Jun 07, 2023 Public Health Commission

DANIELLE, DO YOU WANNA TELL US A LITTLE BIT ABOUT YOURSELF? OF COURSE, PLEASE DO.

HI EVERYONE.

I AM DANIELLA ROMERO.

I HAVE BEEN WITH AUSTIN PUBLIC HEALTH FOR ABOUT TWO YEARS NOW.

UH, BEFORE HERE I WAS IN HIV PREVENTION AND THEN ALSO DECEASED INTERVENTION.

SO I ACTUALLY SPOKE, UH, WORKED WITH IVAN VERY CLOSELY, UM, TO GET INFORMATION FOR PATIENTS.

UM, I HAVE ABOUT SEVEN YEARS OF EXPERIENCE IN PUBLIC HEALTH, MAINLY REPRODUCTIVE HEALTH, AND I AM VERY EXCITED TO BE HERE.

, THANK YOU SO MUCH.

UM, AND SO WE DO HAVE ONE PERSON THAT HAS SIGNED UP.

UM, AND I'M NOT SURE IF SHE'S GOING TO JOIN, IF SHE'S ONLINE.

SHE HAS NOT JOINED ONLINE.

UM, STAFF HAS A BRIEFING FOR YOU VIA A PRESENTATION.

SO THAT PERSON HAS NOT JOINED.

WE WILL MOVE FORWARD WITH THE AGENDA.

[1. Briefing regarding each agency’s role to the Public Health Commission.]

SO WOULD YOU PULL UP THE SLIDE DECK PLEASE? OH, AGE BETRAYS YOU.

SO I'M GONNA LOOK OVER HERE.

NOT TO BE RUDE, BUT THAT'S WHERE I CAN SEE THE SCREEN MORE CLEARLY TO, TO FIGURE OUT WHAT'S GOING ON.

UM, SO WE, WE WANTED THIS FIRST MEETING TO GIVE THE COMMISSIONERS AN OPPORTUNITY TO ORIENT THEMSELVES WITH THE PRIMARY AGENCIES THAT ARE SERVING AS EX OFFICERS, AND ALSO DO A LOT OF WORK TO SUPPORT COMMUNITY AND POPULATION HEALTH IN AUSTIN AND TRAVIS COUNTY.

UM, AND SO YOU CAN SEE WE DID OUR INTRODUCTIONS.

SO NOW WE'LL JUST GO ON TO THE BRIEFING.

WEAR A PRODUCT THAT HAS DEEP STAY INSIDE DURING DAWN AND DUSK AND DRESSED APPROPRIATELY FOR THE OCCASION.

SO FIRST WE WANTED TO, UM, YOU KNOW, MAKE SURE THAT WE ARE, UH, WE HAVE OUR NORTH STAR, UM, IN PLACE.

AND OF COURSE, AS THE COMMISSION GROWS AND WE TACKLE DIFFERENT AGENCY OR ISSUES WITHIN COMMUNITY, THAT WILL CHANGE.

BUT REALLY THE VISION FOR THE PUBLIC HEALTH COMMISSION WAS TO BRIDGE THE GAP BETWEEN SERVICES, PEOPLE, AND POLICY.

AND YOU CAN SEE THROUGH THOSE NICE CIRCLES THERE THAT, YOU KNOW, IN A, IN THE PERFECT WORLD, TRAVIS COUNTY, HHS, A P H, AND CENTRAL HEALTH WILL ALL WORK TOGETHER WITH THE COMMISSION TOWARDS THAT GOAL.

ALL RIGHT, SO THE FIRST, UM, AGENCY THAT WE'RE GONNA COVER IS AUSTIN PUBLIC HEALTH.

WE ARE OFTEN CONFUSED WITH CENTRAL HEALTH, UM, BUT WE ARE YOUR LOCAL HEALTH DEPARTMENT.

AND, UM, OUR MISSION IS, YOU KNOW, THE THREE PS PREVENT, PROTECT, AND PROMOTE COMMUNITY HEALTH.

AND SO, RATHER THAN HEAR ME BLATHER THROUGH SOME SLIDES, UM, WE'RE GONNA SHOW YOU A LITTLE VIDEO THAT WE PUT TOGETHER IN HONOR OF NATIONAL PUBLIC HEALTH WEEK THAT KIND OF GIVES YOU A LITTLE BIT A TASTE OF ALL THE THINGS THAT AUSTIN PUBLIC HEALTH DOES FOR THE COMMUNITY.

HOW DO I MAKE IT WORK? DO YOU HAVE TO SHE HAS TO DO IT OVER THERE.

THERE'S, IT'S, IT'S A, YEAH.

THERE WE GO.

LOOKING FOR A CLINIC.

YOU UNLOCK OUR SHOTS FOR TOTS AND BIG SHOTS.

CLINICS WILL GET YOUR KIDS THE VACCINES THEY NEED FOR SCHOOL.

WE ALSO OFFER VACCINES FOR ADULTS, INCLUDING HEPATITIS A AND D, HPV, TDAP, AND MORE.

OUR TEAM OF DEDICATED PROFESSIONALS MAKE SURE THAT EVERY RESTAURANT, FOOD, TRUCK, EVENT, AND FOOD VENUE WITHIN THE CITY OF AUSTIN OPERATES IN A WAY THAT SAFEGUARDS THE HEALTH AND SAFETY OF THE PUBLIC.

HEY, IT'S AARON WITH AUSTIN PUBLIC HEALTH ENVIRONMENTAL VECTOR CONTROL UNIT.

ARE YOU HAVING A PROBLEM WITH MOSQUITOES IN YOUR AREA? IT'S IMPORTANT TO REMEMBER THE FOUR DS DRAIN.

ANY STANDING WATER.

[00:10:01]

THESE DEDICATED PUBLIC SERVANTS AND TRUSTED MEMBERS OF THE COMMUNITY HELP BRIDGE THE GAP BETWEEN THEIR COMMUNITY AND AVAILABLE HEALTH RESOURCES AND SOCIAL SERVICES.

A P H'S MATERNAL INFANT OUTREACH PROGRAM, ALSO KNOWN AS MAYA, LOOKS TO SUPPORT AUSTIN'S BLACK AND AFRICAN AMERICAN WOMEN.

WHEN IT COMES TO PROTECTING OUR COMMUNITY FROM DISEASE OUTBREAKS AND PREPARING THE PUBLIC FOR EMERGENCIES.

THE AUSTIN PUBLIC HEALTH EPIDEMIOLOGY AND PUBLIC HEALTH PREPAREDNESS DIVISION IS ON THE JOB.

AT AUSTIN PUBLIC HEALTH, WE LOOK TO OFFER A HELPING HAND IN MAKING SURE OUR COMMUNITY HAS ALL OF ITS BASIC NEEDS THROUGH OUR NEIGHBORHOOD CENTERS.

THE TEAM WITH AUSTIN YOUTH DEVELOPMENT EMPOWERS YOUTH AND YOUNG ADULTS TO ACHIEVE THEIR FULL POTENTIAL BY PROVIDING SKILL-BASED TRAINING AND EDUCATION THROUGH COMMUNITY PARTNERSHIPS.

AT OUR SEXUAL HEALTH CLINIC, WE OFFER EXAMINATION TESTING AND TREATMENT FOR SEXUALLY TRANSMITTED INFECTIONS.

WE ALSO TEST FOR H I V AND REFER PATIENTS WHO TEST POSITIVE FOR HIV V TO COMMUNITY HIV CARE PROVIDERS.

THE TB CLINIC OFFERS SCREENINGS AND EVALUATIONS AS WELL AS TREATMENT AND COMPLETE CASE MANAGEMENT FOR PATIENTS WITH TB DISEASE.

OUR SOCIAL WORKERS PROVIDE A VARIETY OF SERVICES AND SUPPORT TO OUR PATIENTS, SUCH AS REFERRALS FOR FOLLOW-UP CARE, FIND INFORMATION ON THESE SERVICES, AND MORE@AUSTINTEXAS.GOV SLASH HEALTH.

WE ARE AUSTIN PUBLIC HEALTH.

VERY NICE.

ISN.

ISN'T IT CUTE? I LIKE THE LITTLE CATCHY BEAT.

I KNOW.

SO, SO ENTERTAINED.

UM, WHY IS IT NOT WORKING? OH, SORRY.

I OH, ALL RIGHT.

UM, AND SO BEFORE WE GET TO DR.

WALKS SLIDE, I THINK THE MAIN DIFFERENCE THAT WE WOULD LIKE PEOPLE TO UNDERSTAND ABOUT AUSTIN PUBLIC HEALTH IS THAT WE ARE NOT FOCUSED ON PRIMARY CARE.

WE'RE NOT FOCUSED ON INDIVIDUAL HEALTH NEEDS, BUT WE PROVIDE SERVICES THAT SUPPORT POPULATION AND COMMUNITY HEALTH OVERALL.

AND WITH THAT, I WILL TURN IT OVER TO DR.

WALKS, WHO IS OUR, UM, MEDICAL DIRECTOR AND LOCAL HEALTH AUTHORITY FOR TRAVIS COUNTY.

UM, AS YOU CAN SEE HERE ON THE SLIDE, THE DUTIES OF THE HEALTH AUTHORITY ARE PRESCRIBED BY STATE LAW IN THE TEXAS HEALTH AND SAFETY CODE, AND ARE TO ESTABLISH, MAINTAIN, AND ENFORCED JURISDICTIONAL AND QUARANTINE ORDERS TO AID LOCAL BOARDS OF HEALTH, LOCAL HEALTH DEPARTMENTS AND QUARANTINE INSPECTIONS, DISEASE PREVENTION, SUPPRESSION EFFORTS, BIRTH AND DEATH, ST STATISTICS AND GENERAL SANITATION ISSUES WITHIN THE JURISDICTION, AND ANY OTHER DATA THAT'S PERTINENT TO PUBLIC HEALTH.

UH, WE, MY ROLE ALSO, UH, OVERSEES REPORTING THE PRESENCE OF CONTAGIOUS, INFECTIOUS AND DANGEROUS EPIDEMIC DISEASES TO LOCAL AND STATE AUTHORITIES, AND AIDING LOCAL JURISDICTIONS AND BOARDS OF HEALTH IN CARRYING OUT PUBLIC HEALTH REQUIREMENTS, RULES, ORDINANCES, SANITATION LAWS, QUARANTINE RULES, AND REQUIRED REPORTING OF ANY VITAL STATISTICS COLLECTED.

UM, AND SO THAT, UM, OVERSIGHT INCLUDES ALL OF THE THINGS THAT YOU SAW THAT APH, UM, UNDERTAKES, AND ALSO, UH, THE ROLES THAT ARE REPRESENTED BY THE OTHER EX OFFICIO, UM, MEMBERS HERE AS WELL.

GOOD AFTERNOON, EVERYONE.

DIDN'T.

ALL RIGHT, PAGES.

AGAIN.

UM, THERE'S A ONE PAGER THAT TALKS ABOUT A CENTRAL HEALTH.

UM, IT GIVES OUR BACKGROUND IN TERMS WHEN WE WERE, UM, CREATED WHAT CHAPTER, UM, WE WERE CREATED UNDER THE 2 81, THE TEXAS HEALTH AND SAFETY CODE.

UM, WE PROVIDE A LOT OF SERVICES TO THE COMMUNITY.

UM, I REALLY DON'T WANNA REITERATE EVERYTHING THAT'S ON THIS CHART BECAUSE IT'S A ONE PAGE AND IT'S PRETTY STRAIGHTFORWARD.

UM, WE PROVIDE, UM, QUALITY HEALTHCARE TO RE TO RESIDENTS AT TRAVIS COUNTY WITH INCOMES AT OR BELOW THE 2000, A FEDERAL POVERTY LEVEL, ABOUT 55,000 PER YEAR FOR A FAMILY OF FOUR IN 2022.

UM, RIGHT NOW, WE ALSO PROVIDE SERVICES TO ABOUT 150, 150,000 PEOPLE THROUGHOUT OUR, OUR COVERAGE PROGRAM, OUR MAP, AND OUR MAP PLUS B PROGRAM.

AND THAT CONCLUDES MY REMARKS.

SO, TRAVIS COUNTY HEALTH AND HUMAN SERVICES OVERLAPS A LOT WITH AUSTIN PUBLIC HEALTH.

AND SO WHEN WE PROVIDE

[00:15:01]

OUR SERVICES, WE RELY HEAVILY AND CONTRACT WITH AUSTIN PUBLIC HEALTH FOR THOSE SERVICES.

BUT OTHER THAN THAT, WE ALSO HAVE DIRECT SERVICES THAT WE PROVIDE, UM, THROUGHOUT THE COUNTY.

UM, OUR MISSION IS TO PROTECT THE UNDERSERVED, TO INVEST IN SOCIAL AND ECONOMIC WELLBEING, UH, TO PROMOTE HEALTHY LIVING AND TO BUILD A SHARED UNDERSTANDING OF OUR COMMUNITY.

WE DO THAT, LIKE I SAID, EITHER THROUGH CONTRACTED SERVICES OR DIRECT SERVICES.

UM, AND, UH, EXAMPLES OF OUR DIRECT SERVICES ARE PROVIDING, UH, SIX COMMUNITY CENTERS THROUGHOUT THE, THE COUNTY THAT HAVE, UH, RENTAL ASSISTANCE, UTILITY ASSISTANCE, MORTGAGE ASSISTANCE.

THEY HAVE FOOD PANTRIES, THEY HAVE CLOTHING CLOSETS.

SO A LOT OF DIFFERENT TYPES OF BASIC NEEDS CAN BE FILLED TO OUR COMMUNITY CENTERS.

WE ALSO PROVIDE, UH, AMERICAN SIGN LANGUAGE TRANSLATION SERVICES.

WE HAVE A PRETTY HEALTHY DEPARTMENT, LARGE DEPARTMENT OF, UH, CERTIFIED, UH, AMERICAN SIGN LANGUAGE INTERPRETERS WHO PROVIDE SERVICES TO NOT JUST AT COUNTY EVENTS AND COUNTY SERVICES, BUT OTHER GOVERNMENT AGENCIES ASK FOR THEIR ASSISTANCE AS WELL.

UH, WE HAVE CASE MANAGEMENT SERVICES AS WELL.

UH, WEATHERIZATION WILL DO WEATHERIZATION AND HOME REPAIRS.

THOSE ARE OTHER EXAMPLES OF OUR DIRECT SERVICES.

UM, BUT A LOT OF WHAT WE DO, WE DO IT IN CONTRACT WITH THE EXPERTS IN THE COMMUNITY, COMMUNITY ORGANIZATIONS THAT, UH, UH, KNOW THE COMMUNITY BETTER THAN WE DO, THAT ARE THE TRUSTED PARTNERS THAT ARE BOOTS ON THE GROUND.

AND SO WE, UH, CONTRACT OUT A LOT OF OUR SERVICES THROUGH COMMUNITY-BASED ORGANIZATIONS.

ARE THERE ANY QUESTIONS, UM, REGARDING OUR EXECUTIVES, UM, PRESENTATION? ANY COMMENTS? AND I WANNA WELCOME DR.

RICE, WHO IS ABLE TO JOIN US.

UM, WE JUST BRIEFLY WENT OVER THE BEGINNING OF THE AGENDA WITH THE STAFF BRIEFING.

WOULD YOU LIKE TO INTRODUCE YOURSELF TO THE BODY? SURE.

IF THERE YOU GO.

, FIRST OF ALL, I'M MOST EMBARRASSED BECAUSE I, UM, HAVE BEEN WATCHING THE EMAIL THREADS, BUT HAD STOPPED WATCHING THEM AS THERE WAS NO ACTIVITY.

AND SO I WAS UNAWARE OF TODAY'S MEETING UNTIL ABOUT NINE MINUTES AGO.

SO I DO APOLOGIZE, UM, FOR NOT, UM, FOR MISSING THAT.

UM, I DID, UM, WANNA SAY GOOD AFTERNOON, BUT I'M STILL CATCHING MY BREATH FROM MY SPRINT.

UM, SO I APOLOGIZE FOR THAT.

AND I'M LOOKING FORWARD TO MEETING THE FELLOW MEMBERS OF THE COMMISSION.

UM, YOU'RE REALLY FAST .

WELL, I DIDN'T HAVE THAT FAR TO GO.

CONVENIENTLY.

UM, I DON'T KNOW WHAT WE DID FOR, UM, AS BY WAY OF INTRODUCTIONS.

AND I AM INTERESTED IN, IN THE, UM, THE PROCESS AND POTENTIALLY THE, THE ROLE OF THE CHAIR.

SO I'M DOUBLY EMBARRASSED BECAUSE I WASN'T PREPARED TO BRING A, UM, A GOOD CV AND I KNOW WHAT, WHAT, YOU KNOW, OTHERS HAVE SHARED ONE.

AND I DON'T KNOW WHAT LEVEL OF AN INTRODUCTION WE HAVE GIVEN SO FAR.

JUST, UH, WHO YOU ARE, UH, ORGANIZATION THAT YOU'RE ASSOCIATED WITH, UH, AND THEN KIND OF WHAT AREA ARE YOU POTENTIALLY REPRESENTING AUSTIN OR THE TRAVIS COUNTY SIDE? OH, WELL, I LIVE IN AUSTIN, SO THAT'S PROBABLY A BIT OF THAT.

ALTHOUGH, UM, UM, I, I WORK WITH ST.

DAVID'S HEALTHCARE, HAVE BEEN THERE FOR 12 YEARS.

I, UM, DO CLINICAL INFORMATICS AND DATA SCIENCE THERE.

UM, UM, MY BACKGROUND'S CLINICAL EMERGENCY MEDICINE.

UM, I'M INVOLVED WITH THE, UM, UM, FORMER CHAIR AND, AND CURRENT BOARD MEMBER OF CPR, WHICH IS A STATE AGENCY FOCUSED ON CANCER.

IT'S THE SECOND LARGEST CANCER RESEARCH FUNDING ORGANIZATION IN THE COUNTRY.

SECOND ONLY TO THE NATIONAL CANCER INSTITUTE.

I WAS THE FOUNDING CHAIR OF, UM, THE AUSTIN HEALTHCARE COUNCIL, WHICH IS A, AN ACTIVE GROUP THAT TRIES TO BRING VARIOUS CONSTITUENCIES FROM ACROSS THE COMMUNITY INTO, UM, A SINGLE, UM, ORGANIZATION.

AND I'LL STOP THERE.

BUT ANYWAY, SO I'M THRILLED TO BE ON THE, THE, UM, THE, THE, THE COUNT, THE, UM, COMMISSION AND LOOK FORWARD TO GETTING TO KNOW MY COCOM COMMISSIONERS AS WE GO ALONG.

UM, SO NEXT ON THE AGENDA, WE HAVE, UM, DISCUSSION OF AGENDA REQUIREMENTS.

THANK YOU SO MUCH.

UM, WE HAVE NOT ACTUALLY GONE GOT TO THE AGENDA PART WHERE WE'RE GONNA TALK ABOUT THE CO-CHAIR, A VICE-CHAIR AND CHAIR POSITIONS.

UM, I HAD SENT OUT A COUPLE EMAILS, UM, PROBABLY IN THE LAST WEEK OR TWO ASKING IF THERE WAS INTEREST, UM, AND TO PROVIDE YOUR, UM, YOUR CV.

BUT, YOU KNOW,

[00:20:01]

IT'S STILL TIME.

SO WE WILL, WE WILL MOVE FORWARD, UM, BECAUSE WE HAVE A FULL, ALMOST A FULL QUORUM OF EVERYONE PRESENT.

WE JUST HAD MARTHA TO JOIN US VIRTUALLY AS WELL.

SO, MARTHA, IF YOU WOULD TAKE A FEW MOMENTS, UM, GIVE US YOUR NAME, YOUR BACKGROUND, A LITTLE BIT ABOUT YOURSELF AND WHERE YOU'RE REPRESENTING EITHER TRAVIS COUNTY OR THE CITY OF AUSTIN.

OH, YOU'RE, YOU'RE STILL MUTED.

UM, MARTHA, CAN YOU HEAR ME? YES.

I APOLOGIZE FOR THAT.

UH, MY NAME IS MARTHA LUHAN.

I'M A COMMUNITY HEALTH WORKER, UH, MENTAL HEALTH PEER SUPPORT SPECIALIST.

I AM REPRESENTING TRAVIS COUNTY.

I AM IN DEL VALLEY.

UM, I, UH, ALSO WORK IN DEL VALLEY FOR THE UT SOCIAL RESOURCE CENTER HERE WITH THE, UNDER THE SCHOOL OF NURSING AND UNDER THE CHILDREN WELLNESS CLINICS.

AND, UM, I THINK, WAS THERE ANYTHING ELSE, FOR NOW, IF THAT'S ALL YOU WANNA SHARE?

[2. Discuss agenda requirements]

UM, COMMISSIONER CROOKHAM, THAT'S, I GOTTA GET USED TO SAYING THAT, YOU KNOW, IT'S USUALLY CHRIS .

IT IS WEIRD.

UH, ARE WE ALLOWED TO ASK QUESTIONS OF S YES.

YEAR TERM, BUT IN HERE IT SAYS A TWO YEAR TERM.

SO THANK Y'ALL FOR YOUR PRESENTATIONS.

UM, WHAT GOALS DO Y'ALL HAVE, OR WHAT WISHES DO Y'ALL DESIRE? Y'ALL PUT THIS TOGETHER, SO ARE THERE ANY PARTICULAR ITEMS YOU'RE HOPING WE LOOK FORWARD, WE LOOK, WE WORK ON, OR LOOK FORWARD TO? I'LL, I'LL START.

I BELIEVE THE, THE COMMISSION WAS PUT TOGETHER THROUGH DIRECTIVES FROM COMMISSIONER'S COURT AND CITY COUNCIL, AND IT REALLY WAS IN RESPONSE TO, UM, A A COUPLE OF THINGS.

AND I THINK THE, THE PURPOSE HAS MAYBE MORPHED AND EXPANDED A LITTLE BIT.

UM, WHEN THE ITEM WAS FIRST BROUGHT PUT FORWARD, IT WAS REALLY TO, UM, HIGHLIGHT THE IMPORTANCE OF PUBLIC HEALTH AND COMMUNITY AND REALLY FI PROVIDE A STRUCTURED WAY FOR, UM, COMMUNITY TO ENGAGE WITH, UM, COUNSEL AND COMMISSIONER'S COURT ON PUBLIC HEALTH AND, UM, SOCIAL SERVICE ISSUES.

UM, THIS CAME BACK TO THE FOREFRONT DURING THE PANDEMIC WHERE WE SAW, UM, BREAKDOWNS NATIONALLY WITH, UH, THE DELIVERY OF PUBLIC HEALTH SERVICES AND THE UNINTENTIONAL CONSEQUENCE OF, UH, HISTORICALLY MARGINALIZED POPULATIONS BEING PUSHED INTO, UM, LIKE WIDENING THAT GAP.

AND SO, UM, THIS WAS REBOUGHT BACK TO BOTH CITY COUNCIL AND COMMISSIONER'S COURT WITH THE IDEA THAT THERE, THE COMMISSIONERS WOULD SERVE AS A VOICE, UM, OF THE COMMUNITY TO ADVOCATE FOR, UH, EXPANDED PUBLIC HEALTH AND COMMUNITY HEALTH INITIATIVES, UM, TO REALLY, UM, BRING LASER ATTENTION AND FOCUS TO HISTORICALLY MARGINALIZED POPULATIONS AND DISPARITIES.

AND TO PROVIDE, UM, A COLLECTIVE RECOMMENDATIONS FOR, UM, INCREASED INVESTMENTS OR ACTION UPON FOR NOT ACTION, WELL RECOMMENDATIONS FOR INVESTMENTS IN SERVICES IN TRAVIS COUNTY TO HELP IMPROVE POPULATION HEALTH OUTCOMES.

AND I DON'T KNOW IF MY COLLEAGUES WANNA ADD ANYTHING.

I THINK YOU, YOU COVERED IT.

UM, YEAH.

AND FULL, MOST IMPORTANTLY, UM, A LOT OF WHAT, UM, ADRIAN SAID WAS THAT, UM, WE WANTED TO HEAR FROM PEOPLE WHO UNDERSTAND WHAT OUR RESIDENTS ARE, UM, ARE SUFFERING THROUGH AND HAVE BEEN IN THE FIELD, UH, EITHER THROUGH PERSONAL EXPERIENCE OR PROFESSIONAL EXPERIENCE, UH, SO THAT YOU CAN BRING TO US, UM, THINGS THAT YOU'RE SEEING THAT ARE NOT BEING COVERED BY OUR PROGRAMS AND MAKING RECOMMENDATIONS ON HOW WE CAN IMPROVE THAT.

I DO WANNA POINT OUT, UM, THAT YOU ALL HAVE OPPORTUNITY TO REVIEW YOUR, UM, GENERAL PROVISIONS AND BYLAWS, WHICH YOU ALL SH HAVE A COPY OF.

UM, I CAN ALSO SEND THEM TO YOU ELECTRONICALLY AGAIN, JUST IN CASE YOU MAY HAVE MISSED IT IN PREVIOUS COMMUNICATIONS.

UM, AND I KNOW THAT'S A PART OF OUR AGENDA TO REVIEW THEM, AND I, IT'S GONNA PROBABLY BE ALMOST IMPOSSIBLE TO ACTUALLY VOTE ON THEM TODAY.

BUT, UM, IT IS AVAILABLE FOR YOUR REVIEW OF WHAT THE BODY'S EXPECTATIONS ARE, UM, BASED OFF OF THOSE, UM, ORDINANCES AND REQUIREMENTS AS OUTLINED BY DIRECTOR STEWART.

AND I SEE DR.

AND THE TV, TV GOT, UH, PLUG, GOT KICKED OUT.

UHOH

[00:25:02]

GET A SECOND.

YEAH, IT'S GOING BACK ON NOW.

, I'M SORRY.

WERE THERE ANY OTHER QUESTIONS, DR.

PRICE? I WAS JUST GONNA MAKE A COMMENT I GUESS ON THAT, JUST THAT, FIRST OF ALL, VERY SENSITIVE TO THE DIRECTION OF THE CITY AND THE COUNTY ON WHAT THE GOALS ARE, GOALS AND OBJECTIVE, OF COURSE.

UM, AND THINKING AND LOOKING AROUND, UM, THE COUNTRY ABOUT THIS.

THERE ARE OTHER PUBLIC HEALTH COMMISSIONS, AND SO THERE ARE LESSONS TO BE LEARNED FROM OTHER PUBLIC HEALTH COMMISSIONS AS ONE OF LOS ANGELES.

THERE'S ONE IN BOSTON, NOT EVERY LARGE CITY HAS THEM.

SO I THINK THERE'S PROBABLY AN EXERCISE THAT WE'LL WANT TO GO THROUGH AS A COMMISSION TO STUDY WHAT OTHER PEOPLE HAVE DONE.

I THINK WE WANNA STAY WITH A VERY TIGHT BOUNDS OF EXACTLY WHAT THE CITY AND THE COUNTY HAVE ENVISIONED FOR US ON ONE HAND.

ON THE OTHER HAND, I THINK AMONGST OURSELVES, WE SHOULD BE STUDYING AND LEARNING TOGETHER AS A GROUP.

AND, AND, UM, AND SO THE FIRST PLACE I I THOUGHT ABOUT IS TO GO TO OTHER PUBLIC HEALTH COMMISSIONS AROUND THE COUNTRY.

AGAIN, MANY DIFFERENT FORMS AND, AND, AND, UM, MANY CITIES DON'T HAVE 'EM, BUT MANY FORMS OF THAT.

AND SO THAT'S ONE THING.

SECOND THING IS THAT, YOU KNOW, UM, AGAIN, I CAN IMAGINE A SATURDAY AFTERNOON, AND I KNOW, I DON'T KNOW, I MEAN, IF WE ARE A QUORUM, WE PROBABLY HAVE OF COURSE, YOU KNOW, MEETING RULES.

AND SO WE'D HAVE TO THINK ABOUT HOW TO DO IT.

BUT I KIND OF ENVISION A, UM, A PUBLIC MEETING WHICH WOULD TURN INTO REALLY A SATURDAY WHERE WE MIGHT SPEND A DAY AND REALLY HAVE SOME TIME TO TALK AND MAYBE EVEN HAVE PRESENTATIONS ABOUT THE THINGS WE MIGHT WANT TO THINK ABOUT IN ADDITION TO, OR WITHIN THE SCOPE OF WHAT WE'RE GONNA BE ASKED TO DO.

AGAIN, NOT TRYING TO IMAGINE SOMETHING THAT'S CRAZY OR WILDER OR TOO HAIR-BRAINED OR ANYTHING LIKE THAT, THAT WOULD COME OUT OF, OF, UM, YOU KNOW, KNOW OF ODD DANCE IDEAS WE MIGHT HAVE.

BUT, YOU KNOW, UM, UM, THERE'S A WHOLE STACK OF SOCIAL SERVICES AND HOMELESS ISSUES, UH, PEOPLE SUFFERING FROM HOMELESS, UM, HOUSING ISSUES, UM, RESPITE ISSUES THAT FOR PEOPLE THAT COME OUTTA HEALTHCARE.

UM, I HAD SOMETHING TODAY THAT, UH, ONE OF THE FOUNDATIONS LOCALLY SCRIPT READY TO DO AN END OF LIFE SESSION TO, I WONDER HOW PEOPLE IN TRAVIS COUNTY HAVE ACCESS TO END OF LIFE CARE.

AND THAT'S A VERY INTERESTING CONVERSATION.

NOT EXACTLY, EXACTLY WHERE YOU'D PROBABLY SAY WE WANTED TO START, BUT THOSE ARE THE KINDS OF THINGS I THINK THIS COMMISSION WANTS TO BE THINKING ABOUT AND MAYBE AWARE OF.

NOT THAT WE'RE GONNA WANT TO HAVE ANY ACTION OR DO ANYTHING OR SUGGESTION TO, BUT I THINK THERE'S A WHOLE MENU OF THINGS LIKE THAT, THAT WE PROBABLY, UM, YOU KNOW, WOULD WANNA BE CONVERSANT ON.

WE MIGHT WANNA, UM, I KNOW, UM, UM, DAVID EVANS, WHO'S HEAD OF THE LOCAL, UM, MENTAL HEALTH, UM, UM, AUTHORITY IS GETTING READY TO RETIRE, BUT I THINK WOULD LOVE TO, YOU KNOW, UM, INVITE A GROUP LIKE US OR PARTS OF US TO DO WHAT HE CALLS KIND OF A, A TOUR TO SHOW YOU WHERE THE BEHAVIORAL HEALTH STORY IN AUSTIN IS REALLY TOLD WITH A FIRSTHAND VIEW KIND OF THING BY SOMEONE WHO'S BEEN LEADING IT FOR 30 YEARS OR SOMETHING LIKE THIS.

SO I JUST THROW OUT THOSE KINDS OF THINGS.

AS, YOU KNOW, AS WE ASK, AND LIKE YOU, I ASKED SPECIFICALLY KIND OF WHAT IS THE CHARGE OF THE GROUP AND, UM, I THINK THAT, UM, WE'LL KNOW MORE ABOUT THE CHARGES.

WE GO ALONG AND WE DEVELOP, AND WE OBVIOUSLY HAVE SOME BYLAWS AND WHATNOT, BUT IT'S A VERY EXCITING, INTERESTING THING WE GET TO DO BECAUSE WE'RE GONNA NOW BE STUDYING IN DETAIL A WHOLE MENU OF ITEMS THAT I THINK ARE, UM, FOUNDATIONALLY INTERESTING AND IMPORTANT TO THE COMMUNITY.

YOU KNOW, I HAD SOME, UH, BASIC QUESTIONS REGARDING, I KNOW WE'RE ON THE LAUNCH OF THIS.

SO THERE'S A LOT OF GROUND CONSENSUS UNDERSTANDING, BASIC UNDERSTANDING FROM Y'ALL DIFFERENT DEPARTMENTS THAT HAVE TO HAPPEN FIRST BEFORE WE REALLY DIVE INTO WHAT TOPICS, WHAT AREAS OF FOCUS AND STUFF THAT WE WANT TO BE ABLE TO DO.

SO, ONE OF THE QUESTIONS I HAD WAS, WILL WE GO, HOW WILL WE GO ABOUT THAT PROCESS? WILL WE GO BASED UPON DIFFERENT SERVICES OR PROJECTS THAT ALIGN ACROSS YOUR FOUR DIFFERENT ENTITIES TO UNDERSTAND WHAT THEY ARE, WHAT THEY DO, WHERE THE HINDRANCES ARE, WHERE THE BARRIERS ARE AT, WHERE CAPACITY DESIGNING OR WE'RE BRIDGING, UH, TO EXPAND CAPACITY? OR WILL WE GO YOURS, THEN YOURS, THEN YOURS, THEN YOURS.

SO WE HAVE A VERY INFORMED UNDERSTANDING OF WHAT IS REALITY, UH, WHAT THE DESIRE IS, UH, WHERE SYNERGY CAN POTENTIALLY OCCUR.

AND THEN WHERE, YOU KNOW, HOPEFULLY INSIGHT AND CONNECTIONS THAT WE HAVE MAY BE ABLE TO HELP AUGMENT THAT.

THAT'S ONE.

THE OTHER PIECE IS WHEN WE DO GET TO, UH, THE, THE BYLAWS, UM, WHAT IS GONNA BE OUR ASSOCIATION WITH THE OTHER COMMISSION'S, COMMITTEES AND WORK GROUPS THAT ARE ALREADY ESTABLISHED WITHIN YOUR ORGANIZATIONS, UH, WITHIN THE CITY, WITHIN, UH, THE, UH, THE COUNTY'S COMMISSIONER'S COURT, WHAT IS GONNA BE OUR RELATIONSHIP IN THERE? SO WE HAVE AN UNDERSTANDING OF WHERE OUR BOUNDS ARE LEFT AND RIGHT IN INFLUENTIAL CAPACITY, NON INFLUENTIAL CAPACITY.

AND THEN WHEN WE ALSO GET TO THE BYLAWS, FOUR B, FOUR D AND NINE WERE AREAS OF INTEREST FOR ME.

FOUR B I KNOW ON THE WEBSITE FOR THE CITY OF AUSTIN SAYS A FOUR

[00:30:01]

ALL OF US CURRENTLY RIGHT NOW HAVE THE SAME TERM LENGTH.

SO HOW ARE WE GONNA IDENTIFY THAT, UM, THAT, UH, DISPERSED TIMELINE, UM, BECAUSE I KNOW YOU DON'T WANT US ALL GOING OUT AT THE SAME TIME AND HAVING TO BRING IN A WHOLE NEW CREW AND HAVING TO DO THAT WHOLE INDOCTRINATION PORTION AGAIN IN 4D, UH, IT SAYS TWO CONSECUTIVE REGULAR MEETINGS.

UM, I DIDN'T SEE A CLAUSE IN HERE THAT SAYS UNEXCUSED.

SO I GUESS JUST A LITTLE BIT OF CLARITY ON, ON THAT REFINERY RESTRICTION, CUZ THAT SEEMS A LITTLE BIT MORE TIGHTER THAN WHAT I'VE SEEN IN OTHER COMMITTEES AND COMMISSIONS.

AND THEN NINE, WHEN I TALKED ABOUT COMMITTEES, I THINK JUST A LITTLE BIT MORE CLARITY ON THAT.

CAUSE I SAW THERE'S MORE OF A ELONGATED PROCESS IF WE WANT TO COM COMMIT, CREATE SUBCOMMITTEES VERSUS JUST A WORK GROUP.

AND I THINK UNDERSTANDING THAT PIECE, CUZ WHEN WE START TALKING ABOUT TOPICS, AGAIN, NEEDING TO KNOW WHETHER OR NOT WHICH ROAD WE WANT TO BE ABLE TO TRY TO TAKE THAT DOWN.

SO LET ME, THAT WAS A LOT, THAT WAS A LOT.

UM, LET ME TRY TO GO BACK TO THE, AND CATCH THE FIRST QUESTION AND IF I MISS IT THEN PLEASE REITERATE, WE ARE REALLY HERE TO SERVE AS RESOURCES FOR INFORMATION.

HOWEVER THE COMMISSION DECIDES TO STRUCTURE THEIR WORK AND THEIR APPROACH, IT'S TOTALLY UP TO THE GROUP.

UM, SO WE ARE DEFINITELY NOT HERE TO DIRECT, UM, JUST TO GIVE INSIGHT, UM, TO PROCESSES FOR THE DIFFERENT AGENCIES AND TO LIAISE WITH OPERATIONS AS APPROPRIATE.

UM, WHAT WAS YOUR SECOND? YEP, YOUR SECOND QUESTION.

THE, UH, SECOND ONE WAS OUR ASSOCIATION WITH THE DIFFERENT COMMISSIONS, COMMITTEES AND, AND WORK GROUPS THAT ARE ALREADY ESTABLISHED.

SO I'LL START WITH THE CITY SIDE AND THEN I'LL, UM, ASK MY COLLEAGUE TO TALK ABOUT HOW IT WORKS ON THE COUNTY.

SO, UM, THERE IS A JOINT INCLUSION COMMISSION AND THAT HAS REPRESENTATION FROM ALL OF THE QUALITY, WHAT WE CALL THE QUALITY OF LIFE COMMISSIONS, AS WELL AS SOME OTHER ONES THAT ARE FOCUSED ON AREAS SUCH AS THIS.

AND I CAN REACH OUT TO THE EQUITY OFFICE ABOUT EXTENDING THIS COMMISSION OF REPRESENTATION ON THAT GROUP.

AND SO THAT'S WHERE, USUALLY WHERE THAT GROUP COMES TOGETHER IS IF THEY'RE, UM, BUDGET RECOMMENDATIONS THAT THEY HAVE THAT, UM, ARE AMENABLE TO ALL THE COMMITTEES OR COMMISSIONS ACROSS THE BOARD, OR IF THERE ARE OTHER JOINT ACTIVITIES THAT THEY, UM, WANT TO COLLABORATE ON.

AGAIN, UM, YOU GUYS ARE A A, AN APPOINTED BODY.

UM, WE CAN MAKE CONNECTIONS WITH THE CHAIRS OF WHAT, WHICHEVER COMMISSIONS THAT YOU'RE INTERESTED IN SO THAT YOU CAN FORGE THOSE RELATIONSHIPS AND, AND CROSS, UM, FUNCTIONAL WORK GROUPS AS YOU SEE FIT.

UM, YOU DO HAVE A DIRECT, UM, CORRELATION TO THE PUBLIC HEALTH COMMITTEE.

AND IF THIS GROUP HAS ANY RECOMMENDATIONS FOR COUNCIL, IT'LL FIRST GO THROUGH THAT COMMITTEE, UM, TO GAIN COUNCIL MEMBER SPONSORSHIP, AND THEN THEY WILL BRING IT TO, UH, THE FULL COUNCIL FOR ANY APPROPRIATE ACTION.

AND ON THE COUNTY SIDE, WE DON'T HAVE A STRUCTURE, UM, LIKE YOUR INCLUSION COMMITTEE.

UM, SO IT WOULD BE, UH, BASICALLY THE, THE SECOND PART IF YOU WANTED INTRODUCTIONS TO OTHER COMMITTEES, UH, OTHER COMMISSIONS AND, UM, OTHER COMMITTEES AT TRAVIS COUNTY, WE CAN MAKE THOSE INTRODUCTIONS FOR YOU.

AND THEN JUANITA IS, UM, HAS BEEN LIAISING WITH THE CLERK'S OFFICE FOR THE DEVELOPMENT OF THESE FORMATION DOCUMENTS.

I DO BELIEVE THAT THERE IS SOME FLEXIBILITY WITH, UM, SOME OF THE TERMS THAT WE CAN, IF YOU GUYS HAVE EDITS AND REVISIONS THAT WE CAN BRING BACK, UM, TO BE REVIEWED BY THE CLERK'S OFFICE AND, AND LEGAL AND THEN BRING THOSE BACK TO YOU FOR FINAL, UM, APPROVAL AND ADOPTION.

AND I'M ASSUMING FOR ESSENTIAL HEALTH, IT'D PRETTY MUCH BE THE SAME PROCESS.

CAUSE I KNOW NOT ONLY DO YOU HAVE THE BOARD, BUT YOU ALSO HAVE THE, UH, THE EASTERN CRESCENT SUBCOMMITTEE AND YOU HAVE THE OTHER SUBCOMMITTEES RIGHT.

AS WELL.

SO, OKAY.

I WOULD SAY THIS USES AS A RESOURCE AS MUCH AS POSSIBLE.

AND I APOLOGIZE, I FAILED EARLIER TO MENTION ONE OF OUR BOARD MEMBERS WHO'S HERE, AND THAT'S A MS. SHANNON JONES OR A DR.

JONES AS WELL, WHO'S IN THE AUDIENCE AS WELL.

AND THANK YOU.

AND TO YOUR POINT ABOUT SUBCOMMITTEES VERSUS WORKING GROUPS, YES, YOU'RE ABSOLUTELY RIGHT.

A WORKING GROUP IS EASIER TO GET OFF THE GROUND THAN A SUBCOMMITTEE BECAUSE THAT WOULD, IF I'M NOT MISTAKEN, HAS TO BE APPROVED BY AUDIT AND FINANCE COMMITTEE.

MY RECOMMENDATION WOULD BE THAT AS A BODY, YOU ALL REVIEW THEM AND THEN BRING THOSE EDITS AND REVISIONS BACK TO ME, UM, SO THAT THEY CAN BE PRESENTED TO THE LEGAL TEAMS AT BOTH AGENCIES.

ANY, UM, AT THIS POINT, BECAUSE THEIR BYLAWS ARE STILL IN DRAFT, UM, MY,

[00:35:01]

UM, AND THEN AS FAR AS THE, THE ADDITIONAL RECOMMENDATIONS ABOUT TERMS, HOW THEY WOULD FLOW, THAT WOULD BE A CONVERSATION WE'D NEED TO HAVE WITH OUR CITY CLERK'S OFFICE TO ENSURE THAT WE DO HAVE THAT STAGNATION, UM, WITH MEMBERSHIP.

UM, AND THEN WE COULD LOOK AT MOVING IT FORWARD.

UM, AND THEN IN AS FAR AS THE COMMITTEES OR SUBCOMMITTEES OR WORK GROUPS, WORK GROUPS CAN BE FORMULATED EASILY AS, UM, DIRECTOR STEWART MENTIONED, BUT IF YOU DECIDE TO CREATE A C A SUBCOMMITTEE, WE WOULD NEED TO INCLUDE THAT IN YOUR BYLAWS AND GENERAL PROVISIONS, UM, SO THAT THEY ARE CLEARLY IDENTIFIED AND WHAT THEIR PURPOSE AND SCOPE WOULD BE.

DO YOU HAVE A PREFERRED, UH, DUE DATE FOR THOSE REVISIONS? UM, YOUR NEXT MEETING AND, AND AS WE KIND OF JUMPED AROUND THE AGENDA, BECAUSE THE AGENDA WAS GOING TO BE TALKING ABOUT WHAT'S NEXT, BUT, RIGHT.

UM, I WOULD ASK THAT, YOU KNOW, UH, THE NEXT MEETING IS JULY 12TH.

UM, SO THAT GIVES A LITTLE BIT OVER A MONTH.

UM, IF THERE'S A NEED FOR, UH, COMMUNICATIONS, WHICH IS ALSO PART OF MY, MY, UM, PRESENTATION TO Y'ALL IS MAKING CONVERSATION, UM, DIRECTLY WITH ME AND NOT IN A GROUP MM-HMM.

THROUGH COMMUNICATIONS, WE WANNA MAINTAIN, UM, OUR TRANSPARENCY.

SO IF YOU HAVE COMMENTS OR QUESTIONS, AND YOU CAN SEND THEM DIRECTLY TO ME, UM, THAT WOULD HELP ELIMINATE, YOU KNOW, ANY POTENTIAL CONVERSATIONS OFFLINE.

UM, BUT I, I WOULD SAY MORE SPECIFICALLY IF, IF, IF THE, IF WE COULD GET ANY COMMENTS BACK BY FRIDAY, JUNE 23RD, AND THEN THAT GIVES THE LEGAL TEAMS ON AT THE CITY AND THE COUNTY AND THE CLERK'S OFFICE ENOUGH TIME TO REVIEW BEFORE THE JULY 12TH MEETING.

MR. FOR CLARITY, ARE YOU TALKING ABOUT THE BYLAWS OF THE, UM, OF THE COMMISSION? YES.

IN YOUR PACKET OF THE DATES THAT, UM, THAT WERE SELECTED.

, THAT'S THE, THE, THE SEPARATE, UH, 11 PAGER IS THE GENERAL PROVISIONS, AND THE LAST SECTION IN YOUR LITTLE, UM, FOLDER IS THE BYLAWS.

UM, THE OTHER THINGS, OF COURSE, THE EMAIL SYSTEM, WE WANNA MAKE SURE THAT WE USE THAT EFFECTIVELY WITH ALL OF OUR COMMUNICATIONS.

THAT'S HOW I'LL BE COMMUNICATING WITH YOU ALL, UM, FOR ANY, YOU KNOW, FOLLOW UP QUESTIONS, COMMENTS, SCHEDULING, AND I'LL MAKE SURE THAT EACH TIME, IF THERE'S AN OPPORTUNITY FOR VIRTUAL, UM, MY ASK IS THAT YOU LET ME KNOW SO I CAN DOCUMENT IT.

UM, FOR OUR, OUR, UM, CTM TEAM TO KNOW THAT YOU'RE GONNA BE VIRTUAL, THAT'S ONE OF THE, THE ASK, UM, UH, AS YOU ALL SIGNED IN.

UM, AND FOR THOSE THAT ARE VIRTUAL, WHENEVER YOU'RE SIGNING IN, IF THERE'S AN ITEM, OF COURSE, WE HAVE A LITTLE WAYS TO GET TO THIS POINT, BUT IF YOU HAVE CONFLICTS OF INTEREST, UM, FOR ANY OF THOSE ITEMS, YOU WILL BE ASKED TO RECUSE YOURSELF OR TO DENOTE THAT, UM, UPON SIGNING IN.

UM, AND THEN OF COURSE, WE'LL NEED TO STATE THAT DURING THE MEETING THAT YOU'RE RECUSING, UM, DUE TO CONFLICT OF INTEREST.

UM, ANYTHING ELSE, THERE'S GONNA BE A LOT OF LOGISTICAL LEARNING ON HOW WE'LL COMMUNICATE AND, AND MAINTAIN THAT EFFECTIVE, UM, WAY OF GETTING TO KNOW EVERYBODY AND WHAT YOU'LL NEED.

UM, BUT WE ARE HERE TO SUPPORT.

SO, UM, WE'LL TAKE YOUR GUIDANCE ON HOW YOU WANNA MOVE FORWARD WITH THINGS.

UM, BUT WE'LL DEFINITELY BE HERE TO, TO MAKE SURE THAT YOU, WE STAY WITHIN THE GUIDELINES.

AND I DO HOPE EVERYONE HAS HAD THE CHANCE, UM, OF COMPLETING ALL OF THE REQUIRED TRAININGS THAT WERE ASKED.

UM, THERE IS ANOTHER TRAINING, I BELIEVE CHRIS REMINDED ME, UM, OF THE SECURITY TRAINING.

SO WERE YOU ALL ABLE TO DO THAT AS WELL? THAT'S A PLUS.

UM, THEN , I'M LOOKING AT THE SCREEN TOO.

SURE.

CAN SEE MS. LUJAN.

YEAH, I CAN SEE THAT WAY.

I DON'T, MS. LUJAN IS NOT ON, UH, YEAH, COMMISSIONER IS NOT ON, ON SCREEN AT THE MOMENT.

UM, SO THE NEXT THING WE DID INITIALLY A, UM, A SURVEY OF AVAILABILITY.

AND SO IT KIND OF WENT A ALL OVER THE PLACE , BUT WE HAD TO COME TO A, A CONSENSUS OF WHAT WAS GONNA BE THE MOST FEASIBLE.

AND SO WHAT WE BOILED DOWN TO WAS A TIE BETWEEN WEDNESDAY AND THURSDAY, AND UNFORTUNATELY THURSDAYS DOES NOT, UM, EQUATE AS WELL FOR MIDDAY TIMES, WHICH WAS WHAT WAS SELECTED, UM, FOR A MEETING OF THIS BODY.

AND THEN WEDNESDAY WAS THE MOST OPTIMAL TIME WHERE WE COULD ACTUALLY GET A LOCATION AS QUICKLY AS WE WERE LOOKING.

SO I WOULD ASK IF YOU NEED TO REVIEW YOUR SCHEDULES, UM, THERE IS A, UM, PROPOSED SCHEDULE

[00:40:01]

AND I DID SEND YOU ALL THE MEETING NOTES, UH, OF THE MEETING APPOINTMENTS FOR THOSE MEETINGS.

UM, BUT I ASK IF THOSE DO NOT WORK AS THE BODY, LET'S LOOK AT OUR SCHEDULES AGAIN TO MAKE SURE THAT WE DON'T NEED TO MAKE ANY ADJUSTMENTS.

AND IF WE DO, LET'S DO THEM QUICKLY SO THAT WE CAN GET THEM POSTED.

UM, FOR FUTURE MEETINGS, AND I WILL SAY, UM, BECAUSE WE'VE SCHEDULED NOT ONLY THIS ROOM RESOURCE, BUT THE COMMUNICATION AND TECHNOLOGY MANAGEMENT CTM RESOURCES, THAT IF THIS SCHEDULE CAN HOLD FOR THE MOST PART UNTIL THE END OF THE YEAR, AND THEN IF WE WANNA PROPOSE CHANGES FOR FISCAL YEAR 24, THAT WOULD BE OPTIMAL.

BUT IF THERE ARE SOME, IF IT IS A HARD NO FOR WEDNESDAYS IN THE AFTERNOON, THEN WE'LL DEFINITELY, UM, LOOK FOR OTHER PLACES AND TIMES FOR THE COMMISSION TO MEET.

UM, SO WE DID BRIEFLY TOUCHED ON, ON THE APPROVAL FOR THE COMMISSION'S, BYLAWS AND AGENDAS.

ARE THERE ANY ADDITIONAL QUESTIONS ON THAT PART? UM, FOR, FOR NOW, I DO HAVE A QUESTION.

UM, SURE.

I WANTED TO KNOW IF IT'S POSSIBLE FOR US TO JUST GET OUR, UM, DIRECTIVE OR ANY ORDERS THAT ESTABLISH THIS, UM, COMMISSION SO THAT WE CAN MAKE SURE WE'RE ALIGNING OUR BYLAWS ACCORDINGLY.

LIKE, I DON'T RECOMMEND DOING ANY ACTION OF THE BYLAWS TODAY.

UM, I'D LIKE TO SEE THAT AND HAVE THAT ALIGNMENT, UM, BEFORE I KIND OF REVIEW AND MAKE ANY EDITS.

AND THEN I ALSO WANNA SAY, UM, TO MAKE SURE WITH THIS TYPE OF ACTION ITEM THAT WE ARE GETTING IT THREE DAYS IN ADVANCE, UM, PER TOMA.

SO I DO BELIEVE ALL OF THE ITEMS MET THE POSTING GUIDELINES SET BY THE AGENDA OFFICE, BUT WE WILL MAKE SURE, SO COMMISSIONERS WILL NEED TO CHECK THE WEBSITE FOR THE COMMISSION LINK, AND WE CAN HAVE STAFF SEND THEM OUT TO YOU AS WELL ONCE THOSE ITEMS ARE POSTED.

AS FAR AS THE PURPOSE OF THE COMMISSION THAT IS OUTLINED, UM, STRICTLY IN THE BYLAWS, A LOT OF WHAT'S IN THERE IS BOILER PLATE BASED ON DIRECTION FROM THE CLERK AND HOW THESE BODIES ARE GOVERNED.

BUT I DO BELIEVE WHERE THERE'S OPPORTUNITY FOR FLEXIBILITY IS IN THE, THE TERMS. AND I APOLOGIZE, UM, FOR THAT MISMATCH OF INFORMATION, I NEED TO GO BACK AND SEE HOW THAT HAPPENED AND THE CONSTRUCTION OF, OF THE MEMBERSHIP.

BUT THERE'S SOME OF THE WAYS THAT YEAH, IT'S DIFFERENT FROM, UM, YOU KNOW WHAT I'M TRYING TO SAY.

HIV PLANNING COUNCIL, SORRY, I'M LIKE THIS, LIKE, YOU CAN IT'S, IT'S DIFFERENT FROM THE HIV PLANNING COUNCIL BECAUSE THAT'S KIND OF GOVERNED BY THE GRANT REQUIREMENTS WHERE THIS IS, UM, GOVERNED BY, UH, THE CITY CLERK'S PROCESS.

BUT WE CAN, THAT IS A GOOD POINT THAT YOU RAISED AND WE WILL SEND THAT OUT TO YOU FOR A COMPARISON.

ARE AT A POINT WHERE, UM, IT IS REQUIRED THAT, BECAUSE THIS IS YOUR FIRST MEETING, UM, I DID ASK FOR THOSE THAT ARE INTERESTED.

SO WE

[5. Conduct officer election for the Chair and Vice-Chair]

UM, WE CAN VOTE OR SELECT A CHAIR AND CO-CHAIR BASED ON YOUR VOCAL APPEARANCE, UH, OR INTEREST AT THIS POINT.

BUT I DO NEED TO HAVE AT LEAST THAT ACTION NOTED AS YOUR FIRST MEETING.

SO AT THIS POINT, UM, I DID RECEIVE, UM, INTEREST FROM DR.

WALLACE, UM, AS BEING INTERESTED IN SERVING AS A CHAIR OR CO-CHAIR.

AND IF THERE'S ANYONE ELSE, PLEASE MAKE YOURSELF NOTE.

IT'S, IT'S THE VICE CHAIR.

AND WITH APOLOGIES FOR THE LATENESS, I, I HAD INTENDED TO AS WELL ACKNOWLEDGE MY INTEREST IN THE CHAIR POSITION.

UM, SO WITH THAT BEING SAID, UM, COMMISSIONERS, UM, YOU HAVE TWO OPTIONS, DR.

WALLACE AND DR.

RICE, UM, YOU KNOW, I DON'T MM-HMM.

, BEFORE WE ASK THE COMMISSIONERS TO TAKE A VOTE, I JUST WANNA MAKE SURE ON THIS SCREEN IF THERE'S ANY INTEREST IN ANY OF THOSE TWO POSITIONS AND IF THE COMMISSIONERS WOULD LIKE, LIKE US TO READ A DESCRIPTION OF THE RESPONSIBILITIES PRIOR TO EITHER NOMINATING, SELF NOMINATING OR MAKING A DECISION.

I SEE, UH, COMMISSIONER KILLION NODDING YES OUTRIGHT.

I'M ALSO WONDERING WOULD WE BE ABLE TO SPEAK FOR OURSELVES A LITTLE BIT AGAIN? I, I, I JUST DIDN'T KNOW IF THAT WAS PART OF THE PROCESS OR THAT'S COMING.

YOU, YOU, UM, YES, SIRAM BASICALLY YOU WILL BE SPEAKING FOR YOURSELF AND, OKAY.

DO YOU WANNA BRING THE DESCRIPTIONS? PULL

[00:45:01]

THAT BACK UP AGAIN.

LEMME FIND MY, MY MESSAGE.

WE'RE GONNA BE LEARNING TOGETHER .

SO GRACE AND PATIENCE APPRECIATED FOR THE, UM, BACK TO, UM, WHAT THE ONE COMMISSIONER STATED, WOULD IT BE POSSIBLE TO GET A COPY OF THE PRESENTATION THAT Y'ALL GAVE TO THE, UM, COUNTY COMMISSIONERS? UH, ABOUT THE, ABOUT THE COMMISSION? UH, I THINK IT WAS REALLY IN DEPTH ON, UH, WHAT THE INTENT WAS, PURPOSE WAS, UM, AND SO FORTH.

I FORGET WHAT PAGE IT WAS.

AND THEN WAS THERE A RESOLUTION, UM, THAT THE, THAT THE CITY DID THAT WOULD PROBABLY BE KIND OF IN LINE WITH THAT, WITH THE ASK THERE, AT LEAST THOSE MATERIALS.

WHAT WAS THE FIRST ONE? UH, SO THERE ARE RESOLUTIONS THAT WE CAN SHARE WITH YOU, BUT WHAT WAS THE FIRST ONE? THERE WAS A PRESENTATION THAT WAS DONE WHEN THE COMMISSIONER'S COURT, UH, VOTED ON THE MEMBERSHIP, THAT PRESENTATION MM-HMM.

, IF YOU CAN SEND THAT ONE OUT WITH, WITH ANY OF THE RES RESOLUTIONS THAT WERE CREATED, UH, FOR, FOR THE COMMISSION, WE CAN DEFINITELY FIND THE LINK TO THAT SPECIFIC DATE AND MAYBE THE TIMING MM-HMM.

ON THE, ON THE VIDEO THAT YOU WOULD SKIP TO THAT PARTICULAR TIME WHERE IT STARTS.

WE CAN GET THAT TO YOU.

SOUNDS GOOD.

THANKS.

THAT'S A, A REALLY GOOD ASK.

SO THE MESSAGE THAT I SENT EVERYONE YESTERDAY HAS THE, THE GUIDELINES, UM, UM, HOLD ON A SECOND.

IT IS, IT IS IN, UM, ON, IN THE BYLAWS.

SO ON PAGE THREE, ARTICLE SIX, DUTIES OF OFFICERS.

BUT IS THERE MORE DETAILED DESCRIPTION? N NO.

NO.

SO, SO TO, TO KIND OF SUM, SUMMARIZE, UM, THE RESPONSIBILITIES AS THE PRESIDING OFFICER, YOUR RESPONSIBILITIES WOULD BE TO LEAVE BOARD MEETINGS APPROVED DRAFT MINUTES, UM, COMPLETE ANNUAL REVIEW AND REPORT AND APPOINT MEMBERS TO WORKING GROUPS AND COMMITTEES DURING AN OPEN MEETING.

UM, AND THEN THE VICE CHAIR, UH, WOULD SERVE IN YOUR CAPACITY, IF NOT, UM, PRESENT.

AND SHOULD THE BODY ELECT ANY OTHER OFFICE OFFICES AS SECRETARY OR PARLIAMENTARIAN, THEY WOULD ALSO SERVE IN, UM, AS A BACKUP TO, TO THE PRESIDING OFFICER.

UM, FOR THE ELECTION GUIDELINES, OF COURSE, WHOEVER ELECTS MUST BE PRESENT OR NOMINATES MUST BE PRESENT TO ACCEPT THE NOMINATION.

UM, IF THERE ARE IS MORE THAN ONE PERSON, OF COURSE EACH PERSON HAS THEIR OWN VOTE AND THEIR VOICE, AND IT MUST BE BY MAJORITY VOTE THAT THE, UM, CHAIR OR CHAIR, VICE CHAIR IS SELECTED.

UM, PRETTY SIMPLE.

UH, MAY I ASK A QUESTION? UM, IN THE TRAINING, THEY MENTIONED THAT THE CHAIR HAD TO BE PRESENT, THE RIGHT IN PERSON TO PRESIDE OVER THE MEETINGS.

THE CHAIR MUST BE PRESENT AT ALL MEETINGS ALONG WITH STAFF.

CHRIS, THAT WAS MY QUESTION.

COMMISSIONER CROOKHAM.

UM, SO THERE HAVE BEEN TWO NOMINATIONS.

ARE THERE ANY OTHERS AT THIS TIME? ARE THE TWO, DR.

SO THE NOMINATION IS FOR DR.

WALLACE AND FOR DR.

RICE.

UM, I WILL ASK IF THE COMMISSIONERS THAT ARE INTERESTED, UM, IN VOTING FOR DR.

WALLACE, PLEASE RAISE YOUR HAND.

WHOA, WHOA.

OH, YOU WANNA DO REMARKS? YOU WANNA DO REMARKS, REMARKS AHEAD.

SURE.

DR.

RICE, AND AGAIN, I APOLOGIZE, THIS IS UNCOMFORTABLE, BUT THIS ALL THAT, I, I DON'T, UM, I HATE TO MEET AND BE ALL OF A SUDDEN DOING THESE FORMATION KIND OF THINGS, LIKE TRYING TO DESCRIBE A BACKGROUND.

AND AGAIN, I APOLOGIZE, I DON'T HAVE SOMETHING WRITTEN.

I WAS EXCITED TO PARTICIPATE AS A, YOU KNOW, A POTENTIAL, UH, MEMBER OF THIS COMMISSION AND THEN, UM, HAVE A FAIRLY DEEP BACKGROUND AND INTEREST IN, IN ORGANIZATIONS AND ORGANIZATIONAL LEADERSHIP AND, AND HAVE BEEN IN, IN THOSE KINDS OF ROLES.

AND SO I WANTED TO PUT MY, MY HAT IN THE RING, AND, UM, ALL I WOULD JUST DO IS GIVE HER A BRIEF OVERVIEW OF MAYBE WHAT, WHERE I'VE COME FROM AND HOW I'VE DONE IT IN A VERY BRIEF WAY, IF THAT'S OKAY.

SO THAT WE CAN ALL, UM, YOU KNOW, UM, THINK TOGETHER ABOUT WHAT'S BEST AND, YOU KNOW, SO SIR, YES SIR.

SORRY FOR FAIRNESS AND EQUITY.

I'M, I'LL ALLOW EACH, UH, NOMINEE THREE MINUTES TO MAKE THE REMARKS.

SO WE'LL START YOUR CLOCK NOW.

AND TREY DID EMERGENCY MEDICINE FOR, UM, 15 YEARS.

OH, THANK YOU.

WELL, OKAY, LET ME GIVE A QUICK BACKGROUND.

SO I'M A PHYSICIAN BY TRAINING,

[00:50:01]

UM, ACTUALLY BUILT A COMPANY AND TOOK IT PUBLIC.

BUT THE MOST IMPORTANT PART IS THAT YOU GET A, UH, YOU KNOW, OBVIOUSLY HAVE A DEEPLY, UM, EXPERIENTIAL, UM, YOU KNOW, BACKGROUND AND, AND ALL THINGS THAT RELATE TO HEALTHCARE AND, AND, AND THAT INTERFACE OF THE WORLD.

UM, WE, UM, HAVE WORKED AT, UM, AS A, UM, UH, IN THE PAST AS A MEMBER OF THE WHITE HOUSE STAFF.

UM, AND, UM, FOR THE LAST 10 YEARS I'VE BEEN ON THE OVERSIGHT COMMITTEE OF THE, OF SPRT, WHICH IS AGAIN, THE SECOND LARGEST CANCER RESEARCH FUNDING ORGANIZATION.

IT'S A STATE AGENCY IN A LEADERSHIP POSITION THERE AS CHAIR.

AND, UM, FOR TWO OF THE YEARS THAT I'VE BEEN ON THE BOARD AND THEN, UM, HAVE BEEN THE FOUNDER OF AUSTIN HEALTHCARE COMMISSION, UH, HEALTH, UH, AUSTIN HEALTHCARE COUNCIL, UM, HAVE AN EXTENSIVE EXPERIENCE IN, AND AGAIN, THE HEALTHCARE REALM.

MY DAY JOB RELATES TO DATA SCIENCE AND HEALTHCARE.

UM, I HAVE A PATENT ON CHRONIC DISEASE OPTIMIZATION.

UM, OUR ORGANIZATION, UM, WON A BULGE AWARDS SOME YEARS AGO.

THE BULGE AWARDS, THE IS THE PRESIDENT, IS THE NATION'S HIGHEST, UM, RECOGNITION FOR ORGANIZATIONAL EXCELLENCE.

AND SO, AGAIN, I, UM, AM INTERESTED IN ORGANIZATIONAL EXCELLENCE AND AT ONE LEVEL THAT'S A 10,000 PERSON ORGANIZATION, BUT THIS IS ALSO OUR OWN ORGANIZATION.

SO ANYWAY, I'VE, UM, HAD AN INTERESTING BACKGROUND.

I'VE DONE, UM, A LOT OF DIFFERENT THINGS AND, UM, WOULD, UM, LOVE THE OPPORTUNITY TO, UM, BRING THOSE KINDS OF THINK THOUGHTS AND, AND SKILLS AND BACKGROUND TO, UM, THE COMMISSION AS YOUR FIRST CHAIR.

I, UH, I'LL KEEP MINE VERY BRIEF AND SHORT.

I MEAN, WE ALL GOT RESPECTABLE BACKGROUNDS.

THAT'S, THAT'S WHY WE'RE ALL HERE.

UH, FOR ME IT'S OUTCOMES, RESULTS.

I DON'T WANT TO SEE THIS EFFORT, THIS LONG EFFORT TO BRING SOMETHING TOGETHER THAT'S ENGAGING WITH ALL THE KEY HEALTH ENTITIES, UH, IMPACTING EVERY RESIDENT WITHIN OUR AREA.

UM, THAT IT JUST BECOMES A, ANOTHER COMMITTEE OR ANOTHER WORK GROUP, ANOTHER COMMISSION THAT, UM, JUST GETS BOGGED DOWN WITH TRADITIONAL BUREAUCRACY, UH, DOESN'T NECESSARILY PUSH BACK SOMETIMES.

UM, AND DOESN'T LEVERAGE ITS OWN RESOURCES, KNOWLEDGE, EXPERIENCE, UH, TO MOVE THE NEEDLE, TO MOVE THE DOUBT.

THAT'S THE WHOLE INTENT HERE.

UH, SO I'M NOT GONNA GO THROUGH WHAT MY BACKGROUND IS, CUZ FOR THIS, IT'S MORE OR LESS HOW ARE WE GONNA MAKE THIS EXECUTE, OPERATE THE WAY IT NEEDS TO IN THE WAY THAT PEOPLE HAVE BEEN FIGHTING FOR THIS COMMISSION TO GET ESTABLISHED FOR, FOR OVER AN OVER A DECADE.

THANK YOU BOTH SO MUCH.

UM, THERE ARE NO OTHER NOMINATIONS ON THE FLOOR.

UM, THE BODY CAN NOW CHOOSE.

UM, FOR CHAIR, WHO WOULD YOU LIKE TO SERVICE YOUR CHAIR? UM, AND IT'S BY BOTH BY SHOW OF HANDS.

WELL, LET'S, LET'S DO AUDIO CUZ I BELIEVE IT'S BEING, UH, RECORDED.

MOVED THAT WE ACCEPT, UM, NOMINEES BOTH DR.

SO IF YOU COULD CALL EACH COMMISSIONER BY NAME, SO CANDIDATE FIRST, AND THEN EACH COMMISSIONER CAN AUDIBLY SAY YAY OR NAY FOR THAT PERSON.

AND THEN WE'LL MOVE TO THE NEXT ONE.

AND WE'LL TALLY BOOTS THAT WAY.

EXCUSE ME.

BEFORE WE VOTE, I JUST, WE'RE ALL JUST MEETING EACH OTHER.

AND AT LEAST ONLINE WE HAVE LITTLE NAME PLACARDS, BUT I CAN'T SEE THE NAMES.

I DON'T WANNA CONFUSE YOU GUYS.

ANYTIME.

MY NAME'S CHARLES .

I'M LARRY WALLACE JR.

SORRY.

I'M BILL RICE AND THE OTHER ONE IS DR.

ARE WE READY TO TAKE A VOTE? ALL RIGHT.

COMMISSIONER WITTY, UM, ALL THOSE IN FAVOR.

FOUR FIRST.

OH, DO WE? MM-HMM.

DO YOU NEED A VOTE? TAKE A MOTION TO TAKE A VOTE OR TO ACCEPT THE OUTCOME OF THE VOTE.

THAT'S WHY WE NEED A PARLIAMENTARIAN.

I THINK IT'S ACCEPTABLE.

I MOVED, UH, JUST TO BE SAFE.

, I MOVE, UH, TO VOTE FOR, UM, MR. WALLACE AS CHAIR OF THE PUBLIC HEALTH COMMISSION.

I HAVE A SECOND.

THAT DOESN'T ALLOW US TO VOTE.

IT DOESN'T, YEAH.

I THINK IT THIS WE'RE GONNA DO A TALLY.

YEAH, WE'RE GONNA DO A TALLY.

UM, IF THERE IS A MOTION TO BE MADE, IT IS TO OPEN THE FLOOR FOR THE NOMINATIONS AS PRESENTED.

THE NOMINATIONS ARE TO ACCEPT DR.

WALLACE AS ONE OF THE CANDIDATES FOR CHAIR AND DR.

RICE AS A CANDIDATE FOR CHAIR.

SO THAT WILL BE THE MOTION.

SO CAN COMMISSIONER, UM, KILLIAN, WOULD YOU LIKE TO REVISE YOUR MOTION, PLEASE? YES.

UM, THEN I

[00:55:01]

WALLACE, UM, SORRY, DR.

RICE AND MR. WALLACE, UM, AS NOMINEES FOR THE ROLE OF CHAIR FOR THE PUBLIC HEALTH COMMISSION.

I SECOND CATCH ALL OF THAT.

YOU GOOD? I SECOND.

ALL THOSE IN FAVOR? AYE.

AYE.

DID YOU CATCH? HOW MANY LOOKED LIKE IT WAS UNANIMOUS? ALL RIGHT.

SO THE NOMINATIONS FOR, UM, CHAIR HAS BEEN PLACED ON THE FLOOR.

NOW WE WILL OPEN THE FLOOR FOR VOTING.

THE FIRST CANDIDATE WE WILL VOTE FOR BY VOCAL VERBAL, VERBAL , UM, WILL BE DR.

RICE.

IF YOU ARE IN FAVOR, I WILL CALL YOUR NAME.

PLEASE RESPOND BY SAYING YAY OR NAY BEGINNING ON SCREEN.

UM, COMMISSIONER LUCHO.

UM, DR.

RICE IS OUR CANDIDATE THAT WE ARE VOTING FOR.

YAY OR NAY.

UM, COMMISSIONER KILLIAN.

COMMISSIONER LUK NAY.

HEY, I'M SORRY.

CAN YOU SAY THAT AGAIN? DR.

RICE? YAY.

COMMISSIONER CROOKHAM.

I'M, I DIDN'T, NAY, NAY.

COMMISSIONER WALLACE NAY.

COMMISSIONER, PLEASE PRONOUNCE YOUR LAST NAME.

IT'S DOLL HOUSEN DOLL.

AND, UM, NAY.

AND COMMISSIONER WITTY.

NAY.

AND NOW WE HAVE NOMINATION, UH, VOTE FOR DR.

WALLACE.

CAN THEN DR.

UH, COMMISSIONER LUAN.

LYNN, I'M SORRY, I'M, I'M GOING TO GET THE NAMES CORRECT.

COMMISSIONER ERIC AMRI.

ENRI SHAW LING.

EVERY DAY YOU GET THAT? I'M GONNA GET THAT ONE.

AH, YAY.

SO WE CAN VOTE YAY FOR BOTH CANDIDATES.

, HE DID YOU SAY YAY OR NAY? UM, COMMISSIONER.

COMMISSIONER LONGHOUSE LU WAYNE, UH, WHAT'S HER LAST NAME? LUHAN.

COMMISSIONER RICE? YEAH.

DID YOU ASK COMMISSIONER KILLIAN? OH, COMMISSIONER KILLIAN.

I'M SORRY.

I'M, I'M, UH, I WENT.

IT'S FINE.

OKAY, COMMISSIONER, DON'T WORRY ABOUT IT.

COMMISSIONER WALLACE.

COMMISSIONER DO HOEN.

AND COMMISSIONER WOODY.

SO, CAN WE POINT OUT THAT THE, THE VOTE IS NOW UNANIMOUS THAT WE WILL POINT OUT THE VOTE IS UNANIMOUS FOR COMMISSIONER WALLACE TO SERVE AS OUR, AS YOUR CHAIR.

UM, AND NOW THE POSITION OF CO-CHAIR A MOVE THAT, UH, DR.

RICE BE NOMINATED AS THE VICE CHAIR.

SECOND.

IS THERE SECOND? OKAY, SECOND.

I NEED TO BRUSH UPON IT.

SO NOW WE HAVE THE FLOOR OPEN FOR VICE-CHAIR FOR, UM, COMMISSIONER RICE.

COMMISSIONER LYNN SHAW YOUR VOTE, PLEASE.

COMMISSIONER KILLIAN.

COMMISSIONER RICE.

COMMISSIONER CROOKHAM.

COMMISSIONER WALLACE.

COMMISSIONER ADEL HOWEN.

AND COMMISSIONER WITTY.

THE PUBLIC HEALTH COMMISSION MEETING AND SCHEDULE.

[01:00:01]

THE VOTE IS UNANIMOUS.

YOUR CHAIRS ARE NOW, UM, BY UNANIMOUS VOTE.

UH, VICE CHAIR IS COMMISSIONER RICE.

SO CONGRATULATIONS TO BOTH OF YOU ON BEING ELECTED AS YOUR, AS THE COMMISSIONER'S FIRST, UM, CHAIR AND CO-CHAIR.

AND SO NOW PROCEEDINGS WILL ALL BE IN YOUR HAND, .

AND I'LL SIT BACK AND WATCH.

COULD WE HAVE A SHORT SPEECH FROM THE NEW CHAIR? MAYBE 30 OR 45 MINUTES? NO, NO, NO, NO, NO.

SO, UM, I THINK I HAVE TO PUBLICLY, SO I DID SAY UNANIMOUS FOR BOTH.

WHAT ARE WE MOVING ON TO NEXT? UM, CAUSE I KNOW WE DID THE APPROVED, OH, WE NEED TO APPROVE

[3. Approve the Public Health Commission meeting schedule.]

I KNOW WE TALKED ABOUT MOST OF THIS STUFF, SO NOW WE NEED TO GO THROUGH AND ACTUALLY RATIFY.

DISCUSSION OF THE COMMISSION'S, BYLAWS AND GENERAL PROVISIONS WITH THE UNDERSTANDING THAT, UH, WE WILL PROVIDE OUR FEEDBACK OFFICIALLY BY JUNE 23RD, UH, FOR REVISIONS.

UM, DO I HAVE A MOTION ON THE FLOOR TO APPROVE THE PUBLIC HEALTH COMMISSION MEETING SCHEDULE AS, AS PRESENTED? SO MOVED.

DO I HAVE A SECOND? SECOND.

ALL THOSE IN FAVOR? RAISE YOUR HAND.

ALL THOSE OPPOSED, RAISE YOUR HAND.

MOTION PASSES.

UH, LET'S SEE HERE.

UM, OPEN THE FLOOR FOR

[4. Discussion and approval of Commission’s bylaws and general provisions]

AND THEN TO, UH, VOTE AND, UH, APPROVE, UH, TO ADOPT THE BYLAWS.

UH, SO OPEN DISCUSSION.

DO I HAVE ANY REMARKS OR, OR COMMENTS ON THE BYLAWS I HAVE NOT ALREADY, UH, TRANSPIRED.

WHEN DID YOU SAY THE AGENDA ITEMS WERE DUE FOR THE NEXT AGEN UH, UM, MEETING? DID YOU TELL US OR? SO AGENDA ITEM, THE AGENDA MUST BE POSTED, UM, 72 HOURS IN ADVANCE.

SO BEGINNING TODAY, WE CAN HAVE DISCUSSION ON, AND IT IS ACTUALLY POSTED FOR YOU TO DISCUSS FUTURE AGENDA ITEMS, SO WE COULD LOOK AT WHAT YOU WOULD LIKE TO TAKE UP.

BUT WE WOULD NEED THAT AT LEAST.

AND, AND FOR OUR, YOU KNOW, INTERNAL PURPOSES AT LEAST, UM, TWO WEEKS TO GIVE US TIME TO MAKE SURE THAT WE HAVE ALL THE POSTING LANGUAGES AND THINGS AND BACKUP PREPARED.

SO TWO WEEKS PRIOR TO THE NEXT MEETING, WHICH WOULD BE AROUND THE FIRST, BUT I WOULD SAY NOT LATER THAN JUNE.

UH, WHAT'S THE LAST DAY OF JUNE? JUNE 30TH.

JUNE 30TH.

WOULD BE A GOOD DAY TO HAVE THOSE ITEMS. AND I'M SORRY TO JUST ASK ONE MORE QUESTION.

YEAH, YEAH.

CHAIR, GO AHEAD.

UM, REMIND ME AGAIN, I I, I HADN'T SEEN THE EMAILS UNTIL ABOUT, YOU KNOW, AN HOUR AGO, BUT, UM, ARE WE ALL ON THOSE EMAILS BECAUSE THE OPEN, UM, MEETINGS ACT IN, IN MY PRIOR AGENCY KIND OF WORLD, WOULD SAY THAT THAT'S A QUORUM, IT'S A VIRTUAL QUORUM.

DO WE WORRY ABOUT THAT? OR IS THAT NOT AN ISSUE WE'RE WORRIED ABOUT FOR THE MEETINGS? FOR ALL OF THE ITEMS THAT WERE SENT TO YOU ALL PRIOR TO THIS MEETING, YOU ALL HAVE BEEN BLIND COPIED, SO, OKAY.

THAT'S WHAT I'M ASKING.

YOU YOU, ANYTHING COMING FROM US? YEAH.

UM, FROM HERE ON ALL COMMUNICATIONS WOULD BE BE BETWEEN THE CHAIR AND CO-CHAIR REGARDING AGENDA ITEMS. UM, IF THERE'S AN ITEM THAT NEEDS TO COME, UM, OR A COMMISSIONER WOULD LIKE AN ITEM ON THE AGENDA, IT HAS TO BE SPONSORED BY TWO PEOPLE AND IT WILL GO THROUGH THE CHAIR TO BE PUT ON THE AGENDA.

SO THE CHAIR COULD COMMUNICATE WELL, NO, THE CHAIR COULDN'T, COULD HE, UM, COMMUNICATE VIA EMAIL? SO DOES HE WORK THROUGH STAFF TO SAY, WE WOULD LIKE TO SEND AN EMAIL TO THE, TO THE GROUP BASED IN CHAIR'S SIGNATURE? I GUESS THAT SAYS WE'D LOOK LIKE FOR ANY AGENDA ITEMS TO COME BACK THAT THERE'S SUGGESTIONS AND THAT WOULD COME BACK TO STAFF SO THAT THERE'S NOT A ISSUE THERE OR HOW DOES THAT WORK? SO THE COMMUNICATION WOULD BE A, SO, UH, COMMISSIONER CROOKER, I'LL USE HIM AS AN EXAMPLE.

HE SUGGESTS AN ITEM.

HE CAN COPY ME.

I WILL COMMUNICATE THAT TO THE CHAIR AND VICE CHAIR.

YOU TWO WILL AGREE THAT THAT ITEM IS GOOD FOR THAT AGENDA DATE TOPIC, AND IT GOES ON THE AGENDA.

GOT IT.

SO WILL YOU, I'M SORRY.

THAT WOULD BE THE MOST EFFICIENT WAY TO OUT, TO, TO ELIMINATE OUTSIDE COMMUNICATION.

SO, UH, FOR, FOR, FOR THE GOOD OF BUSINESS, THAT IS GONNA BE THE NEXT TOPIC.

SO LEMME GO AHEAD AND CLOSE THIS ONE DOWN.

SO IS THERE ANY ADDITIONAL DISCUSSIONS, REMARKS REGARDING THE BYLAWS? IF NONE.

ITEMS. SO I WOULD PROBABLY PROPOSE RIGHT NOW, SINCE THIS IS GONNA BE A STANDING TOPIC ON THE AGENDA, CORRECT.

MOVING ON TO FUTURE AGENDA

[FUTURE AGENDA ITEMS]

THEN WE CAN TRANSPIRE AND DO IT THIS WAY.

RIGHT NOW, IS THERE ANY RECOMMENDED, UH, TOPICS? UH, WE HAVE TO HAVE TWO OR MORE INDIVIDUALS FROM THE COMMISSION THAT WANT TO HAVE THIS AS A TOPIC.

AND I THINK RIGHT NOW PROBABLY THE BEST THING TO DO IS JUST BUILD A LIST AND THEN WE CAN GO THROUGH THAT AND FIGURE OUT WHICH ONES WILL END UP BEING PRIORITIES OR DISCUSSION AND SO FORTH, WHICH ONES ARE POTENTIALLY MORE LUMPED TOGETHER

[01:05:01]

SO WE CAN HAVE MORE OF A FOCUSED AND TARGETED TYPE OF DISCUSSION AND PLANNING AS WELL.

UM, SO ARE THERE ANY PROPOSED TOPICS AS OF RIGHT NOW? NOPE.

I CAN IT COMES ON.

UM, COMMISSIONER WALLACE, I DID NOTE SOME OF THE SUGGESTIONS THAT WERE SPOKEN, UM, EARLIER IN THE DISCUSSION BY COMMISSIONER RICE MM-HMM.

, UM, WHICH INCLUDED, UM, REVIEWING OTHER PUBLIC HEALTH COMMISSIONS SUCH AS LOS ANGELES AND BOSTON AREAS AND THEIR FORUMS, UM, PUBLIC MEETINGS, UM, CONDUCTING PUBLIC MEETINGS AND PRESENTATIONS WITHIN THE SCOPE OF THE TRAVIS COUNTY AND AUSTIN PUBLIC HEALTH, UM, AROUND HOUSING, HEALTHCARE, RESPITE CARE, AND END OF LIFE.

UM, AND THEN POTENTIALLY HAVING A TOUR WITH DAVID EVANS, UM, REGARDING MENTAL HEALTH SERVICES IN THE COMMUNITY.

SO THOSE ARE THE ITEMS THAT HAVE BEEN CAPTURED SO FAR.

I WILL PUT THEM IN A LIST OKAY.

FOR YOU TO, UM, TO CONTINUE FORMULATING YOUR LIST OF INTERESTED ITEMS. AND, AND I WOULD LIKE FOR THE DIFFERENT ENTITIES TO COME UP WITH THEIR TOPICS THAT Y'ALL WOULD LIKE FOR US TO FOCUS ON AS WELL.

UH, GIVEN THAT THIS IS YOUR SPACE OF OPERATION AND WE'RE WORKING WITH YOU ALL TO ENHANCE, UH, THANK YOU CHAIR.

I WILL SAY THAT, UM, THERE HAVE BEEN REQUESTS MADE TO THE DEPARTMENT FROM, UH, SOME OF OUR AGENCY PARTNERS.

UM, THERE IS A REQUEST TO, UM, FOR THE COMMISSION TO HEAR A PRESENTATION ON, UH, THE OPIOID CRISIS IN TRAVIS COUNTY.

UM, THERE WAS ALSO A REQUEST FOR THE COMMISSION TO HEAR A PRESENTATION ON THE, UM, AND DR.

JONES WAS THE ONE WHO BROUGHT IT TO MY ATTENTION, THE IMPACT OF DEPRESSION ON, UH, CHRONIC DISEASE STATES, UM, AND HOW THAT IS CORRELATING WITH, UH, UH, IMPACTS OF THE PANDEMIC.

HE'LL, HE CAN PROBABLY SAY IT MORE SUCCINCTLY THAN I JUST DID.

SO I KNOW THOSE ARE TWO REQUESTS THAT, UM, ARE TIMELY AND URGENT, ESPECIALLY THE, UH, OPIOID PRESENTATION, UM, SINCE BOTH, UH, AGENCIES RECENTLY ARE RECEIVING SETTLEMENT DOLLARS, SO THERE'S INTEREST FROM THOSE GROUPS TO BE IN FRONT OF THE COMMISSION.

SO IT ALMOST SOUNDS LIKE THERE PROBABLY NEEDS TO BE TWO DIFFERENT LISTS.

ONE IS THIS GENERAL PRESENTATIONS AND ONE'S THAT'S GONNA BE HOPEFULLY ACTION ITEMS. WELL, GO AHEAD CHAIR.

SORRY.

UM, I WASN'T SURE WHAT YOU SAID EARLIER ABOUT LIKE, WHAT ACTIONS DO WE TAKE? WE MIGHT HAVE A MOTION TO ACCEPT THE REPORT.

IT'S NOT LIKE WE'RE GONNA HAVE AN ACTION THAT WOULD BE LIKE DRIVING A REVENUE LINE OR SOMETHING LIKE THAT.

SO I, ANYWAY, I'M WASN'T SURE WHAT KINDS OF ACTIONS.

SO ACTION ITEMS WOULD BE MORE OR LESS SOMETHING THAT ENDS UP BEING A ACTUAL RECOMMENDATION FROM THE COMMISSION TO THE COUNTY TO THE, UH, COUNCIL MEMBERS OR RECOMMENDATIONS FROM THE COMMISSION TO A P H OR THE, UH, TRAVIS COUNTY HEALTH AND HUMAN SERVICES COMMISSION.

UM, SINCE WE'RE NOT SUPPOSED TO BE ABLE, SINCE WE'RE NOT SUPPOSED TO DO ANYTHING INDEPENDENT OF AN ACTUAL DECISION BY THE COMMISSION.

UM, SO WE CAN SUGGEST AGENDA ITEMS RIGHT NOW, RIGHT? MM-HMM.

SO I WOULD LIKE TO PUT OVER CRISIS GIVEN THE SETTLEMENT DOLLARS THAT ARE COMING IN ON THE AGENDA.

AND THEN SOMEONE, CORRECT ME IF I'M WRONG, BUT WE'RE ALLOWED TO OPEN THE SPACE UP TO THE PUBLIC FOR A PARTICULAR TOPIC.

IS THAT CORRECT? OR JUST LEAVE THAT OPEN? SO FOR PEOPLE TO ADDRESS AND TALK ABOUT THE SPECIFIC TOPIC.

IS THAT THE QUESTION? ANYONE WHO KNOWS THE ANSWER? .

SO THERE'S TWO OPPORTUNITIES.

YOU CAN INVITE SOMEONE TO GIVE, UH, YOU CAN TALK TO THE CHAIR ABOUT ADDING A PRESENTATION MM-HMM.

TO THE AGENDA, AND THEN THE GROUP WILL COME IN AND HAVE THE TIME THAT'S ALLOTTED BY THE CHAIR TO ADDRESS THE ISSUE, OR THE PERSON CAN SIGN UP FOR PUBLIC COMMUNICATION WHERE THEY'LL HAVE THREE MINUTES TO ADDRESS THE COMMISSION ON THE, THE TOPIC OF THEIR CHOICE.

AND THEN I JUST NEED A SECOND PERSON TO AGREE WITH THIS AGENDA ITEM.

DO I HAVE A SECOND FOR OPIOID? I DO.

GOT IT.

I WOULD ALSO SUGGEST THAT, UM, THE COMMISSION GET A PRESENTATION ON THE LATEST, UM, I FORGET WHAT SHOT.

UM, I THINK THERE'S A HEALTH, UM, ANALYSIS, SO THAT COMES WITH RECOMMENDATIONS THAT IS DONE ANNUALLY.

OH, THE CENTRAL HEALTH ASSESSMENT.

THAT COULD BE TWO RIGHT? CENTRAL ONE, THEY'RE REFERRING TO THE COMMUNITY HEALTH ASSESSMENT.

I'M NOT SURE HOW TO SAY IT, BUT I HAD TWO THINGS I WONDERED FIRST.

YEAH, THE CHAK, THE CHACHI COMMISSIONER.

[01:10:02]

UM, DO WE EVER GO INTO CLOSED SESSION? IS THERE, IS THERE ANY KIND OF AN EXECUTIVE SESSION NEED FOR ANYTHING? MAYBE NOT, BUT I JUST WONDERED MY UNDERSTANDING FROM THE TRAINING IS THAT, UH, COMMISSIONS ARE NOT NOT ALLOWED TO GO INTO CLOSED SESSION.

FAIR ENOUGH.

OKAY, THANKS.

SECOND WAS, UM, I WONDERED IF WE, AS WE HAVE, UM, AN AGENDA, IF IT BE, IF WE, IF THERE'S A VERSION THAT STAFF COULD BUILD THAT WOULD BE A BIT OF AN ANNOTATED AGENDA THAT WOULD HIGHLIGHT WHERE MOTIONS ARE REQUIRED AND THINGS LIKE THIS.

AND, UM, YOU KNOW, I'M NOT SURE IF IT'S IN THERE.

MAYBE YOU'VE DONE THAT ALREADY, BUT I'M SOMETIMES THAT'S HELPFUL FOR THE, THE, UM, EVERYBODY ON THE COMMISSION TO KNOW WHAT'S WHAT, YOU KNOW, WHAT'S GOING ON AS FAR AS WHEN YOU'RE GONNA WANT A MOTION OR WHEN YOU'RE GONNA, WHAT WE'LL BE DOING, IF THAT MAKES SENSE.

I THINK THAT'LL GET FLESHED OUT UNDER THE PUBLIC COMMENTS.

PROBABLY THE TRADITIONAL FORMATS THAT YOU ALREADY HAVE RIGHT NOW FOR COUNCIL AND, AND OTHER COMMISSIONS WHERE IT HAS, IF IT'S GONNA BE A PRESENTATION, IF IT'S GONNA BE, UH, AN ACTION ITEM.

THAT, YES.

SO ON YOUR, ON YOUR AGENDA, IF YOU, UM, THERE, THERE'S SOME STANDARD LANGUAGE THAT IS PROVIDED BY OUR CITY CLERK'S OFFICE, UM, BRIEFINGS.

ANYTHING THAT IS, THAT IS A PRESENTATION OR A BRIEFING BY STAFF OR PUBLIC, UM, WOULD FALL UNDER THAT AGENDA ITEM.

IF IT'S AN ITEM FOR STRICTLY DISCUSSION, IT WOULD BE A GIST OF DISCUSSION ITEM BETWEEN THE, THE, UM, COMMISSIONERS.

AND THEN OF COURSE, DISCUSSION AND ACTION.

SO THAT'S WHERE THOSE ACTION ITEMS WOULD FALL AND THAT THOSE WOULD ALL NEED MOTIONS.

IS THAT YES.

THAT'S WHERE YOU WOULD HAVE YOUR, YOUR FULL MOTION.

PROCESS.

CAN I ASK A QUESTION, PLEASE? I WASN'T QUITE CLEAR ABOUT CENTRAL'S HEALTH.

YOU HAD MADE A COMMENT ABOUT CENTRAL HEALTH AND PRESENTING THEIR HEALTH EQUITY REPORT.

I WASN'T QUITE SURE.

I WASN'T.

DO YOU HAVE YOUR OWN CHACHA COMMUNITY HEALTH ASSESSMENT? UM, I, THAT'S WHAT I WAS REFERRING TO.

IT CAME AT THE 2022 HEALTH ASSESSMENT.

Y'ALL DID SOME, UH, PRESENTATIONS, UH, THROUGH THE, UH, HEALTH AMBASSADORS ON, ON THAT ONE.

I'D LIKE TO INTRODUCE AN AGENDA ITEM FOR NEXT MEETING.

ABSOLUTELY.

COOL.

UM, I'D LIKE TO INTRODUCE THE TOPIC OF TRANSGENDER HEALTHCARE AND ACCESS TO HEALTHCARE FOR A SPECIFICALLY TRANS YOUTH UNDER 18 IN RELATION TO THE RECENT, UM, LEGISLATION THAT WAS PASSED IN THE MOST RECENT SECTION SESSION AND WILL BE LATER ENFORCED THIS YEAR.

BANNING GENDER AFFIRMING CARE FOR PEOPLE UNDER 18 IN TEXAS.

SO WHAT WOULD THE TITLE BE? WOULD IT BE, UH, TRANS YOUTH ACCESS TO CARE, TRANSGENDER YOUTH HEALTHCARE ACCESS.

DO I HAVE A SECOND? MY SECOND.

ALL RIGHT, COMMISSIONER.

NO.

WILL YOU BE EXPECTING A PRESENTATION OR WILL THAT BE A CONVERSATION BE JUST BETWEEN THE COMMISSIONERS SO THE STAFF KNOW HOW TO PREPARE RESOURCES? I THINK I WOULD LIKE A PRESENTATION ON THAT BECAUSE SOME OF THESE TOPICS I WANT TO STAY OUT OF THE REALM OF HEALTHCARE ON.

UM, AND I WANNA STAY WITHIN THE CONFINES OF PUBLIC HEALTH AND WHAT, UM, WE CAN AND CAN'T DO.

UM, AND SO SOMETIMES WHEN WE'RE TALKING ABOUT MENTAL HEALTH AND WE'RE TALKING ABOUT, UM, CERTAIN AREAS, UM, SPECIFICALLY THIS TOPIC, WE KIND OF GET INTO HEALTHCARE VERSUS PUBLIC HEALTH.

SO I WANNA, UH, I THINK A PRESENTATION WOULD BE GREAT ON THAT SO THAT WE CAN PICK OUT THE PARTS THAT RELATE TO PUBLIC HEALTH, UM, AND THEN WRITE, MAKE RECOMMENDATIONS ELSEWHERE FOR WHAT RELATES TO HEALTHCARE COMMISSIONER.

IS THERE AN AGENCY IN TOWN THAT YOU WOULD LIKE TO SUGGEST TO GIVE THAT PRESENTATION? SO THAT WOULD OUT YOUTH OUT YOUTH? YES.

THANK YOU, SIR.

UM, I WOULD RECOMMEND TENT.

I FORGOT WHAT TENT STANDS FOR, BUT TENT .

I CAN'T GET THAT AND EMAIL THAT TO YOU.

THANK YOU, CHAIR.

UM, JUST SO YOU'LL KNOW THAT WE'LL HAVE TIME TO FORMULATE THE ACTUAL POSTING LANGUAGE, UM, AS WE GET THESE TOPICS GATHERED, SO WE WON'T HAVE TO WORRY ABOUT THE EXACT VERBIAGE JUST YET.

RIGHT, NO PROBLEM.

THAT THAT'S, UM, ONE DISPERSED OUT EQUALLY AMONGST THE REPRESENTATION OF THE COMMUNITY AND THEN ALSO ORGANIZATIONS THAT ARE WORKING IN THOSE KEY PARTICULAR SPACES.

UM, I THINK WHAT WOULD ALSO BE GOOD TO KNOW IS WHEN IT COMES TO PRESENTATIONS AND ITEMS THAT ARE ACTION FOR ACTION, THE NOTE LATER THAN DATE, THAT YOU NEED TO NEED THE STUFF SUBMITTED TO YOU, UH, ESPECIALLY IF YOU DON'T HONE IN ON SOMETHING DURING OUR MEETINGS, SO THEN THAT WAY THE TEAM CAN GET USED TO, UH, PRESENTING THAT STUFF SO IT CAN HAVE A SECOND, IT CAN KIND OF BE FLESHED OUT.

WHAT'S GONNA BE THE NEEDED ACTION ITEMS FROM THE STAFF ON YOUR END AND SO FORTH.

UM, UH, ONE OF THE ITEMS THAT I WOULD LIKE TO ADD TO OUR OVERALL LIST WOULD BE, UH, A CONTRACTS AND FUNDING BREAKDOWN BY EACH, BY EACH ORGANIZATION TO BE ABLE TO SEE IF WE'RE ACTUALLY DOING, UH, CONTRACTS AND FUNDING FOR, UH, CUZ MOST OF Y'ALL WORK WITH OTHER ENTITIES WITH THE GEN WITHIN THE COMMUNITY TO MAKE SURE

[01:15:01]

UH, AND THEN WE CAN SUBSEQUENTLY THEN LOOK AT WHAT THE OUTCOMES HAVE BEEN FOR THE TAX DOLLARS THAT ARE GOING TO THOSE ORGANIZATIONS.

DO I HAVE A SECOND ON THAT? YES, SIR.

? YES, SIR.

A POINT OF CLARIFICATION.

, IF I MAY, SO YOU, WOULD YOU WANT TO UNDERSTAND THE CITY OF AUSTIN AND TRAVIS COUNTY'S INVESTMENTS IN SOCIAL SERVICES BY ISSUE AREA OR BY AGENCY? UH, SO GRANULAR? YEAH.

I'D PROBABLY SAY PROBABLY BY, BY, FOR ME, IT'D PROBABLY BE ISSUE AREA AND DEMOGRAPHIC BREAKDOWN.

DO WE HAVE, UM, EQUAL FUNDING OR EQUITABLE FUNDING GOING TO ORGANIZATIONS THAT PARTICULARLY FOCUS AND SUPPORTING A A P I FOCUS SPECIFICALLY IN SUPPORTING LGTB Q OF BLACK AND BROWN, HISPANIC AND SO FORTH.

UM, SO THAT WE CAN MAKE SURE THAT THERE'S EQUITABLE DISBURSEMENT TO THE POPULATIONS THAT WE GET THE BIGGEST ENGAGEMENT BY THOSE POPULATIONS.

UM, JUST HAD THE QUESTION OF, FOR THOSE OUTSIDE GROUPS THAT WOULD COME TO MEET, DO WE HAVE A SENSE, WELL, IS THERE A SORT OF A STANDARD IDEA WE WOULD HAVE? LIKE DO THEY HAVE 10 MINUTES? I MEAN, I DON'T KNOW HOW LONG OUR USUAL AGENDA RUNS, OR, OR 15 MINUTES OR WHATEVER.

SO I WAS WONDERING IF THERE'S A CONCEPT OF WHAT THE TIME SHOULD BE? A SECOND QUESTION.

IF THEY HAVE MATERIALS THEY'RE GONNA PRESENT, I WONDER IF IT'D BE USEFUL FOR THE COMMISSION TO HAVE A SH A REALLY SOLID CHANCE OF REVIEWING IT.

SO YOU'D SAY A WEEK AHEAD OF TIME OR WHATEVER THE NUMBER, BUT A WEEK WOULD BE GOOD.

CAN YOU HAVE ALL MATERIALS AND, AND AND, YOU KNOW, GIVE US A CHANCE TO SEE WHAT'S COMING AND, AND STUDY AND THEN HAVE GOOD QUESTIONS.

MAYBE IT'S THREE DAYS, BUT THREE DAYS IS, IS MAYBE NOT QUITE AS MUCH AS A, A WEEK WOULD BE NICER.

UM, SO THAT WE CAN PREPARE ANYWAY.

SO THAT'S THE TWO QUESTIONS.

HOW LONG DO THEY PRESENT AND CAN WE GET MATERIALS AHEAD OF TIME AS A CONSISTENT WAY? I THINK THE LENGTH OF THE PRESENTATIONS ARE AT THE DISCRETION OF THE CHAIR WHEN HE'S WORKING WITH STAFF TO FORMULATE THE AGENDA.

UM, SO THE, THE 72 HOUR POSTING DEADLINE IS THE DROP DEAD DATE, BUT THE, DEPENDING ON THE TOPICS AND THE, THE TIMEFRAME THAT WE HAVE TO WORK WITH AGENCIES FOR THEM TO PUT PRESENTATIONS TOGETHER, WE CAN SHOOT FOR A WEEK, BUT KNOWING THAT YOU'LL HAVE IT AT LEAST, UM, 72 HOURS BEFORE, I'M THANK YOU.

AND I WAS, I WAS ALSO MAYBE NOT THINKING SO MUCH AS AGENCIES, BUT JUST OUTSIDE GROUPS THAT WOULD COME IN THAT WOULD, YOU KNOW, UM, MAYBE HAVE ENOUGH LEAD TIME TO GIVE IT TO US A WEEK AHEAD OF TIME.

I DON'T KNOW.

JUST WAS THINKING OUT LOUD, BUT, OKAY.

YEAH, I'M USING THAT WORD INTERCHANGEABLY OUT WHEN YOU SAID OUTSIDE GOOSE, THAT'S, I HEARD AGENCIES, SORRY, I'M THINKING NON COUNTY, NON-CITY.

UH, WOULD LOVE FOR US TO INITIALLY LOOK AT HOW THE, UH, THE COUNCIL AND THE COMMISSIONER'S COURT, UM, WHAT THEIR TIMELINES ARE, UH, ESPECIALLY FOR PRESENTATIONS AND HAVING THOSE MATERIALS IN, UM, SO THAT THEY CAN BE, UH, PROVIDED AND SO FORTH.

SO I, I DEFINITELY, I THINK BACK TO ONE OF YOUR ORIGINAL STATEMENTS ABOUT THE COMMISSIONING ITSELF.

I THINK THERE'S SOME STUFF THAT'S ALREADY IN PLAY THAT WE CAN LOOK AT AND THEN WE CAN MODIFY AS, AS A COMMISSION, WHAT ARE PROBABLY BETTER, UH, TIMELINES FOR US.

I DON'T UNDERSTAND THAT.

I, I THINK IDEALLY WHAT THE COMMISSION WOULD LIKE TO SEE IS ALL PRESENTATIONS PRIOR TO THE 72 HOUR WINDOW, IF THAT IS THE, THE EXACT IF IT WOULD POSSIBLE.

SO GIVEN IF WE HAVE THAT MATERIAL, UM, THE, THE GOAL WOULD DEFINITELY BE THAT YOUR AGENDA IS APPROVED AT LEAST TWO WEEKS IN ADVANCE OF THE, UM, THE POSTING SO THAT YOU HAVE TIME TO REVIEW HOW YOU WANT TO STRUCTURE YOUR MEETING, WHICH GIVES YOU, SO IF YOU HAVE THREE PEOPLE, THREE AGENCIES OR OUTSIDE GROUPS THAT WANNA PRESENT, YOU CAN DICTATE HOW MUCH TIME YOUR MEETINGS ARE SCHEDULED FOR TWO 30.

UH, WELL FOR AN HOUR AND A HALF, UM, MOVING FORWARD.

AND SO THE IDEAL WOULD BE TO LOOK AT THAT TIMEFRAME AND HOW MUCH YOU WANNA PUT ON THAT AGENDA WILL DETERMINE HOW MUCH TIME YOU GIVE THEM.

SO BACK, BACK TO YOUR, YOUR QUESTION.

SO IF IT'S 72 HOURS PER, YOU KNOW, STATE MANDATE FOR THE AGENDA TO BE PUT OUT, RIGHT AT, SOMETIMES YOU DON'T WANT TO HAVE SOMEONE ASKING TO PRESENT AT THE, YOU KNOW, 92 HOUR FRAMEWORK AND NOT HAVE TIME TO REVIEW STUFF, NOT HAVE TIME FOR STAFF TO BE PREPPED UP FOR ANY QUESTIONS THAT WE MAY HAVE AND SO FORTH.

FROM OUTSIDE ENTITIES, UH, HAVE TO HAVE IT SUBMITTED IN.

UM, ESPECIALLY IF THEY MAY END UP HAVING TO ASK OR ANYTHING LIKE THAT.

SO THERE'S USUALLY A TIMELINE, WHETHER IT MAY BE A WEEK OR SO PRIOR TO THAT 72 HOUR DEADLINE THAT PRESENTATIONS

[01:20:01]

SO STAFF HAS TIME TO REVIEW IT, THEY HAVE TIME TO, YOU KNOW, GET WITH US ABOUT CERTAIN THINGS, SEE IF WE HAVE ANY CERTAIN QUESTIONS, ABLE TO BE ABLE TO PUSH IT OUT FOR A READ AHEAD PRIOR TO THE 72 HOURS.

SO THAT'S WHAT I WAS SPEAKING ABOUT THERE IS SO THAT WAY WHOEVER'S COMING BEFORE US, WE'RE ABLE TO NOT JUST RECEIVE THE INFORMATION AND BE LIKE, WE'LL FOLLOW BACK UP WITH YOU, BUT HOPEFULLY WE'RE ABLE TO RECEIVE THE INFORMATION AND HAVE A TANGIBLE CONVERSATION WITH THEM.

I SEE.

THANK YOU FOR THE CLARIFICATION.

UM, AND, AND THEN YOUR RESPONSE WAS WHAT, WHAT WE CAN DO, RIGHT.

HOPEFULLY, DEFINITELY 72 HOURS AND HOPEFULLY ONE OR TWO WEEKS IN ADVANCE.

AND, AND THAT ONE OR TWO WEEKS GIVE US STAFF TIME TO, TO DISSEMINATE IT TO YOU ALL WITHOUT DISCUSSION OFF OFFLINE.

UM, AND THEN FOR YOU TO DETERMINE THAT THAT'S AN ITEM YOU ACTUALLY WANT ON THE AGENDA.

A ANY OTHER, UH, I, GO AHEAD.

I, UH, I HAVE A QUESTION RELATED TO BUDGET AND TRYING TO UNDERSTAND WHAT THE BUDGET IS FROM THE DIFFERENT, BOTH THE CITY ASSAULT THE COUNTY IN TERMS OF WHEN WE'RE EVALUATING POSSIBLE INVESTMENTS, WHAT WE'RE CONSIDERING, IF THERE'S A FIXED BUDGET FOR EACH YEAR, AND THEN HOW WE THINK ABOUT ALLOCATING THAT.

AND I APOLOGIZE, IT'S MY FIRST TIME IN A COMMISSION, SO I DON'T KNOW IF THIS IS A RELEVANT TOPIC.

WOULD YOU WANT BUDGETS TO BE A PART OF THE CONTRACTS AND FUNDING BREAKDOWN CONVERSATION, OR DO YOU WANT BUDGET TO BE SOME PRIOR TO OR SUBSEQUENTLY AFTER? MY UNDERSTANDING WAS THAT THE, UH, CONVERSATION PRIOR WAS, UH, LOOKING AT HOW INVESTMENTS HAVE BEEN ALLOCATED IN THE PAST.

UH, BUT I THINK THIS WOULD BE APPROPRIATE AS WELL, THINKING ABOUT HOW MUCH DO WE HAVE TO ALLOCATE, UH, IN THE FUTURE, OR NOT US, BUT THE DIFFERENT ENTITIES AND THEN THAT CAN HELP US GUIDE OUR RECOMMENDATIONS AS WELL.

SO CAN WE TIE THAT INTO THE OTHER ASK ALREADY? OKAY.

I THINK IT FITS IN THERE WITH WHAT IS THE ACTUAL BUDGET PERMITTED PER YEAR AND THEN WHAT THE BREAKDOWN IS.

UM, I'D LIKE TO HEAR NOT SURE HOW, BUT FROM THE CITY COUNCIL PUBLIC HEALTH COMMITTEE, JUST TO SEE WHAT THEY'RE WORKING ON, WHAT THEIR OBJECTIVES ARE, AND TO SEE IF THERE'S ANY, ANY WAY WE COULD SYNC WITH THEM OR, YOU KNOW, SUPPORT ONE ANOTHER.

UM, AND ALSO I WOULD LIKE TO LEARN MORE ABOUT CENTRAL HEALTH AND HOW THEY OP, OPERATE WITH COMMUNITY CARE AND SENDERO AND ALL THE OTHER DIFFERENT ENTITIES THEY MAY OR MAY NOT HAVE.

UM, JUST, YOU KNOW, THEY'VE BEEN IN THE NEWS AS WELL LATELY ABOUT SENTI AND ALL THAT STUFF, SO I KNOW THAT'S MORE HEALTHCARE, BUT, UM, JUST TO GET A BETTER IDEA OF HOW ALL THAT FUNCTIONS AND WORKS TOGETHER.

SO, UH, CAN WE DO THAT AS POTENTIALLY ORG STRUCTURE AS WELL AS, UM, UH, DESIRED OUTCOMES NEAR TERM AND LONG TERM DESIRED OUTCOMES? WOULD THAT FIT? DO I HAVE A SECOND ON THAT? SECOND.

SECOND IT, ALL RIGHT.

ANYTHING ELSE? YES, SIR.

I'LL DO A COUPLE MORE THINGS, BUT NOT THINKING THAT THIS IS WHAT'S GONNA BE DISCUSSED NEXT MEETING, BUT I THINK WE'RE JUST BEGINNING TO SHOW HOW MUCH INTEREST IN, IN, UM, WE'RE GONNA ALL HAVE TO BE DEVELOPING THESE IDEAS AS WE GO.

I MENTIONED THIS EARLIER, BUT YOU KNOW, TO HAVE ON THE LIST SOMETIME TO DISCUSS THIS YEAR OR TO LEARN MORE ABOUT PROBABLY WOULD BE INTO LIFE HERE AND HOW THAT WORKS.

THINGS LIKE HOSPICE AND OTHER KINDS OF SERVICES, HOW DOES THAT WORK ACROSS THE CITY AND THE COUNTY EQUITY ISSUES THEREIN? AGAIN, I'M NOT SURE WHAT THAT ALL MEANS, BUT, UM, THAT'S AN IMPORTANT THING THAT, UM, IS OUT THERE.

I WAS GENERICALLY ALSO WONDERING ABOUT, YOU KNOW, A JOURNEY THAT THIS COMMISSION COULD BE ON TO LEARN MORE ABOUT COMMUNITY VIOLENCE, WHATEVER THAT MEANS.

UM, AND THEN THE OP, THE OTHER SIDE OF THAT COIN IS, IS SAFETY, COMMUNITY SAFETY AND, AND, UM, AGAIN, I'M NOT TRYING TO DEFINE THAT RIGHT NOW, BUT THESE ARE THINGS THAT A PUBLIC HEALTH COMMISSION, YOU KNOW, SHOULD BE LEARNING ABOUT.

AND I, I, I GUESS I'M, I'M JUST SAYING THESE THINGS IN THE CONTEXT THAT, YOU KNOW, WHAT IS VERY INTERESTING AND IMPORTANT ABOUT THIS WORK, BUT IS, IS ABSOLUTELY THE, UM, THE LEARNING CURVE.

WE NOW ARE ON, EVERYBODY'S FROM A DIFFERENT PLACE AND, AND, AND STARTING POINT AND, YOU KNOW, UM, UM, WE, THESE ARE THINGS I THINK WE ALL, UM, YOU KNOW, ARE EXCITED TO, UM, GO DOWN THESE PATHS.

GOT IT.

I'LL JUST SHARE THOSE THINGS.

CAN WE TIE THOSE INTO JUST THE, THE PREVIOUS TOPIC ADDED, WHICH WAS ORGANIZATIONAL STRUCTURE? I THINK THAT LUMPS IN WITH THAT ORGANIZATIONAL STRUCTURE, WHAT THE DIFFERENT DEPARTMENTS ARE DOING, SERVICES PROGRAMS, THAT, THAT KIND OF ASPECT.

YOU GOOD WITH THAT? YEAH.

AND UM, THE OTHER LAST THING I HAD, I'M

[01:25:01]

SORRY, ONE MORE.

, I WAS THINKING THAT, YOU KNOW, AS WE GO ALONG THROUGH THE MONTHS, THERE'S A BUDGET CYCLE FOR THE CITY WHEN WE WERE TALKING ABOUT THE BUDGET QUESTION OR, UM, YOU KNOW, A MOMENT AGO.

AND, AND YOU KNOW, IT MAY BE THAT CERTAIN TIMES OF THE YEAR IS KIND OF THE, THE RIGHT TIME FOR US TO BE SORT OF WONDERING ABOUT WHAT'S COMING IN CITY HALL AS THEY'RE FORMING A, A BUDGET IN THE FALL AND, AND HOW THEY'RE THINKING ABOUT STUFF IN CASE WE COULD BE A BODY THAT GOES AND EXAMINES THINGS FOR THEM, OR, I'M NOT THAT, I'M NOT SURE THAT'S HOW IT WORKS, BUT, YOU KNOW, WE COULD BE INTERESTED IN THINGS THAT THEY'RE INTERESTED IN AND KNOW THAT, YOU KNOW, GEEZ, BY OCTOBER OR YOU KNOW, BY, BY BY SEPTEMBER WE, WE MIGHT HAVE A GOOD SENSE OF WHAT PEOPLE ON THE COUNCIL ARE INTERESTED IN TO PUT HIS BUDGET ITEMS SO THAT BY NOVEMBER WHEN THEY'RE VOTING, THEY'LL HAVE HAD A CHANCE FOR THE PUBLIC HEALTH COMMISSION TO DO SOME HOMEWORK IF WE'RE THE RIGHT BODY TO DO THAT.

SO AGAIN, I DON'T KNOW HOW THAT WORKS, BUT I'M JUST SORT OF TRYING TO DESCRIBE WHAT, HOW THIS MAY EVOLVE AS A FUNCTION OF WHAT WE DO.

YOU KNOW, SORT OF MAYBE MIRRORING RIGHT.

THINGS THAT WE SEE MAYBE IN THE LOS ANGELES PUBLIC HEALTH COMMISSION OR SOME OTHER PLACE.

SO I SEE THAT TYING, AGAIN, WITHIN THE BYLAWS THAT SAYS THAT WE'RE SUPPOSED TO ENGAGE WITH, UH, THE CITY COUNCIL, UH, HEALTH COMMITTEE, WE'RE ALSO SUPPOSED TO GIVE REPORTS TO THE COUNTY COMMISSIONER'S COURT.

SO I THINK IT'S JUST IDENTIFYING WHEN IN THEIR NATURAL CYCLE OR THOSE TIMES THAT WE NEED TO DO THOSE REPORTS, UH, TO THEM.

AND THAT'LL GIVE US THAT OPPORTUNITY TO GET THAT FEEDBACK, ESPECIALLY AREAS THAT THEY WANT US TO FOCUS IN ON AND SO FORTH.

SO RIGHT.

WE, THAT, THAT'D PROBABLY BE PART OF THAT ANNUAL THING WHERE AS CHAIR, VICE CHAIR, WHOEVER ELSE, IF WE CREATE OTHER KIND OF COMMITTEES OR WORKSHOPS AND WE'RE TALKING ABOUT THOSE ITEMS TO THEM TO GIVE THEM THAT UPDATE, GIVE THEM WHERE WE'RE SEEING ISSUES, RECOMMENDATIONS, AND SO FORTH.

AND THEN VICE VERSA.

SO, OKAY.

THAT SHOULD BE A STANDING AGENDA ITEM FOR US.

UM, SOMETHING THAT COMES FROM THE PUBLIC HEALTH COMMISSION FROM THE CITY COUNCIL.

THEY MAY NOT ALWAYS HAVE UPDATES, UM, FOR US, BUT I THINK IT WOULD BE REALLY GOOD IF WE WERE JUST KIND OF COINCIDING WITH WHAT'S, UM, GOING ON THERE SINCE OUR RECOMMENDATIONS ARE GONNA FLOW THROUGH THERE.

UM, AND SINCE WE'VE COME IN, YOU KNOW, AFTER THE FACT, IT MIGHT BE A GOOD IDEA TO, UM, KIND OF KEEP A REPORT COMING IN FROM THEM.

UM, BE IT A REPRESENTATIVE ALWAYS COMING IN FOR OUR MEETINGS OR MAYBE THEM JUST KIND OF SENDING US SOMETHING WRITTEN.

UM, AND, AND WE CAN HAVE DISCUSSION ON THAT.

DO I HAVE A SECOND FOR, UH, CREATING A STANDING ITEM ON THE AGENDA REMARKS FROM THE, UH, CITY COUNCIL OR, UH, COMMISSIONER'S COURT? YES.

SECOND.

CAN WE ADD THAT TO THE AGENDA? GO AHEAD.

SORRY.

I THINK COMMISSIONER KILLIAN WAS TALKING ABOUT THE PUBLIC HEALTH COMMITTEE, NOT THE COMMISSIONER'S COURT OR CITY COUNCIL.

PUBLIC HEALTH COMMITTEE.

UM, OF THE, UM, OF THE COUNCIL.

UM, AND THEN I THINK IT'S, IT'S WORTH US KIND OF EXPLORING THE OTHER COMMISSIONS THAT ARE OUT THERE AND, UM, A LOT OF THEM WORK IN THE AREAS THAT WE'RE PROBABLY INTERESTED IN.

UM, SO IT IS PROBABLY GOOD TO MAYBE, UM, IDENTIFY THOSE COMMISSIONS AND THEN SEE HOW WE COULD WORK WITH THEM, UM, JUST AT SOME POINT IN OUR EARLIER MEETINGS THAT ARE COMING UP, UM, MAKING SURE WE DO THAT AT SOME POINT THIS YEAR.

AND I KNOW OUR AGENDA WILL GET FLESHED OUT AS WE START TO LEARN MORE AND SEE WHO ELSE IS OUT THERE.

BUT I DO LIKE YOUR SUGGESTION AND, AND AS I THINK EVERYBODY ELSE IS ON THE SAME CONSENSUS TO AT LEAST HAVE THAT AGENDA OPTION THERE FOR THEM.

SO IT MAKES US MORE PROACTIVELY THINKING ABOUT IT.

UH, AND HOPEFULLY US OR THE STAFF IS, IS JUST AT LEAST SHOOTING THAT NOTE OUT THERE SAYING, DO YOU HAVE ANYTHING YOU WANT TO ADD FOR FORWARD? SO, OKAY.

UM, I KNOW FOR THE SAKE OF TIME, CUZ WE'RE COMING UP ON OUR TIME.

CORRECT.

UM, ANY, ANY LAST THINGS BEFORE WE GO FOR, UH, ADJOURNMENT? I WOULD LIKE TO DO ONE ASK TO THE COMMISSION.

I WOULD LIKE TO HAVE ORG STRUCTURE, UH, DESIRED NEAR TERM, LONG-TERM, UH, OUTCOMES THAT INCLUDE THE DIFFERENT SERVICES AND PROGRAMS THAT THEY HAVE, UH, TO BE A PRESENTATION, UH, IN THE NEAR TERM, IF NOT OUR NEXT MEETING.

THEN SUBSEQUENTLY THE FOLLOWING ONE, JUST SO WE'RE ALL KIND OF ON THE SAME PAGE AS FAR AS WHAT THE DIFFERENT DEPARTMENTS HAVE OR, OR DOING OR CAPABLE OF DOING.

UH, SO WE'RE NOT FINDING OURSELVES BRINGING OUT RECOMMENDATIONS AND THEY'RE SAYING, WELL, WE DON'T DO THAT.

WE'RE NOT, WE'RE NOT AUTHORIZED TO DO THAT.

OR WE, WE DON'T HAVE THE CAPACITY TO DO THAT.

DO I HAVE A SECOND FOR THAT? SECOND? SECOND.

ANY ANY PUSHBACK? ALL RIGHT.

UM, WITH THAT, DO I HAVE A MOTION TO ADJOURN? SO MOVED.

SO MOVED.

ALL THOSE IN FAVOR? RAISE YOUR HAND.

Y'ALL STILL WANNA STAY HERE? OKAY, .