY INCREASES FOR SALARIES OVER THE LAST COUPLE YEARS, IN THE LAST UNION NEGOTIATION, WHICH WAS IN 2023, THERE WERE SIGNIFICANT INCREASE TO SALARIES THAT HAPPENED. FOR INSTANCE, MID-YEAR. YOU CAN'T GO BACK TO A GRANTOR AND SAY, YOU KNOW, WE'RE PAYING PEOPLE MORE, CAN YOU GIVE US MORE? WE WERE LEFT AT THAT AMOUNT AND IN SOME CASES WE HAD MULTI-YEAR GRANTS THAT WE STILL AREN'T ABLE TO RENEGOTIATE AND WE'RE STILL NOT ABLE TO RECOUP THOSE INDIRECT COSTS. WHAT WE HOPE TO FIND IS EITHER A WAY TO BE ABLE TO IDENTIFY CHARGES THAT CAN BE PUT AGAINST THE GRANT, WHICH WILL ULTIMATELY REDUCE SERVICE LEVELS, BUT IT WILL ALLOW US TO RETAIN THEM. UH, OR, OR, AND I SHOULD SAY THE CITY ACKNOWLEDGES THAT BECAUSE WE'VE DEPLETED THE HEALTH FUND, THERE MUST BE A SUBSIDY AND THAT AMOUNT IS YET TO BE DETERMINED. THERE IS A DISCREPANCY, LET'S SAY, IN WHAT THE AMOUNT SHOULD BE. CURRENTLY WE ARE GETTING ABOUT $5 MILLION A YEAR, SIGNIFICANTLY LESS THAN WHAT WE BELIEVE IT SHOULD BE. [00:30:01] THEY ARE ACKNOWLEDGING THAT IT'S PROBABLY HIGHER. UM, SO WHEN WE TALK ABOUT A DEFICIT, IT'S $19 MILLION. IF OUR SUBSIDY ENDS UP BEING 10, THEN OUR DEFICIT IS ONLY NINE. BUT WE STILL GOT A TARGET THAT WE HAVE YET TO REDUCE. MAKE SENSE? YEAH. YES. OKAY. SO OUR OVER OVERALL CITY BUDGET IS BALANCED, BUT THE HEALTH DEPARTMENT IS STILL IN A DEFICIT. AND THERE ARE OTHER FUNDS WITHIN THE CITY THAT ARE ALSO AT A DEFICIT LEVEL BECAUSE, FOR INSTANCE, SOME OF THE THINGS WE DON'T CHARGE FULL COST RECOVERY FOR. SO WHEN YOU GET, SAY, A HEALTH PERMIT FROM THE HEALTH DEPARTMENT TO OPERATE A BUSINESS, IT'S AT ABOUT 68% COST RECOVERY, WHICH PUTS US AT A DEFICIT. THAT'S TO HELP COMMUNITY SO THAT, YOU KNOW, COSTS ARE, ARE NOT OUT OF RANGE, BUT IT ALSO MEANS THAT THERE ARE COSTS THAT WE ARE NOT BEING COMPENSATED FOR, THAT WE OCCUR. SO ONE TIME FUNDING PLUGS UP WHOLE TEMPORARILY, BUT THE WHOLE IS STILL THERE. IS STILL THERE, BUT THERE'S NOT ADMINISTRATIVE COSTS THAT COME WITH THE GRANTS. THERE ARE FOR SOME, SO FOR INSTANCE, A COUNTY GRANT, WE ARE ABLE TO CHARGE INDIRECT TO SOME OVERHEAD. BUT FEDERAL, BECAUSE OF THE CFR, THE CODE OF FEDERAL REGULATIONS, YOU'RE NOT ABLE TO, YOU KNOW, THEY WILL ONLY ACCEPT CHARGES THAT YOU CAN IDENTIFY WHERE THEY COME FROM. IF YOU'RE CHARGED FOR WIFI AND YOU CAN'T IDENTIFY THE PORTION OF WIFI THAT BELONGS TO THE DEPARTMENT, BUT WE ARE ALL SHARING IN THIS BIG POT AND ALLOCATING IT ACROSS EVERY DEPARTMENT. THOSE ARE CHARGES WE CAN'T GET BACK. SO HAS THAT BEEN AN ONGOING, I I FEEL LIKE I'VE HEARD THIS BEFORE, NOT HERE, BUT OVER THE YEARS, IS IT SOMETHING THAT, UM, BASICALLY KIND OF NEED TO STEP BACK AND REEVALUATE THE OVERALL INFRASTRUCTURE OF, AND THUS EVERY GRANT THAT WE TURN IN RIGHT NOW IS BEING SCRUTINIZED AT A LEVEL THAT WE'VE NOT SEEN BEFORE. WE'RE ASKING. THEY'RE ASKING US MANY, MANY MORE QUESTIONS IN TERMS, AND SOME OF THESE QUESTIONS WE SHOULD BE ASKING OURSELVES. UM, WE ARE ALSO GOING TO RELEASE, UM, OUR HEALTH FUND STUDY, UM, THAT AS SOON AS IT IS REVIEWED BY THE CITY MANAGER AND RELEASED TO COUNCIL, IT WILL BE RELEASED TO YOU AS WELL. AND IN THAT, UM, THEY SAY WE DO A LOT, YOU KNOW, WE ARE PROBABLY SPREADING OURSELVES SOMEWHAT THIN AND WE HAVE A COMMITMENT TO FOUNDATIONAL CORE PUBLIC HEALTH SERVICES FIRST. UM, BUT THEN WE ALSO HAVE HUMANITARIAN CRISES THAT ARE A PART OF THIS DEPARTMENT THAT SIT ON THE HUMAN SERVICES SIDE AS WELL, THAT ARE EQUALLY AS IMPORTANT TO THE HEALTH AND WELLNESS OF THIS COMMUNITY. SO IT'S, YOU KNOW, IT'S THAT. UM, BUT IT IS SAYING THAT THERE ARE SOME THINGS FOR WHICH THE COST WHEN YOU MEASURE THE IMPACT IS SIMPLY TOO HIGH. AND WE ARE UNABLE TO FURTHER SUSTAIN. AND THIS IS NOT LIKE A DEPARTMENT LIKE THAT WHEN I GO TO GET MY PERMITS FOR BUILDING, UH, THAT'S FROM COMMUNITY DEVELOPMENT AND BUSINESS LICENSING. YES, YOU CAN CHARGE THE DEPARTMENT THAT'S KIND OF TOUCHY FEEL. SO YOU CAN'T GO AND CHARGE, SO TO SPEAK. BUT ACCORDING TO BUSINESS LICENSING, THEY SAY THEY'RE NOT FULL COST RECOVERY EITHER. 'CAUSE WHEN YOU ADD ALL THIS BURDEN ON A CHARGE, IT BECOMES UNSUSTAINABLE. I THINK IN PUBLIC HIGHER EDUCATION, WE'RE FAMILIAR WITH THIS PHENOMENON THAT THE COST OF THAT RECOVERY DOESN'T COVER THE COST OF DELIVERY. WE OPERATE OPERATE AT A KIND OF PERENNIAL DEFICIT. LIKE A, AN INDEFINITE DEFICIT. IT'S A, IT'S A FUNDAMENTAL PROBLEM. IT'S A LIKE EXISTENTIAL CRISIS. EXACTLY. . EXACTLY. WHEN YOUR SERVICES ARE NOT BEING PAID FOR, WHAT DO YOU DO? , THERE'S ONLY SO LONG THAT THE SERVICE CAN CONTINUE TO EXIST IN ABSENCE OF THAT, THAT GAP BEING CLOSED. AND THE AVERAGE COMMUNITY MEMBER IS SAYING, YOU KNOW, WHEN DOES THE, THEY STILL HAVE ALL THE EXPECTATIONS. YEAH, YEAH, YEAH. THE EXPECTATION IS STILL THERE. AND THE FUNDING'S NOT, I THINK SABRINA AND I ARE FAMILIAR WITH THIS PHENOMENON. ALSO HEALTHCARE AS WELL. YES. YEAH. WE, IT'S THE SAME ISSUE ACROSS. IT'S [00:35:01] NEVER ENOUGH OR IT'S NEVER ENOUGH. NEVER ENOUGH. AND IT'S NOT REALLY SUSTAINABLE. WE ALMOST HAVE TO BLOW IT UP AGAIN. WE CAN'T BLOW IT OUT. THAT'S RIGHT. JUST PATCH, WE, WE PLUG THE DS. YEP. PATCH. THAT'S CORRECT. YEP. I THINK YEAH. PUB ALL PUBLIC SYSTEMS, PUBLIC SYSTEMS ARE SIMILARLY. BLOW THE HOLE HERE AND YOU OPEN UP ANOTHER ONE SOMEWHERE ELSE. YEP. WELL, THE ANSWER IS OBVIOUSLY THAT WE SHOULD JUST PRIVATIZE EVERYTHING, RIGHT? ? JUST KIDDING. HA . IT'S FRIDAY MORNING FOR BEING LATE FOLKS. GOOD MORNING. QUORUM IS 7 51 FOR THIS GROUP IS SO VERY IMPRESSIVE. LEMME SAY THAT. ISN'T IT GREAT? ? WOW. ISN'T THAT GREAT? I KNOW. WE'RE, WE'RE VERY PROUD. YES, YOU SHOULD BECAUSE WE'VE GOT SEVERAL NEW PEOPLE WHO HAVEN'T BEEN BEATEN DOWN YET. . ANY OTHER QUESTIONS FOR OUR CITY DIRECTOR OR DEPUTY DIRECTOR? IF NOT, I'LL ENTERTAIN A MOTION TO FILE THE REPORT. MOVED BY LAUREN, SECOND BY ROSE. ALL IN FAVOR? AYE. ANY OPPOSED? GREAT REPORT FILED. THANK YOU. MOTION CARRIES. UM, AND NOW WE WAITED, SABRINA AND BARBARA, WE DIDN'T WANNA TALK ABOUT THE STRATEGIC PLAN WITHOUT YOU. WE WANTED TO MAKE SURE THAT EVERYONE WAS HERE TO TALK ABOUT THE STRATEGIC PLAN, BUT I DON'T KNOW WHAT WE'RE GONNA TALK ABOUT. SO I'M GONNA PASS THAT OVER TO LAUREN BECAUSE SHE'S BEEN WORKING ON THAT WITH, WITH YOU ALL. THIS IS OUR TEAM, SO, YES. AND I THINK IT'S JUST SO GREAT TO SEE ALL THESE FACES, ISN'T IT? YES, I KNOW. SO YOU MISSED GABBY IS FROM MOLINA HEALTHCARE AND WILL IS A DENTIST. OH, WONDERFUL. IS THAT EXCITING? WONDERFUL. YES, I KNOW. SEE, SHE GOT EXCITED WHEN SHE HEARD DENTIST. I TOLD YOU , WE HAVEN'T HAD DENTIST IN A LITTLE BIT . I DON'T HAVE A POKER FACE . UM, SO, YOU KNOW, I, I WANTED TO JUST LET EVERYBODY KNOW ABOUT THE COMMITTEE. SO DR. SANDERS, PAULA, BARBARA, MILES, MILES, CRAZY MYSELF. WE MET OVER PROBABLY THE LAST 18 MONTHS TO TWO YEARS TO COME UP WITH, UM, A STRATEGIC PLAN. UM, BECAUSE WE WERE FIGHTING THAT WE DIDN'T REALLY UNDERSTAND OUR ROLE AS IT RELATES TO ADVISING, HELPING THE HEALTH PLAN CARRY OUT THE MISSION. SO, UM, WE'VE GOTTEN INTO A RUT. YES, WE HAD, AND WE HAD PEOPLE SHOWING UP FEELING LIKE WE HAVE ALL THIS, YOU KNOW, EXPERIENCE AND KNOWLEDGE AND REALLY NOT REALLY KNOWING HOW TO UTILIZE IT. SO IT STARTED WITH THE MISSION AND DR. SAN WANNA READ THE MISSION? DO YOU WANNA READ THE MISSION? I MEAN, DID WE DISCUSS I I HAVE ALL THESE NOTES. UM, YEAH, WE DID. WE WENT THROUGH IT BEFORE, BUT WE DIDN'T HAVE, I MEAN I THINK WE HAVE LIKE SEVEN PEOPLE. YEAH. SO IT'S KIND OF NEW. DO YOU WANT TO JUST TAKE TIME TO READ? WE ALSO HAVE NEW MEMBERS. YEAH. DO YOU WANNA TAKE TIME TO READ IT? THANK YOU SO MUCH THOUGHT GO AROUND. I IDEA I WAS HERE AND AN EXTENSIVE COMMITTEE. YOU STRATEGIZE AND SHRINK ALL KINDS OF GOOD STUFF. BUT THEN THERE'S TIMES THAT NOT EVERYBODY'S HERE. SO WE DIDN'T WANNA ENGAGE IN THE CONVERSATION BECAUSE REALLY WE A LARGER, UM, POPULATION AND THERE WAS FOLKS THAT FELT LIKE BRAND NEW FOLKS. LIKE, LIKE, OKAY, WHAT, WHAT'S THIS ABOUT? WHAT ARE WE FEELING? SO PART OF THE STRATEGIC PLAN WAS ALSO TALKING ABOUT LIKE, HOW DO YOU ONBOARD NEW MEMBERS? LIKE WHAT DOES THAT LOOK LIKE? WHAT IS OUR CHARGE? HERE'S OUR MISSION. AND THERE'S CERTAIN THINGS THAT ARE THERE THAT ARE PART OF THE BIG BINDER, I THINK I BINDER. UM, AND SO IT'S KIND OF TAKING AND SUMMARIZING SOME OF THAT, GOING BACK TO, YOU KNOW, WHAT, HOW DO WE SEE OUR ROLE AS EXPERTS? AND WE ALL, WE ALL HAVE DIFFERENT EXPERTISE IN THE COMMUNITY, WHETHER IT'S IN OUR PROFESSION, WHETHER IT'S WHO WE KNOW AND, AND HOW DO WE LEVERAGE THOSE ASSETS TO HELP, UM, PUSH FORWARD THE GOALS AND THE AGENDAS AND TO HELP DEPARTMENT. AND SO WE CAME TOGETHER, WE BRAINSTORM ALL KINDS OF CONCEPTS AND THEN WE HAD A SMALLER GROUP THAT TOOK ALL THOSE LARGER CONCEPTS AND PUT TOGETHER THIS KIND OF THE STRATEGIC PLAN. SO OUR LAST MEETING WE STARTED GOING THROUGH KIND OF WORD BY WORD AND READING AND GIVING FEEDBACK. SO I HAVE A BUNCH OF EDITS THAT ARE PART OF THIS. AND THEN, UM, WE HAD SOME QUESTIONS AND I'M NOT SURE WHERE WE LEFT OFF. UM, AND I APOLOGIZE, WE'RE NOT BEING WELL PREPARED, BUT, UM, MAY WE DID ONCE IN A MONTH. WE KIND OF JUST FORGET I I [00:40:01] IF I WAS AT THE LAST MEETING. THAT SOUNDS RIGHT. YEAH. I THINK, UM, UH, I HAVE SOME NOTES. I THINK I KNOW WHAT YOU LEFT. SURE. I WASN'T GONNA ADMIT THAT DO ON THE COMPUTER. SO SAFE SOMEWHERE THAT'S NOT JUST LIKE IN MY CAR FOR THREE MONTHS. , ALL KIND OF STUFF. UM, SO, UM, I HAVE THAT WE LEFT OFF ON THIS, THIS ON PAGE TWO UNDER THE, LIKE WE, I THINK WE GOT AT LEAST THE FIRST PARAGRAPH UNDER ATTENDANCE REQUIREMENTS. SO BASICALLY, AND I ONE I TO THAT. SO THERE'S NOT A WHOLE LOT. UM, YEAH. SO WE'RE, SO WE'RE ON PAGE, WE'RE THE BEGINNING. IT'S PAGE THREE THEN, RIGHT? WE'RE AT THE BEGINNING. AND PAGE ONE AND TWO ARE BASICALLY THE CHARGE FROM THE CITY, UM, COMMISSION. AND THAT WILL GO AT THE END. SO WE BASICALLY WE'RE KIND OF GOING THROUGH THIS LITTLE BY LITTLE AND MAKING SURE THAT WE'RE ON THE SAME PAGE. WE TOOK THE ALL THOSE NOTES, IF PUT A STRATEGIC PLAN AND WE ALL BRAINSTORM 'EM AS A SMALLER GROUP, WE WANTED TO BRING THIS BACK TO THE LARGE GROUP. I THINK THE CHARGE NOW THAT I REMEMBER IS EVERYBODY WAS GONNA GO BACK AND READ AND THEN BRING THOSE NOTES BACK AND WE WOULD KIND OF GO THROUGH THAT AS A YOU'RE WELCOME SHARE. AND SO ON PAGE THREE, UNDER ATTENDANCE REQUIREMENTS, UM, ONE OF THE ISSUES THAT WE HAD WERE, BECAUSE YOU'RE, YOU'RE PICKING UP SPACE AND WE NEED TO VOTE ON THINGS. AND IF WE DIDN'T HAVE THE MAJORITY THAT WE COULDN'T BEFORE AND THAT WAS ONE OF OUR ISSUES TOO. YEAH. UM, AND SO WE COULD ALL GO TO PAGE THREE ATTENDANCE REQUIREMENTS AND WE REVIEW AND GIVE SOME FEEDBACK ON THAT SECTION. AND THAT'S HOW WE APPROACH IT. UM, AND WE HAVE ABOUT 25 MINUTES HOPEFULLY FILL. SO, UM, OH, ONE OF THE THINGS THAT HAD WAS OFFER FEEDBACK INSTEAD MAKE DECISION. YES. AND THEN THE OTHER QUESTION I HAVE IS LEAST, AT LEAST A DESIGNATED PERCENTAGE. WHAT IS THAT PERCENTAGE OF WHAT PEOPLE HAVE TO ATTEND MEETINGS? AND I THINK WE WERE GONNA ASK IF YOU HAD FOUND OUT ALEJANDRA DID LOOK IT UP AND SHE FOUND IT. OH, WHAT WAS IT? NOT A PERCENTAGE BUT CORRECT. MORE THAN THREE BASIS MEMBERS. UM, CANNOT BE ABSENT THREE CONSECUTIVE MEETINGS BECAUSE THEN THAT WOULD BE THREE CONSECUTIVE MEETINGS AND THAT'S IT. YEAH. THAT WAS THE, THAT'S IN THE CITY CHARTER. THANK YOU VERY MUCH. I DON'T LOVE THE WORD CONSECUTIVE BECAUSE WE ONLY HAVE PROBABLY 11 MEETINGS IN A YEAR. BUT I'LL TAKE IT AT LEAST IT'S BETTER THAN NOTHING. YEAH. YEAH. JUST THREE FEELS GOOD. LIKE OUR COLLEGE STUDENTS BE LIKE THAT. TWO AND A HALF. YEAH. YEAH. START AT THE CLOCK ALL OVER AGAIN. . RIGHT. ANY FEEDBACK ON THAT SECTION? ALRIGHT, WE'RE TO THE NEXT ONE. ADVISORY ROLE. ANY FEEDBACK? ALL RIGHT. COMMUNITY ENGAGEMENT. THIS BECAME A BIG ONE FOR OUR DISCUSSION AT OUR RETREAT. 'CAUSE UM, WHAT DO WE DO BEYOND THIS, THIS MONTHLY MEETING? AND ONE THING IS, AND THIS WE DON'T HAVE DETAILS, SO WHAT THAT LOOKS LIKE, BUT WE WANTED TO DOCUMENT WHAT SEEMED IMPORTANT. THE DETAILS ARE GONNA HAPPEN WHEN WE HAVE SUBCOMMITTEES LIST TO GO OFF THERE TO TALK ABOUT WHAT THAT DETAIL LOOK LIKE. SO YOU'RE GONNA SEE IT'S KIND OF GENERIC HERE. KIND OF MAINTAIN VALUES AS A OUR SCHOOL DISTRICT TEACHER. SO WHERE ARE WE AT? COMMUNITY ENGAGEMENT, JUST KIND OF, UH, SEEING [00:45:01] OUR ENGAGEMENT IN THE COMMUNITY BECAUSE GROUP, WAS THERE A SPECIFIC REASON WHY THIS LIKE LAST STATEMENT WAS PUT IN THERE ADHERING TO THE REQUIREMENTS OF THE BROWN ACT? THAT'S GOOD QUESTION. LIKE YEAH. LIKE IT'S EXPLICITLY WRITTEN AND I WOULDN'T HAVE KNOWN IT OTHERWISE, BUT NOW I'M LIKE, WELL WHY IS IT THERE IF PUBLIC SCENARIOS REQUIRED PERFECT. SO WE GO LIVE ON A FIELD TRIP AND THAT IF IT'S SO MANY NUMBERS HAS TO BE OPEN TO THE PUBLIC. GOT IT. OKAY. BECAUSE WE'RE A PUBLIC PERMISSION. YEAH. I THOUGHT IT WAS LESS THAN HALF. OKAY. SO YEAH. ANYTHING FOR SOCIAL MEDIA CONVERSATIONS LY INTERESTING. DOES THAT WAS THAT? I DID NOT KNOW. THANK YOU ANGELA. LITERALLY MY NEXT QUESTION, WE CAN WRITE ANYTHING WE WANT, BUT ACTUALLY WHAT WE ARE DOING AND THAT'S WHERE THE SUBGROUPS ARE GONNA COME INTO PLACE. THAT'S WHERE A SUBCOMMITTEE, WE'LL TAKE THIS AND WE GO AND TALK ABOUT WHAT THAT WOULD LOOK LIKE. BECAUSE THOSE THINGS MAY NOT BE YEAR TO YEAR THE SAME THINGS. SO THIS IS A REALLY GENERIC OVERVIEW. SO THIS YEAR IT MIGHT BE ADVOCACY FOR MEASLES. I GO TO SEVERAL COMMITTEE AND EVERY PLACE, I DON'T SEE ANY OF OUR MEMBERS OVER THERE EXCEPT ME. SO THAT MIGHT BE PART OF MAYBE YOUR, MAYBE YOU'LL NEED THE, SOME GROUP OF COMMUNICATION. YEAH. I GO EVERY AND I SEE, YOU KNOW, MAYOR AND OTHER MEMBERS AND I WAS I SOME OTHER COMMITTEE. MM-HMM. I SAID THEY'RE WORK. ALRIGHT. LOOKS LIKE WE HAVE A CHAIR FOR THAT GROUP. WONDERFUL. JUST WRITING IS NOTHING. YOU HAVE TO GO AND DO SOMETHING. I WAS GONNA SAY WE CORRECT. YEAH. YEAH. THAT'S WHY THERE WERE ONLY FOUR PEOPLE WORKING ON THE STRATEGIC PLAN. IF WE HAD A BIGGER NUMBER, IT WOULD NEED TO BE PUBLIC. UH, I DON'T EVEN THINK WE COULD HAVE DONE IT. I THINK NOT JUST PUBLIC. I THINK THAT ONCE YOU HIT A QUORUM VIOLATION, YOU, YOU CAN, BUT IT HAS TO BE POSTED AND THE AGENDA HAS TO BE UP. AND PEOPLE HAVE EVEN IF THE REST OF, AS LONG AS THE REST OF THE MEMBERS ARE INVITED MAYBE. OKAY. NO, SOMETIMES THE PEOPLE, THEY, AND SOMETIMES THEY DO SAY SO WE JUST NEEDS TO STAY BEHIND. WE JUST NEED TO STAY BELOW QUORUM. SHE SOUNDS LIKE THE EMBEDDED COORDINATOR AND SHE'S GONNA BUY US MOVIES WITH LIKE A LIST OF STUFF THAT YOU CAN SEE THE CALENDAR AND YOU CAN GO OVER THERE. I DON'T HAVE TO PROVIDE ANYTHING. ALRIGHT. ANYTHING FOR THAT FEEDBACK? UM, ON THAT SECTION. AND THAT SECTION DOES CARRY OVER TO THE NEXT PAGE. YEAH. NEEDS OF UNDERREPRESENTED POPULATION. IS THAT STILL THE KIND OF TERMINOLOGY USED? WHAT'S THE UNDERSERVED? WHAT USED IN TODAY'S ROLE? I'M SURE IT'S NOT PART OF WHAT WE SAY NOW. I MEAN IN THIS CURRENT CLIMATE TOO. I THINK THERE'S PROBABLY SOME THAT WE, I CAN WORDSMITH THAT. MAYBE VULNERABLE POPULATIONS. SORRY. MAYBE VULNERABLE. YEAH. I MEAN AS OPPOSED TO UNDERREPRESENTED, BUT MAYBE MORE VULNERABLE CHILDREN AND THEY UNDERSERVED LAW. ANYBODY FOR THAT SECTION? I'LL PUT VULNERABLE. ALRIGHT. POLICY RECOMMENDATIONS. SHOULD WE UNDERREPRESENTED WELL POPULATION. OH SLASH OH YEAH. OKAY. I PREFER UNDERSERVED. YEAH. YEAH. I LIKE UNDERSERVED. UNDERSERVED. UNDERSERVED ALSO. I THINK I LIKE THAT BETTER. VULNERABLE. YEAH. UNDER. YEAH, ME TOO. OKAY. POLICY RECOMMENDATION. WHO'S, WHO'S THE, WHO'S THE PERSON WHO THE POSITION THAT, UM, IS THE POLICY MEMBER THAT IS, UM, ANDREA LEE WITH THAT PERSON. UM, SHE IS [00:50:01] LEGISLATOR'S MANAGER. IS THAT, I JUST CHANGED HER TITLE. UH, LEGISLATIVE AND PARTNERSHIPS SUPERVISOR. THANK YOU. WE CAN COMMENT MANAGER. DO YOU WANNA INCLUDE THAT TITLE TO KEEP THAT PERSON ENGAGED? I FEEL LIKE WE PUT A LOT OF PRESSURE ON, I WOULD SAY LEGISLATIVE AND POLICY REPRESENTATIVE. 'CAUSE IT'S A MOVING TARGET WITH THE CLASSIFICATION. AND I WAS THINKING ABOUT INCLUDING, YOU KNOW, DO WE WANNA INCLUDE THAT TITLE? 'CAUSE IT'S NOT JUST, YOU KNOW, THE SAME FOLKS THAT ARE HERE, BUT WE'RE ACCESSING STAFF. YEAH. AND PULLING THOSE FOLKS INTO, BECAUSE THAT, TO ME, THAT BUILDS MORE BUY-IN FROM VARIOUS, LIKE YOU BEING HERE, THEN YOU'RE BRINGING US A DIFFERENT PERSPECTIVE. YOU'RE GETTING A DIFFERENT PERSPECTIVE AND IT JUST BECOMES ANOTHER VOICE. NOT TO ABUSE STAFF TIME, BUT JUST KEEP THE VARIETY OF FOLKS. SO THERE'S THE BUY-IN AND CONNECTION AND NETWORK AND NOT ALWAYS JUST TAPPING YOUR HEADS. I AGREE. ESPECIALLY NOW BECAUSE SO MANY LEGISLATIVE AND POLICY DECISIONS HAVE BEEN SO COMPLICATED RECENTLY. I'M LOOKING FOR THE RIGHT WORD, BUT THAT FEELS LIKE A GOOD WORD. COMPLICATED. UM, SO I I, THERE MAY HAVE BEEN A TIME WHEN THAT WASN'T AS NECESSARY, BUT I FEEL LIKE NOW IT'S MORE NECESSARY. YEAH. I THINK THE LAST TIME SHE WAS HERE WAS THIS MAY 20 AND THAT WAS GREAT. YEAH. AND IT WAS AWESOME. YEAH. THAT WAS REALLY USEFUL. I MEAN, NOTHING ABOUT IT WAS GOOD, BUT THE FACT THAT WE GOT IT, WE GOT IT WAS GOOD. YEAH. IT WAS COMPREHENSIVE. IT WAS VERY HELPFUL. WE'LL SEND MANY, MANY PAGES. SO THAT WAS GREAT. AND JUST SOME BACKGROUND INFORMATION FOR THE NEW FOLKS. THERE'S BEEN A LOT OF CONVERSATIONS THAT HAVE HAPPENING NATIONALLY WITH THE STATE, WITH HOW BUDGETS ARE GOING, WHAT'S HAPPENING WITH, UM, UH, HEALTH POLICIES AND FUNDING AND BRINGING THAT INFORMATION TO US, UM, KIND OF EMPOWERED US TO KNOW WHAT'S HAPPENING AND WHAT THEIR DECISIONS ARE BASED FAR. AND THAT'S WHY WE'RE APPROACHING THAT. HOW DO WE BECOME, UH, KNOWLEDGEABLE ABOUT THAT AND HOW DO WE MAKE, GO BACK TO OUR COMMUNITIES AND WHETHER IT'S, UH, REPRESENTING, ADVOCATING OR JUST UNDERSTANDING, YOU KNOW, HOW THE SLOWING OF HOW IT WILL AFFECT OUR COMMUNITIES. SO CURRENTLY THIS PERSON ISN'T LIKE, DESIGNATED TO COME HERE TO GIVE US THIS LIKE, UPDATE ON LIKE A QUARTERLY BASIS OR EVEN LIKE A INTERESTING, AND SO WHAT WHAT HAPPENS IS WE CREATE THE AGENDA AND SO IF WE WANT AN UPDATE FROM ANY DEPARTMENT, WE ASK FOR LACK OF HEALTH OR WHATEVER COMMUNITY, BLAH, BLAH BLAH. SO THAT THOSE FOLKS HAVE SHOWED UP TO DO A PRESENTATION. SO THAT PERSON SHOWED UP TO GIVE US AN UPDATE OF WHAT WAS HAPPENING BECAUSE ON, ON REQUEST. INTERESTING. OKAY. OR, UM, IF THE, THE DIRECTOR FEELS LIKE THERE'S, YOU KNOW, THIS IS THE TIMING WE NEED YOUR, WE NEED YOU TO KNOW THIS. YEAH. I DON'T THINK WE NECESSARILY REQUESTED THAT TIME. I THINK THAT YOU DID SAID IT'S TIME YOU NEED TO KNOW SOME THINGS. YEAH. OKAY. AS WE WERE COMING UP TO THE BUDGET, I THINK IT WAS, YEAH, I THINK IT WAS IMPORTANT TO KNOW. SO ANY OTHER FEEDBACK ON THIS SECTION? SO WAS IT, WAS THERE A SPECIFIC RECOMMENDATION IN TERMS OF THE LANGUAGE TO PUT IN THERE? UM, IF ARE GONNA INCLUDE SOMETHING THAT'S MORE SPECIFIC TO DEPARTMENT STAFF, THAT'S WHAT I WAS GONNA RECOMMEND. UH, TO, TO T THAT PERSON AS A RESOURCE, A LEGISLATIVE AND PARTNERSHIP SUPERVISOR. LEGISLATIVE, LEGISLATIVE. UH, SEE, I WAS SUGGESTING THAT WE SHOULD HAVE A MEETING WITH OTHER MEMBERS, YOU KNOW, DEPARTMENT, DIFFERENT DEPARTMENTS MEMBERS. SO WHY SHOULDN'T WE HAVE MEETING EVERY YEAR? WE, WE AND WE CAN GIVE THEM OUR IDEAS AND WE CAN ALWAYS LEARN FROM SOMEBODY. YOU KNOW, EVERYBODY CAN LEARN FROM ANYBODY. I CAN LEARN FROM ANYBODY. YOU KNOW. AND THAT GIVE US THE IDEA WHAT LIKE OTHER BOARDS IN THE CITY, THERE ARE DIFFERENT BOARDS IN THE DEPARTMENT. THERE'S A LOT OF REGULATION IN THE HEALTH DEPARTMENT. SO YOU MEAN HEARING DEPARTMENT. DEPARTMENT. OKAY. YOU KNOW, OTHER BOARD MEMBERS. SO IF WE ALL GET TOGETHER EVEN ONCE A YEAR AND WE KNOW WHAT THEY'RE DOING, WHAT THEY'RE DOING, DOES THAT RELATE TO POLICY? YEAH. NO, IT'S NOT POLICY. THIS IS JUST THE IDEA. JUST LIKE WE DON'T, WE DON'T ONLY THINK WHAT BOARD OF HEALTH [00:55:01] BUT THERE LOT OF OTHER BOARD ALSO. SO WHY SHOULDN'T WE HAVE ONE MEETING UP ALL THE BOARD MEMBERS FROM OTHER DEPARTMENT ALSO AND THEN WE KNOW WHAT, HOW WE CAN HELP THEM. HOW THEY YEAH. FOR LIKE PROFESSIONAL DEVELOPMENT. BUT JEFF WILLIAMS ARE THE MAYOR'S OFFICE. UH, YEAH, I WAS GONNA SAY JEFF IS KIND OF THE CONNECTING LINK TO ALL OF THOSE, THE CONNECTION. BUT THERE ARE A SIGNIFICANT NUMBER OF BOARD AND COMMISSIONS THROUGHOUT THE CITY. SOME ARE VERY ACTIVE, SOME ARE NOT VERY ACTIVE. UM, AND THERE IS NOT ALWAYS GOING TO BE, UM, INTEGRATION WITH, WITH ALL OF THEM. RIGHT. UM, BUT ALL OF THE MINUTES, LIKE YOUR OWN RD PUBLIC, THIS IS A GREAT, THE ENGAGEMENT PART OF THE CONVERSATION. THIS WOULD BE A GREAT CONVERSATION TO HAVE WHEN WE GET TO THE ENGAGEMENT PART. I THINK AS FAR AS THE POLICY RECOMMENDATIONS, THE THIS SENTENCE MEMBERS STAY INFORMED ABOUT TRENDS IS LIKE, IS THAT JUST LIKE A, JUST SO YOU KNOW, MEMBERS ARE DOING THIS OR LIKE WHAT'S THE, I DON'T UNDERSTAND LIKE WHAT THE SENTENCE IS TRYING TO ACHIEVE ME, THE PART MEMBERS STAY INFORMED. UHHUH. . OKAY. LIKE IT'S JUST SAYING THAT'S WHAT WE DO OR THAT'S WHAT WE SHOULD DO. OR THAT IS, I THINK YOU MIGHT, WHAT I THINK WE WERE TALKING REFERRING TO IS THAT WE'RE JUST KIND OF KNOWLEDGEABLE WHAT THE HOT TOPICS ARE. WE'RE ENGAGED WITH THE CONVERSATION AROUND POLICY. OKAY. UM, AND THAT IS PART OF OUR, OUR CHARGE, PART OF OUR AWARENESS, PART OF OUR, UM, LARGER PICTURE PERSPECTIVE. THINK ABOUT PROFESSIONAL DEVELOPMENT, YOU KNOW, AND YOU NEED TO BUILD THE BIG PICTURE. UM, AND THAT COMES PART OF THE BIG PICTURE IS WHAT'S HAPPENING WITHIN, BECAUSE THAT IS, UM, SO MILES MAYBE INCLUDE LEGISLATIVE PARTNERSHIP, UM, POSITION THROUGH THAT. HOW WE DO IT THROUGH THE PERSON WHO WORKS FOR THE DEPARTMENT, THE LEGISLATIVE, THAT'S A PERSON, LEGISLATIVE AND PARTNERSHIPS MANAGER. SOME MEETINGS. YES. SO THEY CAN UPDATE US. CORRECT. YOU KNOW, THAT'S HOW WE'RE NOT GONNA PUT THOSE DETAILS GIVEN US. THIS IS VERY GENERIC, BUT YES. 'CAUSE MAYBE YOU DON'T WANT, MAYBE WE DON'T THE ONE YEAR MAYBE THERE'S NOT THAT POSITION. OR MAYBE, MAYBE WE WANNA INVITE JEFF WILLIAMS FIRST YEAR WITH A NEW, UM, ADMINISTRATION IS A LOT GOING ON SECOND YEAR, IT'S NOT MUCH GOING ON. SO WE DON'T HAVE TO DO IT AS MUCH. SO I THINK THAT EACH CHARGE, EACH LEADER, THEY MAY HAVE A DIFFERENT AGENDA. SO THIS IS A GENERAL, BUT YOU DON'T HAVE TO DO CHECK OFF EVERYTHING THAT'S IN THERE EVERY YEAR. I SEE. THIS IS MORE AS BEING AN OVERALL GENERAL. GENERAL. AND SO SOMETIMES WE MAY WANNA HEAR FROM THE, THE PERSON WHO WORKS FOR THE HEALTH DEPARTMENT. SOMETIMES WE MIGHT REACH OUT TO THE MAYOR'S OFFICE AND ASK FOR SOMEONE FROM THE MAYOR'S OFFICE TO JOIN US SO THAT WE DON'T WANNA BE OVERLY PRE PRESCRIPTIVE. SO WE HAVE THE FLEXIBILITY TO MEET THIS OBJECTIVE, THESE OBJECTIVES IN THE WAY THAT WORKS. THAT AT THAT TIME, I THINK BECAUSE I SEE THIS REALLY FOR THE MOST STRATEGIC PLAN WE'RE LOOKING AT, IS IT'S AN OVERALL GENERAL PERSPECTIVE WITHOUT THOSE SO MANY DETAILS THAT WE'RE GONNA CAUGHT UP IN THAT. CORRECT. I THINK YEAH. AND THAT ARE NOT ABLE TO, TO ACHIEVE. AND I DO THINK THAT WE SHOULD MAYBE CONSIDER INVITING SOMEONE FROM THE MAYOR'S OFFICE TO COME TALK ABOUT THE COMMITMENT TO HEALTH AND HUMAN SERVICE. ALRIGHT, THE NEXT ONE IS DATA DRIVEN DECISION MAKING. THAT'S PROBABLY STRAIGHTFORWARD ON THIS AS A RESEARCHER. MM-HMM . YEAH. THAT'S PRETTY STRAIGHTFORWARD. AND THIS KIND OF GOES BACK TO LIKE HAVING KNOWLEDGE YOU, WE'VE SOME STATISTICS BASED UPON WHAT'S HAPPENING AS PART OF THE PRESENTATIONS THAT ARE GIVEN. UM, IT'S JUST KIND OF HAVING THE INSIGHT OF WHY WE DO WHAT WE DO OR WHERE WE'RE GOING. UM, ANY, ANY FEEDBACK ON THAT SECTION? OKAY. THAT'S IMPORTANT. PUBLIC HEALTH INITIATIVES. THIS WAS REALLY GENERIC BECAUSE THIS CAME UP AS A HOT TOPIC ABOUT HOW DO WE USE WHO WE KNOW, UM, WE BRING HEALTH DEPARTMENT. HOW DO WE BRING WHAT WE'RE LEARNING HERE, ADVOCATING HERE, THE HEALTH DEPARTMENT, BACK TO THOSE ORGANIZATIONS THAT WE'RE CONNECTED [01:00:01] TO, WHETHER WE'RE ON BOARDS, WHETHER WE WORK FOR THE VA OR SUCH AND SUCH CITY OR KAISER. UM, HOW DO WE CONNECT THOSE TWO? UM, SO THIS IS A REAL GENERIC DESCRIPTION, ADVOCATING BEYOND TO FROM EDUCATIONAL INSTITUTIONS, SCHOOL DISTRICTS, ORGANIZATIONS. WHAT THIS WILL LOOK LIKE IS WHAT THE SUBCOMMITTEE WILL GO UP WITH. 'CAUSE WE HAVE ABOUT A FEW MORE MINUTES AND MILES. YES. LIKE YOU SAW THAT I A QUESTION I WAS RAISING MY HAND WITH MY EYES. . UM, I JUST, JUST REAL QUICK GO BACK TO, TO DATA DRIVEN DECISION MAKING. I DON'T THINK WE HAVE IN ANY SECTION, ANY, ANY KIND OF LANGUAGE AROUND US USING OUR PRACTICE EXPERIENCE TO HELP INFORM DECISIONS OR DISCUSSIONS. AND I WONDER IF THAT SHOULD BE MORE LIKE EXPLICITLY SOMEWHERE IN HERE. IT DOES SAY ON ADVISORY ROLE, IT SAYS, MEMBERS ARE ENCOURAGED TO LEVERAGE THEIR EXPERTISE NETWORKS AND AFFILIATIONS TO SUPPORT AND ADVANCE THE GOALS OF THE HEALTH AND HUMAN SERVICES DEPARTMENT ON THE PRIOR PAGE. OKAY. LOOK AT YOU. AND I GET YOU'RE COMING FROM MILES LEGALIZE MILES BROUGHT, UH, WORKS WITH, UM, ELDERS. AND I REMEMBER BRINGING, YOU KNOW, THE IDEA OF HOW DO WE SERVE THE AGING COMMUNITY AGING A JIG COMMUNITY. AND WE DID A LETTER OF SUPPORT FOR SOMETHING THAT WAS HAPPENING STATEWIDE. AND SO HIS KNOWLEDGE AND EXPERTISE, SOME OF THE STATISTICS THAT WERE KIND OF A SURPRISE TO US THAT DON'T WORK IN THAT COMMUNITY WAS A WAY OF HOW HE WAS ABLE TO LEVERAGE THE COMMISSION TO, TO ADVOCATE, UM, FOR THE ELDERLY THAT, UH, IN THE HEALTH AREA. AND THAT'S WHAT I'M KIND OF GETTING FROM WHAT YOU'RE SHARING, RIGHT? YEAH. YEAH. I, I AND I, I THINK THAT'S IMPLIED TO A LOT OF US THAT, YOU KNOW, WE'RE SEEING PATIENTS OR CLIENTS AND, UH, WE'RE JUST SEEING THINGS THROUGH OUR DAY-TO-DAY EXPERIENCE AND, YOU KNOW, MAKING SURE THAT IT'S SOMEWHERE, YOU KNOW, WHICH AGAIN, I THINK IT IS. DO YOU WANNA ADD IT'S IN THE MISSION, OUR MULTI-SPECIALTY EXPERTISE. DO YOU WANNA ADD THAT IN WHILE WE'RE DOING DATA? AND I MEAN, I YEAH, I I MEAN, IF YOU FEEL LIKE IT'S MISSING IN HOW WE ARE DRIVING OUR DECISION MAKING, LET'S ADD IT. WE'VE DONE, LET'S ADD IT. OUR, AND WE USE THE LANGUAGE, MULTILEVEL MULTI-SPECIALTY EXPERTISE IS WHAT WE SAID IN THE MISSION. AND THAT MIGHT JUST COVER EVERY BASE IN TERMS OF DATA AND OUR, I CAN, I MEAN, I CAN ADD THAT UNDER WHERE, YOU KNOW, THAT ADVISOR GOAL. JUST, JUST, JUST THAT SPECIFIC WORDING THAT WHERE ADD IT. IF YOU FELT LIKE WE WERE LIMITING IT, WE WEREN'T INCLUDING OUR EXPERTISE, WE COULD ADD IT THERE. BUT IF IT'S NOT ANYTHING THAT YOU WANTED. YEAH. I, I GUESS, YOU KNOW, I THINK PART OF THE REASON WHY I'M BRINGING IT UP IS BECAUSE I DON'T THINK WE WE DO THAT. I MEAN, OVER THE YEARS I'VE BEEN PART OF THIS GROUP, I DON'T HEAR A LOT OF, I I WELL, WITH THE EXCEPTION OF THAT, , YOU TALK A LOT ABOUT YOUR EXPERIENCES OH, AT THE UNIVERSITY. WHAT? THE UNIVERSITY, WE DON'T HEAR FROM PEOPLE. LIKE AS A PHYSICIAN OR AS A DENTIST. I, RIGHT, RIGHT. LIKE WHAT'S HAPPENING? I FEEL LIKE SABR SO, UH, SINE, OH MY GOD, SHE'S GONE AND I FORGOT HER NAME ALREADY. ST. GEORGE. UM, ST. BERNARD. ST. BERNARD. WHAT WAS SILE? LENE. THANK YOU. I FEEL LIKE LENE DID THAT A LOT AS A VET SHE WOULD BRING UP, BUT, BUT SINCE SHE'S BEEN GONE, YOU'RE RIGHT. A LOT OF PEOPLE DON'T REFER BACK TO THEIR AREAS OF EXPERTISE WHEN THEY CONTRIBUTE. I, I I THINK IT WOULD, IT WOULD BE HELPFUL TO HAVE THAT AS MORE PART OF, I THINK IT'S USEFUL CADENCE OF OUR, OUR MEETINGS. I, THAT'S, THAT'S MY TAKE. THANK YOU FOR THE ASSIST THERE. YEAH. INE NO LENE. YEAH. IT WAS USEFUL. YEAH. IT WAS USEFUL. PART OF LIKE THE, LIKE MONTHLY REPORT IS THIS IS THE STATE OF AFFAIRS WITH THE, IT'S AN ADDENDUM TO YOUR REPORT. WHERE WOULD THAT BE APPROPRIATE? I THINK ABOUT THAT'S PART OF WHY WE WERE EACH ASSIGNED, RIGHT? WE WERE ALL BASED UPON OUR EXPERTISE. THAT'S RIGHT. RIGHT. YEAH. SO THAT GOES BACK TO WHAT WE ARE BRINGING TO THE TABLE OR HOW WE'RE BEING TAGGED. YEAH. IT'S, IT'S IMPLICITLY IT'S LIKE, IT'S, IT'S ASSUMED THAT THAT'S WHAT WE SHOULD BE DOING, BUT I DON'T KNOW IF PEOPLE ALWAYS FEEL COMFORTABLE DOING THAT. AND I THINK WE DON'T, WE MAY NOT KNOW HOW TO DO THAT. YEAH. I THINK IT MAY COME UP AND SOME OF US ARE QUIET AND SHY, JUST KIND OF STILL NICE. BUT YOU'RE RIGHT. LIKE WE ALL BRING STUFF. EXPERTISE. [01:05:02] I THINK FOR LIKE, JUST FOR ME, MY SPECIALTY, O-B-G-Y-N IS ALWAYS BEING TALKED ABOUT ON FEDERAL LEVEL, ON EVERY LEVEL. AND, UM, SO WHEN WE HAD THIS LIKE FEDERAL HEALTH, UH, POLICY UPDATE, I WAS SUPER INTERESTED IN WHAT THEY WERE SAYING JUST TO KIND OF SEE LIKE, AND THIS JUST WAS BROAD STROKES WHEN WE HAD THIS CONVERSATION AND I THINK IT WAS LIKE MUCH MORE RELATED TO JUST HEALTH AND HUMAN SERVICES AS A DEPARTMENT. BUT I WAS TRYING TO SEE LIKE IF THERE WAS ANYTHING THAT WAS GONNA COME UP ABOUT LIKE OB G YN, ABORTION CARE, ALL OF THE ABOVE, OR CALIFORNIA HAVING THIS LIKE MATERNAL, UM, CARE DESERT ISSUE. BUT IT REALLY DIDN'T COME UP. I THINK THIS WAS JUST TOO MACRO FOR THAT. BUT, UM, YEAH, I MEAN I FEEL LIKE IF THERE WAS LIKE A TIME IN WHICH THAT WOULD BE RELEVANT FOR ME TO TALK ABOUT, I WOULD, BUT I, YEAH, I THINK HAPPENED LIKE WITH THE AFFILIATION IS ON THE CARD, BE SOMETHING HELPFUL THAT WOULD BE HELPFUL. WE DON'T HAVE THAT. WHO'S REPRESENTING WHAT FIELD? UM, AND THEN THEY WOULD SAY AS A NURSE, YOU KNOW, THIS, THIS, WHATEVER WE JUST TALKED ABOUT. HMM. ONE OF THE THINGS THAT, UM, DENNIS DID WAS A BIO EACH NUMBER. AND I READ THAT THAT'S HELPFUL AND I DON'T, I THINK WE HAVEN'T HAD THAT FOR A MINUTE. YEAH. I DON'T THINK I EVER SAW THAT AS MOTORCYCLE. I, I THOUGHT IT IN MY EMAIL THAT YOU, YOU SENT ME EVERYBODY'S BIO. YOU KNOW WHO ELSE WAS GOOD AT THAT? THE WOMAN WHO WAS HERE FROM ENVIRONMENTAL HEALTH, SHE WOULD PIPE IN A LOT ABOUT ASTHMA. OH YEAH. DO YOU REMEMBER? YEAH. SVIA ENVIRONMENTAL JUSTICE. WHAT WAS HER NAME? SYLVIA. SYLVIA. SYLVIA. YES. THANK YOU. SHE WAS, SHE WOULD PIPE IN A LOT ABOUT ENVIRONMENTAL JUSTICE AND ASTHMA ESPECIALLY. NO, SO I, I FEEL I I, I, I THINK THAT'S A VALUABLE RESOURCE. ME TOO. I'D LOVE TO SEE THOSE BIO THAT I'M THINKING THAT MAYBE IT SHOULD COME FROM WHAT OUR ROLE IS. MM-HMM . AND WHERE IN THIS DO WE TALK ABOUT LIKE OUR ROLE, WHAT I'M RESPONSIBLE FOR? MAYBE THE ADVISOR, MAYBE THE ADVISORY ROLE SECTION. YEAH. WHICH IS, I WAS GONNA ASK IF THIS ALL KIND OF GOES UNDER THAT. LIKE SHOULD IT BE ADVISORY ROLE AND THEN SUBSECTION POLICY, ALL THOSE THINGS. MM-HMM. REFUSING THE DATA DECISION, DATA DRIVEN DECISION MAKING TO INFORM POLICY RECOMMENDATIONS AND . SO I DUNNO, I THINK ALL OF THOSE THREE THINGS LIKE HIGH KIND OF ALL TOUCHING ON THE SAME CONCEPT. SO THE BOARD ROLES IN RESPONSIBILITY. ALL RIGHT. WELL LET'S PUT THAT ON, UM, FOR NEXT MEETING. THERE YOU GO. MILES. YOU CAN THINK ABOUT WHERE YOU THINK THAT WOULD BE , BUT IN OUR NEXT MEETING WE CAN CONTINUE ON FROM THAT WITH THAT RECOMMENDATION. AND THEN WE CAN, UH, SAY YES OR NO FOR OUR NEXT MEETING AND WE'LL CONTINUE AT SUPPORT PUBLIC HEALTH INITIATIVES. I'LL PUT A NOTE FOR MYSELF. CONTINUE OCTOBER. MM-HMM . AND I DON'T KNOW IF ANYBODY HAS UPDATES ABOUT THIS, UM, PRESENTATION WE GOT. I THOUGHT IT WAS SUPER INTERESTING. THIS WAS LIKE THE FIRST MEETING I WENT TO AND I SAVED IT. 'CAUSE I WAS LIKE, OOH, THAT'S GONNA BE EXCITING. I DON'T KNOW IF WE'RE GONNA BE HEARING PRESENTATIONS ABOUT THIS. LIKE, THIS WAS LIKE A, LIKE FOLLOW UP ON THE FOLLOW. NO, THAT'S DIFFERENT. THIS IS THE HHS FUND. UM, THIS WAS A PRESENTATION THAT AALIYAH HAYES GAVE ABOUT LIKE THE FUNDRAISING UHHUH. I DON'T KNOW IF THERE WAS LIKE GONNA BE, 'CAUSE LIKE OUR ROLE AS ADVISORS YES. WAS GONNA BE LIKE, REALLY EXERCISE IN THIS. AND I WAS LIKE, OH, THAT'S GONNA BE COOL. AND THEN I MEAN LIKE MEETINGS HAPPENED AND OTHER THINGS HAPPENED, BUT I WAS JUST WONDERING LIKE IF THERE WAS LIKE, ANY FOLLOW UP ABOUT IT. YEP. IT'S A GREAT QUESTION. YEAH. UH, I DUNNO IF YOU HAVE ANY MORE INFORMATION ABOUT IT, BUT AS REQUESTS ARE MADE, THEY WILL BE BROUGHT HERE QUARTERLY. SO IT HAS NOT BEEN COMPLETELY ROLLED OUT AT THIS POINT. UM, WE ANTICIPATE THAT THAT WILL HAPPEN, UM, PROBABLY AFTER OCTOBER 1ST AND QUARTERLY. IF THERE ARE REQUESTS FOR THE FUNDS, THEY WILL BE REVIEWED BY YOU TO MAKE THAT DECISION. JUST TO BRING NEW PEOPLE UP TO SPEED. YOU KNOW, I THINK THIS IS WHY WE TOOK SO LONG TO GET THIS DOCUMENT BECAUSE THERE ARE JUST SO MANY WAYS THAT WE CAN BE USEFUL. UM, AND REALLY KIND OF HONING IN ON WHAT'S REALLY IMPORTANT TO THE GROUP NOW. AND [01:10:01] IT, IT TRANSITIONS AS PEOPLE TRANSITION. SO I WANT EVERYBODY TO MAYBE GO HOME AND TAKE A LOOK AND WE COME BACK WITH MAYBE NEW EYES ABOUT, UM, I, I THINK WE CAN OPERATIONALIZE IT THROUGH THAT FUND AND I THINK EVERYBODY NEEDS TO MAYBE SEE HOW THAT IS. AND THEN WHEN WE LOOK AT HOW WE'RE GOING TO, UM, HAVE OUR RULES, WE CAN LOOK THROUGH THE EYES OF MAYBE OPERATIONALIZING IT BECAUSE IT SEEMS SO ESOTERIC OUT HERE. BUT IF WE HAVE A GOAL THEN MAYBE WE CAN LOOK AT, UM, HOW THIS INFORMS WHAT WE DO IN TERMS OF ACTING ON TOWARD THIS PURPOSE. IT, THIS FEELS SO, YOU KNOW, IT IS SO LARGE, BUT I THINK IF WE GET THIS RIGHT, THIS WILL REALLY BE A GREAT ROADMAP FOR HOW WE FUNCTION AS A BODY. AND I'M EXCITED ABOUT THAT. AND I'M EXCITED TO SEE SO MANY PEOPLE HERE. SO NEW PEOPLE. I'M SURE IT'S LIKE CONFUSING BECAUSE I'VE BEEN HERE AND I'M STILL LIKE, I WAS ON THIS AND I KNOW THAT WE TALKED ABOUT THIS, BUT WHAT DOES THIS REALLY MEAN? SO IT MAY TAKE A LITTLE WHILE TO FLESH THIS OUT, BUT I THINK IT'S GOOD WORK AND I HOPE OTHERS FEEL THAT WAY. IF YOU DON'T, PLEASE GIVE FEEDBACK. 'CAUSE I, I, I THINK WE, WE ARE THE TOOL, I TELL PEOPLE SAY WE ARE THE TOOL IN MENTAL HEALTH, SO WE HAVE THE CAPACITY TO DO THIS TOGETHER. AND I, I, I DO SEE THE PROCESS IN VAGUE NE NEBULOUS IN THE BEGINNING, BUT IT BECOMES REALLY CLEAR. SO I ENCOURAGE PEOPLE TO STAY WITH US. 'CAUSE IT SEEMS ALL OVER THE PLACE RIGHT NOW, BUT I THINK WE'LL GET THAT TIME. I TOOK A PHOTO. OH YES. UM, YES. BUT BEFORE WE DO THAT, I DID WANNA ASK, I KIND OF RATTLED THIS OFF AS AN EXAMPLE AND THE CONVERSATION, BUT GIVEN THE BUDGET ISSUES THAT HAVE BEEN DISCUSSED TODAY, WOULD IT BE, AND IF IT WOULDN'T, THAT'S FINE. WOULD IT BE AT ALL USEFUL FOR THE COMMISSION, NOT YOU, BUT THE COMMISSION TO REACH OUT TO THE MAYOR'S OFFICE AND REQUEST THAT SOMEONE JOIN US FOR A MEETING TO SHARE WITH US HOW THE MAYOR'S OFFICE PLANS ON SUPPORTING HEALTH AND HUMAN SERVICES IN LIGHT OF BUDGET DOWNTURN? UM, I THINK THAT THAT WOULD BE, UH, A GREAT THING TO DO. I IF I COULD SUGGEST THAT THAT BE AFTER WE ROLL OUT OUR HEALTH FUND STUDY FOR SURE. UM, BECAUSE IT WILL KIND OF GIVE A BETTER ROADMAP AS TO WHERE WE'RE GOING AND WHERE WE NEED TO BE. YEAH. UM, TO BOTH HIT THE RIGHT LEVEL OF SERVICES WITH THE RIGHT LEVEL OF SUBSIDIES. IT'LL ALSO INFORM US SO THAT WHEN THEY DO COME, WE CAN ASK GOOD QUESTIONS OF THEM. SO IT'S A WAY THAT WE, LIKE YOU ARE EMPLOYEES OF THE CITY, SO YOU, THERE ARE THINGS YOU CAN'T DO, BUT THERE ARE IT, WE CAN DO THOSE THINGS AND REALLY, I THINK MAYBE SHOULD DO THOSE THINGS AND IT KIND OF PUTS THEM ON THE HOT SEAT TO EXPLAIN TO US HOW THE SERVICES WILL BE PRIORITIZED, EVEN WHEN TIMES ARE TOUGH IN WAYS THAT YOU MIGHT NOT POLITICALLY BE ABLE TO, TO DO IN THE SAME WAY. YEAH. UM, AND THAT'S A GREAT IDEA. UM, I WOULD START FIRST BY HAVING, WELL WAIT FINANCE TEAM ALSO COME HERE YEAH. AND KIND OF GIVE YOU ALL A LAY OF THE LAND AS TO THE DIFFERENT POTS OF FUNDING AND WHERE THEY ARE SO THAT YOU HAVE SOME CONTEXT FOR THAT CONVERSATION. YEAH. AND THEN WE CAN ASK THAT PERSON QUESTIONS. SO WHAT ABOUT THIS AND WHAT ABOUT THIS AND WHAT'S THE TIMELINE LIKE YOU'RE, YOU'RE SAYING? SO THE, THE TWO FRONT FLOOR IS GOING TO THE CITY MANAGER'S OFFICE THE FIRST OF NEXT WEEK. WE WANTED TO GET PAST BUDGET ADOPTION. UM, AND THEN HE WILL, YOU KNOW, TAKE A LOOK AT IT, DETERMINE IF IT IS READY TO BE ROLLED OUT TO THE CITY COUNCIL. WE HAVE NOT YET BEEN TOLD AS TO WHETHER WE WILL HAVE THE ACTUAL CONSULTANT COME AND PRESENT AT COUNCIL OR WHETHER THEY WILL SIMPLY RECEIVE AND FILE IT AND OR JUST HAVE THE DEPARTMENT COME BACK. BUT WHAT WE DO KNOW IS THAT TOM HAS SAID MIDYEAR MEANING MIDYEAR OF THE NEW FISCAL YEAR, WHICH WILL BE ABOUT MARCH. THEY ARE EXPECTING US TO COME BACK WITH PLANS FOR HOW WE WILL MOVE FORWARD IN RIGHTSIZING SERVICES WITH FUNDING. MM-HMM . SO SOMEWHERE AROUND MARCH OR APRIL I WOULD SAY THAT WOULD, WOULD BE THE RIGHT TIME FOR US TO REQUEST AN ACCOUNTABILITY CONVERSATION. , NOT FRAME IT THAT WAY, BUT REQUEST A CONVERSATION WITH THE MAYOR'S OFFICE. WE'LL HAVE A BETTER BAROMETER. UM, AND IT'LL HELP US DETERMINE WHAT THE ASK FROM YOU WOULD BE OF THEM. GREAT. AND THEN I KNOW IN YEARS PAST WE KIND OF SPLIT UP THE RESPONSIBILITIES AND REACHED OUT TO OUR CITY COUNCIL [01:15:01] MEMBERS. IS THERE A GOOD TIMELINE FOR WHEN THAT WOULD BE USEFUL FOR YOU? UM, THAT WOULD BE MAY. I WOULD, THAT WOULD BE MAY. OKAY. AS WE MOVE INTO BUDGET SEASON. GREAT. UM, THEY'LL ACTUALLY START SOME PLANNING MEETINGS ACTUALLY IN JANUARY. OKAY. UM, AND SO THERE MAY BE SOME SPACES THAT YOU CAN SPEAK INTO AS WELL. SO MAYBE JANUARY, BUT YES FOR PROB BUT FOR SURE MAY OFFICIAL REQUEST FROM THE CITY COUNCIL TO THE BUDGET COMMITTEE AND THE MAYOR ARE IN MAY. IN MAY. SO WE WOULD PROBABLY WANNA GET TO THEM PRIOR TO THAT, RIGHT? YES. YEAH. SO SIMILAR TIMETABLE. SO WE WOULD WAIT FOR YOU TO PRESENT TO US AND EDUCATE US. THEN WE WOULD INVITE THE MAYOR, SOMEONE FROM THE MAYOR'S OFFICE, AND THEN MAYBE GO SPEAK TO OUR RE RECEPTIVE CITY COUNCIL MEMBERS. AND THAT WOULD BE THE RIGHT TIMELINE. JUST SOMETHING TO CONSIDER. THAT WOULD BE A, A GOOD WAY TO ENGAGE, TO ADVOCATE FOR, FOR THE DEPARTMENT. OKAY. WE ALREADY LOST LAUREN, I'M SORRY. UH, BUT I NEED TO MAKE A MOTION TO FILE THE DISCUSSION WE JUST HAD ABOUT THE STRATEGIC PLAN, OR I NEED TO CALL FOR A MOTION. ANGELA MOVED. UH, BARBARA SECOND. ALL IN FAVOR? A. ANY OPPOSED? GREAT MOTION CARRIES. UH, SO FILED ADJOURN. ANY ANYTHING FOR THE GOOD OF THE GROUP? WE ADJOURN AT 9 0 5. LET'S TAKE OUR PICTURE. GOOD MEETING FOLKS. WELCOME . HERE YOU GO. * 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.