Jun 04, 2025 Public Health Commission

UH, WE'RE GONNA JUMP INTO OUR NEXT ITEM, WHICH IS STAFF BRIEFINGS.

LET ME, UM, WORK IN PARALLEL TO, UM, I'M, I'M REMOTE FROM MY MO I'M SORRY.

I SEE THAT NOW I'M REMOTE FROM MY OFFICE.

AND LET ME, UM, LET ME LOG IN A DIFFERENT WAY BECAUSE I SEE I'M, I'M ACTUALLY IN, IN ANOTHER CITY AND, AND I'M REMOTING INTO MY OFFICE, AND I, I SEE THAT DOESN'T QUITE MEET THE NEED, SO I'LL FIX IT OUT IN THE NEXT FIVE MINUTES.

THAT'S IF YOU'LL PROCEED WITH, WITH SOME BUSINESS SO THAT WE CAN MAKE SURE WE, UH, CAN RECORD OUR ATTENDANCE APPROPRIATELY.

WE HEARD THE, WE, WE HEARD THE SO MOVED.

WE JUST, WE COULDN'T SEE YOUR, YOUR PHENOMENAL FACE.

UM, OKAY, WONDERFUL.

WITH THE CORRECTIONS TO THOSE MEETINGS, WE ARE GOOD TO MOVE FORWARD, ALRIGHTYY.

SO,

[STAFF BRIEFINGS]

UH, WE'LL HAVE A STAFF BRIEFING FROM JUAN JUANITA JONES ON COMMISSIONER REELECTION PROCESS AND THE VACANT POSITION, .

I THINK MY HUSBAND WOULD BE RATHER OFFENDED.

MY LAST NAME IS JACKSON, BECAUSE I THOUGHT I WAS LIKE, THAT'S UHHUH, .

BUT I WAS LIKE, OKAY.

I THINK JONES IS INTERESTING.

UM, BUT, UM, ANYWAY, UH, I WASN'T REALLY SURE HOW DEEP YOU WANTED TO GO INTO THE PROCESS.

UM, AS MOST OF YOU ARE AWARE, UM, APPLICATIONS FOR, UM, THE BOARDS AND COMMISSIONS IS OPEN ALL THE TIME.

SO EVEN WHEN THERE'S NOT A VACANCY, UM, THE, THE COMMUNITY CAN APPLY FOR THOSE, UM, CAN APPLY FOR MEMBERSHIP.

UM, BUT THE PROCESS THAT WE USED, UM, THE FIRST TIME WAS A COLLABORATIVE, UM, PROCESS WHERE THE COUNTY, UM, OFFICE POSTED THE VACANCY AND RECEIVED APPLICATIONS THROUGH COUNTY PORTAL AND THEN AS WELL AS THROUGH CITY.

SO WE USED A COLLABORATIVE METHOD OF REVIEWING APPLICATIONS, UM, BY, AND I, I WROTE THIS DOWN SO I DON'T FORGET, UM, REVIEWING THE APPLICATIONS FOR RESIDENCY.

UM, THE APPLICATIONS WORK, UM, THE APPLICANTS THAT APPLY THE CENSUS DATA, UH, CENSUS TRACK INFORMATION IS USED TO DETERMINE THE SOCIAL VULNERABILITY OF EVERY, UM, EVERY, THE AREA IN WHICH PEOPLE ARE WORKING.

UM, SO THAT INFORMATION IS USED TO HELP IDENTIFY WHERE PEOPLE'S INTERESTS ARE, UM, THE WORK.

UH, WE ALSO LOOKED AT, UM, THROUGH A MATRIX, A A CRITERIA MATRIX OF IDENTIFYING IF THEY WERE A PART OF DELL MEDICAL SCHOOL, UM, IF THEY WERE A PART OF ANY ALLIED HEALTH, UM, AGENCIES OR A HOLDING THOSE CERTIFICATIONS AS, UM, MENTAL HEALTH, SOCIAL WORK, CLINICAL SOCIAL WORK, AND OTHER, UM, AREAS IN PUBLIC HEALTH.

WE ALSO LOOKED AT WHETHER OR NOT THOSE APPLICANTS WERE MEDICAL PROFESSIONALS OR SERVED IN, UM, AN EXECUTIVE ROLE IN THE HOSPITAL INDUSTRY.

WE ALSO LOOKED AT CURRENT EMPLOYMENT.

UM, NOT THAT THAT WEIGHED ANY DIFFERENCE, UM, FOR APPLICANTS, BUT JUST WHERE THEY WORK AND WHERE THEY, UM, THEIR SKILL SETS LIE.

UM, AND THEN TO ENSURE THAT WE HAD A BALANCE ACROSS, UM, ALL OF OUR AREAS.

SINCE THE BOARD IS A COLLABORATIVE MAKEUP OF CITY AND COUNTY APPOINTEES, AND THEY'RE JOINTLY APPOINTED, UM, THE BALANCE WAS USED BETWEEN, UM, TO DETERMINE RACE, ETHNICITY, AS WELL AS, UM, GENDER.

AND THAT'S COLLECTED IN THE MATRIX.

UM, ONCE THAT MATRIX IS, UM, OUTLINED, UM, WE REVIEW THEIR, THEIR APPLICATION AND THEIR RESUMES IN DEPTH, JUST AGAIN, TO KIND OF SEE WHERE THEY FIT INTO THE SCOPE OF WHAT THE, THE BOARD AND COMMISSIONS IS CALLED TO, TO DO FOR THE COMMUNITY.

UM, THAT INFORMATION IS SHARED WITH OUR EXEC, UM, EX OFFICIOS.

THEY REVIEW THAT INFORMATION, AND THEN APPLICANTS ARE SCHEDULED FOR INTERVIEW BASED OFF OF THAT.

AND THEN

[00:05:01]

ONCE WE HAVE THOSE PEOPLE SELECTED FOR INTERVIEW, THEY DETERMINE WHO'S BEST TO FIT.

YOU GUYS WERE THE FIRST IN THE POOL, SO YOU GOT SELECTED, UM, BASED OFF OF YOUR VARIOUS INTERESTS, UM, IN AREAS OF EXPERTISE, UM, WHERE ALLOTTED AND THEN THE SERVING TIME, OF COURSE, AND THEN YOUR BYLAWS ARE DETERMINED HOW LONG YOU SERVE.

IS THERE ANYTHING ELSE YOU NEED TO KNOW? I JUST WANNA ADD, JUST WANNA ADD THAT THERE WERE OVER 40 APPLICANTS.

SO IT'S NOT THAT YOU WERE THE ONLY ONE IN THE POOL.

YOU WERE JUST , YOU WERE THE FIRST CROP AND YOU WERE THE CREAM OF THE CROP BEFORE YOU WERE THE CREAM OF THE CROP IN THE FIRST POOL.

UM, BUT THIS LAST, UM, SINCE WE HAVE HAD ONE VACANCY FOR ALMOST, UM, A YEAR AND A HALF, UM, WE HAVE HAD NOT HAD A LOT OF APPLICANTS TO COME THROUGH.

SO OF COURSE IT TOOK SOME TIME TO GET THOSE, THE APPLICANTS THAT WE HAD.

THIS TIME, WE HAD 11 THAT CAME THROUGH.

WE ARE LOOKING TO INTERVIEW FIVE, UM, BY THE END OF THE MONTH.

AND, UM, THE EXS HAVE THAT SCHEDULING ON THEIR CALENDAR, AND ONCE WE HAVE HAD THAT INTERVIEW PROCESS COMPLETED, THAT PERSON WILL BE NAMED AND, UM, SUBMITTED TO THE CITY FOR APPROVAL AS WELL AS TO THE COUNTY.

ONCE THAT APPROVAL HAS BEEN MADE BY BOTH AGENCIES, THAT PERSON, UM, WILL THEN HAVE TO COMPLETE ALL OF THE REQUIRED TRAININGS, UM, THAT IS REQUIRED BY THE CITY CODE FOR, UM, FOR POSITIONING.

SO JUST FOR TIMELINE, WE'RE THINKING THEY WOULDN'T BE IN UNTIL MAYBE SEPTEMBER.

UM, THEORETICALLY, WELL, PROBABLY AUGUST BECAUSE THE, THEY APPLICATE ONCE THEY'RE, THEY'RE SELECTED.

THE BIGGEST THING IS GETTING THEM ON THE CITY AND COUNCIL AGENDA FOR APPROVAL, UM, BY THE COMMISSION.

AND ONCE THAT'S APPROVED, AS WELL AS THROUGH, UM, THE COUNTY'S, UM, APPROVAL PROCESS, DEPENDING ON WHEN THEY'RE MEETING, UM, IT COULD ALIGN TYPICALLY BECAUSE THEY MEET ON TUESDAYS, UH, AND THEN WE MEET ON THURSDAYS.

IT DEPENDS.

I KNOW THAT THERE IS TYPICALLY A BREAK FOR CITY COUNCIL.

UM, AND SO THEIR NEXT, UM, AGENDA WOULD NOT BE UNTIL JULY 24TH AT THIS POINT.

AND SO IT WOULD LIKELY BE AUGUST WHEN THEY WOULD BE ABLE TO START MM-HMM .

AND THEN FOR THE CURRENT SERVING, I KNOW WE HAVE SOME THAT ARE THREE YEAR, SOME THAT ARE FIVE YEAR, FIVE YEAR, MM-HMM .

UH, FOR THE THREE YEAR, WE WOULD THEN GO BACK THROUGH THE APPLICATION PROCESS IF WE SO CHOOSE, AND THEN, UH, ONCE DECIDED WE WOULD THEN BE APPOINTED BACK FOR ANOTHER THREE YEAR TERM.

ALRIGHT, MOVING ON TO OUR DISCUSSION ITEMS. UM, OUR FIRST ITEM IS, UH, TO RECEIVE UPDATES FROM COMMISSIONERS ON ASSIGNED ACTION ITEMS. AND JUST FOR REFERENCE, THESE ARE THE ITEMS THAT WE TALKED ABOUT LAST MONTH AND VOTED ON, UM, TO BEGIN THE CONVERSATION.

YES.

SO ANYONE THAT IS INTERESTING, THEIR, THEIR TERM EXPIRES.

UM, THOSE THAT EXPIRE, AND I WILL LEAN ON DANNY TO GIVE ME DATES.

UM, BUT MOST WILL EXPIRE IN 2027.

AND SO WHEN THOSE EXPIRE, YOU DO HAVE THE ABILITY TO REAPPLY, UM, IF THAT IS YOUR DESIRE.

AND WE WOULD ALSO, OF COURSE, KEEP THOSE APPLICATIONS OPEN.

UH, THE APPLICATION POOL WILL BE OPEN.

IF, IF SOMEONE FOR HYPOTHETICALLY APPLIED IN THIS POOL AND DID NOT GET SELECTED, UM, WE COULD REACH OUT TO THEM AND ASK THEM IF THEY WERE STILL INTERESTED, IF IT'S WITHIN A YEAR'S TIME, BUT OF COURSE, IN TWO YEARS NOW, WE, THEY WOULD HAVE TO REAPPLY FOR A FRESH APPLICATION TO BE ON FILE.

ANY OTHER QUESTIONS? DO YOU WANT ME TO SAY WHO'S WHO? I PULLED IT UP.

DO YOU WANT ME TO SAY WHO'S, YEAH.

YOU, YOU WANNA GIVE THE NAMES OF WHO? UM, SO EXPIRING IN 2026, IT'LL BE, UH, COMMISSIONER CROOKHAM, COMMISSIONER WHITTY AND COMMISSIONER, I MEAN, CHAIR POINDEXTER.

UM, IN 2027, IT'LL BE COMMISSIONER DHA, VICE CHAIR, UM, ENRIQUE, COMMISSIONER RICE, COMMISSIONER WALLACE, AND COMMISSIONER LUHAN.

ANY OTHER QUESTIONS? ALL RIGHT, THANK YOU JUANITA AND DANNY FOR THOSE UPDATES.

[3. Receive updates from commissioners on assigned action items.]

AND I KNOW THAT, UH, COMMISSIONER RICE WILL HOPEFULLY JOIN US BACK AGAIN, UH, ONCE HIS CAMERA IS FIXED.

BUT, UM, OPENING THAT UP TO, UM, THE FLOOR FOR COMMISSIONERS TO GIVE UPDATES, I CAN GO AHEAD AND CHIME IN ON ONE THAT WAS ASSIGNED, UM, TO ME AND COMMISSIONER WITTY.

UH, MINE CURRENTLY HAS NO PROGRESS, I THINK JUST BECAUSE IT'S BEEN FOCUSED ON THE CURRENT TWO RECOMMENDATIONS.

UM, SO MY UPDATE IS THAT THERE IS NO UPDATE, WHICH IS NOT IDEAL

[00:10:01]

TO HEAR, BUT IT'S JUST BECAUSE, UM, EFFORT'S BEEN REFOCUSED ELSEWHERE.

TOTALLY UNDERSTAND.

AND I KNOW WE ARE GONNA GET TO, UM, YOUR RECOMMENDATIONS HERE A LITTLE BIT LATER.

UM, I KNOW THE ONE FOR COMMISSIONER RICE, COMMISSIONER CROOK.

DO YOU HAVE ANY UPDATES? I THINK THAT WAS ONE ON, UH, I DON'T HAVE IT IN FRONT OF ME.

ONE MOMENT.

THE, THE ECONOMICS DISABILITY ONE.

USING BONDS AS A CATALYST.

UM, WE HAVE NOT MET, I DID GET IN, OR I DID TALK TO HIM AFTER LAST MONTH'S MEETING TO LET HIM KNOW I WAS INTERESTED IN THIS, UH, SUBJECT.

SO WE ARE MAKING PLANS TO GET TOGETHER TO DISCUSS FURTHER, BUT WE'VE NOT DONE TAKEN ANY ACTION YET.

CALIFORNIA THAT'S HAD VERY, VERY GOOD SUCCESS WITH, UM, HELPING COMMUNITIES DO THINGS THEY'RE NOT ABLE TO DO RIGHT, YET WITH, UM, THE CARE SYSTEM AND THE, UM, THE SOCIAL SERVICE SUPPORT THAT PEOPLE NEED.

AND I WILL SAY, UM, JUST IN THIS PROCESS, IF THERE ARE, UH, SUPPORT OR RESOURCES THAT ARE NEEDED, PLEASE LET DANNY KNOW.

I KNOW THAT THERE ARE DIFFERENT ENTITIES OUT THERE THAT CAN HELP US WITH THIS CONVERSATION OR WITH OUR ACTION ITEMS. SO HOWEVER WE CAN ENGAGE OUR, OUR PARTNERS IN THESE CONVERSATIONS, UM, THAT'S MY IDEAL, UH, GOAL OF THESE ACTION ITEMS IS THAT, UH, WE DON'T TRY TO TAKE THIS ON ON OURSELVES.

UM, BUT WE GO AHEAD AND TAP IN.

AND I KNOW, UH, FOR MY UPDATE, UM, I DID REACH OUT TO DR.

WALKS, UH, ABOUT SOME OF THE WORK THAT SHE'S DOING.

SO I'M GOING TO COORDINATE WITH HER TO SEE IF WE CAN, UM, GET MAYBE A OVERVIEW OR A REPORT OF UPDATE OF SOME SORT ON HOW, UH, WE CAN LOOK AT ADDRESSING THE OPIOID CRISIS, UH, THAT WE ARE IN, IN THE MOST APPROPRIATE WAYS, IN THE WAYS THAT WE CAN ACTUALLY DO THINGS.

UM, JUST THINKING OF SOME OF THE RESEARCH THAT'S HAPPENING AT UT WITH FENTANYL TESTING STRIPS, WE KNOW WE CAN'T USE THEM, SO WHAT ARE WAYS THAT WE CAN STILL SUPPORT THE COMMUNITY, UM, AND NOT BREAK ANY RULES OR LAWS.

SO, UH, AS SOON AS I CAN FIND SOME TIME WITH DR.

WALKS, UH, THE GOAL IS TO GET SOME UPDATES FROM HER AND SEE WHAT WE CAN DO.

UM, I WAS CONNECTED WITH UT'S UH, SCHOOL OF POLICY, UM, BUT I'M NOT SURE WHAT'S HAPPENING WITH THEIR PROGRAM RIGHT NOW.

SO, UM, WAITING TO HEAR FROM ONE OF THOSE PROFESSORS TO SEE IF WE CAN STILL KEEP THINGS GOING.

UM, COMMISSIONER RICE, YOU HAVE, YOU HAVE JOINED US AGAIN.

UH, WE ARE JUST AT A SECTION WHERE WE'RE TALKING ABOUT ACTION ITEM AND ACTION ITEMS AND UPDATES.

AND JUST CURIOUS IF YOU'VE HAD ANY, UM, UPDATES ON, ON, UM, THE WORK THAT YOU PRESENTED TO US ABOUT, UH, BUDGETS AND OTHER CITIES AND WHAT THEY'VE BEEN DOING WITH THEIR, THEIR PUBLIC HEALTH PROCESSES? YES, SURE.

AND, UM, AGAIN, APOLOGIES FOR MY AUDIO VISUAL INEX EXACTITUDE TODAY, BUT I'M, UM, I THINK IT'S ALL WORKING NOW.

UM, MY BRIEF UPDATES, THIS IS SORT OF THE FOLLOWING.

I, I, I LED A, OF ALL THINGS AT THE AUSTIN HEALTHCARE COUNCIL, I LED A PANEL, WHICH, WELL, LEMME BACK UP.

SO WHAT I THINK I NEED TO DO, AND I THINK WE WOULD LIKE THE SUBCOMMITTEE TO DO, AND, AND AS WE HAVE SOME OTHERS ON THE SUBCOMMITTEE, WOULD LIKE TO, YOU KNOW, LET THEM JOIN AND, AND DIRECT AND, AND, AND, AND ALL IN THE CONVERSATION, AND ALSO HAVE SOME OTHERS THAT I'D LIKE TO POTENTIALLY INVITE TO THE, IF THIS IS A, IS THIS ONE OF THOSE SUBCOMMITTEES? OR MAYBE IT'S A GROUP SO THAT WE CAN HAVE OUTSIDE, NON-COMMISSIONED MEMBERS.

THERE MIGHT BE, UM, SOME INTEREST IN THAT.

BUT I WANTED TO REFINE A LITTLE BIT, SORT OF THE CHARGE OF THE, THE SUBCOMMITTEE, OR, OR AGAIN, I'LL ASK THE CHAIR TO REMIND ME IF, IF IT BECOMES A GROUP, IF WE WANNA HAVE OUTSIDE PEOPLE THAT ARE, ARE INVOLVED.

BUT, BUT, UM, TO THINK MORE HOLISTICALLY ABOUT SORT OF, UM, YOU KNOW, IT'S NOT JUST ABOUT FINANCE, BUT JUST SORT OF ASKING THE QUESTION OF, OF, UM, YOU KNOW, WHAT ARE BETTER WAYS TO COORDINATE ACROSS ALL THE SYSTEMS OF, UM, OF, UM, INTERACTIONS THAT RELATE TO SOCIAL SUPPORT AND, AND HEALTHCARE SUPPORT, UM, YOU KNOW, TO OPTIMIZE FOR THE COMMUNITY.

AND, AND, UM, THAT SOUNDS LIKE A BIG CHARGE WHEN I SAY THAT OUT LOUD.

SO MAYBE THAT'S, YOU KNOW, UM, A BIT VAST.

BUT WHAT I HAD WITH THE PANEL IS IT RELATED TO THE AUSTIN HEALTHCARE COUNCIL, WHICH JUST HAPPENED TO KIND OF OVERLAP TOPICALLY WITH THIS.

AND SO I, I HAD A, UM, I LED A PANEL WITH THE, UM, THE HEAD OF THE COMMUNITY, YOU KNOW, COMMUNITY CARE HERE IN AUSTIN, COMMUNITY CARE PART OF CENTRAL HEALTH.

UM, PAT LEE WAS IN THE ROOM AND, AND, UM, PART OF THE CONVERSATION, ALTHOUGH NOT PANEL, WE HAD A, UM, A, UM, A MEDICAID, UM, PAYER, UM, UNITEDHEALTHCARE, WHO'S A MAJOR MEDICAID, MEDICAID PAYER IN THE, IN THE CENTRAL WEST CENTRAL, UM, CENTRAL TEXAS, ALSO THE CEO AND FOUNDER OF A VERY INNOVATIVE, UM, HEALTHCARE WORKER, COMMUNITY HEALTHCARE WORK WORKER CENTERED OR CENTRIC, UM, MEDICAID PROVIDER SYSTEM THAT'S COMING OUTTA

[00:15:01]

AND THEN LASTLY, A VETERANS, UM, THE PERSON THAT RUNS THE VETERANS, UM, CENTRAL TEXAS VETERANS, UM, SERVICES SYSTEM, UM, YOU KNOW, FOR THE USVA VETERANS ADMINISTRATION.

AND THAT WHAT WE WERE TRYING TO DO WAS SORT OF TALK ABOUT CONNECTING SOCIAL SUPPORT NEEDS AS A FOUNDATIONAL ELEMENT OF, OF SORT OF THE COMMUNITY WORK.

AND I'M NOT SURE AGAIN, WHAT THAT MEANS SPECIFICALLY, BUT IT WAS A VERY INTERESTING, UM, UM, PANEL FOR AN HOUR.

AND THE, THE, THE RESULT OF IT WAS THAT EVERYONE WANTED TO CONTINUE TALKING THE PANEL MEMBERS.

AND SO I JUST LAY THAT OUT THERE AS, AS A POTENTIAL SORT OF, UH, EXTERNAL SORT OF INPUT THAT MIGHT COME.

AND, UM, IF ANYONE ELSE IS INTERESTED IN WORKING ON THIS COMMITTEE, I'D LIKE TO HAVE HELP TO DEFINE WHAT WE'RE TRYING TO DO.

'CAUSE AGAIN, I DIDN'T REALLY WANT IT TO BE FOCUSED JUST ON FINANCE, BUT IT MIGHT BE SORT OF A, UM, A COMMITTEE THAT'S FOCUSED ON THE VARIOUS PLAYERS AND THE IDEA OF THIS, THIS, PARTICULARLY THIS INNOVATIVE CALIFORNIA, UM, UM, ORGANIZATION THAT'S RIGHT IN THE MIDDLE OF WHAT LOOKS LIKE SOME OF THE MOST INTERESTING, AGAIN, UH, COMMUNITY HEALTH WORKER CENTRIC PROVIDER SYSTEMS THAT IS DEFINITELY PUTTING SOCIAL SERVICES IN THE FRONT OF THE, UM, THE STACK OF SERVICES THAT PEOPLE, YOU KNOW, UM, WOULD GET ALONG WITH THEIR MEDICAL AND OTHER KINDS OF INTERVENTIONS.

SO LEMME PAUSE THERE AND SEE IF THAT MAKES ANY SENSE.

AND, YOU KNOW, UM, IF IT DOES, THEN, I MEAN, THE FOLLOW UP MIGHT BE, UM, A MORE, UM, COGENT PRESENTATION OF, UM, OF, UM, SOMETHING IN WRITING WHICH WOULD DEFINE SOME OF WHAT, WHAT THIS WOULD BE, AND MAYBE SOME, UH, PARTICIPANT OF OTHER COMMISSIONERS OF INTERESTED.

AND ALSO MAYBE ORGANIZING ONE OR TWO OF THOSE THAT I'VE JUST MENTIONED THAT WERE ON THE PANEL AS EXTERNAL KIND OF, UM, COMMUNITY PEOPLE WHO WOULD, UM, BE INTERESTED TO, UM, ALSO HAVE THIS CONVERSATION.

SO I'LL PAUSE.

DOES THAT MAKE SENSE? YEAH.

AND JUST FOR CLARITY, UM, YOU KNOW, CONSIDER THIS A, UH, NOT NECESSARILY A COMMITTEE, BUT, UM, A GROUP OF PEOPLE WHO ARE SUPPORTING OUR COMMISSION.

UM, SO, YOU KNOW, INITIALLY WE HAD THE CONVERSATION THAT THESE ARE GONNA BE WORKING GROUPS, AND WE TOYED WITH DIFFERENT WAYS OF HOW WE WERE GOING TO ACTIVATE OURSELVES OUTSIDE OF OUR COMMISSION MEETINGS.

UM, SO THESE ACTION ITEMS ARE TRULY THAT, UM, THEY, IT, IT THINK OF IT NOT AS A WORKING GROUP AND NOT OF IT AS A, AS A COMMITTEE OR SUBCOMMITTEE, BUT AS, UM, A PROJECT THAT WE ARE WORKING ON AS A COMMISSION.

UM, AND I THINK THAT'S AWESOME.

I MEAN, BEING ABLE TO PULL IN, UH, INDIVIDUALS WHO ARE NOT ON THE COMMISSION TO HAVE CONVERSATIONS WITH US, UH, IS, IS PART OF WHAT WE'RE, WE'RE, UM, WE'RE CAPABLE OF DOING AND BEING ABLE TO, AGAIN, TAG, UH, OTHER COMMISSIONERS AS LONG AS WE DON'T HAVE THAT WALKING QUORUM, UM, TO BE ABLE TO SUPPORT IN THIS SPACE.

UM, BUT YES, OF COURSE, YOU KNOW, THE PIECE THAT YOU HAD BROUGHT UP INITIALLY WAS, WAS ABOUT, UM, THE DIRECT RELATION TO BUDGETS, RIGHT? YEAH.

AND, AND WHAT DOES THAT MEAN FOR CITIES? SO, UH, MASSAGE THIS, MY ENCOURAGEMENT WOULD BE TO MASSAGE THIS, UH, ESPECIALLY IF OTHER LEADERS ARE HAVING THIS CONVERSATION IN THE CITY.

UM, HOW DO WE NOW PULL THOSE RESOURCES TOGETHER AND HAVE BIGGER CONVERSATIONS? SO I THINK THIS IS THE, THIS IS MY, MY OPINION.

THIS IS GREAT.

UM, I WILL OPEN THE FLOOR TO OTHER COMMISSIONERS WHO HAVE QUESTIONS AS WELL AS OUR EX OFFICIOS.

DR. WALLACE, I WONDERED IF THIS MIGHT BE SOMETHING THAT WAS, I MEAN, SORRY, DR. WALLACE, DR. RICE, IF THIS WAS SOMETHING, UH, THAT COULD BE CONSIDERED AS WORK ALONGSIDE WATERSHED, RIGHT? WHICH IS WORKING ON ELECTRONIC, UH, MEDICAL RECORD AND EXCHANGE FROM HOSPITALS, FROM DELL MEDICAL SCHOOL, FROM A PH AND, UM, AND, UH, AND CENTRAL HEALTH.

AND WHETHER THE SOCIAL SERVICES COMPONENT WOULD BE, UH, ANOTHER RECORD, RIGHT? THAT THEN YOU WOULD TIE IN AND OF COURSE, DIFFERENT READING RIGHTS TO THE RECORD, BUT IT'S A WAY OF THEN SEEING THE WHOLE PERSON AND THEIR WHOLE NEEDS RATHER THAN THEIR FRAGMENTED NEEDS.

'CAUSE I REALIZE THIS IS A BIT AMORPHOUS, WHAT I'VE JUST SAID, DR.

THANK YOU FOR THAT QUESTION.

AND I BELIEVE REFERRING TO ME AS DR. WALLACE MIGHT BE AN UPGRADE FOR ME.

SO I THANK YOU FOR THAT AS WELL.

AND, UM, YOU, YOU DON'T WANT IT, YOU, YOU DON'T WANT IT, YOU DON'T.

, I, UM, I, I, I WELCOME THE IDEA OF, OF THE WEATHER WATERSHED INCLUSION.

AND, AND AGAIN, MY PROMISE IS THAT I'LL MAYBE, FOR INSTANCE, FOR THE NEXT MEETING, HAVE A, A MORE COGENT STATEMENT OF WHAT WE'RE TRYING TO TALK ABOUT.

AND THAT MIGHT ALSO GIVE EV EVERYONE A BETTER BASIS FOR RESPONDING.

[00:20:02]

UH, COMMISSIONER RICE, UH, MY MIND IS GOING IN A LOT OF DIFFERENT DIRECTIONS, AND I THINK A, A, A TOPIC OF URGENCY, PROBABLY RIGHT NOW IN THE CLIMATE THAT WE HAVE, UH, IS SPECIFICALLY IF WE'RE JUST TALKING ABOUT FINANCES, AND I DON'T KNOW WHICH, WHICH ROUTE YOU'RE THINKING ABOUT WITH FINANCE DISCUSSION, BUT I THINK THE REALITY RIGHT NOW IS ALSO THE RETRACTION OF D AND I AND WHAT DOES FINANCES LOOK LIKE, ESPECIALLY COMING FROM PUBLIC HEALTH INSTITUTIONS TO THE NGOS IN THE COMMUNITY.

AND WHAT TYPE OF, UM, ALTERNATIVE SOLUTIONS ARE THERE.

UM, WE KNOW A PH IS PROJECTING A POTENTIAL HIT.

WHAT TYPE OF IMPACT DOES THAT HAVE TO FUTURE RFPS AND SO FORTH, RIGHT? MM-HMM .

CENTRAL HEALTH IS STARTING TO NOW DO DIFFERENT TYPES OF, UH, RFPS IN, IN, IN, IN CERTAIN ASPECTS.

UH, WHAT POTENTIAL LIMIT LIMITERS WOULD PROBABLY BE THERE.

SAME THING WITH THE COUNTY.

I KNOW IT RELEASED, UH, A RECENT RFP, UM, FOR FOOD AND SO FORTH.

AND SO I THINK, YOU KNOW, UH, WE SAW THIS HAPPEN WHEN IT CAME TO, UH, INSTITUTIONS, PUBLIC INSTITUTIONS, THAT IT WAS AN ASPECT OF, EVEN THOUGH YOU ARE LEVERAGING TAX DOLLARS, IF YOU WANT OUR FEDERAL DOLLARS, THEN YOU HAVE TO PLAY THE GAME.

AND SO IF, IF THAT HAPPENS TO BE A PRECURSOR TO WHAT'S GOING ON RIGHT NOW, THEN FROM A PUBLIC HEALTH STANDPOINT, WHAT CAN BE THAT, UH, EXTENDED IMPACT FOR NGOS THAT ARE RELIANT UPON, UH, THE CONTRACTS, RFPS, THE SERVICE AGREEMENTS, UH, WITH THE PUBLIC HEALTH SYSTEM? YEAH.

DISCUSSION ITEM NUMBER FOUR, WHICH IS DISCUSS AUSTIN PUBLIC HEALTH, UH, 2025 WINTER WEATHER AFTER ACTION REPORT.

I MEAN, PROFOUNDLY IMPORTANT, WHAT YOU JUST SAID, AND TO YOUR POINT, IT IS IMMENSELY ADDING TO THE COMPLEXITY OF WHAT OTHERWISE IS A COMPLEX PROBLEM AND, AND A MULTIFACETED PROBLEM.

SO, UM, I MEAN, UM, THANK YOU FOR THAT VERY SOBER THOUGHT AND, AND SOMETHING TO BE THINKING ABOUT TO ADD TO IT, OR BOLT ON OR, OR TO, UM, CONTINUE TO DISCUSS ANY OTHER COMMENTS OR QUESTIONS ABOUT OUR ACTION ITEMS. OKAY.

WONDERFUL.

UH, WE'LL KEEP THAT ON THERE AS A REOCCURRING AGENDA ITEM, UM, UH, EVERY MONTH AND CONTINUE TO DO THIS WORK AND SHARE UPDATES AND HAVE OPEN CONVERSATIONS ON HOW WE CAN SUPPORT EACH OTHER AND OUR COMMUNITY.

UH, MOVING ON TO

[4. Discuss Austin Public Health 2025 Winter Weather After-Action Report.]

UM, I JUST WANNA SAY BIG KUDOS TO, UM, I'M JUST GONNA USE THEIR FIRST NAMES, ANNA AND MARLON, FOR PUTTING THIS TOGETHER.

UM, I, I KNOW THEY'RE IN DIFFERENT, DIFFERENT ROLES, BUT IT WAS A VERY, VERY THOROUGH AND DETAILED REPORT.

UM, AND I, MY HOPE WITH THIS CONVERSATION IS TWO PART.

UM, THEY HAVE ALREADY PUT TOGETHER THEIR OWN SWOT ANALYSIS, UH, AS WELL AS DATES, UM, ON THEIR IMPROVEMENT PLAN AND TRACKING.

AND THE WAY I WOULD LIKE TO OPEN THIS UP TO THE COMMISSION IS, UH, KNOWING THAT SOME OF THEIR COMPLETION DATES ARE IN AUGUST, UM, AS WELL AS DECEMBER OF THIS YEAR.

UM, ARE THERE OTHER OPPORTUNITIES THAT WE WOULD LIKE TO MAYBE HAVE THEM COME IN AND HAVE A VERY SHORT CONVERSATION WITH US? UM, HOW CAN WE TAKE A LOOK AT THEIR IMPROVEMENT PLAN AND CONTINUE TO SUPPORT THEIR WORK, WHETHER IT'S OTHER RESOURCES AND ENTITIES.

THIS IS JUST ME THROWING IDEAS OUT THERE TO GET THE CONVERSATION GOING.

UM, BUT SOME OF IT IS ABOUT COMMUNICATION SHARING AND HOW, UH, THAT COMMUNICATION IS HAPPENING.

SO, ARE THERE WAYS THAT WE CAN PUT TOGETHER BETTER RELATIONSHIPS, SOMETHING WHERE, WHERE THE COMMISSION CAN COME IN AND SUPPORT, OR IS IT BETTER THAT WE HAVE THEM COME IN AND SAY, HEY, THIS IS TRULY WHAT WE NEED FROM THE COMMISSION.

UM, AND THIS IS WHERE WE WOULD LOOK FOR SUPPORT SO THAT WE CAN ACTUALLY MEET THESE DEADLINES.

UM, I, I'M CURIOUS TO HEAR OTHERS' OPINIONS, UM, AND INSIGHTS ON THE, THE REPORT, BUT THAT'S PART OF THE DIRECTION I'D HOPE THIS CONVERSATION CAN GO TODAY.

AND I'M, I'M ALSO GONNA LOOK AT COMMISSIONER CROOKHAM BECAUSE I KNOW THIS IS ABSOLUTELY HIS, HIS, UH, PREVIOUS BABY AND DEPARTMENT.

BUT, UM, IF YOU HAVE ANY RECOMMENDATIONS OR SUGGESTIONS ON HOW WE COULD ENGAGE THIS, UM, TO EN TO SUPPORT.

UH, JUST TO CLARIFY, I WAS THE PUBLIC HEALTH EMERGENCY PREPAREDNESS MANAGER, UH, FOR A WHILE.

[00:25:01]

SO THAT'S WHY, WHAT, WHAT NATALIE IS REFERRING TO.

AND SHE ALSO WORKED ON COVID FOR A WHILE WITH US.

UM, SO I'M NOT ANY LONGER WITH PUBLIC HEALTH EMERGENCY PREPAREDNESS, THOUGH I DO WORK CLOSELY WITH THEM.

UM, I THINK IT WOULD BE GREAT TO BRING THEM IN AND JUST DISCUSS, YOU KNOW, I KNOW THEY'VE BEEN WORKING ON A LOT OF INNOVATIVE THINGS AND IMPLEMENTING NEW THINGS, AND I WOULD LIKE TO LEARN MORE ABOUT JUST THE ACTIONS THEY'RE TAKING TO IMPROVE WHAT THEY PROVIDE, IMPROVE SERVICES ACROSS, YOU KNOW, PROVIDERS.

UM, AND THEN TO YOUR POINT, TO SEE WHAT WE CAN, UM, OFFER IN TERMS OF ASSISTANCE AND, YOU KNOW, HELPING THEM FURTHER THEIR GOALS.

UM, AND IF WE BRING 'EM IN BEFORE AUGUST, WE CAN CHECK ON THEIR PROGRESS, YOU KNOW, ESSENTIALLY HOLD 'EM A LITTLE BIT, A BIT ACCOUNTABLE, UH, TO THESE DATES.

AND, YOU KNOW, AGAIN, SEE HOW WE CAN HELP ANY OF OUR ONLINE FOLKS HAVE ANY INSIGHTS ADD-ONS QUESTIONS.

UM, I SEE, I SEE HEAD SHAKES.

YEAH, GO AHEAD.

I WILL JUST ADD ALSO, UM, THIS ABSTRACTION REPORT, IF YOU'RE NOT FAMILIAR WITH THEM, YOU KNOW, USUALLY THEY'RE DONE AFTER, AFTER, UM, ACCIDENTS OR INCIDENTS, YOU KNOW, EMERGENCIES.

AND SO THIS WAS SPECIFICALLY ON THE 2025 SEVERE WEATHER.

UM, AND I JUST WANNA SAY THAT OFTENTIMES IN AFTER ACTION REPORTS, YOU DON'T ALWAYS GET, YOU DON'T NECESSARILY ALWAYS GET A HUNDRED PERCENT OF THE TRUTH BECAUSE OFTENTIMES YOU DON'T WANT TO ADVERTISE YOUR WEAKNESSES OR THINGS YOU KNOW, YOU COULD'VE DONE BETTER.

UM, SO I JUST WANT TO COMPLIMENT, YOU KNOW, A PH AND PGP FOUR BEING TRANSPARENT WITH THE ISSUES THAT THEY RECOGNIZE AND THE ISSUES THEY'RE TRYING TO ADDRESS.

I THINK THAT'S VERY IMPORTANT IN TERMS OF BEING ABLE TO ACKNOWLEDGE THE ISSUE BEFORE YOU CAN ADDRESS IT.

AND SO, UM, WHILE THEY IDENTIFIED SOME IMPROVEMENT AREAS, YOU KNOW, I DON'T, I WANNA MAKE SURE WE'RE, WE UNDERSTAND THAT THEY DID DO AN EXCELLENT JOB AND THAT THEY ARE DOING A GREAT JOB, AND THAT, UH, THERE'S ALWAYS ROOM FOR IMPROVEMENT.

AND THAT'S WHAT THESE REPORTS ARE FOR.

SO, AGAIN, UM, KUDOS FOR BEING TRANSPARENT FOR IDENTIFYING THESE ISSUES AND FOR ADDRESSING THEM.

I THINK IT MIGHT BE INTERESTING TO THINK ABOUT, YOU KNOW, WHEN WE TALK ABOUT PUBLIC HEALTH, UM, EMERGENCY PREPAREDNESS AND REACHING THE COMMUNITY, YOU ALL HAVE DIFFERENT COMMUNITIES THAT WE'RE TALKING ABOUT, RIGHT? AND YOU HAVE A VOICE IN THAT COMMUNITY, AND YOU HAVE RELATIONSHIPS IN THOSE COMMUNITIES.

SO I WONDER IF IT'S POSSIBLE, WELL, OF COURSE IT'S POSSIBLE, BUT TO THINK ABOUT, YOU KNOW, WHEN, WHEN THEY COME TO PRESENT, TO THINK ABOUT, OKAY, WHAT WOULD THE MESSAGING NEED TO BE FOR MY COMMUNITY, RIGHT? BECAUSE IT ALWAYS NEEDS TO BE TAILORED.

AND SO THAT, I THINK WOULD BE A VERY USEFUL EXERCISE.

AND I, I, YOU KNOW, JUST THINKING ABOUT THE INFORMATION SHARING, YOU KNOW, THAT WAS ONE OF THE THINGS THAT POPPED OUT TO ME.

AND, UM, AS COMMISSIONER WALLACE MENTIONED, RIGHT, WE ARE IN A TUMULTUOUS TIME WHEN WE'RE TALKING ABOUT PUBLIC HEALTH, UH, AND EVEN HEALTHCARE.

AND SO HOW ARE WE ABLE TO MAYBE ACTIVATE OUR OWN COMMUNITIES AGAIN, UM, TO IMPROVE OUR INFORMATION SHARING, UH, OF COURSE, WITHIN THE APPROPRIATE PARAMETERS AND WITH THE, UH, MOST RIGHT INFORMATION.

BUT, UH, BEING ABLE TO ACTIVATE FROM A COMMUNITY LEVEL IS ONE OF THE QUESTIONS I, I DID PRESENT TO, TO JUANITA, DANNY, AND, AND, UH, VICE CHAIR, CIAO OF WHAT DOES COMMUNITY ENGAGEMENT LOOK LIKE, UM, AND HOW CAN WE SHIFT THE CONVERSATION, UM, ESPECIALLY WITH WHERE WE'RE AT RIGHT NOW, UM, AND HOW WITH, AGAIN, WITHIN THE RIGHT PARAMETERS, HOW DO WE USE OUR OWN PLATFORMS, UM, TO NOW SAY, HEY, COMMUNITY, WE'RE, WE'RE DOING THESE THINGS.

AND, UH, I SENT SOME EXAMPLES OVER.

SO I WOULD JUST ALSO SAY, COMMISSIONERS, IF THERE ARE THINGS THAT, UH, I LIKE TO USE WHAT OTHER COMMISSIONS ARE DOING BECAUSE WE KNOW THAT THEY'RE ALLOWED TO DO IT, RIGHT, , UM, I SHARE THOSE AS EXAMPLES OF SAYING, YOU KNOW, ARE THERE WAYS THAT WE CAN COLLECT A COMMUNITY SURVEY THAT WE CAN, UM, GET COMMUNITY FEEDBACK, DIRECT COMMUNITY FEEDBACK, UM, ON THEIR MAJOR CONCERNS? AND WHAT DOES THAT MEAN FOR US, FOR OUR COMMISSION, AND WHAT CAN WE DO WITH THAT? UM, SO JUST TO TAKE WHAT YOU WERE SAYING, ANA, AND TO ADD A LITTLE TO THAT OF, UM, YOU KNOW, WE'RE, WE'RE THINKING ABOUT WHAT WE'RE LOOKING FOR FROM OUR, UH, COMMUNITY BASED PARTNERS, RIGHT? WE'RE LOOKING AT THOSE ONE PAGERS FROM OUR COMMUNITY BASED PARTNERS AND ASKING THEM, HOW YOU DOING? BUT WHAT IF WE ALSO TAKE THAT A STEP FARTHER AND WE NOW SAY, HEY, COMMUNITY, HOW ARE YOU ACTUALLY DOING? UM, THAT'S, AND I, I, I LEAN ON THE COMMISSIONERS TO HELP ME PHRASE THAT AND, AND CURATE THAT APPROPRIATELY.

UH, BUT I DO THINK IT'S SOMETHING THAT WE CAN LOOK AT AND PLAN FOR, UM, THE REST OF OUR YEAR, AND HOW DO WE WANNA INTEGRATE THAT INTO OUR, OUR PLANNING PROCESS.

UM, BUT

[00:30:01]

I, I WANNA ALSO MAKE SURE I'M GIVING OUR, OUR ONLINE, UH, FOLKS TIME TO TALK ABOUT THE AFTER ACTION REPORT AS WELL.

UM, SO COMMISSIONERS OR DIRECTOR, UH, OR MEGAN, THANK YOU FOR JOINING US.

IF YOU HAVE ANY INSIGHTS OR ADD-ONS, PLEASE JOIN IN.

THE, THE ONLY THING I PROBABLY WANT TO ADD AS A COMMENT WOULD BE WHENEVER THE MEETING IS SCHEDULED, COMMISSIONER CROOKHAM, DIRECTOR STIRRUP, YOU KNOW, THIS OVERLAPS INTO SAFETY, EMERGENCY MANAGEMENT, UH, DEFINITELY SHELTERS, FOOD.

SO WHAT, WHAT ARE THE OTHER COMMISSIONS, THE OTHER GROUPS, WHAT ARE THEY DOING? SO WE'RE NOT HASHING INTO STUFF OR, OR BRAIN THINKING INTO THINGS THAT ARE ALREADY BEING DISCUSSED OR BEING PROPOSED BY THOSE OTHER ENTITIES THAT HAVE, UH, A MORE OFFICIAL OVERSIGHT AND GUIDANCE AND DIRECTION WITHIN THOSE PARTICULAR THINGS.

SO THEN WE CAN EITHER JUST ADD ON TO, OR, UH, JOINT RECOMMEND WITH.

AND THEN I THINK ALSO WHAT, SPECIFICALLY FROM A PUBLIC HEALTH STANDPOINT, UM, WHEN THE PRESENTATION DOES COME OUT OF THIS, I, I'LL SAY A LITANY AND A LITANY, JUST BECAUSE THERE'S SO MANY DIFFERENT ANGLES YOU CAN GO IN ON THIS THAT WE NEED TO BE LOOKING AT, LIKE, IS IT 1, 1, 1, 2? IS IT TWO WHATEVER, FROM A PUBLIC HEALTH AS THE PRIMARY THING OF FOCUS, THE PRIMARY THING OF CONVERSATION, KNOWING THAT PUBLIC HEALTH OVERLAPS INTO SDOH AND NON-MEDICAL, BUT THERE'S OTHER COMMISSIONS, THERE'S OTHER WORK GROUPS, THERE'S OTHER ENTITIES THAT HAVE THE MANDATE TO BE THE LEAD ON THOSE.

CAN YOU, CAN YOU REPEAT THE LAST PART OF THAT? I'M SORRY, JUST TO MAKE SURE.

I HEARD, LIKE, OTHER ENTITIES THAT HAVE A MANDATE TO, TO DO WHAT NOW? THEY HAVE THE MANDATE TO BE THE LEAD ON THOSE.

LIKE WE HAVE THE, THE, THE FOOD COMMISSION, RIGHT? UH, SO THEY'RE DESIGNATED TO BE THE LEAD ON THAT.

SO HAS THIS ALREADY GONE TO THEM? HAVE THEY ALREADY BEEN LOOKING AT IT? ARE THEY COMING UP WITH RECOMMENDATIONS? SO WE HAVE THAT TO, UH, SO WE'RE NOT LOOKING AND STARTING TO THINK ABOUT, UH, WHICH, WHICHEVER ONE IT WAS TALKING ABOUT, FOOD ACCESS AND WHATNOT, WE'RE NOT STARTING TO HAVE DISCUSSIONS AND WE'RE NOT INCORPORATING WHAT MAY HAVE ALREADY TRANSPIRED OR WHAT IS GOING TO BE TRANSPIRING FROM THAT DESIGNATED, UH, ENTITY.

AND SO THERE'S A LOT OF THINGS LIKE THAT IN, IN THAT ASPECT AS IF I'M JUST LOOKING AT IT HERE WHERE I CAN DEFINITELY SEE 1, 1 1 2, BECAUSE YOU'RE TALKING ABOUT INTEGRATION OF INTEGRAL CARE SUPPORT, YOU'RE TALKING ABOUT INTEGRATION AND COMMUNITY CARE, UH, SUPPORTS, UM, YOU KNOW, UH, YOU START GETTING DOWN INTO, UH, 4.1, IT'S TALKING ABOUT SHELTER SURVEILLANCE, IS TALKING MORE ABOUT, UH, SURVEILLANCE ASPECTS.

SO IS THERE A MORE APPROPRIATE ENTITY COMMISSION THAT'S FOCUSED IN THAT? IS THE JOINT COMMISSION HAVING ANY TYPES OF DISCUSSION? SO, UH, SO WE'RE HAVING A MORE FOCUSED DISCUSSION FROM A PUBLIC HEALTH STANDPOINT THAN ABROAD, AND IT'S OVERLAPPING INTO OTHER COMMISSIONS.

SO I'LL JUST ADD THAT THIS IS A PH SPECIFIC, IT'S NOT A CITYWIDE OR EVEN A COUNTYWIDE.

UM, SO ALL THESE IN HERE ARE SPECIFIC TO A PH AND OUR A PH RESPONSIBILITIES, FOR EXAMPLE, 4.1 SHELTER SURVEILLANCE, THAT'S OUR EPIDEMIOLOGISTS AND OUR PUBLIC HEALTH NURSES GOING OUT TO THE SHELTER, TO THE SURVEILLANCE.

UM, AND THAT'S ALSO OUR ENVIRONMENTAL HEALTH SERVICES PEOPLE, THE RESTAURANT INSPECTORS GOING OUT THERE AND DOING INSPECTIONS AS WELL.

SO THEY'RE BOTH PART OF A PH AND THAT IS SOMETHING THAT THEY'RE RESPONSIBLE FOR.

AND SO THAT'S WHAT THIS SPECIFIC IMPROVEMENT ITEM IS ADDRESSING.

SO MY ONLY, MY ONLY RETURN ON THAT WOULD BE IS A PH IS A DEPARTMENT WITHIN THE CITY OF BOSTON, SO I'M ALSO HIGHLIGHTING OTHER CITY COMMISSIONS.

SO THEY SHOULD HAVE SOME TYPE OF INPUT INTO THIS, ESPECIALLY WHEN YOU'RE LOOKING AT 6.1 FOOD SAFETY TRAINING RESOURCE PACKAGING.

RIGHT.

SO THAT IS, AGAIN, ANOTHER JOINT COMMISSION THAT IS FROM THE CITY AND THE COUNTY SIDE.

I MEAN, I SEE WHAT YOU'RE SAYING, BUT FOOD SAFETY AGAIN, IS THE ENVIRONMENTAL HEALTH SERVICES DEPARTMENT.

THEY'RE THE, THE FOOD, YOU KNOW, INSPECTORS.

SO THEY'RE THE ONES WHO DO NEED TO PROVIDE THIS EDUCATION TO THE, THE SHELTER PEOPLE OR WHOMEVER.

I MEAN, I DON'T KNOW THAT THE FOOD PLAN PEOPLE MM-HMM .

I MEAN, PERHAPS THIS COULD FIT INTO THE FOOD PLAN.

UM, BUT I DON'T KNOW THAT, I DUNNO, MAYBE THEY WOULD, AND I THINK EVEN IF IT'S JUST A SIMPLE NOTE BUT DOESN'T WRITE.

SO, YOU KNOW, THEY COULD HAVE INTEREST FOR SURE.

SO THAT, YOU KNOW, THE OTHER COMMISSIONS UNDERSTAND THAT, YOU KNOW, THIS DOCUMENT REPRESENTS CORE PUBLIC HEALTH SERVICES THAT ARE USUALLY PERFORMED BY A PUBLIC HEALTH DEPARTMENT.

I THINK FOR, FOR ANY, FOR NOTHING ELSE, IF IT'S JUST FOR EDUCATION PURPOSES,

[00:35:01]

AND THEN THERE'S CONVERSATION AROUND ARY, I CAN NEVER SAY THAT, BUT COLLABORATIVE SERVICES THAT SUPPORT THAT WORK.

UM, YOU KNOW, MAYBE THAT'S AN OPPORTUNITY WHEN I THINK AT, OF THE COMMISSIONS THAT I KNOW WOULD HAVE AN INTEREST ARE OFF TOP ALL OF THE QUALITY OF LIFE COMMISSIONS.

UM, BECAUSE USUALLY WHEN WE'RE TALKING ABOUT FOLKS WHO ARE MOST IMPACTED BY, UM, WHETHER EVENTS ARE NATURAL DISASTERS, IT'S OUR COMMUNITIES, UM, THAT REPRESENT HISTORICALLY MARGINALIZED POPULATIONS.

AND SO, UM, IT'S A CONVERSATION WE CAN, WE CAN DEFINITELY HAVE AND, AND SEE IF THERE'S INTEREST THERE.

BUT, YOU KNOW, ALWAYS MAKING SURE THAT THEY HAVE THE UNDERSTANDING THAT, YOU KNOW, THESE, ESPECIALLY THE FOOD THAT'S LIKE A REGULATORY RESPONSIBILITY OF PUBLIC HEALTH, BUT IF THERE'S ANY INPUT OR INSIGHT THAT THEY CAN, UM, PROVIDE IN TERMS OF HOW WE'RE DELIVERING THAT SERVICE, THEN WE'RE ALWAYS OPEN TO THAT.

AND, AND CHAIR, THE ONLY REASON I SAY THAT, AND COMMISSIONER, UH, CURRICULUM, THE ONLY REASON I SAY THAT IS WHEN WE'RE TALKING ABOUT WHAT ANNA JUST BROUGHT UP, UH, DIFFERENT POPULATIONS THAT HAVE THE GATHERINGS OR THE SUBJECT MATTER EXPERTS WITHIN THAT SPACE, THOSE INDIVIDUALS ARE DESIGNATED SPECIFICALLY FROM THAT.

AND SO, LIKE, I DON'T KNOW EVERYTHING ABOUT FOOD AND SO FORTH.

I DON'T KNOW EVERYTHING ABOUT SHELTERS, AND I DON'T WANNA MAKE AN ASSUMPTION THAT ANYBODY ELSE FROM THE TEAM DOES, BUT WE DO HAVE THESE COLLECTIVES PUT TOGETHER FROM THOSE SPACES.

I THINK THAT'S IMPORTANT.

I THINK THAT AT LEAST MAKING THEM AWARE OF THIS AND, YOU KNOW, PHEP AND WHAT THEY DO WOULD BE GREAT.

UM, AND THEN MAYBE EVEN THE SAFETY COMMISSION, PUBLIC SAFETY COMMISSION, YOU KNOW, I DOUBT THEY ARE REALLY FAMILIAR WITH PHEP.

PEOPLE ARE OFTEN SURPRISED AT WHAT PUBLIC HEALTH DOES IN EMERGENCIES.

UH, SO I THINK THAT WOULD BE A GOOD IDEA, JUST TO MAKE THEM AWARE.

AND THEN PERHAPS THEY DO HAVE SOME INPUT OR SOMETHING.

THEY DON'T, AND AT LEAST WE CHECK, CHECK THAT BOX.

CAN I ADD SOMETHING TO THIS CONVERSATION? PLEASE.

WE WILL GO AHEAD AND MOVE ON, UH, TO OUR DISCUSSION AND ACTION ITEMS. UH, SO, UH, NUMBER FIVE IS TO DISCUSS AND TAKE ACT POSSIBLE ACTION TO APPROVE A RECOMMENDATION FOR HEAT RELATED ILLNESS.

SO IN ADDITION TO WHAT, WHATEVER DIRECTION THIS COMMISSION DECIDES TO MOVE FORWARD WITH, IT SEEMS LIKE THE INDIVIDUALS ON THIS COMMISSION ARE INTERESTED IN DISASTER RESPONSE AND PLANNING.

AND THERE'S A LOT OF COOL WORK THAT BOTH THE CITY AND THE COUNTY ARE GETTING INTO IN REGARDS TO BUILDING NETWORKS OF RESILIENCY WITH THE GOALS AND OBJECTIVES OF GETTING OUT WHAT THEY CALL MIDNIGHT MESSAGES.

SO, YOU KNOW, CRITICAL MESSAGES THAT ARE COMING OUT DURING A DISASTER THAT, UH, THEY JUST NEED BOOTS ON THE GROUND, GETTING THE COMMUNICATIONS OUT TO, AND BOTH THE SITTING THE COUNTY RIGHT NOW ARE CONDUCTING DRILLS AND CONTINUING TO BUILD UP THOSE, UM, NETWORKS OF RESILIENCE.

AND SO IF, IF IT JUST SEEMS VERY ACTION ORIENTED, AND I'M NOT, AND I, AND I, WE NEED HELP MASSAGING THIS ON WHETHER IT'S A COMMISSION, UM, ACTIVITY, A SUBGROUP OF THE COMMISSION ACTIVITY, OR JUST INTERESTED PARTIES ACTIVITY, BUT IT SEEMS REALLY RIPE FOR THIS GROUP OR THE INDIVIDUALS WHO COMPRISE THIS GROUP.

THANK YOU FOR SHARING THAT.

MEGAN, WOULD YOU BE ABLE TO SHARE OVER THAT INFORMATION TO DANNY AND JUANITA SO THAT THEY COULD DISPERSE IT TO, UH, THE COMMISSION? AND WE CAN EITHER, UM, FIGURE OUT IF THAT'S ANOTHER ACTION ITEM WHERE WE HAVE SOMEONE WHO IS VERY, UM, UH, ENCOURAGED TO JOIN THIS, UM, PROCESS AND PRO AND PROJECT THAT YOU'RE WORKING ON.

UM, OR IF IT'S MORE IN DEPTH AND IT NEEDS TO BE THE FULL COMMISSION WORKING TO SUPPORT, UM, WHAT YOU ALL ARE DOING, UM, MAYBE WE CAN PUT THAT ON OUR AGENDA FOR AUGUST.

UM, AS I WAS REMINDED, WE WILL NOT BE HERE IN JULY.

UH, SO WE CAN HAVE THAT AS A DISCUSSION ITEM TO SPEND THAT TIME FROM NOW UNTIL, UH, SEPTEMBER WHEN WE MEET AGAIN, OR I'M SORRY, AUGUST WHEN WE MEET AGAIN, AND THEN HAVE A, A TRUE RESPONSE OF HOW WE COULD SUPPORT YOU ALL OR HOW YOU MAY NEED US TO SUPPORT YOU.

UM, IF THERE'S NO OTHER COMMENTS OR QUESTIONS ABOUT THE, UH, WINTER WEATHER AFTER ACTION REPORT,

[5. Discuss and take possible action to approve a recommendation for Heat-Related Illness. ]

UM, I KNOW THAT WE HAVE RECEIVED THESE FROM DANNY.

I WILL, UH, OPEN THE FLOOR TO, UH, COMMISSIONER DOLE HAUSEN, WHO HAS AUTHORED,

[00:40:01]

UH, BOTH OF THESE RECOMMENDATIONS FOR A QUICK OVERVIEW INSIGHT AND, UM, THEN WE CAN MOVE ON TO NEXT STEPS.

UM, I, NO MAJOR CHANGES WERE MADE TO THE HEAT RELATED ILLNESS RECOMMENDATION, UM, ALTHOUGH COMMISSIONER WALLACE DID SEND OVER SOME COMMENTS AND NOTES, UM, WHAT I KIND OF IMAGINE FOR BOTH OF THESE THOUGH, IS WE'LL BE DISCUSSION BASED AS OF CURRENT.

SO I DON'T KNOW IF COMMISSIONER WALLACE WANTS TO REVIEW OR DISCUSS SOME OF HIS COMMENTS.

UM, THIS IS PROBABLY ONE OF THE BETTER ARENAS, JUST GIVEN HOW SLOW COMMUNICATION CAN BE OVER EMAIL.

UM, BUT I DON'T KNOW IF YOU WANTED TO SPEAK TO THAT, MR. WALLACE.

ABSOLUTELY.

NO.

MY BEST PRACTICE IS ALWAYS TO DO A, UH, SEND OF WHAT I PLAN TO DISCUSS.

SO IT'S NEVER A SHOCKER.

RIGHT.

SO THAT'S HIS BACK ROOM POLITICS THERE OF NICETIES.

UM, SO NO, WHAT I SENT OVER WAS ROUGHLY INQUIRING BASED UPON THE, THE, THE DESCRIPTION OF THE TOPIC, 10 MINUTES WATER BREAK FOR THE TIMEFRAME OF MAY TO SEPTEMBER, UH, FOR EVERY THREE HOURS.

WHERE DOES THIS DEVIATE SPECIFICALLY FROM CURRENT OSHA IN ANY, UH, TEXAS MANDATES ALREADY? UM, IS THERE NOT A, UH, WORK REST, UM, CHART APPROVED BY THE STATE OR ONE FROM OSHA THAT WE'RE, UH, THAT WE CAN ALREADY ADHERE TO? SO IS THAT SOMETHING WE NEED TO CREATE? UM, OR TWO, IS THIS NOT CONDUCIVE ENOUGH WHERE IT DOESN'T TALK ABOUT WATER BREAKS WITHIN THE WORK REST ASPECT? BECAUSE THIS DOESN'T NECESSARILY CONFORM IN MY PERSPECTIVE TO WHAT YOU USUALLY SEE FROM OSHA OR AT THE STATE LEVEL WHEN IT COMES TO A CERTAIN AMOUNT OF TEMPERATURE, UH, YOU KNOW, DETERMINES A CERTAIN TYPE OR, OR, OR TYPES OF ACTIVITIES, HOW MUCH SUN VERSUS SHADE, UH, AGAIN, DIFFERENT TYPES OF, UH, UM, MANDATES OR EXPECTANCIES.

AND THEN ALSO, I KNOW IN OUR LAST MEETING, UH, UH, THERE WAS RECOMMENDATIONS OF ENSURING THAT, UH, WHATEVER BREAK, UH, THAT WAS HIGHLIGHTED, THAT IT ALSO, UH, EXCLUDED THE TIME TO AND TIME FROM GETTING TO THE WATER SOURCE OR A PROXIMITY OF THE WATER SOURCE AT LEAST EXPLICITLY LISTED IN THERE.

SO IT'S NOT A, UM, UH, WIDE ROOM OF, OF DEVIATION BY THE EMPLOYER.

AND THERE THEY HAVE STILL, QUOTE UNQUOTE, MET THE CRITERIA.

THERE, THERE'S, IT IS NOT REALLY TAKING INTO ACCOUNT BOTH THE EMPLOYER AND THE WORKER IN THE SHIFTING OF THE ENVIRONMENTS.

UM, I ADDRESSED SOME OF ONE THING AT A TIME.

UM, SO LOOKING AT ONE OF THE NOTES, IT SAYS ACCESS TO WATER.

SO THAT IS ACTUALLY ADDRESSED IN THE, WHEREAS THE SECOND ONE, SO OCHER DOES REQUIRE THEM TO HAVE ACCESS TO, UM, FRESH WATER AS WELL AS SHADE.

UM, SO I THINK THAT, I JUST DIDN'T WANNA BE REPETITIVE ABOUT THAT.

UM, IT'S SUPPOSED TO BE ALSO LIKE ACCESSIBLE WITHIN A CERTAIN RADIUS OF WHERE THEY'RE WORKING.

UM, AS FOR THE, WHAT DID YOU CALL IT, THE HEAT REST CHART, MY UNDERSTANDING THAT'S MORE OF LIKE THE CDC RECOMMENDATION, NOT NECESSARILY SOMETHING THAT'S MANDATED BY OSHA.

UM, AND KIND OF ONE OF THE REASONS WHY I AIMED FOR SUCH A BROAD, UM, I'M NOT GONNA SAY REGULATION 'CAUSE IT'S TECHNICALLY AN INCENTIVE PROGRAM, RIGHT, IS BECAUSE TEXAS JUST DOESN'T LIKE YOU TO REGULATE LABOR IN ANY WAY, SHAPE OR FORM.

SO THERE'S REALLY NOT A WHOLE LOT, UM, OUTSIDE OF OSHA.

AND SO I THINK THAT'S KIND OF WHERE IT CAME FROM.

SO I HAD MADE THROUGH SEPTEMBER, YOU SAYS.

DOES THAT MAKE SENSE? CAN YOU EXPLAIN THAT A LITTLE BIT MORE SLASH I GUESS I'M TRYING TO GET WHAT WOULD YOU CHANGE THEN? SO I SEE YOUR COMMENTS, WHAT WOULD YOU CHANGE BASED OFF OF YOUR FEEDBACK? I MEAN, IF I'M, IF I'M GOING, AND THIS AGAIN IS GOING OFF OF JUST OLD SCHOOL PRACTICES, MILITARY SERVICE AND OTHERS, RIGHT? THAT THE TEMPERATURE, THE, THE TYPE OF WORK, IT MAY, MAYBE, MAYBE DIFFERENT JULY, AUGUST, SEPTEMBER, RIGHT? SO THIS IS ALMOST LIKE A, IS THIS REGARDLESS OF WHATEVER THEIR ENVIRONMENTAL CIRCUMSTANCES MAY BE, RIGHT? UM, SO, UH, ALMOST LIKE, UH, CIGARETTE BREAKS, EVERYBODY CAN GET A CIGARETTE BREAK.

SO EVERYBODY ABUSES THE CIGARETTE BREAK RULE, RIGHT? AND THEN AT THE SAME TIME, EMPLOYERS CAN THEN, UH, MAKE THE CIGARETTE BREAKS SO FAR OUT THAT IT BECOMES AN ISSUE JUST OVERALL BECAUSE THE POLICIES, THE, THE RESTRICTIONS, THE CONFINEMENTS

[00:45:01]

UM, AND THAT'S KIND OF WHY I WAS WONDERING FROM, UH, THE, THE ATTACHMENT THAT I PUT IN THERE ABOUT THE, THE, THE WORK REST WAS, DO WE NEED TO LOOK AT SOMETHING LIKE THAT WHERE IT'S MORE OF A RANGE, IT'S MORE OF A EASIER BUY-IN.

'CAUSE IF I'M JUST LOOKING AT THIS FROM A SENSE OF 10 MINUTES EVERY THREE HOURS, WELL, DEPENDING UPON THE TEMPERATURE, IT MAY NEED TO BE A 10 MINUTE WATER BREAK EVERY HOUR, RIGHT? UH, IT MAY BE SO EXTREME THAT IT NEEDS TO BE ABLE TO HAVE WATER BOTTLES READILY AVAILABLE IN SHADE EVERY 30 MINUTES.

SO IT DOESN'T REALLY TAKE INTO A TO ACCOUNT WITH THE ENVIRONMENTAL CIRCUMSTANCES ARE.

SO I, I DEFINITELY UNDERSTAND THE BROAD PIECE, BUT IF WE'RE GONNA GO THAT BROAD, I, I JUST WANTED TO MAKE SURE I'M ON THE SAME WAVELENGTH WHEN IT COMES TO THAT.

YEAH, AND I'M, AGAIN, I'M OPEN TO DISAGREEMENT ON IT.

I THINK I WANTED TO MAKE IT BROAD BECAUSE JUST KIND OF BASED OFF OF WHAT I KNOW, SO LIKE MY DAD HAS BEEN A LIKE OUTDOOR LABORER HIS ENTIRE LIFE.

AND I'M GONNA SAY LIKE, I HIGHLY DOUBT FROM THE PEOPLE THAT I KNOW WHO ARE OUTDOOR WORKERS, THAT THEY WOULD BE DOING THIS TEMPERATURE SHADE MATRIX DURING THE WORKDAY.

SO I THINK IN MY MIND I MADE IT BROAD BECAUSE IT'S A REALLY EASY RULE TO FOLLOW.

UM, AND YES, I KNOW THAT THE TEMPERATURES RANGE MAY OF SEPTEMBER, BUT I THINK I WANTED TO GET RID OF THE HAVING TO LIKE MEET A CRITERIA, MONITOR THE CRITERIA, JUST BECAUSE I WANT IT TO BE EASY FOR BOTH THE EMPLOYERS AND THE EMPLOYEES.

AS FOR LIKE POTENTIAL ABUSE OF IT, I THINK I PUT ON HERE, I DON'T WANT IT AFFECTING EMPLOYEE WAGES.

I THINK 10 MINUTES, EVERY THREE HOURS IS NOT NECESSARILY LIKE AN UNREASONABLE OR LIKE, POSSIBLY LIKE ABUSIVE USE OF TIME.

I THINK THAT, I DON'T KNOW THAT I AGREE WITH YOU ON THAT, BUT I THINK TO KIND OF HELP YOU UNDERSTAND WHERE I WAS COMING FROM IS I MADE IT BROAD BECAUSE EVEN THOUGH THAT MATRIX MAKES A LOT OF SENSE, I DIDN'T WANNA OVERCOMPLICATE IT, BUT I'M OPEN AGAIN TO DISAGREEMENT SLASH IF YOU HAVE EDITS, I'M OPEN TO AS WELL.

I'VE VERY MUCH MADE IT VERY SIMPLE, SIMPLIFIED.

UM, FOR THAT REASON.

I ALSO DIDN'T WANNA MAKE IT TOO RESTRICTIVE, UM, FOR THAT REASON.

DOES THAT ANSWER SOME OF YOUR QUESTIONS OR DID I JUST MAKE THAT WORSE? NO, NO, IT DOES.

I THINK I'M JUST WONDERING IN THIS ASPECT, WHO DOES THIS GO TO THAT WOULD BE THINKING DOWN THOSE SIMILAR LINES OF LIKE, I'M USED TO SOMETHING LIKE OSHA OR IT'S ONE OF THOSE ASPECTS, AND SO DOES A, UH, DOES AN EASY SENTENCE SAY IN LIEU OF THIS IS WHAT'S BEING RECOMMENDED, RIGHT? UM, AS A MINIMUM FROM, UH, THE, UH, THE PUBLIC HEALTH COMMISSION, RIGHT? SO IT JUST KIND OF TAKES AWAY SOMETHING THAT WOULD BE A LITTLE BIT MORE FORMALIZED, UH, A LITTLE BIT MORE, UH, SHIFTING BASED UPON CIRCUMSTANCES AND SO FORTH, RIGHT? UM, I DON'T THINK IT'S IN LIEU OF ANYTHING.

I THINK IT'S JUST AN ADDITIONAL LAYER FOR SOMETHING THAT THEY CAN OPT IN FOR.

I DON'T THINK IT'S SUPPOSED TO REPLACE ANY OF THOSE EXISTING REGULATIONS.

TO YOUR POINT, I WONDER IF THE CITY OR THE COUNTY ALREADY HAVE SOME KIND OF GUIDELINES.

I'M JUST TRYING TO THINK OF, AS AN EMPLOYEE OF THE CITY, I THINK WE DO HAVE CERTAIN GUIDELINES FOR WORKING OUTSIDE.

UM, SO THERE'S A CITY RULES, BUT PERHAPS WE COULD USE THOSE AS A GUIDE.

AND THEN I'M WONDERING TOO, I MEAN, YOU'RE CORRECT.

THIS WOULD BE A RECOMMENDATION TO THE CITY AND THEN THE CITY WOULD THEN HAVE TO COME UP WITH IT.

SO PERHAPS WE'RE BEING TOO PRESCRIPTIVE BY GIVING MONTHS AND DATES, AND INSTEAD WE SHOULD SAY WE DIRECT THE CITY TO COME UP WITH CRITERIA AND PARAMETERS TO ALLOW FOR AN INCENTIVE, YOU KNOW, BLAH, BLAH, BLAH.

AND THEN WE CAN ALLOW SUBJECT MATTER EXPERTS TO, TO COME UP WITH THE, THE MEAT, SO TO SPEAK.

I THINK THE BIGGEST THING FOR ME, AND, AND, AND AGAIN, IS JUST, I DON'T EVEN KNOW WHAT'S IN PLACE TO UNDERSTAND WHERE, WHERE THIS RECOMMENDATION IS COMING IN TO BE ADDED TO OR, UH, AND FEEL LOVE.

AND, AND SO THAT'S WHERE I'M KIND OF DEFAULTING TO.

LIKE, I KNOW OSHA HAS STUFF, BUT IF IT HAS TO ALSO BE APPROVED BY THE STATE, THEN DOES THE STATE NOT HAVE SOMETHING? YEAH.

AND SO IS IT NOT SUFFICIENT ENOUGH THAT WE NEED TO ADD TO IT OR THERE JUST ISN'T ANYTHING IN GENERAL.

SO WE'RE RECOMMENDING SOMETHING, COMMISSIONER WALLACE, I GUESS, TO PROVIDE THAT INFORMATION.

TEXAS DOES NOT HAVE STATEWIDE LAW REQUIRING WATER BREAKS, AND WE ALSO DON'T HAVE THE ABILITY TO HAVE A CITYWIDE, UM, LAW BECAUSE OF A SPECIFIC LAW PASSED IN 2023, INVALIDATING LOCAL ORDINANCES OS A RECOMME RECOMMENDATION, BUT IT'S NOT MANDATED.

[00:50:01]

THERE'S NOTHING REALLY.

AND SO I THINK AGAIN, RIGHT, HOW MANY PEOPLE DON'T KNOW THAT THAT WOULD CREATE OPPOSITION TO BE ABLE TO SAY IN ABSENCE OF, OR WHATEVER, RIGHT? I I'M JUST THINKING OF IT FROM THE EMPLOYER STANDPOINT, RIGHT? LIKE, IF I GET THIS, WHY WOULD I WANT TO JOIN IT? WHY WOULD I WANT TO DO IT? UM, AND ESPECIALLY IF I'M GOING OFF OF THIS NATURAL ASSUMPTION OF THERE, THERE ARE THINGS OUT THERE.

SO, BUT AGAIN, I COULD BE OVERTHINKING IT, BUT THAT'S JUST WHERE MY, MY QUESTIONS WERE KIND OF COMING FROM.

AND JUST FOR CLARITY, THIS, UH, THIS RECOMMENDATION CAME OUT OF OUR PRESENTATION FROM, UM, OUR, OUR HEAT REPORT THAT WE WERE GIVEN EARLIER THIS YEAR.

AND IN THAT PRESENTATION, UM, MARK EXPLAINED THAT THERE ISN'T ANYTHING, AND THERE'S, THERE'S THINGS THAT ACTUALLY THE STATE SAYS WE CAN'T SAY WE HAVE TO DO WHEN, UH, COMMISSIONER DOHA WAS, WAS GOING DOWN THE ROUTE OF CREATING SOMETHING LIKE THIS.

UM, IT WAS TO MAYBE GIVE LIKE THE PERMITTING OFFICE, UH, LIKE LEANING ON THEM TO MAKE THE INCENTIVES FOR THE, FOR THEIR NEW CONTRACTS OR THEIR, UH, NEW PROJECTS THAT ARE GETTING PUT IN PLACE.

UM, IT WASN'T FOR US TO COME UP WITH THE INCENTIVES OR TO DETERMINE WHY THEY SHOULD WANT TO USE THE INCENTIVES.

WE'RE JUST SAYING THERE'S NOTHING IN PLACE FEDERALLY, THERE'S NOTHING IN PLACE AT THE STATE LEVEL.

THERE'S NOTHING IN PLACE AT THE CITY LEVEL.

WHAT CAN WE STILL DO WITHIN OUR CONSTRAINTS OF OUR COMMISSION, OF OUR ORDINANCES THAT WILL SAY WE'RE STILL AWARE THAT THIS IS A PROBLEM BECAUSE IT'S AP, IT'S ACT ACTIVELY AFFECTING PEOPLE DURING THESE TIME PERIODS BASED ON THE DATA THAT WAS COLLECTED.

UM, AND HOW, AND IT IS PEOPLE SPECIFICALLY WORKING OUTSIDE.

UH, AND SO WE STARTED WITH THE IDEA OF WHAT IF WE LOOK AT CONSTRUCTION SITES, WHAT IF THAT IS WHERE WE START THE CONVERSATION WITH THE INCENTIVES, UM, WHICH THEN TRICKLED INTO PERMITTING, OFFICE LEADING WHERE THOSE INCENTIVES COME FROM.

SO THAT'S THE HISTORY OF WHERE THIS CAME FROM, UM, AND WHY IT WAS, WAS HAPPENING THIS SPECIFIC WAY.

DO WE, NO, I MEAN THAT, THAT DEFINITELY MAKES SENSE.

I THINK A LOT OF THAT MEAT'S NOT LAID OUT IN HERE.

AND I DON'T KNOW IF THAT'S JUST BECAUSE THE RECOMMENDATION NEEDS TO BE, YOU KNOW, RECOMMENDATIONS DON'T INCLUDE THAT TYPE OF DETAIL INTO IT.

RIGHT? AND SO IF IT, IF THAT'S THE CASE, AND I THINK WHAT KIND OF, HOW DOES THIS GET MESSAGED IF APPROVED, THAT THIS IS WHY THE PUBLIC HEALTH COMMISSION IS PUSHING THIS RECOMMENDATION.

THIS IS WHY, AND THIS IS THE PURPOSE OF WHAT WE WANT IT AND HOW WE WANT IT TO BE, UH, EXERCISED OR INCORPORATED INTO THE CITY OF AUSTIN, RIGHT? I, I DON'T GET ANY OF THAT IN HERE.

AND SO WHETHER I REMEMBER OR DON'T REMEMBER THE PRESENTATION AND THE DISCUSSIONS AND SO FORTH, AND THAT'S, THAT'S US BEING INVOLVED HERE, RIGHT? THAT'S NOT EVERYBODY ELSE.

THAT'S NOT PAYING ATTENTION TO THE MEETINGS OR THE NEWS CAPTURING, GETTING, PUSHING IT OUT, RIGHT? SO I THINK IF, IF IT'S NOT GONNA HAVE THAT LEVEL OF DETAIL IN HERE, THEN HOW DO WE PUT A COMMUNICATION STRATEGY ASSOCIATED WITH IT? SO I THINK, UH, COMMISSIONER CURRICULUM'S IDEA WAS A GOOD ONE TO SEE WHAT THE COUNTY AND CITY HAVE AS RECOMMENDATIONS.

I DO THINK THAT IN OUR PROCLAMATIONS YOU CAN'T SAY WHEREAS, YOU KNOW, TEMPERATURES OF A CERTAIN LEVEL ARE VERY DANGEROUS TO THE BODY, INCLUDING ANYONE WHO'S TAKING MEDICINES AND, YOU KNOW, AND ALL THESE THINGS.

SO YOU CAN EDUCATE IN THE, WHEREAS RIGHT BEFORE YOU GET TO THE THEN THE CURE OR THE, OR THE METH OR THE REMEDY AS IT WERE.

AND I DO THINK WE NEED TO LOOK AT OCTOBER, SEPTEMBER, IT SEEMS VERY ASPIRATIONAL.

OCTOBER, UH, I WAS LOOKING AT THE, UH, PAST YEAR, UH, THERE WERE TEMPERATURES ABOVE 90 DEGREES ALMOST A WHOLE MONTH.

AND SO THAT'S JUST THE HEAT, NOT THE HEAT INDEX, WHICH, AND I, I DO THINK THAT IN THE TIME IN WHICH WE'RE LIVING, IT MAY BE MORE DIFFICULT TO RECRUIT PEOPLE TO WORK OUTSIDE.

AND SO THIS MAY BE ALSO A RECRUITMENT INCENTIVE.

YEAH, I THINK THAT'S A GOOD IDEA AND I WOULD LOVE TO SEND THIS BACK OUT FOR OTHER PEOPLE TO ADD TO IT.

UM, IT'S A FAULT OF MINE THAT I'M TOO BRIEF WHEN I WRITE THINGS.

UM, SO I WOULD LOVE IF SOMEONE HAD SOME THINGS TO BEEF UP THE, WHEREAS SECTION I THINK WOULD BE VERY HELPFUL.

DIRECTOR STIR, PLEASE JOIN US.

UM, IF I MAY, I, I ACTUALLY HAVE THE OPPOSITE OPINION OF COMMISSIONER WALLACE.

I THINK THAT THE, THE RECOMMENDATION IS, IS

[00:55:01]

FAR TOO DETAILED.

USUALLY, UM, THE WAREHOUSES DO PROVIDE GENERAL DIRECTION OR RECOMMENDATIONS TO THE COUNCIL TO GIVE THEN GENERAL DIRECTION TO THE MANAGER ON IMPLEMENTATION.

SO IT'S A VERY FINE LINE BETWEEN, UM, POLICY RECOMMENDATIONS AND OPERATIONS.

AND IF YOU GET MORE SPECIFIC, UM, IT KIND OF, IT, IT, IT, IT PUTS THE COUNCIL IN THAT POSITION OF DIRECTING OPERATIONS.

AND SO LESS IS MORE, UM, WHEN, WHEN YOU ARE WRITING THESE THINGS BECAUSE WE DON'T WANT COUNCIL TO BE IN THE, IN THE POSITION OF DESIGNING PROGRAMS FROM THE DAIS.

UM, AND SO TO, TO YOUR POINT MR. WALLACE, IT WOULD THEN BE INCUMBENT UPON THE STAFF TO COME UP WITH WHATEVER THE COMMUNICATION PLAN IS, UM, FOR THE, THE WAY THAT IT'S FEASIBLE FOR THE STAFF TO OPERATIONALIZE THIS AND THEN COME BACK TO THE COMMISSIONS AND DO ENGAGEMENT AND GET MORE, UM, INPUT AROUND THAT.

NO, I MEAN, I'M DEFINITELY GOOD WITH EITHER WAY.

I MEAN, EVEN IF IT'S, IT'S LIKE YOU SAID BARE BONES, BUT I WOULD SAY THEN HOW ARE OUR INTENTIONS ARE, IS THAT LIKE A ADDED PUSH NOTE TO IT SO THAT EVEN THE, THE CITY COUNCIL MEMBERS KIND OF KNOW WHAT WE'RE HOPING FOR OR WHERE WE WOULD LIKE FOR THEM TO THINK ABOUT WHEN IT, AS FAR AS FLESHING IT OUT, RIGHT.

UM, THAT'D PROBABLY BE THE ONLY ADDITIVE THING THAT I, I WOULD HAVE THERE.

'CAUSE I WOULD HATE FOR 'EM TO GET 'EM.

AND THEY, IT GOES A TOTALLY DIFFERENT DIRECTION THAN WHAT THE INTENTIONAL PURPOSE WAS.

SO WHEN YOU DO THE WORK TO GET THE SPONSORS FOR THIS TO ACTUALLY BE ON THE COUNCIL AGENDA, THAT'S WHEN YOU HAVE THOSE CONVERSATIONS AND THEN GET THAT LEVEL OF AGREEMENT, WHAT THE COUNCIL MEMBERS ABOUT WHAT THEIR FINAL RESOLUTION WILL LOOK LIKE AND HOW, HOW IT WILL READ.

AND THEN IF IT WAS, IN THIS CASE, AUSTIN PUBLIC HEALTH WOULD NOT BE THE LEAD DEPARTMENT BECAUSE IT DEALS WITH PERMITTING, BUT THEN IT WOULD BE INCUMBENT ON THE, UH, DEPARTMENT THAT'S ASSIGNED TO MAKE SURE THAT THEY'RE DOING THAT ENGAGEMENT WITH KEY STAKEHOLDERS.

AND YOU COULD IDENTIFY THAT IN THE RESOLUTION THAT, UM, THE MANAGER IS DIRECTED.

SO YOU WOULD ASK, ASK COUNSEL TO WRITE THE IFC IN SUCH A WAY THAT SAYS THE MANAGER IS DIRECTED TO ENGAGE WITH KEY STAKEHOLDERS TO INFORM A COMMUNICATION PLAN.

AND THEN YOU COULD NAME THE STAKEHOLDERS.

SO YOU CAN'T LIKE NAME WHAT IT IS THAT YOU WANT THE, THE, THE, THE STAFF TO DO SPECIFICALLY, BUT YOU CAN SAY THAT YOU WANT A POLICY AROUND HEAT TO INCENTIVIZE HEAT RELATED, UM, OR TO INCENTIVIZE EMPLOYERS TO GIVE BREAKS.

AND YOU WANT A FULL COMMUNITY ENGAGEMENT PROCESS TO INCLUDE THESE PEOPLE AND THAT THAT'S HOW YOU WOULD BE ABLE TO GET THE FEEDBACK.

BUT TO, TO TALK ABOUT THE INTENTION THAT HAPPENS WHEN YOU'RE GETTING THE SPONSORS ON SIDE WITH YOU.

APPRECIATE IT.

ON TO OUR FINAL DISCUSSION ON ACTION ITEM, WHICH IS NUMBER SIX, DISCUSS AND TAKE POSSIBLE ACTION TO APPROVE A RECOMMENDATION FOR HARM REDUCTION OUTREACH EXPANSION.

THANK YOU FOR THAT INSIGHT.

DIRECTOR STIRRUP.

UM, WONDERFUL.

UH, COMMISSIONER DOSEN, ANY MORE QUESTIONS OR FEEDBACK THAT YOU'RE LOOKING FOR ON THE, UH, HEAT RELATED ILLNESS RECOMMENDATION? NO, THAT WAS ALL VERY HELPFUL.

SO I'LL REWORK IT AND THEN HAVE IT SENT BACK OUT THROUGH DANNY FOR ADDITIONAL EDITS.

I WOULD LOVE FOR SOMEONE ELSE TO TYPE SOMETHING ON THIS, UM, JUST 'CAUSE I, I NEED A SECOND SET OF EYES, UM, BUT THIS IS A REALLY GOOD STARTING POINT FOR ME TO COME BACK WITH SOMETHING.

SO THANK Y'ALL.

ABSOLUTELY.

THANK YOU FOR GETTING US STARTED WITH THIS.

UM, OKAY.

WE WILL MOVE

[6. Discuss and take possible action to approve a recommendation for Harm Reduction Outreach Expansion.]

UH, THIS HAS ALSO BEEN AUTHORED BY, UH, COMMISSIONER DOL HAUSEN.

SO I'LL, UH, AGAIN OPEN THE FLOOR BACK UP TO YOU FOR, UH, INSIGHT AND OVERVIEW.

ARE THE ADDITIONS THAT I MADE, WHICH WAS ADDING THE MONETARY VALUE TO IT AND THEN ADDING A SPECIFIC NUMBER FOR PEER SUPPORT SPECIALISTS.

UM, SO I MADE A COUPLE OF CHANGES BASED ON SOME OF THE VERBAL FEEDBACK THAT I RECEIVED ONE OR TWO MEETINGS AGO.

UM, SOME OF IT WAS TO ADD ACTUAL LIKE MONETARY VALUE TO THIS, WHICH I WILL SAY WAS INCREDIBLY HARD.

BUT I DID A LITTLE BIT OF SAMPLING FROM SOME COMMUNITY ORGANIZATIONS TO KIND OF FORMULATE THESE NUMBERS BECAUSE I DID NOT FEEL COMFORTABLE JUST THROWING ONE OUT THERE ON A GUESS.

UM, AS WELL AS, UH, THE NUMBER OF PEER SUPPORT SPECIALISTS.

SO I THINK THAT WAS FEEDBACK FROM FISHER WALLACE.

SO I AGAIN ASKED SOME CUNY ORGS ABOUT WHAT THEIR CURRENT STAFF LOOKED LIKE, WHAT EXPANSION WOULD LOOK LIKE.

AND SO THAT'S HOW I GOT, UM, NUMBER TWO AFTER THE NOW THEREFORE BE RESOLVED SECTION.

UM, SO THOSE

[01:00:01]

UM, THOSE WERE THE MAJOR CHANGES.

AND I ALSO KNOW COMMISSIONER WALLACE HAD SOME NOTES THERE AS WELL, BUT AGAIN, I THINK THIS SHOULD BE A DISCUSSION BASED MOSTLY FOR ANY EDITS.

AND I ALSO WANNA NOTE THAT I DON'T WANT TO DIRECTLY TAKE THIS TO THE COUNTY.

I THINK, UM, LAR HAD SUGGESTED THAT SHE HAS TWO CONTACTS THAT I TAKE THIS TO ONCE I FEEL THAT IT'S READY.

AND SO I DON'T FEEL LIKE IT'S READY AS OF CURRENT.

SO ONCE WE, I THINK AS A COMMISSION FEEL LIKE IT'S READY TO GO TO THE NEXT STEP, I THINK GOING TO DISCUSS WITH HER CONTACTS WOULD BE THE NEXT STEP.

'CAUSE I DON'T WANT TO PUT THE HORSE BEFORE THE CART.

SO THAT'S KIND OF THE OVERVIEW OF WHERE THIS IS CURRENTLY STANDING AND WHERE I SEE IN MY MIND IT GOING NEXT AND CHAIR, I, I DON'T, I DON'T THINK MY COMMENTS OR INTENDED COMMENTS ARE, UM, IDEAL TO MENTION ANYMORE, ESPECIALLY WITH THE FEEDBACK FROM DIRECTOR STIRRUP ON, UM, THE REVISED PURPOSE OF RECOMMENDATIONS AND THEN LISTING AND IDENTIFYING WHO, UH, THE PARTICULAR ENTITIES YOU WANNA LIST TO WORK WITH.

SO, UM, I'LL, I'LL, I'LL SAY I'M ASSUMING WE'D WANT TO DO THE SAME THING WITH THIS RECOMMENDATION AS PROVIDED AS THE GUIDANCE OF WHAT TO DO WITH THE PREVIOUS RECOMMENDATION.

WELL, LET ME ASK A QUESTION.

IS, IS THIS SPECIFICALLY FOR THE COMMISSIONER'S COURT TO REVIEW OR THAT'S WHAT FOR COUNSEL BECAUSE IF IT'S FOR COMMISSIONER'S COURT, IT MIGHT BE A DIFFERENT PROCESS.

SO I WOULD DEFER TO ANNA.

YEAH, I THINK IT'S FOR COMMISSIONER'S COURT JUST BECAUSE OF THE WAY THE MONEY IS DISPERSED.

BUT I ALSO KNOW THERE'S THE SUBSTANCE USE DISORDER CONSORTIUM, I THINK IS WHAT IT'S CALLED.

SO I THINK THERE IS LIKE TWO GOVERNING BODIES OF SORTS, UM, OVERSEEING THESE FUNDS IS MY UNDERSTANDING.

IT'S A LITTLE BIT MORE COMPLICATED.

I'M TRYING TO UNDERSTAND IT, BUT I KNOW THAT, UM, WHOEVER HAD SUGGESTED I GO TO TWO OF HER CONTACTS FIRST BEFORE ANY ADDITIONAL MOVEMENT, BUT OPEN TO ANY OTHER ADVICE, I'M HAPPY TO CONTRIBUTE TO ANY, UH, INFORMATION AS WELL AS TO PUT YOU IN CONTACT WITH WHOMEVER PILAR WAS UH, RECOMMENDING.

ON TO OUR FUTURE AGENDA ITEMS. UM, I KNOW THAT ONE OF THOSE AGENDA ITEMS WE WOULD LIKE TO SEE IF THE PH TEAM, UH, THE A-P-H-P-H TEAM COULD COME AND DO, UH, A PRESENTATION IN, UM, AUGUST, UH, WITH US, UM, TO DO AN OVERVIEW OF, OF THEIR AFTER ACTION REPORT, BUT THEN TO ALSO HAVE THEIR SPECIFIC ASKS OF WHAT THEY NEED FROM THE COMMISSION TO SUPPORT FUTURE.

AND DIRECTOR STIR, JUST FOR CLARIFICATION, UM, IF WE DO GO FOR THE ROUTE OF COMMISSIONER'S COURT, UH, THIS WOULD BE THE LANGUAGE AND THE DIRECTIVES MIGHT BE A LITTLE BIT DIFFERENT THAN WHAT WE WERE RECEIVED PREVIOUSLY THAT WOULD, WE ARE INTENTIONALLY PUTTING IN FRONT OF THE COUNCIL, CORRECT? YES.

IF, IF IT, IF IT WAS GOING IN FRONT OF THE COUNCIL, UM, AND YOU GOT THE SPONSORS, UM, THE COUNCIL OFFICE STAFF WOULD PROBABLY MAKE THIS MORE GENERAL AND IT WOULD JUST READ, IT WOULD TALK ABOUT THE CATEGORIES OF INVESTMENT, BUT BUT NOT GO INTO HOW MANY, SO WE WOULD SAY, UM, AN INVESTMENT OF A HUNDRED THOUSAND DOLLARS TO EXPAND, UH, OUTREACH PROGRAMS, UM, TO INCLUDE SERVICES LIKE RECOVERY AND PEER SUPPORT.

UM, IT, BUT IT WOULDN'T BE THIS, THIS DETAILED IF THEY PUT IT ON THE COUNCIL AGENDA.

BUT AGAIN, THE, THE QUALITY OF THE CONVERSATIONS THAT YOU HAVE WITH THE STAFF WHEN YOU'RE TRYING TO GET THE SPONSORS WILL HELP MAKE SURE THAT YOUR INTENT IS, UM, PRESERVED AND, AND THE CHIEF OF STAFF IN EACH OFFICE, THEY KNOW HOW TO WRITE THE I THE ITEMS FROM COUNCIL, UM, TO MAKE SURE THAT THE INTENT IS THERE WITHOUT STEPPING OVER THAT OPERATIONAL LINE.

THANK YOU FOR THE CLARITY.

UH, ANY OTHER QUESTIONS OR FEEDBACK ON THE HARM REDUCTION? OKAY, WONDERFUL.

UM, OKAY.

SO WE WILL MOVE

[FUTURE AGENDA ITEMS]

AND WE CAN GET A QUICK UPDATE ON HOW THEY'RE DOING ON THEIR TIMELINE.

UM,

[01:05:02]

I HAVE ONE OTHER PIECE ABOUT FIGURING OUT HOW WE DO SOME, SOME INFORMAL COMMUNICATIONS WITH OTHER COMMISSIONS, UH, WHO ARE CURRENTLY DOING SOME PUBLIC HEALTH WORK, BUT I CAN EMAIL DANNY AND JUANITA TO SEE HOW BEST TO DO THAT.

UM, ANY OTHER TOPICS THAT WE'RE THINKING OF FOR AUGUST.

UM, AND I'LL ALSO SAY, DANNY, HAVE YOU HEARD FROM ANY OF THE FOLKS WHO WE WERE TRYING TO GET DO PRESENTATIONS? OKAY.

UM, OKAY.

ANY OTHER ACTION ITEMS FROM, UH, THE COMMISSION? YES, DIRECTOR STEWART, PLEASE.

SORRY, MY MOUSE WAS GIVING ME TROUBLE.

UM, IF, IF THERE'S TIME AND THE COMMISSION FINDS IT, UM, RELEVANT, I WOULD LOVE TO THE DEPARTMENT TO HAVE THE OPPORTUNITY TO GIVE AN UPDATE ON THE FEDERAL FUNDING, UM, KIND OF IN ALIGNMENT WITH THE COMMENTS THAT COMMISSIONER WALLACE MADE EARLIER IN THE MEETING.

UM, IT CONTINUES TO CHANGE AND EVOLVE AND HAVE IMPACTS THAT WILL BE, UM, FELT NOT ONLY IN THE DEPARTMENT, BUT IN THE COMMUNITY AND OF COURSE OUR NONPROFIT PARTNERS.

SO TO BE ABLE TO GIVE THIS COMMISSION A SENSE OF AWARENESS, I THINK IS PRUDENT, BUT I WOULD DEFER TO THE VOTING MEMBERS.

UH, WE HAVE CLAPS AND APPLAUSES AND HEAD NODS, SO WE WOULD LOVE TO HAVE YOU COME AND JOIN US, UH, DIRECTOR STIRRUP, AND AS MUCH TIME AS YOU NEED, WE HAVE.

UM, I DO WANNA ADD ONE OTHER ADDITIONAL ITEM, UH, TO PLAN FOR THE REST OF THE YEAR AS WELL AS, UH, FUTURE PLANNING.

SO WE'RE, WE'RE, WE'VE HAD OUR, WE HAD OUR PLANS OUT, UH, AND, AND, AND OUTLINED, BUT NOW WE'RE GETTING TOWARDS THE BACK HALF OF THE YEAR.

AND SO WHAT ITEMS DO, UH, WE WANNA MAKE SURE THAT WE'RE PUTTING, UM, ON OUR AGENDAS, WHAT ARE WE, TOPICS ARE WE WANTING TO DISCUSS? UH, AND I ALSO, OF COURSE, INVITE OUR EX OFFICIOS TO, UM, PROVIDE ANY UPDATES SPACE THAT THEY NEED AT ANY OF THESE, THESE MEETINGS.

UM, ANY, ANYTHING ELSE FOR FUTURE AGENDA, PLEASE? MM-HMM .

NOT SURE IF THIS IS THE FUTURE AGENDA, BUT, UM, I SHOULD BE ON THE JOINT INCLUSION COMMITTEE, UH, BUT I KNOW WE'RE HAVING SOME HICCUPS THERE.

I WAS WONDERING IF YOU HAD ANY UPDATES OR SHOULD I JUST TALK TO DANNY OFFLINE? I THINK THAT IS A GREAT JUANITA QUESTION, , BECAUSE WE DID FIND OUT THERE WAS SOME, UH, COMMISSION COMMITTEE.

WE WERE SUPPOSED TO BE WITH THE JOINT CONCLUSION COMMISSION, AND SOMEHOW WE ENDED UP WITH THE JOINT SUSTAINABILITY.

UM, SO THERE WAS SOME, WE, WE'LL, WE NEED TO LOOK INTO WHAT HAPPENED WITH THAT BECAUSE YOU WERE ON THE INCLUSION.

SO, UM, I WAS ON THE SUSTAINABILITY ON THE SUSTAINABILITY COMMITTEE AND I WAS SUPPOSED TO BE ON THE INCLUSION.

AND SO WHEN COMMISSIONER CROOKHAM TOOK OVER FOR ME, UH, WE FOUND OUT THAT THAT WAS NOT THE CORRECT ONE.

WE, NOT THAT IT NOT ALSO BENEFICIAL.

RIGHT, RIGHT.

OF COURSE, UM, WE WILL LOOK INTO THAT AND, UM, OFFLINE WE COULD ADDRESS THE ISSUE, UM, AND MAKE SURE THAT CORRECTION IS MADE.

I WAS WONDERING IF THERE WAS A WAY TO GET SOMEONE INTO, NOW THAT THE 89TH, UH, LEGISLATIVE, UM, SESSION AND IF WE COULD GET AN IDEA OF WHAT WAS PASSED ON HEALTHCARE.

UM, BUT YEAH, , UM, UM, I THINK WE CAN DO THAT.

JUANITA HAS BEEN TRACKING THE PUBLIC HEALTH BILLS FOR THE DEPARTMENT, AND SO WE CAN HAVE HER COME AND SHARE THAT INFORMATION WITH THE COMMISSION.

I WAS SURPRISED I WAS KIND OF WAITING FOR HER TO SAY SOMETHING, BUT HERE I GO.

PUTTING HER OUT THERE.

SO JUANITA, IS THAT SOMETHING WE CAN GET ON AN AGENDA? I'M SORRY, I DIDN'T HAVE MY MIC ON.

I THOUGHT I DID.

UM, YES, WE WILL ADD THAT TO THE AGENDA.

THANK YOU, .

JUST LOVE YOU .

UH, AGAIN, NOT SURE IF THIS IS THE RIGHT PLACE, BUT I WANTED TO PROPOSE AN IDEA, UM, THAT MIGHT BE MORE FOR THE BUDGET WORKING GROUP, BUT OBVIOUSLY IT WOULD, YOU KNOW, REQUIRE ALL OF US.

I WANTED TO PROPOSE AN IDEA GIVEN THE FINANCIAL ISSUES WE'VE BEEN TALKING ABOUT, UM, THINKING, SORRY, LET ME START OVER.

THIS IS ABOUT THE CAPTAIN STITCH.

SO CAPTAIN STITCH WAS APPROVED TO AN EXTENT BY COUNSEL.

WELL PROMOTED RACISM AND DISCRIMINATION REALLY.

UM, WE KNOW BASED ON COUNSEL, BUT EVERYTHING ELSE THAT I 35 HAS BEEN A DIVIDER OF AUSTIN, EAST VERSUS WEST.

IT'S CREATED A LOT OF ISSUES, A LOT OF PUBLIC HEALTH ISSUES.

UM, WE HAD THE 1928 PLAN, YOU KNOW, THAT HAS, UM,

[01:10:01]

UM, AND WE'RE STILL FILLING THOSE EFFECTS TODAY.

I WAS WONDERING IF, AND I DON'T KNOW IF IT'S EVEN FEASIBLE, BUT I WOULD LIKE TO MAKE THE RECOMMENDATION OF PERHAPS CITY COUNCIL RESERVING A PORTION, A PERCENTAGE OF ANY REVENUE, TAX REVENUE THAT COMES FROM CAP AND STITCH AND DEDICATES IT TO AUSTIN PUBLIC HEALTH OR PUBLIC HEALTH IN GENERAL.

AGAIN, IT'S THE DIVIDER COUNCIL HAS VOTED FOR IT BECAUSE THEY WANT TO BRIDGE, PUN INTENDED, UH, YOU KNOW, EAST AND WEST, BUT I HAVEN'T HEARD ANYTHING BEYOND THAT.

IT'S, IT'S A VISUAL CONNECTION, BUT I HAVEN'T HEARD ANYTHING BEHIND THAT THAT'S GOING TO ADDRESS ALL OF THE ISSUES THAT WERE CAUSED BY 35 IN THE FIRST PLACE.

SO I THINK IF WE COULD RESERVE A PORTION OF THE TAXES THAT COME FROM THE REVENUE OF CAP AND STITCH AND ADDRESS AND USE THAT DEDICATED TO ADDRESSING PUBLIC HEALTH ISSUES, HEALTH, UH, EQUITY ISSUES, YOU KNOW, RACIAL ISSUES THAT HELPS SHORE UP SOME OF PUBLIC HEALTH FUNDING THAT, YOU KNOW, WE'RE HAVING ISSUES WITH.

UM, BUT THEN IT ALSO IS AWESOME PUTTING ITS MOUTH IT'S MONEY WHERE ITS MOUTH IS AND SAYING THAT WE'RE ACTUALLY GONNA DO SOMETHING.

UM, SO THAT'S JUST A PROPOSAL I HAVE TO HELP FUND AWESOME PUBLIC HEALTH A BIT MORE SUSTAINABLY, BUT ALSO ADDRESS THESE ISSUES THAT ALLEGEDLY CAPTAIN STITCH IS GOING TO HELP FIX.

DO, DO YOU KNOW IF THERE'S A CURRENT ALLOCATION ALREADY FOR THE TAXES? 'CAUSE YOU KNOW HOW GOVERNMENT, BEFORE THEY DO ANYTHING, THEY ALREADY KNOW WHERE THEY WANT THAT MONEY TO GO.

WHAT? AND SO IF THERE'S A LIST, COULD WE LOOK AT THAT AND SEE WHERE WE COULD SAY, OH, THAT'S, THAT'S ASSOCIATED WITH PUBLIC HEALTH.

SO, YOU KNOW, WE'RE JUST TRYING TO CARVE OUT A PIECE.

YEAH, SO I'VE DONE A LITTLE BIT OF RESEARCH.

I HAVEN'T FOUND ANYTHING LIKE THAT.

AND THAT'S ONE REASON WHY I'M BRINGING IT UP SO EARLY IN THE PROCESS IS 'CAUSE THEY JUST APPROVED IT A COUPLE WEEKS AGO MM-HMM .

SO BEFORE EVERYBODY ELSE GETS THEIR HANDS IN THE POT, UM, I WANTED TO MAKE SURE WE WERE THERE FIRST.

UM, I KNOW TYPICALLY WITH, YOU KNOW, GOVERNMENTS, THERE'S PIS AND PUDS AND MUDS AND THOSE ARE GEOGRAPHICALLY CONSTRAINED AND, YOU KNOW, PURPOSELY CONSTRAINED.

THIS WOULD IDEALLY BE AUSTIN, TRAVIS COUNTY WIDE.

YOU KNOW, 'CAUSE IT'S NOT, WHILE THE ISSUE STARTED IN AUSTIN, A LOT OF THE BLACK POPULATION HAS MOVED TO MAINOR AND PFLUGERVILLE.

RIGHT.

BUT WE STILL NEED TO ADDRESS THOSE ISSUES.

SO, UM, POSSIBLY, AND I AGREE.

I'M SURE THERE'S ALREADY IDEAS OF WHERE THE MONEY COULD GO.

UM, BUT AGAIN, THAT'S THE REASON, ONE REASON WHY I'M BRINGING IT UP SO EARLY.

JUST PLEASE, JUANITA, GO AHEAD.

NO, I'M JUST ASKING IT.

SO IT, THE, THE, YOU ARE LOOKING FOR A LIST OF POTENTIAL, UM, REVENUE, UH, OF WHERE THAT REVENUE IS, IS DE IS BEING DESIGNATED.

IS THAT WHAT YOU'RE ASKING US TO LOOK FOR? OR WHAT IS, UH, I THINK JUST IN ADDITION TO WHAT, WHAT WAS HIGHLIGHTED BY COMMISSIONER CURRICULUM, IF, IF THERE IS ONE ALREADY MM-HMM .

BECAUSE AGAIN, IF IT'S ALREADY BEING ALLOCATED, THEN WHAT CAN WE KIND OF DEVIATE VERSUS TRYING TO ASK FOR REALLOCATION FOR A SPECIFIC PORTION.

SO I THINK YOU'RE, WHAT YOU'RE SAYING IS YOU HAVEN'T FOUND ONE YET.

MAYBE INTERNALLY WE CAN SEE IF THERE IS ONE ALREADY OR THEY MAY SAY WE ARE NOT READY TO RELEASE IT, SO THEN AT LEAST WE KNOW THAT THERE'S GONNA BE AN UPHILL BATTLE VERSUS NOTHING'S BEEN ALLOCATED YET AND WE'RE JUST DOING A STRAIGHT ASK.

UM, PRIOR TO THE COUNCIL VOTING, THERE WERE PRESENTATIONS THEY BROUGHT IN A, A VENDOR WHO HAD DONE A, AN ANALYSIS OF WHETHER THE CAPTAIN STITCH WOULD FUND ITSELF AND NO, IT WON'T.

UH, BUT THEY HAD, YOU KNOW, SAID THEY WOULD USE THAT TAX REVENUE TO HELP OFFSET THE COST.

SO I KNOW THAT THEY'VE AT LEAST TALKED ABOUT USING THAT TO HELP FUND IT.

UM, I DON'T KNOW IF THAT IS THE PLAN OR NOT, BUT, YOU KNOW, I'M SURE WE COULD MAKE A STRONG ARGUMENT FOR CARVING OUT SOME OF THAT FOR PUBLIC HEALTH NEEDS.

ONCE WE HAVE THAT INFORMATION, JUANITA, WOULD THAT BE SOMETHING WE WOULD PUT TOGETHER AS A RECOMMENDATION? I THINK THAT WOULD BE THE NEXT, UM, FEASIBLE STEP IS TO, TO OUTLINE HOW YOU WOULD WANT, HOW TO ADDRESS THE, THE ALLOCATION FOR, UM, THE PUBLIC HEALTH INITIATIVES THAT ARE LACKING.

AND I THINK ADRIAN HAND IS UP, SO MAYBE SHE CAN ANSWER BETTER .

WE DON'T HAVE THAT KIND OF TIME.

UM, IT'S, IT'S INTERESTING THAT WE'RE HAVING THIS CONVERSATION HERE.

THE DEPARTMENT MET WITH THE ST.

DAVID'S FOUNDATION, UM, TO TALK ABOUT OUR CURRENT FUNDING CRISIS.

AND WE WERE TALKING ABOUT PATTERNING SOMETHING AFTER THE RECENT CHILDCARE TRE.

UM, GOOD IDEA THOUGH, CHRIS, I, EXCUSE ME, COMMISSIONER CROOKHAM, UM, TO TIE IT TO CAP AND STITCH.

AND SO, UM, HER SUGGESTION WAS TO BEGIN DOING SOME OF THE ENGAGEMENT WORK TO GET SOME PARTNERS ON SIDE BECAUSE IT'S, IT'S, I DIDN'T REALIZE THAT THE TRE WAS A MULTI-YEAR PROCESS.

UM, SHE GOES BACK 10 YEARS AND I WAS LIKE, MAN,

[01:15:01]

SO WE, WE KIND OF HAVE TO FAST TRACK THIS.

AND SO I WILL SHARE THAT KIND OF ROADMAP, UM, THAT REGINA PROVIDED ME.

UM, AND THAT CAN BE KIND OF A JUMPING OFF POINT OF, OF HOW WE NEED TO DO THAT.

WE'RE GONNA GET, WE'RE GONNA HAVE TO GET SOME BUY-IN, WE'RE GONNA HAVE TO GET SOME ORGANIZATIONS AND SOME COMMUNITIES TO KIND ADVOCATE AND PUSH FOR, FOR THAT TO HAPPEN, BUT ALSO DEVELOP A REALLY GOOD AND CLEAR PLAN ABOUT, UM, WHAT THE RETURN ON INVESTMENT COULD BE.

UH, THE UNITED WAY WAS VERY STRATEGIC WHEN IT CAME TO THE TRE PRESENTATION AND THEY TALKED ABOUT, UM, THE IMPACT THAT IT WOULD HAVE ON ECONOMIC DEVELOPMENT AND WORKFORCE AND EMPLOYABILITY.

UM, SO WE WILL HAVE TO DO SOME WORK TO MAKE A CASE, BUT, UM, VERY GOOD IDEA.

DIRECTOR DISTURB.

IF, IF IT'S RELEVANT, UH, WOULD WE BE ABLE TO ALSO CHECK OUT THE TRE PRESENTATION SO THAT WE CAN EDUCATE OURSELVES AS COMMISSIONERS? BEAUTIFUL.

JUANITA, WAS THAT, IS THAT SOMETHING YOU MIGHT HAVE FOR US? WHAT IS YOUR QUESTION? THE TRE PRESENTA, UH, DIRECTOR ERP.

COULD YOU TELL US A LITTLE BIT MORE ABOUT THE TRE PRESENTATION? YEAH.

UM, PRIOR TO IT ACTUALLY GOING TO BALLOT, UM, UNITED WAY DID A, A ROUND OF, AND OTHER COMMUNITY PARTNERS DID A ROUND OF PRESENTATIONS TO KIND OF, UM, SELL THE IDEA OF WHAT THE TRE COULD YIELD AND WHY IT WOULD BE BENEFICIAL TO COMMUNITY.

AND I ACTUALLY HAVE THAT SOMEWHERE, JUAN, IF YOU COULD JUST REMIND ME, I WILL, UM, LOOK FORWARD AND SEND IT TO YOU, UM, OKAY.

SO THAT WE CAN SHARE IT WITH COMMISSIONERS.

GOT YOU.

AWESOME.