* This transcript was created by voice-to-text technology. The transcript has not been edited for errors or omissions, it is for reference only and is not the official minutes of the meeting. [00:00:01] OKAY. HELLO. HELLO [CALL TO ORDER] EVERYONE. LET'S GO AHEAD AND CALL THIS, WE HAVE QUORUM. YEAH. UH, CALL THIS MEETING TO ORDER AT 2:35 PM UM, DO WE HAVE ANY PUBLIC COMMENTS? ALL ALL RIGHT, WONDERFUL. LET'S MOVE ON TO [APPROVAL OF MINUTES] THE APPROVAL OF THE MINUTES OF THE PUBLIC HEALTH COMMISSION REGULAR MEETING FOR, UM, MARCH 4TH, THANK YOU, OF 2026. DO WE HAVE A MOTION TO MOVE APPROVING THOSE MEETING THOSE MINUTES? SO MOVED. THANK YOU. COMMISSIONER RICE. DO WE HAVE A SECOND? I SECOND. THANK YOU, COMMISSIONER WITTY. DO WE HAVE ANY QUESTIONS FOR THAT MOTION? WONDERFUL. ALL IN FAVOR OF APPROVING THE MINUTES FROM THE MARCH 20, MARCH 4TH, EXCUSE ME, 2026, UH, PUBLIC HEALTH REGULAR COMMISSION MEETING. EVERYONE RAISE, AND IF YOU ARE ON LINE, PLEASE MAKE SURE THAT YOUR CAMERA IS ON TO COUNT YOUR VOTE. COMMISSIONER LUHAN, THANK YOU SO MUCH, . AWESOME. UM, WE ARE GOING TO, WE [2. Presentation by Communities In Schools of Central Texas. Presentation by Sharon Vigil, CEO.] HAVE QUITE A FEW DISCUSSION ITEMS TODAY, SO WE'RE GONNA TRY TO STAY ON TRACK AND ON TIME. BUT WE HAVE OUR FIRST PRESENTATION BY THE COMMUNITIES AND SCHOOL OF CENTRAL TEXAS, PRESENTED BY, UH, JACOB BREACH CHIEF OF OPERATIONS. JACOB, WELCOME. THANK YOU SO MUCH. YOU'RE WELCOME. AND JUST SO YOU KNOW, UH, MAKE SURE YOU GREEN BUTTON YOUR MIC, AND IF YOU NEED THE CLICKER, OUR FRIEND HAS ONE FOR YOU. THANK YOU. WELL, THANK YOU SO MUCH FOR HAVING US HERE TODAY, AND WE'RE VERY EXCITED. UM, JUST SHARE SOME INFORMATION ABOUT COMMUNITIES IN SCHOOLS, MORE CIVICALLY ABOUT THE SERVICES AND OUTCOMES THAT WE'RE PROVIDING FOR THE STUDENTS HERE IN THE CITY OF AUSTIN. UH, THAT DOES INCLUDE STUDENTS BOTH IN AUSTIN, ISD, UH, DELL VALLEY, ISD, WHICH IS ALSO SERVED BY A PORTION OF THE CITY OF AUSTIN, UH, AND, UH, HARMONY CHARTER SCHOOLS. AND SO THIS REALLY IS MEANT TO BE INFORMATIONAL. UH, BUT TO SHARE A LITTLE BIT ABOUT C-I-S-C-I-S IS REALLY ABOUT RELATIONSHIP BUILDING, AND THAT'S PART OF ALSO WHY WE'RE HERE BECAUSE WE WANT TO, ONE, THANK, UM, THIS COMMITTEE AND OUR, AND THE COMMISSIONERS AND THE CITY AND THE COUNTY FOR THEIR GREAT RELATIONSHIPS AND THEIR GREAT PARTNERSHIPS. RIGHT NOW, THE COUNTY, UM, THROUGH THEIR HEALTH AND HUMAN SERVICE DEPARTMENT IS HELPING FUND, UM, OUR PROGRAM FOR CARE COORDINATION, WHICH PROVIDES WRAPAROUND SERVICES FOR A LOT OF OUR STUDENTS, CONNECTS THEM WITH RESOURCES OUT IN THE COMMUNITY. UH, ALSO OUR MSAP PROGRAM, WHICH IS A PROGRAM FOR SOME OF OUR OLDER MALE STUDENTS IN THE HIGH SCHOOL LEVEL, AND PROVIDING THEM, UH, VERY DETAILED CASE MANAGE SERVICES. AUSTIN PUBLIC HEALTH ALSO HELPS SUPPORT MENTAL HEALTH SERVICES AT ALL OF OUR AUSTIN ISD SITES WITH LICENSED MENTAL HEALTH PROVIDERS. AND I THINK I GOT A SLIDE ON IN JUST A MOMENT. UM, SO THIS IS REALLY ABOUT THE REALITY OF STUDENTS IN OUR COMMUNITY, UH, AND WHAT THEY BRING WITH THEM TO SCHOOL EVERY DAY. SO WE KNOW THAT ONE IN THREE STUDENTS, UH, FACE ECONOMIC HARDSHIP, ONE IN FOUR IS FOOD INSECURE, AND MANY OF THEM ARE NAVIGATING TRAUMA AT HOME. THESE EXPERIENCES DO NOT NECESSARILY STAY OUTSIDE OF THE CLASSROOM. SO CIS REALLY EXISTS BECAUSE WE KNOW THAT STUDENTS, WHEN THEY HAVE A TRUSTED ADULT, WHEN THEY HAVE COORDINATED SUPPORTS, UM, IT HELPS ADDRESS SOME OF THOSE CHALLENGES, AND THAT'S WHAT CIS IS ALL ABOUT. SO, YOU MAY HAVE SEEN THIS PHOTO BEFORE, BUT BRIEFLY LOOKING AT, UH, MY, MY ON MY LEFT, SO I THINK IT'S YOUR, YEAH, YOUR LEFT AS WELL. UM, YOU SEE A TYPICALLY DEVELOPING BRAIN, AND THEN ON THE RIGHT HAND SIDE, YOU CAN SEE WHERE SOME OF THOSE NEURONS ARE NOT FIRING. SOME OF THAT INFORMATION IS NOT HAPPENING IN THAT, IN THAT FRONTAL LOBE. UM, AND THIS REALLY SHOWS WHAT CHRONIC STRESS AND TRAUMA DOES TO THE DEVELOPING BRAIN. UH, IF THAT CONTINUES, IF WE DO NOT SEE THAT CONTINUALLY DEVELOPING BRAIN, IT ACTUALLY STOPS SOME OF THAT DEVELOPMENT AND THAT LEADS TO LIFELONG STRESS THAT COULD HAPPEN FOR THOSE INDIVIDUAL STUDENTS. UM, SO THIS IS NOT ABOUT THE EFFORT OR THE ABILITY OF A STUDENT, IT'S JUST ABOUT THE BIOLOGY THAT WE SEE, AND THAT WE KNOW THAT WHEN STUDENTS FEEL SAFE AND SUPPORTED, THE BRAIN CAN REWIRE AND IT CAN HEAL. UM, WHICH IS WHY A CONSTANT CARING RELATIONSHIP IS SO POWERFUL AND SO NECESSARY. AND SO, YOU PROBABLY ALL KNOW THIS, SO I'LL JUST BRIEFLY TOUCH ON IT, BUT TRAUMA REALLY SHIFTS THE BRAIN INTO THAT SURVIVAL MODE, WHICH MAKES A LEARNING HARDER. IT SHOWS UP WITH DIFFICULTY FOR FOCUS, FOR MEMORY, FOR BEHAVIOR, UH, BUT WHEN STUDENTS FEEL SAFE, WHEN THEY FEEL CONNECTED, THAT IS WHEN THEY CAN RELAX. UM, THEIR BRAINS CAN START TO [00:05:01] REENGAGE INTO LEARNING AND HOW CONSTANT RELATIONSHIPS CAN HELP WITH THE REGULATION, AND THEN, OF COURSE, LEAD TO FURTHER ACADEMIC SUCCESS FOR THOSE STUDENTS. SO, CIS DOES THIS THROUGH AN INTEGRATED STUDENT SUPPORT MODEL. YOU CAN SEE THE MODEL ON THE LEFT HAND SIDE, AND THERE'S THREE PARTS. THE BASIC CIS SERVICE, WHICH WE CALL ISS, INTEGRATED STUDENT SUPPORTS, UH, TIER ONE ARE SERVICES THAT WE PROVIDE TO AN ENTIRE CAMPUS. UH, THAT MAY BE AN ATTENDANCE CHALLENGE THAT MAY BE WORKING ON THEIR RED RIBBON WEEK. IT MAY BE IT IT'LL BE WHATEVER, UM, THAT CAMPUS, THAT CAMPUS PRINCIPAL AND THAT COMMUNITY FEELS THIS WOULD BE HELPFUL FOR THE ENTIRE CAMPUS. TIER TWO IS ABOUT TARGETED PROGRAMS, LOOKING AT A GROUP SETTING. SO THAT COULD BE, UH, TAKING KIDS ON A COLLEGE VISIT. IT COULD BE HAVING, UH, SMALL GROUP DISCUSSIONS WITH FUTURE LEADERS, UH, FOR THE MIDDLE OR HIGH SCHOOL LEVEL. AND THEN TIER THREE IS REALLY THAT BREAD AND BUTTER WORK OF CIS AND THAT'S THE INDIVIDUALIZED CASE MANAGE SUPPORT. SO CIS WILL TYPICALLY WORK WILL CASE MANAGE UP TO 75 STUDENTS AT A CAMPUS, AND THEY DO ONE-ON-ONE CONNECTIONS WITH THOSE STUDENTS THAT INCLUDE INTENSIVE MENTAL HEALTH SUPPORTS, UH, SUPPORTING THEM WITH BASIC NEEDS. IT ALSO INCLUDES HOME VISITS AND REGULAR CHECK-IN WITH THOSE STUDENTS. AND THAT'S WHERE WE SEE, UH, THE BEST OUTCOMES OVERALL. SO CIS DOES HAVE A MENU OF OTHER CASE MANAGED SERVICES THAT WE PROVIDE. I WON'T READ THESE, BUT YOU CAN SEE THAT THEY ARRANGE FOR MENTAL HEALTH TO ENRICHMENT, UH, INDIVIDUAL FAMILY AND STUDENT CASE MANAGEMENT, AND ALSO ACADEMIC SUPPORTS. ANOTHER BIG PART THAT WE DO IN PARTNERSHIP WITH AUSTIN AND TRAVIS COUNTY AND OUR OTHER GOVERNMENTAL ENTITIES IS HOW WE CONNECT FAMILIES TO SOME HEALTH AND HUMAN SERVICE PROVIDERS OUTSIDE OF THE SCHOOL. SO THAT MAY BE, UH, CONNECTING THEM TO A SERVICE THAT TRAVIS COUNTY IS ALREADY PROVIDING, OR IT MAY BE WORKING WITH THEM ON WORKING WITH AUSTIN WATER, WHATEVER THAT MAY BE. UH, SO EVERY YEAR WE ACTUALLY DO A SHAW TEST WITH OUR STUDENTS THAT ENTER INTO CASE MANAGEMENT SERVICES. AND WHAT YOU SEE HERE IS, UH, SO THAT SHAW WILL INDICATE DIFFERENT, UH, NEED FOCUS NEEDS FOR THOSE STUDENTS. AND AT THE END OF THE YEAR, WE POST-TEST THAT. SO WHAT YOU'RE SEEING HERE IS THE BEHAVIOR IMPROVEMENTS LOOKED AT STUDENTS BY WHAT WE TARGETED IS A NEED AREA FOR THAT STUDENT. SO FOR SELF-REGULATION, 93% OF THE STUDENTS WHO WE SET A GOAL FOR SELF-REGULATION ENDED UP SHOWING AN INCREASE IN THAT BEHAVIOR BY THE END OF THE YEAR. AND YOU CAN SEE IT, UM, THROUGH THE DIFFERENT FUNCTIONS THAT WE'RE LOOKING AT. UH, SO I KIND OF SKIPPED OVER THIS, BUT I WANT TO BRIEFLY THINK ABOUT WHO ARE WE SERVING HERE IN AUSTIN? I MENTIONED AUSTIN AND DELL VALLEY IN HARMONY, BUT WHAT YOU SEE RIGHT HERE IS ACTUALLY A BREAKDOWN OF THE, THIS IS THE CASE MANAGED STUDENTS, RIGHT? YEAH, YEAH. OF OUR CASE MANAGED STUDENTS. SO WE ARE ACTUALLY SEEING, UM, STUDENTS THAT ARE PRETTY REPRESENTATIVE OF THE DISTRICTS OVER OVERALL THAT WE ARE SERVING, UH, AS YOU SHOULD BE, UH, SHOULD HAVE MENTIONED THIS EARLIER ALSO. BUT, UH, CIS IS NOT GOING IN THERE AND JUST SERVING RANDOM STUDENTS. WE ARE NOT JUST SERVING THE STUDENTS WHO SEEK US OUT, WE ARE WORKING WITH THE CAMPUS TO DETERMINE WHO ARE THOSE STUDENTS THAT NEED ADDITIONAL SUPPORT AROUND CERTAIN FOCUS AREAS. SO FOR THE MOST PART, IT'S TYPICALLY STUDENTS THAT MAY, BY THE STATE LEVEL, BE CODED AS AT RISK, NOT ALWAYS, BUT TYPICALLY. UM, AND SO THAT IS REFLECTIVE IN WHAT WE LOOK AT WITH OUR STUDENT DEMOGRAPHICS. AND THEN YOU CAN SEE SOME OF OUR STUDENT, UM, ATTRIBUTES, AGAIN, FAIRLY CLOSE TO WHAT THE DISTRICTS LOOK LIKE AS WELL AS FAR AS THEIR SPECIAL EDUCATION PERCENTAGE, EMERGENT BILINGUAL PERCENTAGE WE DO SERVE BECAUSE WE'RE LOOKING AT AT RISK SLIGHTLY HIGHER, UM, PERCENTAGE OF STUDENTS WHO ARE EXPERIENCING HOMELESSNESS OR OTHER FAMILY CRISIS IN THE DISTRICT OVERALL. BUT THAT IS ON PURPOSE. EXCUSE ME. WHAT'S EMERGENT BILINGUAL MEAN? I'M SORRY TO INTERRUPT. YEAH. SO EMERGENT BILINGUAL MEANS THAT ENGLISH WAS NOT THEIR FIRST LANGUAGE. UM, SO TYPICALLY FOR AUSTIN AND DELL VALLEY, THAT'S SPANISH, BUT IT IS NOT ONLY SPANISH. I KNOW THAT AUSTIN HAS OVER, UH, 80 LANGUAGES. I THINK DELL VALLEY HAS JUST AS MANY IF NOT MORE. UM, AND SO IT COULD BE ANY OF THOSE. BUT THE LARGEST PROGRAMS ARE STUDENTS WHOSE FIRST LANGUAGE WERE SPANISH, AND THEY ARE NOW LEARNING ENGLISH. THANK YOU. OH, SORRY. UH, SO THIS IS A SUMMARY GIST OF THE AUSTIN ISD SERVICES. DELL VALLEY IS A NEW PROGRAM THIS YEAR. WE'RE SATURATED IN EVERY CAMPUS IN DELL VALLEY, BUT IT'S A LITTLE EARLY TO HAVE THIS END OF THE YEAR DATA FOR THEM. SO FOR AUSTIN, ISD, WE SERVED 28,245 STUDENTS. UH, WE SAW ABOUT 5,114 STUDENTS RECEIVE THAT INTENSIVE, [00:10:01] THAT TIER ONE INTENSIVE CASE MANAGER SERVICE, I'M SORRY, THE TIER THREE, THE INTENSIVE TIER THREE CASE MANAGED SERVICE. WE ALSO PROVIDED $433,000 OF DIRECT ASSISTANCE TO STUDENTS AND FAMILIES. THIS IS TYPICALLY A ONE-TIME THING. IT IS MEANT TO BE A QUICK STOP GAP. IT'S NOT MEANT TO BE A LONG-TERM STRATEGY. SO THIS MAY BE A FAMILY WHO'S STRUGGLING WITH RENT, MAYBE THEY'RE STRUGGLING TO PAY A BILL, SO CIS STEPS IN THERE TO TAKE CARE OF THAT WITH THEM. UH, BUT AGAIN, IT'S JUST A STOP GAP SO THAT THAT STUDENT, THAT FAMILY CAN THEN FOCUS ON THE SERVICES AND FOCUS ON SCHOOL. IT'S NOT A LONG-TERM STRATEGY. UH, WE ALSO WORK WITH OTHER 81 PARTNERSHIPS HERE IN THE GREATER AUSTIN AREA. AND MY LAST SLIDE ACTUALLY SHARES A LITTLE BIT MORE ABOUT THEM. SO I MENTIONED, UM, HOW MANY STUDENTS WE SERVE. THAT EQUALED OUT TO ABOUT 93,981 HOURS OF DIRECT SERVICE HERE IN AUSTIN, ISD THAT ALSO INCLUDED 1,438 INTENSIVE HOME VISITS. SO THAT'S OUR STAFF MEMBER WHO'S EMBEDDED AT THE CAMPUS, GOING TO VISIT WITH THE FAMILY AT HOME, UNDERSTANDING WHAT THEIR NEEDS MAY BE. 'CAUSE WE RECOGNIZE THAT IT'S NOT JUST ABOUT THE STUDENT, IT'S ALSO ABOUT THEIR FAMILY, AND THAT WE NEED TO SUPPORT THE WHOLE FAMILY TO ENSURE THAT WE CAN BEST SUPPORT THAT STUDENT. THIS TALKS A LITTLE BIT ABOUT THE LAYERED SUPPORTS THAT I MENTIONED EARLIER, UH, AND HOW WE LOOK AT, UH, MULTIPLE DIFFERENT PARTS. WE ALSO HAVE A GREAT PARTNERSHIP WITH HAKA HERE IN THE GREATER AUSTIN AREA. AND WE DO A PROGRAM CALLED SMART KIDS THAT'S PROVIDING THE CASE MANAGED SERVICES AT SOME OF THE HAKA SITES HERE. SO NOT ONLY ARE THEY RECEIVING SERVICES AT THEIR SCHOOL, BUT THEN WHEN THEY RE UH, RETURN BACK TO THEIR COMMUNITY, THEY MAY ALSO RECEIVE SERVICES AT THE HOKA SITES. WE ARE ALSO PROVIDING AFTERSCHOOL AND SUMMER PROGRAMMING FOR THE STUDENTS WHO ARE AT THOSE SITES. UH, WE ALSO HAVE OUR ASPIRE FAMILY LITERACY PROGRAM. THIS IS A TWO GENERATION ZERO THROUGH SEVEN PROGRAM. SO WORKING WITH, UH, PARENTS WHILE THEY ARE PREGNANT, ALL THE WAY TO THAT STUDENT BECOMING SEVEN YEARS OLD. AND THIS IS WORKING WITH BOTH THE PARENT AND THE STUDENTS. SO FOR THE PARENT, WE'RE HELPING THEM WITH THEIR GED, WITH LITERACY, WHATEVER, UH, WITH PARENTING CLASSES, WHATEVER THEY FEEL, UH, THEY NEED. AND THEN WITH THOSE STUDENTS, UM, WE'RE HELPING THEM WITH SOME OF THAT EARLY PRE-KINDERGARTEN, UM, PREPARATION SO THAT THEY'RE READY FOR PRE-K READY FOR KINDERGARTEN. AND THIS IS ACTUALLY DONE OVER AT MENDEZ MIDDLE SCHOOL. SO IT SERVES THE GREATER, UH, EAST AUSTIN AREA, BUT IT IS OPEN TO ALL OF THE AUSTIN STUDENTS. WE ALSO, AND THIS IS, UH, I THINK IT'S JUST LAST YEAR FOR A CC, RIGHT? UH, THIS, THIS IS THE FIRST YEAR. THIS IS THE FIRST YEAR, OKAY. SO WE GOT A, ANOTHER BRAND NEW PROGRAM THAT'S REALLY GREAT CALLED PATHS, WHICH TOOK THE CIS WRAPAROUND SERVICE AND PROGRAM AND BROUGHT IT TO THREE DIFFERENT A CC CAMPUSES WHERE WE CONTINUE TO WORK WITH THE STUDENTS WHO RECEIVED CIS SERVICES AT THE HIGH SCHOOL LEVEL, AND NOW THEY'RE AT A CC, SO THEY CAN CONTINUE THAT ON. THIS IS BRAND NEW. IT'S NOT TYPICALLY PART OF THE CIS PROGRAM, BUT IT'S BEEN PROVING REALLY SUCCESSFUL THIS YEAR. SO THIS IS SOME OF OUR MENTAL HEALTH OUTCOMES. UM, WE SAW THAT ABOUT 93% OF THE STUDENTS WHO WE WORKED WITH, UM, SHOWED THAT THEY HAD MODERATE TO SEVERE LEVEL OF DEPRESSION OR ANXIETY. AND OUT OF THAT, ABOUT 96% OF THOSE STUDENTS ALSO SHOW IMPROVEMENT ON THEIR ACADEMIC ATTENDANCE OR BEHAVIOR NEEDS. SO TWO DIFFERENT, UM, DATA POINTS THERE. I WANNA MAKE CLEAR THAT I'M NOT SAYING THAT 96% OF THEM NO LONGER SAID THEY HAD DEPRESSION OR ANXIETY, BUT THAT WAS LOOKING AT THAT TARGET, UM, ALL TOGETHER BECAUSE WE'RE ACTUALLY PROVIDING LICENSE MENTAL HEALTH SERVICES FOR THESE STUDENTS. WE SAW ABOUT A $240,000 VALUE FOR THOSE FAMILIES OF COSTS THAT THEY DID NOT HAVE TO SEEK FOR MENTAL HEALTH SERVICES. 'CAUSE WE WERE PROVIDING, I WANNA MAKE SURE I GET THIS NUMBER RIGHT UP TO 12. IT'S UP TO 16, UP TO 16. I ALWAYS SAY TWO LOW. SO UP TO 16 SERVICES FOR THOSE STUDENTS. BUT EIGHT IS REALLY THAT SWEET SPOT. SOME OF OUR OTHER STUDENT OUTCOMES INCLUDED THAT OF THE STUDENTS. WE'VE BEEN CASE MANAGING, 99.9% OF THEM STAYED IN SCHOOL. SO EITHER THEY GRADUATED OR THEY MOVED ON TO THE NEXT GRADE LEVEL. UH, 99.3%, UH, GRADUATED OR PROMOTED, AND 90.8% SHOWED AN IMPROVEMENT IN ONE OF THEIR GOAL FOCUS AREAS, WHETHER THAT WAS ACADEMICS, ATTENDANCE, OR BEHAVIOR. SO THIS IS ALSO A GREAT CHART. UM, GRADUATION RATES IS SOMETHING THAT'S, THAT'S EASY TO SHARE BECAUSE IT'S THE SAME FOR MOST SCHOOL DISTRICTS. WE USE SOMETHING CALLED A STATE RATE FOR GRADUATION. SO I CAN EASILY COMPARE HOW ARE STUDENTS DOING ACROSS THE STATE, EVEN HOW ARE THEY DOING ACROSS THE NATION? AND WHAT WE SEE WITH, UH, STUDENTS THAT ARE IN THE CIS PROGRAM, THEY ARE GRADUATING AT HIGHER RATES THAN THEIR PEER GROUPS. UH, SO THAT LEFT HAND SIDE IS [00:15:01] THE TEXAS AVERAGE. BLUE IS JUST THE GREATER CENTRAL TEXAS. IT'S LIKE A SIX COUNTY WIDE RANGE. AND THEN GREEN ARE THOSE STUDENTS WHO ARE RECEIVING SERVICES THROUGH CIS. WE JUST RECENTLY ALSO HAD A NEW STUDY THAT WAS COMPLETED FROM, UH, HARVARD ED REDESIGN LABS. AND WE DID NOT SEEK THIS OUT. THE ED REDESIGN LABS WERE TRYING TO LOOK AT WHAT CAN AFFECT ECONOMIC MOBILITY FOR STUDENTS. AND THEY WERE WONDERING, WELL, WHAT PROGRAMS OUT THERE HAVE THAT EFFECT? AND THEY STARTED DOING RESEARCH MULTIPLE YEARS AGO, AND ONE OF THE IDEAS THEY CAME UP WITH WAS, WELL, IT LOOKS LIKE THIS CIS PROGRAM COULD HAVE AN EFFECT. SHOULD WE LOOK MORE INTO THAT? AND THEY WORKED WITH OUR STATE EDUCATION AGENCY, THE TEXAS EDUCATION AGENCY, AND THE TEXAS EDUCATION AGENCY ACTUALLY GAVE THEM 20 YEARS WORTH OF DATA FOR 16 MILLION TEXAS STUDENTS OVER THAT 20 YEAR PERIOD. SO HARVARD WAS THEN ABLE TO LOOK AT STUDENTS FROM SIX YEARS OLD ALL THE WAY UP TO 26 AND FOLLOW THEM THROUGH THOSE YEARS THANKS TO THIS PARTNERSHIP WITH TEA. AND THEN TAKE CIS DATA FROM ALL THE DIFFERENT CIS GROUPS ACROSS THE STATE AND INDICATE, WELL, WHICH ONE OF THESE STUDENTS RECEIVE CIS SERVICES. AND WHAT THEY LEARNED OUT OF THAT IS THAT THOSE STUDENTS WHO RECEIVED CIS SERVICES SAW A 5.2% INCREASE IN GRADUATION RATES, UM, WHICH IS GREAT. I WILL TELL YOU THE STATE HAS HAD A GOAL OF RAISING GRADUATION RATES TO 95% FOR ABOUT 25 YEARS NOW. AND THEY HAVE MADE VERY INCREMENTAL GAINS IN THAT THE CIS PROGRAM HAS A 5% INCREASE ON GRADUATION RATES. THEY ALSO SAW THAT THOSE STUDENTS WERE NOT, UH, AN INCREASE OF 9% IN DIRECT TO COLLEGE ENROLLMENT. UH, BECAUSE THEY WERE LOOKING AT ECONOMIC MOBILITY AND LONG-TERM EARNINGS. THEY ALSO SAW THAT THOSE STUDENTS HAD A $75,000 INCREASE IN THEIR LIFETIME EARNINGS. AND THAT THIS ACTUALLY THEN, UH, CONTRIBUTED TO $7,100 IN ADDITIONAL TAX REVENUE THAT THESE STUDENTS WERE GETTING BACK INTO THE COMMUNITY. UM, AND SO THAT WAS SOMETHING THAT THEY WERE SOMEWHAT SURPRISED ABOUT, BUT THEY WERE VERY EXCITED TO REPORT. SO ONE WAY TO KIND OF QUANTIFY THIS IS THEY LOOKED AT THE EFFECT OF CIS AND, AND THEN THEY LOOKED AT THE EFFECT OF OTHER INTERVENTIONS THAT WE KNOW ARE REALLY HELPFUL. AND THEY SAID, CIS ACTUALLY HAS A SLIGHTLY BETTER IMPACT THAN A SMALLER CLASS SIZE DOES. SO, AND I USED TO WORK FOR AUSTIN, ISDI AGREE. UM, THAT CLASS SIZE IS VERY MEANINGFUL, AND THAT'S SOMETHING THAT PEOPLE ALWAYS TALK ABOUT. CIS HAD A STRONGER IMPACT THAN THAT. UH, THE OTHER THING THAT WE ALWAYS KNOW THAT ALL OF OUR KIDS NEED IS A IMPACTFUL HIGH QUALITY TEACHER. IT'S PROBABLY THE MOST IMPORTANT THING WE CAN DO FOR STUDENTS. AND CIS HAD A VERY SIMILAR EFFECT IS HAVING A IMPACTFUL HIGH QUALITY TEACHER IN THE CLASSROOM. SO THIS STUDY, YOU CAN ACTUALLY, IF YOU'RE INTERESTED, YOU CAN LEARN MORE. THE EASIEST THING TO DO WITH JUST SEARCH CIS, CENTRAL TEXAS, HARVARD, IT'S THE FIRST THING THAT COMES UP. YOU CAN READ THE STUDY BRIEF. UH, THE STUDY BRIEF IS ALSO IN YOUR FOLDERS. IT'S, UH, IT'S ON THE LEFT HAND SIDE. IT'S THE SECOND DOCUMENT ON YOUR LEFT HAND SIDE. SO AS I WRAP UP, UM, WE JUST WANT TO SHARE ON WHAT THE CITY'S, UH, PARTNERSHIP WITH US MEANS FOR CIS. UH, SO THE CITY OF AUSTIN, JUST THINKING OF, UH, THEM RIGHT NOW, NOT INCLUDING TRAVIS COUNTY, THE CITY OF AUSTIN PROVIDES ABOUT $837,000 FOR CIS, WHICH AS I MENTIONED, HELPS SUPPORT OUR MENTAL HEALTH SUPPORTS. AND SOME OF OUR CARE COORDINATION WORK. OUT OF THAT, WE WERE ACTUALLY ABLE TO LEVERAGE $12.4 MILLION. SO ALTOGETHER, FOR EVERY DOLLAR THE CITY INVESTED, WE ACTUALLY LEVERAGED ABOUT 14.85, $14, AND 85 CENTS OF DOLLARS. UM, SO THE CITY PAYS ABOUT 6.7% OF THE TOTAL DIRECT PROGRAM COST. THAT DOES NOT INCLUDE ANY ADMINISTRATION, ANY OVERHEAD, JUST DIRECT PROGRAM COST. UM, AND IT'S SEEN REALLY GOOD OUTCOMES OVERALL AND REALLY GOOD IMPACT OVERALL. UH, SO I MENTIONED THE PARTNERS, SO I JUST WANNA HAVE THAT SLIDE UP AS WELL. WE HAVE SOME UNBELIEVABLE PARTNERS HERE IN THE CITY OF AUSTIN. AND NOT ONLY ARE THEY HELPING IN AUSTIN, ISD IN DELL VALLEY, THEY'RE WORKING WITH SOME OF OUR OTHER DISTRICTS AS WELL. WE'RE ACTUALLY AT NINE DISTRICTS ALL TOGETHER, BUT THE LARGEST DISTRICT IS AUSTIN, ISD, AND DEL VALLEY IS ONE OF, UH, ONE OF THREE DISTRICTS. WE ARE AT EVERY CAMPUS THERE. AND AUSTIN, I SHOULD HAVE MENTIONED THIS IN AUSTIN, WE'RE IN ABOUT 73% OF ALL THE TITLE ONE CAMPUSES IN AUSTIN. SO NOT QUITE A HUNDRED PERCENT, WHICH IS WHERE WE'D LIKE TO BE, BUT WORKING TOWARDS THAT. SO I REALLY THANK YOU FOR THE OPPORTUNITY TO SHARE A LITTLE ABOUT CIS THANK YOU FOR THE PARTNERSHIP OF AUSTIN PUBLIC HEALTH, OF TRAVIS COUNTY HEALTH AND HUMAN SERVICES, THE [00:20:01] GREAT WORK THAT THEY'RE DOING FOR THIS, AND JUST HOW MUCH WE APPRECIATE OUR AUSTIN PUBLIC HEALTH COMMISSION. AND IF THERE IS ANYTHING THAT WE CAN SHARE, ANY QUESTIONS WE COULD ANSWER, OR ANYTHING WE CAN DO TO, UH, HELP SHARE ABOUT WHAT CIS DOES, UH, WE'D LOVE TO BE PART OF THAT WORK. JACOB, THANK YOU SO MUCH FOR THIS INFORMATION, THE PRESENTATION, UM, YOUR HANDOUTS. I THINK WE WILL ALL GET, UH, OUR HANDS DIRTY IN GETTING IN, GETTING MORE INFO, MORE, MORE IN DEPTH INTO WHAT YOU OFFERED. I DO HAVE A FEW QUESTIONS. YEAH. UM, AND THEN I WILL OPEN IT UP TO, TO THE OTHER COMMISSIONERS. I'M JUST CURIOUS, UM, UNDERSTANDING WHAT'S HAPPENING WITH FUNDING RIGHT NOW. DO YOU KNOW IF THERE IS ALREADY A DEFICIT IN THE 837,000 THAT THE CITY WILL BE TYPICALLY PROVIDING? UM, AND THEN I'LL, I'LL, I HAVE ONE MORE QUESTION AFTER THAT. YEAH. SO THE CITY IS NOT GIVEN LIKE A DIRECT HERE IS HOW MUCH YOU WILL GET. THEY HAVE SHARED THAT SOCIAL SERVICE CONTRACTS WILL MOST LIKELY SEE A 10% REDUCTION. SO THAT IS WHAT WE ARE ACCOUNTING FOR AT THIS TIME. UH, BUT WE DO SEE THE NEED. SO WE WANT TO CONTINUE TO SEE, UM, WHERE EITHER WE CAN MAKE THAT UP OR HOW WE COULD INCREASE SERVICE OR WHATEVER IT MAY BE TO CONTINUE TO PROVIDE THESE STRONG SERVICES. BUT WE'RE EXPECTING, UM, A 10, POTENTIALLY A 10% CUT. AND THEN FROM THE PUBLIC HEALTH HEALTH EQUITY SIDE OF THINGS, UM, YOU DON'T HAVE TO HAVE AN ANSWER RIGHT NOW. OKAY. UH, BUT JUST CURIOUS, WITH THE CAPACITY OF THIS COMMISSION, UM, UNDERSTANDING THAT WE CAN SUPPORT IN SUCH THINGS AS LOCAL ORDINANCES, WE CAN, UH, RECOMMEND DIFFERENT POLICIES. UM, DO YOU KNOW IF THERE IS SOMETHING REGARDING THE PUBLIC HEALTH HEALTH EQUITY SIDE OF THE WORK THAT YOU DO THAT IS SOMETHING THE COMMISSION CAN ACTUALLY ACTIVATE AND SUPPORT WITH YOU? YEAH, AND I, I'M JOINED WITH MY COLLEAGUE MARIA CAMPO. AND, UH, MARIA, PLEASE FEEL FREE TO COME IN AND GRAB A MICROPHONE IF SOME CHOOSE AND MARIA, YOU KNOW, MAY WANT TO ADD AS WELL. UM, YOU KNOW, I'LL TELL YOU MORE THAN ANYTHING BECAUSE CIS IS ABOUT RELATIONSHIPS AND PARTNERSHIPS. LIKE, THAT'S NUMBER ONE IS I JUST WANNA MAKE SURE THAT WE HAVE A GOOD RELATIONSHIP, UM, THAT YOU CAN SHARE ABOUT THE WORK THAT CIS IS DOING WHEN YOU'RE MEETING WITH YOUR COLLEAGUES, WITH YOUR FRIENDS OUT IN THE COMMUNITY. I MEAN, THAT, THAT WOULD BE MY NUMBER ONE ASK. UH, BUT CERTAINLY I, I DO THINK THAT THERE'S PROBABLY OTHER PATHWAYS. YEAH. AS JACOB MENTIONED, THE HARVARD STUDY, UM, ALONG WITH THE METRICS THAT JACOB, DR. SHARED, UM, IT'S SHOWN TO DECREASE, UM, INVOLVEMENT IN THE CRIMINAL JUSTICE SYSTEM, WHICH WE KNOW DISPROPORTIONATELY AFFECTS, YOU KNOW, BLACK AND LATINO STUDENTS. UM, IT ALSO INCREASES, UM, OVER THEIR LIFETIME, UM, THEIR INCOME OVER 75 TO A HUNDRED THOUSAND DOLLARS MORE, UH, THAN STUDENTS NOT SERVED BY CIS. UM, IT ALSO DECREASES RELIANCE ON PUBLIC ASSISTANCE AND IMPROVES QUALITY OF LIFE, IMPROVES ACCESS TO QUALITY HEALTHCARE. UM, AND THEY ALSO BECOME HIGHER, UH, CONTRIBUTOR CONTRIBUTORS OF TA UH, ANNUAL TAXES IN THE NUMBERS OF 7,100 PER YEAR. IT ALSO DECREASES THE LIKELIHOOD THAT A STUDENT WOULD HAVE TO RESORT TO, UH, ER SERVICES OR, OR MENTAL HEALTH EMERGENCY SERVICES. WE KNOW THAT THAT IS A PRIORITY OF THE CITY OF AUSTIN AND TRAVIS COUNTY, PARTICULARLY THE CITY MANAGER'S OFFICE, HAS THE SAME ECONOMIC MOBILITY LEVERS THAT CIS ALSO ENCOMPASSES. AND SO, UH, WHEN A STUDENT IS INVOLVED IN CIS, THEY'RE LESS LIKELY TO ENTER THE MENTAL HEALTH, UM, TRAJECTORY BECAUSE WE DO PROVIDE SHORT TERM, UH, EARLY INTER INTERVENTION. UM, AND USUALLY THE SESSIONS THAT JACOB MENTIONS DO, UM, ABSOLVE OR RESOLVE THE ISSUES THAT THE STUDENT IS EXPERIENCING. BUT IF A STUDENT OR FAMILY NEEDS LONGER TERM SERVICES, WE CONNECT THEM TO ONE OF OUR, OUR LONG-TERM PARTNERS IN THE COMMUNITY, UM, SO THAT THEY CAN CONTINUE TO SEE SOMEBODY. WE DON'T JUST CUT THEM OFF AT THAT 16TH SESSION. COMMISSIONER, I, I THINK ANOTHER THING WHY WE'RE SPEAKING, IT'S COMING TO MIND, YOU KNOW, RECOGNIZING THAT A LOT OF OUR SCHOOL DISTRICTS ARE ALSO DEALING WITH BUDGET CONCERNS. WE'VE ALREADY HEARD FROM, UH, JUST SOUTH OF US HAYES AND WHAT THEY'RE DEALING WITH. AND WE KNOW THAT AUSTIN ALSO WILL NEED TO ADDRESS THEIR BUDGET. AUSTIN ICE STILL WILL NEED TO ADDRESS THEIR BUDGET, BUT IT DOES NOT TAKE AWAY THE NEED FOR THESE STUDENTS. AND MENTAL HEALTH IS ONE OF THOSE THINGS THAT AUSTIN HAS BEEN, AUSTIN PUBLIC HEALTH HAS BEEN SUCH A BIG PARTNER WITH US. THERE'S SUCH A NEED, YOU KNOW, WE KNOW THAT THERE'S BIGGER NEED THAN WHAT WE CAN PROVIDE. WE KNOW THAT THERE'S BIGGER NEED THAN WHAT AUSTIN ISD CAN CURRENTLY PROVIDE. UM, BUT WE WANT TO CONTINUE TO SUPPORT THAT. SO TO THE EXTENT THAT THIS COMMISSION CAN CONTINUE TO CHAMPION MENTAL HEALTH SERVICES FOR STUDENTS, UM, AND YOUNGER STUDENTS, I HATE TO SAY IT, BUT YOUNGER STUDENTS NEED MORE SUPPORT NOW. YOU KNOW, I THINK, UH, I WAS AT AUSTIN, ISD WHEN WE DID OUR FRI SORRY FOR THE LITTLE BIT OF A TANGENT, BUT WE DID OUR FIRST MENTAL HEALTH CENTER. IT WAS AT CROCKETT HIGH SCHOOL. THIS WAS 15 [00:25:01] YEARS AGO. AND AT THAT TIME, IT WAS A FAIRLY NOVEL IDEA TO PUT A MENTAL HEALTH PROFESSIONAL ON A HIGH SCHOOL CAMPUS. BUT WE LOOKED AND WE SAW THERE WAS A LOT OF NEED AT HIGH SCHOOLS, AND I WAS PART OF THAT TEAM. I REMEMBER SEEING THE ADDRESSED NEED THROUGH SURVEYS, THROUGH DATA, UM, AND IT PAINS ME TO SAY, BUT NOW WE'RE SEEING SURVEYS AND DATA OF THAT SAME LEVEL OF NEED 15 YEARS AGO AT THE ELEMENTARY LEVEL. IT'S JUST COMPOUNDING. UH, BUT I DO BELIEVE THAT ADDRESSING IT EARLY IS GOING TO HAVE BETTER OUTCOMES FOR THOSE STUDENTS, AND IT'S GOING TO CAUSE LESS NEED FOR SERVICES LATER IN LIFE. UM, ANOTHER THING TOO IS THAT OUR CEO SHARON VI HILL WILL OFTEN THROUGH THE $400,000 THAT JACOB SHARED ABOUT THE STUDENT AND FINANCIAL ASSISTANCE, STUDENT AND FAMILY ASSISTANCE, OUR CEO WILL OFTEN APPROVE FUNDING TO HELP PREVENT HOMELESSNESS IN OUR FAMILIES. IF THEY'RE TRANSITIONING, UM, FROM BEING HOMELESS TO TRYING TO FIND HOUSING WILL PAY FOR THEIR HOTEL STAY OR SHORTTERM SHORT-TERM HOUSING, WHICH FURTHER, UM, DECREASES THE LIKELIHOOD THAT A FAMILY WILL BECOME HOMELESS. OFTENTIMES THE FAMILIES THAT WE'RE SERVING, UM, ARE RECENTLY ARRIVED FROM OTHER COUNTRIES, AND THEY'RE TRYING TO FIND STABLE HOUSING. AND SO CIS STEPS IN, AS JACOB MENTIONED, WITH THE SHORT-TERM FUNDING, UM, SO THAT A FAMILY CAN BE HOUSED IN THE MEANTIME THAT THEY FIND HOUSING. THANK YOU. I'M GONNA OPEN IT UP TO THE REST OF THE COMMISSIONERS FOR QUESTIONS, COMMENTS, INPUT, AS WELL AS OUR EX OFFICIOS . COMMISSIONER RICE, PLEASE. YEAH, I WAS, FIRST OF ALL, THANK YOU ALL SO MUCH FOR THE, UM, PRESENTATION. I THINK YOU SAID THAT ONLY 75% OF OF SCHOOLS, NOT ONLY 75% OF A ISD SCHOOLS ARE, YOU KNOW, EN ENJOYING THE BENEFIT OF YOUR SERVICES. AND I WONDERED IF THE GAPS FOR THE LAST 25% IS, IS KIND OF YOUR CAPACITY OR SOME OTHER REASON THAT RELATES TO A ISD, BUT JUST KIND WONDERED WHY THERE WAS A GAP THERE. YEAH, SO, UH, LET ME CLARIFY THAT. IT'S OF JUST THE TITLE ONE CAMPUSES. SO AUSTIN ISD DOES HAVE MAJORITY TITLE ONE CAMPUSES, BUT THEY HAVE ABOUT 40 CAMPUSES THAT ARE NOT TITLE ONE. TYPICALLY, CIS IS NOT AT NON-TITLE ONE CAMPUSES. IT DOES HAPPEN, AND IF A DISTRICT WANTS IT, WE WILL DO THAT AND WE'RE READY TO SUPPORT IT. 'CAUSE THERE'S NEEDS AT EVERY CAMPUS. UM, YOU KNOW, WE, WE SOMETIMES TALK ABOUT AUSTIN HIGH HERE IN AUSTIN, JUST DOWN THE STREET. AUSTIN HIGH HAS MORE ECONOMICALLY DISADVANTAGED STUDENTS THAN MANY TITLE ONE SCHOOLS. UM, SO THERE'S STILL A LOT OF NEED, BUT TO DIRECTLY ANSWER YOUR QUESTION, UH, WE ACTUALLY TAKE PART IN BRAIDED FUNDING WHEN WE LOOK AT SERVING OUR PARTNERS. AND WE WANNA MAKE SURE THAT THE CAMPUS DOES HAVE SOME BUY-IN. SO CAMPUS, UH, DISTRICT PAYS SOMEWHERE BETWEEN, UH, 20 AND 50% OF THE TOTAL DIRECT COST OF THE PROGRAM. SO IT COSTS ABOUT $133,000 TO DO THE PROGRAM. NOW, THAT'S ALL IN, NOT INCLUDING ANY OVERHEAD OR ANY OF THE, UH, ADMINISTRATIVE SUPPORT. WE ONLY PAY FOR THAT THROUGH GRANTS. WE DON'T USE GOVERNMENTAL FUNDING FOR THAT. UH, SO A PROGRAM IS ABOUT 133,000. A DISTRICT WILL PAY, UH, AUSTIN PAYS ABOUT 35% OF THAT COST. AND THEN WE GO OUT AND WE FIND PARTNERS, WHETHER IT'S THE CITY OF AUSTIN, WHETHER IT'S FOUNDATIONS, WHETHER IT'S BUSINESSES, WHETHER IT'S GRANT WRITING TO BRING IN THE, THE ADDITIONAL FUNDING. UH, BUT WE TYPICALLY START WITH, UM, WHEN, WHEN WE EXPAND, UH, DISTRICTS WILL TYPICALLY TELL US, WELL, IF WE EXPAND TO X NUMBER OF SCHOOLS, WHAT WOULD OUR PERCENTAGE OF THAT BE? UM, SO SOME OF IT IS BASED ON A DISTRICT'S BUDGET. I THINK THAT IF AUSTIN ISD WERE ABLE TO SAY THAT WE HAVE ADDITIONAL FUNDING, WE WILL GO OUT AND FIND OUR PART OF IT. LIKE THAT'S A CHALLENGE THAT WE WANT, IS TO GO, UH, WRITE MORE GRANTS AND GO TO MORE FOUNDATIONS TO SAY WE CAN HAVE A BIGGER IMPACT. UH, BUT THERE ARE, I SAY THAT TO SHARE THAT THERE ARE MULTIPLE THINGS THAT WE NEED TO LOOK AT. UM, IT WOULD NOT BE AS SIMPLE AS JUST AUSTIN SAYING, HEY, NEXT YEAR COVER ALL OF OUR CAMPUSES, UH, BECAUSE WE WOULD NEED TO DO A LOT OF FUNDRAISING AT THAT POINT. UH, BUT WE REALLY LOOK AT THAT BRAIDED FUNDING. WE THINK THAT THAT'S THE BEST WAY TO DO IT BRINGS IN OTHER PARTNERS. IT BRINGS IN JUST, YOU KNOW, UH, THERE'S A, WHAT'S THE TERM THAT SHARON USES? UM, BUT THERE'S SOME SHARED, SOME SHARED WORK ON THAT WHEN WE ALL ARE LOOKING AND BRINGING IN THE FUNDING FOR IT. THANK YOU. THANK YOU FOR THE WORK YOU'RE DOING. YEAH. I GUESS WITH THAT IN MIND, ARE YOU ALSO SEEING LOTS OF FUNDING THROUGH GRANTS? AND AUSTIN, ISDI KNOW HAS HAD BUDGETARY ISSUES. SO ARE YOU DECREASING GETTING DECREASED FUNDING IN ALL AREAS THERE, OR JUST PARTICULARLY ONE? YEAH. UM, SO CIS ITSELF WAS FAIRLY LUCKY IN THAT WE DID NOT SEE A DECREASE IN OUR FEDERAL FUNDING. I KNOW THAT A LOT OF DIFFERENT PARTNERS, I KNOW THE CITY OF [00:30:01] AUSTIN DID. UM, WE HAVE NOT NECESSARILY SEEN THAT. WE ALSO HAVE AN APPROPRIATION THROUGH THE STATE OF TEXAS, WHICH IS UNIQUE FOR CISS IN THE NATION. UM, THAT TEXAS ACTUALLY HAS A CIS OFFICE IN THE TEXAS EDUCATION AGENCY. AND WE HAVE AN APPROPRIATION THAT COMES THROUGH THAT. AND THAT'S BASED OFF OF A FORMULA, LIKE SO MANY OTHER SCHOOL FUNDING I ITEMS ARE. SO WE HAVE SOME LEVEL OF STUDY FUNDING. UM, ALSO WE'VE BEEN ABLE, WHILE SOME FOUNDATIONS ALWAYS CHANGE PRIORITIES, UH, WE HAVE SOME THAT HAVE BEEN BIG PARTNERS FOR, WE'RE ACTUALLY CELEBRATING 40 YEARS FOR CIS THIS YEAR. SO SOME FOUNDATIONS THAT HAVE BEEN PART FOR OVER 20 YEARS. UM, SO REALLY WHERE WE'RE SEEING THE DECREASE IS SOME OF OUR OTHER GOVERNMENTAL PARTNERS WHO ARE HAVING TO LOOK AT RISING COST, UM, AND DECREASING REVENUE. UH, AND THEN OUR SCHOOL DISTRICT PARTNERS. AND SO, HAYES, UH, IF YOU'VE READ THE NEWS FOR HAYES, I KNOW IT'S NOT SERVED BY THE CITY OF AUSTIN, BUT, UH, HAYES HAD TO CUT OUR CONTRACT IN HALF FOR THE HAYES SCHOOLS, AND THAT WAS PART OF THEIR BUDGET STEPS TO ADDRESS. THEY HAVE A $12.5 MILLION BUDGET DEFICIT TO ADDRESS. AND SO THAT'S ABOUT $300,000. WHICH, IF NOTHING ELSE CHANGES WITH HAYES, WOULD MEAN THAT WE MAY END UP SERVING SEVEN LESS SCHOOLS THAN WE DID THE YEAR PRIOR. THANK YOU FOR THE PRESENTATION. I'M CURIOUS IF YOU HAVE ANY DATA OR JUST, UM, YOU KNOW, PERSONAL INFORMATION ABOUT, UH, VACCINATION RATES AND WHETHER CHILDREN PARTICIPATING IN CIS HAVE HIGHER RATES OR LOWER RATES IF THEY NEED ASSISTANCE WITH THAT. UM, AND IF Y'ALL PROVIDE ASSISTANCE WITH THAT. YEAH, AND WE DO PARTNER, UH, WITH VARIOUS ENTITIES, UM, IN THE, IN THE AUSTIN COMMUNITY AND TRAVIS COUNTY COMMUNITY TO HELP OUR FAMILIES ACCESS, UH, VACCINATIONS AND OTHER, AND, AND DENTAL APPOINTMENTS AND EYEGLASSES. UM, WHATEVER THE NEEDS OF THE FAMILY ARE. UM, WE, WE IDENTIFY THOSE NEEDS AT THE BEGINNING OF THE YEAR USING A CAMPUS WIDE NEEDS ASSESSMENT, ALONG WITH THE, THE SCHOOL ADMINISTRATION DETERMINED THE HIGHEST PRIORITIES AND NEEDS FOR A CAMPUS. BUT THOSE PARTNERS EARLIER THAT JACOB, UH, SHOWED ON THE LAST SLIDE ARE A LOT OF THOSE PARTNERS THAT WE, UH, RELY ON. AND THEN ALONG WITH THE 400,000 THAT JACOB SHARED FROM STUDENT AND FAMILY ASSISTANCE ALSO PROVIDES ASSISTANCE WITH THOSE BASIC NEEDS. AND COMMISSIONER TO, TO ANSWER DIRECTLY, UM, OUR AGREEMENT WITH THE DISTRICTS DOES NOT TYPICALLY INCLUDE, UH, THE STUDENT'S CURRENT VACCINATION STATUS. UM, OBVIOUSLY IF STUDENTS EXPRESS SOME HELP FROM US, OR PROBABLY WHERE IT MORE COMMONLY HAPPENS IS THE PRINCIPAL SAYS, HEY, WE NEED HELP WITH, UM, BECAUSE THAT'S PART OF THE STUDENT ENROLLMENT PROCESS, RIGHT? WE NEED HELP WITH OUR VACCINATIONS, AND THEN WE STEP IN TO HELP. SO I WOULD NOT NECESSARILY BE ABLE TO TELL YOU THAT HERE'S THE PERCENTAGE OF STUDENTS THAT RECEIVE CI SERVICES THAT ARE ALSO VACCINATED. 'CAUSE IT'S NOT PART OF OUR DATA SHARING WITH THE DISTRICTS. UM, BUT WE ARE VERY STRONG IN SUPPORTING THAT WORK WITH THOSE STUDENTS. SO YOU'RE A RESOURCE TO THEM. SO THAT'S, THAT'S GREAT. YEAH. UM, AND THEN JUST CURIOUS, DO YOU HAVE ANY INFORMATION ON LIKE TEEN PREGNANCIES? HAS THAT INCREASED, DECREASED, STAYED THE SAME? WELL, UM, HOW, UM, JACOB MENTIONED THAT DELL, UH, THIS IS THE FIRST YEAR WE'RE SERVING DELL VALLEY ISD, AND WE'RE IN 14 OF THE CAMPUSES, WHICH WERE FULLY SATURATED. AND DELL VALLEY DOES HAPPEN TO BE, UH, THE SCHOOL DISTRICT THAT HAS THE HIGHEST TEEN PREGNANCY RATE IN TRA IN CENTRAL TEXAS. AND SO WE ARE, WE'RE HONORED TO BE ABLE TO SERVE DELL VALLEY, ISD. YEAH. AND I WOULD SAY, UH, IN THAT FOLDER, THERE'S A ONE PAGE ON THE ASPIRE PROGRAM THAT I MENTIONED, AND THAT IS ALSO FOR STUDENTS. UH, IF WE HAVE HIGH SCHOOL STUDENTS THAT WANNA BE PART OF THAT PROGRAM, WE WANNA WELCOME THEM INTO THAT. UH, I THINK IT'S A REALLY GREAT TWO-GEN PROGRAM THAT HELPS PREPARE STUDENTS AND HELP PREPARE THOSE ADULTS. SO THAT'S ANOTHER THING THAT WE'RE DOING TO HELP SUPPORT, IT'S NOT THE PURPOSE OF THE ASPIRE PROGRAM, BUT WE ARE MORE THAN WELCOMING TO OUR STUDENTS TO ALSO BE PART OF THAT PROGRAM. EXCELLENT. THANK YOU. ANY OTHER COMMENTS, QUESTIONS? AWESOME. I, I JUST WANTED TO ASK, YOU MENTIONED THAT THE STATE OF TEXAS HAS APPROPRIATED FUNDS FOR THE PROGRAM. UM, HOW LONG AGO WAS THAT? AND CAN YOU GIVE US ANY, UM, INFORMATION ON HOW THAT PROCESS, WHAT, LIKE A QUICK SUMMARY? DO YOU KNOW WHEN IT STARTED? UM, I BELIEVE IT WAS IN THE EIGHTIES, BUT, UH, WE CAN GET THAT INFORMATION FOR YOU. YEAH. THEY'VE BEEN PART OF THE BUILT INTO THE EDUCATION CODE AND BUILT INTO THE, UM, THE, THE SAME SYSTEM OF THE SCHOOL FINANCE SYSTEM. IT'S NOT, WHICH IS CHAPTER 39. IT'S NOT IN CHAPTER 39, BUT IT IS PART OF THE SAME IDEA. UH, BUT WE CAN GET YOU MORE INFORMATION ON THE HISTORY OF THAT. MY UNDERSTANDING IS THAT THERE'S ONLY TWO NONPROFITS IN THE EDUCATION CODE THAT ARE NAMED. THAT'S CORRECT. [00:35:01] AND CIS ISN'T ONE OF THEM. WE'RE ALSO RECOGNIZED BY TEA AS BEING A BEST PRACTICE IN, UH, REDUCING DROPOUT HIGH SCHOOL DROPOUT RATES, A RECOMMENDED EVIDENCE-BASED BEST PRACTICE. OKAY. THANK YOU SO MUCH. WE REALLY APPRECIATE THE INFORMATION AND YOU'LL DEFINITELY HEAR FROM US AGAIN. YEAH. AWESOME. UM, MOVING ON TO DISCUSSION [3. Receive updates from commissioners on assigned action items.] ITEM 2, 3, 3. OKAY. UH, UP RECEIVING UPDATES FROM COMMISSIONERS ON ASSIGNED ACTION ITEMS. UM, I KNOW THAT DANNY SENT OUT SOME INFORMATION TO EVERYBODY JUST ABOUT OUR, UH, THEMES AND PRIMARY FOCUS AREAS FOR THE NEXT SIX MONTHS, GIVE OR TAKE. UM, IF YOU ALL HAD A CHANCE TO REVIEW THEM, THAT WOULD BE AMAZING THAT WE COULD LOOK OVER WHAT THAT MEANS NOW, ESPECIALLY WITH, UM, SOME MORE CONCRETE IDEAS AROUND WHAT WE'RE DOING WITH THOSE THEMES. UM, BUT IF ANYBODY HAS QUESTIONS ABOUT THE THEMES OR, UM, AND JUST SO WE, OR I SAY THEMES, BUT I REALLY DO MEAN GOALS. AND AGAIN, THIS IS LOOKING AT, UH, THE FOOD PLAN. IT'S CATEGORIZING WHAT WE'RE FOCUSED ON, UM, EDUCATION, AWARENESS, ECONOMIC IMPACTS, ET CETERA. UM, SO JUST MAKE SURE THAT EVERY, WANTED TO MAKE SURE THAT EVERYBODY SAW AND HAS THOSE GOALS. AND THEN MY HOPE IS, UM, HIGH LEVEL, WE CAN HAVE A QUICK DISCUSSION AS THE COMMISSION, UM, ABOUT HOW WE ACTIVATE THOSE. IS IT THROUGH, UM, A RECOMMENDATION? DO WE NEED TO DO SOME MORE RESEARCH? IS THIS A TIME THAT WE, UM, TAP INTO, UH, COMMISSIONER ALI AND COMMISSIONER CIAO ABOUT UT DATA? UM, ARE HOW ARE WE WANTING TO ADDRESS AND TACKLE THESE? UH, I KNOW THAT WE HAVE OTHER THINGS SUCH AS LIKE BUDGET RECOMMENDATIONS IF WE'RE GONNA FOLLOW, YOU KNOW, PUT SOMETHING LIKE THAT INTO PLACE WITH ONE OF THESE GOALS, UM, KNOWING THAT WE DO HAVE VERY SPECIFIC DATES THAT WE HAVE TO FOLLOW FOR THAT. SO IF WE ARE WANTING TO DO A BUDGET RECOMMENDATION MAKING FOR ONE OF OUR GOALS, UM, MAKING SURE THAT WE HAVE, WE HAVE IT IN TIME TYPE OF A THING. UM, SO I'LL TAKE A BREATH THERE, UH, FOR ANY COMMENTS ON OUR GOALS AND POTENTIAL STEPS OF ACTION TO TAKE. AND THIS IS COMMISSIONER LUHAN. CAN YOU HEAR ME? YES, WE CAN. PLEASE GO AHEAD. OKAY. UH, SO I WAS ABLE TO SPEAK WITH KELLY. THEY ARE THE CONSULTANT, UH, THAT ARE TAKING OVER SOME OF THE FOOD, UM, ACCESS PROGRAMS. I WILL, SHE DID FORWARD ME A PRESENTATION THAT I WILL BE FORWARDING NOW. UH, SHE DID THIS PRESENTATION FOR THE TRAVIS COUNTY. UM, AND SO IT'S THE TRAVIS, IT IS THE AUSTIN SLASH UH, TRAVIS COUNTY FOOD PLAN IMPLEMENTATION COLLABORATIVE. I'M GONNA SEND THAT OVER NOW. AND THEN THEY ALSO SENT ME A, THE FOOD PLAN. IT'S GONNA BE A SURVEY. I'M SENDING THAT OVER TO Y'ALL. UH, SHE JUST SENT IT TO ME RIGHT NOW. SO, KELLY NICOLES IS WITH THE WOODARD NICOLES TORRES CONSULTING. IT SEEMS THAT THEY'VE BEEN REHIRED FOR THE FOOD ACCESS AND PUTTING THIS FOOD PLAN TOGETHER. UM, SHE IS WILLING TO COME AND SPEAK NEXT MONTH OR GIVE HER AN ADVANCE, UH, ENOUGH ADVANCE TO BE ABLE TO COME AND TALK ABOUT THE PLAN. SHE SAID THAT STARTING THIS MONTH IN APRIL, UM, ALL THE INITIATIVES THAT THEY'VE BEEN TALKING AND PUTTING TOGETHER AND PARTNERING WITH OTHER AGENCIES AND ORGANIZATIONS, AND EVEN ON THE BUDGET. SO I'M GONNA FORWARD THAT RIGHT NOW TO Y'ALL. SO YOU COULD SEE WHAT SHE PRESENTED TO TRAVIS COUNTY, AND THEN ALSO THE SURVEY. UM, AND THEN IF YOU GUYS WOULD LIKE FOR HER TO COME IN AND SHARE MORE BY THEN, BY NEXT MONTH. SHE WAS, SHE SAID SHE WOULD BE HAPPY TO DO THAT SINCE THEY ARE STARTING IN, IN APRIL, AND THEY WOULD HAVE MORE INFORMATION AND BE ABLE TO ANSWER MORE OF THE QUESTIONS ANYONE MIGHT HAVE BY MAY. WONDERFUL. THANK YOU. UM, THERE'S HEAD NODS AND EXCITEMENT, SO THAT'S, THAT'S AWESOME. PLEASE, UH, DANNY, WHEN YOU GET THAT INFORMATION CIRCULATED OUT TO US, AND WE'LL, WE'LL ALL PUT OUR EYEBALLS ON IT. UM, I DON'T KNOW OFF THE TOP OF MY HEAD WHAT'S NEXT ON THE AGENDAS, BUT I'M SURE THAT WE HAVE TIME FOR AT LEAST PUBLIC COMMENTS NEXT MONTH. UM, OR IF WE WANNA DO A FULL PRESENTATION, UM, I'M NOT SURE WHAT'S ON THE AGENDA FOR THAT, DANNY, BUT IF WE DO HAVE SPACE, UM, MAY, IF NOT JUNE. UM, AWESOME. THANK YOU COMMISSIONER LUHAN FOR THAT UPDATE. COMMISSIONER ALI, PLEASE. THANKS. COMMISSIONER LUHAN, I JUST WANTED TO OFFER MY SUPPORT IN, UM, HELPING [00:40:01] WITH YOUR WORK ON THE FOOD PLAN, ESPECIALLY AS IT RELATES TO HEALTHCARE AND PARTNERING WITH, UM, HEALTHCARE ORGANIZATIONS OR DELL MED OR, UM, EVEN AS IT INTERSECTS WITH THE REFUGEE WORK. UM, AND I'LL GIVE A QUICK UPDATE. I DID MEET WITH SOME OF THE FOLKS IN THE REFUGEE COMMUNITY, UM, AROUND, UH, REFUGEE HEALTH. AND, UM, WHAT OPPORTUNITY WE IDENTIFIED WAS, UM, CENTRAL HEALTH HAS A COMMUNITY HEALTH WORKER PROGRAM THAT BRING PEOPLE FROM THEIR COMMUNITIES AND TRAINS THEM TO BE COMMUNITY HEALTH WORKERS. AND WE TALKED ABOUT, UM, LOOKING FOR PEOPLE FROM THE REFUGEE COMMUNITY TO POTENTIALLY, UH, PARTICIPATE IN THAT PROGRAM. BEAUTIFUL. AND, AND I'M NOT SURE IF YOU'VE HAD A CHANCE TO CONNECT WITH MEGAN OR, UH, PERLA, BUT I THINK THOSE WOULD BE AMAZING PEOPLE FOR YOU TO CONNECT WITH. UM, SO IF, IF, IF YOU HAVEN'T, UM, DANNY CAN SUPPORT IN GETTING THOSE INTRODUCTIONS MADE. UH, WE'VE PREVIOUSLY HAD A, A PRESENTATION FROM THEIR CHW PROGRAM MAYBE A YEAR AGO. WHAT'S TIME? I DON'T KNOW. UH, BUT WE HAVE HAD THAT CONVERSATION AND IT, THEY, WE SAW SOME REALLY AWESOME, UM, DATA ON THAT, ESPECIALLY BECAUSE THEY ARE PAYING THEIR CHWS THROUGH THAT PROGRAM. UM, AND SO YEAH, I THINK THAT'S A PHENOMENAL WAY TO ACTIVATE OUR REFUGEE COMMUNITY, BUT ALSO, UH, LEVERAGE THAT CURRENT RELATIONSHIP WITH CENTRAL HEALTH. UH, THANK YOU COMMISSIONER ALI. COMMISSIONER RICE? I THOUGHT I SAW A HAND, PLEASE. I WAS JUST GONNA MENTION, UM, THAT, UM, COMMISSIONER CROOKHAM AND I MET WITH THE UT OFFICIAL SOON AFTER OUR LAST MEETING, I BELIEVE. IS THAT RIGHT? UM, COMMISSIONER CROOK. YES. DO YOU REMEMBER? I THINK IT WAS THE NEXT DAY, YES. AND SO, UM, YOU KNOW, IT WAS A GOOD DISCUSSION GENERICALLY ABOUT, UM, YOU KNOW, THE TOPIC OF DATA. AND I THINK THAT IT WAS, UM, WE DIDN'T REALLY HAVE NEXT STEPS FOR HER. I DON'T THINK THAT PERSON HAD, UM, YOU KNOW, WAS GONNA BE A GOOD MATCH FOR US, PER SE. AND DR YOU KNOW, CHRIS, PLEASE SPEAK UP, UM, IF YOU'VE GOT A DIFFERENT THOUGHT. BUT, SO THAT'S, THAT'S, UH, A LITTLE BIT OF AN UPDATE. UM, AND THAT'S 0.1. AND I, I HAVE A SECOND POINT, BUT I WANTED TO SEE IF COMMISSIONER K CROOKHAM HAD ANYTHING ELSE TO SAY ON THAT MEETING OR THOUGHTS. THANK YOU. YEAH, APPRECIATE THAT. UH, YEAH, WE DID, IT WAS A GREAT, UH, DISCUSSION. THE PROFESSOR HAS A LOT OF GREAT KNOWLEDGE AND ABILITIES, BUT SHE WAS WITH THE, I THINK SCHOOL OF PHARMACY, UM, WHICH BASED ON WHAT SHE WAS SAYING, MAY STILL BE VERY APPLICABLE TO WHAT WE'RE DOING HERE, UM, BUT WAS THEN ABLE TO HELP WITH THE, UH, THE BRIDGING PUBLIC HEALTH FUNDING, UH, RECOMMENDATION LIKE WE HAD HOPED. SO, UM, NOT FRUITFUL IN THAT REGARD, BUT DEFINITELY SOMEONE WE SHOULD KEEP IN MIND. AND THE, THE SECOND THING I WAS JUST GONNA TOSS OUT WAS, UM, I HAD DONE SOME, UM, WORK WITH, UM, ON GEMINI, WHICH WAS MY AI TOOL OF THE MOMENT A FEW WEEKS AGO. AND, UM, ASKED IT A QUESTION ABOUT, YOU KNOW, WHAT MIGHT BE THINGS THAT WE COULD THINK ABOUT TO BUILD WITH A AGENTIC AI FOR PUBLIC HEALTH IN AUSTIN, TEXAS. KIND OF A, AND, AND IT HAD A BUNCH OF THINGS THAT CAME OUT OF THAT THAT WERE INTERESTING. AND I ACTUALLY DABBLED WITH MAKING A, ONE OF THE QUESTIONS THAT WAS PART OF THAT, ONE OF THE PARTS OF THE PROMPTS WAS, UM, WHERE, YOU KNOW, WHAT ARE TOPICS THAT MIGHT HAVE PUBLICLY AVAILABLE DATA THAT IS UPDATED EITHER ON A WEEKLY OR MONTHLY BASIS, SO THAT COULD TURN INTO A TOOL. AND, AND, UM, SO THERE'S A FEW INTERESTING THINGS THAT POPPED OUT OF THAT. BUT THE POINT I WANNA MAKE IS THAT, UM, I THINK IT MIGHT BE OF INTEREST. AND SO I LAID THIS BEFORE THE, YOU KNOW, THE COMMISSION TO WONDER ABOUT, UM, MAYBE, UM, I'D BE HAPPY TO PUT TOGETHER WITH, WITH OTHERS WHO MIGHT WANNA PARTICIPATE, BUT PUT TOGETHER SOMETHING WOULD BE MAYBE A PRESENTATION IN APRIL OR MAY OR WHATEVER, WHICH WOULD SAY, WHAT COULD BE SOME IDEAS ABOUT EASILY BUILT AGEN AI TOOLS THAT LITERALLY, ANYBODY, IF I CAN DO IT, YOU CAN DO IT, CAN PUT TOGETHER WITH, UM, YOU KNOW, ONE OF THE LLMS AND, YOU KNOW, IS THERE A, A PLACE FOR THAT IN THE AUSTIN PUBLIC HEALTH, TRAVIS COUNTY PUBLIC HEALTH, YOU KNOW, SYSTEM. AND, AND COULD THAT BE SOMETHING THAT MAYBE GETS FUNDED OR IS THERE FUNDING INVOLVED? AND JUST SORT OF A PICTURE OF WHAT COULD BE AS IT RELATES TO AI AND PUBLIC HEALTH. AND, YOU KNOW, THAT WOULDN'T JUST BE ME. I'M THINKING ANYBODY ELSE THAT WANTS TO JOIN THAT. BUT ALSO WE COULD PROBABLY MAKE SOME INQUIRIES AT THE UNIVERSITY OF TEXAS AND OTHER KINDS OF PLACES, WHICH MIGHT BE, UM, INTERESTED TO JOIN THAT KIND OF A CONVERSATION. JUST TRY TO PUT TOGETHER A, A 20 MINUTE KIND OF CONVERSATION, NOT TO BE PIE IN THE SKY, NOT INTERESTED IN, IN, YOU KNOW, TELLING US THAT AI IS GONNA CHANGE THE WORLD, BUT LIKE, WHAT CAN WE DO THIS WEEK OR NEXT WEEK OR NEXT MONTH OR THIS YEAR IN THE REALM OF AI AND AG AGENTIC STUFF THAT MIGHT BE OF INTEREST. SO I, I JUST, I'LL STOP THERE, BUT WONDERED [00:45:01] IF THAT KIND OF A CONVERSATION OR A PRESENTATION MAYBE FOR 15 MINUTES WOULD BE OF INTEREST, COMMISSIONER RICE? SOMETIMES I DO THINK THAT WE MIGHT BE THINKING ABOUT THE EXACT SAME THINGS JUST AT DIFFERENT TIMES, AND THEN YOU SAY IT OUT LOUD. SO I'LL GIVE MY UPDATE, WHICH I THINK IS A PERFECT SEGUE INTO ANSWERING YOUR QUESTION. UH, I HAVE BEEN QUIETLY TINKERING WITH THE IDEA OF, OF HOW DO WE, UM, ACTIVATE CONVERSATION, UM, NOT JUST AMONGST THE COMMISSION, BUT ALSO AMONGST COMMUNITY BASED ORGANIZATIONS, SPECIFICALLY THOSE LOOKING AT PUBLIC HEALTH. UM, WE CAN'T DO ALL OF COMMUNITY BASED ORGANIZATIONS. IT WOULD BE WE'RE TOO MUCH. IT'D BE TOO MUCH. BUT THE IDEA IS THAT WE CAN, UM, START TO DISMANTLE THE SILOS THAT A LOT OF FOLKS HAVE HAD TO OPERATE IN. AND WE'RE RECOGNIZING FROM, UH, FUNDING CUTS NOW THAT DOORS ARE CLOSING, DOORS ARE, MAYBE CLOSING PROGRAM IS BEING CUT. AND SO TRULY, AND I THINK THIS HAS BEEN A QUESTION AMONGST THIS COMMISSION AS WELL, IS WHAT IS THE STATE OF PUBLIC HEALTH IN AUSTIN, TRAVIS COUNTY? NOT IN THE NEXT YEAR, NOT IN THE NEXT THREE YEARS, BUT IN THE NEXT THREE MONTHS. IN THE NEXT SIX MONTHS. UM, AND SO I HAVE BEEN TALKING TO DR. WALKS ABOUT WHAT WOULD IT LOOK LIKE TO DO A, UH, FIRESIDE CHAT, BUT IT'S NOT JUST A FIRESIDE CHAT. THAT IS, WE'RE LISTENING TO THE EXPERTS IN THE ROOM TALK. WE ARE THEN ACTIVATING THOSE THAT ARE IN THE AUDIENCE. UH, SO I'VE, UH, I'VE ASKED DR. WALKS TO JOIN THIS CONVERSATION. UM, ONE OF THE UT UM, HE'S A PART OF THEIR DIRECTOR OR PART OF THEIR DEVELOPMENT OFFICE NOW, BUT HE HAS BEEN, UH, ENGAGED WITH THEIR GEAR UP PROGRAM FOR THE PAST, I THINK 15 YEARS. DON'T QUOTE ME ON THAT NUMBER. UH, AND THEN I'VE ALSO TALKED TO MIRO, WHICH IS A TECH COMPANY, UH, THAT HAS A HUB HERE IN AUSTIN. UM, IF YOU'VE EVER USED TRELLO BOARDS OR, UH, I THINK JAM BOARDS HAVE BEEN REMOVED FROM GOOGLE, BUT IF YOU'VE EVER USED ANY SORT OF WHITEBOARDING EXPERIENCE, UM, THEY ARE VERY SIMILAR TO THAT. AND ONE OF THE THINGS THEY'VE ACTUALLY DONE IS INTEGRATED, UH, AN AI TOOL INTO THEIR, THEIR WHITEBOARDS. UM, SO THAT YOU ARE TAKING THE CONTENT THERE AND THEN TURNING IT INTO AN ACTUAL TOOL THAT CAN BE USED FOR FOLKS WHO ARE NOT TECH SAVVY OR CERTAIN. UM, AND THE BIG GOAL OF THIS FIRST CONVERSATION, AGAIN, IS TO GET PEOPLE IN THE ROOM TO TALK TO EACH OTHER, UM, TO LEAVE WITH RELATIONSHIPS. BUT THE SECOND ASPECT OF THIS, AND THIS IS WHERE, UH, MIRO COMES IN A LITTLE BIT MORE AS WELL AS UT, IS THAT WE WOULD HOST A HACKATHON. UH, AND IF YOU AREN'T FAMILIAR WITH HACKATHONS, HACKATHONS ARE USUALLY 24 TO 48 HOURS OF SWEATY ROOMS AND TECHNOLOGY. UH, THE WHOLE IDEA IS THAT YOU COME IN WITH A PROBLEM AND YOU LEAVE WITH A SOLUTION. THAT'S IT. UH, IF THE SOLUTION WORKS GREAT, IF THE SOLUTION IS KIND OF WORKING OKAY, BUT THE WHOLE IDEA IS THAT YOU'RE WORKING TOWARDS A SOLUTION. UM, AND SO I'M WORKING TO GET THAT PUT IN PLACE WITH MIRO SO THAT WE CAN HAVE THAT HAPPEN WHERE WE CAN BRING IN UT STUDENTS. UH, MIRO HAS ALSO TOLD ME THE CITY OF AUSTIN IS A, A MAJOR PARTNER OF THEIRS. UH, SO MAYBE WE CAN EVEN BRING IN SOME OF THE DEVELOPERS AND PRODUCT MANAGERS FROM THE CITY OF AUSTIN, UH, TO SUPPORT IN THAT DEVELOPMENT. BUT AS WE'VE LEARNED FROM OUR RECOMMENDATIONS, AS WE'VE LEARNED AND HEARD FROM, UM, OUR COUNTERPARTS IN THE CITY OF AUSTIN, WE DON'T NEED TO TELL THEM WHAT TO DO WITH PROGRAMS. THAT'S NOT OUR ROLE. OUR ROLE IS TO HELP DELIVER SOME SORT OF, UH, SOLUTION THAT CAN BE USED AND THEN IMPLEMENTED BY THOSE RUNNING THESE PROGRAMS. SO THE IDEA IS THAT THIS HACKATHON WILL BE A WAY THAT WE CAN NOT ONLY LEVERAGE TECHNOLOGY, BUT ACTIVATE, UM, REAL, REAL TOOLS TO SUPPORT, UH, NICHE POCKETS. SO IF WE HAVE SOME FOLKS OVER HERE IN THE PUBLIC HEALTH SIDE OF THINGS, WE HAVE SOME FOLKS OVER HERE IN THE SOCIAL SERVICES SIDE OF THINGS. WE HAVE SOME OTHER FOLKS OVER HERE IN THE HEALTH ACCESS, UH, SIDE OF THINGS. UM, THERE'S NO PIGEONHOLING, AND WE HAVE ONE THING THAT WORKS FOR EVERYONE BECAUSE THAT'S NOT EQUITY. UM, WE HAVE MULTIPLE THINGS THAT ARE TRIALED AND THAT CAN BE RAN AND USED. AND THEN WHEN FOLKS COME TALK TO THE COMMISSION, THEY CAN ACTUALLY SAY, HEY, WE TRIED THIS SOLUTION. IT'S BEEN THREE MONTHS. HMM. IT WORKED A LITTLE. WE THINK IT COULD DO BETTER IF IT DID THIS. UH, SO I WILL TAKE A BREATH THERE, BUT I'M, I'M HOPEFUL, UH, AS LONG AS WE DON'T HAVE A WALKING QUORUM THAT OTHER COMMISSIONERS WILL BE ABLE TO JOIN THESE EXPERIENCES. UM, MAYBE WE CAN DUAL OUT SOME COME TO THE FIRESIDE CHAT, SOME COME TO THE HACKATHON SO THAT EVERYONE IS STILL INTEGRATED INTO THE EXPERIENCE. [00:50:06] ANY QUESTIONS, IDEAS, IMMEDIATE REACTIONS, UH, TO THAT? OKAY, I SEE. AWESOME. YEAH. OKAY, COOL. UM, UH, PLEASE, DR. ALI, UM, JUST BRIEFLY ALSO WORK WITH A GROUP CALLED, UH, AUSTIN METECH CONNECT. IT'S BASICALLY AROUND BRINGING STAKEHOLDERS TOGETHER AT THE INTERSECTION OF HEALTHCARE TECHNOLOGY. SO, UM, IF IT'S HELPFUL, YOU KNOW, CAN, UH, SUPPORT THAT HACKATHON INITIATIVE. WE HAVE A LOT OF FOLKS WHO ARE, UM, PEOPLE LIKE DR. RICE, RIGHT? PEOPLE WHO ARE CLINICIANS AND, AND WORKING IN THE TECH SPACE, AND ALSO PEOPLE WHO ARE TECHNOLOGISTS WORKING AT THE HEALTHCARE SPACE AND KIND OF EVERYTHING IN BETWEEN. I LOVE IT. UM, YEAH, THE, THE HACKATHON IS, IS, IS A FIRST STEP. UM, BUT IT'S ANOTHER WAY TO, TO ALSO ENCOURAGE FOLKS TO TOUCH TECHNOLOGY, UH, TO NOT RUN FROM IT AND LET IT, LET IT WORK FOR US, NOT AGAINST US. UM, SO YES, WOULD LOVE ANY SUPPORT IN THAT SIDE. AND, UM, AND DR. RICE, IF YOU'RE AROUND FOR THE HACKATHON, COME ON DOWN. YEAH. . YES. YES. I WOULD, UM, LOVE TO THROW OUT ONE MORE THOUGHT, WHICH IS AGAIN, FIRST, SO FIRST OF ALL, THANK YOU FOR ALL OF THAT DERIVATIVE IDEA OR, OR, YOU KNOW, LARGER IDEA THAN WHAT I WAS SHARING. BUT, UM, YOU MAY, WELL, YOU MADE ME THINK OF, UM, ONE OF THE THINGS THAT WOULD BE NICE TO DO WOULD BE WONDER OUT LOUD AND MAYBE INVITE TO THAT HACKATHON ANY PARTS OF THE CITY OR OR COUNTY THAT HAVE LIVE DATA THAT THE UPDATE REGULARLY. 'CAUSE AGAIN, I'M INTERESTED IN LIKE WHAT'S OUT THERE THAT CAN BE AN EARLY WARNING FOR AN X OR A Y OR A Z I'M SURE THAT'S THINKING NARROWLY AND THERE'S A MUCH BIGGER OPPORTUNITY WITH ALL KINDS OF THINGS. AND IT'S NOT ONLY ABOUT REALTIME DATA OR REALTIME INFORMATION, BUT ONE OF THE THING I WAS MESSING AROUND WITH HAD TO DO WITH EARLY, UM, RECOGNITION OF HOTSPOTS WHERE THERE WAS, UM, OPIOID OVERDOSES. AND IT TURNS OUT THAT THERE'S INFORMATION THAT THIS, UM, ON 3 1 1 THAT HAS TO DO WITH, UM, CITIZEN REPORTS OF THINGS LIKE NEEDLES OR SYRINGES MIGHT, WHICH MIGHT BE A PRECURSOR OR A SIGNAL IN ADVANCE OF, OF AN OVERDOSE. UM, YOU KNOW, UM, UM, CONCENTRATION OR, UM, ADVERSE EVENT WHERE THERE'S MULTIPLE OVERDOSES WITH SOME, YOU KNOW, STRONG MEDI, SOME STRONG OPIOIDS OR SOMETHING. SO MY POINT IS ONLY THAT, UM, IT'D BE INTERESTING TO INDEX WHAT ALL IS AVAILABLE SO THAT THOSE THAT ARE BUILDING, UM, TOOLS IN A HACKATHON WOULD HAVE A WHOLE MENU OF STUFF THAT MIGHT BE, AGAIN, YOU KNOW, DATA SOURCES. SO THEY COULD BE TAKING ADVANTAGE OF IMMEDIATELY AND IF THERE WAS A CITY PERSON THERE WHERE THEY WOULD EXPLAIN TO THEM HOW TO GET THE API OR THE, THE CODE THAT THEY WOULD NEED TO, TO, TO STREAM THAT DATA CONTINUOUSLY KIND OF THING. ANYWAY. SO WOULD LOVE TO PARTICIPATE MAYBE IN A PREPARATORY MEETING TO THINK ABOUT SOME OF THAT. YES. AND I WILL ALSO, UH, SHARE WITH YOU, UM, MY, MY ORIGINAL TIME IN PUBLIC HEALTH STARTED IN COLUMBUS, OHIO, AND, UH, IT WAS DURING THE HEIGHT OF THE OPIOID EPIDEMIC, UM, WHICH I GUESS WE COULD STILL SAY WE'RE IN. UM, BUT ONE OF THE, THE REALLY IMPRESSIVE THINGS THAT THE PUBLIC HEALTH DEPARTMENT THERE, AS WELL AS A SMALLER FIRE DEPARTMENT CREATED WAS A HOTSPOT MAP. UM, SO IF EMS RAN, AND I'M NOT SURE IF, IF, UH, AUSTIN, TRAVIS COUNTY EMS HAS THIS AS WELL, THEY MIGHT, AND I JUST, I'M NOT IN THAT SPACE. UM, BUT IF THEY RAN MULTIPLE TIMES TO A LOCATION, UM, WHERE THERE WERE OVERDOSES THAT WAS IMMEDIATELY ACCESSIBLE BY NOT JUST THEIR FIRE DEPARTMENT, BUT OTHER FIRE DEPARTMENTS AS WELL. UM, AND I THINK THAT THAT'S JUST LIKE AN INITIAL JUST CONVERSATION TO SEE IF THAT'S WHAT YOU'RE LOOKING FOR AS A, AS A SERVICE TOOL. UM, BUT THEN ALSO TO, TO BEGIN LOOKING HERE. UM, BUT I KNOW THAT IT WAS SUCH A UNIQUE NEED THAT WE HAD, UH, BECAUSE IT, IT, IT DIDN'T JUST RELATE TO NEEDLES, IT IT RELATED TO THE CALLS THAT WERE HAPPENING, RIGHT? AND THAT WAS, THAT WAS THE THING THAT WE COULD ALSO THEN CHANGE THE COMMUNITY CONVERSATION. HEY, DO WHAT YOU DO AND HOWEVER IT IS THAT YOU DO IT, BUT IF YOU ARE IN THIS AREA, TEST WHAT YOU'RE GETTING BEFORE YOU TAKE IT AGAIN. WE WERE ALLOWED TO HAVE TESTING STRIPS, SO IT'S A, IT'S A FINE LINE, BUT I WILL MAKE SURE I GET THAT TO YOU AS WELL. THANK YOU. YEAH. HEY Y'ALL, BEFORE WE MOVE ON, AND THIS IS LIKE 10 STEPS BACK IN THE CONVERSATION, I WAS HAVING SOME AUDIO, UM, DIFFICULTIES, BUT I WAS SO EXCITED ABOUT THE COMMUNITY HEALTH WORKER PROGRAM IN REFERENCE. UM, DANNY, CAN YOU MAKE THAT CONNECTION PLEASE SO THAT WE CAN CONTINUE THE CONVERSATION IN A SEPARATE VENUE? [00:55:02] THANK YOU. THERE'S HEAD NODS, MEGAN, IN CASE YOU AREN'T BY CAMERA. I SAW IT. I SAW IT. , THANK YOU SO MUCH. REALLY APPRECIATE THAT. YEAH, THANK YOU. AND ANNA, I SAW YOU CAME ON CAMERA. DID WE MISS YOUR INSIGHTS OR YOUR, OR WAS THAT JUST A TO JOIN? IT WAS JUST WITH OF YOUR COMPANY. WE ALWAYS APPRECIATE YOUR COMPANY, ANNA. UM, BEAUTIFUL. UH, DID I MISS ANYTHING ELSE FOR OUR ONLINE FOLKS, COMMUNICATIONS WISE, PLEASE, COMMISSIONER LUJAN. I WA I WANTED TO ASK, SINCE WE WENT BACK TO THE COMMUNITY HEALTH WORKER, I REMEMBER YOU HAD MENTIONED OF TRYING TO GATHER SOME DATA OR INFORMATION ON THE GROWTH OF CHWS. UM, I THINK AT THIS POINT, AND WHAT I'VE NOTICED HAS BEEN THAT WE ARE FOCUSED ON BUILDING MORE AND MORE CHWS, WHICH IS O OBVIOUSLY, YOU KNOW, I'M AN ADVOCATE FOR COMMUNITY HEALTH WORKERS A HUNDRED PERCENT. BUT I ALSO HAVE NOTICED THAT SOME CHWS DON'T HAVE WORK AND THEY ARE HAVING A HARD TIME. AND I'M TALKING ABOUT THE, MAYBE I'M GONNA CALL THE, THE FIRST PHASE OF COMMUNITY HEALTH WORKERS THAT WERE NOT BEING RECOGNIZED, THAT WE WERE TAKING THE TRAININGS, YOU KNOW, WITH WHEN WE WERE TAKING TRAININGS SOMEWHERE ELSE THAT THEY WERE OFFERING. UM, SO FAR I'VE COME ACROSS ABOUT FIVE COMMUNITY HEALTH WORKERS, INCLUDING MYSELF, UM, THAT WE ARE, YOU KNOW, WE HAVE, UH, AN AMAZING CAPACITY FOR MANY THINGS AND HAVE APPLIED TO CENTRAL HEALTH. UH, I HAVE A GENTLEMAN THAT HAS DECIDED TO GO BACK HOME, GREAT ASSET TO THE COMMUNITY, UH, COMMUNITY HEALTH WORKER, EMS, UH, CPR TRAINER, AND HAS HAD A HARD TIME, UH, ACTUALLY GETTING A WORK. SO MY QUESTION WAS, HA DID YOU EVER COME UP WITH LIKE HOW WE WERE GONNA COLLECT SOME OF THAT DATA? YOU KNOW, I THINK I HAD THROWN OUT OUT THERE, UM, HAS THE COMMUNITY HEALTH WORKER BEEN ABLE TO LIKE, NOT ASK FOR ASSISTANCE TO GO TO THE FOOD PANTRY? YOU KNOW, WHEN WE TALKED ABOUT, YOU KNOW, GETTING PAID WELL, UM, NOT BEING OVERWORKED, UM, WHICH OF COURSE COMMUNITY HEALTH WORKERS WERE 24 7 REGARDLESS, UH, BECAUSE WE'RE ALWAYS THAT RESOURCE. SO DID WE EVER COME BACK TO THAT AND SEE IF YOU WERE GONNA PUT SOMETHING TOGETHER OR WAS IT JUST SOMETHING THAT WE TALKED ABOUT? BUT REALLY, YEAH, I DON'T KNOW. I DON'T KNOW. HAVE WE DEVELOPED ANYTHING TO BE ABLE TO COLLECT THAT INFORMATION? IT'D BE REALLY TRANSPARENT WITH YOU. COMMISSIONER LUHAN. I MIGHT HAVE MISSED THAT TO DO ON MY LIST. UM, BUT WE CAN WORK ON THAT. THAT, THAT WAS A QUESTION FOR ME, CORRECT? UH, SURE. LET'S BRING IT BACK TO THE TABLE. UM, I DON'T KNOW THAT WE'VE EVER, WE'VE, WE EXPLORED THAT GENUINELY. UM, AND I'M CHUCKLING 'CAUSE I'M LIKE, DID I MISS A TO-DO ON MY TO-DO LIST? WHICH IS VERY, VERY POSSIBLE. UM, BUT IF, YEAH, IF YOU COULD, UH, SEND ME AN EMAIL. LET'S FIGURE OUT HOW WE CAN CAPTURE SOME OF THAT DATA. UM, LET'S, AND I KNOW THAT WE HAVE, I CANNOT REMEMBER HIS, UH, GRAY, UM, UH, RIC, NOT RICARDO. UM, RICARDO. IT CAME AND DID THE CH HW PRESENTATION, RIGHT? RICARDO . UH, YEAH. LET'S, LET'S REACH BACK OUT TO RICARDO AND SEE IF THERE HAS BEEN ANY MOVEMENT, UM, OR CONVERSATION ABOUT THIS ALREADY THAT WE JUST HAVEN'T BEEN, UM, AWARE OF. AND, UH, PLEASE HOLD ME ACCOUNTABLE AND SEND THAT EMAIL SO THAT I DO NOT FORGET FROM MY TO-DO LIST. THANK YOU. OTHER UPDATES? OKAY. BEAUTIFUL. UM, AS THINGS CONTINUE TO HAPPEN, UH, PLEASE NOTE YOU CAN, YOU CAN SEND THIS, THE COMMUNICATION, WHETHER IT IS VIA EMAIL OR DURING OUR TIME HERE. UM, BUT PLEASE KEEP US UPDATED ON HOW THINGS ARE GOING, IF YOU'RE HITTING ROADBLOCKS, UH, IF THERE'S RELATIONSHIPS THAT ARE NEEDED THAT ARE NOT DEVELOPED YET. UM, AND KEEP MOVING THE NEEDLE ON THESE, THESE ACTION ITEMS AND THESE GOALS, I THINK THAT THEY ARE, UM, VERY NEAR AND DEAR TO ALL OF US IN CERTAIN WAYS. SO, UM, PLEASE ACTIVATE EACH OTHER AS WELL. OKAY. MOVING ON [4. Discuss draft recommendation “Sexual Health Funding” created by Commissioner Jacob Whitty.] TO OUR, UH, FIRST RECOMMENDATION DRAFT DISCUSSION ITEM, WHICH IS ITEM FOUR TO DISCUSS DRAFT RECOMMENDATION FOR SEXUAL HEALTH FUNDING. UH, CREATED BY COMMISSIONER JACOB WOODY. COMMISSIONER WHITTY, PLEASE. YES. SO I CAN, UM, [01:00:01] SUMMARIZE THE RECOMMENDATION I PUT TOGETHER. IT'S BEEN SENT OUT TO EVERYBODY, SO I HOPE Y'ALL HAVE HAD A CHANCE TO READ IT. UM, AND THIS RECOMMENDATION WAS MEANT TO ADDRESS, UM, DECREASES IN THREATS IN FUNDING AND SEXUAL HEALTH WITH HIV AND STIS. UM, SO THE SUMMARY OF THE RECOMMENDATION IS TO STABILIZE LONG-TERM FUNDING FOR STIS AND HIV AND S IN AUSTIN, TRAVIS COUNTY THROUGH PREVENTION, TESTING, LINKAGE TO CARE TREATMENT, RETENTION, AND SUPPORTIVE SERVICES. AND THIS, UM, DIRECTLY ADDRESSES PRIORITIES OUTLINED BY AUSTIN TRAVIS COUNTY AS A FAST TRACK CITY, WHICH IS A GLOBAL INITIATIVE TO END URBAN HIV EPIDEMICS WITH GOALS OF REACHING 95% OF PEOPLE KNOWING THEIR HIV STATUS, BEING ON TREATMENT AND HAVING VIRAL SUPPRESSION. SO THERE'S MANY, WHEREAS STATEMENTS, WHICH I WON'T READ ALL OF THEM, BUT WE KNOW THAT, UM, ALREADY THERE'S OVERBURDENED DEMAND FOR PUBLIC HEALTH IN OUR CITY AND COUNTY. UM, GONORRHEA, CHLAMYDIA, SYPHILIS, AND HIV ARE ALL REPORTABLE CONDITIONS TO A PH AND THAT A PH PROVIDES CORE PUBLIC HEALTH SERVICES NOT COVERED BY OTHER SERVICE PROVIDERS. THERE'S A LOT, THERE'S, WITH THIS FIELD, THERE'S A LOT OF DIFFERENT, UM, TOPICS THAT WE COULD ADDRESS THROUGH ONE RECOMMENDATION. SO I WANTED TO DO ADDRESS THINGS THAT ARE PURELY WHAT A PH DOES AND NOT COVERED BY OTHER SERVICE PROVIDERS AS THIS BEGINNING POINT. AND THAT THIS ADDRESSES PEOPLE THAT ARE HISTORICALLY MARGINALIZED AND VULNERABLE IN OUR POPULATION. AND THAT FEDERALLY, THERE'S A LOT OF BUDGET CUTS OR THREATS AND NEGOTIATIONS THAT PUTS MANY GRANTS AT RISK OF BEING LOST. UM, AND IT IS VERY COST EFFECTIVE TO EV INVEST AND PREVENTION METHODS AS OPPOSED TO TREATMENT OPTIONS LATER DOWN THE LINE. I GOT SOME FEEDBACK FROM COMMISSIONER ALHAZEN, UM, FOR THE COST EFFECTIVENESS. AND ABOUT SEVERAL HUNDRED THOUSAND DOLLARS ARE SAVED PER PERSON THAT IS PREVENTED OF HAVING HIV ACQUISITION VERSUS LIFELONG TREATMENT. UM, SO THERE WAS THREE POINTS IN THE RECOMMENDATION, AND THE FIRST ONE ADDRESSES THE MONETARY AMOUNT IN GRANTS THAT ARE MOST DIRECTLY IMPACTED AT BEING THE HIGHEST RISK TO BE LOST. THERE ARE OTHER GRANTS THAT ARE AT RISK, BUT THERE WAS A 2.5 MILLION ROUGHLY, UM, DOLLAR AMOUNT THAT WAS AT HIGHEST RISK OF BEING LOST. SO I SUGGESTED AS A STARTING POINT IN MY DRAFT OF INCREASING THE BUDGET BY 3 MILLION IN GENERAL FUNDS TO BE USED BY A PH TO COVER CORE SERVICE PROGRAMS AFFECTED BY LOSS OF GRANT FUNDING. UM, THERE ARE OTHER GRANTS IN ADDITION TO THAT OF ROUGHLY 2.5 MILLION THAT ARE AT RISK, BUT THAT COVERED THE, UM, HIGHEST RISK AND STUFF THAT ARE CORE SERVICES OF A PH THAT OTHER SERVICE PROVIDERS DON'T NECESSARILY COVER. AND I DO THINK THAT LIKE PUBLIC HEALTH IS UNDERFUNDED TO BEGIN WITH, SO I DIDN'T THINK IT HURT TO ASK FOR MORE. UM, THE SECOND IS TO ENSURE THAT THE DISEASE INTERVENTION SPECIALISTS AND PUBLIC HEALTH FOLLOW UP AND SURVEILLANCE CORE SERVICES ARE ALWAYS INCLUDED IN THE BUDGET REGARDLESS OF FUNDING SERVICES SOURCES. UM, AND THAT COVERS, UM, AGAIN, LIKE WHAT A PH WILL ALWAYS DO AS THE PUBLIC HEALTH ENTITY THAT OTHER LOCAL, UM, CLINICS DON'T DO. AND THERE ARE MORE SERVICES THAT THE CITY DOES, LIKE HOPWA THAT THE OTHER, UM, SERVICE ORGS PROVIDE. BUT AGAIN, I JUST HAD TO PRIORITIZE WHAT I THINK IS THE HIGHEST NEEDS THING TO START WITH. AND THE THIRD IS TO DIRECT PROGRAMS TO FOLLOW HEALTH TRENDS AS SUPPORTED BY EVIDENCE-BASED DATA TO ADDRESS HEALTH DISPARITIES. AND I WAS JUST CAREFUL WITH MY WORDING IN THAT ONE BECAUSE OF THE DEI THREATS AND CUTTING ON A FEDERAL LEVEL AND NOT PUTTING SOMETHING SO DIRECT ABOUT D-I-D-E-I INITIATIVES. BUT IN CONVERSATION WITH A PH AND WORKING ON THIS COMMISSION, LIKE FOLLOWING THE DATA AND THE HEALTH TRENDS WILL ADDRESS THE MARGINALIZED COMMUNITIES THAT ARE AFFECTED. SO I WANTED TO BE CAREFUL WITH THE WORDING, BUT INCLUDE LIKE A DEI FOCUS IN THE REC, BUT YEAH, THAT'S THE GENERAL BASIS OF IT ALL. THANK YOU SO MUCH FOR DRAFTING THIS. UM, I KNOW IT'S SOMETHING THAT WE'VE ALL BEEN CONCERNED ABOUT, UM, ESPECIALLY WITH THE, THE FUNDING CUTS. UM, MY ONLY QUESTION WOULD BE SHOULD, AND THIS MIGHT BE A DR. WALKS OR EVEN DIRECTOR STIRS ADVICE, MAYBE ANNA, UM, SHOULD WE SEPARATE THE BUDGET RECOMMENDATION FROM THE PROGRAMMING NEED RECOMMENDATION SO THAT THERE IS NOT, NOT IF THE, FOR INSTANCE, THE THE BUDGET SIDE OF THE KNEE OF, OF THE, THE, THE RECOMMENDATION CAN STILL LIVE AND THEN THE PROGRAMMING SIDE CAN LIVE AS WELL. IS THAT, OR IS THAT TOO COMPLEX OR CONVOLUTED [01:05:01] OR AM I NOT TRACKING ME? COMMISSIONER. OKAY. CAN YOU CLARIFY WHAT YOU MEAN BY THE PROGRAMMATIC ASPECTS? THE, I DON'T HAVE IT IN FRONT OF YOU. THE FIRST POINT JUST JUST SAYS LIKE THE BUDGET AND THEN THE SECOND AND THIRD ARE MORE PROGRAMMED. YES. SO LIKE IF WE SEPARATED 0.1 FROM POINTS TWO AND THREE AND HAD ULTIMATELY TWO SEPARATE RECOMMENDATIONS. SO THAT 0.1, IF FOR INSTANCE, THE, THE, UH, THIS ESCALATE, WE APPROVE THE RECOMMENDATION, IT GOES FORWARD AND THE BUDGET PART IS THE CONSTRAINT IN APPROVING THIS SPECIFICALLY THE $3 MILLION MM-HMM . BECAUSE 0.2 ALSO TALKS ABOUT FUNDING AND THE BUDGET, BUT IT DOESN'T PUT A DOLLAR AMOUNT. SO YOU THINK THAT WOULD BE OKAY TO INCLUDE YEAH. WITH 0.3? YEAH. I SEE. THAT MAKES SENSE. AND I THINK THAT IS PROBABLY THE ADVICE WE'VE BEEN GIVEN MORE OR LESS IS TO KEEP THOSE SEPARATE. YEAH, SEPARATE. OKAY. IS THERE A WAY TO AVOID AN UNFUNDED MANDATE THOUGH? WELL, I MEAN, IT'S JUST TO ENSURE THAT THERE, THAT THESE SERVICES ARE ALWAYS INCLUDED IN THE A PH BUDGETS. SO I MEAN, THAT ALONE SAYS THERE WILL BE MONEY, RIGHT? WE JUST AREN'T SPECIFYING HOW MUCH . ANNA, IF YOU HAVE ANY 2 CENTS ON THAT, I KNOW A LOT OF THESE AND I'M ALSO WONDERING, IS THIS POTENTIALLY LIKE A COUNTY RECOMMENDATION AS WELL? A TWO. A TWOFER. OKAY. ANNA. ALL RIGHT. I KNOW. YEP. PLEASE CONTINUE. MM-HMM . SO IN MY OPINION, IT'S A GOOD IDEA TO JOIN THEM. YOU ARE TALKING ABOUT, UH, SO IT'S A, IT'S LIKE A WORK STATEMENT AND BUDGET, RIGHT? YOU'RE YOU PLAYING THE DRUM FOR WHY IT'S NEEDED, WHAT YOU PROPOSING TO DO, AND THEN THE COST OF THAT. AND, UM, IT, IT HELPS ANY POLICYMAKER TO DETERMINE THEN, OKAY. SO IT'S THREE. WE DO, WE CALL THIS. SO IT'S JUST, UH, THE WORK STATEMENT AND UH, AND, UM, HOW I THINK ARE IMPORTANT. JUST A CAUTIONARY TALE, AND I DON'T NEED TO TELL YOU 'CAUSE I KNOW YOU'RE WELL AWARE. THE COUNTY IS OVER BUDGET BY $17 MILLION. SO WE ARE ALL BEING REQUIRED TO COME IN 5% OF THE BUDGET FROM THIS YEAR'S BUDGET. SO THAT'S THE ENVIRONMENT IN WHICH WE'RE WORKING. I THINK IT'S IMPORTANT TO MAKE A STATEMENT AND TO SAY THIS IS A VERY, IT'S CRITICAL TO OUR COMMUNITY AND WE NEED IT. BUT IT MAY NEED TO BE, UM, SHE FOR THE FOLLOWING YEAR. BUT I THINK IT'S STILL IMPORTANT, LIKE THAT STATING. AND YEAH, AS FAR AS LIKE THE MONETARY AMOUNT, I WASN'T REALLY EXPECTING IT TO BE SUPER APPROVED, BUT I DIDN'T THINK IT HURT TO JUST PUT IT ON THERE FOR THE FIRST DRAFT. AND EVEN IF I REMOVE THE FIRST POINT AND ENSURE THAT FOR THE LOCAL AND COUNTY LEVEL, THAT POINT TOO JUST NOTES THAT THEY WILL ALWAYS BE INCLUDED NO MATTER WHAT. 'CAUSE THEY ARE CRITICAL IF THAT COVERS THE BASIS. BUT IT DOES STILL HURT TO SEE, YOU KNOW, IF $2.5 MILLION PLUS IS LOSS FOR ONE DEPARTMENT. DOES, DOES THAT HELP GIVE ANY CLARITY FOR YOUR IN FOR WHAT'S NEXT? I DON'T, I DON'T THINK YOU'RE READY FOR US TO VOTE ON ANYTHING FOR THIS TODAY. NO. UM, WHAT SUPPORT DO YOU NEED FOR YOUR FINAL DRAFT? MM-HMM . UM, I THINK WITH THAT INPUT, I CAN REWORK LIKE POINTS TWO AND THREE, BUT IF THERE'S ANY OTHER INPUT, I'M GREATLY APPRECIATIVE. UM, 'CAUSE I'VE BEEN WORKING IN THIS FIELD FOR A LONG TIME IN THE H-I-V-S-T-I FIELD, SO I FEEL LIKE I CAN, I COULD WRITE THE WAREHOUSE STATEMENTS REALLY WELL WITH MY KNOWLEDGE. BUT IF THERE'S ANY OTHER INPUT Y Y'ALL THAT Y'ALL SEE, AND THIS IS JUST LIKE IN CONVERSATIONS WITH A PH AND WHAT THE MAYBE HIGHEST PRIORITY THINGS TO START WITH IS THE CONTACT TRACING PUBLIC HEALTH FOLLOW UP, UM, TREATMENT AND DIAGNOSIS. 'CAUSE THERE'S MANY OTHER THINGS IN THE HIV BUBBLE THAT ARE IMPORTANT AS WELL. BUT THESE ARE MORE, SO LIKE THE HIGHEST RISK IS LIKE THE PREVENTION, TESTING AND CONTACT TRACING. COMMISSIONER ALI. UM, JUST WANNA SAY THANKS SO MUCH FOR YOUR WORK ON THIS. UM, I HAVE A QUESTION REGARDING THE $3 MILLION I JUST WANTED TO ASK. SOMETIMES, YOU KNOW, UM, AND I'VE, I RECOGNIZE I HAVE MUCH LESS EXPERIENCE IN THIS AREA, SO ALSO JUST LOOKING TO LEARN. BUT IF WE BREAK DOWN WHERE, LIKE, HOW WE'RE GETTING TO THAT NUMBER AND THEN ALSO MAYBE BREAK DOWN THE RESULTING SAVINGS THAT COULD LEAD TO, IT MIGHT BE IMPACTFUL. YOU KNOW, WE'RE LIKE BUDGETING 3 MILLION BROKEN DOWN IN THIS WAY, AND THEN ANTICIPATE SAVINGS OF, YOU KNOW, LET'S JUST SAY 7 MILLION, YOU KNOW, BROKEN DOWN IN THIS WAY. UH, THAT MIGHT BE KIND OF AN IMPACTFUL WAY TO, UM, YOU KNOW, STATE THAT. MM-HMM. [01:10:01] THANK YOU. AND YEAH, WITH MY NEXT DRAFT, I WANNA INCLUDE THE SUM MONETARY AMOUNTS OF IN THE, WHEREAS STATEMENTS ABOUT HOW MUCH MONEY IS SAVED WITH PREVENTION OF HIV VERSUS LIFELONG TREATMENT. AND I ASKED DANNY TO SEND OUT, UM, THE DOCUMENT THAT I HAD GOTTEN FROM A PH THAT MIGHT HAVE BEEN LIKE 10 PAGES WITH MORE DETAILS WITH THE MONEY AND ALL THE GRANTS ATTACHED TO IT. SO THAT 2.5 ROUGHLY MILLION DOLLARS CAME FROM THAT DOCUMENT. UH, I JUST WANNA SAY WELL DONE. YEAH, THE BRI OUT STATEMENTS WERE REALLY GOOD AND EX AND YOUR COMMENT EXPLAINS WHY I THOUGHT MAYBE THERE WAS AI OR SOMETHING, BUT NO, I'VE USED AI ACTUALLY VERY GOOD. UM, I LIKE, UH, COMMISSIONER ALI'S RECOMMENDATIONS AND I DON'T KNOW IF IT'S A STRATEGY OR MAYBE, BUT I DON'T KNOW IF IT WOULD BE WORTH, SINCE THE CITY NOW DOES THE CURRENT, THE, YOU KNOW, TWO YEARS AT A TIME, YOU KNOW, FORECASTING THE SECOND YEAR BUDGET IF MAYBE SAYING, YOU KNOW, IN THE NEXT BUDGET, FISCAL 28 MM-HMM . YEAR MARKING CERTAIN DOLLARS OR WHATEVER, YOU KNOW, SO MAYBE THE FIRST TWO POINTS COULD BE, NOW TODAY GET US THROUGH. BUT THEN FOR NEXT YEAR WHEN YOU'RE STARTING TO REALLY DO THAT BUDGET, YOU KNOW, PUT DOLLARS IN THERE. I DON'T KNOW IF THAT'S SOMETHING WE COULD DO, IF THAT'S ADVISABLE, BUT JUST THROWING THAT OUT THERE. YEAH. THANKS Y'ALL. THANK YOU. UM, BEFORE WE MOVE ON, ANY OTHER COMMENTS? I JUST WANNA SAY THAT I AGREE WITH ALL THE COMMENTS THAT HAVE BEEN MADE, ESPECIALLY, UH, REFERENCING THE SAVINGS. THERE'S A LOT OF, UM, THERE ARE A LOT OF RESOURCES IN THE CDC UM, DISCUSSION ABOUT THIS, AND I THINK THAT WOULD REALLY HELP SUBMIT YOUR CASE. AWESOME. THANK YOU COMMISSIONER WHITTY FOR WORKING ON THIS. UM, AND, AND THE FINAL DRAFT WHEN IT COMES OUT, EVERYONE, PLEASE BE SURE TO PUT YOUR EYEBALLS ON IT. UM, WHENEVER WE'RE READY TO, TO PUSH FORWARD THAT RECOMMENDATION. UM, WE'RE EXCITED FOR IT. SO THANK YOU. UM, WONDERFUL. [5. Discuss draft recommendation “Bridging Public Health Funding” created by Commissioner Chris Crookham.] MOVING ON TO DISCUSSION ITEM FIVE, WHICH IS TO DISCUSS DRAFT RECOMMENDATION OF BRIDGING PUBLIC HEALTH FUNDING, UH, CREATED BY COMMISSIONER CHRIS K*M K*M THAT WE HEARD A LITTLE BIT ABOUT EARLIER, UH, FROM CONVERSATION. SO, UM, READY TO HEAR YOUR UPDATE. THANK YOU. UM, SO THIS IS THE BRIDGING PUBLIC HEALTH FUNDING RECOMMENDATION. I PRESENTED IT TWO MONTHS AGO, UM, RECEIVED Y'S FEEDBACK. I APPRECIATE THAT. I TRIED TO INCORPORATE AS MUCH OF IT AS I COULD. UM, I ADDED SEVERAL WEAR AS IS AND UPDATED A FEW OF THEM TO INCLUDE THE RECOMMENDATIONS. SO I WON'T READ THROUGH ALL OF IT, BUT I WILL JUST ADD OR NOTE A FEW THINGS THAT I HAD ADDED, INCLUDING THE FIRST WEAR AS BEING THE FOUNDATION OF HEALTH IN AUSTIN. TRAVIS COUNTY IS SHAPED BY LONGSTANDING STRUCTURAL CONDITIONS, HISTORICAL PATTERNS OF RACIAL SEGREGATION, ECONOMIC EXCLUSION, AND NEIGHBORHOOD DISINVESTMENT, CONTINUE TO INFLUENCE PRESENT DAY ACCESS TO EDUCATION, INCOME AND OPPORTUNITY. UM, THESE, THESE INEQUITIES ARE ESPECIALLY PRONOUNCED IN EAST AUSTIN WHERE RESIDENTS FACE COMPOUNDED DISADVANTAGES. SO I THINK THAT IS AT LEAST ONE WAY. AS I CAPTURED A LOT OF THE RECOMMENDATIONS AND THE SENTIMENTS FROM LAST TIME. UM, I ALSO ADDED THAT INTERSTATE 35 TRAFFIC AND CONGESTION HAVE EXACERBATED HEALTH DISPARITIES LEADING TO LESS ACCESS TO QUALITY CARE AND HEALTHY FOODS, INCREASED RATES OF CHRONIC DISEASES SUCH AS DIABETES AND INFECTIOUS DISEASE, POOR MENTAL HEALTH OUTCOMES, AND INCREASED SOCIOECONOMIC INEQUITIES. UM, NEIGHBORHOODS EAST OF THE INTERSTATE 35 TEND TO HAVE A LOWER LIFE EXPECTANCY COMPARED TO NEIGHBORHOODS WEST OF 35, RANGING AS LOW AS 69 YEARS OLD IN EAST AUSTIN, AND AS HIGH AS 88 YEARS OLD IN WEST AUSTIN REF REFLECTING LONGSTANDING INEQUITIES IN THE SOCIAL AND ECONOMIC CONDITIONS THAT SHAPE HEALTH OUTCOMES. AND DATA SHOWS THAT RESIDENTS IN HISTORICALLY UNDERSERVED AREAS, PARTICULARLY IN EAST AUSTIN, CONTINUE TO EXPERIENCE SHORTER LIFESPANS DUE TO HIGHER RATES. SO THAT ONE AND THE ONE BEFORE ARE BOTH ABOUT LIFE EXP EXPECTANCIES. I DIDN'T KNOW WHICH ONE I LIKED BETTER WORDING WISE. SO IF ANYBODY HAS ANY RECOMMENDATIONS OR UH, WAYS TO WORDSMITH THAT, I'D APPRECIATE THAT. UM, AND I WON'T GO THROUGH THE REST, BUT I WILL SAY THAT A LOT OF THESE ACTUALLY CAME DIRECTLY FROM THE AUSTIN CHA CHIP, WHO KNEW, BUT THAT WOULD BE A REALLY GOOD DOCUMENT FOR ME TO LOOK AT. UM, SO THAT WAS, IT WAS PERFECT THAT EVERYTHING I NEEDED. UM, SO A LOT OF THIS IS JUST COPY AND PASTE FROM THE CHA CHIP DIRECTLY. SO I THINK THAT'S REALLY GOOD JUST BECAUSE IT'S A CITY DOCUMENT THAT HAS ALREADY ESTABLISHED THIS WITH PARTNERS. AND SO WE'RE JUST USING THAT ARGUMENT TO, YOU KNOW, JUSTIFY THIS. UM, AND THEN THERE WERE A COUPLE OF OTHER REPORTS THAT I LISTED AS WELL, JUST AS ADDED JUSTIFICATION. AND THEN FINALLY, UH, IT WAS RECOMMENDED TO PROPOSE A CERTAIN PERCENTAGE OF TAX REVENUES THAT WOULD BE DEDICATED TO PUBLIC HEALTH. [01:15:01] IT'S THE 1928 PLAN IS KIND OF THE PLAN, YOU KNOW, THAT REALLY INITIATED A LOT OF THE ISSUES HERE IN AUSTIN. SO PERHAPS 19.28%. UM, HOWEVER, ALSO IT'S TALKING ABOUT I 35, SO WE COULD INCREASE IT TO 35%. UM, THESE ARE JUST NUMBERS AND PLAY MONEY RIGHT NOW MONOPOLY, SO I DON'T REALLY KNOW WHAT WE'RE TALKING ABOUT, YOU KNOW. UM, AND THAT WAS ANOTHER RECOMMENDATION LAST TIME TOO, WAS TO TRY TO DETERMINE WHAT KIND OF TAX REVENUES COULD BE GENERATED. I'M STILL RESEARCHING THAT AND TRYING TO DO SOME WORK ON THAT. UH, COMMISSIONER RICE ACTUALLY SENT ME, UH, SOME INFORMATION ABOUT HOW IN DALLAS, AROUND CLYDE WARREN PARK, THE PARK ITSELF IS A PRIVATE PARK, BUT THE PROPERTY VALUES AROUND THE PARK SKYROCKETED. AND SO THAT INCREASED PROPERTY VALUES AND INCREASED TAX REVENUES. SO I DON'T KNOW IF THERE'S A MECHANISM THROUGH WHICH MAYBE WE CAPTURE SOME OF THE INCREASED VALUE FROM THOSE PROPERTIES, YOU KNOW, AROUND THE CAP AND STITCH. I DON'T KNOW. UM, ALSO, I STILL DON'T KNOW IF THIS IS EVEN A LEGALLY ILLEGAL THING THAT CAN BE DONE, UM, BUT STILL TRYING TO PUSH IT FORWARD. I DID LEARN RECENTLY THAT THE AUSTIN ACAR, NOW AUSTIN COMMUNITY RESILIENCE, WHATEVER THEY ARE NOW, THE OFFICE, FORMER OFFICE OF SUSTAINABILITY, UM, PROVIDED A RECOMMENDATION LAST FALL TO CREATE A REVOLVING CLIMATE FUND. UM, AND WHAT I LEARNED FROM THAT IS APPARENTLY IT'S, IT'S MORE OF A FUND THAT PROVIDES LOANS TO DO THINGS AND THE LOANS ARE REPAID WITH INTEREST. AND SO THEN THE REVOLVING FUND IS JUST, YOU KNOW, SUSTAINED THAT WAY. SO I DON'T THINK THAT'S REALLY SOMETHING WE WOULD DO IN THIS PARTICULAR CASE, BUT IT'S GREAT TO KNOW THAT THESE TYPES OF THINGS EXIST, UH, FOR, YOU KNOW, DEDICATING CERTAIN FUNDS. AND SO STILL LOOKING INTO THAT AS WELL. UM, BUT I'M ALSO TRYING NOT TO PRESCRIBE ANYTHING TOO SPECIFIC, JUST SO THAT THE PROFESSIONALS WHO THEN TAKE THIS CAN GO DO THE RESEARCH AND IDENTIFY THE PROPER WAY TO DO IT. UM, SO THAT'S REALLY THE UPDATES. ANY FEEDBACK CONCERNS ABOUT ANY OF THE ADDITIONAL WAREHOUSES OR ANYTHING ELSE? COMMISSIONER RICE, DO YOU THINK IT WOULD BE USEFUL TO, UM, EACH OF THE WAREHOUSES WHERE IT APPLIES TO, TO SUPPLY THE REFERENCE? SO RATHER THAN QUOTE THE REFERENCE, WHICH HAS SOME POWER, BUT TO ACTUALLY PUT THE, PUT PUT THE, YOU KNOW, PUT THE REFERENCE IN LIKE IN A, YOU KNOW, IN AN ACADEMIC PAPER REFERENCE ONE AND YOU COULD LIST 'EM AT THE BOTTOM, 2, 3, 4, WHATEVER. I WAS JUST THINKING THAT THAT MIGHT, UM, ENERGIZE THE, THE, UM, THOSE STATEMENTS. UM, YEAH, I'M GLAD YOU YOU BROUGHT THAT UP. 'CAUSE I WAS, WAS, AS I WAS WRITING THIS, I FELT LIKE I WAS PLAGIARIZING BECAUSE I WASN'T RECOGNIZING ANYBODY. AND I DON'T KNOW HOW YOU WOULD DO THAT IN A RECOMMENDATION LIKE THIS. THE TEMPLATE IS PRETTY SPECIFIC. UM, BUT IF THERE ARE ANY RECOMMENDATIONS FOR HOW TO GIVE THESE OTHER ENTITIES CREDIT FOR THE WORK I TOOK FROM 'EM, UH, I'M DEFINITELY IN FAVOR OF THAT. UM, SO I'LL WORK WITH DANIEL JUANITA TO SEE IF MAYBE THERE'S, UH, A WAY I CAN DO THAT. I'VE BEEN JUST THINKING OUT LOUD AND I KNOW NOTHING ABOUT IT, BUT YOU COULD SAY, WHEREAS THE LOCAL, YOU KNOW, UM, COMMUNITY HEALTH ASSESSMENT HAS DECLARED.DOT DOT COMMA, AND WHEREAS, WHEREAS THE, YOU KNOW, LOCAL, THE COMMUNITY HEALTH ASSESSMENT IS ALSO.DOT DOT WHATEVER. YOU COULD JUST SORT OF ALMOST QUOTE IT IF, IF THEY DIDN'T ALLOW FOOTNOTES, RIGHT? YEAH. I MEAN, ABOUT A GOOD CHUNK OF THESE WHEREAS HAS COME, COME FROM THE CHA CHIPS. I ALSO DIDN'T WANNA SAY THE CHA CHIP EVERY SINGLE TIME, BUT IF THAT'S WHAT WE HAVE TO DO TO GET IT IN, THAT WE CAN DO THAT. SO I'LL GET WITH THE JUANITA AND DANNY ON THAT. THANK YOU FOR PUSHING THAT. ANY OTHER FEEDBACK CONCERNS? I WAS JUST THINKING ABOUT THE PERCENT MM-HMM . AND I'M WONDERING IF WE COULD GIVE THEM A PARAMETER OF THAT 1928 TO 35, UM, JUST SO THAT WE'RE NOT PIGEONHOLED INTO LIKE 12% WE THINK IS THE THING, RIGHT? AND IT'S LIKE, HERE'S THE RANGE THAT WE THINK WE NEED. AND I'M, I LOVE THE NUMBERS AND I LOVE THE REASONING BEHIND THE NUMBERS. 'CAUSE I ACTUALLY WROTE DOWN A QUESTION ABOUT THAT. LIKE, WHAT HAS HAPPENED OVER THE PAST A HUNDRED YEARS? 'CAUSE WE'RE GETTING REAL CLOSE TO IT MM-HMM . UM, AND IF NOTHING, GREAT, WELL, MAYBE THAT'S ANOTHER RECOMMENDATION, BUT THOSE ARE JUST MY 2 CENTS ABOUT THE, THE NUMBERS THAT YOU PRESENTED, UM, AND WAYS THAT THERE'S STILL SOME, UH, FOR LACK OF BETTER TERMS, OWNERSHIP OF HOW MUCH PERCENT IS GIVEN, BUT THERE'S STILL SOME GUIDANCE IN WHY. SO THAT'S MY, THAT'S MY 2 CENTS. I APPRECIATE THAT. AS I CONTINUE TO TRY TO FIND MORE INFORMATION ON POTENTIAL TAX REVENUE GENERATION AND THEN TAKING PERCENTAGES OF THAT TO SEE WHAT THAT WOULD EQUATE INTO A BUDGET FOR A PH ANNUALLY, I THINK THAT'LL GIVE US A BETTER IDEA AS WELL. 35% MAYBE MAY BE RIDICULOUS. [01:20:01] I DON'T THINK A PH WOULD REJECT IT, BUT, YOU KNOW, UM, AND 19.28 MAY NOT BE SUFFICIENT, YOU KNOW? UM, SO THANK YOU. AND, AND I AGREE WE DON'T WANNA PIGEONHOLE, WE DON'T WANNA SAY, UH, OR THIS GETS PROJECTED BECAUSE OF THAT SPECIFIC PERCENTAGE POINT. SO PERHAPS THE RANGE WOULD BE BETTER. I, I, COMMISSIONER RICE, I JUST HAD ONE MORE THOUGHT ON THAT BECAUSE, UM, WE'D MENTIONED THAT A LITTLE BIT I THINK, OR AS WE DID SOME RESEARCH TO SEE WHAT HAPPENED UP IN DALLAS. I, I, UM, I'M HAVING JUST TWO THOUGHTS. ONE IS TO SAY, WHY WOULDN'T YOU GO AHEAD AND JUST IMAGINE, YOU KNOW, THE, UM, I, I GUESS YOU'RE ENVISIONING IT TO BE SALES TAX TAXES ON THE BUSINESSES, I GUESS THAT SALES TAX, BUT IT COULD BE INCREMENTAL, UM, YOU KNOW, RE REAL ESTATE VALUE TAXATION THAT IS, UM, YOU KNOW, WITHIN A QUARTER MILE OR SOMETHING. ANYWAY, SO YOU, YOU KNOW, THERE IS A POT OF MONEY THERE, WHICH TURNED OUT TO BE THE SUBSTANTIAL, UM, UM, YOU KNOW, UH, UM, IMPACT TO THE DALLAS, YOU KNOW, TAX BASE. AND SO I JUST MENTIONED THAT TO SAY MAYBE IT'D BE GOOD TO BE MORE EXPANSIVE. THAT'S, THAT'S OBVIOUSLY SLIGHTLY DIFFERENT. BUT SECOND THING I WAS GONNA SAY, AND SO I JUST LAY THAT AS AN IDEA. BUT THE SECOND THING IS THAT, YOU KNOW, WE, WE PROBABLY ARE GONNA NEED SOME KIND OF A MODEL BECAUSE IF IT TURNS OUT 19% IS LIKE $4 BILLION, WHICH IT NEVER WOULD BE, BUT YOU KNOW, IT WOULD BE UNREASONABLE PROBABLY. AND SO THERE MAY BE SOME AUSTERITY OR SOME FRAMING OF IT THAT, YOU KNOW, UM, WOULD BE REQUIRED TO LET IT PASS A SMELL TEST THAT COUNCIL WOULD EVENTUALLY PASS, OR, OR ENTITIES WOULD EVENTUALLY PASS. AND I JUST DON'T KNOW HOW TO DO THAT EXACTLY. BUT THERE MAY BE SOMETHING IN THERE BECAUSE THE PERCENTAGE OF AN UNKNOWN IS, IS EITHER BIG OR SMALL, WHO KNOWS? AND SO TRYING TO PUT A PERCENTAGE IN THERE WITHOUT A MODEL SEEMS LIKE IT'S GONNA BE A, A POINT OF CONTENTION YEAH. THAT WE WANNA MAYBE AVOID AS IT MOVES THROUGH A PROCESS THAT'S A LEGISLATIVE PROCESS, YOU KNOW? NO, THAT'S A GOOD POINT. AND I, I TAKE THAT. THANK YOU VERY MUCH. UM, AND YOU POINTED OUT SALES TAX VERSUS PROPERTY TAX, PERHAPS EVEN, I'LL, I'LL MESS, I'LL MESS AROUND WITH IT MORE, BUT PERHAPS NOT EVEN SAYING A PERCENTAGE OF TAX REVENUE, BUT PERHAPS DIRECTING THE CITY TO EVALUATE THE DIFFERENT TAXES THAT WOULD BE INCREASED AND PERHAPS WHAT WOULD BE THE BEST SOURCE TO, YOU KNOW, RESERVE SOME FOR A PH. SO MAYBE IT IS THE PROPERTY TAXES AND NOT THE SALES TAXES, OR MAYBE A COMBINATION OR SOMETHING ELSE. SO, UH, THAT'S A GOOD IDEA. I'LL LOOK MORE INTO THAT. UH, DR. WA YEAH, I JUST WANNA MAKE SURE THAT AS WE TALK ABOUT WHAT'S IN THE CHA CHIP WITH REGARDS TO EAST VERSUS WEST, THAT WE DON'T GET PIGEONHOLED INTO DEPLOYING THE MONIES IN ONE AREA OR ANOTHER BECAUSE WITH GENTRIFICATION, THERE'S BEEN A DISPLACEMENT OF MANY PEOPLE FROM EAST AUSTIN TO OTHER PARTS OF OUR JURISDICTION THAT WE SERVE MM-HMM . AND SO I'D LIKE TO BE CLEAR THAT WE'RE IT'S PUBLIC HEALTH MONEY THAT WE ARE ABLE TO UTILIZE TO YES. DEPLOY SERVICES WHERE THOSE SERVICES ARE NEEDED. YEAH. AND THE NOW THEREFORE BE RESOLVED. I DID PUT SPECIFICALLY OR SEE PUBLIC HEALTH TO INTENTIONALLY ADDRESS THE VARIOUS HEALTH INEQUITIES THAT INTERSTATE 35 HAS DIRECTLY AND SUBSEQUENTLY INFLICTED UPON THE RESIDENTS OF AUSTIN, SPECIFICALLY IN EAST AUSTIN AND OTHER AREAS WHERE EAST AUSTIN RESIDENTS HAVE BEEN DISPLACED TOO. SO I WAS TRYING TO KEEP THAT IN MIND BECAUSE OBVIOUSLY YEAH, THEY HAVE LEFT A LOT. UM, BUT SINCE WE'RE ON THE TOPIC, IS THAT EVEN STILL TOO PRESCRIPTIVE? BECAUSE THAT DOES ESSENTIALLY LEAVE OUT WESTERN AUSTIN IN TERMS OF BEING ABLE TO USE THESE FUNDS? I'M NOT SURE, UM, THAT MIGHT BE SOMETHING FOR STUDY, BUT I WANNA MAKE SURE THAT WE, UM, UNDERSTAND WHAT'S HAPPENING OUT IN THE COMMUNITY AND, AND PROVIDE FOR THOSE NEEDS AND RESOURCE NEEDS OF PEOPLE THAT WE'RE SERVING WHEREVER THEY POP UP. WHEREVER THEY ARE. YEAH. OKAY. I'LL, I'LL TRY TO LOOK IN WORDSMITH THAT AS WELL. UH, DR. ALDI, THANKS FOR YOUR WORK ON THIS. AGAIN, JUST, UH, A REALLY IMPORTANT, UH, INITIATIVE. UM, I HAD THOUGHTS SIMILAR TO DR. RICE IN TERMS OF, YOU KNOW, THE FINANCIAL ANALYSIS AND I, I DIDN'T KNOW IF THERE WAS SOME KIND OF SUPPORT IN DOING A DEEPER FINANCIAL ANALYSIS ON HOW MUCH REVENUE WOULD BE GENERATED, HOW WOULD IT BE USED, HOW MUCH WOULD IT BE NEED, HOW MUCH WOULD BE NEED TO HAVE CERTAIN IMPACT. UM, JUST BECAUSE I THINK THAT CAN GET KIND OF COMPLEX AND IF SOMEONE HAS EXPERIENCE DOING THIS KIND OF RESEARCH, IT MIGHT BE A LOT EASIER FOR THEM. SO I DIDN'T KNOW IF IT WAS ANYBODY THAT, UM, YOU KNOW, THE BOARDS AND COMMISSIONS COULD, COULD LEVERAGE TO, TO GET THIS KIND OF INFORMATION. WHO DOES IT MAYBE FOR DIFFERENT, YOU KNOW, COMMISSIONS ALREADY, JUST THAT KIND OF FINANCIAL ANALYSIS AND ESTIMATING [01:25:01] COSTS AND ESTIMATING REVENUES AND THINGS LIKE THAT. WE PROBABLY CAN GET THAT SUPPORT FROM UT SCHOOL OF ECONOMICS. THERE'S A DOCTOR THERE THAT DOES, UM, HEALTHCARE, PUBLIC HEALTH, WELL, MOSTLY HEALTHCARE, BUT WE COULD ASK HIM ABOUT DOING SOMETHING LIKE THAT FOR US. OKAY. AND THAT'S SOMETHING I THINK THAT YOU AND DR. RICE HAVE BEEN EXPLORING FOR OTHER ISSUES TOO. AND DR. LEAN SHA. YEAH. YEAH. ALRIGHT, COMMISSIONER. UM, OKAY. THANK YOU. I APPRECIATE THAT. DR. RICE. COMMISSIONER RICE IS YOUR HAND UP? SORRY. NO, MY HAND WASN'T UP, BUT I WAS, IT WAS A DEEP REFLECTION. , I'M SORRY FOR INTERRUPTING . I WAS GONNA SAY WHILE HE'S, SORRY. OH, SORRY ANNA. PLEASE GO AHEAD. GO AHEAD. JUST A THOUGHT. UH, UH, SO WHEN WE REQUEST THINGS THAT ARE NOT OUTSIDE THE NORM, ONE OF THE FIRST, FIRST THINGS WE'RE DIRECTED TO DO IS TO LOOK AT COMFORTABLE COUNTIES, INCLUDING, YOU KNOW, OR, OR CITIES RIGHT. INCLUDING SEATTLE P OTHER PLACES, TO SEE WHETHER THEY'VE DONE THAT AND HOW THEY, WHAT METHODOLOGY THEY'VE USED. AND, AND, UM, I WONDERED, I MEAN, I USED, YOU REFERENCED THE WORK IN DALLAS. I WONDER IF THERE'S OTHER, UH, EXAMPLES OF THIS WORK. 'CAUSE IT REALLY HELPS THEM TO SUPPORT THE ARGUMENT IN THE PROPOSITION. THANK YOU. YES. AND YOU HAD MENTIONED SOMETHING ABOUT THAT AS WELL IN JANUARY, I BELIEVE, UM, SURPRISINGLY THERE ARE QUITE A FEW CAP AND STITCH PROJECTS GOING ON ACROSS THE COUNTRY, UH, MORE THAN THAN I EXPECTED. UM, AND IN LOOKING AT ALL OF THEM, I ONLY SAW ONE THAT TIED ANY OF THE CAP AND STITCH TO HEALTH. AND EVEN THEN, IT WAS JUST ONE OF MANY THINGS, AND IT WASN'T THE PRIMARY OR EVEN SEEMED LIKE A PRIORITY. UM, EVERYBODY ELSE IS DOING IT MORE TO CONNECT NEIGHBORHOODS OR AREAS OF A CITY FOR ECONOMIC DEVELOPMENT. UM, SO MORE MONEY, OBVIOUSLY. UM, AND NOT NECESSARILY, NONE OF IT WAS REALLY RELATED TO IMPROVING HEALTH OR TO TRY TO RECTIFY THE INJUSTICES DONE BY THE INTERSTATE. UM, ALL OF THESE WERE INTERSTATES, I BELIEVE, AND THEY DID MENTION, YOU KNOW, HOW PEOPLE WERE DISPLACED AND, YOU KNOW, THERE WERE ECONOMIC INJUSTICES AND ALL THAT. UM, AND SO THEY'RE WANTING TO RE TO HEAL THAT BY, WITH THE ECONOMICS, BUT NOTHING RELATED TO THE HEALTH OR THE PUBLIC HEALTH. SO I DO THINK PERHAPS THIS IS SOMETHING A PH COULD, OR THE COMMISSION COULD BE, YOU KNOW, A CHAMPION OF TRYING TO DEDICATE THIS, UH, SPECIFICALLY TO ISSUES SPECIFICALLY TO ADDRESS, YOU KNOW, THE ISSUES THAT WERE CREATED BY INTERSTATE 35 IN THE FIRST PLACE. UM, SO I'LL, I'LL CONTINUE TO DO SOME RESEARCH TO SEE IF PERHAPS I CAN FIND NUMBERS THAT HAVE BEEN GENERATED AND THEN DEDICATED, EVEN IF IT WAS TO AN ECONOMIC, UH, PRIORITY, JUST TO SEE HOW MUCH MONEY MAY BE GENERATED AND, UH, ALLOCATED. THANK YOU FOR THAT. NOW, I WAS JUST GONNA ADD VERY BRIEFLY, IT MIGHT BE COMPELLING JUST TO LEVERAGE THAT WORK, UM, AND SAY EVEN THOUGH THAT'S NOT OUR PRIMARY GOAL, THERE MAY BE SECONDARY ECONOMIC DEVELOPMENT BENEFITS JUST TO MAKE IT, YOU KNOW, UH, THAT MIGHT BE SOMETHING THAT'S MORE COMPELLING TO CERTAIN PEOPLE, WHEREAS THE HEALTH BENEFITS ARE MORE COMPELLING TO OTHERS. YOU KNOW, JUST TO KIND OF MAYBE INCREASE THIS CHANCE OF IT PASSING OR, AND EVEN INCREASE MAYBE THE AMOUNT OF FUNDS THAT ARE DEDICATED TO IT. I APPRECIATE THAT. I DELIBERATELY LUCK THOSE OUT BECAUSE I DIDN'T THINK IT WAS PERTINENT, BUT GIVEN THAT NO, I WILL, YEAH. A LITTLE BIT OF A JUDGMENT CALL. JUST, JUST A THOUGHT. NO, SURE. YOU'RE RIGHT. MONEY SPEAKS LOUDER THAN HEALTH, UNFORTUNATELY. MY LAST 2 CENTS ON THIS, I'M JUST CURIOUS IF THERE'S ANY DATA. I DON'T KNOW IF THIS IS A THING, BUT, UM, I KNOW YOU PRESENTED SOME PERCENTAGES SINCE THE 1928 PLAN, AND I THINK EVEN, I THINK YOU EVEN MENTIONED ANOTHER ONE, IT WAS LIKE THE PAST 30 YEARS AND WE LOOKED AT, OR YOU WERE SHARING ABOUT, UH, THE LACK OF PROGRESS. YES. AND SO I'M JUST WONDERING, COULD WE PUT A NUMBER TO THAT? AND THIS MIGHT, AGAIN, YOU CAN TAKE IT AND THROW IT AWAY OR KEEP IT IF YOU'D LIKE, BUT, AND, AND THAT'S OUR NUMBER WE WORK TOWARDS, AND WHATEVER WE PUT INTO THIS RECOMMENDATION AS FAR AS A, UH, NUMBER, A NUMERICAL VALUE OF SUPPORT, MAYBE IT'S NOT A PERCENT, MAYBE IT'S LIKE, FOR LACK OF BETTER WORDS, UH, THE PAST A HUNDRED YEARS, AUSTIN TRAVIS COUNTY HAS THIS DEFICIT OF, UH, YOU KNOW, INCREASED RESOURCE USES, USES OF ER, UH, YOU KNOW, ED VISITS, UH, EMS RUNS. ALL OF THIS IS [01:30:01] EQUATED TO THE 1928 PLAN. AND WE'RE SAYING RETROACTIVELY PAY BACK WHAT YOU MESSED UP A HUNDRED YEARS AGO WITH THIS NEW PROJECT. THAT IS, THAT IS VERY RISQUE. BUT I THINK THAT IT, IT BRINGS TO LIGHT WHAT POLICY CAN DO TO A COMMUNITY. AND THE NOW A HUNDRED YEARS OF DEFICIT THAT HAS BEEN OPERATIONAL DUE TO ONE SINGLE PLAN. ARE YOU THINKING ABOUT LIKE, BECAUSE OF THE PLAN IN I 35, EAST AUSTIN RESIDENTS EARNED $300,000 LESS THAN THEIR LIFETIME AND EXPERIENCED TIRE HOSPITAL VISITS AND MORE CHRONIC DISEASES, THEIR QUALITY OF LIFE WAS THEIR QUALITY OF LIFE COMPARED TO THOSE WHO REMAINED WEST OF AUSTIN? YES. IS THAT WHAT YOU'RE TALKING ABOUT? YES. OKAY. I CAN LOOK INTO THAT. AND IF IT'S, IF IT'S TOO MUCH OF A RABBIT HOLE TO RUN DOWN, IT JUST, NO, I THINK A GOOD IDEA, YOU KNOW, BECAUSE YOU MENTIONED 30 YEARS AGO. YEAH. I WAS WORKING ON A PROJECT TRYING TO SEE WHAT VACCINATION RATES WERE LIKE 30 YEARS AGO, AND THEY HAVEN'T REALLY CHANGED. IT'S STILL THE SAME POPULATIONS WE'RE FOCUSING ON. IT'S STILL THE SAME POPULATIONS THAT ARE RESISTANT OR, YOU KNOW, DELINQUENT. UM, SO HONESTLY IN THAT REGARD, IT DOESN'T REALLY SEEM LIKE WE'VE MADE, UH, TOO MUCH PROGRESS. AND HONESTLY, I THINK THE SAME IS PROBABLY TRUE FOR A HUNDRED YEARS AGO. SO YEAH, I'LL DO SOME RESEARCH, RESEARCH INTO THAT. OKAY. THANK YOU. YEAH. ALL RIGHT. I'M GONNA END THE CONVERSATION. OKAY. THANK YOU SO MUCH, COMMISSIONER COOKHAM, UH, AND ALL FOR THIS CONVERSATION. UM, WE ARE GOING TO NOW GO TO DISCUSSION ITEM [6. Discuss draft recommendation “Heat-Related Illness Prevention for Outdoor Workers”.] SIX, WHICH IS TO DISCUSS OUR DRAFT RECOMMENDATION FOR THE HEAT RELATED ILLNESS PREVENTION FOR OUTDOOR WORKERS. UH, DRAFTED AND CREATED BY COMMISSIONER DOHA. OKAY. SO THE ONE THAT WAS SENT OUT WAS ONE THAT I DID LIKE A YEAR AGO. IT WAS ON THE BACK BURNER. I REREAD IT AND I HATED IT. UM, . SO THE INITIAL IDEA WAS CREATING, UH, AN INCENTIVE FOR PROVIDING X AMOUNT OF BREAKS, UM, AND HIGH, HIGH TEMPERATURE MONTHS. UM, ONE OF THE BIGGEST ISSUES WAS ENFORCEMENT. 'CAUSE IT'S BASICALLY LIKE PLEDGING. I USED TO IN A FORMER LIFE DO LIKE THE TITLE IX TRAININGS AND, YOU KNOW, PEOPLE JUST PRESSING THOSE BUTTONS AND BEING LIKE, I DID IT. SO I THINK THAT WAS AN ISSUE THAT I THOUGHT OF. AND THE OTHER ONE IS JUST ENFORCEMENT IS AN ISSUE BECAUSE IF YOU ARE CONSENTING TO A DROP IN ON A SITE, IT'S BURDENSOME TO WHOEVER IN THE CITY IS DOING THAT. AND IN MY MIND, I DON'T WANNA CREATE MORE WORK. AND SO THIS ISN'T A REVISION, IT'S MORE THAT I JUST WANTED TO BOUNCE IDEAS BEFORE I MAKE A REVISION. AND SO OSHA SETS ALL THE STANDARDS FOR, YOU KNOW, SAFETY ON WORK SITES. THAT ALSO INCLUDES SAFETY AROUND HEAT RELATED ILLNESS, UM, MAKING SURE THAT EVERYONE HAS PROPER ACCESS TO WATER BREAKS, ET CETERA. THE BIGGEST ISSUE IS THAT AT A FEDERAL LEVEL, ENFORCEMENT IS NOT AS GREAT. THERE IS SOMETHING YOU CAN DO THROUGH OSHA, WHICH IS THEY DO IT BY STATE, BUT BASICALLY YOU CAN REQUEST A FREE CONSULTATION FOR WHATEVER SITE BUSINESS. THERE'S DIFFERENT ONES YOU COULD DO. YOU COULD REQUEST LIKE, UH, MATERIALS AROUND, UH, SAFETY. THERE'S A LONG LIST OF IT AND IT'S A FREE SERVICE. AND SO KIND OF SCRAPPING MOST OF THIS. I THINK THE IDEA IS INSTEAD OF A PLEDGE, THE EMPLOYER HAS TO DO AN OSHA CONSULT AROUND, YOU KNOW, HEAT RELATED SAFETY. AND THEN THE SECOND HALF WOULD BE AFTER YOU'VE DONE THAT AND YOU HAVE PROOF THAT YOU'VE COMPLETED THAT CONSULTATION OR FIX ANY ISSUES THAT THEY MAY HAVE FOUND, THEN PARTICIPATION TO LIKE DISCOUNTED PERMITS WOULD BE THE PART THAT STAYS. SO THAT IS THE IDEA OF WHERE I WANT THIS TO GO, WHICH IS MOSTLY SCRAPPING EVERYTHING BUT THE INCENTIVES ON THE PERMITS. AND SO I'M JUST PUTTING IT OUT THERE FOR ANY FEEDBACK BEFORE I START TYPING AWAY ON THIS . I KNOW WHEN WE TALKED ABOUT THIS INITIALLY, UM, IT WAS THE, HOW DO WE GET THIS, HOW DO WE ACTUALLY IMPLEMENT THIS MM-HMM . TO MAKE IT HAPPEN. UM, AND I DO, ALTHOUGH IT IS A, A LOW LIFT OF THE EXPERIENCE, UM, I THINK EVEN JUST HAVING THAT EDUCATION IS A STEP IN THE RIGHT DIRECTION. SO I'M, I, I WILL, UH, SUPPORT [01:35:02] IF THAT'S WHAT, IF THAT'S THE GOAL, RIGHT? THE SUPPORT OF THIS, THIS, UM, REDRAFT OF WHAT WE COULD POTENTIALLY DO. YEAH. AND THAT'S WHAT I'M ASKING IS LIKE EITHER SUPPORT OR CRITICISMS, BECAUSE I KNOW GETTING FEEDBACK VIA EMAIL CAN BE VERY DIFFICULT. WE'VE SEEN IT. MM-HMM . UM, AND SO THAT'S WHAT IT IS, IS LIKE TEAR IT APART. ANY IDEAS OR ANYTHING THAT YOU THINK IS MISSING? UH, I JUST WANTED TO CREATE A SPACE TO HEAR THE IDEAS AGAIN BEFORE I REDRAFT IT. WAS THIS NARROWED FROM CONSTRUCTION WORKERS TO LIKE ALL OUTSIDE WORKERS, OR NOT NARROWED, BUT BROADENED. UM, I THINK IN MY MIND I WENT TO CONSTRUCTION, BUT I THINK IT'S ALL OUTDOOR WORKERS, SO I SHOULD PROBABLY CREATE A BETTER DEFINITION OF THAT. MM-HMM . SO IT'S LIKE ANYONE WHO'S WORKING OUTDOORS FOR X AMOUNT OF HOURS. SO I THINK THAT'S SOMETHING WHERE I COULD TIGHTEN ON THE WHEREAS PIECE, BECAUSE YEAH, IT'S A LITTLE LOOSE. YOU MAKE A GOOD POINT. WELL, AND THAT EVEN WASN'T MY POINT, BUT , I'M GLAD I MADE IT. UM, NO, I THINK IT'S GREAT THAT IT IS OPEN TO ALL, UH, OUTDOOR WORKERS AND NOT JUST THE CONSTRUCTION IN, UH, INDUSTRY. AND I WOULDN'T BE SURPRISED IF OSHA HAS THE DEFINITION FOR THAT AS WELL, YOU KNOW? UM, OTHERWISE NO, I AGREE WITH WHAT, WITH YOUR, YOUR DIRECTION. I THINK THIS IS PROBABLY A BETTER ROUTE. YEAH, I AGREE. I LIKE THE CHANGES IN THAT. IT FEELS LIKE MORE REALISTIC OF WHAT YOU CAN DO WITHOUT HAVING LIKE SITE VISITS. YEAH. CAN'T BE EXTRA WORK. ANY INPUT FROM THOSE ONLINE. OKAY. BEAUTIFUL. IS THAT, UH, SUPPORTIVE IN WHAT YOU NEED FOR? YEAH. OKAY. AWESOME. UM, THANK YOU SO MUCH, COMMISSIONER DOLE HAUSEN FOR CONTINUING TO BRING THAT BACK TO LIFE AND GET THAT IN FRONT OF US AGAIN. UM, IN OUR, IN OUR LAST [7. Discuss commissioner terms.] FEW MINUTES, WE ARE, WE HAVE TWO BIG THINGS TO KIND OF COVER AND, AND GET THROUGH. SO OUR, OUR DISCUSSION ITEM SEVEN IS TO DISCUSS COMMISSIONER TERMS, WHICH IS A HANDOUT THAT DANNY EITHER EMAILED OR PROVIDED TO US HERE IN HUMAN FORM. UM, IT LOOKS LIKE COMMISSIONER CROOKHAM, UH, MYSELF, AS WELL AS COMMISSIONER WITTY, ARE ROLLING OFF, UH, AN IN JUNE, UM, WITH THE OPPORTUNITY TO BE ELIGIBLE FOR ADDITIONAL TERMS. FROM WHAT I UNDERSTAND, FOR THOSE TERMS, WE DO NEED TO REAPPLY. WE NEED TO REAPPLY, AND WE DO HAVE THE CAPACITY TO STILL SIT ON THE COMMISSION WHILE THE APPLICATION IS BEING APPROVED. WE CAN JUST EXTEND YOUR TERM. UM, YOU WOULDN'T HAVE TO GO THROUGH THE WHOLE INTERVIEW PROCESS AND ALL THAT. IT'S JUST EXTENDING YOUR TERM. SO IT'D BE REAPPOINTING YOU TO THE COMMISSION. BUT FOR THE OTHER SEATS THAT ARE VACANT, AS I MENTIONED TO DANNY, WE ARE STRUGGLING WITH SOME OF THE APPLICATIONS. UM, AND SO WE'RE STILL, WE'RE STILL FILTERING THROUGH THOSE AND WE'LL HOPEFULLY HAVE SOME NAMES SOON FOR YOU. I'M WONDERING IF WE COULD DO LIKE A, A, A REFERRAL THING, YOU KNOW? YEAH. NO, NO. GOT IT. ALL RIGHT. WELL, I MEAN, FROM US, RIGHT? LIKE, WE HAVE A TRUSTED PERSON IN OUR COMMUNITY WHO WE KNOW IS AN ADVOCATE FOR PUBLIC HEALTH, AND WE WOULD HIGHLY RECOMMEND THAT THEY APPLY. YOU CAN RECOMMEND THAT THEY APPLY, BUT THEY NEED TO DO THAT WORK OF APPLYING. PERFECT. YEAH. OKAY. YEAH. UH, YES, ANNA, UH, PLEASE. AND THEN DR. RICE AND ANNA, WE'RE HAVING A LITTLE ISSUE WITH YOUR, UH, VOLUME. IF YOU COULD MAYBE PROJECT A LITTLE BIT. OKAY. COVER EARS. CAN YOU HEAR ME? DR. RICE'S HAND WAS UP FIRST. NO, NO, PLEASE, ANNA. THAT'S FINE. UM, SO EXACTLY WHAT DR. W SAID, IT A RECOMMENDATION WOULD BE WONDERFUL BECAUSE IN A SENSE, YOU'RE ALREADY VETTING CHOOSING SOMEONE THAT WOULD, YOU ALREADY HAVE QUITE A LOT OF FAMILIARITY WITH WHAT WORK IS REQUIRED FROM COMMISSIONERS, WHAT KIND OF, UM, YOU KNOW, EXPECTATION THERE IS. AND SO IT WOULD BE A GREAT THING FOR YOU TO RECOMMEND THAT THEY APPLY. GO AHEAD, COMMISSIONER RICE. YEAH. UM, TWO QUICK THINGS, AND JUANITA, YOU MAY SPEAK TO THIS AS OUR OFFICIAL ADMINISTRATIVE, UM, COUNCIL, BUT IN ANOTHER BOARD I'M ON, THAT'S A STATE BOARD. PEOPLE THAT ARE ON THE BOARD SERVE [01:40:01] UNTIL REPLACED. NOW OBVIOUSLY THERE ARE TERMS, BUT I WONDERED IF THAT'S, UM, TRUE IN, IN THE INSTANCE OF OUR BOARD, OUR COMMISSION, WHERE YOU MIGHT, MAYBE WE WOULD REAPPLY BECAUSE THERE'S AN OFFICIAL, YOU KNOW, UM, MAYBE THERE'S A REASON WE'D WANNA RENEW. BUT, UM, IF WE HAVE A, IF IT'S INDEED A, YOU SIT IN THE CHAIR UNTIL YOU'RE REPLACED, THEN EVEN THOUGH YOUR, YOUR, YOUR, YOUR, UM, TERM WOULD'VE HAD EXPIRED. YOU, YOU WOULD, YOU KNOW, UM, YOU WOULD STILL BE ON IT ANYWAY. SO I, I JUST WONDERED IF THERE'S ANY PERSPECTIVE THERE. YES, SIR. UM, THERE IS THE OPPORTUNITY TO, UM, STAY SEATED IN, IN A HOLDOVER CAPACITY UNTIL THE REPLACEMENT IS, UM, SECURED. BUT THERE'S NO, I GUESS, UM, WELL, THERE'S A PERSON ON THIS OTHER BOARD OF STATE BOARD I'M TALKING ABOUT, THAT WAS HIS, HIS TERM EXPIRED IN 2017. HE'S NEVER BEEN REPLACED. THERE IS NO EFFORT BY THE, BY THE, BY THE, BY THE, YOU KNOW, UH, APPOINTEES THE GOVERNOR TO REPLACE OR HAVE A NEW NOMINEE. SO HE CONTINUES TO SIT. SO THERE IS NO REPLACEMENT. SO I'M JUST, UM, ARE YOU THINKING THAT BECAUSE THE TERM HAS EXPIRED, THAT THE MAYOR OR THE, THE CITY COUNCIL AND THE, UM, YOU KNOW, TRAVIS COUNTY COURT'S GONNA, YOU KNOW, UM, FIND IT INCUMBENT TO, UM, YOU KNOW, UM, RE REPLACE WITH A NEW, UM, A PERSON OR NOT, NOT A NEW PERSON, BUT, YOU KNOW, TO, TO KEEP REAPPOINTING BY CALENDAR, SO TO SPEAK? WELL, I, I'LL SAY TWO THINGS. ONE, UM, I'M NOT FAMILIAR WITH THE STATE'S REGULATIONS REGARDING PLACEMENT AND HOLDOVER, UM, PERIODS, BUT AS FAR AS CITY GOVERNANCE, WE HAVE A TIMEFRAME, I BELIEVE 90 DAYS, IF I'M NOT MISTAKEN, THAT THEY COULD BE IN A HOLDOVER. BUT WE DO HAVE TO FOLLOW, I SEE THE CITY'S, I SEE GUIDELINES TO REPLACE, OKAY. TO SUCCESSFULLY FIND A REPLACEMENT FOR THAT PERSON OR THAT SHE COULD BE, REMAIN VACANT UNTIL A REPLACEMENT IS FOUND. GOT IT. OKAY. THANK YOU. ANNA TAN IS RAISED. GO AHEAD, ANNA. THANK YOU. THANK YOU. UH, FURTHERMORE, IS THERE A TERM LIMIT ON THE YEARS OF SERVICE IN A COMMISSION? SO IS IT 12 YEARS OR SOMETHING LIKE THAT? I CAN'T RECALL. YEP. UH, HOLD ON ONE SECOND, BECAUSE WE JUST, UM, HAD GUIDANCE TO REVISE BYLAWS, AND I THINK YOU'RE ABLE TO RUN FOR A MAXIMUM OF TWO, FOUR YEAR OR 30. UH, SO IT SAYS FOUR SELECTED MEMBERS, TWO YEAR TERM WITH ADDITIONAL MAXIMUM OF TWO CONSECUTIVE TWO YEAR TERMS. TWO CONSECUTIVE TWO YEAR TERMS. THEY, THEY CAN HOLD A TERM A TOTAL OF SIX YEARS. BUT, BUT WE'VE HAD SOME INTERESTING THINGS WITH OUR TERMS. DON'T GO THERE. . THIS IS A REAL QUESTION. THIS IS A REAL QUESTION. THIS IS REAL. YEAH. 'CAUSE OUR TERMS CHANGED A LITTLE BIT, SO I, SO ARE WE STAGGER YOU? THEY'RE STAGGERED. STAGGERED, BUT WE ALSO ALL STARTED AT THE SAME TIME. BUT THEN THE, THE FIRST YEAR WAS, WAS FIXED. SO TECHNICALLY WE ARE ALL ONLY AT THREE YEARS. HOW, HOW DO WE HAVE IT WRITTEN DOWN? SO YES, YOUR FIRST YEAR, YOUR FIRST YEAR WAS A, UM, YOUR INCUBATION YEAR, A YEAR OF GETTING STARTED AND GETTING ACCLIMATED TO YOUR, YOUR, YOUR, UM, YOUR GOVERNANCE, WHY YOU WERE APPOINTED. AND THEN WE HAD THE STAGGERED YEAR TERMS THAT WERE ADDED TO YOUR BYLAWS THAT ALLOWED THREE YEAR AND FOUR YEAR TERMS. NO, TWO YEAR. OH, TWO YEAR AND FOUR YEAR THREE YEAR TERMS. TWO AND THREE, SORRY. TWO AND THREE. TWO AND THREE. I WANT YOU TO STAY FOREVER. NATALIE, IF YOU NOTICE I'M, I'M ADDING MORE TIME FOR YOU. I'M ADDING MORE TIME. SO WE, WE CHANGED IT, IT WAS TWO TO THREE, TWO AND THREE YEARS. AND SO NOW BASED OFF OF THE LAST AMENDMENT THAT WAS MADE TO THE BYLAWS, AND I SAY THIS, THAT HAS YET TO BE FINALIZED BY THE AUDIT AND FINANCE COMMITTEE. UM, WE ARE STILL PENDING REVIEW. THAT'S ALL I HAVE ON THAT. UM, WE WERE STILL, WE ARE STILL SUBJECT TO THOSE TERMS, WHICH MEANS YOU ARE NOW AT THREE AND FOUR IS WHAT WE HAVE LISTED. SO YOU'RE THREE YEAR. YEP. YEAH, BECAUSE, WELL, BASICALLY THEY WOULD, SO IF YOU COUNT THE FOUNDATION YEAR, IF YOU COUNT YOUR FOUND THREE YEARS, IF YOU COUNT YOUR FOUNDATION YEAR, IT'D BE THREE YEARS. IF YOU COUNT, IF YOU COUNT YOUR FOUNDATION YEAR FOR EACH. THAT'S WHY I'M SAYING THREE AND FOUR. RIGHT. UM, SO THE PEOPLE ROLLING OFF WOULD STILL BE, UM, WITH TWO YEARS WOULD BE, UM, COMMISSIONER COOKHAM, UM, COMMISSIONER POINDEXTER, WHICH, UM, UM, I BELIEVE THAT NUMBER'S WRONG. AND COMMISSIONER WOODY WITTY, UM, WOULD BE YOUR TWO YEARS. [01:45:01] AND THEN THE OTHER COMMISSIONERS WOULD FALL IN THE THREE YEAR TERM, WHICH WOULD BE, UM, COMMISSIONER ALI, DAUER, LUHAN, AND RICE WOULD STILL BE FOR THE, THE REMAINING THREE YEARS ON, ON THE COMMISSION. BUT YOU ARE ALL ELIGIBLE TO REAPPLY, WHICH IS THE CAVEAT. SO YOU REALLY CAN'T LEAD. NATALIE. QUICK QUESTION. YES, SIR. AND ANNA, YOU, YOU HAD YOUR HAND UP. SO ANNA HAS THE RIGHTS. I THINK YOU HAD YOUR HAND UP FIRST, IF YOU WOULD LIKE TO, I JUST WONDER IF WE COULD, LOOKING AT THIS DOCUMENT, THE DATES THAT ARE LISTED IS IF WE ARE STATING THAT PEOPLE ARE ALLOWED, THAT COMMISSIONERS CAN SERVE THREE TERMS, THAT THIS IS THE END OF TERM ONE, THE END DATE, THE TERM EXPIRATION DATE IS FIRST TERM. YES. AND THEN THERE ARE TWO OTHER TERMS THAT ARE EQUAL TO TWO YEARS LATER. YES. THAT WOULD BE THE, THAT WOULD BE THE, UH, APPLICATION OF THE WAY THE BYLAWS IS WRITTEN. AND THAT WAS MY QUESTION OR POINT WAS THAT AS I REMEMBER THE VERY BEGINNING HERE, THERE WAS A SUGGESTED PERIOD OF, OF THE TERMS, AND WE HAD A LOT OF THAT CONVERSATION, WHICH AS WE'VE ALL DESCRIBED, I'LL NOT REDESCRIBE, I, I HAVE THE SENSE THAT THIS, THIS COMMISSION CAN DECIDE THE TERMS OF AT WHATEVER YEARS IT WANTS. AGAIN, I SUPPOSE A HUNDRED YEARS, IT'D PROBABLY BE TOO LONG. BUT WE WERE, I, I THINK THAT WE HAVE, AND OTHERS CAN CORRECT ME IN THE CITY ATTORNEY CAN SPEAK ON IF THEY NEED TO, BUT I'M PRETTY SURE THAT WE COULD ALSO MAKE OUR OWN RULES AND OUR, WE DEFINE WHAT THE TERMS ARE. AND I THINK, YOU KNOW, WE'VE ALL LEARNED THAT THERE'S A LOT TO LEARN ABOUT DIFFERENT TOPICS, AND IT TAKES A COUPLE OF YEARS TO REALLY GET YOUR, YOU KNOW, REALLY TO GET, TO LEARN A LOT OF STUFF ABOUT WHAT'S OUT THERE. SO, WHAT AM I TRYING TO SAY? I ALSO ALSO OFFER THE IDEA THAT WE COULD LOOK AT RE REVISITING THE IDEA OF TERMS AND SAY LET'S DO FIVE YEAR TERMS GOING FORWARD. I, I WOULD LOVE TO SAY YOUR IDEA OF US DOING OUR TERMS THE WAY WE WANT WOULD BE GRAND. HOWEVER, THE CITY, UM, COUNT, UH, CITY CLERK'S OFFICE HAS PUT OUT NEW REGULATIONS THAT ARE CHA THAT CHANGED, UM, AT THE BEGINNING OF THE YEAR WITH TERMS, AND THEY'VE STANDARDIZED 'EM FOR ALL BOARDS. SO WE'VE NOW REVISED THEM AS OF JANUARY 6TH, MY BIRTHDAY. UM, THAT THAT ALL, ALL, UM, BOARDS AND COMMISSION WILL FOLLOW THE, THE ORDINANCE THAT THE CITY HAS PLACED FOR BOARD, UM, TERMS ON ALL BOARDS AND COMMISSIONS. SO, WHICH IS WHY YOU ARE GOING TO BE ADDRESSING YOUR NEXT ISSUE, UM, COMING UP, WHICH IS YOUR ELECTION OF OFFICERS. WELL, THAT, WITH THAT BEAUTIFUL SEGUE, WHY DON'T WE JUST ROLL RIGHT ON INTO THAT. I LOVE WHAT YOU DID THERE, JUANITA. LOOK, LOOK AT WHAT HAPPENS WHEN YOU COME BACK IN PERSON WITH US. YOU START DOING ALL TYPES OF THINGS. MOVING ON TO [8. Conduct officer elections for the Chair and Vice Chair.] OUR FINAL, UH, POINT OF ORDER, UM, DISCUSSION AND ACTION ITEMS, WHICH IS ITEM EIGHT TO CONDUCT OFFICER ELECTIONS FOR THE CHAIR AND VICE CHAIR, SINCE I HAVE THE THE MIC, I CAN JUST MAKE THIS NOMINATION RIGHT NOW. CAN I, RIGHT. WELL, OH NO. OKAY. MAYBE NOT. HOW DO WE DO THIS? OH, OKAY. UM, I, I DON'T KNOW. I THINK THIS IS A PROPER TIME TO ANNOUNCE. UM, WE DID RECEIVE AN IMMEDIATE, UM, RESIGNATION FROM SETTING CHAIR, UM, ENRIQUE. UM, SO WE ARE DEFINITELY LOOKING TO FILL ANOTHER SEAT. SO ON TOP OF REPLACING DR. WALLACE, WE WILL ALSO BE REVIEWING APPLICANTS TO FILL HIS SEAT IMMEDIATELY AS WELL. SO YOU ARE DOWN TO COMMISSIONERS, UM, FOR REPLACEMENT. I WAS GONNA THANK YOU FOR MAKING THAT SO GENTLY. UM, YES, DANNY TEXTED ME URGENTLY AND IT'S LIKE ETW OH, UH, SENDING VICE CHAIR HAW OUR, UM, LOVE AND AFFECTION AND WHATEVER IS HAPPENING, UM, GOODWILL TO WHAT COMES NEXT. UM, WITH THAT BEING SAID, I'VE ONLY JUST TO MAKE SURE WE DO OUT LOUD RECOMMENDATIONS FOR CHAIR, THEN OUT LOUD, RECOMMEND, UH, THEN THEY ACCEPT OR DO NOT, AND THEN WE DO VOTING AND THEN WE DO THE VICE CHAIR. OKAY. WELL, I WOULD LOVE TO PASS THIS HAT TO, NOT THIS ONE I'M WEARING, BUT, UM, I'LL PICK NO, NO, NO. MY NAME'S ON IT. UM, TO, UH, THE SAME PERSON WHO RECOMMENDED ME FOR THIS ROLE, WHICH WOULD BE COMMISSIONER CHRIS CROCU AS CHAIR FOR THE COMMISSION. IF YOU SO DO CHOOSE TO ACCEPT. [01:50:01] I'M HUMBLED. I APPRECIATE IT. THANK YOU. UH, YOU PLAYED THE LONG GAME THERE, . . YOU'RE WELCOME. UH, UNFORTUNATELY I WILL NOT BE RENEWING MY, MY MEMBERSHIP OR MY TERM, SO I WILL NOT BE ABLE TO SERVE AS THE CHAIR. OKAY. BUT THANK YOU. MM, OF COURSE, OF COURSE. MY SECONDARY NOMINATION WAS COMMISSIONER DOHA. SO I'M JUST GONNA THROW THAT OUT. IT WAS GONNA BE COMMISSIONER COOKHAM FOR CHAIR AND COMMISSIONER DOLLEN FOR VICE CHAIR. I WAS GONNA SAY, NO, NO, NO, NO, NO, NO. I HAD A PLAN. I HAD A PLAN. THE PLAN WAS COMMISSIONER COOK . THAT WAS THE GOAL. AND NOW WE ARE SHIFTING OVER. SHIFTING OVER TO, OKAY. NO LONGER VICE CHAIR TO CHAIR. UH, THAT IS MY RECOMMENDATION, PLEASE. JUANITA, AND YOUR OTHER COMMISSIONERS ARE WELCOME TO NOMINATE THEMSELVES IF THEY ARE INTERESTED IN HOLDING THAT POSITION. SO AS THE FLOOR IS OPEN FOR NOMINATIONS OR RECOMMENDATIONS, PLEASE DO SO AT THIS TIME. OH, THE FLOOR IS OPEN. THERE IT IS. FLOOR IS OPEN TO NOMINATIONS AND RECOMMENDATIONS. OH, COMMISSIONER RICE, PLEASE. CAN I SECOND? CAN I SECOND THE NOMINATION OF COMMISSIONER DO HASSEN? I THINK SHE HAS TO ACCEPT, BUT I, AT THIS POINT, I THINK AT THIS POINT WE CAN KEEP GOING. HOWEVER, I LIKE HOW SHE SAID EARLIER, WE CAN JUST DO IT WHATEVER WE WANT TO. NO, SHOUT NOT THEIR OWN NAME. MM-HMM. ALL RIGHT. I'LL ACCEPT NOT, NOT BEGRUDGINGLY, . IT'S JUST NOT SOMETHING I CAME IN THE IDEA OF HAPPENING TODAY. , WELCOME. HI. YEAH, I'LL ACCEPT IT. OKAY, SO NOW I MOVE TO SECOND IT. ARE THERE ANY OTHER NOMINATIONS FOR CHAIR? I KNOW YOU LIKE TO THROW OUT WILD CARDS. , LEGALLY I'M NOT ALLOWED TO. SO WE RIGHT. BYLAWS. I CAN'T DO THIS A THIRD TERM TWICE. NO, NO, NO. I CAN'T BE CHAIR AGAIN. WOO. DR. WALKS IS NODDING HER HEAD SAYING, I CANNOT, NO. . WHAT? I DON'T REMEMBER THIS CONVERSATION HAPPENING AT ALL. YES. COMMISSIONER COOK. CAN I NOMINATE YOU TO BE VICE CHAIR? OH, I, I DON'T KNOW ABOUT THAT. UM, , I DON'T, I'D LIKE TO SEE A COPY OF THESE BYLAWS. AND I ALSO THINK THAT COMMISSIONER ALL HAUSEN HAS ACCEPTED THIS, THE NOMINATION. OH, THAT'S DANG DANG. UM, BUT TECHNICALLY YOU WOULD HAVE TO, I WONDER IF WE SHOULD HAVE A, A MOMENT HERE TO ASK FOR CLARIFICATION AS YOU HAVE CHAIR TO SAY WHO ARE THE ACTUAL POTENTIAL NOMINEES? AND WE, I THINK MAYBE WE'RE UNDER THIS, UH, OBLI UNDER THE ASSUMPTION THAT THE CHAIR WAS, WAS, UM, DEMURRING A THIRD TERM, NOT KNOWING IF THERE WAS A STRUCTURAL OR PERSONAL REASON WHY SHE WOULD, UM, DEMURE. AND, UM, ARE YOU SAYING THAT MAYBE WE DIDN'T UNDERSTAND ALL THE RULES AND THEREFORE WE WANNA MAYBE START AGAIN? . OH BOY. COMMISSIONER RICE, I TELL YOU WHAT, YOU ARE GOOD HUMAN. UM, WE WANNA RE DO, WE WANNA RESTART THIS. HOW DO WE DO THIS FOR REAL? WE HAVE TWO MINUTES. WE HAVE, WE HAVE 47 SECONDS, UH, UNTIL OUR TIME IS UP. POINT OF ORDER. QUICK QUESTION, POINT OF ORDER. I WONDER IF, UH, YOU'D LIKE, WE COULD DEFER UNTIL NEXT MEETING A NOMINATION PROCESS, WHICH COULD BEGIN THE MEETING IN THE INTERVAL TIME. WE COULD UNDERSTAND WHAT THE RULES ARE, PERHAPS THROUGH A, AN EMAIL THAT WOULD, UM, WE'D ALL UNDERSTAND WHAT, WHAT WAS, YOU KNOW, WHAT THE RULES ARE, IF THAT MAKES SENSE. AND I WOULD JUST LAY THAT OUT THERE AS A POSSIBLE, POSSIBLE IDEA AND I DEFER BACK TO THE CHAIR. WELL, I AM BEING TOLD IMMEDIATELY THAT IS A NOT ALLOWED, WE HAVE TO DO THIS TODAY. SO, OH, YES, THIS, WELL, I GOT TIME AND THAT IS WHAT MATTERS. . UM, SO JUANITA, PLEASE, PARLIAMENTARY PROCEDURE WOULD BE THAT YOUR FLOOR IS OPEN FOR NOMINATIONS. ALL PERSONS INTERESTED IN RUNNING FOR THE POSITION OF CHAIR. PLEASE NOTIFY YOU AS THE CHAIR THAT THEY ARE INTERESTED TO RUN FOR THAT POSITION. THAT INCLUDES YOU BEING ABLE TO NOMINATE YOURSELF FOR THAT POSITION FOR ANOTHER TERM. IF YOU ARE CLOSING THE NOMINATIONS, AFTER ALL NAMES HAVE BEEN RECEIVED, WE WILL THEN TAKE A VOTE TO ACCEPT THE NOMINATIONS. THEY HAVE TO ACCEPT OR DECLINE THE POSITION. WE [01:55:01] VOTE ON WHOEVER HAS DECIDED TO ACCEPT THE NOMINATION, AND THEN WE CLOSE THE FLOOR AND VOTE. OKAY? BUT PLEASE, POINT OF ORDER. IS THERE ANYTHING, THE BYLAWS THAT TELLS US HOW MANY TIMES SOMEBODY CAN SERVE? YES, SIR. YOU CAN SERVE UP TO THREE TI THREE TER TIMES FOR A POSITION. SO THE CHAIR CAN SERVE UP TO THREE CONSECUTIVE TWO YEAR TERMS. WELL, NO, NO. SHE'S SERVING ONE YEAR TERMS. YEAH, THREE TERMS. THREE CONSECUTIVE ONE YEAR TERMS. THREE CONSECUTIVE ONE YEAR TERMS. THAT'S CORRECT. . GOT IT. AND THEN AGAIN, IS IT POINT OF ONE? MAYBE. BUT IS THAT FAIR TO SAY? WE DIDN'T KNOW WHAT THE RULES WERE WHEN WE STARTED THIS DISCUSSION FIVE MINUTES AGO? NO, WE DID ANYWAY. I, I I'M NOT, SO I'M NOT SURE WHAT IT, HOW TO RESPOND TO THAT, BUT WE NO PROBLEM. I'M, THE FLOOR IS NOW OPEN. SO WE HAVE A NOMINATION OF COMMISSIONER DOLL HAUSER AS PUT AS THE CHAIR, AS AS A NOMINEE FOR THE CHAIR. IS THERE ANY OTHERS INTERESTED IN SERVING AS CHAIR? WELL, MAY I MAKE A NOMINATION? YES, SIR. I'D LIKE TO NOMINATE CHAIR. NATALIE. MADAM CHAIR, DO YOU ACCEPT THE NOMINATION AS CHAIR? SURE. I'LL, I'LL ACCEPT THE, THE NOMINATION. THIS IS PUBLICLY RECORDED. OKAY, SO WE HAVE NOW TWO NOMINATIONS ON THE FLOOR FOR CHAIR. ARE THERE ANY OTHERS? NO. WISHING TO SERVE IN THE ROLE FOR CHAIR. HEARING NONE OTHERS. THE FLOOR IS NOW CLOSED FOR THE NOMINATION OF CHAIR. WE WILL NOW TAKE A VOTE ON THE POSITION FOR CHAIR. ALL IN FAVOR? SHE'S GONE. ALL IN FAVOR FOR ALL IN. GO AHEAD. HMM. FOR, FOR WHAT? GO AHEAD, JUANITA. OH, I'M, I'M TRYING, I'M TRYING, I'M TRYING TO GET IT OUT. ALL IN FAVOR FOR OUR COMMISSIONER, DOLL HAUSER TO SERVE AS CHAIR FOR THE NO, FOR THE AUSTIN TRAVIS COUNTY PUBLIC HEALTH COMMISSION. RAISE YOUR HAND. THREE. THREE. ALL. OKAY. THE VOTE IS THREE. ALL IN FAVOR FOR COMMISSIONER POINDEXTER. Y'ALL, I APOLOGIZE. CAN I, UM, CAN I CHANGE? I WOULD LIKE TO ABSTAIN. I JUST, I DON'T FEEL LIKE I'VE BEEN HERE LONG ENOUGH TO REALLY KNOW, AND I WOULD JUST KIND OF ABSTAIN FROM THIS, UH, FROM THIS VOTE. YEAH. YES, SIR. YOU CAN, YOU CAN ABS YEAH, THANKS. YOU CAN VOTE FOR YOURSELF AS WELL. . WE, WE, WE HAVE SIX ELIGIBLE VOTERS. COMMISSIONER ALI IS WISHING TO ABSTAIN FROM VOTING. SO WE HAVE FIVE ELIGIBLE VOTES ON THE FLOOR. SO THEN, SO THEN WE NEED TO REVOTE SINCE HE'S ABSTAINING FROM THE INITIAL, FROM THE FIRST TIME WE VOTED. YES. GREAT. UH, REVOTE. ALL IN FAVOR FOR COMMISSIONER ALHAZEN, PLEASE RAISE YOUR HAND. THAT VOTE IS TWO ALL IN FAVOR FOR COMMISSIONER POINDEXTER. RAISE YOUR HAND. THAT VOTE IS THREE. SO COMMISSIONER POINDEXTER, YOU ARE NOW REELECTED AS CHAIR OF THE AUSTIN TRAVIS COUNTY PUBLIC HEALTH COMMISSION. OKAY. THE FLOOR IS NOW OPEN FOR VICE-CHAIR. UH, COMMISSIONER RICE, YOU HAVE A QUESTION OR WOULD LIKE TO, I WOULD LIKE TO NOMINATE COMMISSIONER DOHA FOR VICE CHAIR. IT WOULD BE MY HONOR TO MAKE THAT NOMINATION. I'LL ACCEPT THAT NOMINATION. COMMISSIONER DOHA ACCEPTS THE NOMINATION FOR CHAIR FOR VICE CHAIR. ARE THERE ANY OTHER NOMINATIONS FOR VICE CHAIR? HEARING NONE. COMMISSIONER DOLL HAEN, YOU OR UN. WE VOTE. YOU VOTE. WE GOT VOTE. YOU YOUR VOTE FOR COMMISSIONER DOHA, PLEASE RAISE YOUR HAND. THAT VOTE IS UNANIMOUS WITH COMMISSIONER ALI VOTING AND ABSTENTION. COMMISSIONER LUHAN OFF THE DAAS, YOUR NEW CHAIRS AND VICE CHAIR FOR YOUR NEXT TERM IS COMMISSIONER POINDEXTER AND VICE CHAIR. COMMISSIONER DO HAUSEN. YAY. CONGRATULATIONS. MAY I SAY THAT WAS EXHAUSTING? YES, YOU MAY. AND [02:00:01] I WILL SECOND THAT MOTION, IF NOT THIRD AND FOURTH. IT. UM, WELL NOW THAT AMEN. SO, UM, THAT I DO BELIEVE [FUTURE AGENDA ITEMS] LEADS US TO OUR FUTURE AGENDA ITEMS, WHICH I WILL SAY SINCE WE ARE OVER OUR TIME, IF YOU COULD PLEASE EMAIL THOSE TO DANNY. BE SURE THAT THEY ARE SENT WITHIN A TWO WEEK TIME PERIOD FROM TWO DAYS DATE. IF YOU HAVE NEW THINGS, NEW TOPICS, NEW PEOPLE YOU WANT TO BRING IN, PLEASE REMEMBER YOU DO NEED A SECONDARY COMMISSIONER TO, UH, APPROVE THAT EXPERIENCE WITH YOU. UM, I KNOW THAT WE HAVE A FEW CONVERSATIONS ALREADY PLANNING TO COME UP AND WE WILL GET THOSE ON THE AGENDA AND OUT TO YOU. UM, THANK YOU ALL FOR YOUR TIME, THE EXTRA SIX MINUTES. AND I WILL CALL THIS MEETING ADJOURNED AT 4:36 PM WHAT HAPPENED? YES. I JUST WANNA MAKE ONE MORE STATEMENT. OH, PLEASE, YES. ALL AGENDA ITEMS DO NEED TO HAVE TWO COMMISSIONERS TO, UM, ENDORSE THAT ITEM ON YOUR AGENDA. SO PLEASE, PLEASE MAKE SURE. OKAY. THANK YOU SO MUCH. Y'ALL HAVE A GOOD TIME. THANK YOU. THANKS EVERYONE. * This transcript was created by voice-to-text technology. The transcript has not been edited for errors or omissions, it is for reference only and is not the official minutes of the meeting.