* This transcript was created by voice-to-text technology. The transcript has not been edited for errors or omissions, it is for reference only and is not the official minutes of the meeting. [00:03:32] UM, ALL RIGHT. I THINK VICE MAYOR ORRAN IS ON HIS WAY, BUT WE'RE GONNA GO AHEAD AND JUST, UH, GET STARTED. IN ORDER TO BE RESPECTFUL OF EVERYBODY'S TIME, UH, I WOULD LIKE TO CALL THE BUDGET OVERSIGHT COMMITTEE MEETING TO ORDER FOR TUESDAY, JULY 28TH, 2026. CLERK, UH, CAN YOU PLEASE CALL THE ROLE COUNCILWOMAN ALLEN? PRESENT VICE CHAIR URANGA. CHAIR RICK SODI. HERE WE HAVE A QUORUM. WONDERFUL. UH, UH, CAN YOU PLEASE READ THE FIRST ITEM? ITEM ONE IS A RECOMMENDATION TO APPROVE THE MINUTES FOR THE BUDGET OVERSIGHT COMMITTEE MEETING OF TUESDAY, SEPTEMBER 9TH, 2025. [CALL TO ORDER] [ROLL CALL] AND I'LL SIT NEXT TO YOU. WE COULD DO A VERBAL VOTE. [1. 26-55669 Recommendation to approve the minutes for the Budget Oversight Committee meeting of Tuesday, September 9, 2025.       Suggested Action: Approve recommendation. ] WE DO A VERBAL WHILE WE'RE, UH, LOGGING IN. VICE MAYOR. MM-HMM . RECEIVED. MOTION CARRIES. NEXT ITEM, PLEASE. ITEM TWO IS A RECOMMENDATION TO APPROVE FY 27 BUDGET OVERSIGHT COMMITTEE MEETING AND PRESENTATION TOPIC SCHEDULE. ALL RIGHT. WE HAVE A, UH, MOTION AND A, A SECOND. GREAT. UM, STAFF, I THINK YOU'RE DOING A PRESENTATION. [00:05:01] YES. THANK YOU. VERY BRIEF PRESENTATION. UH, GOOD AFTERNOON. MY NAME IS REBECCA STOR, BUDGET MANAGER IN THE FINANCIAL MANAGEMENT DEPARTMENT. GOOD TO SEE YOU ALL TODAY. THE PURPOSE OF TODAY'S PRESENTATION IS TO REVIEW AND APPROVE THE FISCAL YEAR 27 BOC MEETING AND TOPIC SCHEDULE. AND BEFORE WE GET INTO THE SCHEDULE ITSELF, I WANTED TO WALK THROUGH THE MOTION THAT SHAPES HOW THIS SCHEDULE WAS BUILT, THEN REVIEW THE TOPICS THE ENTIRE COMMITTEE REQUESTED, AND THEN FINALLY PRESENT THE PROPOSED MEETING BY MEETING CALENDAR FOR YOUR APPROVAL. UH, SO THIS SCHEDULE IS RELATED TO FISCAL YEAR 26, MOTION B 40 BROUGHT FORTH BY THE BOC, WHICH THE COUNCIL ADOPTED TO BRING MORE STRUCTURE AND TRANSPARENCY TO HOW BOC TOPICS GET SCHEDULED. THE MOTION ESTABLISHES A MAY 15TH DEADLINE EACH YEAR FOR BOC COMMITTEE MEMBERS TO SUBMIT THEIR REQUESTED AGENDA TOPICS WITH A CARVE OUT FOR GENUINELY OR URGENT UNFORESEEN MATTERS THAT COME UP. UH, THIS TIES BACK TO A MEMO THE CITY COUNCIL RECEIVED ON JULY 1ST, 2025, WHICH OUTLINED A MORE TRANSPARENT STRUCTURE IN HOW, HOW THE BOC OPERATES AND INTERACTS WITH COUNCIL A CALL FOR PRESENTATION TOPICS. DEADLINE LETS US BUILD ONE COHERENT WELL SEQUENCE SCHEDULE INSTEAD OF ADDING TOPICS IN AD HOC THROUGHOUT THE YEAR. SO SINCE THE MAY 15TH DEADLINE, WE RECEIVED 25 TOTAL TOPIC REQUESTS FROM BOC MEMBERS. THIS SLIDE SHOWS EXACTLY WHERE EACH ONE IS BEING ADDRESSED. SO, AS YOU CAN SEE, WHICH WILL GO MAKE IT A LITTLE BIT BIGGER IN THE NEXT SLIDE. THE PROPOSED BOC PRESENT TOPIC SCHEDULE IS ON THE LEFT HAND SIDE, AND THAT INCLUDES 12 TOPICS, UM, THAT WILL BE PRESENTED DIRECTLY AT BOC MEETINGS BETWEEN TODAY AND SEPTEMBER 1ST, THINGS LIKE THE HEALTH DEPARTMENT OVERVIEW MEASURE US THE FEE STUDY AUDIT, TRAFFIC SAFETY, AND THE EQUITY AND HUMAN RELATIONS TOOLKIT REVIEW. UM, SEVERAL ARE SPLIT INTO TWO PARTS TO KEEP INDIVIDUAL MEETINGS MANAGEABLE. AND THEN UNDER THE BUDGET HEARINGS, UH, SOME REQUESTED TOPICS ARE ACTUALLY BEING COVERED AS PART OF THIS CITY COUNCIL'S OWN BUDGET HEARING PROCESS, RATHER THAN AT BOC. SO, DEPARTMENT SERVICE CUTS, PUBLIC WORKS, HEALTH AND HUMAN SERVICES, PARKS, RECREATION, MARINE LIBRARY, ARTS AND CULTURE, AND PUBLIC SAFETY WILL BE COVERED AT THOSE SPECIFIC DEPARTMENT MEETINGS. AT THE BUDGET HEARINGS. UH, IT'S ALSO WORTH FLAGGING THAT THE HEALTH DEPARTMENT WAS REQUESTED TWICE, AND IT'S COVERED BOTH AT THE AUGUST 10TH COUNCIL BUDGET HEARING AND AT BOC ON JULY 28TH AND AUGUST 25TH. SO YOU WILL GET A FULL COVERAGE, UM, UNDER THOSE VARIOUS OPPORTUNITIES. AND THEN WE ALSO, UH, HAD SOME REQUEST FOR FEDERAL FUNDING UPDATES RIGHT TO COUNCIL AND TENANT ASSISTANCE PROGRAM UPDATES AND PROGRESS ON ADDRESSING THE OIL MONEY SUNSET, WHICH WILL ALL BE ADDRESSED IN A TFF FORMAT FOR INFORMATIONAL DISCUSSION AT THE AUGUST 4TH BOC MEETING. SO, STILL AN OPPORTUNITY TO PRESENT THAT INFORMATION, JUST NOT THROUGH A, A FORMAL STAFF PRESENTATION. AND THEN THERE ALSO WAS REQUESTS FOR STREET PAVEMENT PRIORITIZATION AND NEED MA BASED STREET ALLOCATION FUNDING, WHICH WERE, WERE BOTH COVERED ON A COUNCIL MEETING JUNE 9TH. AND THE LA 28 UPDATES WERE COVERED AT MAY 19TH CITY COUNCIL. SO THESE WERE ALREADY STAFF PRESENTED AND WON'T REAPPEAR ON THE SCHEDULE. SO, JUST TO KNOW EVERY SINGLE TOPIC A COMMITTEE MEMBER REQUESTED IS ACCOUNTED FOR SOMEWHERE, JUST SO WE WANTED TO RECOGNIZE THAT HERE IN THE SPACE. AND SO THIS IS THE PROPOSED CALENDAR FOR THE BO C'S APPROVAL, SEVEN MEETINGS BETWEEN NOW AND SEPTEMBER 8TH, SO JULY 28TH, APPROVING THIS SCHEDULE, BUDGET, COMMUNITY ENGAGEMENT OVERVIEW, AND FIRST HALF OF THE HEALTH DEPARTMENT EDUCATION PRESENTATION ON AUGUST 4TH, CIVIL AND HUMAN RIGHTS INVESTMENT SCREENING POLICY, PART ONE PLUS THE INFORMATIONAL UPDATES ON THE THREE TOPICS WE JUST MENTIONED. AUGUST 11TH IS A MEASURE US OVERVIEW AND FEE STUDY AUDIT ON DEVELOPMENT IMPACT FEES. AUGUST 17TH IS PUBLIC COMMENT ONLY, NO STAFF PRESENTATIONS, JUST AN OPPORTUNITY FOR COMMUNITY INPUT. AUGUST 18TH IS TRAFFIC SAFETY IMPROVEMENTS AND PUBLIC WORKS TRAFFIC AND TRANSPORTATION OVERVIEW. AUGUST 25TH IS HEALTH DEPARTMENT PART TWO, AND THE CIVIL AND HUMAN RIGHTS INVESTMENT SCREENING POLICY, PART TWO. SEPTEMBER 1ST IS ECONOMIC DEVELOPMENT AND OPPORTUNITY DEPARTMENT OVERVIEW AND CITY MANAGER'S OFFICE OVERVIEW. AND OUR FINAL BOC MEETING ON SEPTEMBER 8TH, UH, IS WHERE WE WILL CONSOLIDATE EVERYTHING INTO A FINAL LIST OF RECOMMENDATIONS FOR THE CITY COUNCIL, SO NO STAFF PRESENTATIONS THAT DAY. AND THAT CONCLUDES MY PRESENTATION. I'M AVAILABLE FOR ANY QUESTIONS. UH, THAT WAS CERTAINLY A BRIEF PRESENTATION. THANK YOU. UH, THANK YOU STAFF. UM, ANY COMMENTS FROM MY COUNCIL COLLEAGUES? NO. YEAH, I JUST WANNA, UM, THINK, IS THAT OKAY IF I CHAIR? YEAH, PLEASE. UM, I JUST WANNA SAY, UH, YOU KNOW, THANK YOU FOR PUTTING THIS TOGETHER. I THINK IT WAS REALLY THOUGHTFUL. UM, IT'S OBVIOUS THAT YOU TOOK INTO CONSIDERATION, YOU KNOW, ALL THE REQUESTED TOPICS, UM, THAT HAVE TO BE DISCUSSED. AND IT'S ALSO USEFUL TO HAVE EVERYTHING IN ONE PLACE, UM, SO THAT, UM, WE CAN HELP COUNCIL MEMBERS, UH, PREPARE. SO THAT'S, THAT'S VERY GOOD. AND I ALSO THINK IT'S, THIS IS ALL ALSO CAN BE A, UH, USEFUL RESOURCE, UM, FOR THE PUBLIC AS WELL, BECAUSE, YOU KNOW, THERE'S A LOT OF TOPICS THAT THEY'RE INTERESTED IN AS FAR AS PUBLIC SAFETY AND TRAFFIC AND PUBLIC HEALTH AND MEASURE US. UM, AND JUST A NUMBER OF IMPORTANT ISSUES. SO [00:10:01] THIS WAS REALLY GOOD. AND, UM, AND ALSO IT HELPS EVERYONE UNDERSTAND WHAT, WHEN THOSE DISCUSSIONS ARE HAPPENING. SO THANK YOU VERY MUCH FOR THIS. I THINK IT WAS VERY WELL DONE. WHY? IT'S POSSIBLE BOTH WE TALK ABOUT IT. THANK YOU FOR THAT COUN, UH, COUNCILWOMAN. UM, AND I, I COMPLETELY AGREE. UM, I THINK FOR OUR PARTIES, [2. 26-55670 Recommendation to approve FY 27 Budget Oversight Committee meeting and presentation topics schedule.       Suggested Action: Approve recommendation. ] CITY COUNCIL, COMMUNITY STAFF, UM, I THINK HAVING A CLEAR, UM, PRESENTATION OF WHAT PEOPLE HAVE TO EXPECT AT BUDGET OVERSIGHT COMMITTEE, PARTICULARLY AS WE'RE REALLY TRYING TO PUSH FOR, UM, PUBLIC ENGAGEMENT, UM, AND MAKING SURE THAT RESIDENTS HAVE THE ABILITY TO COME RIGHT, KNOW WHAT'S GONNA BE TALKED TO AT, UH, AT BOC, BUT ALSO MAKING SURE THAT PEOPLE RECOGNIZE THAT. AND I THINK WE'VE BEEN DOING THIS REALLY WELL OVER THE LAST COUPLE OF YEARS, UM, IS THAT WHEN WE'RE TAKING, UM, COMMUNITY INPUT, WE'RE TAKING REQUESTS, RIGHT? MAKING SURE PEOPLE KNOW THAT WE'RE TAKING IT SERIOUSLY, RIGHT? AND SO, EVEN IF IT'S NOT PRESENTED AT BOC, WE'RE SAYING IT'S AT CITY COUNCIL, IT'S A TFF, RIGHT? SO PEOPLE KNOW THAT THOSE REQUESTS ARE GOING SOMEWHERE, YOU KNOW, THEY'RE NOT KIND OF GOING INTO AN EMAIL VOID SOMEWHERE. UM, AND SO THIS IS ALL PART OF THE CONTINUED KIND OF WORK OF TRANSPARENCY, UH, THAT WE'RE REALLY TRYING TO CULTIVATE HERE IN THE CITY OF LONG BEACH. AND SO, I, I REALLY APPRECIATE YOUR EFFORTS WORKING WITH MY STAFF, WORKING WITH MY CHIEF OF STAFF, UH, TO MAKE SURE THAT WE COULD HAVE A, A CLEAR AND COHERENT, COHERENT, UH, SCHEDULE. UH, AND WITH THAT BEING SAID, UM, CITY CLERK, I'M GONNA LET YOU OPEN IT UP FOR PUBLIC COMMENT. IF WE HAVE ANY, IF ANY MEMBERS OF THE PUBLIC WOULD LIKE TO SPEAK ON ITEM TWO, PLEASE FORM A LINE IN FRONT OF THE PODIUM. SEEING NEXT CHAIR, I WILL TAKE THAT TO MEAN THAT OUR, UM, SCHEDULE WAS JUST SO FANTASTIC THAT NOBODY HAS ANY COMMENTS TO MAKE. AND I'LL TAKE THAT, UH, SO WE CAN GO FOR A VOTE. IT LOOKS LIKE COUNCILWOMAN ALLEN'S, UM, DIDN'T COME UP. THERE IT GOES. RECEIVED. MOTION CARRIES. LOVELY. UH, NEXT ITEM, CHAIR. AND JUST FOR, UM, ORDER OF BUSINESS, I THINK WE GOT A LITTLE DISTRACTED ON ITEM ONE, AND WE DID NOT CALL FOR PUBLIC COMMENT OH, ON ITEM ONE. OKAY. AND SO I JUST, SO WE CAN GO BACK AND DO THAT. I JUST WANNA GIVE ANY MEMBERS OF THE PUBLIC THE OPPORTUNITY TO, UM, SPEAK ON ITEM ONE, WHICH WAS THE MINUTES. SEEING NONE, NO PUBLIC COMMENT. WE CAN MOVE ON. UH, NEXT ITEM, ITEM THREE. ITEM THREE IS A RECOMMENDATION TO RECEIVE AND FILE AN OVERVIEW OF FY 27 COMMUNITY BUDGET MEETINGS AND ENGAGEMENT OPPORTUNITIES. PLEASE FEEL FREE TO GO, UH, MOVE FORWARD WITH THE, UH, WITH THE PRESENTATION. UM, CHAIR, WAS THERE A SECOND CHAIR? YEAH, WE, WE STILL NEED A SECOND VICE CHAIR RECEIVED. [3. 26-55671 Recommendation to receive and file an overview of FY 27 community budget meetings and engagement opportunities.       Suggested Action: Approve recommendation. ] WE CAN CONTINUE. OKAY. OKAY. I'M GONNA TURN IT OVER TO AMI IN OUR BUDGET OFFICE TO PROVIDE THE PRESENTATION. THANK YOU, REBECCA. UH, GOOD AFTERNOON, MEMBERS OF THE BUDGET OVERSIGHT COMMITTEE. MY NAME IS AMI. I'M A BUDGET ANALYST HERE IN THE BUDGET OFFICE, AND TODAY I'LL BE GIVING THIS PRESENTATION PROVIDE AN OVERVIEW OF THE FY 27 BUDGET ENGAGEMENT, AND EDUCATIONAL OPPORTUNITIES. SO, JUST TO GO OVER THE AGENDA OF WHAT WE'RE GONNA COVER IN TODAY'S PRESENTATION, I'M GONNA GO OVER THE EARLY COMMUNITY ENGAGEMENT PROCESS THAT WE DID IN JANUARY AND FEBRUARY OF THIS YEAR. UH, THEN I'LL GO OVER THE FEEDBACK ELECTED AT THOSE, UH, COMMUNITY MEETINGS, AND DURING THAT FIRST PHASE OF COMMUNITY ENGAGEMENT. AFTER THAT, UM, I'LL GO OVER THE OPPORTUNITIES TO ENGAGE ON THE PROPOSED FY 27 BUDGET. UM, THERE'S A LOT OF OPPORTUNITIES TO ENGAGE. WE'LL TALK ABOUT THOSE. THAT INCLUDES COMMUNITY BUDGET MEETINGS, FILLING OUT A DIGITAL COMMENT CARD. UM, THEN I WILL, UH, GO OVER THE COMMUNICATION RESOURCES, SO OUR ADVERTISING STRATEGY OF HOW WE'RE COMMUNICATING THESE OPPORTUNITIES TO ENGAGE, HOW WE'RE COMMUNICATING THE COMMUNITY BUDGET MEETINGS THAT ARE COMING UP, AND WAYS TO PROVIDE INPUT. UH, AND LASTLY, WE'LL TAKE SOME QUESTIONS AT THE END. OKAY. SO TO GET US STARTED, UM, EARLIER THIS YEAR AS Y'ALL, UH, REMEMBER, UH, IN JANUARY AND FEBRUARY, WE HELD, UM, OUR FIRST PHASE OF COMMUNITY ENGAGEMENT FOR FY 27. UM, THIS, UH, ENGAGEMENT PROCESS, OR THIS ROUND OF ENGAGEMENT WAS DONE PRIOR TO THE DEVELOPMENT OF ANY BUDGET PROPOSALS FOR FY 27. UM, WE HELD A TOTAL OF SIX PER SIX MEETINGS. UM, THAT INCLUDES ONE VIRTUAL MEETING AND FIVE IN-PERSON MEETINGS. UM, WE STUCK TO PROVIDING, UH, A COMMUNITY MEETING ON A WEEKEND, WHICH THAT WAS JANUARY 24TH. IT WAS ON A SATURDAY. UM, SO AGAIN, JUST TAKING INTO CONSIDERATION THAT SOMETIMES PEOPLE AREN'T AVAILABLE TO COME AT SIX 7:00 PM ON A WEEKDAY. SO WE, AND SOMETIMES PEOPLE AREN'T ABLE TO COME IN PERSON, SO WE [00:15:01] TRY TO HAVE, RIGHT, ALWAYS HAVE A VIRTUAL MEETING AND ONE MEETING ON THE WEEKEND. UM, AT THESE MEETINGS, IT WAS, UM, A QUICK, A BRIEF, UH, PRESENTATION. UM, JUST GOING OVER FY UH, FISCAL YEAR 26, AND THEN ALSO HOW WE WERE PREPARING FOR FISCAL YEAR 27 AFTERWARDS, UH, WE DOVE INTO AN IN-PERSON ACTIVITY. UM, IN THIS IN-PERSON ACTIVITY, COMMUNITY MEMBERS ENGAGED IN GROUP CONVERSATIONS WITH STAFF ABOUT PROGRAMS AND SERVICES THAT ARE MOST ESSENTIAL IN SUPPORTING THEIR WELLBEING AND QUALITY OF LIFE, AS WELL AS THOSE PROGRAMS AND SERVICES THAT ARE LEAST ESSENTIAL OR CONTRIBUTE THE LEAST TO THEIR WELLBEING, QUALITY OF LIFE. AND WE'LL TALK MORE ABOUT THAT, UH, ACTIVITY LATER ON THE PRESENTATION. UM, WE ALSO, ASIDE FROM THE IN-PERSON FEEDBACK THAT WAS COLLECTED FROM THOSE SMALLER GROUP DISCUSSIONS, WE ALSO COLLECTED ADDITIONAL FEEDBACK, UM, THAT WAS COLLECTED ONLINE THROUGH THE, UH, FY 27 BUDGET PRIORITY SURVEY. THAT SURVEY WAS OPEN FROM DECEMBER 15TH, 2020, AND WE CLOSED IT ON FEBRUARY 6TH, 2026. OKAY, NOW WE'LL DIVE INTO THE RESULTS OF THE, UM, BUDGET PRIORITY SURVEY. SO, UH, THESE SURVEYS, WE ALWAYS CENTER THEM AROUND THE STRATEGIC VISION 2038 THEMES. UM, AGAIN, THOSE ARE UP ON THE SCREEN. THAT'S EDUCATION, E, ECONOMIC OPPORTUNITY, EQUITY AND RESILIENCY, DIGITAL INCLUSION AND TECHNOLOGY, HOUSING AND HOMELESSNESS, MOBILITY AND PLACEMAKING, PUBLIC SAFETY, HEALTH AND WELLNESS, CLIMATE AND ENVIRONMENTAL SUSTAINABILITY. SO IN THE, UH, FY 27 BUDGET PRIORITY SURVEY, UH, WE ASKED RESPONDENTS TO RANK THE AGE STRATEGIC VISION 2030 THEMES. THE ONES JUST DISPLAYED THE SCREEN, UH, THE PREVIOUS SCREEN IN ORDER OF IMPORTANCE FROM FIRST BEING MOST IMPORTANT, AND EIGHTH BEING THE LEAST IMPORTANT. SO AS YOU CAN SEE ON THE GRAPH THERE, WE HAVE PUBLIC SAFETY COMING IN AS FIRST. SO 144 SURVEY RESPONDENTS INDICATED THAT PUBLIC SAFETY WAS THEIR MOST IMPORTANT, UH, 2030 STRATEGIC VISION THEME. IT WAS THEN FOLLOWED BY HOUSING AND HOMELESSNESS WITH 125 RESPONDENTS. AND THEN LASTLY, EDUCATION IN THIRD PLACE. ONCE WE ASKED, UM, RESPONDENTS TO RANK THE EIGHT STRATEGIC VISION 2030 THEMES, UM, WITHIN EACH OF THOSE THEMES, THERE'S A LIST OF PROGRAMS AND SERVICES AND INVESTMENT AREAS UNDER EACH OF THOSE EIGHT THEMES. SO WE ASKED THAT FOR EACH OF THE THEMES THAT, UH, RESPONDENTS INDICATE OR CATEGORIZE THE PROGRAMS AND SERVICES UNDER THOSE THEMES AS ESSENTIAL, IMPORTANT, NICE TO HAVE, OR NO OPINION. SO FOR PUBLIC SAFETY, RIGHT? AS WE COVERED, WHICH WAS THE, THE THEME THAT, UH, RESPONDENTS INDICATED, UH, RANKED FIRST THE MOST. UH, WE HAVE FIRE PROTECTION PREVENTION SERVICES AND EMERGENCY RESPONSES. ALSO, THERE'S, I KNOW IT'S A LITTLE BIT HARD TO SEE, BUT THERE IS A KEY AT THE BOTTOM OF THE GRAPH. SO GREEN INDICATES ESSENTIAL, ORANGE IS IMPORTANT, GRAY IS NICE TO HAVE, AND THE YELLOW IS NO OPINION. SO, AS YOU CAN SEE IN, IN THE FIRST, UM, PROGRAM SERVICE, FIRE PROTECTION PREVENTION SERVICES AND EMERGENCY RESPONSE, THAT RECEIVED 356, UH, VOTES AS PEOPLE DEEMING THAT AS ESSENTIAL. UH, THEN WE HAVE MAINTAINED RAPID POLICE RESPONSE TO CALLS FOR SERVICE EMERGENCIES AND HIGH VISIBILITY PATROLS. UM, SECOND AT 302 PEOPLE INDICATING IT AS ESSENTIAL. AND THEN WE HAVE NUISANCE ABATEMENT. UM, THAT'S PROGRAMS TO ADDRESS LOITERING, ILLEGAL DRUG ACTIVITY, EXCESSIVE NOISE, AND ILLEGALLY DUMPED ITEMS. AND THIRD, MOVING ON TO, UH, HOUSING AND HOMELESSNESS. WE HAVE ADDRESS AND PREVENT HOMELESSNESS THROUGH EMERGENCY SHELTER AND WRAPAROUND SERVICES, UH, AS FIRST WITH 318 PEOPLE INDICATING IT AS ESSENTIAL. THEN WE HAVE INCREASE THE SUPPLY OF AFFORDABLE AND WORKFORCE HOUSING WITH 305 VOTES INDICATING IT THAT IT IS ESSENTIAL. AND LA UH, THIRD, WE HAVE RAPID RESPONSE AND HOMELESS ENCAMPMENT CLEANUPS. NEXT, WE'LL MOVE ON TO EDUCATION. EDUCATION. WE HAVE ACCESS TO LIBRARIES AND LIBRARY PROGRAMS AS FIRST WITH 312 PEOPLE CATEGORIZING IT AS ESSENTIAL. THEN WE HAVE AFTERSCHOOL AND SUMMER PROGRAMS FOR YOUNG PEOPLE WITH 275 PEOPLE CATEGORIZING IT AS ESSENTIAL. AND THIRD, WE HAVE PROVIDING SERVICES AND PROGRAMS FOR SENIORS, UH, WITH 196 PEOPLE INDICATING THAT AS ESSENTIAL. AND JUST A REMINDER, THE, THE FULL EXTENT OF THE RESULTS OF THAT SURVEY CAN BE FOUND ONLINE IN THE MEMO THAT WE PUBLISHED ON MARCH 9TH, ON MARCH 9TH TO TO, TO COUNCIL. IT'S, IT'S A MEMO PUBLISHED ON MARCH 9TH WITH ALL THE RESULTS. SO YOU CAN SEE THE FULL LIST OF OF RESULTS THERE. UM, NEXT I'LL GO OVER THE RESULTS FROM THE COMMUNITY ENGAGEMENT ACTIVITY. RIGHT? THAT WAS THE SMALL GROUP CONVERSATIONS THAT WERE HAD, UH, AT THE IN-PERSON MEETINGS. SO AT THE IN-PERSON MEETINGS, UM, WE HAD PEOPLE SITTING AT TABLES. SO IT WAS ABOUT, UH, TWO TO THREE, UH, STAFF MEMBERS PER TABLE. AND IT RANGED ANYWHERE FROM THREE TO SIX, UH, COMMUNITY MEMBERS IN, IN, IN THESE TABLES, IN THESE [00:20:01] GROUPS. UM, SO IN THE GROUPS, UM, THEY WERE PRESENTED WITH TWO GUIDING QUESTIONS. THE IDEA WAS FOR THEM TO HAVE ENGAGE IN AN OPEN CONVERSATION, BUT WE DID HAVE TWO GUIDING QUESTIONS FOR THEM, WHICH ARE DISPLAYED UP ON THE SCREEN. THE FIRST BEING, WHICH PROGRAMS OR SERVICES ARE MOST ESSENTIAL IN SUPPORTING YOUR WELLBEING AND QUALITY OF LIFE? AND WHICH PROGRAMS OR SERVICES CONTRIBUTE THE LEAST TO YOUR WELLBEING AND QUALITY OF LIFE THAT YOU COULD DO AWAY WITH? SO THESE, UH, PROMPTS WERE THERE TO SORT OF GUIDE THE CONVERSATION, START THE CONVERSATION. UM, STAFF WAS ENGAGING IN CONVERSATION WITH THEM. UH, COMMUNITY MEMBERS HAD THE OPPORTUNITY TO ASK STAFF QUESTIONS DIRECTLY IN THOSE GROUP CONVERSATIONS. AND STAFF WAS TAKING NOTES OF EVERYTHING THAT WAS SAID AND SUBMITTING NOTES. SO WE, WE DO HAVE ALL THE INFORMATION OF THE COMMENTS, THE QUESTIONS THAT WERE, UH, HELD IN THESE SMALLER GROUP DISCUSSIONS. SO JUST A VERY GENERAL OVERALL ANALYSIS OF THE, UH, THEMES, PROGRAMS, SENTIMENTS THAT WERE MOST SAID OR BROUGHT UP DURING THOSE, UH, SMALLER DISCUSSIONS IN THE IN-PERSON ACTIVITIES. SO, FOR THE QUESTION OF WHAT PROGRAMS AND SERVICES ARE MOST ESSENTIAL, WE HAVE GREEN SPACE DEVELOPMENT, AFFORDABLE HOUSING, HOMELESSNESS SOLUTIONS, YOUTH SERVICES, ENHANCEMENTS, SUPPORT FOR NONPROFITS. ON THE OTHER END FOR LEASE ESSENTIAL, WE HAVE PUBLIC SAFETY ALTERNATIVES AND POLICE FUNDING, COMMUNITY SERVICES EVALUATION, ECONOMIC DEVELOPMENT, CRITIQUE, INFRASTRUCTURE, MAINTENANCE PRIORITIES, AND ENVIRONMENTAL IMPACT ISSUES. AGAIN, THE FULL REPORT CAN BE FOUND ONLINE ON THE, ON THE TFF THAT WAS PUBLISHED ON MARCH 9TH. NOW, AS WE HEAD INTO THE FI 27 PROPOSED BUDGET, THERE ARE A LOT OF OPPORTUNITIES, UH, TO ENGAGE. SO WE HAVE THE BUDGET HEARINGS, WE HAVE THE BUDGET OVERSIGHT COMMITTEE MEETINGS, WHICH WE'RE AT RIGHT NOW. WE HAVE THE COMMUNITY BUDGET MEETINGS THAT ARE SCHEDULED FOR NEXT MONTH. THERE IS THE DIGITAL COMMENT CARD, UM, WHICH WILL BE, BE MADE AVAILABLE, UH, TO START SUBMITTING RESPONSES ON THURSDAY. IT WILL CLOSE ON AUGUST 14TH. UM, THE BUDGET SIMULATION TOOL WAS ACT WAS A TOOL THAT WE HAD FOR FI 26 PROPOSED. WE WILL NOT HAVE THAT TOOL FOR FY 27 PROPOSED FOR THIS ROUND. AND THEN THERE'S ALSO, UH, UH, UH, MANY OTHER RESOURCES FOUND ONLINE. UM, I'LL PROVIDE THE, THE, UH, ADDRESS TO THE WEBSITE AND THE, IN THE FOLLOWING, UM, UM, SLIDES. BUT REALLY IN THAT WEBPAGE, THE FY 27 BUDGET PAGE, YOU CAN FIND ALL THE RESOURCES FOR AN OPPORTUNITIES TO ENGAGE. YOU'LL FIND THE SCHEDULE, THE TIME STATES FOR THE COMMUNITY BUDGET MEETINGS, THE DIGITAL COMMENT CARD, THE FLYERS, PRESENTATIONS, ALL THAT GOOD STUFF. SO HERE IS A, THE SCHEDULE FOR THE BUDGET HEARINGS THAT ARE COMING UP. I'LL JUST LEAVE THAT UP THERE FOR A SECOND FOR ALL OF US TO TAKE A LOOK. AGAIN, THESE ARE ALSO PUBLISHED IN THE TFF THAT WAS RELEASED ON JULY 2ND, ONLINE WITH THE, THE, THE SCHEDULE OF THE BUDGET HEARINGS, THE BUDGET OVERSIGHT COMMITTEE MEETINGS, AND THE COMMUNITY MEETINGS, THE COMMUNITY BUDGET MEETINGS. HERE WE HAVE THE DATES FOR THE BUDGET OVERSIGHT COMMITTEE MEETINGS WITH THE LAST ONE BEING ON SEPTEMBER 8TH. AND THEN THE COMMUNITY BUDGET MEETINGS THAT ARE COMING UP THAT ARE SCHEDULED FOR NEXT MONTH. SO WE HAVE A TOTAL OF FIVE COMMUNITY MEETINGS. UM, ONE IS GOING TO BE VIRTUAL. THE FIRST ONE IS ACTUALLY GOING TO BE NEXT WEEK, UH, UH, ON WEDNESDAY, AUGUST 5TH. THAT IS GOING TO BE A VIRTUAL MEETING. UM, WE DO HAVE A WEEKEND MEETING THAT IS GONNA BE SATURDAY, AUGUST 8TH, AND SILVERADO PARK AT 10 IN THE MORNING. AND THEN AGAIN, THIS IS THE WEBPAGE THAT I WAS TALKING ABOUT, WWW.LONGBEACH.GOV FY 27. SO THAT'S WHERE YOU WILL FIND ALL THIS INFORMATION. YOU WILL FIND THE SCHEDULE, YOU'LL FIND THE LINK TO RSVP AS WELL. YOU MAY RSVP ON THE CITY'S EVENT CALENDAR. THE LINKS TO SVP WILL ALSO BE, UM, IN THAT, THE ADDRESS THAT'S ON THE SCREEN, THE, THE WEB ADDRESS THAT'S ON THE SCREEN. AND THEN TO YOUR RIGHT, YOU'LL SEE A LITTLE MAP. SO THIS MAP JUST PROVIDES THE LOCATIONS OF THE UPCOMING COMMUNITY BUDGET MEETINGS, SO WHICH COUNCIL DISTRICTS THEY'RE BEING HELD IN. AND THEN THAT'S THE GOLD STARS. THE, UH, DARK NAVY BLUE STARS. THOSE WERE THE COMMUNITY MEETINGS THAT WE HELD IN, UH, JANUARY AND FEBRUARY. SO, JUST A NICE LITTLE VISUAL SO YOU ALL CAN SEE WHERE, WHICH COUNCIL DISTRICTS WE ARE HOLDING THESE MEETINGS IN. AND THEN JUST QUICKLY, I'LL GO OVER SOME OF THE COMMUNICATION TOOLS THAT WE HAVE. SO WE HAVE FLYERS. YOU MAY HAVE SEEN, UH, THIS FLYER POSTED, UH, AT THE ENTRANCE OF THE CIVIC CHAMBERS. UH, WE HAVE 'EM POSTED ALL OVER, UM, CITY HALL. WE ALSO SEND THEM TO SOME OF OUR DEPARTMENTS. SO WE SEND 'EM TO LIBRARY SERVICES SO THAT THEY CAN POST THESE, THIS FLYER AT THEIR 12 BRANCHES. WE ALSO SEND IT TO PARKS, REC, AND MARINE, SO THEY CAN POST THESE PIC, THESE FLYERS, UM, OVER, UH, THE PARKS AND CITY FACILITIES. UM, WE HAVE THE COMMUNITY BUDGET BOOK THAT'LL BE RELEASED ALSO ON, UH, THURSDAY. UM, AND WE ALSO HAVE, WE WORK WITH THE COMMS TEAM AS WELL, TO, UH, PROMOTE AND, AND PROVIDE GRAPHICS TO, TO POST ONLINE ACROSS THE CITY SOCIAL MEDIA PAGES. WE ALSO PROVIDE A COMMUNICATIONS TOOLKIT TO ALL THE [00:25:01] COUNCIL DISTRICTS, UM, THAT WAS SENT ABOUT TWO WEEKS AGO TO, TO THE COUNCIL DISTRICTS. BUT IT'S ALSO JUST RESOURCES. IT'S A BUNCH OF GRAPHICS, UM, WITH THE COMMUNITY MEETING DATES, UH, WITH QR CODES TO THE, UH, DIGITAL COMMENT CARD. SO, AGAIN, SO THAT THE COUNCIL OFFICE CAN ALSO HELP US SPREAD THE WORD AND, AND DISSEMINATE TO, TO THEIR NETWORK AS WELL. WE HAVE THIS, UH, NICE COMMUNIC, UH, BUDGET 1 0 1 VIDEO. AGAIN, THAT IS ON THE LONG BEACH.GOV FY 27 PAGE. AND THEN LASTLY, WE ALSO HAVE THE, UH, FY 27 PROPOSED BUDGET BOOK, UM, WHICH WILL BE AVAILABLE ONLINE ON THURSDAY. UM, AND AGAIN, IT'S A GREAT RESOURCE, UH, TO GO DIVE IN DEPTH OF ALL THE, THE DETAILS OF THE PROPOSED BUDGET. AND THAT WRAPS UP THE PRESENTATION. SO, UM, WE ARE, UH, OPEN TO TAKE ANY QUESTIONS AT THIS TIME. FANTASTIC. THANK YOU FOR THAT GREAT PRESENTATION. UM, ANY, UH, COMMENTS OR QUESTIONS FROM MY COLLEAGUES? UH, COUNCILWOMAN ALLEN. THANK YOU, CHAIR. UM, AND ALSO, I JUST WANNA THANK YOU FOR ALL THE WORK THAT'S GONE INTO, UM, PUTTING THIS TOGETHER AND ENGAGING, UH, THE COMMUNITY EARLY, AND, UM, CREATING DIFFERENT WAYS IN WHICH, UH, THE RESIDENTS, UH, CAN, UM, PARTICIPATE IN OUR BUDGET PROCESS. UM, I KNOW THAT THE PROCESS DOESN'T BEGIN, UM, WHEN WE, WHEN THE PROPOSED BUDGET REACHES OUR HANDS AT CITY COUNCIL, WE KNOW ALL THE WORK THAT'S WENT INTO THAT LONG BEFORE WE, WE SEE IT THAT YOU GUYS HAVE DONE. UM, I KNOW IT STARTS, UH, MUCH EARLIER WITH THOSE CONVERSATIONS AND THOSE OPPORTUNITIES WITH THE, WITH THE RESIDENTS, UM, TO TELL US, UM, LIKE WE JUST, YOU JUST DEMONSTRATED, YOU KNOW, WHAT'S IMPORTANT TO THEM. UM, I DEFINITELY, AFTER SEEING YOUR PRESENTATION AND READING IT BEFOREHAND, YOU KNOW, YOU SEE THAT THE RESIDENTS HAVE IDENTIFIED WHAT'S IMPORTANT TO THEM. AND, UM, PUBLIC SAFETY AND HOUSING AND HOMELESSNESS, UM, AND EDUCATION ARE THE TOP PRIORITY PRIORITIES. AND IT'S IMPORTANT THAT WE KEEP THAT IN MIND. UM, AS WE REVIEW THE PROPOSED BUD BUDGET AND ALSO MAKE DECISIONS ON, ON THAT BUDGET, JUST REMEMBERING WHAT'S IMPORTANT TO THE COMMUNITY. UM, I ALSO, UM, APPRECIATE THE MAP SHOWING THE LOCATIONS OF THE WINTER AND THE SUMMER COMMUNITY MEETINGS. UM, IF YOU GO BACK TO PAGE, UH, THAT SLIDE 14. OKAY, SO YOU HAVE THE YELLOW R I'M LOOKING WHERE THE, OKAY. THE YELLOW R THE SUMMER MEETINGS MM-HMM . AND THEN THE WINTER MEETING LOCATIONS ARE IN BLACK. OKAY. SO THE ONLY THING, UM, THAT I'M SEEING HERE IS YOU DON'T HAVE ANY MEETINGS, UM, BOTH IN THE WINTER AND THE SUMMER IN DISTRICT FOUR OR DISTRICT TWO, UM, BOTH OF WHICH ARE HIGHLY, UH, ENGAGED COMMUNITIES. I REPRESENT DISTRICT TWO. UM, AND THOSE FOLKS SHOW UP. AND I JUST THINK IT'S IMPORTANT THAT WE HEAR FROM ALL THE RESIDENTS, UM, BECAUSE THEIR, THEIR OPINION IS JUST AS IMPORTANT AS, YOU KNOW, UH, FOLKS IN FIVE OR WHATEVER. SO I JUST, THAT'S THE ONLY THING I'M SEEING HERE. UM, AND UNLESS I'M MISSING SOMETHING, I DON'T SEE ANY MEETINGS IN TWO DISTRICTS. SO IF YOU GUYS COULD JUST KEEP THAT IN MIND, UM, MOVING FORWARD AND, UM, I WOULD LIKE TO SEE YOU JUST AIM TO HOLD AT LEAST ONE IN EVERY, EVERY COUNCIL DISTRICT. I THINK THAT WOULD BE, UM, JUST TO MAKE SURE THAT, THAT ALL THE VOICES ARE HEARD THROUGHOUT THE CITY. UM, AND, UM, AND THEN ENSURING THAT EVERYONE, YOU KNOW, HAS A, HAS AN OPPORTUNITY TO PARTICIPATE. BECAUSE HOW DO I DEFEND WHEN MY RESIDENTS COME BACK AND SAY, WE NEVER HAD A MEETING IN DISTRICT TWO? SO I JUST THINK FOR FAIRNESS, WE SHOULD MAKE SURE THAT WE DO THAT. BUT THAT'S ALL I HAVE, BUT THANK YOU VERY MUCH. APPRECIATE IT. THANK YOU. THANK YOU COUNCILWOMAN, UH, VICE MAYOR, ANYTHING. OKAY. UM, AND THEN I JUST HAD A COUPLE OF COMMENTS AND THEN JUST A FEW QUESTIONS. UH, MOSTLY JUST 'CAUSE I WANNA MAKE SURE, UH, MY HOPE IS THAT THE PUBLIC IS WATCHING, AND WE WILL WATCH IT RECORDING OF THIS. SO I JUST WANNA MAKE SURE THAT THEY UNDERSTAND HOW THEY CAN GET ENGAGED. UM, AND SO, UM, I JUST WANNA TAKE A MOMENT TO REFLECT ON WHAT IT REALLY MEANS TO REVIEW THE FISCAL YEAR 27 BUDGET ENGAGEMENT PLAN. UM, I ALWAYS THINK OF THESE PLANS AS MORE THAN A SCHEDULE OF MEETINGS. UM, IT REPRESENTS OUR FUNDAMENTAL RESPONSIBILITIES TO THE PEOPLE OF LONG BEACH. ENSURING HOW WE INVEST CITY RESOURCES REFLECTS THE LIVED EXPERIENCES, HEALTH AND PRIORITIES OF EVERY NEIGHBORHOOD IN OUR CITY. WHEN WE LOOK AT THE BUDGET ENGAGEMENT PLAN, BRINGING THE PROCESS DIRECTLY INTO OUR COUNCIL DISTRICTS AS COUNCIL MEMBER, UH, UH, COUNCILWOMAN ALLEN APLEY, UH, MENTIONED, YOU KNOW, WITH MULTI MULTILINGUAL OUTREACH AS ESSENTIALS, WE CONTINUE OUR EQUITY LENS. UM, BUT TRUE ENGAGEMENT GOES BEYOND JUST HOSTING THE MEETINGS. UM, IT REQUIRES US TO LISTEN DEEPLY TO WHAT OUR RESIDENTS ARE TELLING US. UM, AT THE SAME TIME, WE, THE REAL NUANCES IN OUR COMMUNITY FEEDBACK, WHICH WE ARE, UM, HAVE BEEN ENGAGED IN AND WILL CONTINUE TO. AND SO AS WE MOVE THROUGH THE BUDGET CYCLE, OUR DUTY IS TO BRIDGE THOSE PERSPECTIVES, REMAIN TRANSPARENT ABOUT HOW OUR FUNDING RESTRICTIONS AND HOW FEDERAL FUNDING REDUCTIONS HAVE IMPACT OUR SERVICES. AND WE'LL TALK ABOUT THAT AS WE MOVE FORWARD AND ENSURE THE DECISIONS THAT WE MADE AROUND THIS YEAR'S BUDGET CYCLE REFLECT THE FEEDBACK THAT WE'RE GETTING FROM OUR COMMUNITY AND OUR CITY. UM, AND THIS IS HOW WE TURN PARTICIPATION INTO PROGRESS AND HOW WE IMPROVE THAT EVERY VOICE. WE PROVE THAT EVERY VOICE IN LONG BEACH, UH, REALLY MATTERS WHEN WE FINALIZE OUR BUDGET. AND SO I JUST REALLY WANNA [00:30:01] THANK EVERYBODY FOR THEIR CONTINUED ENGAGEMENT, UM, THROUGH THIS PROCESS. UM, JUST A COUPLE OF THINGS. UM, I KNOW THAT WE HAVE CHANGED THE STRUCTURE OF OUR ENGAGEMENT MEETINGS A LITTLE BIT FROM, UH, OVER TIME. CAN YOU TALK A LITTLE BIT ABOUT, UH, THIS SUMMER, WHAT'S THE STRUCTURE OF THOSE MEETINGS? THANK YOU SO MUCH FOR THAT QUESTION. SO WE DID CHANGE THE STRUCTURE OF THESE SUMMER MEETINGS COMING UP NEXT MONTH. UM, SO WHAT IT'S GONNA BE, IT'S, IT'S GONNA BE A, UM, A, A A, A PRESENTATION AT THE BEGINNING. IT'S GONNA BE MORE OF A TOWN HALL FORMAT THIS YEAR, UM, WITHOUT, UH, INSTEAD OF AN EXERCISE OR ACTIVITY, UH, IN ORDER TO DISCUSS, UH, AND ALLOW FOR QUESTIONS, UM, WE'RE GOING TO HAVE, UH, A SESSION AT THE END WHERE, UH, UH, COMMUNITY MEMBERS CAN ASK QUESTIONS TO THE CITY MANAGER. SO IT'LL BE A PRESENTATION AT FIRST, JUST GIVE A LITTLE OVERVIEW OF, OF THE PROPOSED, UH, 5 27 BUDGET, AND THEN A Q AND A. GREAT. UM, AND THEN AS FAR AS MARKETING AND OUTREACH, I KNOW THAT YOU MENTIONED ALL THE PLACES THAT YOU KIND OF DROP OFF, THE FLYERS, THE SOCIAL MEDIA KIT, ALL OF THAT. NOW, OVER THE YEARS, I'M ASSUMING WE'VE HAD PEOPLE, UM, I'M SURE WE HAVE COMMUNITY BASED ORGANIZATIONS THAT ARE REALLY ENGAGED HERE WHO COULD HELP US DISSEMINATE THE INFORMATION. AND I'M SURE AS WE'VE HAD ALL OF OUR MEETINGS, WE'VE COLLECTED EMAILS AND CONTACT INFORMATION FROM RESIDENTS WHO HAVE COME. DO THOSE PEOPLE GET DIRECTLY CONTACTED AS WELL? YES. SO THAT IS SOMETHING WITH, UM, SO WHAT WE DO, WE HAVE A LIST OF ABOUT 300 COMMUNITY BASED ORGANIZATIONS, UH, 300 EMAILS. UM, AND SO WHAT WE DO, WE HAVEN'T DONE YET. WE'RE GONNA WAIT UNTIL THURSDAY. ONCE THE, UH, ONCE THE, THE, UM, PROPOSED BUDGET IS RELEASED, UM, WE'RE GONNA SEND AN EMAIL TO THAT, TO THAT LIST OF 300 COMMUNITY-BASED ORGANIZATIONS, A PERSONALIZED EMAIL, INVITING THEM, UM, LETTING THEM KNOW ABOUT THE UPCOMING MEETINGS, UM, LETTING THEM KNOW THE, UH, WE PROVIDE THE LINK TO THE DIGITAL COMMENT CARD AS WELL AS THE, THE WEBSITE LINK AND LETTING THEM KNOW AND INVITING THEM TO, TO ATTEND AND TO ALSO SHARE WITH THE NETWORK. UH, ASIDE FROM THAT, SOMETHING THAT WE STARTED DOING IN JANUARY AND FEBRUARY IS WE STARTED HAVING A SIGNUP SHEET. UM, RIGHT. WE CAN'T, UH, MAKE COMMUNITY MEMBERS SIGN UP. IT'S, IT'S OPTIONAL IF THEY WANT TO, BUT WE, WE HAVE A SIGNUP SHEET SO THEY CAN PUT THEIR NAME AND THEY HAVE THE OPTION TO PROVIDE THEIR EMAIL, AND WE LET THEM KNOW THAT IF THEY PROVIDE THEIR EMAIL TO, UH, STAY UP TO DATE WITH, UH, UPDATES ON WAYS TO ENGAGE. UM, SO WHAT WE DID IS WE COLLECTED, UM, AFTER THE COMMUNITY ENGAGEMENT MEETINGS, UM, WE COLLECTED, UH, AT, AT THOSE MEETINGS, I'M SORRY, WE COLLECTED PEOPLE'S EMAILS AND WE STARTED, UH, DEVELOPING A, A LIST OF COMMUNITY MEMBERS WHO WANT TO BE STAY INFORMED. UM, SO, UH, ONCE WE, THE MARCH 9TH, TFF, RIGHT, WITH THE, UH, RESULTS FOR THE COMMUNITY ENGAGEMENT IN JANUARY AND FEBRUARY, AS, AS YOU WERE MENTIONING EARLIER, SOMETIMES PEOPLE THINK, OH, WHAT HAPPENS AFTER I ENGAGE, AFTER I PROVIDE MY INPUT? DOES IT ALL JUST GO INTO VOID? WHAT, WHAT HAPPENS, WHAT'S NEXT? AND THAT'S SOMETHING THAT WE WOULD KEEP HEARING AT THESE COMMUNITY ENGAGEMENT MEETINGS AS WELL. SO, UM, WE WOULD, WE'D TELL PEOPLE, RIGHT, WE DO COLLECT, SYNTHESIZE THE INFORMATION PROVIDING THE TFF TO, TO, TO THE MAYOR AND COUNCIL. UM, BUT SOMETIMES THAT, THAT GETS FORGOTTEN. SO WHAT WE DID IS ONCE THAT TFF WAS RELEASED, UM, ALL THOSE, THE COMMUNITY MEMBERS WHO SIGNED UP WHO WE'D HAD THEIR EMAIL ADDRESSES, WE SENT THEM A FOLLOW UP EMAIL, WE THANK THEM FOR PROVIDING INPUT, AND YOU SAID YOUR INPUT WAS MUCH APPRECIATED. HERE IS THE TFF, THE, THE, THE REPORT ONLINE THAT SHOWS, UM, WHAT THE COMMUNITY SAID. UM, SO THAT, THAT LIST THAT WE HAVE, WE'RE ALSO SENDING THAT INVITATION, UM, ON THURSDAY AS WELL. SO IT, IT SERVES TWO PURPOSES TO, TO RIGHT, KEEP PEOPLE ENGAGED, UM, LET THEM KNOW WHEN, UH, WE RELEASE ETFS, THESE TFFS WHEN NEW OPPORTUNITIES, UH, ARE GONNA COME UP TO, TO ENGAGE. SO, UM, WE WILL, UH, SEND THAT EMAIL TO THAT LIST AS WELL. EXCELLENT. AND THEN AS EXPECTATION TO THAT, WE MAINTAIN THAT DATABASE YEAR TO YEAR, SO THAT WAY WE CAN BUILD IT AND GROW SO THAT WAY THERE ARE MORE INDIVIDUAL, UM, RESIDENTS THAT ARE THEN BEING CONTACTED TO ENGAGE IN THE BUDGET PROCESS. THAT IS CORRECT. SO WE, WE WILL HAVE THAT SIGNUP SHEET THIS TIME AROUND AS WELL. SO WE'LL COLLECT MORE PEOPLE'S, UM, EMAIL ADDRESSES. WE'LL VALIDATE AFTER, UH, WE ARE DONE WITH THE COMMUNITY ENGAGEMENT TO CLEAN UP THE LIST, MAKE SURE WE GET RID OF DUPLICATES. BUT YEAH, THE, THE GOAL IS TO EXPAND THAT LIST AS WE CONTINUE TO DO COMMUNITY ENGAGEMENT, HAVE THAT SIGNUP SHEET AND CONTINUE TO, TO BUILD A LIST OF COMMUN INDIVIDUAL COMMUNITY MEMBERS WHO, WHO ARE INTERESTED AND, AND PROVIDE THE EMAIL ADDRESS TO, TO CONTINUE TO BE ENGAGED. EXCELLENT. UM, AND THEN FROM AN ENGAGEMENT DEMOGRAPHIC DATA, I KNOW WE'VE HAD A PRETTY ROBUST DISCUSSION OVER THE YEARS HERE AT BOC AROUND JUST THE DATA WE'RE COLLECTING, WHO'S COMING TO OUR MEETINGS, AND HOW WE CAN BETTER KIND OF TARGET THE COMMUNITY AND GET THEM TO COME OUT. UM, WILL STAFF BE ABLE TO PROVIDE METRICS ON TOTAL PARTICIPATION NUMBERS AND DEMOGRAPHIC BREAKDOWNS FOR THOSE WHO ENGAGE IN OUR BUDGET PROCESS THIS CYCLE? YES, THAT'S A GREAT QUESTION. UM, AND, AND VERY IMPORTANT QUESTION. UM, WE DO PROVIDE THE, WE WILL CONTINUE TO PROVIDE THAT DATA, THAT INFORMATION. SO WHAT HAPPENS IS, UM, SAME THING WITH THE SIGNUP SHEET. WE, WE ALSO USE THAT TO TAKE ATTENDANCE, TO BE ABLE TO TALLY HOW MANY PEOPLE PARTICIPATED. THOSE, WE HAVE A STRATEGY FOR PEOPLE WHO DON'T WANNA SIGN UP WHAT WE TALLY THEM, BUT THAT HELPS US KEEP A MORE ACCURATE COUNT OF HOW MANY PEOPLE ATTEND THESE MEETINGS. UM, WE DO COLLECT DEMOGRAPHIC INFORMATION ON, ON THE PEOPLE WHO ATTEND. WE, WHEN THEY COME IN AND CHECK IN AT THE CHECK-IN TABLE, WE HAND THEM A DEMOGRAPHIC SURVEY FOR THEM TO FILL OUT. UM, THEY DON'T ALWAYS FILL IT OUT OR [00:35:01] FORGET TO. WE STAFF COLLECT IT AT THE, AT THE, AT THE END. AND WE REMIND, UH, PEOPLE AT THE END TO PLEASE FILL OUT THE SURVEY AND PLEASE TURN IT IN. UM, WE COLLECT IT, BUT NOT EVERYBODY ENDS UP FILLING IT OUT OR SOME GET LOST. BUT WE DO REPORT THE, THAT DEMOGRAPHIC INFORMATION OF THOSE, UM, PEOPLE WHO DID, UH, SUBMIT THE, UM, FILL OUT AND SUBMIT THE DEMOGRAPHIC SURVEY. UH, WHEN IT COMES TO THE BUDGET PRIORITY SURVEY AND THE DIGITAL COMMENT CARD, UM, IN, IN THOSE, UH, SURVEY SURVEYS, WE DO HAVE A DEMOGRAPHIC SECTION WHERE WE COLLECT DEMOGRAPHIC INFORMATION. SO WE ARE MAKING IT A REQUIRED QUESTION. WE HAVE MADE IT A REQUIRED QUESTION BACK IN JANUARY AND FEBRUARY, AND WE'LL CONTINUE TO DO IT TO ASK PEOPLE WHAT COUNCIL DISTRICT THEY LIVE IN. SO THEY HAVE THE OPTION COUNCIL DISTRICT ONE THROUGH NINE. I DON'T LIVE IN LONG BEACH, OR I DON'T KNOW. UM, SO WE WILL, WHEN WE PROVIDE THE INFORMATION, WE, WE WILL BE ABLE TO PROVIDE, UH, WHICH COUNCIL DISTRICTS THEY, THEY ARE IN, THAT'S FOR THE DIGITAL COMMENT CARD AND FOR THE, UM, BUDGET PRIORITY SURVEY. BUT FOR THE PEOPLE WHO, UM, COME TO THE MEETINGS AND PROVIDE FEEDBACK IN THE MEETINGS, WE, WE DON'T ASK THEM, LIKE, WE'RE NOT ABLE TO, TO TRACK WHICH COUNCIL DISTRICT THEY, THEY, THEY ARE COMING FROM, IS THERE, UH, BUT IN THE MEETINGS, DON'T WE, WE DO GIVE THEM A SHEET THAT ASKS FOR THEIR DEMOGRAPHICS, BUT IT JUST IS, WHETHER OR NOT THEY FILL IT OUT, WE, WE DO. AND, BUT IT'S, IT, THEY DON'T ALWAYS FILL IT OUT. AND THEN ALSO, IF, IF THEY'RE, UM, RIGHT. HAVE THE MIC AND THEY WANNA ASK THE QUESTION, IT'S KIND OF HARD TO, TO TRACK, OH, SORRY, WHAT, WHAT COUNCIL DISTRICT DID, CAN YOU, CAN I HAVE YOUR SHEET RIGHT NOW SO I CAN KNOW WHAT COUNCIL DISTRICT, YOU, YOU, YOU, YOU COME FROM? AND WE ALSO, THOSE, THOSE, UH, DEMOGRAPHIC SURVEYS ARE ANONYMOUS. THE ONES IN PERSON, WE DON'T COLLECT THEIR NAMES OR ANYTHING. UNDERSTOOD. OKAY. THANK YOU SO MUCH. UM, THAT ENDS MY QUESTION. SO, UM, WE CAN GO TO PUBLIC COMMENT. IF ANY MEMBERS OF THE PUBLIC WOULD LIKE TO SPEAK ON THIS ITEM, PLEASE LINE UP AT THE PODIUM NOW. AND HOW MANY MINUTES DO I GET? THREE MINUTES. OKAY. I AM KAREN RE SIDE. I'M, UH, CURRENTLY THE PRESIDENT OF THE LONG BEACH GRAY PANTHERS. WE'RE IN EDUCATION AND ADVOCACY FOR OLDER ADULTS WITHIN THE COMMUNITY. AND, UH, WE REPRESENT ALL OLDER ADULTS, BUT PRIMARILY THOSE THAT ARE LOWER INCOME AND DON'T NECESSARILY HAVE A VOICE IN THE PROCESS. BUT I WANNA COMMEND THE FINANCIAL DEPARTMENT. AND REBECCA, YOU HAVE DONE A WONDERFUL JOB SINCE YOU'VE COME ON BOARD. AND AVI, I'M, THE MEETINGS ARE SO MUCH BETTER THAN THEY USED TO BE. AND I TALK AS SOMEBODY THAT GOES TO ALL THE BUDGET MEETINGS, AND THEY'RE USUALLY CONSIST OF THE PEOPLE THAT ARE VOCAL, THAT ARE ACTIVE IN THE COMMUNITY ALREADY, AND THEN ME AND THEN MAYBE ONE OR TWO LOWER INCOME PEOPLE. AND I SPECIFICALLY WANNA ADDRESS OLDER ADULT NEEDS. A LOT OF LOW INCOME, OLDER ADULTS DO NOT HAVE ACCESS TO TECHNOLOGY. SO THINGS THAT ARE ONLINE OR NOTICES THAT ARE SENT OUT, THEY DON'T GET. NOW, WE DID A MEETING AT THE SENIOR CENTER LAST WEEK WITH TWO DAYS NOTICE ON, UH, THE FOURTH IN ALAMEDAS HOUSING BUILDING FOR MERCY HOUSING. WE GOT 70 PEOPLE THERE. THIS SHOWS YOU HOW CRITICAL THE HOUSING ISSUE IS. UH, WE HAVE A GRAY PANTHER MEETING ON SATURDAY, 10 30 TO NOON AT THE SENIOR CENTER. NOT SURE WHAT ROOM YET. OUR ELEVATOR HAS BEEN BROKEN FOR OVER THREE MONTHS NOW. UM, MAKES IT HARD FOR PEOPLE THAT HAVE MOBILITY ISSUES TO PARTICIPATE IN ACTIVITIES. AND WE'RE IN A HEAT WAVE. SO THE SENIOR CENTER IS A COOLING CENTER. THERE ARE LOTS OF SENIORS THAT ARE STAYING THERE. BUT I WANNA ADDRESS MORE ABOUT THE PROCESS. UM, OLDER ADULTS, YOU KNOW, WE HAVE THIS PLAN THAT WAS DONE. UM, WE ARE NOT INCLUDED REALLY. PEOPLE HAVE INDICATED IN THE SURVEYS THAT SENIOR ISSUES ARE IMPORTANT. WE CONSUME A LOT OF CITY RESOURCES. WE'RE NOT CONSULTED ON THOSE RESOURCES. THERE MAY BE MEETINGS THAT SOME PEOPLE GET TO ATTEND, BUT OTHER PEOPLE ARE NOT INVITED TO, AND THEY'RE NOT NECESSARILY OPEN TO THE PUBLIC. SO NOBODY ASKS THE LOWER INCOME PEOPLE WHAT THEY WANT. I HAVE THE SAME PROBLEM AT THE COUNTY, AND I WENT ON A RANT AT OUR LAST MEETING WITH THE EXECUTIVE COMMITTEE. I'M THE LONELY ONLY LOW INCOME COMMITTEE COMMUNITY PERSON ON THE COMMISSION ON AGING, AND I JUST GOT REAPPOINTED BY JANICE HAHN FOR FOUR MORE YEARS. THIS IS A PROBLEM. I WANNA FIX LOWER INCOME. PEOPLE NEED MORE OF VOIDS THERE. PEOPLE THAT CAN CONSUME MORE RESOURCES, THEY HAVE GREATER NEEDS, AND A LOT OF THEIR NEEDS GO IGNORED. AND I'M NOT GOING TO, UM, GO INTO THOSE RIGHT NOW. THANK YOU. YOUR TIME IS CONCLUDED, BUT I WANT YOU TO CONSIDER [00:40:01] OLDER ADULTS AND INCLUDING THEM MORE. AND THE SENIOR CENTER DOESN'T VOLUNTARILY DO SESSIONS FOR THEM, SO THAT NEEDS TO BE, THAT'S ONE OF THE THINGS I ASKED FOR. THANKS, KAREN, AND CONGRATULATIONS ON YOUR REAPPOINTMENT. ANY ADDITIONAL PUBLIC COMMENT EITHER HERE ON NOR LINE? WE DON'T HAVE PUBLIC COMMENT ONLINE, BUT THAT CONCLUDES PUBLIC COMMENT CHAIR. WONDERFUL. UH, SO THAT BEING SAID, WE CAN MOVE TO A VOTE. RECEIVED. WE HAVE AN AYE FROM ALL MEMBERS. AND MOTION CARRIES. WONDERFUL. NEXT ITEM, ITEM FOUR IS A RECOMMENDATION TO RECEIVE AND FILE A HIGH LEVEL EDUCATIONAL OVERVIEW PRESENTATION ON THE HEALTH AND HUMAN SERVICES DEPARTMENT. WONDERFUL, THANK YOU. UM, I BELIEVE WE HAVE A STAFF PRESENTATION FROM THE CONSULTANTS, CORRECT? UH, FOR THE HEALTH FUND STUDY. WE NEED A MOTION AND A SECOND CHAIR. IT'S NOT COMING UP. OKAY. WE'LL TAKE A VERBAL OR SECOND RECEIVED. UH, FEEL FREE TO BEGIN ONCE YOU GET SETTLED. [4. 26-55672 Recommendation to receive and file a high-level educational overview presentation on the Health and Human Services Department.       Suggested Action: Approve recommendation. ] GOOD AFTERNOON. I WOULD SIMPLY LIKE TO, UM, THANK YOU FOR THE OPPORTUNITY TO COME AND PRESENT OUR HEALTH FUND STUDY. UM, THE STUDY WAS INTENDED TO EVALUATE THE ALIGNMENT OF OUR DEPARTMENT'S, PROGRAMS AND SERVICES WITH THE FOUNDATIONAL PUBLIC HEALTH SERVICES FRAMEWORK, AND TO ASSESS THE CURRENT USE OF AVAILABLE RESOURCES WHILE THE HEALTH FUND GROUP CONTAINS HOMELESS SERVICES. PLEASE NOTE THAT IT WAS EXCLUDED FROM THE ANALYSIS AS THEY ARE NOT MANDATED PUBLIC HEALTH SERVICES. AND THAT IS WHAT WE WILL DISCUSS HERE TODAY. HERE WITH US IS JONATHAN FRIEDMAN, UH, THE PRINCIPAL OF HEALTH MANAGEMENT ASSOCIATES AND THE CONSULTING COMPANY THAT WE USE TO ENGAGE IN THIS PROCESS. SO I WILL TURN THIS OVER TO HIM SO THAT HE CAN BEGIN PRESENTING THE INFORMATION. THANK YOU. THANK YOU. DIRECTOR KING, MEMBERS OF THE OVERSIGHT COMMITTEE. I'M JOHN FRIEDMAN WITH HEALTH MANAGEMENT ASSOCIATES. PLEASURE TO TO PRESENT TO YOU, UH, A SUMMARY OF OUR FINDINGS OF THIS, OF THIS REPORT. UH, ANY GUIDANCE ON TIME. UH, MADAM CHAIR ON HERE. JUST, UM, I BELIEVE THE GUIDANCE WE GAVE WAS 15 TO 20 MINUTES. OKAY, GOOD. AND THEN WE'LL, AND THEN THE REST WILL BE, UH, JUST QUESTIONS FROM THE, MY COLLEAGUES. VERY WELL, VERY WELL, THANK YOU. UM, SO I'D LIKE TO START THIS PRESENTATION WITH THE BOTTOM LINE, UH, HERE. AND THEN, THEN I'LL GET INTO THE ELEMENTS OF THE HEALTH FUND STUDY, THE PURPOSE OF THE STUDY, A LITTLE BIT OF BACKGROUND ON THE PUBLIC HEALTH LAWS AND WHAT IS KNOWN AS, UH, ACCREDITATION STANDARDS OR ACCREDITATION GUIDELINES FOR PUBLIC HEALTH, AND THEN OUR ANALYSIS AND, AND FINDINGS HERE. SO, UM, ON THIS SLIDE, OUR, THE, THE BOTTOM LINE ABOUT OUR REVIEW OF THE HEALTH FUND STUDY, I WANT TO CLARIFY, IT'S NOT AN AUDIT. OKAY. WE'RE NOT AN AUDITING, WE'RE NOT A PUBLIC ACCOUNTING FIRM. WE'RE, WE'RE A HEALTH MANAGEMENT CONSULTING FIRM. UH, HERE, SO ON THE FAR LEFT ARE THE TOPICAL AREAS THAT I'D LIKE TO COVER, UM, THAT ARE, THAT WERE PART OF OUR STUDY HERE. ONE QUESTION THAT WAS IN FRONT OF US, WHICH WAS, UH, IS THE CITY'S PUBLIC HEALTH PORTFOLIO IN ALIGNMENT WITH STATE AND LOCAL MANDATES. AND SO OUR FINDING THERE IS THAT IT IS, IT OFTEN MEETS AND, AND EX IT MEETS AND EXCEEDS STATE PUBLIC HEALTH MANDATES, AND IN MANY ACTIVITIES ARE ALIGNED WITH NATIONAL ACCREDITATION GUIDELINES FOR MODERN PUBLIC HEALTH PRACTICE. YOU HAVE A MODEL PUBLIC HEALTH DEPARTMENT. BY WAY OF BACKGROUND, I HAVE A 40 YEAR BACKGROUND IN THIS FIELD. I USED TO BE THE CHIEF DEPUTY OF THE LOS ANGELES COUNTY PUBLIC HEALTH DEPARTMENT FOR MANY, MANY YEARS. YOU HAVE A MODEL DEPARTMENT, UH, HERE, AND I DO THIS WORK AROUND THE, THE STATE, UH, IN TERMS OF GRANTS. AND THAT WAS, THIS IS LARGELY WHAT PRECIPITATED, UH, THIS ANALYSIS WAS THE RELATIVE BALANCE BETWEEN GRANT FUNDED ACTIVITIES AND THE GRANT FINANCING OF THE DEPARTMENT AND THE GENERAL FUND. UH, PARTS OF THE DEPARTMENT GRANTS. THEY PLAY A KEY ROLE IN THE OVERALL FINANCING OF YOUR DEPARTMENT. THEY REDUCE RELIANCE ON THE GENERAL FUND. THEY OFTEN PRODUCE [00:45:01] A SERVICE LEVEL HIGHER THAN MINIMUM REQUIREMENTS. AND I'LL SPEAK TO THAT IN A, IN A MOMENT HERE, BUT THERE'S A, BUT NOTHING'S EASY IN, IN GOVERNMENT. UH, HERE, UH, GRANTS BRING ADMINISTRATIVE AND FINANCIAL COMPLEXITY. THEY RUN ON DIFFERENT CYCLES. THEY HAVE SOFTENED DIFFERENT REQUIREMENTS. SO DOVETAILING THOSE INTO THE DEPARTMENT AND INTO THE FISCAL POSITION OF THE CITY IS ALWAYS A CHALLENGE HERE. SO, SO, AND THEY CAN BRING FINANCIAL PRESSURE IF THE GRANTS DON'T KEEP UP WITH THE COST. SO THERE'S, THERE'S DEME, THERE'S DIMENSIONS HERE AROUND THE COST EQUATION OF THE CITY AND THE AVAILABLE RESOURCES FOR THAT. AND WHEN THERE'S A GAP THERE, THEN THERE IS THIS QUESTION, DO YOU REDUCE SERVICE OR DO YOU LOOK AT THE GENERAL FUND? THAT'S THE, THAT'S KIND OF THE CORE SET OF ISSUES. UM, I WOULD SAY IN THE, IN FINANCIAL PERFORMANCE DOMAIN, UM, THE HEALTH FUND'S FINANCIAL PERFORMANCE HAS BEEN VARIABLE. THAT'S NOT A PARTICULARLY INSIGHTFUL, UH, COMMENT. YOU'VE BEEN IN A TUMULTUOUS PERIOD IN THE PANDEMIC WITH SURGE OF ACTIVITIES AND SURGE OF REQUIREMENTS, SURGE OF FUNDING THAT HAS ALLOWED YOU TO, TO DO IMPORTANT PANDEMIC RESPONSE. BUT YOU'VE ALSO HAD THE DOWNSIDE OF THAT WHEN THOSE GRANTS GET EX ARE EXPIRING, UH, YOU HAVE TO MAINTAIN A LABOR POOL FOR YOUR DEPARTMENT. UH, IN ADDITION, WE'VE HAD THE PHENOMENA GOING ON IN THE CURRENT ADMINISTRATION OF WASHINGTON WITH THE GOVERNMENT EFFICIENCY CUTS AS WELL. SO IT'S CREATED SOME TUMULT IN, IN YOUR PORTFOLIO. SO THERE ARE SIGNIFICANT FLUCTUATIONS IN THE REVENUES AND EXPENSES. THE KEY TAKEAWAY I WANNA POINT TO FOR THE CITY HERE IS, FROM MY JUDGMENT, OUR JUDGMENT IS THAT THE DEPARTMENT NEEDS TO PERFORM, SHOULD PERFORM A MULTI-YEAR BUDGET FORECASTING AND PLANNING TO, TO SEE WHERE YOU'RE HEADED. YOU CAN'T TAKE A, UH, AN APPROACH, WHICH IS ONE BUDGET YEAR AT A TIME. YOU ACTUALLY HAVE TO LOOK AT YOUR CURRENT YEAR, YOUR NEXT BUDGET YEAR, AND OPTIMALLY BE BEYOND THAT AS WELL TO SEE THE CYCLE, SEE WHERE THE TREND LINE, UH, IS, IS GOING. SO YOU CAN MANAGE YOUR FINANCIAL RESOURCES AND ANTICIPATE THE ECONOMIC AND GRANT FUNDING, UH, TRENDS. THAT'S, THAT'S CRITICAL, UH, FOR THE CITY HERE. UM, IN TERMS OF COST ALLOCATION, UH, WE WERE ASKED TO LOOK AT THAT. THERE ARE, UH, AREAS, SMALL AREAS WHERE THE DEPARTMENT COULD ADJUST COST ALLOCATION METHODOLOGIES TO MAXIMIZE RE UH, GRANT REIMBURSEMENTS. THIS IS, CAN YOU CHARGE A COMPUTER TO THE GRANT? CAN YOU CHARGE OFFICE SUPPLIES TO THE GRANT? THERE ARE OPPORTUNITIES FOR THAT. THEY'RE NOT GANGBUSTERS, THEY'RE NOT LARGE OPPORTUNITIES. THEY DO REQUIRE SOPHISTICATION IN HOW YOU TRACK COSTS, HOW YOU ALLOCATE COSTS WITHIN THE CITY AND WITHIN THE DEPARTMENT. AND THEY HAVE TO DOVETAIL PARTICULARLY WITH THE, WITH THE GRANTOR'S RULES. THE GRANTOR SOMETIMES SAYS YES ON THIS AND NO ON THAT. SO IT'S, AND THEY'RE OFTEN NOT UNIFORM HERE. SO IT REQUIRES SOME SOPHISTICATION IN UNDERSTANDING THE GRANT FUNDING RULES. UM, WE DO, UH, HOWEVER, IN A DIFFERENT DOMAIN. WE, WE DO THINK THAT THE DEPARTMENT SHOULD CONDUCT AN, AN ORGANIZATION-WIDE REVIEW TO LOOK AT AREAS WHERE MEDI-CAL REIMBURSEMENT COULD PAY FOR CERTAIN THINGS. IN THIS DEPARTMENT HERE, THIS IS A FUN, THERE ARE PIECES OF ACTIVITIES IN LOCAL PUBLIC HEALTH DEPARTMENTS WHERE THE MEDI-CAL PROGRAM CAN HELP PAY FOR THAT. AND, UH, YOUR DEPARTMENT IS NOT AS AGGRESSIVE AS IT COULD BE IN THAT SPACE. AND THAT, I THINK IS A REAL REVENUE OPPORTUNITY, UH, FOR YOU. UH, PART OF THE COMPONENT OF FINANCING THIS DEPARTMENT IS A POT OF MONEY FROM THE STATE CALLED REALIGNMENT REVENUES. THERE WERE QUESTIONS ABOUT, UM, SHOULD THOSE REVENUES BE ALLOCATED WITHIN THE DEPARTMENT, KIND OF SUB ALLOCATED, UH, TO DIFFERENT PROGRAM AREAS, UH, AND, UH, YOUR BUDGETARY PRACTICE AND YOUR FINANCIAL MANAGEMENT PRACTICE TODAY, UH, WHICH IS TO HOLD THOSE AND SEE HOW YOU'RE PERFORMING THROUGH THE YEAR AND USE THESE FLEXIBLE DOLLARS WHERE YOU NEED THEM, IN OUR JUDGMENT IS THE APPROPRIATE WAY TO DO THIS, BECAUSE I'LL GIVE GIVE YOU AN EXAMPLE. THIS MIGHT GIVE YOU OPPORTUNITY TO, TO, UH, PUT IT INTO AREAS WHERE YOU MIGHT BE ABLE TO CAPTURE MEDI-CAL, UH, REVENUE. IT'S, IT'S REVENUE BASED ON WHERE YOUR COSTS ARE, WHAT PART OF THE PROGRAM YOUR COSTS SHOW UP. THEN LASTLY, FROM THE BROAD, THE HIGH LEVEL BOTTOM LINE PERSPECTIVE HERE, YOU DO HAVE SOME INFRASTRUCTURE AND HIGH COST ISSUES WITHIN THIS, WITHIN THIS DEPARTMENT, AND YOU NEED TO ENGAGE IN LONG-TERM PLANNING IN THESE HIGH COST AREAS, SUCH AS A PUBLIC HEALTH LABORATORY HERE AND SPECIALIZED [00:50:01] FACILITIES LIKE SOME OF YOUR CLINICS, UH, UH, LOCATIONS TO ENSURE SUSTAINABLE OPERATIONS. EVERY DECISION ABOUT A PIECE OF EQUIPMENT IN THAT LABORATORY IS A LONG-TERM DECISION. IT'S NOT JUST, IT MIGHT SOUND LIKE, OH, WE HAVE TO REPLACE THE COPIER, UH, UH, IN THAT LABORATORY. UH, IT'S NOT LIKE THAT. IT, IT IS, IT, IT OFTEN BRINGS A CAPABILITY, UH, STAFFING REQUIREMENT, A SOPHISTICATION REQUIREMENT, AND, AND THOSE ARE LONG-TERM DECISIONS. I WILL, FRANK, BE FRANK WITH YOU, UM, UNDER, UNDER STATE LAW, UM, THE DEPARTMENTS DO NOT NEED TO OPERATE A PUBLIC HEALTH LABORATORY. THEY HAVE TO ARRANGE FOR SERVICES HERE. NOT EVERY OF THE 61 LOCAL PUBLIC HEALTH DEPARTMENTS IN THE STATE, NOT ALL, UM, PER, UH, RUN A PUBLIC HEALTH LABORATORY. AND THIS IS SOMETHING YOU NEED TO CONFRONT DOWN THE ROAD. I'VE SHARED WITH THE DIRECTOR AND THE TEAM AS WELL. THERE MIGHT BE DISCUSSIONS WITH THE COUNTY, UH, ON THIS OR OTHER LABORATORIES, UH, THERE, OR YOU CONTINUE TO MAINTAIN THIS, BUT THERE ARE SOME FINANCIAL QUESTIONS FOR RELATIVE TO THAT HIGH COST AREA. SO THOSE ARE THE, THE, THE BOTTOM LINE HERE. LET ME, LET ME TAKE, UH, A STEP BACK AND FRAME FOR YOU WHAT THE PURPOSE OF THIS STUDY WAS. WE WERE ASKED TO ASSESS WHETHER RESOURCES ARE MAXIMIZED IN THE HEALTH FUND PRIOR TO THE CITY MAKING A GENERAL FUND CONTRIBUTION TO THE DEPARTMENT. OKAY? WE WERE ALSO ASKED AS DIRECTOR KING JUST MENTIONED, WHETHER THE PROGRAMS IN OPERATIONS ARE IN ALIGNMENT WITH STATE MANDATES, LOCAL MANDATES, CONTRACTUAL AND FUNDING STREAM OBLIGATIONS AND NATIONAL BENCHMARKS FOR PUBLIC HEALTH, AND TO LASTLY, TO ASSESS THE HEALTH FUND EXPENDITURES AND REVENUES AND RELATED FINANCIAL POLICIES. LET'S STEP BACK A LITTLE FURTHER ABOUT PUBLIC HEALTH LAWS IN CALIFORNIA. PUBLIC HEALTH LAWS AND REGULATIONS ASSIGNED TO A LOCAL HEALTH JURISDICTIONS THAT'S YOU, THE DUTY TO PROTECT AND SUPPORT PUBLIC HEALTH TO, UH, TO ENABLE CERTAIN EMERGENCY RESPONSE ACTIONS. THE LAWS AND REGULATIONS DETAIL NUMEROUS FUNCTIONS THAT MUST BE AVAILABLE OR PROVIDED BY DEPARTMENTS. BUT, YOU KNOW, THIS IS THE KEY POINT FOR, FOR MEMBERS OF THE, OF THE SUBCOMMITTEE, BUT ONLY IN A FEW INSTANCES ARE THE SERVICE LEVELS DEFINED. SO YOU HAVE A MANDATED OBLIGATION, BUT HOW MUCH YOU PROVIDE IS A DISCRETIONARY, UH, COMPONENT. YOU HAVE OTHER DIMENSIONS OF THAT IN CITY GOVERNMENT WITH THE FIRE DEPARTMENT, THE PARK, THE LIBRARY, UH, THE POLICE DEPARTMENT, ET CETERA. SO HERE'S SOME EXAMPLES. UM, THE LAWS AND REGULATIONS SPECIFY THAT YOU MUST HAVE CERTAIN TYPES OF PERSONNEL. YOU MUST HAVE A PHYSICIAN HEALTH OFFICER, A PUBLIC HEALTH NURSING DIRECTOR, A PUBLIC HEALTH LAB DIRECTOR TO THE DEGREE YOU RUN A LAB HERE, AND THAT ARE CERTAIN ACTIVITIES THAT MUST OCCUR. PROCESSING OF BIRTH AND DEATH RECORDS, RETAIL, F UH, FOOD FACILITY INSPECTIONS, COMMUNICABLE DISEASE INVESTIGATION, AND MATERNAL AND CHILD HEALTH. BUT IT DOESN'T TELL YOU HOW MUCH THERE. SO THE HOURS OF OPERATION, THE HOURS OF AVAILABILITY, THOSE TYPES OF THINGS, THE LAWS AND REGULATIONS TEND TO BE FLEXIBLE TO ACCOMMODATE THE EVOLVING NATURE OF, OF PUBLIC HEALTH PRACTICE, SUCH AS RESPONDING TO NEW PATHOGENS AND OR DEPLOYING NEW SCIENTIFIC DEVELOPMENTS WHICH SHAPE INTERVENTIONS SUCH AS NEW LABORATORY TESTS OR NEW TYPES OF TREATMENTS. THE LAW IS INTENTIONALLY, UM, CRAFTED SO THE LOCAL HEALTH OFFICER CAN MAKE JUDGMENT ABOUT WHERE TO APPLY RESOURCES THERE. HERE'S THE KEY TAKEAWAY HERE. I WAS ASKED IN THIS STUDY, CAN WE JUST POINT TO A NUMBER AND SAY, HOW MANY STAFF DO YOU NEED, ET CETERA. BECAUSE OF THIS FRAMEWORK OF THE WAY THE LAWS ARE WRITTEN, DETERMINING THE LEVEL OF EFFORT NEEDED TO ADDRESS A PUBLIC HEALTH CONCERN OR THE APPROPRIATE MINIMUM STAFFING IS A VERY SIGNIFICANT CHALLENGE HERE. OKAY, NOW, I, I WOULD HOPE THAT I, THAT I COULD COME AND SAY, HERE'S A, HERE'S A, THE VOLUMES OF PUBLIC HEALTH LAW, AND THEY'RE ALL VERY NEED, AND IT LOOKS LIKE A LAYER CAKE. UNFORTUNATELY, IT'S LIKE A MARBLE CAKE. IT'S VERY MIXED UP. THE LAWS ARE NOT COHERENT. THEY'RE WRITTEN AT DIFFERENT TIME PERIODS. SURGES OF ACTIVITIES IS WELL OVER A HUNDRED YEARS OF LAWMAKING IN CALIFORNIA AROUND PUBLIC HEALTH LAWS. SO THEY'RE NOT EXACTLY COHERENT HERE. [00:55:03] AND THE LAWS GENERALLY PRIORITIZE COMMUNICABLE DISEASE OVER OTHER BURDENS OF ON PUBLIC HEALTH LIKE CHRONIC DISEASES. HERE, THIS HAS BEEN NATIONALLY RECOGNIZED. IT'S NOT UNIQUE TO CALIFORNIA. THERE'S BEEN AN EFFORT OVER THE LAST 15 YEARS TO LOOK AT LOCAL HEALTH JURISDICTIONS, LOCAL HEALTH DEPARTMENTS, ABOUT 2,800 OF THEM NATIONALLY, AND SAY, HOW DO WE MAKE THEM MORE COMPREHENSIVE? HOW DO WE MAKE THEM MORE ROBUST? AND THERE'S BEEN AN EFFORT CALLED ACCREDITATION, AND IT'S AN EFFORT TO IMPROVE THE PERFORMANCE OF THESE DEPARTMENTS. AND THE PUBLIC HEALTH ACCREDITATION BOARD PROVIDES A COMPREHENSIVE FRAMEWORK TO HELP PUBLIC HEALTH DEPARTMENTS ENHANCE THEIR PERFORMANCE, ACCOUNTABILITY, AND OVERALL PUBLIC HEALTH SERVICES. AND IT HAS TWO MAJOR ELEMENTS AND YOUR DEPARTMENT HAS GONE THROUGH THEM. ONE IS TO DO A COMMUNITY HEALTH ASSESSMENT, NOT HEALTH NEEDS, HEALTH ASSESSMENT. HEALTH NEEDS ARE INSIDE OF A HEALTH ASSESSMENT THERE. AND A COMMUNITY HEALTH IMPROVEMENT PLAN, WHICH IS HOW DO WE MOVE THE NEEDLE ON THESE HEALTH ISSUES WITHIN OUR COMMUNITY? AND ONE OF THE BEST PLANS I'VE SEEN, UH, IN, IN, IN MY CAREER, UH, HERE, THESE ARE, THIS IS A VOLUNTARY PROCESS, BUT TO THE LAST POINT ON THIS SLIDE, MANY OF THE NEW PUBLIC HEALTH REVENUE STREAMS ARE INCREASINGLY DEVELOPING LINKAGES TO THESE ACCREDITATION REQUIREMENTS THERE. SO THEY'RE NOT EXACTLY WRITTEN IN LAW IN A CALIFORNIA STATUTE THAT SAYS, DO IT THIS WAY. THEY'RE NOW TYING THE FUNDING TO SAY, WE WANNA RAISE THE BAR ON YOU. SO ONE OF THE LARGEST SOURCES OF NEW MONEY THAT HAS COME INTO YOUR DEPARTMENT POST PANDEMIC IS SOMETHING CALLED THE FUTURE OF PUBLIC HEALTH INITIATIVE. A, A STATE OF CALIFORNIA INVESTMENT, WHICH GIVES ABOUT $200 MILLION TO THE 61 LOCAL HEALTH DEPARTMENTS. ONE OF THE REQUIREMENTS IS THAT YOU HAVE TO DO THIS COMMUNITY HEALTH ASSESSMENT AND A COMMUNITY HEALTH IMPROVEMENT PLAN. SO AS MUCH AS I'D LIKE TO BE ABLE TO PRESENT TO YOU, IT'S A LAYER CAKE AND SAY, DO THIS HERE WITH THIS MONEY, DO THAT. IT'S, IT'S A MARBLE CAKE, AND YOU HAVE A VERY COMPLEX FINANCIAL PICTURE AND OPERATIONAL, UH, PICTURE. NOW LET'S DIVE INTO WHAT WE LOOKED AT WITHIN YOUR DEPARTMENT HERE. THESE ARE THE, UH, FOUR TOP LINE ISSUES. THE DEPARTMENT RELIES ON A DIVERSE REVENUES, INCLUDING STATE AND FEDERAL GRANTS FEES, MEDI-CAL REIMBURSEMENT, SUPPORTING ITS OPERATIONS. THE FINANCIAL CHALLENGES ARE RISING LABOR COSTS AND INDIRECT COSTS, PLUS THE COVID ERA FUNDING EXPIRATION AND THE PRESSURE PUT PRESSURES ON THE DEPARTMENT'S. FINANCIAL SUSTAINABILITY, STRATEGIC FINANCIAL MANAGEMENT. THERE'S A NEED TO FOCUS ON IMPROVING GRANTS MANAGEMENT, COST RECOVERY, AND LONG-TERM FORECASTING AND PROGRAM ALIGNMENT. FINANCIAL DECISIONS ALIGN WITH MANDATED REQUIREMENTS, PUBLIC HEALTH ACCREDITATION AND COMMUNITY HEALTH IMPROVEMENT GOALS. SO YOU'RE SOLID ON WHAT YOU DO. THE FUNDING CHALLENGES ARE, ARE YOU'VE NAVIGATING THROUGH A VERY DIFFICULT PERIOD, WHICH ALONG I IMAGINE WITH BROADER CITY GOVERNMENT BECAUSE OF THE ECONOMIC CONDITIONS HERE ARE ALSO CREATING CHALLENGES. HOW DO WE MAINTAIN ALL OF THIS? ON THIS SLIDE, ON THE FAR LEFT, IS THE STRUCTURE OF THE HEALTH FUND SUB ALLOCATED INTO THESE DIFFERENT BUREAUS. I I'M NOT GONNA ADDRESS ALL OF THOSE, BUT WHAT I WANTED TO POINT YOU TO IS WHAT'S ON THE RIGHT SIDE OF THE, OF THE, OF THE PICTURE HERE. SO AT THE TOP RIGHT IS WHERE YOU SPEND YOUR MONEY IN THE PUBLIC HEALTH DEPARTMENT HERE, UH, THIS IS NOT A SURPRISE. 64% OF YOUR PORTFOLIO HERE IS IN LABOR COST. PUBLIC HEALTH IS A HUMAN ACTIVITY. IT'S, IT'S, IT'S NOT, UH, UH, A BUNCH OF SUPPLIES. IT'S NOT A BUNCH OF HARDWARE. IT'S FUNDAMENTALLY TALENTED PEOPLE INVESTIGATING, ENGAGING, MOBILIZING TO TAKE ACTION ON A PUBLIC HEALTH THREAT OR A COMMUNITY HEALTH NEED. ABOUT 22% OF YOUR RESOURCES ARE SPENT IN SERVICES AND SUPPLIES. YOU SEE 9% IN OVERHEAD ALLOCATIONS AND ABOUT 6% IN CONTRACTED SERVICES. THIS IS A, THIS IS NOT PRESENT DAY. IT'S MOVED A LITTLE BIT. IF WE WERE TO DO THIS IN THE CURRENT BUDGET, OUR PERIOD OF ANALYSIS IS 22 TO 24, 20 22 TO 2024. [01:00:01] AND THEN BELOW IS WHERE YOU PAY FOR THIS EQUATION, THE REVENUE MIX OF THE DEPARTMENT. 37% IS STATE AND FEDERAL GRANTS, 28% ARE OTHER EXTERNAL SOURCES. 15% IS REALIGNMENT MONEY. THAT'S THE STATE REVENUE STREAM THAT'S, THAT'S GIVEN TO YOUR CITY FOR, FOR PUBLIC HEALTH SERVICES, 12% IS THE GENERAL FUND, AND 7% IS FEES. AND THE FEES, THE, WHAT I WANNA POINT OUT TO YOU IN THE COMPLEXITY OF THIS DEPARTMENT, IT'S NOT LIKE A PEANUT BUTTER SANDWICH OR YOU'RE SPREADING THE RESOURCES EVENLY ACROSS THE DEPARTMENT. IT'S OFTEN A SPECIAL DOLLAR FOR A SPECIAL ACTIVITY. OKAY? SO THE MONEY, TRACKING THE MONEY AND ALIGNING IT AND OPTIMIZING IT SO YOU CAN REDUCE THE GENERAL FUND EXPOSURE IS QUITE A JOB LIKE FOR YOUR FINANCE DIRECTOR WHO DOES VERY WELL IN, IN THAT ENDEAVOR, BY THE WAY. SO THE FEES, AS AN EXAMPLE, LARGELY SUPPORT THE REGULATED INDUSTRY THAT THE DEPARTMENT OVERSEES, LIKE THE FOOD INDUSTRY AS AN EXAMPLE HERE. BUT WHEN YOU DON'T KEEP THE FEES UP AND TO CURRENT COSTS, THAT MEANS THE CITY HAS TO FIGURE OUT HOW TO MAKE UP THAT GAP HERE, THERE. SO THAT, THAT'S A CHALLENGE IN, IN, IN THIS EQUA IN THIS EQUATION. SO THIS CHART, UH, THE NEXT CHART HERE SHOWS KIND OF THE TURBULENCE THAT YOUR DEPARTMENT HAS BEEN GOING THROUGH. IT HAS GROWN VERY, UH, SIGNIFICANTLY IN REVENUE. YOU CAN SEE FROM 22 TO 24, FROM 40 MILLION UP TO 68, THEN DOWN TO 62, THAT'S THE COVID SURGE. YOU CAN ALSO SEE THE EXPENDITURE CHANGES. UH, HERE. YOU SPENT A LOT OF MONEY AT THE INITIAL PART OF THE COVID RESPONSE, THEN STARTED TO BRING IT DOWN. THESE AREN'T EXACTLY IN, IN, IN FULL TIMING SEQUENCES, BUT AS YOU MOVE ALONG IN EACH BUDGET YEAR, YOU CAN SEE THE VARIANCE. OH, WE WERE, WE WERE BELOW $24 MILLION IN 2024. WE WERE AHEAD, $8 MILLION IN THE NEXT YEAR, AND NOW WE'RE BEHIND $14 MILLION IN THE NEXT YEAR. POINTING TO MY RECOMMENDATION TO YOU TO HAVE LONG-TERM FORECASTING HERE. OKAY. THAT'S, THAT'S A KEY. IT'S A VERY, VERY DYNAMIC BUDGET PICTURE AND FINANCIAL PICTURE WITHIN THIS DEPARTMENT HERE. AND LET'S SPEAK TO WHAT, HOW YOU DO THIS. THE CITY AND THE DEPARTMENT, MEANING THE CITY FINANCE STAFF, UH, CITY MANAGERS TEAM, ARE EFFECTIVE IN IDENTIFYING AND UTILIZING EXTERNAL RESOURCES TO ACHIEVE DESIRED SERVICE LEVELS WHILE KEEPING THE DEMANDS ON THE GENERAL FUNDS LOW. THE, YOUR GRANTS MANAGEMENT POLICIES ARE SOUND, WE WERE ASKED TO SPECIFICALLY LOOK AT THE RULES OF THE ROAD THAT THE CITY HAS ABOUT WHETHER WE SHOULD HAVE A GRANT OR NOT. WHAT DOES IT MEAN TO ENGAGE IN A GRANT? IS IT COMPATIBLE WITH WHAT WE DO? DOES IT BRING IN ADDITIONAL OBLIGATIONS TO US, ET CETERA? UM, MANY, UH, OTHER JURISDICTIONS USE USE THESE STRATEGIES. UM, IN GENERAL, THESE STRATEGIES WORK WHEN THE, WHEN THE ECONOMY IS GOOD, WHEN THE BOATS ARE RISING, UH, AND WHEN STATE AND FEDERAL BUDGETS ARE STABLE. OKAY? HOWEVER, WHEN THE ECONOMY SLOWS, THERE ARE RED AND THERE ARE REDUCTIONS IN STATE AND FEDERAL GRANTS AND OR NEW LOCAL COSTS. THEREIN, YOU CAN CREATE A, A, A SITUATION. SO YOU, I DON'T NEED TO GO INTO GREAT DETAIL. YOU KNOW, WE HAVE A VOLATILE STATE BUDGET THAT'S BASED ON THE ECONOMY HERE. SALES, TAXES PER PERSONAL INCOME TAXES, ET CETERA. THAT GREATLY INFLUENCES HOW MUCH THE STATE IS ABLE TO, TO, TO PROVIDE. AND THEN WE HAVE A NATIONAL ADMINISTRATION THAT WANTS TO DISINVEST IN PUBLIC HEALTH, UH, HERE THAT IS ALSO CREATING A, A, A, AN EFFECT, UH, UH, ACROSS THIS. AND SO YOU, YOU HAVE TO THINK ABOUT, CAN THE CITY BACKFILL EVERY SINGLE ONE OF THOSE DOLLARS? NO, CAN, CAN'T DO THAT. BUT THERE MIGHT BE A VISION THAT SAYS, WELL, WE HAVE TO MAKE IT THROUGH THIS TROUGH. THESE SERVICES ARE IMPORTANT TO US, AND SOME OF THOSE DOLLARS WE'RE GONNA BACKFILL SOME OF THOSE DOLLARS WE'RE GONNA ABSORB. SO THAT'S WHAT THE MULTI-YEAR PLANNING WOULD FORCE YOU TO DO, TO DO A, A SERIES OF WHAT IF TYPES OF ANALYSES. LET'S SPEAK A LITTLE BIT MORE ABOUT THE GRANTS. THE BENEFITS OF GRANTS ARE, IS THAT THEY EXPAND SERVICES, THEY SUPPORT DISEASE, CONTROL YOUR PROGRAMMING. THEY IMPROVE HEALTH OUTCOMES, AND THEY FUND STAFFING AND PROGRAMS THAT, UH, USING OTHER PEOPLE'S MONEY THAN USING THE CITY'S MONEY. UH, BUT THE, BUT THEY, UH, CAN BE TIME-LIMITED FUNDING. THEY CAN CREATE ADMINISTRATIVE BURDEN REPORTS AND TRACKING, AND, UH, THAT HAVE TO, THERE COULD BE RIGID SPENDING RULES. [01:05:01] YOU CAN ONLY SPEND A DOLLAR ON THIS THING, NOT THAT THING, WHICH MAY NOT, WHICH MAY CAUSE FRUSTRATION. AND THEY HAVE AN EXPIRATION, UH, RISK. SOME OF THEM, SOME GRANTS HAVE GONE ON FOR A VERY LONG TIME. OTHERS CAN BE, UH, VERY SHORT, SHORT TERM, UM, IN, IN NATURE. UH, HERE, UM, I WANTED TO GIVE YOU AN EXAMPLE OF A FEW THINGS WHERE WHEN YOU ACCEPT A GRANT, IT IS A HIGHER SERVICE LEVEL THAN WHAT IS REQUIRED UNDER YOUR OB YOUR MANDATED OBLIGATION. SO I'LL GIVE YOU AN EXAMPLE IN TUBERCULOSIS, WHICH IS A BACTERIAL COMMUNICABLE DISEASE. THERE, UM, UM, THERE IS A, A, A PRACTICE TO DO GENETIC SUBTYPING OF THAT BACTERIA TO KNOW, TO BE ABLE TO TRACE IT BETTER IN THE COMMUNITY. WHO COUGHED ON WHO THEY COUGH, THIS VARIANT VERSUS THAT VARIANT THAT IS NOT REQUIRED UNDER STATE LAW TO DO GENETIC SUBTYPING. THE, THE OBLIGATION IN STATE LAW IS CONTROL TUBERCULOSIS. OKAY? THE FUNDER IN THIS INSTANCE, THE FEDERAL GOVERNMENT, WANTS TO BE ABLE TO DO GENETIC SUBTYPING OF THE TUBERCULOSIS BACTERIUM. SO WE HAVE GREATER PRECISION ABOUT HOW TO CONTROL IT. SO YOU SEE, THAT'S A, THAT'S A THING. WE ALL THINK THAT'S A GOOD THING TO DO, THIS GENETICS, UH, TESTING OF, OF TUBERCULOSIS. BUT IT'S, IT'S A SERVICE THAT IF THAT MONEY WEREN'T THERE, YOU'RE NOT OBLIGATED TO DO. BUT BECAUSE THE MONEY'S THERE, YOU ACTUALLY ARE ABLE TO RUN A BETTER PROGRAM, ET CETERA. THERE'S NUMEROUS INSTANCES OF, OF WHERE THE, A FEDERAL DOLLAR MIGHT FLOW THROUGH THE STATE, COME TO THE CITY, IT ENHANCES AN ACTIVITY, MAKES IT BETTER, STRONGER, MORE COMPLETE, BUT IT IS A SERVICE LEVEL THAT'S HIGHER THAN WHAT YOU WOULD OTHERWISE, UH, UH, BE OBLIGATED TO. AND THEN IF THAT MONEY GETS TURNED OFF, WHAT DO YOU DO? OKAY. SOMETIMES THAT DOLLAR IS FUNDING ONE PERSON, OKAY? YOU CAN'T CUT ME IN HALF THERE. YOU'RE STUCK. YOU'RE KIND OF STUCK WITH, WHAT DO I DO WITH THAT? OR MAYBE I CAN TAKE HALF MY JOB, THE DEPARTMENT COULD TAKE HALF MY JOB AND ALLOCATE ME SOMEPLACE ELSE. YOU KNOW, WHERE THERE IS MONEY AS AN, AS AN EXAMPLE. THAT'S WHAT THIS MULTI-YEAR PLANNING AND MORE SOPHISTICATION THERE WOULD HELP, WOULD HELP BRING TO YOU. AND THEN LASTLY, UH, WELCOME YOUR QUESTIONS, UH, HERE, UH, PROGRAM ALIGNMENT. THE DEPARTMENT MEETS AND IN SOME INSTANCES EXCEEDS MANDATED, UH, UH, PUBLIC HEALTH FUNCTIONS AND ACTIVITIES. SOME OF THE EXPANDED ACTIVITIES ACHIEVE LOCAL PRIORITIES. OKAY? AND SOME REPRESENT CUTTING EDGE ACTIVITIES THAT ARE CALLED FOR IN NATIONAL STANDARDS FOR PUBLIC HEALTH DEPARTMENTS. LET ME BE MORE SPECIFIC THERE. UM, YOU HAVE, UH, YOU DO, UH, STORM WATER TESTING, UH, AFTER THE RAINS HERE, THE FREQUENCIES OF THAT STORMWATER TESTING, YOU'RE ABOVE STATE STANDARD THERE FOR THE HOW, HOW FREQUENTLY YOU TEST THAT WA I'M CONFIDENT THAT YOU THINK THAT'S A GOOD IDEA, AND I THINK YOUR DEPARTMENT WOULD SAY THAT'S A GOOD IDEA, UH, TOO, BUT IT'S BEYOND THE MINIMUM. UH, AS, AS AN EXAMPLE, SOME OF YOUR WEST NILE, UH, FOLLOW UP WEST NILE VIRUS FOLLOW UP ACTIVITIES, UH, WHERE YOU HELP RESIDENTS WHO MIGHT BEEN EXPOSED MIGHT HAVE AN ILLNESS ASSOCIATED WITH IT, THAT'S ABOVE, UH, WHAT IT, WHAT IS, UH, REQUIRED. BUT IT, YOU MIGHT ARGUE THE DEPARTMENT CERTAINLY SAYS THAT'S A GOOD THING. THAT'S A GOOD SERVICE THAT WE WANNA MAINTAIN FOR, FOR THE COMMUNITY. UH, AS, AS AN EXAMPLE. AND THEN ALL OF YOUR COMMUNITY LEADING INITIATIVES THAT ARE IN THIS DEPARTMENT TO GET OUT AND TALK ABOUT SOCIAL FACTORS, TO TALK ABOUT VIOLENCE, TO TALK ABOUT INJURY PREVENTION, CONTROL. THOSE ARE CUTTING EDGE ACTIVITIES. THOSE ARE THINGS THAT IF WE WERE TO, TO TAKE THAT A HUNDRED YEARS OF PUBLIC HEALTH LAW AND SAY, YOU KNOW WHAT, WE'RE GONNA, WE'RE GONNA REWRITE IT NOW AND SAY, WHAT SHOULD A MODERN PUBLIC HEALTH DEPARTMENT BE? YOU WOULD SAY, YES, CONTINUE TO DO EMERGE, UH, COMMUNICABLE DISEASE CONTROL, CONTINUE TO DO MATERNAL AND CHILD HEALTH, CONTINUE TO RESPOND TO EMERGENCIES AND GET UPSTREAM, GET UPSTREAM TO AFTER THESE CHRONIC CONDITIONS, WELLNESS, WELLBEING OF, UH, LIFESTYLE, DIETARY ENVIRONMENT FACTORS, ET CETERA. YOUR DEPARTMENT IS A MODEL DEPARTMENT IN, IN THAT REGARD. I'M HAPPY TO TAKE YOUR QUESTIONS. THANK YOU SO MUCH. THAT WAS AN EXCELLENT PRESENTATION. UM, I WILL ALLOW MY COUNCIL COLLEAGUES TO GO IF THEY HAVE ANY QUESTIONS. VICE MAYOR RANGA, YOU HAVE SOME QUESTIONS? YEAH. ONE, ONE OF THE, UH, [01:10:02] OH, THANK FOR THE PRESENTATION, BY THE WAY. VERY, VERY THOROUGH. VERY . YOU. ONE OF THE, THE OBSERVATIONS THAT I MADE DURING THE COURSE OF YOUR PRESENTATION IS THAT THERE DOESN'T SEEM TO BE A, A CONNECTION BETWEEN THE HEALTH DEPARTMENT AND THE REST OF THE CITY. WE KNOW THAT, FOR EXAMPLE, MUCH OF OUR PERSONNEL IS AFFECTED BY HR. SO HR HAS ITS RULES REGARDING PERSONNEL AND HEALTH HAS ITS RULES REGARDING HIRING, UH, SUPERVISION AND EVERYTHING ELSE THAT GOES WITH BEING FOR THE HEALTH EMPLOYEE. HOW MUCH OR EFFECT DOES OUTSIDE HORSES, SUCH AS HR HAVE ON THE HEALTH DEPARTMENT AND ITS MISSION TO PROVIDE PUBLIC HEALTH SERVICES? UH, COUNCIL MEMBER, WE, UH, WE DIDN'T LOOK SPECIFICALLY AT THE BUSINESS RULES OF HR, WHETHER THEY WERE CUMBERSOME, UH, WHETHER THEY, UH, CHALLENGED THE DEPARTMENT. ADMINISTRATIVE FEES IS ANOTHER EXAMPLE OF THAT. I'M SORRY. ADMINISTRATIVE FEES. OUR FINANCIAL MANAGEMENT DEPARTMENT IS ALSO AFFECTED, UH, BY NOW DEPARTMENT. IN FACT, WE'RE, WE'RE, WE'RE, UH, EXPERIENCING A, UH, A SHORTFALL YES. RIGHT NOW. YEAH. THAT AFFECTS OTHER DEPARTMENTS YEAH. AS WELL. OH, NO. YEAH, WE DID LOOK AT THAT ISSUE. EXCUSE ME. I NOW, I NOW I'M CLEAR ON WHAT YOU ASKED. WE DID LOOK AT THEIR, THEIR, THEIR, THE CITY ENGAGED IN A, UH, A, A, A RE UH, ESTABLISHMENT OF ITS COST ALLOCATION METHODOLOGY BROADLY ACROSS THE CITY. THAT METHODOLOGY WAS REVIEWED, HAD AN INDEPENDENT STUDY, UH, INDEPENDENT FIRM, I BELIEVE, LOOKED AT THAT. AND YOU ADOPTED THAT POLICY. THAT POLICY DID LAY MORE COST ON THIS DEPARTMENT. I THINK YOUR, YOUR CITY MANAGER HAS ACKNOWLEDGED THAT AND HAS PROVIDED THE, UH, RESOURCES TO REFLECT THAT. BUT THERE IS, YOU KNOW, UM, THAT, THAT'S ALWAYS GONNA BE ATTENTION THROUGHOUT, THROUGHOUT THIS DEPARTMENT, UH, WHICH IS HOW MUCH ARE THE CITY OBLIGATIONS PAID FOR? DO YOU DISTRIBUTE THEM ACROSS CITY DEPARTMENTS? AND HOW MUCH OF THAT PIECE OF, OF OBLIGATION CAN YOU GET OTHER DOLLARS TO PAY FOR? THAT'S ALWAYS GONNA BE THERE. THERE'S NO, THERE'S NO MAGIC WAND, UH, FOR THAT. THOSE COSTS HAVE TO GET PAID FOR SOMEWHERE WITHIN THE CITY. ALRIGHT, THANK YOU. THAT'S ALL I HAVE. COUNCILWOMAN ALLEN? YES. UH, THANK YOU, MR. FRIEDMAN. UM, I TELL YOU, YOUR, UH, RESUME IS INCREDIBLE . UM, SO, WOW. UH, IT JUST A, IT MEANS OLD, UM, PRIVILEGE, I GUESS IS THE WORD I'LL USE TO HAVE YOUR EXPERTISE AND TO BE HERE AND, AND PRESENT TO US AND ADVISE US. SO, SO THANK YOU. AND YOU DEFINITELY, UM, DID A GREAT JOB ON YOUR PRESENTATION, UM, AS WELL AS PROVIDING A CLEARER PICTURE OF, UM, THE, UH, THE HEALTH DEPARTMENT'S FINANCIAL POSITION. SO I DO APPRECIATE THAT. UM, AS YOU KNOW, LONG BEACH IS ONE OF THREE CITIES THAT HAS YES. UM, A A HEALTH DEPARTMENT HERE IN CALIFORNIA THAT CITY OPERATED. AND SO WE HAVE A UNIQUE OPPORTUNITY TO RESPOND TO OUR RESIDENTS, UM, WHICH I THINK IS GREAT. UM, BUT I THINK IT'S IMPORTANT THAT WE UNDERSTAND, UH, HOW WE REMAIN, UM, FINANCIALLY SUSTAINABLE. AND, UM, I APPRE, I, I REALLY DO APPRECIATE, AND I GIVE YOU A LOT OF CREDIT FOR, UM, FOR, UH, USING, UM, OUTSIDE, UH, FUNDING, UM, TO PROVIDE SERVICES BEYOND THE MINIMUM REQUIREMENTS WITH LIMITING THE RELIANCE ON THE GENERAL FUND. UM, BUT LIKE YOU SAID IN YOUR, UH, PRESENTATION, WE NEED, UH, SUSTAINABLE YES. UH, OPERATIONS. AND SO I DO HAVE A QUESTION. SO, UM, UM, THE YEAR TO YEAR VARIANCE IS SIGNIFICANT. SO MOVING FROM A 24.6 MILLION SHORTFALL IN FY 2022 TO AN $8.7 MILLION SURPLUS, UM, IN FY 2023, UM, AND THEN BACK TO A 14 MILLION SHORTFALL IN FY 24. UM, YOU EXPLAINED A LITTLE BIT, BUT CAN YOU EXPLAIN A LITTLE BIT MORE LIKE THOSE MAJOR VARIATIONS? WELL, THERE ARE, UM, THE COST ALLOCATION STUDY IS GETTING IMPLEMENTED DURING THIS PERIOD. SO THE, THAT CHANGES THE EXPENSE [01:15:01] EQUATION, THE, ON THE REVENUE, UH, PUT THE SLIDE BACK UP HERE. SO ON THE REVENUE, UH, PIECE, SOME OF THE, UH, THE, THE COVID REVENUES ARE, ARE SHOWING HERE. THOSE ARE THE BIG JUMP FROM 22 TO 23, UH, HERE. AND THEN, UH, I BELIEVE YOU, THERE WAS SALARY MOVEMENT, UH, HERE, PLUS SOME LOOKBACK SALARY. I THINK IT WENT BACKWARDS, SOME EQUITY ADJUSTMENT, UH, THAT WENT ON WELL. SO YOU HAVE A VERY DYNAMIC, UH, PERIOD HERE THAT CAUSES THE SWINGS IN, IN THESE PERIODS. OKAY. AND THEN ON PAGE NINE, UM, AND YOU MAY HAVE SAID THIS OR I, I, YOU SAID THE, UM, OTHER EXTERNAL SERVICES AS FAR AS A REVENUE MIX, WHICH 28% IS A PRETTY BIG A NUMBER. IS THAT FEES? IS THAT WHAT YOU SAID? THAT IS, UH, THEY MIGHT BE, UH, UH, MEDI-CAL REVENUES FOR SOME OF YOUR CLINIC OPERATIONS. UH, THERE ARE INTERFUND UH, TRANSFERS GOING ON. I BELIEVE THE WATER DEPARTMENT MIGHT PAY FOR SOME WATER QUALITY TESTING HERE. SO THERE'S, THERE'S VARIOUS FORMS OF, OF INTERFUND TRANSFERS HERE. UH, THEY ALSO MIGHT, YOU HAVE, I YOU HAVE A SMALL AMOUNT OF NON-GOVERNMENTAL GRANTS. UH, SO GRANTS FROM PHILANTHROPIC, UH, ENTITIES AS WELL THAT WOULD SHOW UP IN THAT, IN THAT. OKAY. SO THEY ALSO COULD BE, UH, GRANTS NOT NECESSARILY A SUSTAINABLE INCOME. OH, CORRECT. OKAY. CORRECT, CORRECT. I UNDERSTAND BETTER, YEAH. THANK YOU. UM, OKAY. AND THEN, UM, I HAVE JUST A COUPLE MORE QUESTIONS REAL QUICK, UM, IF THAT'S OKAY, CHAIR. YEAH. UM, LOOKING AHEAD, HOW CONCERNED ARE WE, UM, ABOUT THE DEPARTMENT'S FINANCIAL SU UH, SUSTAINABILITY, OUR STABILITY AS, AS, UH, WITH REGARD WITH REGARDS TO GRANTS THAT ARE EXPIRING OUR, UM, OPERATIONAL COSTS THAT CONTINUE TO RISE? UH, YOU HAVE TO MAINTAIN A TALENTED AND CAPABLE WORKFORCE. AND SO, AND YOU HAVE TO BE, AND AT THE SAME TIME, YOU HAVE TO BE VERY PRUDENT IN YOUR SALARY DECISIONS, YOUR SALARY MOVEMENT DECISIONS HERE, BECAUSE, I MEAN, IT'S REALLY TRYING TO STRIKE THE BALANCE BETWEEN YOUR FISCAL REALITIES AND WHERE YOUR, YOUR PROGRAM. SO THAT'S, THOSE ARE THE DIMENSIONS THAT THE, THAT THE CITY CAN CONTROL. UH, OKAY. YOU CAN, THE, THE BIGGEST COMPONENT OF YOUR EXPENSE IS LABOR COSTS. THAT'S YOUR AREA WHERE YOU CAN CONTROL THE MOST. HERE. I RECOGNIZE YOU HAVE MANY LABOR ISSUES ACROSS THE, THE CITY AND, AND THERE. THAT'S A DIFFICULT CHALLENGE, BUT THAT'S YOUR GREATEST OPPORTUNITY. ON THE EXPENSE SIDE, THE REVENUE PICTURE, UM, UH, WE WILL BE, IN MY JUDGMENT THROUGH THIS ADMINISTRATION MAY BE LESS SO IF THE CONGRESS CHANGES IN ITS MAJORITIES IN, IN JANUARY OF NEXT YEAR, UH, HERE, BUT WE WILL BE IN A DECLINING OR FLAT AMOUNT OF FEDERAL RESOURCES HERE. SO WE WE'RE NOT LOOKING FOR, UH, LARGE FEDERAL INVESTMENTS IN THERE. THE TRUMP ADMINISTRATION, UH, THE CONGRESS, UH, IS, IS LOOKING TO, TO SCOPE DOWN THE CENTERS FOR DISEASE CONTROL, OKAY. TO REDUCE THE FUNDING AND HAS REDUCED THE FUNDING FOR CDC. A LOT OF CDC FUNDING GOES TO STATE AND LOCAL PUBLIC HEALTH DEPARTMENTS THERE. SO I WOULD SAY YOUR FEDERAL OUTLOOK, AT LEAST FOR THE NEXT YEAR AND MAYBE FOR THE NEXT TWO YEARS AFTER THAT. AND LET'S BORROW, YOU KNOW, ANOTHER CHANGE OF ADMINISTRATION IN THE NATIONAL ELECTION HERE IS GONNA BE, YOUR BEST CASE IS GONNA BE FLAT FUNDING. OKAY? YOUR BEST CASE. OKAY. SO THAT GOES INTO YOUR PLANNING SCENARIO. IT'S LIKE, WHAT DOES NEXT YEAR LOOK LIKE? WHAT DOES THE YEAR LOOK LIKE? WHERE ARE MY SALARY INCREASES? AM I GONNA HAVE ANY PROGRAM GROWTH? OR MAYBE I JUST HAVE TO SURVIVE TO GET TO THE OTHER SIDE, THE STATE PICTURE. THANKFULLY, THE STATE, UH, AND THIS IS A CREDIT TO THE PUBLIC HEALTH, UH, COMMUNITY. TWO YEARS AGO, THIS LARGE INVESTMENT THAT I SPOKE TO CALLED THE FUTURE OF PUBLIC HEALTH. UM, UH, THE LEGISLATURE, UH, HAD, UH, MADE THAT APPROPRIATION THE GOVERNOR TWO YEARS AGO, PROPOSED ELIMINATING IT, OKAY. AS PART OF A, A SAVINGS STRATEGY AT THE STATE. THAT WOULD'VE BEEN A VERY, UH, HARSH, UH, CUT TO YOU. UH, THIS IS A, A VERY SIGNIFICANT POT OF MONEY AND VERY FLEXIBLE. YOU CAN USE IT IN DIFFERENT WAYS WITHIN YOUR DEPARTMENT. VERY MUCH LIKE GENERAL FUND. THAT CUT WAS DEFEATED. THE LEGISLATURE RESTORED IT AND HAS MAINTAINED IT IN THIS YEAR. SO I ANTICIPATE STATE LEVEL RESOURCES BEING AT FLAT, AND IN A BEST CASE, MAYBE INCREASING A LITTLE BIT, UH, HERE, EVEN THOUGH THE STATE DOES HAVE FISCAL CHALLENGES HERE. SO ONE OF THE, I WOULD JUST, LET ME STEP BACK. ONE OF THE CHALLENGES IS, IS IF, IF YOU EVER, AND [01:20:01] I DON'T REALLY WANT TO MEAN TO PUT IT IN THESE TERMS, BUT WHEN YOU PLAY ROULETTE, OCCASIONALLY THAT BALL MIGHT END UP ON A NUMBER THAT'S NOT GOOD FOR YOU. YEAH. OKAY. AND ONE OF THE CHALLENGES THAT HAPPENED IN YOUR, IN THE HEALTH FUND WAS WE HAVE PANDEMIC MONEY THAT WAS ON THE DOWNSIDE. YOU HAVE LABOR COST INCREASES, WE HAVE FEDERAL CUTS OCCURRING THERE, YOU HAVE THE COST ALLOCATION STUDY, AND ALL OF A SUDDEN WE HAVE TO PUT MORE GENERAL FUNDING IN. HOW DID THAT HAPPEN? OKAY. I DON'T THINK IF YOU ENGAGE IN MULTI-YEAR PLANNING HERE, YOU'RE GONNA SEE A RE A RECURRENCE OF THAT PROBLEM AT THAT MAGNITUDE, FRANKLY. AND THAT WHAT I WOULD URGE YOU, THAT'S THE GOAL. HOW DO WE AVOID, THERE'S GONNA BE YEAR TO YEAR FLUCTUATIONS. MM-HMM . BUT NOT LIKE WHAT YOU, YOU WERE POINTING TO. YEAH. COUNCIL MEMBER ON THE, ON THE CHART. AWESOME. WELL, THANK YOU. YOU, UM, ALSO ANSWERED MY NEXT QUESTION WITH REGARDS TO FORECASTING. SO THANK YOU FOR THAT. AND THEN MY LAST QUESTION IS, HOW DOES MEASURE ER FACTOR INTO THIS GOOD, GOOD CALL. I'M GLAD YOU RAISED THAT. I, I, I, UH, NEGLECTED TO, TO, TO MENTION THAT, UM, THERE ARE TWO COUNTYWIDE MEASURES. UH, BEFORE I GO TO ER, I WANNA SPEAK ABOUT THE OLDER ONE, WHICH IS CALLED MEASURE B. MM-HMM. UH, YOU DO HAVE SOME MEASURE B DOLLARS. THAT'S THE PROPERTY TAX THAT WAS ADOPTED IN 2022 FOR EMERGENCY AND TRAUMA CARE AND BIOTERRORISM PREPAREDNESS. THAT PROPERTY TAX GENERALLY GROWS EVERY YEAR. IT'S, IT'S A STABLE REVENUE STREAM. YOU DO GET A SHARE OF THAT, BUT I THINK IT'S VERY IMPORTANT. I'VE SHARED WITH THE DIRECTOR AND YOUR TEAM, UH, HERE, IT'S REALLY IMPORTANT TO ADVOCATE AS THAT PROPERTY TAX GROWS IN ITS OVERALL VALUE. YOU SHOULD GET A PIECE OF THAT, UH, EVERY YEAR, A PIECE OF THE GROWTH, UH, UH, THERE. AND I THINK YOU HAVE BEEN SUCCESSFUL IN GETTING SOME POSITIVE MOVEMENT ON MEASURE B DOLLARS. NOW MEASURE ER, WHICH WAS JUST RECENTLY PASSED, NARROWLY PASSED, IS A SALES TAX ME MEASURE, FIVE YEAR TEMPORARY SALES TAX MEASURE. IT'S SUBJECT, THE, THE, UH, THE MEASURE DOESN'T ALLOCATE THE FUNDS. THE BOARD OF SUPERVISORS HAS TO DEVELOP AN ALLOCATION PLAN FOR THAT. AND I UNDERSTAND THAT THERE IS IN DIRECTOR KING MAY KNOW MORE THAN I DO, UH, HERE I HAVE A LIMITED UNDERSTANDING OF THIS. THE COUNTY IS, UH, IN HIS THOUGHT PROCESS IS SUPPOSED TO ALLOCATE MONEY TO THE CITY OF PASADENA AND THE CITY OF LONG BEACH AS PART OF THE MEASURE ER PROCESS FOR WHAT AND HOW, I DO NOT KNOW. OKAY. ALRIGHT. BUT THAT IS A POSITIVE ON THE HORIZON FOR YOU. WELL, GOOD, GOOD. WELL, THANK YOU SO MUCH AND AGAIN, A PLEASURE TO HAVE YOU HERE TODAY. HAPPY TO. UM, AND THEN, UM, COUNCILOR ALLEN, JUST TO FOLLOW UP ON THAT, WHEN WE DO OUR SECOND HEALTH DEPARTMENT PRESENTATION LATER IN AUGUST, WELL ACTUALLY SPECIFICALLY TALKING ABOUT MEASURE ER AND SOME OTHER POTENTIAL KIND OF HAIL MARYS, LIKE SOME OTHER OPPORTUNITIES, THEY'RE OUT THERE FOR FUNDING FOR THE HEALTH DEPARTMENT THAT WE THINK MAY BE ABLE ALLOW US TO RESTORE SOME OF THE FUNDING THAT HAS BEEN LOST. SO WE'LL SPECIFICALLY TALK ABOUT MEASURE ER AND SOME OTHER OPTIONS. THANK YOU. ABSOLUTELY. UM, AND I THINK, UH, UH, VICE MAYOR OR RANGA AND, UH, COUNCILWOMAN ALLEN, WERE THINKING BASICALLY KIND OF THE SAME WAYS THAT I'M THINKING AROUND. UM, 'CAUSE I REALLY HONED IN MY STAFF AND I REALLY HONED IN ON THIS CONVERSATION THAT I THINK YOU ALL DID A REALLY ADEPT JOB OF DESCRIBING AROUND LONG-TERM FISCAL SUSTAINABILITY, RIGHT? UM, THAT INCLUDES STRENGTHENING OUR MULTI-YEAR BUDGET, FINANCIAL PLANNING, EXPLORING ALTERNATIVE COST RECOVERY STRATEGIES, AND MODERNIZING OUR PUBLIC HEALTH LABORATORY INFRASTRUCTURE SO THAT WE AREN'T LEAVING STATE AND FEDERAL DOLLARS RIGHT ON THE TABLE, UM, THAT COULD POTENTIALLY BE USING TO FUND OUR DEPARTMENT. UM, AND THEN BUILDING OUT THE STAFFING AND ORGANIZATIONAL CAPACITY RELATE REQUIRED TO CAPTURE EVERY AVAILABLE MEDI-CAL, UM, REIMBURSEMENT, YOU KNOW, ISN'T JUST GOOD FISCAL POLICY. IT DIRECTLY PROTECTS OUR GENERAL FUND AND ENSURES OUR HEALTH SAFETY NET REMAINS STRONG, WHICH IS WHAT WE WANT. UM, AND AGAIN, YOU KNOW, I THINK WE ALL AGREE THAT ULTIMATELY OUR GOAL IS TO LOWER BARRIERS, BUILD RESILIENT INFRASTRUCTURE, AND ENSURE THAT OUR DO THAT EVERY DOLLAR WE SPEND ACTIVELY DELIVERS EQUITY, HEALTH AND OPPORTUNITIES FOR EVERYONE IN LONG BEACH. UM, AND SO I REALLY APPRECIATE THE FACT THAT MULTIPLE TIMES, AND I'M JUST GONNA SAY THIS TO EVERYBODY WATCHING, UM, MULTIPLE TIMES THAT YOU CALL OUR, OUR DEPARTMENT, OUR HEALTH DEPARTMENT, A MODEL HEALTH DEPARTMENT, RIGHT? AND SO I THINK THAT IS TO THE LEADERSHIP THAT WE HAVE, RIGHT? TO THE WORK OF OUR WONDERFUL HEALTH DEPARTMENT STAFF. UM, AS SOMEBODY WHO IS AN EPIDEMIOLOGIST, I UNDERSTAND THESE PEOPLE LOVE WHAT THEY DO, RIGHT? THEY'RE INVESTED IN IT. UM, YOU KNOW, AIN'T NOBODY GETTING PAID A TON OF MONEY TO, TO WORK IN PUBLIC HEALTH, RIGHT? SO YOU DO IT BECAUSE YOU CARE ABOUT YOUR COMMUNITY, YOU WANT IT TO BE HEALTHY, YOU WANNA INVEST IN IT. UM, AND SO WE WANNA MAKE SURE THAT WE ARE CREATING A FINANCIAL PLAN FOR OUR HEALTH DEPARTMENT THAT ALLOWS IT TO CONTINUE TO DO THAT, UM, AND ALLOWS IT TO CONTINUE TO OFFER, UM, SERVICES AT A LEVEL THAT WE CAN MAINTAIN OVER TIME, RIGHT? TO GIVE OUR RESIDENTS THAT CONSISTENCY. AND SO, THANK YOU FOR THIS, UH, REPORT. IT WAS, IT WAS, IT WAS, THE PRESENTATION WAS EXCELLENT. SO THANK YOU. UM, I HAD A COUPLE, UM, I HAD A COUPLE QUESTIONS JUST AS FOLLOW UP. UM, SO I KNOW THAT YOU MENTIONED, WE TALKED ABOUT THE MULTI-YEAR [01:25:01] FUNDING MODEL. UM, MY QUESTION WAS, HAS THE HEALTH DEPARTMENT CONDUCTED OR DOES IT PLAN TO CONDUCT A STRATEGIC PLAN TO CAPTURE THE LONG-TERM FUNDING OPPORTUNITIES PRESENTED, UM, INCLUDING ADDRESSING THE STAFFING INFRASTRUCTURE REQUIRED TO QUALIFY FOR THE MEDI-CAL REIMBURSEMENTS? SORRY, UM, , UM, WE ARE LOOKING INTO DOING, SO, UM, AS I THINK I RESPONDED LAST NIGHT TO, UM, A SIMILAR QUESTION. WE ARE, WE HAVE JUST COME OFF A VERY ARDUOUS PRIORITIZATION PROCESS GIVEN THE CITY'S CHALLENGES WITH, UM, WITH FUNDING. AND SO THAT WILL BE THE FOUNDATION FROM WHICH WE MOVE INTO A STRATEGIC PLAN. WE HAVE GONE THROUGH THAT PROCESS LOOKING AT EVERYTHING FROM WHAT IS MANDATED TO, WHAT THEIR IMPACT IS TO THE COMMUNITY AND HOW SUSTAINABLE IT IS. AND SO WE STARTED THERE, UM, AND AS WE MOVE INTO THE MEDI-CAL REIMBURSEMENT, UM, WE ARE LOOKING TO, UM, EXPAND THAT OPPORTUNITY. AND WE ARE CURRENTLY GOING THROUGH A SURVEY TO FIND OUT WHO AND EVERY SERVICE WITHIN OUR DEPARTMENT THAT CAN CONTRIBUTES TO THAT, THAT COULD INDEED INCREASE THE AMOUNT THAT WE ARE GETTING. UM, AND THEN FROM THERE WE WILL EMBARK UPON A STRATEGIC PLAN, UM, TO LOOK AT EVERYTHING, UH, IN INCLUDING OUR POTENTIAL FOR, UH, A MULTI-YEAR BUDGETING AND FORECASTING PROCESS. SO IT IS THE FOUNDATION. EXCELLENT. UM, AND THEN WHAT I THOUGHT WAS INTERESTING, I KNOW YOU MENTIONED IN THE REPORT, UH, SEVERAL TIMES TALKING ABOUT OUR PUBLIC HEALTH LABORATORIES. AND WHEN, UH, IN TALKING, IN TALKING TO OUR HEALTH DEPARTMENT, I ACTUALLY WAS SURPRISED TO HEAR HOW LIKE DIFFERENT, LIKE I DIDN'T KNOW WE HAD MULTIPLE LAB, TO BE HONEST. I DIDN'T KNOW WE HAD MULTIPLE LABORATORIES IN THE CITY AND WHAT THEY DID, AND ONE OF THE THINGS THAT I FOUND REALLY INTERESTING WAS THAT, UM, WE TALKED ABOUT THE UNIQUE SCOPE OF LONG BEACH, UM, AND WE TALKED, AND SO ONE OF THE COMMENTS YOU HAD MADE OR EMAILS YOU HAD GIVEN, UH, TAME, UM, DIRECTOR, DIRECTOR KING, WAS THAT, UH, I WAS TALKING ABOUT OUR ENVIRONMENTAL LEAD TESTING. UM, AND THAT WE WERE THE ONLY PUBLIC HEALTH LABORATORY IN THE STATE OF CALIFORNIA THAT OFFERS LEAD TESTING ON DUST WIPES, PAINTS, AIR FILTERS, AND SOIL. SO IN THINKING ABOUT THAT STRATEGICALLY, UM, AND THEN IT'S KIND OF, MAYBE YOU'RE JUST KIND OF TAKING A STEP BACK A LITTLE BIT ABOUT OUR LONG TERM STRATEGY FOR LABORATORY SERVICES. HOW DO WE UTILIZE LIKE A, AN OPPORTUNITY LIKE THAT POTENTIALLY FOR REVENUE GENERATION, KNOWING THAT WE'RE THE ONLY, LIKE, SAY WE'RE ONLY LABORATORY IN THE STATE THAT OFFERS THAT KIND OF TESTING. WE HAVE HAD THE CHALLENGE OF NOT HAVING A LABORATORY DIRECTOR FOR SOME YEARS. AND CURRENTLY, UM, WE HAVE A LAB DIRECTOR. WE HAVE HAD SOMEONE SERVING IN THAT CAPACITY, BUT WE NOW HAVE A, A STAFF PERSON WHO IS THERE FOR TWO YEARS THAT THE STATE HAS COMMITTED TO PROVIDE TO US. AND, UM, SINCE THAT TIME, HE HAS BEEN HELPING US TO EXPAND, UH, THOSE OPPORTUNITIES. AND, UM, WE ARE DOING TESTING THAT IS BOTH INTERNAL AS WELL AS EXTERNAL. AND WE WILL WORK TO EXPAND THAT WITH OTHER, UM, HEALTH DEPARTMENTS AS WELL AS EVEN CONSUMERS AROUND SOME OF THE NEEDS FOR LEAD TESTING WITH PRODUCTS. SO THEY HAVE A PLAN FOR HOW THEY INTEND TO INCREASE THAT. AND WE ARE LOOKING FORWARD TO MOVING IN THAT DIRECTION WITH THE EQUIPMENT THAT WE CURRENTLY HAVE. UH, WE ARE ALSO LOOKING TO, UM, INCREASE, UH, OUR WATER TESTING BY BRINGING DOWN THE AMOUNT OF TIME, UH, THAT IT TAKES TO DO SO, FROM 24 HOURS TO EIGHT HOURS IN ANTICIPATION OF THE WATER SPORTS THAT WILL BE HERE FOR THE OLYMPICS. UH, SO ALL OF THOSE, UM, SITUATIONS HAVE LED US TO BELIEVE THAT OUR LABORATORY IS A VERY NEEDED AND POTENTIAL REVENUE GENERATING SOURCE, UH, AS WE MOVE FORWARD. AND WE WILL CONTINUE TO, UH, LOOK INTO ADDITIONAL OPPORTUNITIES, UH, TO GENERATE REVENUE. EXCELLENT. UM, AND THEN A FOLLOW UP QUESTION TO THAT, TALKING ABOUT OUR, UM, HAVE NOT HAVING THE STAFFING OR RECENTLY GETTING SOMEONE TO BE OUR DIRECTOR FOR OUR LABORATORIES, UM, MR. FRIEDMAN MENTIONED THE ACCREDITATION HAVING TWO ELEMENTS, WHICH WAS THE COMMUNITY HEALTH ASSESSMENT AND ALSO DOING THE COMMUNITY HEALTH IMPROVEMENT PLAN, BUT IT WASN'T CLEAR TO ME. WE HAVE DONE THOSE AS A HEALTH DEPARTMENT AND WE ARE ACCREDITED, WHICH ALLOWS US TO BE ELIGIBLE FOR THOSE HEALTH REVENUE STREAMS. THOSE MONEY, THOSE REVENUE STREAMS THAT YOU MENTIONED? YES, WE ARE AN ACCREDITED HEALTH DEPARTMENT. UM, WE HAVE COMPLETED OUR CHA AND WE ARE WORKING ON THE COMMUNITY HEALTH IMPROVEMENT PLAN, WHICH IS A PROCESS THAT INCLUDES COMMUNITY INPUT AND THAT IS CURRENTLY UNDERWAY. EXCELLENT. AND WHEN WOULD, UH, WHEN DO WE ANTICIPATE THE, UH, THE COMMUNITY HEALTH IMPROVEMENT PLAN TO BE COMPLETED? UM, I'M SORRY. UH, [01:30:01] I, I KNOW IT'S A, A PRETTY LONG PROCESS, BUT I'M ASSUMING THAT WE WILL HAVE A REPORT PROBABLY WITHIN THE SIX TO NINE MONTHS. I DON'T SEE THAT TEAM HERE, UM, BUT PROBABLY WITHIN THE NEXT SIX TO NINE MONTHS, THEY JUST STARTED PUTTING TOGETHER THE MEMBERS OF THAT TEAM THAT WILL HAVE INPUT TO THAT. UM, BUT I WOULD IMAGINE THAT WE WOULD HAVE SOMETHING BY, UH, LATE SPRING OF NEXT YEAR. EXCELLENT. AND THEN, UH, LAST QUESTION IS FOR THAT PLAN. DOES THE APPROVAL OF THAT PLAN BY THE STATE THEN OPEN UP ANY OTHER ADDITIONAL REVENUE STREAMS, UM, AVAILABLE TO THE CITY OF LONG BEACH? NOT CURRENTLY, UM, FOR THE FUTURE OF PUBLIC HEALTH GRANT THAT MR. FRIEDMAN MENTIONED, THAT IS WHAT OUR ACCREDITATION IS, WHAT ALLOWS US TO RECEIVE THAT. I DON'T KNOW OF ANY OTHER OPPORTUNITIES AT THIS TIME FOR WHICH OUR ACCREDITATION MAKES US ELIGIBLE, UM, BUT WE WILL CERTAINLY PURSUE ANYTHING THAT DOES. EXCELLENT. OKAY. UM, WELL THANK YOU SO MUCH FOR THAT. AND THANK YOU FOR CONTINUED COMMITMENT. UM, AND THANK YOU FOR DOING I'M, I'M VERY HAPPY. I KNOW WE TALKED ABOUT THIS, MY, MY FIRST YEAR IN OFFICE, WE WERE HAVING THIS CONVERSATION ABOUT THE NEED TO DO THE, THE HEALTH FUND STUDY. SO I'M HAPPY IT TOOK A LITTLE WHILE, BUT WE HERE, SO I'M GLAD, I'M GLAD WE'RE HERE. AND I'M, I'M LOOKING FORWARD TO, UM, THE, THE PROCESS MOVING FORWARD OF BUILDING THAT, THAT PLAN, UM, DOING LONG-TERM, UM, PLANNING AROUND OUR FINANCES AND PUTTING TO THAT MULTI-YEAR BUDGET THAT I THINK, UM, TO COUNCILWOMAN ALLEN'S, UM, COMMENTARY AND QUESTION LINE OF QUESTIONING, UH, WILL ALLOW US TO TAKE OURSELVES OFF THE ROLLERCOASTER. UM, SO WITH THAT, UM, I'D LIKE TO OPEN IT UP TO, UH, PUBLIC COMMENT. IF ANY MEMBERS OF THE PUBLIC WOULD LIKE TO SPEAK ON THIS ITEM, PLEASE COME TO THE PODIUM NOW. KARA, KAREN RE SIDE AGAIN. UH, THE HEALTH DEPARTMENT IS NEAR AND DEAR TO OUR HEARTS BECAUSE THEY PERFORM SUCH VITAL WORK. AND I JUST WANNA COMMEND ALLISON'S STAFF, OUR PUBLIC HEALTH NURSE AND SOCIAL WORKERS AT THE SENIOR CENTERS. THEY HAVE A LINE OF PEOPLE EVERY DAY SEEKING HELP. I HAVE PERSONALLY BEEN HELPED BY THE PUBLIC HEALTH NURSE, SO I HAVE BEEN ABLE TO GET IN-HOME SUPPORTIVE SERVICES. I JUST NEED A LITTLE BIT. I HAVE TO FIGHT TO GET IT. I LEARNED HOW TO FIGHT WITH KAISER. UM, WHAT DISTURBS ME IS THE STATEWIDE AND FEDERAL ALLOCATION OF RESOURCES. THEY'RE NOT, UM, THE SOUTHERN HALF OF THE STATE HAS MOST OF THOSE PEOPLE AND MOST OF THE SENIORS AND THE RESOURCES. WE DON'T HAVE A BREAKOUT OF EXACTLY HOW MUCH MONEY WE SPEND ON SENIORS. THAT'S SOMETHING THAT WE'RE ASKING FOR, FOR THE BUDGET. WE WANT SENIORS TO BE A S LINE ITEM SO THAT WE CAN GO AFTER MORE MONEY. UM, MY WORK ON THE COUNTY IS LEGISLATIVE AND ADVOCACY. I TRIED TO SWITCH AND IT KIND OF CREATED A LITTLE CRISIS. SO, UH, WE'VE GOTTEN THE COUNTY TO THE POINT THAT THEY'RE WORKING WITH US. SO WE WANNA SEE MORE MONEY IN CALIFORNIA, COME TO THE LA COUNTY AREA. AND FROM THE FEDERAL LEVEL TOO, WE'RE STARTING TO WORK ON THAT. WE'RE WORKING WITH A COALITION CALLED SOCIAL IMPACT FOUNDATION. THEY'RE LOOKING AT MODEL PROGRAMS. I KEEP DIRECTING THEM TO OUR PROGRAMS TO USE AS MODELS FOR THE NATIONAL, UM, PLANS THAT THEY'RE LOOKING AT. SO, AND THEY'RE ALSO DOING A LOT OF LOBBYING AT THE FEDERAL LEVEL. THEY'RE ALSO COMMITTING TO SPENDING A LOT OF DOLLARS TOWARDS OLDER ADULTS. SO WE WANNA BE PREPARED AND I'M REALLY HAPPY THAT ALL THESE THINGS ARE KIND OF COMING TOGETHER. AND THE WATER, WE HELP PASS MEASURE W FOR THE WATER CLEANLINESS. SO, UM, I KNOW THE CITY'S GOTTEN MONEY FROM THAT TOO. SO IF WE ALL WORK TOGETHER, THIS IS KIND OF THE RESULT. AND SO I FEEL WE'RE GONNA BE ABLE TO DIG OUT OF THAT DEFICIT HOLE. IT'S JUST GONNA TAKE ALL OF IT'S WORKING TOGETHER. THANK YOU FOR YOUR PUBLIC COMMENT. ANY ADDITIONAL PUBLIC COMMENTERS PLEASE? GOOD AFTERNOON EVERYBODY. I DO APPRECIATE THE HEALTH DEPARTMENT. I WAS A 23 YEAR CITY EMPLOYEE WITH THE HEALTH DEPARTMENT AND UNDERSTAND THE IMPORTANCE OF THE CITY, HAVING THE HEALTH DEPARTMENT. 'CAUSE IT'S SUCH, WE HAVE THE MOST TALENTED INDIVIDUALS IN THIS DEPARTMENT AND THEY ARE REALLY STRONG. THEY'RE REALLY GOOD AT THEIR JOB. YOU HAVE A COUPLE OF 'EM HERE. WE HAVE OUR EPI TEAM, OUR LAB TEAM, OUR ENVIRONMENTAL TEAM RIGHT HERE. THEY WORK REALLY HARD FOR THE CITY. AND I JUST WANT TO MAKE SURE THAT I AM, OUR MEMBERS ARE ALSO APPRECIATED WITHIN THE CITY. I DO APPRECIATE MEASURE E FUND. WE FOUGHT HARD TO GET THAT FUNDING FOR THE HEALTH DEPARTMENT. UNFORTUNATELY, WE WEREN'T AS SUCCESSFUL WITH BLOCK THE [01:35:01] CUTS TO CREATE MORE FUNDING FOR THE DEPARTMENT. BUT I DO APPRECIATE THE CITY OF LONG BEACH PUTTING AN INVESTMENT AND APPROACHING NOW AFTER OVER A HUNDRED YEARS THAT THEY'VE BEEN SUSTAINING THEMSELVES TO ACTUALLY GIVE A LITTLE BIT OF THE GENERAL FUND. AND I THINK THAT IT'S A WAY TO SUSTAIN THE HEALTH DEPARTMENT THROUGHOUT THESE, LIKE HE MENTIONED A COUPLE YEARS OF THIS TOUGH ADMINISTRATION. SO I AM HERE JUST TO REPRESENT SAYING THANK YOU. I APPRECIATE THE PRESENTATION AND THE THOROUGHNESS OF IT. IT'S SOMETHING THAT A LOT OF THE INTERNAL STAFF WE'VE BEEN SAYING FOR YEARS, THIS IS NOT A SUSTAINABLE ISSUE OF GRANT FUNDING. IT'S NEVER SUSTAINABLE TO KEEP THE BEST AND THE BRIGHTEST IN THE CITY OF LONG BEACH. THE BEST NURSES, THE BEST DOCTORS, THE BEST ENVIRONMENTAL INSPECTORS WE TEND TO BECOME. AND DURING THE LAST E YOU KNOW, NEGOTIATIONS, WE NEEDED THOSE EQUITY INCREASES BECAUSE WE WE'RE LOSING THE BEST. WE NEED TO KEEP THIS STAFF, WE NEED TO KEEP THESE MEMBERS BECAUSE IF WE KEEP LOSING THEM TO ALL THESE OTHER AGENCIES, WE'RE NOT GONNA BE ABLE TO SUPPORT THE GREAT HEALTHY AND SAFETY OF THE CITY OF LONG BEACH. AND THAT'S WHAT WE DO. WE DO PROTECT THE HEALTH. WE'RE LIKE SAFETY AND HEALTHY OF, YOU KNOW, HEALTHY CITY, OF LONG BEACH. SO THAT'S WHY I JUST WANTED TO MAKE A COMMENT, BUT THANK YOU. WE APPRECIATE YOU. THANK YOU SO MUCH. UM, ANY ADDITIONAL PUBLIC COMMENTERS? SEEING NONE, I'LL CLOSE PUBLIC COMMENT. UH, AND I THINK WE CAN VOTE POP UP. MOTION CARRIES OUR PODIUMS DON'T LIKE US TODAY. UH, NEXT, UH, NEXT ITEM, ITEM FIVE IS A RECOMMENDATION TO RECEIVE AND FILE COUNCIL DISTRICT CORRESPONDENCE. UM, SO THIS WILL, OH, I'M SORRY. UM, UH, UH, MS. BURNOFF, DO YOU WANNA JUST DESCRIBE TO THE, TO FOLKS WATCHING AND TO THE COMMITTEE WHAT THE GOAL OF ITEM FIVE IS? I KNOW WE DON'T HAVE ANYTHING TO DISCUSS, BUT CHAIR, WE NEED A FIRST. OH, UM, IN A SECOND. I'LL DO A FIRST SECOND. RECEIVE, THANK YOU. YES, THANK YOU SO MUCH. THIS IS GOING TO BE A STANDING AGENDA ITEM FOR COUNCIL DISTRICTS TO SUBMIT, [5. 26-55673 Recommendation to receive and file Council District correspondence.       Suggested Action: Approve recommendation. ] UH, REQUESTS OR COMMENTS OR ANY INFORMATION RELATED TO THE FISCAL YEAR 27 PROPOSED BUDGET. SO, AND AGAIN, IN AN EFFORT FOR TRANSPARENCY, JUST A STANDING ITEM THAT IF THERE'S NOTHING WE CAN SKIP OVER, IF THERE IS, THERE'S AN OPPORTUNITY FOR THE BOC TO DISCUSS PUBLICLY. EXCELLENT, THANK YOU. ANY, UM, COMMENTS OR QUESTIONS FROM THE MY COMMITTEE MEMBERS? ALRIGHT, SEEING NONE, WE CAN GO TO PUBLIC COMMENT. IF ANY MEMBERS OF THE PUBLIC WOULD LIKE TO SPEAK ON THIS ITEM, PLEASE COME TO THE PODIUM NOW. SEEING NONE, NO PUBLIC COMMENT HERE. WE CAN GO AHEAD AND VOTE. ALL MEMBERS HAVE VOTED. AYE RECEIVED AND MOTION CARRIES. FANTASTIC. UM, AND THEN FINALLY, UM, WE CAN MOVE TO GENERAL PUBLIC COMMENT. IF ANY MEMBERS OF THE PUBLIC WOULD LIKE TO SPEAK ON A NON-AG AGENDA ITEM, PLEASE COME TO THE PODIUM NOW. SEEING NONE, NO PUBLIC COMMENT HERE. ALRIGHT, WELL THANK YOU EVERYONE AS I ADJOURN, UH, THANK YOU FOR YOUR TIME AND ATTENTION. THANK YOU FOR MY COUNCIL COLLEAGUES AND ALL THE STAFF FOR ALL THE WORK YOU PUT IN. AND I'M LOOKING FORWARD TO AN EXCELLENT BUDGET SEASON. LET'S GO. THANK YOU. * 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.