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[Call to Order]
THIS IS THE HEALTH AND HUMAN SERVICES COMMITTEE.[Item 1]
SO LET'S GO WITH APPROVE THE MOTION TO APPROVE THE MINUTES.AND THEN I MOVED BY COUNCILMAN HUTCHISON, SECONDED BY COUNCILOR AND TOTAL.
THE NEXT ACT IS TO, SO JUST JUST TO BE CLEAR, LET'S, WE'RE DOING THE DISCUSSION AND THEN WE'LL SAY THE BRIEFINGS SESSION.
I THINK NUMBER THREE IS THE DISCUSSION OF THE MEMBERS.
SO WE WOULD NEED TO HAVE THE EXECUTIVE SESSION FIRST TIME ANYWAY.
SO THEN THE ITEM TWO, IF THERE'S A CLERK ON THE LINE OR ANYBODY THAT HAS WITH THEIR SPEAKERS, WE DON'T HAVE SPEAKERS.
A COMMITTEE, IS THAT RIGHT? THERE'S NO SPEAKERS SIGNED UP.
SO IS THERE A STAFF PRESENTATION ON ITEM TWO WHEN IT GETS STARTED?
I BELIEVE ED VANNEY KNEW WAS HAVING TO RESTART HIS COMPUTER AND HE HAS NOT JOINED BACK.
SO MAYOR PRO TEM, COUPLE OF QUESTIONS.
UM, I GUESS I WANT TO BE SURE THAT WHEN WE GET SESSION, I HAVE QUESTIONS FOR OUR CITY STAFF OR COOKS ABOUT APPLICANTS THAT WERE RECEIVED AND APPLICATIONS THAT ARE NOT IN OUR, IN OUR, NOT IN OUR EXECUTIVE SESSION TO DISCUSS THE APPLICANTS, THAT THERE'LL BE SOMEBODY FROM THE CLERK'S OFFICE TO ADVISE US TO ANSWER A FEW OF THOSE QUESTIONS ABOUT THE PROCESS, THE SUBMITTAL PROCESS.
THANK YOU SO MUCH JEANETTE SCRIPT.
IS THAT BACK ON BY ANY CHANCE, IF NOT THE ONLY OTHER DISCUSSION ITEM AT THE CENTRAL HEALTH
HOW LONG IS THAT PRESENTATION THAT YOU VAPING PRESENTATION.
[Item 5]
OKAY.I'LL TURN IT OVER TO APA STAFF.
I JUST WANNA MAKE SURE YOU'RE ALL CAN HEAR ME OKAY.
UM, SO I'M TRYING TO JUST GET MY TEXTBOOK PIECES HERE, BUT I'M GOOD TO GO NOW AND I'M TRYING TO GET MY VIDEO WORKING, BUT IT'S NOT SAVING FOR WORK.
IS IT OKAY IF I CONTINUE WITH AUDIO? THAT'S FINE.
AND JUST ANYBODY ELSE ON THE CALL, IF YOU COULD MUTE YOUR PHONE IF YOU'RE NOT SPEAKING.
SO I'M CATHY DALIAN AND WITH ALL PUBLIC BELTS.
UM, AND, UH, WE'RE, AND I ACTUALLY HAVE ANOTHER COLLEAGUE THAT'S PRESENTING WITH ME, HER NAME IS STEPHANIE HOFFMAN AND THE
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UPDATE ON TOBACCO PREVENTION EFFORTS, VAPING, UM, UM, EFFORTS THAT HAVE BEEN HAPPENING IN OUR COMMUNITY, YOU KNOW, LAST YEAR AROUND THAT AUGUST THROUGH OCTOBER TIMELINE, WE HAD QUITE A BIT OF CONCERN WITHIN OUR COMMUNITY ABOUT, UH, VAPING AND THE ISSUES THAT WE WERE SEEING WITH MONEY AND JURIES AND WENT OUT AND UNUSED.AND I KNOW THERE WAS QUITE A BIT OF WORK THAT WAS BEING LOOKED AT TO BE DONE TO TRY TO ADDRESS THAT.
AND SO WE GIVE AN UPDATE ON WHERE WE ARE WITH THOSE EFFORTS.
AND SO JUST TO, UM, REVISIT, UM, IF WE CAN GO TO THE SLIDE PRESENTATION, I WANT TO MAKE SURE THAT THAT'S UP AND RUNNING.
I'M WATCHING THE APX SLIDE, BUT I DON'T SEE THE POSTING.
THIS IS THE AB TECH AND CHAMBERS.
THERE MIGHT BE A DELAY, BUT THE PRESENTATION IS DEFINITELY BEING SHARED.
UH, THE FIVE, UM, TITLED HEALTH IMPACT OF E-CIGARETTES AMONG YOUTH.
AND WHAT WE KNOW IS THAT THERE ARE MANY TYPES OF VAPING PRODUCTS.
UM, AND ON THIS SLIDE THERE'S A LOT OF DIFFERENT PRODUCTS THAT YOU CAN SEE.
THERE'S PIPES, THERE'S THINGS.
IT WAS JUST LIKE A CIGARETTE, BUT IT'S AN E-CIGARETTE.
AND THEN WE ALSO KNOW THERE'S THINGS THAT LOOK LIKE WHAT WE KNOW KIND OF IN A MARKETPLACE THAT'S CALLED THE JUUL OR WHATNOT.
AND SO THERE ARE DIFFERENT TOBACCO PRODUCTS THAT ARE VAPE PRODUCTS THAT ARE OUT THERE THAT, UH, YOUTH USE AND, AND UM, AND ALL PEOPLE ARE USING AS FAR AS THEY PRODUCTS.
BUT, UH, THERE'S MANY DIFFERENT FORMS AND SHAPES AND SIZES THAT THIS COMES IN.
LET ME KNOW IF THERE'S A REAL CONCERN ABOUT THE CHEMICALS.
AND THERE'S, UM, ON THIS SLIDE, AN INFOGRAPHIC THAT SHOWS LIKE THIS PUFF OF SMOKE COMING OUT AND THEY PUT IT SO MUCH HAD BEEN TALKED ABOUT AS SAFER THAN NORMAL CIGARETTES, THAT IT'S JUST WATER VAPOR, WHATNOT.
AND THOSE ARE DEFINITELY MISS.
UM, WE KNOW THAT THESE, THERE ARE HARMFUL CHEMICALS THAT, UM, COME FROM, UH, THESE PRODUCTS.
IT'S NOT HARMLESS WATER VAPOR AND WE KNOW THAT THESE ARE THINGS ARE CAUSING POP FROM ON WHICH IS CALLED CAUSES SCARRING OF THE TRANE AIR SACS IN THE LUNG, LUNGS RESULTING IN THICKENING AND NARROWING OF THE AIRWAYS AND THAT CAUSES COUGHING AND WHEEZING, SHORTNESS OF BREATH THAT LOOKS LIKE CLPD.
UM, AND THESE ARE VOLATILE ORGANIC COMPOUNDS, UM, AS WELL IN THAT, UM, WATER VAPOR, UH, SUCH AS BENZENE, WHICH HAS ALSO FOUND AN AIR EXHAUST.
AND THEN A BIG CONCERN IS THAT OUR LARGEST RISK ALL FOR YOUTH, UM, THIS HAS VERY, UH, SIGNIFICANT IMPACTS ON THE BRAIN SUCH AS, YOU KNOW, THE PART OF THE BRAIN THAT IS RESPONSIBLE FOR DECISION MAKING AND IMPULSE CONTROL, WHICH WE KNOW AT THIS POINT IS NOT FULLY DEVELOPED WITHIN ADOLESCENTS.
AND, UH, THE RISK IS A LONGTERM LASTING EFFECT, UH, FOR EXPOSING BRAIN TO NICOTINE.
AND, UM, THIS INCLUDES NICOTINE ADDICTION, UH, CAUSES MOOD DISORDERS AND PUMP CAN PERMANENTLY LOWER THEIR IMPULSE CONTROL AS WELL AS IT CAN HARM THE PART OF THE BRAIN THAT CONTROLS THEIR ATTENTION TO LEARNING.
IN ADDITION TO THAT, ADDICTION IS A REAL CONCERN.
OUR BRAIN GROWS UNTIL WE'RE 25.
UM, AND EVERY TIME A NEW MEMORY IS CREATED OR A NEW SKILL IS LEARNED, THEIR STRONGER CONNECTIONS ARE BUILT BETWEEN BRAIN CELLS AND SO FORTH.
CHILDREN AND YOUNG PEOPLE'S BRAINS, THEY BUILD CONNECTIONS A LOT FASTER THAN ADULTS.
AND BECAUSE ADDICTION IS A FORM OF LEARNING, I LESSONS CAN GET ADDICTED MORE EASILY THAN ADULTS.
AND THEN ADDITION TO THAT, UH, WE SEE THAT THERE ARE CONCERNS WITH BEHAVIORAL, UH, WITH, WITH PEOPLE'S BEHAVIOR.
UM, THERE'S A STRONG LINK BETWEEN E-CIGARETTE USE AND THE USE OF OTHER TOBACCO PRODUCTS.
WE KNOW THAT HIGH SCHOOL STUDENTS AND YOUNG ADULTS WHO CLAIM TO USE TWO OR MORE TOBACCO PRODUCTS ARE MAJORITY USING BOTH E-CIGARETTES AND BRING TOBACCO PRODUCT, WHICH WE CALL THAT DUAL USE.
AND THAT CREATES A LARGER ADDICTION TO NICOTINE AS WELL.
AND THEN WE'RE ALSO SEEING THAT AGAIN, THEY PRODUCTS AS THE LAW AS WELL AS TOBACCO PRODUCTS HAS ALWAYS BEEN SEEN AS A GATEWAY DRUG, AS THERE'S SOME EVIDENCE TO SHOW THAT LINK BETWEEN ALCOHOL USE AND OTHER SUBSTANCE USE.
SO PEOPLE WHO ARE USING THESE PRODUCTS, AND AGAIN THIS AN UNINTENDED INJURY AS WELL.
UM, THERE ARE DEFECTIVE BATTERIES AND SOME OF THESE WE'VE SEEN THAT JUST THE DEFECTIVE BATTERIES AND SOME OF THESE PRODUCTS AND THEY TEND TO EXPLODE AND INJURE PEOPLE AND THEY'VE EVEN KILLED, UH, SOME PEOPLE AS WELL.
AND THEN THERE'S ACUTE NICOTINE EXPOSURE.
PEOPLE WHO ARE EXPOSED TO THE, UM, PRODUCT, UH, COMPONENTS, UH, HAS BEEN, THERE'S BEEN POISONINGS AS A RESULT, UH, FOR CHILDREN AND ADULTS WHO WILL BE TO SWALLOW, TO BREATHE OR ABSORB THE E-LIQUID.
UM, AND THAT HAS STEADILY GROWN OVER THE YEARS AS THESE PRODUCTS HAVE BEEN ON THE MARKET.
AND THEN THERE'S OTHER MEDICAL RISKS, BRAIN SEIZURES, AND THEN WHAT WE'VE HEARD QUITE A BIT ABOUT THE LUNG INJURY.
AND WE KNOW THAT PATIENTS IN TEXAS RANGE IN AGE FROM 13 TO 75 YEARS OLD WITH A MEDIAN AGE OF 22 YEARS.
SO WE KNOW THAT THOSE WHO ARE MOST AFFECTED AND ARE DISPROPORTIONATELY YOUNGER THAN THE TYPICAL AVERAGE SMOKER THAT WE HEAR AS WHO SMOKED FOR YEARS
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AND NOW HAVING SOME HEALTH HEALTH EFFECTS.AS A RESULT, WE'RE SEEING THIS AS A MUCH YOUNGER POPULATION.
SO WE CAN MOVE TO THE NEXT SLIDE.
SO A COVEN, 19 RISKS OF VAPING AND SMOKING.
I KNOW WE'RE IN THE MIDST OF A PANDEMIC AND COBRA 19 DEFINITELY IS ON THE TOP OF ALL OF OUR MINDS.
UM, AND WE'D BE REMISS TO NOT TALK ABOUT HOW TO BE 19.
UM, MAY OR MAY NOT HAVE A LINK TO THIS SPECIFIC TOPIC AS WELL.
AND SO WE KNOW THAT SMOKING AND TOBACCO USE, THAT PEOPLE WHO USE AND SMOKE CIGARETTES, UH, MAY BE AT INCREASED RISK OF COBY 19.
THIS SECTION BECAUSE THE VIRUS CAUSES COVINA THAT CAUSES COBRA 19, BECAUSE, UH, THEY MAY HAVE WORSE OUTCOMES BECAUSE OF THAT, THAT REDUCED LUNG FUNCTION THEY MAY HAVE BECAUSE KEVIN 19 IS SUCH A NEW DISEASE AND BIG PRODUCTS ARE SUCH NEW, UM, THERE'S SUCH NEW PRODUCTS ON THE MARKET.
WE DON'T REALLY KNOW HOW AN IDEA, IF THERE'S A CORRELATION THERE AND SO MORE RESEARCH IS NEEDED TO BE DONE.
BUT WE DO KNOW THAT IF WITH TOBY 19, IF YOU HAVE THIS ONE FUNCTION, YOUR POTENTIAL FOR HAVING SOME COMPLICATIONS WITH THE DISEASE IS DEFINITELY THERE.
SO WE CAN MOVE ON TO THE NEXT SLIDE.
UM, THE NEXT SLIDE SHOULD SAY IMPACT OF E-CIGARETTES.
AND SO LET ME GET MORE OF A DETAIL ON IMPACT OF E-CIGARETTES AND WHAT WE'VE SEEN.
SO FROM 2017 TO 2018, WE SENT, WE HAVE SEEN AN INCREASE OF 78% AMONG HIGH SCHOOL STUDENTS AND 48% AMONG MIDDLE SCHOOL STUDENTS IN THE U S AND COMPARE THAT TO THE NUMBER OF ADULTS.
SO WE DON'T HAVE A TRAVIS COUNTY LEVEL DATA FOR YOUTH, BUT WE KNOW THAT TRAVIS COUNTY ADULTS, UH, USE, UM, E-CIGARETTES.
AT 19.8% OF TRAVIS COUNTY ADULTS HAD EVER USED AN E-CIGARETTE OR OTHER ELECTRONIC VAPING PRODUCTS.
AND AT 4% OF TRAVIS COUNTY ADULTS, OUR CURRENT TOBACCO USERS, WHEN WE LOOK AT, UH, CHILDREN'S YOUTH OR YOUNG ADULT, UM, UNDER 18 YOUTH, UH, WITHIN THE U S WE KNOW THAT 28, 20.8% OF THOSE ARE HIGH SCHOOL STUDENTS AND 4.9% ARE MIDDLE SCHOOL.
UM, AND SO THAT ACCOUNTS FOR 3.6 MILLION, UH, VUS, MIDDLE AND HIGH SCHOOL STUDENTS UTILIZING UM, E CIGARETTES.
IF WE CAN MOVE TO THE NEXT SLIDE.
THIS SLIDE SHOULD BE TITLED ELECTRONIC PRODUCT USE, PREVALENCE AND T MY TEXAS YOUTH IN 2018.
AND SO THIS, UM, IS FROM A DATA SOURCE THAT'S COLLECTED WITHIN TEXAS AND IT IS THE, UM, TEXAS YOUTH TOBACCO SURVEY.
AND SO FROM THAT 2018 YOUTH TOBACCO SURVEY, YOU CAN SEE THE RATES AT WHICH, UM, TEXAS YOUTH ARE UTILIZING ELECTRONIC CIGARETTES.
AND OF THOSE WHO HAVE EVER TRIED ELECTRONIC VAPOR PRODUCT, UM, EVER IN THEIR LIFETIME, YOU SEE 70% OF THOSE ARE HIGH SCHOOL STUDENTS AND 4.9% ARE MIDDLE SCHOOL STUDENTS.
AND IF YOU THINK ABOUT IT, IT'S 25.7% OF STUDENTS CLASSIFY ELECTRONIC VAPOR PRODUCTS AS NOT VERY DANGEROUS OR NOT DANGEROUS AT ALL.
SO THEY'RE TRY, THEY'RE WANTING TO TRY IT.
THERE'S NOT A WHOLE LOT OF DETERRENT FOR THAT.
IF WE TALK ABOUT HOW DANGEROUS THE PRODUCT IS, THEY DON'T SEE IT AS A DANGEROUS PRODUCT AND IT'S 21.9% OF THEM ALL REPORTED HAVE EVER HAVING USED ELECTRONIC VAPOR PARKING LOT TIME AND THEN WE KNOW THAT THIS IS MOST COMMON AMONG HIGH SCHOOL STUDENTS, BUT MIDDLE SCHOOL STUDENTS ARE USING VAPING DEVICES AS WELL AND WE'VE SEEN THAT WITHIN THE PAST MONTH.
THOSE THAT REPORT INTO THE SURVEY THAT 4.9% HAVE EVER TRIED CIGARETTES, E-CIGARETTES AND 2.8% HAVE USED IN THE PAST MONTH AMONG MIDDLE SCHOOL.
AND I THINK WHAT'S ALSO ALARMING, IF YOU JUST LOOK AT IN THE LAST PIECE OF THIS IS WHERE YOU SEE THAT IN THE LAST ONE TO TWO DAYS OF THOSE MIDDLE SCHOOLERS, 1.3% ARE USING WHAT THE LAST TWO, ONE TO TWO DAYS AND 4.6% OF HIGH SCHOOL OR SO THOSE ARE ACTIVE USERS WHO ARE USING ON A REGULAR DAILY BASIS.
WE CAN MOVE TO THE NEXT SLIDE IF I SHOULD BE TITLED YOUTH AND FLAVORED TOBACCO.
AND SO IN ADDITION TO KNOWING THAT E-CIGARETTES ARE DEFINITELY ATTRACTIVE TO USE, WE ALSO KNOW THAT FLAVOR TOBACCO, MEANING MENTHOL AND OTHER LABOR TYPE OF TOBACCO ARE ALSO ATTRACTIVE TO YOUTH.
UH, WE KNOW THAT THEIR FIRST USE, AND I THINK THIS IS PROBABLY THE MOST ALARMING STATISTIC ON THIS SLIDE, THAT 81% OF YOUTH, THEIR FIRST USE OF TOBACCO WAS A FLAVORED TOBACCO PRODUCT.
UM, AND IF WE CAN DO ANYTHING TO DELAY THE OF FIRST USE OR EVER USE, UM, THAT THAT'S A LOT TO ACCOMPLISH THERE.
AND JUST KNOWING THAT KIND OF GIVES US A WAY TO, UH, TARGET INTERVENTIONS
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AND TO ADDRESS CERTAIN THINGS.AND SO PART OF IT ALSO THERE'S EASY AVAILABILITY OF FLAVORED TOBACCO, INCLUDING MENTHOL.
AND THIS ALSO CAUSES AN INCREASE IN YOUTH TOBACCO USE.
AND THEN MENTHOL AND OTHER FLAVORS, THEY REDUCE THE HARSHNESS OF TOBACCO IN THE MOUTH AND THROAT AND INCREASES THE APPEAL OF NICOTINE EXPOSURE AND DEPENDENCE.
UM, SO THIS IS A REALLY IMPORTANT PIECE TO THINK ABOUT AND THINK ABOUT HOW THESE TYPES OF TOBACCO PRODUCTS ARE DISPROPORTIONATELY USED BY, UH, YOUNGER, YOUNGER TOBACCO USERS.
AND THEN ALSO WE SEE IT DISPROPORTIONATELY USED BY, UM, AFRICAN AMERICAN YOUTH AS WELL.
WE HAVE SEVEN AND 10, UH, AFRICAN AMERICAN YOUTH, UM, SMOKE MENTHOLS.
AND, UM, SO NEXT SLIDE I'M GOING TO TURN IT OVER TO STEPHANIE HEALTHMAN.
UM, SHE'S GOING TO REVIEW THE DIFFERENT STRATEGIES THAT WE'VE BEEN ABLE TO EMPLOY, UM, ALONG THE, AT THE LOCAL LEVEL, UH, TO ADDRESS TOBACCO AND ALSO E-CIGARETTES.
SO STEPHANIE, ARE YOU ON? GOOD AFTERNOON.
THANK YOU CASSIE FOR SHARING THE DATA AND SHARING IN FACT, UM, WHY IS IT IMPORTANT TO DRESS? UM, I WANTED TO SHARE SOME OF THE RECENT ACTIONS THAT HAVE HAPPENED IN THE PAST YEAR TO LIMIT YOU BACK TO TOBACCO.
THERE ARE ACTUALLY SOME POSITIVE CHANGES TO PROTECT YOU TO IMPROVE THE PUBLIC HEALTH OVERALL.
THIS SLIDE SHOULD SAY, UH, TOBACCO 21 LAW PASSED IN TEXAS IN SEPTEMBER.
AND AS A RESULT, IT INCREASED THE AGE OF TWO CIGARETTES AND EACH BED OR ANY TOBACCO PRODUCTS TO 21 YEARS OF AGE AFTER TOBACCO PASSED IN TEXAS IN SEPTEMBER, THE FEDERAL TOBACCO 21 LAW PASSED IN DECEMBER.
SO THIS BECAME THE LAWS OF LAND AND JUST NOW UNIVERSALLY, UNIVERSALLY THE CASE THAT TOBACCO CANNOT BE PURCHASED UNDER THE AGE OF 21.
SO, UM, IN ADDITION, WHEN FEDERAL TOBACCO 21 PASSED, SO I KNOW PREVIOUS LAWS IN SOME STATES INCLUDING TEXAS, HAD EXEMPTIONS FOR MEMBERS OF THE MILITARY, BUT IN FEDERAL LAW THERE WERE NO EXEMPTIONS.
SO THAT ALSO STRENGTHENED THE PROVISIONS OF THE LAW AND IMPROVED PUBLIC HEALTH.
UM, SO THAT'S A POSITIVE CHANGE THAT'S GONE TO THE NEXT SLIDE.
FEDERAL FEDERAL TOBACCO REGULATIONS.
SECOND ACTION THAT OCCURRED, UH, THROUGH THE FDA WAS THAT ON JANUARY 2ND, THE FDA FINALIZED A GUIDANCE TO PROHIBIT THE SALE OF CARTRIDGES, E-CIGARETTES FLAVORS THAT AREN'T SOBER WITH MENTHOL TOBACCO.
AND SO THIS AGAIN WAS POSITIVE CHANGE THAT HAPPENED WITH HERE RELATED TO LIMITING ACCESS TO LABORED CARTRIDGES OF CAFFEINE MENTIONED EARLIER.
FLAVORS ARE, ESPECIALLY IF YOU'VE BEEN TOO YOUNG FOR MOST YOUNG PEOPLE DO START USING THE FLAVORED PRODUCT.
SO THIS REGULATION DOES LIMIT THOSE FLAVORS, ESPECIALLY IN THE CARTRIDGE SPACE ACTUALLY SPECIFICALLY IN THE CARTRIDGE BASED E-CIGARETTES.
SO THAT AGAIN WAS A POSITIVE CHANGE.
HOWEVER, THERE WERE SOME LOOPHOLES IN THE SLOT AND THESE ARE SOME IMPORTANT CONSIDERATIONS OR SO ONE OF THE LOOPHOLES WAS THAT THIS ONLY ADDRESSED CARTRIDGE BASED CIGARETTES.
SO THERE ARE OTHER TYPES OF E-CIGARETTES THAT ARE AVAILABLE ON THE MARKET, BUT AT THE TANK BASED E-CIGARETTES THAT YOU KNOW, ANYBODY WHO GOES TO A VAPE SHOP TO MAKE A, A FOODIE OR UM, OTHER FLAVORED, UM, YOU SAY A LIQUID, UM, AND UTILIZE THAT PRODUCT.
UM, SO THOSE ARE THE TANK BASED PRODUCTS WHICH WERE NOT INCLUDED IN THE SIMULATION.
IN ADDITION, THERE ARE DISPOSABLE PRODUCTS AND THIS IS SOMETHING THAT I THINK WE DEFINITELY NEED TO BE CONSIDERING AND KEEPING AN EYE ON AS AN EMERGING ISSUE.
A DISPOSABLE PRODUCTS THAT ARE FLAVORED AND THERE ARE SEVERAL PRODUCTS THAT ARE AVAILABLE IN BETTER FLAVOR.
THEY HAVE PINK LEMONADE, OTHER TYPES OF PHOTOS THAT WE'VE SEEN IN THE CARTRIDGE BASED CIGARETTES THAT ARE NOW AVAILABLE AND IN FACT ARE LESS EXPENSIVE THAN CARTRIDGE BASED CIGARETTES.
SO, UM, THAT FDA, UH, GUIDANCE DID NOT PROHIBIT THESE DISPOSABLE E-CIGARETTES.
SO I THINK THIS IS SOMETHING TO CONSIDER.
AND THE FINAL LOOPHOLE, NOTICE THAT MENTHOL WAS NOT INCLUDED AS A FLAVOR AS YOU'VE ALREADY TALKED ABOUT.
IT DOES MAKE THE, UM, MAKE, MAKE IT MORE APPEALING IN TERMS OF, AND IT DOES MAKE CIGARETTES AND E-CIGARETTES LESS HARSH.
AND SO THE FACT THAT MENTHOL WAS NOT INCLUDED IN THIS REGULATION IS ALSO A POTENTIAL LOOPHOLE THAT CAN, UM, WE ALSO HAVE TO KEEP AN EYE ON THIS BECAUSE WHAT WE MAY SEE IS THAT COMPANIES MAY CHANGE THE WAY THAT THEY LABEL THESE CIGARETTES AND START CALLING THINGS MENTHOL
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OR FRESHMEN THOUGHT ACTUALITY.THE LINE BETWEEN MENTHOL AND MINT IS VERY FINE AND SEE THAT SOME NEW PRODUCTS BECOME LABELED AS MENTHOL OR FRESHMEN FALL IN ORDER TO STAY ON THE MARKET.
SO WE'RE DEFINITELY GOING TO HAVE TO CONTINUE TO MONITOR THIS AND ENSURE THAT THE FLAVORS DO NOT TARGET YOU.
SO AS A RESULT OF THOSE DIFFERENT PEOPLES, I THINK THAT THE CITY AND AUSTIN FOR THE COWS ARE CONSIDERING AND KEEPING AN EYE ON OTHER TYPES OF POLICIES THAT ARE POTENTIAL, UM, POLICIES THAT COULD CONTINUE TO IMPROVE PUBLIC HEALTH AND PROTECT ME FROM CIGARETTES AND THINGS THAT OTHER CITIES HAVE DONE.
AND THIS CAN INCLUDE EXPLORING POLICY ACTIONS RELATED TO LIMITING FLAVOR EVEN MORE AND POTENTIALLY ADVERTISING TO THE EXTENT THAT WERE POSSIBLE HERE IN TEXAS.
MOVE ONTO THE NEXT BITE PLEASE.
SO OTHER THINGS THAT AUSTIN CURRENTLY DOING TO ADDRESS E-CIGARETTES INCLUDE EDUCATION AND AWARENESS CAMPAIGNS.
AND THESE CAMPAIGNS HAVE TAKEN PLACE THROUGHOUT THE PAST YEAR AND WILL CONTINUE THIS YEAR AS WELL.
AND THESE CAMPAIGNS ARE ADDRESSING PREDOMINANTLY, UM, TWO IMPORTANT, ONE BEING PARENTS OF TEENAGERS AND THE SECOND BEING YOUNG ADULTS AGES 18 TO 25.
SO TO SEE, UH, SOME OF THE OUTCOMES OF OUR FIRST VIDEO IN THIS CAMPAIGN WHERE THEY'RE EFFECTIVE IN REACHING OUR POPULATION.
HE'S A LITTLE BIT OVER 5 MILLION IMPRESSIONS AND, UM, OVER MULTIPLE TYPES OF MEDIA AND WILL CONTINUE TO DO TO DO THIS MOVING FORWARD.
IF YOU CLICK ON THAT PICTURE, YOU WILL SEE A ONE MINUTE VIDEO.
UH, WHENEVER I ASKED, UM, IF THAT CTM IS ABLE TO CLICK ON THAT, I'M NOT TELLING YOU IS HE CUTE? IS IT THE BOY THAT ALWAYS TALKS TO YOU? MAYBE HIM.
BUT I LIKE THAT YOU JUST MISSED THE TOBACCO INDUSTRY'S LATEST SCAN BECAUSE YOU WERE SUPPOSED TO.
SO MANGO, JOEY, I'M NOT TELLING YOU IS HE CUTE POWER POINTS.
SO ONE OF THE THINGS THAT WE WERE POINTING OUT IN THAT PARTICULAR PIECE IS HOW CHALLENGING IT CAN BE FOR PARENTS TO BE ABLE TO IDENTIFY OR DECIPHER AND E-CIGARETTE HOW YOU CAN SEE THE TWO GIRLS ARE USING AN EASY BET THAT LOOKS LIKE A FLASH DRIVE, A VERY COMMON TYPE OF INSTAGRAM.
AND WITHOUT REALLY PAYING CLOSE ATTENTION TO IT CAN BE VERY EASY TO MESS.
AND SO BENEFIT TYPE OF MESSAGING THAT WE'RE TRYING TO GET OUT TO PARENTS IN ADDITION TO THE HEALTH EFFECTS.
IT'S JUST OVERALL AWARENESS OF WHAT THESE DEVICES LOOK LIKE.
OF COURSE, NEW DEVICES ARE CONSTANTLY ENTERING THE MARKET.
AND SO HOW'D YOU DECIDE THAT THESE LOOK LIKE AND BE ABLE TO TALK WITH YOUR TEEN OR YOUNG ADULT AT THE OUTSET, HOW THEY PRACTICE THEIR DEVICES AND FIND THEM IF WE COULD PAY INTO THE NEXT SLIDE.
ANOTHER AREA WE'RE CONTINUING TO FOCUS ON IN AUSTIN PUBLIC HEALTH.
CONTINUING TO CHANGE THE NORMS AROUND SMOKING AND CIGARETTE USE.
UM, THE CITY HAS COME A LONG WAY AND THERE'S REALLY, REALLY GOOD AND UH, ADDRESSING TOBACCO AND E-CIGARETTES.
AND ONE OF THE PLACES WHERE WE'RE STILL MAKING PROGRESS IS IN TERMS OF OUR TOBACCO FROM CITY OF AUSTIN LOCATION.
WE HAVE ABOUT HALF OF OUR CITY LOCATIONS ACTUALLY MORE NOW THAT ARE TOBACCO FREE LOCATIONS.
AND THIS MEANS THAT NO SMOKING, VAPING IS ALLOWED ON ANY PART OF THE PROPERTY IN PARKING LOTS.
THE ENTIRE CAMPUS AND THE SEATING.
SEE LIVING RECOMMENDS THESE TYPE OF POLICIES THAT GO STRONGER.
THERE ARE MORE EFFECTIVE THAN A SMOKING ORDINANCES BY TAKING IT A STEP FURTHER AND THEY'RE VERY EFFECTIVE IN TERMS OF HELPING TOBACCO USERS AND E-CIGARETTE USERS TO QUIT.
SO WE'RE FORTUNATE THAT CITY HALL RECENTLY WE WENT TO THAT GROUP IN OCTOBER AND MANY OTHER DEPARTMENTS ARE ALSO CONSIDERING THIS POLICY CHANGE.
LOOKING FORWARD TO CONTINUING TO HEAR THE REMAINING CITY DEPARTMENTS SO THAT WE CAN HAVE TOBACCO FREE WORKPLACE ON NEXT SLIDE.
AND FINALLY AS WE CONSIDER THE IMPORTANCE OF UM, ADDRESSING TOBACCO USE WITH SMOKING CIGARETTES AND
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TOBACCO OVERALL.UM, IT'S IMPORTANT TO THINK ABOUT THE COST, UM, THAT TOBACCO HAS IN TERMS OF INCREASED COST TO THE CITY AND THE 2020 AND WE ESTIMATE THAT TOBACCO USE IS COSTING THE CITY OF AUSTIN OVER $4 MILLION IN TERMS OF ABSENTEEISM IN HEALTH CARE COSTS AND SMOKE BREAKS.
SO AGAIN, THIS IS A HEALTH ISSUE THAT DOES REALLY HAVE A FISCAL IMPACT AS WELL AS THE HEALTH.
I'D LIKE TO TURN IT BACK OVER TO CASSIE.
DOES SHE EXHIBIT SOME FINAL REMARKS?
SO WE JUST WANTED TO GIVE A PERSPECTIVE ON WHERE WE ARE ON ALL THESE TOBACCO PRODUCTS.
AND OUR EFFORTS TO MAKE THINGS, UM, MAKE OUR COMMUNITY HEALTHIER AND ADDRESS THESE EMERGING CONCERNS FOR OUR, OUR COMMUNITY AS WELL.
IT'S KEY THAT WE ARE, UM,
UM, WITH THAT, I'D LIKE TO OPEN FOR QUESTIONS.
THANK YOU VERY FOR THIS PRESENTATION.
I HAVE SOME QUESTIONS ABOUT THE, THE SCOPE OF WHAT THE CITY CAN DO FROM A, FROM A ENFORCEMENT OR REGULATORY STANDPOINT.
SO JUST A COUPLE OF QUESTIONS.
SO ON LOW SALES UNDER 21, DO, DOES THE CITY HAVE A ROLE IN ENFORCING THAT OR IS THAT ALL I DON'T RECALL OR STATE.
SO COUNCIL MEMBER KITCHEN, THAT IS A REALLY GREAT QUESTION.
A CITY DEFINITELY HAS A ROLE IN AN ENFORCING, UH, THE NO CELL UNDER 21.
UM, AS PREVIOUSLY THE TOBACCO LAWS WERE NO SALE UNDER 18 AND CITY, UH, IN ANY LAW ENFORCEMENT IN THE STATE OF TEXAS HAD A ROLE IN ENFORCING THAT, UM, THAT LAW.
AND SO SIMILARLY, THE, THE CITY WOULD HAVE THE SAME ROLE IN ENFORCING THAT COMPONENT AS WELL.
UM, IT'S ESSENTIALLY SAME TYPE OF, UM, LEGISLATION TO CHANGE THE ACTUAL AGE OF, UH, BACK THOUGH.
UM, PRODUCT SELLS, UH, IT'S CHANGED THE DEFINITION OF, OF WHAT A MINOR IS FOR THAT, UM, ABILITY TO PURCHASE THAT PRODUCT.
UH, STEPHANIE, DO YOU HAVE ONE THING TO ADD ON THAT? YEAH, MY QUESTION.
UM, I'M INTERESTED IN, IN, IN FORCEMENT ON THE PEOPLE THAT ARE SELLING, MMM.
NOT THE YOUTH PER SE, BUT ON THE, ON THE, UM, STORES OR COMPANIES THAT ARE SELLING.
SO FOR EXAMPLE, ONE OF THE CONCERNS THAT WAS RAISED WITH FOR US WAS THE, THE JUUL, UM, UM, HEADQUARTERS ON SOUTH LAMAR.
AND, UH, THE QUESTION WAS RAISED, COULD WE IN THE CITY, UH, REGULATE AND PREVENT THEM FROM SELLING AT THAT LOCATION? MMM.
I GUESS WHAT I'M ASKING FOR IS A BROADER QUESTION THAT MAY NOT BE SOMETHING THAT YOU ALL CAN ANSWER RIGHT NOW.
I'D LIKE TO HAVE SOMETHING IN WRITING ON THE, ON THE SCOPE OF OUR REGULATORY AUTHORITY.
I WANT TO KNOW IF WE CAN PREVENT THE PLACES THAT ARE, THAT ARE SELLING, UM, AND THEN OR, AND, OR AT LEAST PREVENT THEIR SALES TO, UM, TO MINORS AND THAT, UM, AND THAT WE HAVE, UM, A PROCESS IN PLACE THAT WE'RE DOING THAT.
SO DO YOU, ARE YOU FAMILIAR WITH WHAT WE'RE DOING IN TERMS OF ENFORCEMENT AGAINST THE, UM, UM, AGAINST THE PLACES THAT ARE SELLING? SO, SO THE LAW, TEXAS LAW DOES, UM, YOU KNOW, CRIMINALIZE, IF YOU SELL A TOBACCO PRODUCT TO A CHILD, UNFORTUNATELY THE PLACE THAT, THAT CRIMINALIZES IS REALLY ON THE POINT OF SALE.
UM, AND, AND THAT'S BEEN PROBLEMATIC, UM, FROM THE BEGINNING OF ANY OF OUR UNDER, UM, UNDER AGE CELLS TO, YOU KNOW, TOBACCO PRODUCTS.
UM, BECAUSE THAT'S DEFINITELY A CONCERN.
[00:30:01]
WORK AT THE STATE LEVEL TOO.UM, I SENT BACK A RETAILERS AND SO THERE IS, UM, IT STARTS THERE THAT IF THEY CONTINUE THEIR HABITUAL OFFENDERS OR WHATNOT THAT HAD THEIR LICENSE COULD BE IN JEOPARDY, ALTHOUGH I HAVEN'T SEEN HER BIKE EVER POOL.
UM, BUT THE TICKETING DOES HAPPEN AT THE LOCAL LEVEL.
THAT BEING SAID, BIG, UH, INDUSTRY, UH, SUPPLY, UH, I'LL REALLY IMMUNE TO THOSE KINDS OF ENFORCEMENT ACTIONS.
AND SO I THINK THAT'S FOR A LITTLE BIT MORE, AND SORRY, WHAT WAS THE LAST PART, WHAT YOU SAID.
I THINK THAT'S A PIECE THAT WE NEED TO CONTINUE TO EXPLORE TO SEE WHERE, UM, PARTICULARLY AT THE LOCAL LEVEL, BECAUSE ALL OF THE LEGISLATION HAS BEEN DONE AT THE STATE LEVEL, BUT PARTICULARLY THE LOCAL LEVEL, WE'RE GUARDING THE CELL AND THE, UM, IMPACT, UH, TO THE, UM, UH, INDUSTRY, UH, THAT'S, UH, SUPPLYING THE PRODUCT, UH, AND, AND, AND THE ACTUAL RETAILER.
WHAT ARE THE THINGS THAT CAN BE DONE SPECIFICALLY AT THE LOCAL LEVEL? UM, BECAUSE I'M NOT SURE THAT THE LAWS IS THAT LATITUDE, SO WE NEED TO DO A LITTLE BIT MORE RESEARCH ON IT.
I KNOW THAT WE HAVE LOCAL LAWS IN PLACE THAT RELATE TO OR AT LEAST REQUIRE, UM, A WAIVER IN ORDER TO, TO LOCATE, UH, ALCOHOL SALES NEAR SCHOOLS, FOR EXAMPLE.
AND SO I'M CURIOUS IF WE'RE DOING ANYTHING ALONG THOSE LINES.
YEAH, THAT'S A REALLY GOOD, THAT'S A VERY GOOD QUESTION.
A COUNCIL MEMBER KITCHEN AND ABOUT THE ZONING OF TOBACCO, UM, UH, RETAIL OUTLET.
UM, IT'S AN IMPORTANT QUESTION TO THINK ABOUT IN OUR CODE AND, AND, AND, AND WHATNOT.
UM, AND I, I THINK THAT'S DEFINITELY A PLACE THAT CAN BE RESEARCHED.
I DON'T KNOW THAT WE'VE BEEN SUCCESSFUL AT THE STATE LEVEL TO GET THAT KIND OF ZONING, UM, UH, REGULATION IN PLACE FOR TOBACCO OUTLETS.
BUT, UM, WE CAN DEFINITELY TAKE A LOOK AT THAT.
UM, ARE THERE ANY OTHER THOUGHTS THAT YOU ALL HAVE HAD THAT WOULD BE HELPFUL AT A LOCAL LEVEL? UH, IN TERMS OF POLICY CHANGES THAT THE COUNCIL COULD MAKE? SO I'M TO STEPHANIE JUMP ON THAT ONE.
UM, CAUSE YOU HAD SOME CONVERSATIONS ABOUT THAT TOO IN CASE, UH, YOU KNOW, THERE WAS AN ASK ABOUT THAT.
SO STEPHANIE, DO YOU HAVE SOME RESPONSE? ONE OF THE THINGS THAT WE'RE SEEING SOME TRACTION IN OTHER CITIES WITH GARDENS MORE COMPREHENSIVELY AND NOT INCLUDE MENTHOL IN CIGARETTES IN ADDITION TO E-CIGARETTE FLAVORS.
AND SO WHAT WE'RE SEEING CITIES AND CITIES AND STATES IN CALIFORNIA, COLORADO, MASSACHUSETTS AND SO THIS IS MORE COMPREHENSIVE TYPE POLICY.
OF COURSE THE FDA GUIDANCE WAS VERY POSITIVE, BUT WE SEE THEY'RE TAKING IT IN STEPS AND WITH IT BEING ALL FLAVORED PRODUCTS INCLUDING MENTHOL.
AND SO THAT'S SOMETHING THAT THEY'RE CONSIDERING THAT I THINK WE CAN, UM, WHETHER OR NOT, YOU KNOW, IT CAN BE ACCOMPLISHED AND LEGAL HERE IS SOMETHING THAT WE'RE STILL WORKING THROUGH.
UM, BUT CERTAINLY SOMETHING THAT COULD POTENTIALLY IMPACT AND REALLY ASSIST WITH REDUCING ACCESS TO THOSE FLAVORS.
I WILL FOLLOW UP BECAUSE I'D LIKE TO, UM, UNDERSTAND BETTER WHAT WE CAN DO.
IT SOUNDS LIKE Y'ALL ARE EXPLORING TO MARIUS.
THANK YOU FOR ASKING THOSE QUESTIONS.
I THINK THOSE ARE REALLY IMPORTANT CONSIDERATIONS.
UM, AND THANK YOU TO OUR STAFF FOR THE PRESENTATION.
UM, I WANTED TO ASK YOU ABOUT THE EXTENT TO WHICH AUSTIN PUBLIC HEALTH IS WORKING WITH OUR AREA SCHOOL DISTRICTS TO PROMOTE EDUCATION ABOUT THIS.
I KNOW JUST FROM MY OWN EXPERIENCE WITH TWO MIDDLE SCHOOLERS IN DIFFERENT SCHOOLS, THERE ARE, YOU KNOW, SOME SCHOOLS EMPHASIZE, EMPHASIZE THIS MORE THAN OTHERS AND HAVE POSTERS AND OTHER KINDS OF INFORMATION.
AND SO I WONDERED HOW CLOSELY YOUR EDUCATIONAL OUTREACH IS TIED INTO WHAT'S GOING ON IN EITHER HEALTH CLASSES OR, UM, THROUGH ADVISORIES AND OTHER KINDS OF MIDDLE SCHOOL OUTREACH OPPORTUNITIES.
WE'VE ACTUALLY HAD SOME SPECIFIC INTERVENTIONS RELATED, UH, AND, AND WORKING WITH THE SCHOOL DISTRICTS.
UM, STEPHANIE, DO YOU WANT TO COVER THOSE? SURE, I'D BE HAPPY TO.
SO WE HAVE A PARTNERSHIP WITH LOCAL SCHOOL DISTRICTS
[00:35:01]
BEGINNING BACK IN TOTAL, WE WERE IN THE MIDDLE OF THE EPIDEMIC AND ONE OF THE WAYS THAT WE PARTNERED WAS BY GETTING CLUSTERS INTO EVERY, UM, AUSTIN ISD, MIDDLE SCHOOL AND HIGH SCHOOL AS WELL AS LOCAL AND OTHER SCHOOL DISTRICTS.SO WE'RE ABLE TO PROVIDE VOCATIONS.
IN ADDITION TO THAT, WE HAVE PRESENTATIONS THAT WE HAVE BEEN ABLE TO GIVE TO PTA MEETINGS AND WE'VE DONE THEM AT THE DISTRICT LEVEL IN DEL VALLEY FOR THEIR HIGH SCHOOL.
THAT WAS A DISTRICT WIDE MEETING AND THAT'S SOMETHING THAT WE HAVE OFFERED TO OTHER SCHOOL DISTRICTS AS WELL.
AND THEY'RE HAPPY TO COME IN AND VENT A PTA OR PARENT GROUP OR GROUP OF TEACHERS.
IN ADDITION, AUSTIN HAS REALLY TAKEN A POSITIVE STEP IF I'M GETTING A CURRICULUM CALLED CATCH MY BREATH.
AND THIS IS AN EVIDENCE BASED CURRICULUM THAT WAS CREATED BY UNIVERSITY, UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTH AND THEY HAVEN'T PROMOTED IT IN ALL OF THEIR SCHOOLS, MIDDLE SCHOOL.
UM, AND SO THEY ARE REALLY TAKING A LEAD, I WOULD SAY IN EDUCATION, UM, CURRICULUM TYPE INTERVENTIONS AND ANOTHER PLACE THAT WE'RE ABLE TO HELP SUPPORT THOSE BY SUPPORTING OTHER SDS IN TERMS OF THEIR, UM, THEIR SHOCKS PRESENTED TO PFLUGERVILLE SHOCK TO SEE HOW WE CAN ASSIST THEM IN GETTING A CURRICULUM OR DOING OTHER INTERVENTIONS FOR PARENTS AS WELL.
UM, SO THOSE ARE SOME OF THE THINGS THAT WE'VE DONE AND I THINK IT'S A REALLY IMPORTANT, UM, QUESTION THAT YOU ASKED AND WE CONTINUED TO SEE HOW WE CAN SUPPORT OUR LOCAL SCHOOL DISTRICTS.
UM, I WAS UNABLE, I COULDN'T QUITE HEAR ONE OF YOUR RESPONSES.
I THINK I HEARD YOU SAY THAT DURING THE PANDEMIC YOU WERE ABLE TO PUT POSTERS IN EVERY AISD CAMP ON EVERY AISD CAMPUS, BUT DID I HEAR THAT CORRECTLY? YES, THAT'S CORRECT.
SO WE PROVIDED POSTERS TO ALL, AT LEAST ALL OF OVER 500 POSTERS AND WE WORKED DIRECTLY WITH THE SCHOOL HEALTH, UM, STAFF AT THE DISTRICT LEVEL TO GET THOSE OUT.
AND THAT WAS IN CONJUNCTION WITH RED.
WE'RE GOING TO WEEK IN OCTOBER.
I, SO THOSE WERE ABOUT VAPING, ABOUT THE DANGEROUS OF VAPING? YES, THEY WERE.
THEY WERE ON THE DANGERS OF VAPING.
UM, AND YOU SAID THAT THE NAME OF THE CURRICULUM THAT IS NOW IN EVERY AISD SCHOOL IS CALLED CATCH MY BREATH? YES.
DO YOU KNOW HOW THOSE ARE, HOW THOSE ARE IMPLEMENTED? ARE THOSE THROUGH THE ELECT THE HEALTH ELECTIVE OR ARE THOSE DONE IN, IN THE ADVISORY THAT AT MOST SCHOOLS HAVE? I BELIEVE IT'S DONE IN THE HEALTH ELECTIVE.
BUT I DO BELIEVE IT'S DONE IN HEALTH.
AND SO THAT'S UM, THAT'S WHERE ALL GOOD OUTREACHES.
I WONDER IF THERE'S A WAY TO GET IT TO, TO HAVE THAT CURRICULUM EMBEDDED WITHIN, WITHIN THEIR REGULAR ADVISORY BECAUSE NOT MANY STUDENTS WON'T TAKE HEALTH IN THEIR MIDDLE SCHOOL YEARS.
THEY'LL WAIT UNTIL HIGH SCHOOL.
AND SO, UM, IT WOULD BE INTERESTING TO KNOW HOW THAT CURRICULUM IS, IS USED AND DELIVERED AND WHETHER THERE ARE OPPORTUNITIES AS I SAID, TO EMBED IT WITHIN, WITHIN THE ADVISORY CURRICULUM THAT MOST MOST MIDDLE SCHOOLS, MAYBE ALL MIDDLE SCHOOLS HAVE A WELL THANKS FOR THOSE, FOR THOSE SPECIFIC EXAMPLES.
AND THANKS FOR THE OUTREACH THAT YOU'RE DOING AMONG OUR YOUTH.
UM, I JUST HAD ACTUALLY SPOKE SIMILAR QUESTIONS TO COUNSEL RICK KITCHENS AND THOSE WERE ANSWERED JUST WHAT MORE POLICY IDEAS AND SPECIFICALLY THE UM, THE ENFORCEMENT AND UM, YOU KNOW, SOMETIMES WHEN THERE'S THE STATISTIC THAT THIS AFFECTS A SIGNIFICANT AMOUNT OF AFRICAN AMERICAN CHILDREN.
AND THEN WHEN WE PUT LAWS IN PLACE THAT WITHOUT REALLY GOOD EDUCATIONAL EFFORTS, IT'S ALMOST LIKE WE'RE, HOW DOES SHAME THE VERY PEOPLE WHO HAVE, WHO WE HAVE A HARD TIME REACHING.
SO, YOU KNOW, I THINK IT'S GOOD TO ADD AN ENFORCEMENT MECHANISM, BUT IT HAS TO BE LIKE VERY CAREFULLY PAIRED WITH A EDUCATIONAL EFFORT AS WELL.
SO I ALSO WAS, WAS INTERESTED IN THE ENFORCEMENT ON THE PEOPLE SELLING IT.
I WAS TRYING TO REMEMBER, UM, WHEN I WAS YOUNGER IT SEEMED LIKE IT WAS LIKE THE TBC THAT WOULD ENFORCE SELLER PART OF IT AND IT WOULD HAVE TO BE LIKE A SPECIAL LIKE STING OPERATION THAT THEY WOULD JUST DO AND YOU KNOW, YOU WOULD HEAR THAT, YOU KNOW, SO AND SO IT WAS, YOU, YOU WOULD KNOW THAT, THAT, YOU KNOW, A CERTAIN AREA WAS, WAS BEING REALLY CAREFUL ABOUT WHO THEY WERE SELLING ALCOHOL TO AT THAT TIME.
[00:40:01]
UM, MAYBE IT'S SOMETHING WE CAN ADD TO OUR LEGISLATIVE AGENDA IF IT'S NOT ALREADY ON OUR LEGISLATIVE AGENDA.SOMETHING ABOUT, UM, POLICY SPECIFIC FOR CAUSE IT ALMOST SEEMS, IT ALMOST SEEMS, UM, YOU KNOW, THAT'S GREAT THAT WE WERE ABLE TO GO UP TO THE 21, BUT THEN WE STILL ALLOW THEM TO MARKET AND TO, TO CREATE PRODUCTS THAT ARE SPECIFICALLY MEANT TO ENTICE PEOPLE UNDER 21.
SO, UM, I'D BE INTERESTED TO KNOW WHAT MORE WE CAN DO.
I DON'T HAVE ANY SPECIFIC QUESTIONS THOUGH BECAUSE ANYBODY ELSE, DID YOU WANT TO SAY SOMETHING? SO I YES.
AND COUNSEL IN REGARDS TO, I DEFINITELY, THAT'S PART OF THE WORK THAT OUR TEAM IS DOING AND ALSO IN PUBLIC HEALTH IS TO LOOK AT WHAT OTHER TYPE OF REGULATION THE UM, WE CAN DO AT THE LOCAL LEVEL TO ADDRESS, UM, UH, THE TYPE OF TOBACCO THAT'S BEING SOLD IN OUR COMMUNITY AND ALSO THE TYPES OF ADVERTISING.
THERE ARE DEFINITELY CONCERNS ABOUT PREEMPTION AT BOTH FEDERAL AND LOCAL AND STATE LEVEL FOR THOSE PIECES.
THE CURRENT TOBACCO LAW, UH, DOES CRIMINALIZE YOU FOR POSSESSION.
IT ALSO DOES HAVE SOME CRIMINALIZATION THERE FOR THE RETAILER AT POINT OF SALE.
BUT YOU'RE RIGHT, IT IS DONE IN A THING UNDERCOVER BY TYPE OF OPERATION.
UM, IT DOES NOT REQUIRE THAT TA THE FORCEMENT ENTITY.
UM, BUT IT IS A COSTLY AND TYPE OF OPERATIONS TO BE ABLE TO RUN LIKE THAT.
SO IT WAS SIMILAR TO UNDERCOVER ALCOHOL, UM, UH, THINGS THAT THERE'S, IT'S, IT STARTED THE SAME TYPE OF APPROACH.
UM, BUT DEFINITELY, AND THEN THERE'S ALSO WAYS FOR PEOPLE TO PROACTIVELY CALL REPORT THAT IS THAT THEY THINK THAT SOMEONE'S SELLING TO UNDERAGE TOBACCO UNDER EIGHT PRODUCTS TO UNDER AGE OR WHATNOT.
BUT TYPICALLY IT'S SECTOR THAT UNDERCOVER BY SEEING OPERATION AND STUFF.
SO WE'RE ON, UH, THE DIFFERENT TYPES OF POLICY OPTIONS THAT POTENTIALLY ARE ABBY FOR, UH, FOR, UH, ACCOUNTS THAT ARE, UH, BUT ALSO SOMETHING THAT WE CAN INTERVENE AT THE STATE LEVEL AND INFLUENCE STATE POLICY.
ANY OTHER QUESTIONS? ANY OTHER QUESTIONS? IT COUNTS IN YOUR KITCHEN.
UM, I COULDN'T QUITE HEAR, UM, WHAT SHE SAID RELATED TO THE LEVEL OF AUTHORITY.
IT MADE IT SOUND TO ME LIKE SHE SAID THAT, THAT THERE COULD BE ENFORCEMENT AT DIFFERENT LEVELS.
SO I WANTED TO ASK HER AGAIN AND THEN I WANTED TO ASK HER WHETHER, AND THIS I SHOULD KNOW, I'M JUST NOT REMEMBERING THE, THE UH, LAWS THAT WE HAVE IN PLACE CURRENTLY THAT PROHIBIT TOBACCO IN BARS AND RESTAURANTS, THOSE APPLY TO THE, UH, EBAY MATERIAL.
SO, UM, YES, WE DID EXPAND OUR CURRENT, UH, TOBACCO ORDINANCE TO INCLUDE E-CIGARETTE AND I JUST WANT TO MAKE SURE THAT WE FIND OUT IF THAT IS, MAKE SURE THAT THAT IS CORRECT.
WE DID INCLUDE
WHAT ELSE? UM, THAT WOULD, THAT, THAT CAN BE STATE POLICE.
ANY, ANYONE WHO WAS A LAW ENFORCEMENT OFFICER IN THE STATE OF TEXAS CAN DO THAT IN 4% APP.
SO IT DOESN'T REQUIRE THAT IT IS, UM, YOU KNOW, TABC IS NOT THE ONLY AGENCY THAT POTENTIALLY COULD ENFORCE THAT.
IT COULD BE, UM, STATE POLICE.
IT CAN BE LOCAL POLICE, IT'S BE COUNTY CONSTABLES.
IT CAN BE ANY LEVEL OF LAW ENFORCEMENT ENTITY CAN DO THE ENFORCEMENT ACT.
STAFF FOR VERBAL PRESENTATION.
AND, UH, PLEASE LET, PLEASE LET THIS COMMITTEE KNOW IF, WHEN YOU FIND ANY OR LEARN OF ANY POLICY IDEAS THAT WE COULD IMPLEMENT TO, UH, TO STOP, YOU KNOW, CHILDREN AND YOUNG PEOPLE FROM OR ANYONE FROM STARTING TO SMOKE.
KNOWING THAT KNOWING THE COST, I MEAN THERE'S DIFFERENT APPROACHES.
YOU CAN DO IT FROM THE COST PERSPECTIVE IF YOU CAN, EVEN THE HEALTH PERSPECTIVE.
THERE'S JUST SO MANY GOOD REASONS WHY WE SHOULD, UM, TRY TO PREVENT PEOPLE FROM STARTING TO SMOKE.
SO THANK YOU FOR THAT PRESENTATION.
[Item 2]
UM, IS IS MR BETINO BACK ON THE LINE? YEAH.[00:45:01]
GO AHEAD AND START YOUR PRESENTATION? LET ME IT'S SURE.SO I'LL TRY TO GO THROUGH THIS QUICKLY BECAUSE I'M IN VARIOUS SETTINGS.
I KNOW YOU'VE SEEN THIS SLIDE BEFORE AND I KNOW LINDA, RIGHT? THE AGENDA, IF WE COULD GO TO SLIDE NUMBER TWO, UH, THIS IS JUST PROVIDE YOU A REAL QUICK UPDATE BUDGET PICTURE WHERE THEY STARTED FIRING THE GROUP IN 19.
I'M SORRY IF I CAN JUST INTERRUPT YOU JUST REAL QUICK.
IF ANYBODY'S WATCHING THIS AS ITEM NUMBER NUMBER TWO, I'M REQUIRED TO GO OVER 19.
I'M FACING THE THREE AND A HALF A SECOND.
I'M GOING TO CAP AND POSE BY THE STATE.
NONETHELESS, WE WERE PROJECTING A BALANCED BUDGET, BRETT 21.
UM, BUT WE DID HAVE SOME GAPS IN THE OUT YEARS.
UM, WE WERE PROJECTING BUT OUR SHORT TERM PICTURE LOOKED PRETTY GOOD.
AND THEN COBY 19 HIT AND WE HAD TO UM, DEFINITELY SET DOWN LARGE PORTIONS OF OUR ECONOMY TO STOP THE SPREAD OF THE DISEASE.
AND THIS SLIDE IS SHOWING THE IMPACTS ON OUR GENERAL FUND REVENUES THAT WERE PROJECTED FOR FISCAL YEAR 20 AND 21.
IT'S IMPACTING OUR SALES TAX COLLECTION, MIXED RATE TAXES, UH, USER EVEN FINES, UM, OR UH, UM, CHARGES THAT WE ASSESS FOR UH, PARTICIPATION AND REC PROGRAM, LIBRARY PROGRAMS. UM, AND THEN IT'S ALL DOWN SIGNIFICANTLY FROM WHAT WE HAD FORECAST.
UM, WE DID A RAPID RESOLUTION AND LOW RESOLUTION SCENARIO.
UM, RIGHT NOW WE ARE ACTUALLY HIDING LINES WHERE ON THAT RAPID RESOLUTION, UM, ON TIMELINE IN REGARDS TO THE THINGS BEGINNING TO REOPEN.
BUT WE'RE CONTINUING TO FOCUS IN ON THIS LOWER RESOLUTION AND WE JUST DON'T HAVE ENOUGH DATA TO HAVE A REAL GOOD SENSE FOR UM, UM, UM, PROPER REVENUE.
UM, SO OUT OF PRUDENCE WE'RE CONTINUING TO PLAN FOR AND ANTICIPATE THESE LOWER RESOLUTION IMPACT WITH THE 57 POINT $6 MILLION LESS REVENUE.
THEN PLAN FOR FISCAL YEAR ONE AND $22 MILLION SHORT FOR FISCAL YEAR 21.
THAT THE REVENUE CONSEQUENCES ARE NOT ONLY ABOUT GENERAL SIGNIFICANT DECLINES, AIRPORT REVENUES AND UM, DEPARTMENT FEES.
IF YOU LOOK AT THE SUM TOTAL OF THOSE VARIOUS REVENUE DROPS ON THESE TWO SLIDES, YOU'RE IN THE NEIGHBORHOOD OF $200 MILLION REVENUE COMING INTO THE CITY, THE BIGGER CITY PROGRAMS AND SERVICES THAN WHAT WE HAD BEEN ANTICIPATING ON THE NEXT SLIDE.
UM, THE NEXT WEEK, LIKE REALLY WE START SHOWING SOME OF THE ACTIONS THAT ARE ALREADY UNDERWAY OR THAT ARE POTENTIAL OPTIONS FOR KEEPING OUR BUDGET IN BALANCE AND FOR MANAGING A FINANCIAL CRISIS.
AND WE HAD IMPLEMENTED, WE QUICKLY IMPLEMENTED A HIRING FREEZE ON ALL NON-ESSENTIAL POSITIONS THAT CURRENTLY APPLIES TO MORE THAN 600 PHYSICIANS ACROSS THE CITY.
DEPARTMENTS ARE STRUGGLING THROUGH THEIR BUDGETS TO REDUCE ANY DISCRETIONARY BUDGET LINE ITEMS AS THEY CAN RIGHT NOW.
AND WE ARE CONCERNED THAT WE PROJECTING A 14 POINT $4 MILLION THE SAVINGS THROUGH THESE TWO EFFORTS TO SERVE THE DNA THAT I EXPECT WILL BE ABLE TO BE 1 MILLION.
UM, BUT WE ALWAYS WANT TO BE CONSERVATIVE WHEN WE'RE AT THE EARLY STAGES OF OUR PLANNING PROCESS AND WE'RE ALSO DOING A LOT OF WORK AND HAD TO DOING WORK EVEN BEFORE AND IMPROVE OUR OPERATIONAL EFFICIENCY.
UM, REVIEWING OUR VARIOUS SOCIAL SERVICE CONTRACTS RELATED TO HOMELESSNESS SERVICES, UM, ALIGNING OUR PROGRAMS AND BUDGETS TO STRATEGIC DIRECTION 2023 AND PURSUING ADDITIONAL CHANNELS, THINGS THAT ALL BEEN UNDERWAY, ACQUIRED, OPEN NIKE AND WE'RE STILL DOING WORK ON THOSE IN THOSE AREAS.
THE ONE BUDGET PLAN ON THE NEXT SLIDE, THE UP THAT HAD BEEN IN OUR FINANCIAL FORECAST BACK IN, UH, WHEN WE PRESENTED THE FISCAL YEAR BUDGET TO COUNCIL LAST YEAR.
THE ASSUMPTIONS WE'RE MAKING ABOUT THE FUTURE.
UM, AND ALL THE ITEMS IN RED HERE AND GIVEN OUR FINANCIAL PICTURE, ROCKS AND REVENUES, WE'RE GOING TO HAVE TO REVISIT OUR ASSUMPTIONS ON THINGS LIKE EMPLOYEE WAGES IS IN OUR ABILITY TO FULLY FUND THE APPLE REPLENISHMENT.
HOW MANY OFFICERS, I MEAN, OPENING UP NEW FIRE STATIONS.
ALL THESE THINGS NEED TO BE RECONSIDERED IN LIGHT OF THE CHANGE.
UM, THESE ARE SOME ADDITIONAL OPTIONS THAT ARE AVAILABLE
[00:50:01]
TO US AND THEN ALL THE PIECES OF THE PUZZLE HAVE TO COME TOGETHER SOMEHOW.BUT WE DO HAVE THE ABILITY, UM, DESPITE SOME RECENT COMMENTS FROM THE GOVERNOR, UH, WE STILL CONTINUE TO FEEL THE STATUTE IS PRETTY CLEAR AND THAT WE HAVE THE ABILITY TO 8% TAX INCREASE OVER THE NEXT TWO YEARS PURSUANT TO THE GOVERNOR'S DISASTER DECLARATION THAT'S ALLOWED IN THE STATE LAW PERTAINING TO HOW WE SET TAX RATES ACROSS THE STATE.
LOOKING INTO THE NUMBER OF AMOUNTS OF THE FEVER.
WE OPERATE AS A CITY, OUR RESERVES, WE STARTED THE YEAR WITH RIVERS MORE THAN $25 MILLION ABOVE WHAT OUR, SO THAT IS GOING TO HELP US GET THROUGH THIS.
WE ARE GOING TO BE PART OF THE SOLUTION FOR HOW WE NAVIGATE THROUGH THESE DIFFICULT FINANCIAL TIMES.
AND THEN FINALLY, THE FEDERAL FUNDING PICTURE IS STARTING TO CLEAR UP A LITTLE BIT.
BUT THROUGH FEMA AND THE
I WANT TO FOCUS IN ON THE COMMUNITY ENGAGEMENT TODAY, BUT IT WAS BACK IN JANUARY, FEBRUARY AND INTO MARCH WHERE OUR BOARDS AND COMMISSIONS WERE DOING A LOT OF WORK LOOKING INTO THE BUDGETS OF THE DIFFERENT DEPARTMENTS, WORKING WITH THE COMMUNITY INPUT AND CRACKING RECOMMENDATIONS TO CITY DEPARTMENTS ABOUT THE BUDGET PROCESS.
ON THE NEXT SLIDE, YOU'LL SEE THAT BOTTOM NINE EQUITY COMMISSIONS THAT ADVISED THE JOINT INCLUSION COMMITTEE.
THEY HOSTED A BUDGET EQUITY FORUM.
YOU CAN SEE THE DATES AND LOCATIONS HERE.
AND, UM, PURSUANT TO THOSE EQUITY FORUMS, THEY GOT TOGETHER AND CRAFTED THEIR RECOMMENDATIONS FOR HIM, WENT TO THE BUDGET, UM, ALL OF OUR BOARDS AND COMMISSIONS SO FAR, AND WE'VE RECEIVED OVER 79 RECOMMENDATIONS ON THE F 21 BUDGET WITH 26 OF THEM RELATED TO OUR STRATEGIC OUTCOME OF HEALTH AND THE ENVIRONMENT.
UM, ECONOMIC OPPORTUNITY BEING THE OTHER BIG AREA FOR RECOMMENDATIONS, 21 RECOMMENDATIONS PERTAINING TO THAT OUTCOME.
THEN WE TAKE THOSE RECOMMENDATIONS AND SHOW YOU HOW THEY WERE ASSIGNED TO DIFFERENT DEPARTMENTS.
SO WE GET ALL THESE RECOMMENDATIONS IN FRONT OF THE BOARD, THE CONDITIONS EARLY ON THE BUDGET PROCESS, AND THEN WE ASSIGN THEM TO THE APPROPRIATE DEPARTMENTS AND IT'S NOT A RECOMMENDATION DEPARTMENT WILL ASSIGN MY RECOMMENDATIONS TO MORE THAN ONE DEPARTMENT, UM, AS APPROPRIATE.
AND AT THE VERY BOTTOM, YOU CAN SEE AT BOSTON PUBLIC HEALTH, THEY, UH, THEY HAD 23 RECOMMENDATIONS THAT WERE ASSIGNMENTS TO THEM TO REVIEW THAT WERE RELEVANT TO THEIR SERVICES.
WE ASKED THE DEPARTMENTS TO LOOK INTO THE RECOMMENDATIONS AND TO GIVE US FEEDBACK.
THE RECOMMENDATION WAS SOMETHING THAT THEY SUPPORT, SOMETHING THAT THEY ALREADY ARE PROVIDING.
UM, THE MORE IT'S A SERVICE THAT WOULD REQUIRE ADDITIONAL RESOURCES FOR THEM.
AND UM, THAT IS, THAT IS REALLY THE OTHER PART OF THE BACKUP THAT WE SENT YOU THIS MORNING LISTENING.
THOSE THREE RECOMMENDATIONS HAVE BEEN ASSIGNED TO AUSTIN PUBLIC HEALTH DEPARTMENT AND UM, WE BRING THAT UP REALLY QUICKLY.
UM, I WON'T GO THROUGH ALL OF THESE THAT THERE'S 23 OF THEM IN THE NAME OF THE COMMISSION PROVIDES A BRIEF SUMMARY OF WHAT THE COMMISSION RECOMMENDATION WAS ON GET A, GET ANOTHER, A, A BRIEF SUMMARY OF WHAT THE DEPARTMENT'S RESPONSE TO THAT RECOMMENDATION WAS.
AND THEN WE ACTUALLY INCLUDED IN THE PDF DOCUMENT A LINK TO THE, TO THE SPECIFIC RECOMMENDATION ITSELF, WHETHER IT BE A RESOLUTION OR SOME OTHER FORMAT THAT THE RESIDENT WAS NOT THAT THE RECOMMENDATION CAME TO US, WE PROVIDED A LINK TO THE SOURCE DOCUMENT.
ANY QUESTIONS? AND I THINK WE HAVE STAFF BOSTON PUBLIC HEALTH ON THE LINE AS WELL.
IF THERE'S ANY QUESTIONS ABOUT THE SPECIFIC RECOMMENDATIONS OR THEIR RESPONSES TO THOSE RECOMMENDATIONS, UH, ANY QUESTION COUNSELOR TOLD THEM.
YOU KNOW, UM, I HAVE UH, UH, SEVERAL QUESTIONS.
I GUESS MY FIRST IS THAT IS REALLY FOR PUBLIC HEALTH.
SO LET ME ASK THE OTHER ONES AND THEN I'LL CIRCLE AROUND.
IS THE BUDGET QUESTION AND ANSWER OPEN YET AND IF SO, UM, OR IF NOT, WHEN, WHEN WILL IT BE OPEN?
[00:55:01]
WE CAN OPEN IT RIGHT HERE.RIGHT NOW WE HAVE NOT A QUESTION POSTED THIS YEAR BUT WE ARE SO READY TO STAND THAT BROUGHT THIS UP.
I DO HAVE A COUPLE, UM, SUBMIT.
YOU REFERENCED REVENUE IDEAS ARE UNDER REVIEW BY LAW.
UM, AND THIS PROBABLY ISN'T THE TIME OR PLACE TO DISCUSS THEM, BUT IF THERE ARE SOME THAT WOULD BE APPROPRIATE TO REVIEW IN AN EXECUTIVE SESSION, I WOULD BE INTERESTED IN KNOWING A LITTLE BIT MORE ABOUT WHAT, WHAT SOME OF THE INITIAL THOUGHT IS ON THOSE.
UM, I DO HAVE A QUESTION ABOUT HIRING FREEZE ON NONESSENTIAL POSITIONS AND, AND THIS IS PROBABLY BETTER FOR THE BUDGET Q AND A, BUT IT IS BOTH A COVET 19 QUESTION AND A BUDGET QUESTION.
AND THAT IS I'M REALLY TRYING TO GET A BETTER SENSE OF WHAT HAS, WHAT IS THE SITUATION IMPACTING OUR TEMPORARY EMPLOYEES AND WE HAVE TEMPORARY EMPLOYEES ACROSS, YOU KNOW, ACROSS THE, ACROSS THE UM, CITY.
AND SO GETTING, GETTING SOME REAL CONCRETE UNDERSTANDING OF, OF WHAT THE PLAN IS RIGHT NOW FOR THOSE EMPLOYEES AND WHAT THE PLAN IS MOVING INTO THE NEXT BUDGET YEAR WOULD BE VERY HELPFUL.
AND THEN MY LAST QUESTION I THINK IS ONE FOR PUBLIC HEALTH AND THAT IS ABOUT HEALTH INSPECTIONS AND HEALTHY'S.
UM, MY OFFICE WAS CONTACTED BY A COUPLE OF DIFFERENT BUZZ BUSINESSES ABOUT THEIR HEALTH INSPECTIONS AND HEALTH FEES.
UH, THEY WERE RECEIVING, FOR EXAMPLE, RENEWAL NOTICES DURING A PERIOD OF TIME WHERE THEY WERE CLOSED.
AND SO I WONDER IF THERE WAS SOMEBODY ON THE LINE, WE GOT THE ANSWER WE NEEDED FOR THAT CONSTITUENT.
BUT I WONDER IF THERE'S A STAFF MEMBER ONLINE WHO COULD JUST PROVIDE INFORMATION ABOUT TWO THINGS RELATED TO THAT ONE, WHY BUSINESSES MIGHT'VE BEEN GETTING A RENEWAL DURING A PERIOD OF TIME WHEN THEY WERE NOT ALLOWED TO OPERATE.
AS I UNDERSTAND IT, THOSE RENEWALS HAPPEN AT DIFFERENT TIMES FOR DIFFERENT, FOR DIFFERENT SAY RESTAURANTS.
AND SO WHEN THEY, WHEN THEY INITIATED THE APPLICATION WILL DETERMINE WHEN THEY'RE SLATED TO RENEW IT.
AND IF YOU COULD ALSO JUST VERIFY MY UNDERSTANDING THAT WITH HEALTH APPLICATE WITH UM, HEALTH FEES, FEES AND INSPECTION COSTS, SORRY, INSPECTION FEES AND OTHER COSTS ASSOCIATED WITH THOSE KINDS OF APPLICATIONS.
THE CITY OF AUSTIN IS NOT MAKING MONEY WHERE WE'RE JUST COVERING THE COSTS.
HOPEFULLY WE'RE JUST COVERING THE COSTS OF THE STAFF AND ADMINISTRATIVE TIME THAT'S REQUIRED TO IMPLEMENT THEM.
AND SO THOSE ARE TWO QUESTIONS.
ONE ABOUT THE TIMING OF THOSE RENEWALS AND TWO, UM, JUST TO VERIFY MY UNDERSTANDING THAT THOSE ARE, THAT WE'RE CHARGING CUSTOMERS WHAT IT COSTS US TO PROVIDE THAT LEVEL OF SERVICE.
THIS IS, OF COURSE, BOTH OF THOSE ARE CONCERNS FOR BUSINESSES THAT ARE REALLY STRUGGLING NOW.
AND SO I THINK, I THINK IT WOULD HELP TO JUST HAVE, HAVE YOU ALL ON THE RECORD ANSWERING THOSE QUESTIONS AND IF THOSE ARE APPROPRIATE FOR THE BUDGET Q AND A HAPPY TO SUBMIT THEM THERE.
IF THERE'S NOT THE APPROPRIATE STUFF ON THE LINE.
UM, THIS IS, UM, STEPHANIE HAYDEN.
UM, IT WOULD BE BETTER TO UM, SUBMIT THOSE DURING BUDGET Q AND A.
UM, BECAUSE I DID NOT READ THAT INFORMATION WITH ME TO UM, TO ANSWER THOSE SPECIFIC QUESTIONS.
UM, BUT WE, WE TYPICALLY REALLY TRY TO BE VERY CLOSE TO THE COST OF SERVICE.
UM, WE HADN'T HISTORICALLY GONE OVER THE COST OF.
I WILL SUBMIT THOSE DIRECTOR HIDDEN AND THOSE ARE YOUR QUESTIONS.
THANK YOU VERY MUCH FOR THAT SPREADSHEET.
UM, I AM WONDERING IF WE CAN GET, UM, OR IF YOU HAVE CREATED A SIMILAR SPREADSHEET FOR THE OTHER DEPARTMENTS THAT WE COULD ACCESS.
SO WE DO HAVE, UM, WE ARE WORKING ON THIS FOR ALL 79 RECOMMENDATIONS, ALL THE DIFFERENT WORKING CONDITIONS.
UM, WE HAVE THAT PERFORMANCE RESPONSE DONE YET FOR ALL OF THEM.
BUT AS SOON AS WE DO, WE CAN SEND THAT TO THE ENTIRE, YEAH, I WOULD LIKE TO SEE THAT.
EVEN IF YOU HAVE, I MEAN WE GET THOSE RECOMMENDATIONS.
IT'S JUST THAT, UM, YOU KNOW, WE HAVEN'T PUT IT IN A SPREADSHEET, SO IT'S REALLY HELPFUL TO HAVE A SPREADSHEET LIKE THAT.
AND EVEN IF YOU DON'T HAVE ALL THE RESPONSES YET OR EVEN IF IT'S GOING TO TAKE SOME TIME TO GET THE RESPONSES, THAT WOULD BE SOMETHING THAT'D BE USEFUL TO HAVE.
[01:00:03]
SURE.THEN, AND I DON'T THINK IT'S GOING TO TAKE LONG, I THINK WOULD REALLY GET THAT SPREADSHEET TO YOU.
UH, CERTAINLY THIS WEEK FOR THE BORROWER RESPONSES.
UM, JUST TO BE CLEAR, THIS PRESENTATION WAS JUST FOR REGULAR BUDGET.
THIS WAS A BIG, THIS WASN'T ABOUT CARES, RIGHT? I GUESS THERE WAS MENTION OF IT.
BUT IT TURN TO THE POSTING LANGUAGE.
WE HAVE A CALL ON FRIDAY OR THURSDAY OR SOMETHING.
UM, BODY WANT TO MAKE A, UH, AN ACTION.
MOST OF IT COMES FROM OUR KITCHEN.
I WAS JUST GONNA KIND OF FOLLOW UP ON, UM, THE, I KNOW WE'VE GOTTEN SOME BOARDS COMMISSIONED RECOMMENDATIONS RELATED TO THE CUPBOARD FUNDING OR COVERT SPECIFICALLY.
SO, AND DO YOU HAVE THAT, THOSE RECOMMENDATIONS, UH, AVAILABLE FOR US FOR THURSDAY? UM, I THINK WE CAN GET THE LIST OF THE RECOMMENDATIONS IF THEY'RE SPECIFIC TO THE 19 RESPONSE.
UM, SO LET'S WORK ON THAT AS WELL.
I THINK WE CAN START, I THINK WE CAN GET THAT TO YOU BEFORE THURSDAY.
I DIDN'T WANT TO CREATE, TO BE READY FOR THURSDAY, SO, UM, BUT, AND, AND I DON'T REALLY CARE WHAT FORMATS.
IT'S JUST HELPFUL TO HAVE A LIST.
UH, THANK YOU FOR THAT PRESENTATION, MR DANNY NOW AND STAFF.
[Item 3]
THE, UH, CENTRAL HEALTH.I AM THREE WHICH IS DISCUSSED THE SELECTION OF MEMBERS TO RECOMMEND TO THE COUNCIL FOR APPOINTMENT TO CENTRAL HEALTH BOARD.
AND WE NEED TO GO INTO EXECUTIVE SESSION FOR THAT.
[Item 6]
INTO CLOSED SESSION TO TAKE UP ONE ITEM PURSUANT TO SECTIONS 1.07 THROUGHOUT THE GOVERNMENT CODE, THE COMMITTEE WILL DISCUSS PERSONNEL MATTERS RELATED TO, SO IT'S ITEM SIX, I GUESS THAT'S THE EXECUTIVE SESSION, ONE SELECTION OF MEMBERS TO THE REQUIREMENT TO THE EAST CENTRAL HEALTH BOARD OF MANAGERS.IS THERE ANY OBJECTION TO GOING INTO EXECUTIVE SESSION ON THE ITEMS ANNOUNCED HEARING NONE.
WE WILL GO INTO EXECUTIVE SESSION NOW.
IN CLOSED SESSION WE TOOK UP AND DISCUSSED PERSONNEL MATTERS AWAY TO ITEM SIX.
UM, AND OUR UM, EXECUTIVE SESSION ON THE APPOINTEES TO CENTRAL BOARD TO THE CENTRAL HEALTH BOARD.
WE HAVE, WE WILL BE CONSIDERING THE FOLLOWING FIVE APPLICANTS.
UM, WE WILL CONFER WITH TRAVIS COUNTY TO DETERMINE WHO BECAUSE THIS IS A JOINT APPOINTMENT WE WILL CONFER WITH, WE WILL DISCUSS WITH TRAVIS COUNTY WHO, WHAT APPLICANTS WE HAVE IN COMMON.
UM, AND THEN WE WILL INTERVIEW THE APPLICANTS WE HAVE IN COMMON.
SO THE FIVE APPLICANTS THAT WE ARE THIS FROM THE CITY'S PERSPECTIVE OR CONSIDERING OUR HELMETS.
MOTWANI, SUSAN LEE, CYNTHIA BRINSON, ALL SARAH HAHN AND BRIAN CHAPELLE.
MMM, I DON'T, I DON'T THINK WE HAVE TO HAVE EMOTION.
WHY DON'T WE JUST DO, UH, UH, SOMEONE, SOMEBODY WANT EMOTION, THOSE FIVE APPLICANTS.
MAKES THE MOTION OF THOSE FIVE SECONDED BY COUNCILOR METOVA.
ALL THOSE IN FAVOR OF THOSE FIVE APPLICANTS, RAISE YOUR HAND.
WE WILL MOVE ON TO THE NEXT ITEM, WHICH IS, HANG ON A SECOND.
[Item 4]
I BELIEVE IT'S ITEM FOUR, RECEIVE AN UPDATE FROM AUSTIN PUBLIC HEALTH ON THE SOCIAL SERVICES SOLUTIONS SOLICITATION PROCESS.IS THERE STAFF AVAILABLE FOR OUR PRESENTATION? YES.
[01:05:01]
AFTERNOON.STIR FROM AUSTIN PUBLIC HEALTH.
UM, AT AS COUNCIL MEMBERS SAY WE ARE OR SORRY, THEIR POTENTIAL TO GIVE AN UPDATE THAT WE HAVE.
UM, MY COUSINS, UH,
IF I GET STUCK I COULD ASK MY COLLEAGUES AT CTM TO PULL THE POWER.
SO FOR A COUNCIL MEMBER, I'M AWARE OF A SLIGHT OVERVIEW AND THEN THE HISTORY AND THEN TALK ABOUT OUR FRAMES FOR THE EGYPT.
AND SO RIGHT NOW, UM, ACTION FROM COUNCIL AND ASK TO ACTION FROM COUNCIL OR THROUGH THE CITY, UH, ALLOCATE FUNDING TO CONTRACT OUT WITH SOCIAL SERVICE PROVIDERS FOR A SPECIFIC CARD AND THAT CAN TRIGGER A SOCIAL SERVICE CONTRACT.
SO THE DIRECTION FROM COUNCIL, ONE DAY IT WILL BE DIRECTION FROM DEPARTMENT LEADERSHIP, WHICH USUALLY FROM DIRECTION FROM COUNCIL AND CITY MANAGER OR IF THERE'S A SPECIFIC PURPOSE THAT THE DEPARTMENT IS TRYING TO ACCOMPLISH.
UM, WE TRY TO COMPETE FUNDING, UM, DEPENDENT ON THE DIRECTION FROM COUNCIL OR DEPARTMENT LEADERSHIP THAT WILL DICTATE WHETHER OR NOT WE'RE ABLE TO HAVE A COMPETITION.
IF THERE'S MORE THAN ONE VENDOR THAT COULD PROVIDE A SERVICE, WE USUALLY TRY TO HAVE A FAIR AND COMPETITIVE WITH PROCESS.
IF IT IS WHAT WE CALL A SOLE SOURCE OR PROFESSIONAL SERVICE OR A PILOT PROGRAM OR THE OTHER ONE'S FOUNDATION AND THE WORK THAT THEY'RE DOING WITH INDIVIDUAL, WE'LL DO A DIRECT CONTRACT.
IT SHOULD BE SLIDE NUMBER TWO THAT SAYS SOCIAL SERVICES.
SO IN THE PAST, UM, IN 2010, WHEN WE DID OUR FIRST BIG SOLICITATION PROCESS, THE FUNDING POT WAS DIVIDED INTO WHAT WE CALLED ISSUE AREAS.
UM, ONE OF THE CONSTRAINTS OF THIS PROGRAM IS THAT THE FUNDING LEVELS REMAIN LIMITED DUE TO THE NUMBER AND SIZE OF PROGRAMS AND UM, OFTEN, UH, AREAS THAT WERE BEYOND THE FRAMEWORK THAT NEEDED, UH, SUPPORT.
UM, AND SO JUST TO ROLL MY, BE FAMILIAR WITH THE CURRENT BUCKETS.
IT'S HOMELESSNESS, BASIC NEEDS, UM, EQUITY, WORKFORCE DEVELOPMENT, EARLY CHILDHOOD.
AND SO THAT'S KIND OF STRATEGIZED AROUND FUNDING AND THAT WAS BASED ON SELF SUFFICIENCY GOALS.
WHAT ARE THOSE THINGS THAT PEOPLE NEED TO CHANGE THIS PROPERTY FOR? UNIVERSAL SUPPORT, FOR ENRICHMENT OR FOR PREVENTION SERVICES.
FAST FORWARD TO 2013 AND WE, THE PROCESS HAS EVALUATED WHERE WE STILL HAVE THOSE SELF-SUFFICIENCY GOALS
[01:10:01]
THAT WE DIDN'T LEAVE A LIFE CONTINUING CATEGORIES ON TOP OF THAT TO MAKE SURE THAT WE'RE CAPTURING TARGETED POPULATIONS.UM, NO, THAT'S WHERE ADULTS AND FAMILY, SENIORS AND PEOPLE WITH DISABILITIES COME IN.
ARE THERE ANY QUESTIONS SO FAR?
I'M TRYING TO HIT MY POWER POINT TO CATCH UP TO HIM.
AND SO, UM, IF THERE'S PREVIOUS SOLICITATION PROCESSES YOU CAN SEE SIDE BY SIDE, KIND OF WHAT I WAS TALKING ABOUT IN 2013 WHERE WE HAD A PROCESS THAT WAS BOTH SELF SUFFICIENCY AND IN 20 WHERE WE HAD THOSE THINGS THOUGH SUFFICIENCY, THOSE THAT REALLY, UM, MADE THOSE LIFE CONTINUING CATEGORY ON TOP OF THAT.
SO IN THIS PROCESS, MOBILE WAS PRIORITIZED OVER ANOTHER.
UM, I'VE BEEN FUNDING LIMITS WHERE THE AMOUNTS OF MONEY THAT WERE ALREADY ALLOCATED TO EACH CATEGORY.
UM, UH, EVALUATION TEAMS AT THIS TIME WERE MOSTLY COMPONENTS OF APH STAFF THAT WE DID HAVE A, WE DO HAVE A STRONG PARTNERSHIP WITH TRAVIS COUNTY AND WE OFTEN USE THEIR STAFF AND THE SOLICITATION PROCESSES.
AND SO HERE, THIS CHART KIND OF SHOWS WHERE WE ARE TODAY WITHOUT INVESTMENTS.
UM, AND YOU CAN SEE THE DIFFERENT SIDE OF BIRDS THERE THAT COVERS THE, THOSE SOCIAL EFFICIENCY GOALS THAT I TALKED ABOUT.
BASIC NEEDS, BEHAVIORAL HEALTH, CHILD HEALTH EQUITY, HIV, HOMELESS AND WORKFORCE DEVELOPMENT.
THE TOTAL INVESTMENT WITH THE CITY IS AROUND NEXT SLIDE.
SO MOVING FORWARD, WE, UM, IMPLEMENTATION OF THE STRATEGIC DIRECTION 2023 AND IN THAT POINT, YEAH, SOLICIT FUNDING BY ISSUE AREA.
AND SO WE'RE TAKING A LITTLE BIT INTO ACCOUNT NUMBER ONE.
WE'RE LOOKING AT HOW THE SOCIAL SERVICE INVESTMENTS SUPPORT AND PROMOTE THE OUTCOMES AND THE METRICS OUTLINED IN THE STRATEGIC CORE TO THAT IS RACIAL EQUITY AS WELL.
SYDNEY HAS TAKEN A STANCE FOR EQUITY TO BE AN ANCHOR IN ALL OF ITS WORK AND WE'LL BE MEETING WITH RACIAL EQUITY, THINKING ABOUT HOW WE CAN LEVERAGE, AGAIN, INVESTMENTS IN COMMUNITY TO, UM, NOT ONLY SUPPORT THE OUTCOMES THAT WE HAVE AGREED UPON IN THE STRATEGIC PLAN, BUT HOW ARE WE DOING THE, WITH AN EQUITY LENS, HOW ARE WE MAKING SURE THAT OUR INVESTMENTS ARE NOT HAVING UNINTENDED CONSEQUENCES IN COMMUNITY? NEXT SLIDE PLEASE.
UM, YOU SHOULDN'T BE LOOKING AT THIS SLIDE THAT SAYS CHOC CHIP IN CLASS STANDARDS.
AND SO, UM, THE CHILD, WHICH IS THE COMMUNITY HEALTH ASSESSMENT AND THE COMMUNITY HEALTH IMPROVEMENT IS ONE OF THE KEY OF THE DEPARTMENT.
IT INVOLVES OUR HOSPITAL PARTNERS AS WELL AS THE COUNTY.
AND THAT, AND DURING THAT PROCESS, REALLY IDENTIFIED THOSE FACTORS, SOCIAL, ECONOMIC AND ENVIRONMENTAL THAT CAN IMPACT COMMUNITY HEALTH AND THEN ORGANIZE AS A PROVIDER COMMUNITY AROUND ACHIEVING THOSE OUTCOMES.
AND SO IT'S REALLY IMPORTANT FOR US FROM THE DEPARTMENT STANDPOINT THAT WHEN THEY'RE EQUITY, THE LENS IN WHICH WE'RE POKING A STRATEGIC DIRECTIVE, 2023 IS THE NORTH STAR.
[01:15:02]
INTERSECT WITH THAT.UM, AND AS YOU CAN IMAGINE, AND IF YOU HAVE THE OPPORTUNITY TO READ THE PLAN INTERSECTS LIGHT NICE.
AND SO WE'RE ABLE TO, UM, ALIGN OUR PROCESSES WITH THAT.
AND THEN WE WANT TO TALK ABOUT CLASS, RIGHT? HOW DO WE MAKE EQUITY TANGIBLE FOR OUR SOCIAL SERVICE PROVIDERS? A FIRST APPROACH AT THIS IS TO UM, GUIDE THEM WITH ALIGNING WITH CLASS STANDARDS IN CLASS DAMS FOR CULTURAL AND LINGUISTICALLY APPROPRIATE SERVICES AND STANDARDS STANDARDS THAT REALLY ASKED GOVERNMENTS, UM, TO THEIR PROGRAM IMPLEMENTATION.
THEY ARE SERVING, UH, THE DIVERSE NEEDS OF COMMUNITY, HOW THEY ARE FOCUSING ON UM, THE NEEDS OF HISTORICALLY UNDERSERVED POPULATIONS.
UM, AND SO THE LOW HANGING FRUIT OFTEN FOR AN AGENCY IS ARE YOUR MATERIALS TRANSLATED INTO LANGUAGES THAT MAKES SENSE FOR YOUR SERVICE POPULATION? ARE YOU ABLE TO PROVIDE YOUR PROGRAM IN LANGUAGE SET UP PERSON FIRST? AND THEN IT GOES TO, UM, KIND OF WHAT WE GET AT WITH OUR HEALTH EQUITY FUNDING.
HOW ARE THE STAFF THAT ARE PROVIDING SERVICES REFLECTIVE OF THE COMMUNITY THAT THEY SERVE? HOW ARE WORKING BEYOND THE NONTRADITIONAL OR THE TRADITIONAL SERVICE DELIVERY MEETING COMMUNITY WHERE THEY ARE? UM, IS IT COMMUNITY BASED PROGRAMMING, THE CHURCHES AND THEN, UM, WHERE WE REALLY WOULD LIKE TO, UH, HELP OUR AGENCIES GET TO.
WHAT DOES YOUR GOVERNANCE STRUCTURE LOOK LIKE IN THE LEADERSHIP ROLE? IS REFLECTIVE OF THE COMMUNITIES THAT YOU SERVE AT YOUR BOARD LEVEL? DO YOU HAVE REPRESENTATION AND INPUT, UM, CLIENTS THAT WILL BE RECEIVING SERVICES? NEXT LESSON.
AND SO THIS IS GOING TO BE A LITTLE BIT INTO THE NITTY GRITTY OF HOW WE DO.
UM, CURRENTLY WE HAVE OUR APPLICATION PROCESS HAS MANY LAYERS.
UM, WE WRITE, WE UNDERSTAND WHAT THE PROBLEM IS THAT WE'RE TRYING TO ADDRESS.
UH, WITH THE SOLUTION WE'RE TRYING TO OFFER COMMUNITY STAFF.
UM, WE USE AN AUTOMATED PROCESS CALLED PARTNER GRANTS FOR EVERYTHING FROM THE APPLICATION SUBMISSION SUBMISSION TO THE MANAGEMENT OF THE EVENTUAL CONTRACT.
BUT BEFORE WE GET THERE, WE HAVE A SCREENING OFF OF THE ORGANIZATIONS, WHICH WE CALL OUR THRESHOLD.
UM, BECAUSE NOT ONLY DO WE WANT TO MAKE SURE THAT AN AGENCY CAN, UH, HELP US ACHIEVE THE METRICS AND OUTCOMES THAT WE'VE IDENTIFIED IN OUR PLANNING PROCESSES, BUT WE ALSO WANT TO MAKE SURE THAT THEY ARE POSITIONED AND HAVE A GOOD RECORD OF SERVICE AND ARE FISCALLY AND A STABLE TO PROVIDE SERVICES SO THAT WE KIND OF THAT IN DEPTH.
WHAT DOES YOUR FISCAL AUDIT LOOK LIKE? WHAT IS YOUR GOVERNANCE STRUCTURE? WHAT IS YOUR CURRENT BUDGET SIZE? SO THOSE ARE THE KINDS OF THINGS THAT WE, NEXT SLIDE PLEASE.
AND SO THEN AFTER THRESHOLD APPLICATIONS TO MAKE SURE THAT AN AGENCY IS INDEED FISCALLY SOUND AND IN A POSITION TO CONTRACT WITH THE CITY OF AUSTIN, WE REVIEW THE APPLICATION PROCESS.
UM, RIGHT NOW THERE'S A PANEL OF THREE TO FIVE EVALUATORS FOR EVERY APPLICATION.
UM, THE GOAL IS TO SCORE EACH APPLICATION INDEPENDENTLY ON A BASIS OF STRENGTHS AND WEAKNESSES.
UM, AND THEN AFTER EACH, UH, APPLICANT APPLICATION IS SCORED BY EVALUATORS INDIVIDUALLY THERE IS AN EVALUATION CONSENSUS MEETING TO DETERMINE SCORES AND TO MAKE A RECOMMENDATION TO COUNCIL FOR FUNDING
AND SO AGAIN, A LITTLE BIT MORE DETAIL ABOUT THE STRENGTHS AND WEAKNESSES.
WE TRY TO CATEGORIZE THEM AS MAJOR, MODERATE, MINOR STRENGTHS OR WEAKNESSES.
UM, GENERALLY APPLICANTS ARE WORDED 100% OF THE FUNDING BASE REQUESTED.
UM, WE ARE CURRENTLY WORKING ON A RUBRIC THAT WOULD, UH, DRIVE
[01:20:01]
THE ALLOCATIONS PROCESS IN THE EVENT OF A VERY COMPETITIVE PROCESS WHERE NOT ENOUGH FUNDING TO AWARD EVERYONE AT 100%.WE'VE PILOTED THIS PROCESS WITH THE RISE FUNDING.
AND SO APPLICANTS THAT SCORED 80 OF ABOVE 100% OF THE FUNDS REQUESTED APPLICANTS THAT PROCEED 70 AND ABOVE 85% OF THE FUNDS THAT THEY REQUESTED.
AND THEN AFTER THAT SCORED 73RD FOR TECHNICAL ASSISTANCE TO HELP PREPARE FOR FUTURE SOLICITATIONS IF REQUESTED.
UM, APPLICANTS THAT DO NOT RECEIVE FUNDING ARE PROVIDED A FEEDBACK SESSION WITH STAFF WHERE AT A VERY HIGH LEVEL WHO REVIEW THE STRENGTHS AND WEAKNESSES OF THE APPLICATION AND GIVE THEM GUIDANCE ON HOW THEY PLAN FOR THE NEXT PROCESS.
AND SO THE CURRENT SCHEDULE ON THIS, I APOLOGIZE FOR THAT.
SO I HEARD A PLAN BREAKING THEM OUT BY ISSUE AREA AS UM, INDICATED AND STRATEGIC DIRECTION.
2023 WOULD HAVE THE SOLICITATION BEING PRODUCED IN JANUARY OF 2021 WITH CONTRACTS TO START IN OCTOBER.
THE TOTAL AMOUNT TO BE SOLICITED IS $5,146,156 AND AT A MOUNTAIN.
THE LAST COLUMN IS OUR WAY TO ALLOW COUNSELOR AS WELL AS LEADERSHIP TO HAVE SOME FLEXIBILITY, UM, WITH EMERGING OR TO RESPOND TO CURRENT TRENDS AND ISSUES.
UM, ONE OF THE DOWNSIDES OF NOT PUTTING THE WHOLE POT OF MONEY OUT TO BID AS WE DID IN THE PAST AND BREAKING IT OUT BY ISSUE IS THAT WE'RE KIND OF DOWN TO THOSE AMOUNTS.
AND SO THE SEVENTH SIDE AMOUNT IS UM, A WAY FOR US TO MAINTAIN SOME OF THAT FLEXIBILITY.
AND AS YOU CAN SEE GOING DOWN THE LIST, BEHAVIORAL HEALTH IS NEXT.
I'M ON THE ROAD SCHEDULE WITH HOMELESS, BASICALLY CONVENE.
UM, IT'S PUSHED OUT PRETTY FAR BECAUSE THAT HAS BECOME A HODGEPODGE OF DIFFERENT ISSUES.
IT INCLUDES EVERYTHING FROM FOOD PANTRIES TO UM, LEGAL ASSISTANCE.
SO STAFF MAY HAVE TO DO SOME WORK TO PULL OUT THE DIFFERENT PLANTING, UM, POCKETS OR ISSUE AREAS THAT ARE EMBEDDED IN THAT BASIC NEEDS CATEGORY AND STRATEGIZE AROUND THAT, UM, EARLY CHILDHOOD AND WORKFORCE DEVELOPMENT.
AND THEN LAST BUT NOT LEAST, EQUITY WOULD BE SOLICITED IN 2024 WITH NEW CONTRACTS TO START IN OCTOBER NEXT.
AND YOU SHOULD BE LOOKING AT THE SLIDE THAT SAYS COMMUNITY.
AND SO WITH ALL OF OUR PROCESSES, UM, WHENEVER WE GET FUNDING AND WE ARE GOING TO CREATE A REQUEST FOR APPLICATION, WE UNDERGO A ROBUST COMMUNITY ENGAGEMENT PROCESS.
WE NOT ONLY INCLUDE KEY STAKEHOLDERS, BUT WE ALSO LIKE TO, WITH EXPERIENCE OR PEOPLE WHO WOULD BE BENEFITING FROM OR RECEIVING THE SURVEY, UM, THAT WAS DEAD VIA A SERIES OF IN-PERSON WORKERS IN DIFFERENT GEOGRAPHIC LOCATIONS AND AT DIFFERENT TIMES DURING THE DAY TO TRY TO CATCH A BROAD, UM, THAT BROAD NUMBER OF RESPONDENTS AS POSSIBLE.
WE ALSO USE SURVEYS TO CAPTURE INFORMATION ABOUT IMPLEMENTATION, BARRIERS TO SERVICES AND THINGS THAT PERHAPS STAFF HAVE NOT CONSIDERED.
UM, WE ALSO COLLABORATE VERY HEAVILY WITH ALL OF THE QUALITY OF LIFE COMMISSIONS, UM, DIRECTOR WHO NEEDED, UH, WHENEVER, UH, QUALITY OF LIFE COMMISSION RECOMMENDS FUNDING FOR THE DEPARTMENT.
SHE VISITS WITH EACH OF THE COMMISSIONS, NOT ONLY THE SPONSORING COMMISSION TO GET INPUT AND FEEDBACK ON, UM, PRELIMINARY PLANS FROM THE DEPARTMENT TO HAVE THEM ENGAGE IN THAT PROCESS.
WE'VE ALSO EXTENDED OPPORTUNITIES MORE COMMISSIONERS TO SERVE ON THE EVALUATION PANEL MOST RECENTLY.
UM, WE USE THAT PROCESS FOR THE AFRICAN AMERICAN MENTAL HEALTH AND WELLNESS LAST
[01:25:01]
YEAR.AND, UH, THIS YEAR, ACI, WHICH IS PACIFIC ISLANDER MENTAL HEALTH MENTAL HEALTH SOLICITATIONS.
UM, THAT WE ARE WORKING ON, UM, FOR THIS UPCOMING ROUND TO START IN JANUARY OF 2021.
DON'T KNOW, I'VE MENTIONED, UM, YOU KNOW, THEY LIVE IN THE COLORED RUBRICS RUBRICS BY THE ALLOCATIONS PROCESS.
THERE WEREN'T CLEAR STANDARDS WHERE WE DON'T HAVE ROBUST STANDARDS FOR ASSESSING EQUITY AND THOSE ARE SOME OF THE THINGS THAT WE ARE GOING TO WORK ON AND IT SEEMS THAT THIS STARS MINE AND BECAUSE THERE ARE A LOT OF THINGS THAT SAY WHEN HAVE THE RECENT, UH, SOCIAL SERVICE AUDIT AND THE WORK THAT IS BEING DONE AS A RESULT OF THAT, NOT ONLY TO HAVE A CLEAR DEFINITION FOR SOCIAL SERVICES, BUT TO ESTABLISH A POLICY OR A POLICY PROCEDURE FOR SOCIAL SERVICE SOLICITATIONS.
AND SO THAT WORK WILL INFORM THE WORK OF THE DEPARTMENT.
WE ALSO HAD THE BENEFIT OF PARTICIPATING IN A STUDY WITH THE HARVARD KENNEDY SCHOOL.
UM, AND IT WAS A GROUP OF STUDENTS WHO LOOKED AT OUR SOLICITATION PROCESS SPECIFICALLY FOR EQUITY AND EFFICIENCY AND THEY MADE SOME RECOMMENDATIONS TO A CMO, WHICH WE HOPE TO INCORPORATE INTO OUR EVALUATION PROCESSES.
UM, AND SO REALLY AS YOU CAN SEE FROM THE GOALS ARE TO CLEARLY DEFINE, UM, THE STANDARD FOR AN APPLICATION THAT CAN BE FUNDED AND MAKE IT AS OBJECTIVE AS POSSIBLE.
UM, REALLY EVALUATE SUBSTANCE, NOT FORM.
AND WE HEARD THAT A LOT OF OUR SMALLER NONPROFITS THAT DON'T HAVE, UH, GRANT WRITERS TO HELP WITH APPLICATIONS.
AND SO, UM, THE DELIVERY MIGHT NOT BE AS, UH, PRECISE OR PROFESSIONAL OR AS COHESIVE THE AGENCY THAT HAS IT AVAILABLE.
BUT DID THAT TRYING TO GET DOWN TO THE MEAT, LIKE IN THE PROGRAM THAT THIS AGENCY SUGGESTED THEY MEET THE NEED TO COUNSEL WOMEN STRAIGHT AND ABILITY TO MEET OUTCOMES, DO THEY DEMONSTRATE FISCAL RESPONSIBILITY? AND SO REALLY LOOKING AT THE NEED OF THE MATTER, UM, CONSIDERING RACIAL EQUITY AND WHAT THAT LOOKS LIKE FOR THE CITY AND UNDERSTANDING THAT ONCE PROVIDERS CONTRACT WITH US, THEY BECOME AN EXTENSION OF THE CITY.
AND SO MAKING SURE THAT THEIR BILLS ARE IN ALIGNMENT WITH THE BOTH OF THE CITY WITH RESPECT TO EQUITY AND WITH RESPECT TO THE STRATEGIC DIRECTION.
2023, UM, WE WANT THE, UH, EVALUATION PROCESS TO BE CONSISTENT WITH THE SCOPE OF WORK.
UM, THAT FOLKS PROVIDE, UH, MANY DIFFERENT AVENUES.
WE'VE HEARD VERY CLEARLY THAT UH, THERE IS A SENSE THAT AGENCIES ARE JUDGED ON THEIR RELATIONSHIP RATHER THAN THEIR MARRIAGE.
AND SO THE PROCESS THAT WE, UM, DEVELOP WILL BE TRANSPARENT AND DEFENSIBLE AND IT WILL BE CLEAR TO ANYONE WHO'S ARTICULATING OR WONDERING ABOUT WHO GOT WHAT AND WHY IT WOULD BE EASY TO SEE.
AND THEN WE DIDN'T WANT OUR PROCESS THAT'S FLEXIBLE.
LIKE A COBIT IS A GREAT EXAMPLE OF
AND SO HOW CAN WE DEVELOP A PROCESS WHICH IS CLEAR, TRANSPARENT AND DEFENSIBLE, BUT ALSO ALLOWS AGENCIES WITH FLEXIBILITY TO RESPOND TO THE CHANGING NEEDS OF OUR COMMUNITY AND ALSO THE DEPARTMENT LEADERSHIP AND COUNCIL.
BUT FLEXIBILITY TO REDIRECT AND TO ASK MORE SOCIAL SERVICE AGENCIES DURING A TIME OF CRISIS OR TO RESPOND TO CURRENT TRENDS OR THAT A GOOD EXAMPLE WOULD BE AGAIN, THE KUVAN FOR STORM AND THERE HAS BEEN A LOT OF GREAT WORK THAT'S BEEN DONE ON THE PART OF THE EOC COUNCILS YEAH.
[01:30:01]
FOR THAT NEXT POPULATION.SO HOW CAN WE GO BACK TO MY SPLENDID AGENCIES OR OTHER AGENCIES THAT WE HAVE CONTRACTS WITH AND ASK THEM TO GET THEIR SERVICES AND BE ABLE TO HELP COURSE CORRECT AND HELP US ADDRESS THIS NEW ISSUE.
UM, AND THAT'S IF YOU GO LAST SLIDE, IT'S THIS QUESTION THAT'S ALL THAT I HAVE FOR NOW.
IF THERE'S ANYTHING THAT I'VE MISSED, COUNSEL WOULD LIKE ME TO GO OVER MORE.
SO THIS IS THE PATIENTS ARE PART OF THE, CAUSE WE DON'T DO THIS EVERY YEAR.
IT'S PART OF THE BIGGER AND CAN YOU JUST REMIND ME WHAT THE FREQUENCY IS OF, OF THESE BIG SOLICITATIONS? THE LAST TIME WE DID THE LIMITATION WAS 2013.
SO THIS IS THE NEXT, THIS IS ESSENTIALLY WHAT YOU WERE DESCRIBING IN THAT CHART THAT SHOWED THE DIFFERENT, UM, THAT'S, THIS IS THE NEXT ROUND OF THAT, OF THAT SAME LEVEL OF BIG SOLICITATION, RIGHT.
SO INSTEAD OF PRIOR THE STRATEGIC DIRECTION, 20, 20 FOR THE, UH, WHAT WE CALL IT, THE BIG SOLICITATION AGAIN.
UM, BUT THAT WE REALLY WANT IT TO BE STRATEGIC AND DO THAT BY ISSUE HARRIET TO ALLOW FOR, AGAIN, THE FLEXIBILITY AND ADAPTABILITY FOR BREAKING IT OUT BY ISSUE AREA WITH HEALTH EQUITY BECAUSE THOSE
UM, AND JUST AS A QUICK TIME CHECK, I HAVE, I HAVE SOMETHING AT 1230 THAT I CAN BE LIKE TOO, BUT, UM, I THINK THIS IS A REALLY GOOD PRESENTATION THEN.
I THINK THE WHOLE COUNCIL SHOULD, SHOULD, SHOULD HEAR IT.
AND I DON'T KNOW IF WE DO THAT, IF IT'S POSSIBLE TO ADD IT TO THE, UM, AS, AS WE TALK ABOUT BROADER, YOU KNOW, BUDGETS, WE HAVE TO THINK ABOUT THIS IN CONJUNCTION WITH WHAT WE'RE DOING WITH COBIT.
AND I REALLY APPRECIATE THE FLEXIBILITY THAT WAS PROVIDED DURING THAT TIME.
AND I, UM, THANK YOU FOR THE, I THINK THAT'S REALLY GREAT.
THE ADA, YOU KNOW, IF YOU GOT 80% YOU GOT THIS MUCH AND IF YOU GOT, I THINK THOSE ARE ALL VERY RESPONSIVE TO MANY OF THE CONCERNS THAT WE HEAR.
I THINK IT'D BE GOOD FOR THE REST OF THE DAY.
AND IF, I DON'T KNOW IF THERE'S A WAY TO ADD THIS TO OUR THURSDAY DISCUSSION AT THIS POINT, BUT UM, DEFINITELY TO ADD IT TO A, AN EITHER A UPCOMING WORK SESSION OR, UM, I WOULD PREFER IT SOONER RATHER THAN LATER AS WE START TO TALK ABOUT THE BUDGET.
UM, JUST AS A, TO GET A BROADER UNDERSTANDING OF, OF APH.
AND THEN JUST ONCE, DIRECT QUESTION, I THINK IT WAS SLIDE TWO, IF WE CAN GO BACK TO SLIDE TWO AND IT SAID IT THAT IT WAS LIKE THE LAST BULLET AND IT SAID LIKE SOMETHING LIKE CURRENTLY THERE IS NO PRIORITIZATION.
BUT THAT RIGHT THERE, HOWEVER, THE CITY AND APH DO NOT HAVE PRIORITIZATION PROCESS FOR SOCIAL SERVICES FUNDING.
CAN YOU EXPLAIN THAT BULLET? YEAH.
IT WAS BASED ON THOSE CATEGORIES.
SO, UM, WHATEVER WE DID, WE DECIDED THAT THE HOMELESSNESS, YEAH, THAT'S IT.
THERE IS NO MECHANISM TO KIND OF LOOK AT THE HOME INVESTMENT 40 MILLION AND MOVE MONEY, WHICH IS WHY IN PLANNING WE'RE TRYING TO CARVE OUT THAT PERCENTAGE TO GIVE COUNCIL AND DEPARTMENT LEADERSHIP THAT FLEXIBILITY TO RESPOND TO EMERGING NEEDS AND TRENDS.
IS THAT SOMETHING YOU THINK YOU WOULD, YOU NEED A MORE OF A PRIORITIZATION BECAUSE I GUESS I GET WHAT YOU'RE SAYING IS BECAUSE LIKE IN SDA 23 WE HAVE, THERE'S ALL THESE DIFFERENT THINGS THAT TAKE PRIORITY AND SO IT'S LIKE EVERYTHING'S IMPORTANT.
IS THAT WHAT YOU'RE SAYING? LIKE THERE'S NO, THERE'S SIMILAR TO WHAT WE OFTEN DEAL WITH THEM.
THE BUDGET IS LIKE EVERYTHING'S IMPORTANT.
WHAT'S THE NUMBER ONE THING VERSUS THE NUMBER TWO THING VERSUS NUMBER THREE THING? IS THAT, THAT'S WHAT YOU'RE SAYING BASICALLY? YES.
HOW'S YOUR KITCHEN? DID YOU HAVE ANY QUESTIONS? JUST A QUICK QUESTION SINCE THIS IS, UM, ONE OF
[01:35:01]
THE BUDGET NUMBERS BASED ON, I'M A LITTLE CONFUSED ABOUT THAT SINCE IT'S UM, MMM, YOU KNOW, SINCE IT'S, UM, THIS HAS DONE AT MULTIPLE YEARS.SO THE NUMBERS THAT ARE IN THE, THAT YOU JUST SHOWED US, IS THAT THE CURRENT BUDGET NUMBERS OR WHILE I ASSUME THAT THOSE WOULD BE CHANGED TO THE EXTENT THAT WE CHANGE OUR NUMBERS AS PART OF OUR BUDGET, THE CURRENT FISCAL YEAR COST OF LIVING ALLOWANCES FOR SOCIAL SERVICE PROVIDERS.
COUNSELOR TOPO, DID YOU HAVE ANY? I HAVE A COUPLE.
UM, WELL, ONE OF MY, MY FIRST QUESTION SORT OF PICKS UP ON OR YOURS LEFT OFF AND THAT IS, I'M STILL NOT UNDERSTANDING WHAT IT, WHAT THAT STATEMENT MEANS.
THAT THERE'S NO PRIORITIZATION FOR SOCIAL SERVICE FUNDING.
UM, HAVING WATCHED THE LAST COUPLE, I MEAN THE PRIORITIZATION, IT SEEMED TO ME, OR AT LEAST THE MISSION WAS SELF-SUFFICIENCY OR SOMETHING THAT'S ON THE EARLIER ON YOUR ONE OF YOUR EARLIER SLIDES.
SO CAN YOU HELP ME UNDERSTAND WHAT A PRIVATE, WHAT A PRIORITIZATION PROCESS MIGHT LOOK LIKE FROM YOUR ANGLE? CAUSE I'M, I'M STILL HAVING STRUGGLING WITH, WITH, UM, HOW THAT WOULD, HOW THAT WOULD CHANGE WHERE WE ARE CURRENTLY WITH, WITH THAT FOURTH BULLET.
THAT WAS A, THAT WAS A QUESTION FOR, UM, ADRIAN.
I'M GATHERING MY THOUGHTS, UM, UM, AROUND A LITTLE BIT.
UM, SO SOME OF OUR PARTNER AGENCIES HAVE, HAVE LAID OUT A MENU OF THESE ALL THE THINGS THAT WE WILL PURCHASE AS A SERVICE.
UM, SO LIKE FOR EXAMPLE, AND THIS IS FREE CODED, UM, UM, SAINT DAVID'S HAS, YOU KNOW, ALWAYS SAID TO US, UM, THEY WILL NOT PAY FOR BASIC NEEDS.
SO, UM, SO THEY'RE REAL SPECIFIC ABOUT, YOU KNOW, IF IT IS, YOU KNOW, LIKE A MEALS ON WHEELS TYPE OF SERVICE.
UM, THEIR, THEIR GOAL IS, IS THAT THEY'RE, THE MEALS ARE TO ASSIST SENIORS ARE PEOPLE DISABLED, REMAIN IN THEIR HOME.
SO IT'S LIKE A SUPPORTIVE SERVICE.
UM, AND THEN LIKE UNITED WAY WHEN THEY KIND OF RE RE DID THEIR, UM, ALLOCATION AND THEY SET SPECIFIC PRIORITIES FOR WHAT THEY WILL PAY FOR.
WHEREAS WITH THE CITY OF AUSTIN, WE HAVE ALL OF THESE ISSUE AREAS AND WE'VE NOT COME OUT TO SAY, UM, YOU KNOW, EVEN THOUGH HOMELESSNESS IS NUMBER ONE, WE'VE NOT COME OUT TO SAY THAT AMONGST ALL OF THE OTHER THINGS THAT ARE LISTED, YOU KNOW, BEHAVIORAL HEALTH AND, UM, WORKFORCE DEVELOPMENT, ETC.
THESE ARE THINGS THAT WE ONLY WANT TO FUND THIS AREA, UM, AND THE SERVICES.
AND SO THAT'S BASICALLY WHAT THAT PRIORITIZATION MEANS IS THAT WE COME TO A PLACE TO WHERE WE DECIDE THAT, THAT THESE ARE, THESE ARE THE ONLY SERVICES THAT WE'RE GONNA PROVIDE AS A CITY.
UM, AND WE WOULD LET OUR PARTNERS KNOW HOW THEY COMMUNICATE WITH US, UM, FROM, YOU KNOW, PHILANTHROPIC WORLD AND OTHER FUNDERS THAT THESE ARE THE THINGS THAT THEIR DONORS ARE WILLING TO PAY FOR.
AND THEN THAT WAY WHEN WE'RE HAVING THOSE COLLABORATIVE CONVERSATIONS, THEY ARE AWARE.
SO THAT'S JUST BASICALLY WHAT THAT MEANS.
SO AS I LOOK AT, I'M NOT SURE WHICH SLIDE IT IS.
UH, IT'S THE ONE THAT TALKS ABOUT PREVIOUS SOLICITATION PROCESSES.
AND SO IN 2010, THERE WAS A FRAMEWORK WITH SELF-SUFFICIENCY GOALS OF ABOUT FIVE, THOSE ADJUSTED IN 2013 TO FOCUS ON FOUR CATEGORIES, SELF SUFFICIENCY IN LIFE CONTINUUM, EARLY CHILDHOOD YOUTH, ADULTS, FAMILIES, SENIORS AND PEOPLE WITH DISABILITIES.
I THINK WHAT WOULD IT BE USEFUL TO KNOW AS WE, AS WE START TO THINK ABOUT THAT SOLICITATION A YEAR FROM NOW, HOW MANY THINGS WE FUNDED THAT DIDN'T FALL INTO THOSE FOUR CATEGORIES.
[01:40:01]
BECAUSE I, I, IF I'M UNDERSTANDING WHAT YOU'RE SAYING, WE, WHILE WE HAD A FRAMEWORK, WE ALSO FUNDED THINGS OUTSIDE THOSE, IT WASN'T AN EXCLUSIVE FRAMEWORK.ANOTHER IS THAT, IS THAT IT, THAT WE, WELL, WE HAD A FUNDING FRAMEWORK.
WE ALSO FUNDED OUTSIDE THAT AND DIDN'T HAVE CLEAR, UM, CLEARLY ARE ARTICULATE CLEAR GOALS THAT WE COULD ARTICULATE TO PEOPLE, TO, UM, ORGANIZATIONS ABOUT WHAT WE WOULD NOT FUND.
WE, WE, WE DON'T HAVE AN AFFIRMATIVE STATEMENT THAT SAYS THE CITY WILL NOT FUND.
SO THE ONLY THING THAT WE KNOW BECAUSE OF THE CREATION OF THE HEALTH DISTRICT, WE KNOW THAT WE CANNOT FUND, UM, MEDICAL SERVICES FROM A PHYSICIAN.
SO, SO WE, WE DO SAY THAT IN OUR INFORMATION AND YOU KNOW, THAT WE'VE COMMUNICATED TO THE PUBLIC AND YOU KNOW, OTHER ENTITIES THAT MAY BE INTERESTED IN THAT TYPE OF SERVICE, THE CITY PAYING FOR THAT.
BUT BESIDES THAT, WE, WE'VE NOT ESTABLISHED THERE, YOU KNOW, THE CITY WILL NOT FUND, YOU KNOW, X, UM, SERVICE.
SO WE, WE, WE'VE SET THE, LIKE THE PRIORITY GROUP, LIKE YOU SAID, THE CHILDREN AND YOUTH, UM, CHILDHOOD BEHAVIORAL HEALTH, HOMELESSNESS, HEALTH EQUITY, YOU KNOW, AND SO WE SET THE CATEGORIES, BUT WE'VE NOT HAD, THERE WAS A SPECIFIC SERVICE WE WILL NOT, UM, PAY FOR.
UM, AND SO THERE WERE A COUPLE OF STUDIES THAT WERE MENTIONED AND I APOLOGIZE, I WAS ON PHONE, NOT VIDEO, BUT I WAS LISTENING TO THE PRESENTATION AND THERE WERE, UH, I THINK IT WAS THE KENNEDY SCHOOL, UM, HAD DONE A STUDY LOOKING AT OUR SOLICITATION PROCESS WITH AN EYE TOWARD EQUITY.
I, I THINK THAT MIGHT, IF YOU HAVEN'T ALREADY DISTRIBUTED THAT AND YOU CERTAINLY MAY HAVE THAT MIGHT BE REALLY USEFUL INFORMATION FOR OUR COMMITTEE.
I KNOW, I KNOW THAT IN THE PAST, UM, THE PUBLIC HEALTH COMMITTEE, THE HEALTH AND HUMAN SERVICE COUNCIL COMMITTEE REALLY HELPED SHAPE THE FRAMEWORK AND THE GUIDELINES FOR THE SOLICITATION PROCESS.
AND SO I ASSUME THAT THIS COMMITTEE WILL, WILL DO THAT, UM, AS WELL.
AND SO I THINK HAVING THAT INFORMATION AND THAT ANALYSIS OF OUR, OF OUR EXISTING GRANTS WOULD BE REALLY USEFUL OR OUR EXISTING PROCESS, WHETHER IT WOULD BE REALLY USEFUL IF YOU ARE ABLE TO DISTRIBUTE THAT TO THE COMMITTEE SO THAT WE COULD REVIEW IT BEFORE OUR NEXT MEETING AND HAVE THIS AS A, AS A KIND OF AN ONGOING AGENDA TOPIC.
IS THAT DOABLE? WELL, I'LL ASK IF IT'S DOABLE.
IT MIGHT BE RESONANCE, BUT IT'S NOT.
SO IF IT'S EARLY CHILDHOOD, YOU KNOW, THAT'S MORE OF A PIPELINE PROGRAM TO PREVENTING HOMELESSNESS.
IF IT'S WORKFORCE DEVELOPMENT.
THAT'S HOW IT'S LIKE ALL THESE THINGS ARE SO INTERTWINED IN THAT, YOU KNOW, EARLY.
IT'S JUST, I GUESS THAT'S THE DIFFICULTY IN, YOU KNOW, SAYING THAT THIS, THEY'RE NOT SEPARATE AT ALL.
EARLY CHILDHOOD IS NOT SEPARATE FROM HOMELESSNESS, FROM WORKFORCE, FROM ALL OF THAT.
IT'S ALL, YOU KNOW, AND THEN BASIC NEEDS.
I WISH, I HONESTLY WISH WE HAD A LOT MORE TIME TO TALK ABOUT THIS AND THAT'S WHY I THINK IT'S BE GOOD FOR, OF COUNCIL TO, TO, UH, TO HEAR THOSE SINS AND SEE THIS REALLY GOOD INFORMATION AND LEARN ABOUT ALL THE GREAT WORK THAT AUSTIN PUBLIC HEALTH IS DOING AND HOW WE'RE TRYING TO BE FLEXIBLE AND NIMBLE AND IN THESE, IN THESE CONTRACTS.
AND IF NOBODY ASKS ANY QUESTIONS, UH, I THINK THAT THOSE ARE ALL OUR AGENDA ITEMS. SO, UM, THERE ARE NO OBJECTION.
DOES ANYBODY ELSE WANT TO ADD ANYTHING BEFORE I ADJOURN? OKAY.
IF THERE'S NO OBJECTION, WE ARE ADJOURNED AT 1239 THANK YOU ALL.
[01:45:02]