Transcription
THIS SHOW IS CAPTIONED LIVE. THIS SHOW IS CAPTIONED LIVE. THIS IS A TEST. THIS SHOW IS CAPTIONED LIVE. THIS IS A TEST. LIFE LIVE THIS IS A TEST. THIS SHOW IS CAPTIONED LIVE. THIS IS A TEST. THIS SHOW IS CAPTIONED LIVE.
>> GOOD AFTERNOON, WELCOME EVERYONE, I'D LIKE TO CALL THE HEALTH AND HOSPITAL COMMITTEE MEETING TO MEETING. I'M SUPERVISOR LEE, AND WITH SUPERVISOR ABE-KOGA, WE HAVE A QUORUM WITH BOTH PRESENT. PUBLIC COMMENTS. ITEMS TO ADDRESS ITEMS NOT ON THE AGENDA, AND ANYONE REQUESTING TO SPEAK ON ITEMS ON AGENDA TO REQUEST TO SPEAK AT THIS TIME.
>> I HAVE ONE REQUEST ON ZOOM.
>> LET'S DO 3 MINUTE.
>> OUR SPEAKER IS KEN HOROWITZ. YOU HAVE THREE MINUTES. WE'LL OPEN YOUR MICROPHONE. THE TIMER WILL START WHEN YOU BEGIN SPEAKING.
>> GOOD AFTERNOON SUPERVISOR LEE AND SUPERVISOR ABE-KOGA. THIS IS DR KEN HOROWITZ FROM THE TRADITIONAL HEALTH ADVISORY COMMISSION. I WANTED TO THANK YOU SUPERVISOR L LEE... THE SOUND CUT OUT.
>> CAN YOU HEAR ME.
>> THERE WE GO.
>> CAN YOU HEAR ME SHOE.
>> YES.
>> THIS IS SUPERVISOR LEE, AND SHAIB RSH, DR KEN HOROWITZ FROM THE TRADITIONAL HEALTH ADVISORY COMMISSION. AND FIRST OF ALL I WANT TO THANK YOU BOTH FOR SUPPORTING OUR HEALTH ADVISORY COMMISSIONS PILOT PROGRAM ON INTEGRATIVE MEDICINE. AND WE LOOK FORWARD TO SANTA CLARA HEALTH CARE COMING BACK TO THE HEALTH AND HOSPITAL IN MARCH. ON AN IMPLEMENTATION, AND A LONG TERM STRATEGY, AS WELL AS SUPERVISORS SUSAN ELLENBERG REQUESTED INFORMATION ABOUT FOODSERVICES ROM THE TRADITIONAL PUBLIC HEALTH DEPARTMENT AND ALSO SUPERVISOR DUONG REQUESTED INFORMATION ABOUT INTEGRATE IF MEDICINE SERVICES FROM VALLEY HEALTH PLAN AS WELL AS FROM THE TRADITIONAL FAMILY HEALTH PLAN. SO, AGAIN, WE WANT TO THANK YOU FOR THIS SUPPORT. AND WE HOPEFULLY SOME DAY WE WON'T BE TALKING ABOUT INTEGRATIVE MEDICINE, SERVICES LIKE ACUPUNCTURE AND CHINESE MEDICINE AS INTEGRATIVE MEDICINE, BUT JUST AS GOOD MEDICINE. FINALLY I TRIED TO GET THROUGH ON TUESDAY TO THE BOARD OF SUPERVISORS, I ANTED TO BRING ATTENTION TO A SENATE BILL 707, WHICH GOVERNOR NEWS SOME SIGNED IN OCTOBER REGARDING TELECONFERENCING FOR ADVISORY BOARDS. AS YOU KNOW, IT'S BEEN DIFFICULT TO FILL VACANCIES ON A NUMBER OF ADVISORY BOARDS. ONE OF THE PROBLEMS IS THAT MEMBERS CAN'T MAKE IT IN PERSON. SO, IT'S HOPEFUL THAT YOUR COUNCIL WILL LOOK AT SENATE BILL 707 AND CONSIDER TELECONFERENCING FOR ADVISORY BOARDS AS AN EFFORT TO FILL SOME OF THESE VACANCIES. AGAIN, I WISH YOU ALL HAPPY HOLIDAYS, HAPPY HANUKKAH AND THE BEST OF THE NEW YEAR 2026.
>> THANK YOU, I THINK IT'S THE LAST COMMENT. ITEM 3 IS THE APPROVAL OF THE CONCEPT CALENDAR. I WOULD LIKE TO ADITEM 11 REGARDING THE REPORT FROM THE TRADITIONAL S.C.V.H. ON DISPOSAL OF MEDICAL WASTE TO CONCEPT. ANYTHING ELSE.
>> YOU SECOND THAT AS A MOTION. AND I DO WANT TO - I HAVE A COMMENT REGARDING ITEM 16, RECORDING THE V.S.O. REPORT ON THE STAFF SERGEANT BARKER, PREVENTION PROGRAM. I WANT TO THANK DAHLIN AND THE V.O. S PROVIDING REPORTS ON THE SUICIDE PREVENTION POINT. PROGRAM. I SEE THERE'S TURNOVER AT THE SOCIAL WORKER POSITION AND WE ARE TRYING O PLEASE THE POSITION AND I'M PLEASED TO REFER VETERANS AT RISK FOR SUICIDE AND SEE THAT IT'S TURNED INTO BIANNUAL REPORTS N 2026 SINCE THE PROGRAM WILL PROVIDE SERVICES UNTIL SEPTEMBER 2026. THAT BEING SID, THE MOTION IS SECONDED, ANYONE LIKE TO SPEAK ON THE CONCEPT CALENDAR. -- CONSENT CALENDAR.
>> I HAVE NO ONE...
>> I HAVE SOMEONE RAISING HANDS.
>> SORRY. RIGHT BY THE PODIUM. GOOD MORNING.
>> DARCY GREEN, A MEMBER OF THE COMMUNITY BOARD, AND WANTED TO ADVANCE THANK YOU SO MUCH FOR YOUR SUPPORT OF OUR WORKING OUR WORK PLAN I BELIEVE IS ON THE CONSENT CALENDAR TODAY. AND JUST AGAIN THANK YOU FOR THE SUPPORT OF OUR WORK LOOKING FORWARD TO CONTINUING TO INFORM YOU ALL ABOUT THE WORK THAT WE ARE DOING AROUND NOT AND UPLIFTING HEALTH RACE DISPARITIES, BUT IN COLLABORATION WITH COUNTY STAFF TO MAKE SURE WE ARE GOING OUR PART ELIMINATING HEALTH DISPARITIES IN THE COUNTY, THANK YOU FOR THE WORK YOU DO ALL THE TIME ON BEHALF OF PATIENTS ACROSS THE COUNTY.
>> ONE MORE CARD.
>> THAT'S ENOUGH FOR CONSENT.
>> I DON'T BELIEVE SO, THESE ARE ALL FOR ITEM 6.
>> YES.
>> ONE MORE. STILL NOTHING OR THIS ITEM.
>> MOTION ECOND, NO PUBLIC COMMENTS. LET'S TAKE A VOTE.
>> VICE CHAIRPERSON ABE-KOYA.
>> AYE.
>> CHAIRPERSON LEE.
>> AYE AS WELL. ITEM 4 CONSIDERING (READS ITEM 4). I BELIEVE WE HAVE DR SALMON FROM ENTERPRISE MEDICAL STAFF PRESENT TO PRESENT.
>> THANK YOU SUPERVISOR.
>> HELLO, I'M ON ZOOM.
>> HI DR SALMON, GOOD MORNING.
>> GOOD MORNING, APOLOGIES, I WAS STUCK IN A - ON 880 IN AN ACCIDENT.
>> NO WORRIES, WE HEAR YOU LOUD AND CLEAR. WELCOME.
>> I THINK WE HAVE THE REPORT, DO YOU HAVE NOTHING TO ADD I'LL OPEN UP THE PUBLIC TO SEE IF ANYONE WOULD LIKE TO SPEAK. NO PUBLIC SPEAKING ON THE ITEM, CORRECT. OKAY. DO WE HAVE A MOTION TO APPROVE.
>> JUST WANT TO SAY I'M GLAD TO SEE THAT WE ARE HIRING EW PHYSICIANS ACROSS THE HOSPITALS IN DIFFERENT SPECIALTY, WITH THAT I MAKE A MOTION TO APPROVE THE ITEM E.
>> I SECOND THAT.
>> TAKING A VOTE. VICE CHAIRPERSON ABE-KOYA:.
>> AYE.
>> CHAIRPERSON LEE.
>> AYE AS WELL.
>> THAT PASSES, ITEM 5 (READS ITEM 5) I BELIEVE WE HAVE LET'S SEE IS MR MARG OLE N HERE TODAY.
>> HE IS AVAILABLE BY ZOOM.
>> THANK YOU AMY CARTER FROM SPECIAL PROTECTS HERE.
>> I'M HAVING TROUBLE HEARING THE CHAIRPERSON AND THE VICE PERSON. IF YOU CAN MOVE CLOSER TO THE MICROPHONE.
>> I'LL TRY TO DO BETTER.
>> MS MCGOWAN DO YOU HAVE A PRESENTATION TODAY.
>> MR MAGOWAN WE SEE YOU ARE ONLINE.
>> NOW THE MIC IS ON. CAN YOU HEAR ME.
>> YES.
>> I DO HAVE A PRESENTATION, FEDERAL HEALTHCARE LNDSCAPE. LAET ME START BY SITTING THAT THE TOP FEDERAL HEALTH CARE ISSUE REMAINS THE EFFORT TO EXTEND THE AFFORDABLE CARE ACT SUBSIDIES ISSUES, THE CENTER OF THE GOVERNMENT SHUTDOWN, WE ARE FAMILIAR WITH THE GENERAL OUTLINE OF THE ISSUE. OPEN ENROLMENT IS COMING TO AN END. FAILURE TO EXTEND THE SUBSIDIES IS PRODUCING ON AVERAGE A DOUBLING OF THE PREMIUMS FOR THE 22 MILLION IN THE AFFORDABLE CARE ACT EXCHANGE SYSTEM. WHICH IN CALIFORNIA IS KNOWN AS COVER CALIFORNIA. THEY DID AN ESTIMATE AT THE END OF LAST MONTH ON WHAT NOT EXTENDING THE SUBSIDIES MEANS IN CALIFORNIA, AND THEY SAID THAT IT WOULD RODUCE AN AVERAGE PREMIUM INCREASE OF 97% IN CALIFORNIA. AND AS MANY AS 400,000 PEOPLE COULD LOSE COVERAGE. THE SENATE VOTE LAST WEEK ON TWO PROPOSALS TO EXTEND THE SUBSIDIES, AND BOTH EFFORTS FAILED, DEMOCRATS HAD THEIR PROPOSAL. REPUBLICANS HAD THEIR PROPOSAL. THE ONLY SILVER LINING IS THE FOUR REPUBLICAN SENATORS DID BREAK RANKS AND THEY VOTED FOR THE DEMOCRATIC SUBSIDY EXTENSION BILL. THERE WAS REMOVAL TOWARDS BIPARTISANSHIP. THE REPUBLICAN PROPOSAL TOOK - THIS IS KEY TO THE WHOLE DEBATE IN WASHINGTON RIGHT NOW. IT TOOK THE SUBSIDY DOLLARS, RATHER THAN APPLYING THEM TO MAKING THESE SHARP PREMIUM INCREASES GOING AWAY, IT SAID WE WOULD APPLY THEM TO HEALTH SAVINGS ACCOUNTS. THAT'S WHERE THE ONEY SHOULD BE SPENT. ACCORDING TO SENATOR CASSIDY WHO SPONSORED THE MEASURE. AND THEY HAVE A VALUE IN THE SYSTEM. THEY HELP INDIVIDUALS PAY FOR POCKET EXPENSES LIKE DEDUCTIBILITIES AND COINSURANCE, CO-PAYMENTS. BUT THEY CANNOT BE USED FOR THE COST OF PREMIUMS. SO DOESN'T HELP PEOPLE MAINTAIN THEIR POLICIES IN THE FACE OF THIS INCREDIBLY SHARP PREMIUM INCREASE, THAT'S WHY, AGAIN, DEMOCRATS IS A BLOCK VOTED AGAINST IT. SHORT WAVE DESCRIBING HEALTH SAVINGS IS THAT THEY ARE HELPFUL FOR HEALTHY PEOPLE WHO HAVE HE POCKET EXPENSE, BUT NOT EFFECTIVE IN SUBPOENAING HEALTH INSURANCE COVER -- SUSTAINING HEALTH INJURE COVERAGE FOR THAT NEED MORE XRENS IOVERAGE. THIS WEEK THE ACTION IS OCCURRING THE HOUSE OF REPRESENTATIVES, THE HOUSE IS PLANNING TO VOTE AN ALTERNATIVE THAT WILL NOT AS OF THIS MOMENT INCLUDE AN EXTENSION OF THE ENHANCED SUBSIDIES. WE'LL KNOW THE DETAILS OF WHAT THE HOUSE WILL VOTE ON IN THE NEXT HOUR OR TWO. WE ARE CERTAIN THEY'LL AKE A VARIETY OF THE CHANGES TO INCREMENTALLY AFFECT HOW HEALTH IS PROVIDED SOME MARGINALLY HELPFUL AND SOME MAY WEAKEN THE AFFORDABLE CARE ACT. LET ME TICK THROUGH - THESE ARE TERMS YOU'LL HEAR ABOUT, THE KIND OF THINGS THAT WILL BE IN THE HOUSE REPUBLICAN PACKAGE. THEY'LL CREATE SOMETHING CALLED CHOICE ACTS, RY TO, THESE ARE ACCOUNTS THAT WILL ALLOW EMPLOYERS WHO DON'T WANT TO CONTINUE WITH A GROUP INSURANCE PLAN TO OFFER EMPLOYEES MONEY THAT WILL HELP THEM BY POLICIES THAT WILL NOT BE TAXED. IT'S A STRATEGY IN A SET OF CASES, EMPLOYERS HELPING THEM MOVE EMPLOYS INTO INJURE OUTSIDE OF COVERAGE. THERE'S COST SHARING REDUCTIONS, PART OF THE OTHER AFFORDABLE CARE ACT. IT WAS A PAYMENT STREAM DESIGNED TO REDUCE THE AMOUNT OF DEDUCTIBLES INDIVIDUALS PAY. GET RID OF AND/OR REDUCE OUT OF POCKET COSTS. IT WAS CHALLENGED IN COURT FOR SOMEWHAT TECHNICAL REASONS THAT WE DO NOT NEED TO GET INTO. PRESIDENT DONALD TRUMP, IN 2017 READ OF A COST SHARING REDUCTION. THE REPUBLICANS TALKING ABOUT RESTORING THEM. THIS WOULD BE HELPFUL. IT MIGHT INCREASE - IT MIGHT DECREASE PREMIUMS BY AS MUCH AS 10%. THERE'S A VALUE TO DOING THIS. WHEN YOU DEAL WITH 100% INCREASE, A MEASURE THAT MAY INCREASE PREMIUMS BY 10% IS FAR AWAY FROM BEING HELPFUL. THEY WANT TO ENCOURAGE MORE ASSOCIATION PLANS, THESE ARE PLANS THAT PEOPLE IN THE SAME INDUSTRY OR COMMUNITY CAN ROLL IN. THEY ARE PLANS THAT HEALTHIER PEOPLE LIKE TO ENROL IN, BECAUSE THE COSTS ARE LOWER, THESE ARE HARMFUL TO THE EXCHANGE SYSTEM. THEY ATTRACT HEALTHY PEOPLE WHO MIGHT BE IN CALIFORNIA, TO LEAVE COVER CALIFORNIA, LEAVING SICKER PEOPLE IN THE POOL AND IT PUTS PRESSURE ON PREMIUMS TO INCREASE. THERE ARE A FEW OTHER PROVISION, THE LAST I MENTION IS PHARMACY BENEFIT MANAGER PPM REFORM, HIS IS A BATTLE THAT DEMOCRATS AND REPUBLICANS ARE CONCERNED ABOUT BECAUSE PHARMACY BENEFIT MANAGERS ARE CORRECTLY ACCUSED OF HAVING KEPT PHARMACY PRICES, PHARMACEUTICAL PRICES HIGHER THAN THEY SHOULD BE, BUT THE HOUSE BILL SEES MORE DETAIL MAY INCLUDE A PBM PROVISION, INVOLVING TRANSPERSONS SI, THAT THE HARDER LINE REFORMS WE ARE TOLD WILL NOT BE IN THE HOUSE PACKAGE. SO SUMMARIZE, THE HOUSE WILL VOTE TOMORROW ON A PACKAGE THAT WILL HAVE NONE - NO PROVISION TO ADDRESS THE DOUBLING OF PREMIUMS, THE MAIN REASON DEMOCRATS WILL OPPOSE IT. IT APPEARS TO BE AN EFFORT - I AM SURE IT WILL BE CRITICIZED AS AN EFFORT TO ADDRESS THE ISSUE IN QUOTATION MARKS. BUT MISSED THE MARK. PRIMARILY IT'S COSMETIC, AND THE IMPORTANT OTHER POINT IT HAS ZERO CHANCE IF IT PASSES OF GETTING 60 VOTES IN THE SENATE. THERE ARE BIPARTISAN EFFORTS WORKED ON IN THE HOUSE. THIS EFFORT AT OPTICS OR POLITICS TO SUING ADDRESSING HE PROBLEM IS NOT WORKING WITH A CRITICAL GROUP OF HOUSE AND SENATE EPUBLICANS WHO UNDER THAT THIS IS A REAL WORLD ISSUE, YOU CAN'T IGNORE IT. IT AFFECTS 20 MILLION AMERICANS, AND THEY DON'T WANT TO ENGAGE IN COSMETICS, THERE ARE REPUBLICANS WORKING WITH DEMOCRATS IN THE HOUSE AND SENATE ON THE ISSUE. IN THE HOUSE IT'S TAKING THE FORM OF DISCHARGE PETITIONS, THERE'S 12 HOUSE REPUBLICANS SIGNING ONE OR ANOTHER OF THE CONDITIONS. THERE'S NO CONSENSUS WHETHER TO MOVE ON DISCHARGE, DEMOCRATS HAVE THEIR OWN, THERE'S NO BIPARTISAN AGREEMENT. THERE'S A NUMBER OF REPUBLICAN HOUSE MEMBERS WHO DO NOT WANT TO LET THIS CONTINUE TO MOVE FORWARD WITHOUT ACTION. THERE WAS A PUSH LAST NIGHT ACTUALLY BY THE HOUSE REPUBLICANS TO GET AGREEMENT IN THE ROLES COMMITTEE TODAY TO ALLOW FOR AN AMENDMENT ON THE FLOOR WHEN THE BILL IS TAKEN UP TOMORROW TO EXTEND THE ENHANCED SUBSIDIES, AS OF LAST NIGHT IT APPEARED AS IF THE HOUSE RULES COMMITTEE WAS NOT GOING TO RANT THAT AMENDMENT IN REPUBLICANS PUSHING FOR ACTION, WERE - APPEARED TO BE DEGERING AND NOT CHALLENGING THE LEADERSHIP. THIS IS HAPPENING AS WE SPEAK, THIS MAY CHANGE. NOW IT LOOKS AS IF THERE WON'T BE AN AMENDMENT ON THE FLOOR. THE DISCHARGE PETITION ROUTE IS AVAILABLE. IT TAKES TIME, IT'S NOT GOING TO HAPPEN IN DECEMBER, IT'S MORE A JANUARY DYNAMIC. WHILE THE HOUSE IS MOVING ON EFFORT TO SHOW INTEREST IN HEALTH CARE, THE SENATE HAS NOT GIVEN UP. BOTH BILLS LAST WEEK FAILED. THERE WAS A MEETING OF 20 SENATORS, BIPARTISAN, PUT TOGETHER BY SUSAN COLLINS OF MAIN INCLUDING DICK DURBIN OF ILLINOIS, SENATOR SHAHEEN OF NEW HAMPSHIRE AND OTHERS, A BIPARTISAN GROUP. THEY ARE WORKING ON A PROPOSAL THAT MAY BE UNVEILED THIS WEEK TO EXTEND THE SUBSIDIES, IT CAN'T BE ACTED ON IN DECEMBER. IF THEY UNVEIL A PROPOSAL. IT WILL BE A JANUARY AGENDA ITEM. THE ELEMENTS OF THE PLAN APPEAR TO BE A 2-YEAR EXTENSION OF SUBSIDIES WITH A CAP ON INCOME ELIGIBILITY, WHICH SOME DEMOCRATS ARE WILLING TO ACCEPT PROVIDED IT IS A REASONABLE CAP. THERE'S FRAUD FOR EXAMPLE LANGUAGE IN THERE. EVEN THOUGH DEVELOPMENTS-REPUBLICANS APPEAR TO BE DIVIDEDED THERE IS A FRAUD ISSUE THAT NEEDS TO BE ADDRESSED. THE COUNTRY OFFICE DID A REPORT -- COUNTRY OFFICE DID A REPORT, TAKING THE FORM OF INSURANCE BROKERS ENROLLING PEOPLE WITH FALSE INFORMATION. THEY ARE GETTING SUBSIDIES AND ENROLLED AND THE INCOME IS NOT VALIDATED. THERE'S A BIPARTISAN AGREEMENT THAT THE FRAUD. WHICH IS A SMALL PART OF THE SYSTEM, LIKE ANY LARGE GOVERNMENT OVER MANY YEARS, YOU HAVE TO WATCH OUT FOR FRAUD AND ABUSE AND TAKE STEPS TO ADDRESS IT, THAT THE BROKER ABUSE NEEDS TO BE ADDRESSED. THAT CAN BE IN THE PACKAGE. THE ENHANCED SUBSIDY DEBATE IS NOT GOING AWAY, IT WILL DOMINATE THIS WEEK AND JANUARY. THERE'S THREE APPROPRIATION BILLS HAVE BEEN PASSED. FIVE MORE BILLS - THE SENATE IS ATTEMPTING TO PACKAGE THEM TOGETHER. THAT INCLUDES LABOR H, HEALTH AND HUMAN SERVICES. THE CURRENTS CONTINUING RESOLUTION EXPIRES JANUARY 30TH. IT WILL BE ON IMMENSE SEVERED TO GET IT ON LINE, SEEMS TO BE CAUTIOUS OPTIMISM RATHER THAN HAVING A FULL YEAR THAT THE BILLS MIGHT GET OBVIOUS THE FINISH LINE. IF YOU ARE DOCTORED WHY THAT WILL HPPEN, A KEY FACTOR IS THE RETURN COMMUNITY PROJECTS, KNOWN AS EARMARKS. THERE ARE A LOT OF HOUSE MEMBERS AGAINST FEDERAL EXPENDITURE, AND THE OPERATION OF FEDERAL PROGRAMS EXCEPT WHEN IT COMES TO PROJECTS IN THEIR DISTRICT. THAT DYNAMIC HELPFUL IN PAST YEARS IN GETTING APPROPRIATION AGREEMENTS SEEMS TO BE OPERATING THIS YEAR, HOUSE REPUBLICANS ET CETERA. WANT THESE DISTRICT PROJECTS FUNDED. NO GUARANTEE WHETHER THIS WILL HAPPEN BS AND WHETHER TE WAY HAVE A SHORT-TERM CR OR A GOVERNMENT SHUT DOWN, IT'S POSSIBLE IN JANUARY. THERE'S A LOT OF WORK GOING ON IN THE APPROPRIATIONS PROCESS. THAT COMPLETES MY REPORT, I'M HAPPY TO RESPOND TO QUESTIONS AND COMMENTS YOU MIGHT HAVE.
>> LET'S SEE IF ANY PUBLIC WOULD LIKE TO SPEAK ON THE ITEM.
>> FOR ITEM 5, NO REQUESTS TO SPEAK IN CHAMBERS OR ZOOM.
>> THANK YOU, THINGS ARE CHANGING QUICKLY, IN THE FEDERAL LANDSCAPE. I'M NOT GOING TO - THE GIVE VERY MUCH DETAILS IN EVERYTHING THAT COMES AND FALLS APART. I'M NOT GOING INTO THAT. ONE THING FOR SURE, THE RESOLUTION DEADLINE, THIS TIME AROUND WILL BE END OF JANUARY.
>> JANUARY 30TH. THAT MAY BE A FIGHT, ABOUT ANOTHER SHUTDOWN. THAT IS SOMETHING WE NEED TO BE AWARE OF AT LEAST.
>> YES.
>> THAT IS ALL I HAVE. GO AHEAD.
>> I WANTED TO ADD A COUPLE OF ADDITIONAL UPDATES FOR THE COMMITTEE'S AWARENESS, WE ARE LOOKING AHEAD TO THE GOVERNMENT'S BUDGET JANUARY 10TH WORD ON THE STREET WE ARE SPECTED MEDICAL RELATED CUTS ON TOP OF FEDERAL CUTS IN THE GOVERNMENT'S BUDGET PROPOSAL. WE'LL SEE WHAT HAPPENS WHEN WE SEE WHAT IS PUBLISHED THAT WOULD BE BAD NEWS AND EXACERBATE CUTS BASED ON THE FEDERAL PICTURE AND OUT LOOK. WE'LL KEEP THE COMMITTEE AND BOARD APPRAISED AS WE LAUNCH A STATE ADVOCACY PUSH, WHICH MAY BE AN UPHILL ONE IN THE EVENT THAT THERE'S STATE CUTS ON TOP OF THE FEDERAL ONES. WE ARE SEEKING STATE SUPPORT TO HELP MITIGATE WHAT IS HAPPENING FEDERALLY. THE OTHER THING I WANTED TO SHARE WITH THE COMMITTEE, IS APPARENTLY IN OS ANGELES, AN EFFORT AS BEEN LAUNCHED FOR A LOCAL SALES TAX RELATED TO HR 1 CUTS AND OSPITAL AND HEALTH CARE FUNDING IN LOS ANGELES. IS IT LOOKS LIKE THE LEADERSHIP WE HAVE SHOWN ARE SPREADING TO OTHER PARTS OF THE STATE. I WANTED TO SHARE THOSE TWO PIECES OF NEWS WITH THE COMMITTEE, WE'LL KNOW MRE, THE GOVERNOR'S BUDGET IS RELEASED JANUARY 10TH. AND YOU KNOW, WE WILL LOOK AT THAT CAREFULLY, AS SOON AS IT COMES OUT. WE ARE CONCERNED BASED ON WHAT WE ARE HEARING IN TERMS OF RUMORS.
>> THANK YOU, JAMES.
>> QUESTION ON THAT. SO, WE WERE HOPING THAT WE WOULD GET STATE ASSISTANCE TO HELP US WITH THE PROJECT, A BILLION DEFICIT, HOLE. IS THIS - ARE YOU SAYING THAT THAT - THE THIRD THAT WE WERE HOPING THE STATE WOULD HECH US WITH IS IN JEOPARDY OR EVEN MORE THAN THAT.
>> I MEAN, WE DON'T KNOW UNTIL WE SEE WHAT WE SEE. BUT IT SEEMS LIKE OUR ADVOCACY EFFORTS WILL BE UPHILL IN THE SENSE WE MAY HAVE A GOVERNOR'S BUDGET PROPOSAL THAT PUTS US IN A BIGGER HOLE. I DON'T THINK WE EXPECTED THE GOVERNOR'S BUDGET TO PROPOSE ANY AUGMENTATION, AND SO WE KNEW THAT THAT WOULD BE THE BIG ADVOCACY PUSH BETWEEN JANUARY AND THE BUDGET ADOPTION IN JUNE. BUT WE MAY BE PUSHING UPHILL IN THE SENSE THAT THEY MAY BE ADVOCATING THAT THE LEGISLATURE REJECT STATE CUTS. IN ADDITION TO ASKING THE LEGISLATURE TO HELP SUPPORT RELIEF FOR PUBLIC HOSPITAL SYSTEMS. IT HIGHLIGHTS A COUPLE OF THINGS, ONE IS THAT WE CAN'T NECESSARILY COUNCIL ON STATE SUPPORT, WE HAVE NOT ASSUMED ANY STATE AUGMENTATION IN THE BUDGET FORECAST. THAT WOULD BEIMPRUDENT. BUT WE WILL FACE VERY DEVASTATING LEVEL OF CUTS WITHOUT IT. SECOND, I THINK IT REALLY PUTS A MINOR POINT ON HOW VIGOROUSLY WE NEED TO ADVOCATE PUSH TO GET THE STATE TO DO THE RIGHT THING. AND I JUST SHARE THAT, BECAUSE ONE OF MY CONCERNS IS THAT THE STATE IS MAYBE APPROACHING SOME OF THESE CONVERSATIONS FROM A SHORT TERM MYOPIC STAND POINT. WHERE FOR INSTANCE, PUTTING SOME INVESTMENT UP FRONT IN HELPING KEEP PEOPLE ON MEDI-CAL ENROLMENT. WILL HELP THE STATE BUDGET AS WELL AS THE BUDGET OF HEALTH CARE DELIVERY SYSTEMS ACROSS CALIFORNIA, BEING ABLE TO DRAW IN FEDERAL FUNDING THROUGH RETENTION OF PEOPLE ON MEDICAL AND INSURANCE, IF THE STATE IS GOING TO BE PENNY WISE AND POUND FOOLISH, PUTTING IT IN FRONT IN THE DATA SYSTEMS AND PROPHECIES AND SUPPORT AND AGENCIES, WE COULD FACE BILLIONS FURTHER IN CUTS IN THE SUBSEQUENT YEAR. PART OF WHAT WE HAVE TO DO IS ENGAGE IN THE CONVERSATIONS NOT JUST WITH OUR DELEGATION, BUT ACROSS CALIFORNIA THAT IT WILL PAY BILLIONS IN DIVIDENDS TO PUT HUNDREDS OF MILLION INVESTMENT UP FRONT TO KEEP PEOPLE ON ENROLMENT. WE'LL PUT A LOT OF ENERGY INTO THIS. IT WILL BE ON AREA OF TREMENDOUS IMPORTANCE AND FOCUS. THE CONSEQUENCES OTHERWISE ARE JUST DEVASTATING, AND AS A REMINDER, THOUGH WE ARE IMMEDIATELY FOCUSSED ON THE 470 MILLION IN CUTS THAT WE ARE FACING IN THE UPCOMING FISCAL YEAR, WE HAVE HALF A BILLION IN IMPACT THE YEAR AFTER THAT. WHAT THAT LOOKS LIKE WILL HEAVILY TURN ON STATE RELATED STRATEGIES, PARTICULARLY RELATED TO ENROL: MORE TO COME. BUT WE ARE KEEPING OUR EYE ON THE BALL AND PUT AS MUCH ENERGY AS WE CAN ON THE EFFORTS SO WE CAN MITIGATE WHAT IS HAPPENING HERE LOCALLY.
>> THANK YOU.
>> OKAY SO AN I HAVE A MOTION TO RECEIVE THE REPORT.
>> I MAKE I MOTION TO RECEIVE THE REPORT.
>> I SECOND THAT. VICE CHAIRPERSON ABE-KOYA.
>> YES.
>> CHAIRPERSON LEE. YES.
>> ITEM NUMBER 6, RELATING TO THE ALCOVE PROGRAM ON THE BEHAVIORAL HEALTH SERVICES DEPARTMENT REPORT. AND I BELIEVE DR TROWELEL YOU WILL BE PRESENTING.
>> GOOD MORNING CARLIE, AND SUPERVISE MARGARET ABE-KOGA. WE HAVE SOME OF OUR BEHAVIORAL HEALTH SERVICES TEAM JOIN US ON THIS ITEM. BEFORE WE MOVE IN TO THE MOVE INTO THE DISCUSSION. WHICH WANT TO START THAT WE ARE WORKING ON MAINTAINING SERVICES IN THE NORTH COUNTY AT A REDUCED COST AND APPRECIATE THE COUNTY'S SUPPORT FOR COMING UP WITH WAYS TO DO SO. WANTED TO SET THAT TONE FOR OUR CONVERSATION TODAY. I HAVE OUR TEAM HERE, MEGAN WHEELER HAN, THE DEPUTY DIRECTOR. SALARY ACOSTA CHILDREN'S DIRECTOR. JENNIFER PHAM, DIVISION DIRECTOR AND STEPHANIE, EXECUTIVE OVER OUR SERVICES.
>> THANK YOU, WELCOME. I BELIEVE WE HAVE A LOT OF CARDS ON THIS ONE, RIGHT. HOW MANY DO WE HAVE.
>> I HAVE 11 CARDS AND HANDS GOING UP ON ZOOM. AGAIN, IF YOU INTEND TO SPEAK ON ITEM 6 RELATING O ALCOVE PALO ALTO, NOW IS THE TIME TO RAISE YOUR VIRTUAL HAND, WE APPEAR TO HEALED AT SO, TOTAL OF 21.
>> 1 MINUTE EACH. WOULD YOU LIKE TO CLOSE THE QUEUE AT 21.
>> LET'S DO IT.
>> 1 MINUTE EACH, BEGINNING WITH THE SPEAKERS IN CHAMBERS, I'LL CALL A FEW NAMES IF YOU CAN FORM A NAME. PAT BURT, GREIG YUNG, SALLY BEAM US, OLGA LASAMA, GO AHEAD AND BEGIN YOUR COMMENTS.
>> PAT GO BY THE PODIUM, THERE'S A MIC. GO AHEAD, GOOD MORNING.
>> GOOD MORNING, THANK YOU VERY MUCH FOR CORPORATION OF THE ITEM. THANK YOU TO THE SUPERVISORS ND COUNTY STAFF THAT MET WITH OUR MAYOR AND MYSELF. WE ARE INTERESTED IN THE COMMITMENT FROM THE TRADITIONAL COUNTY TO FORM ABASELINE TO BUILD THE PROGRAM AND ENHANCE UTILIZATION, WE, AS YOU KNOW ARE IN PALO ALTO IN THE MIDST OF A THIRD US SUICIDE CLUSTER, IT'S TRAUMATIC TO THE YOUTH IN THE COMMUNITY. THIS FUNCTION PROVIDE A DROP? MULTI SERVICE LEVEL F - AT ONE LOCATION. WE ARE COMMITTED GOING FORWARD TO SUPPORTING THIS THROUGH FINANCIALLY AND IN KIND SERVICES FROM BOTH PUBLIC AGENCIES, THE SCHOOL SYSTEM, HSPITAL, FILLAN TLOPIES, AND OTHER PARTNERS.
>> THANK YOU FOR THAT.
>> GOOD MORNING. THANK YOU FOR SPEAKING TODAY.
>> I WORK THE CENTRAL ALCOFFEE TEAM NETWORK DIRECTOR AND WANT TO TOUCH A LITTLE ABOUT THE IMPORTANCE OF ALCOVE. IT IS ABOUT YOUNG PEOPLE FOR YOUNG PEOPLE AND IS BUILT ON THE FOUNDATION THAT YOUNG PEOPLE'S VOICES IS AN IMPORTANT VOICE IN BUILDING THIS SERVICE. I COME ROM AUSTRALIA, WHERE WE HAVE 186 CENTERS ACROSS AUSTRALIA, WHEN I FIRST STARTED THEY HAD THE HEAD SPACE, THERE WAS 13, NOW 186. THE ALCOFFEE MODEL IS BASED UPON THAT EVIDENCE-BASED WERE. ALSO NETHERLANDS, SEEAR, JAPAN, I WANT TO FLAG THAT HERE'S A LOT OF DISCUSSION AROUND FIDELITY, IT DOES NOT HAPPEN TODAY. IT HAPPENS OVERTIME. AND MANY OF THE OTHER CENTERS IT'S TAKEN THEM TWO YEARS TO REACH FATALITY, ALL HAVE TAKEN THAT TIME. THANK YOU.
>> YOU ARE GREG.
>> THANK YOU.
>> HI, I'M SALLY BOOEMIS ON THE YOUTH COMMUNITY SERVICE BOARD AND SIGNED AN M.O.U. WITH ALCOVE. THANK YOU FOR HE OPPORTUNITY. I'LL PLAY A 12-YEAR-OLD NATHAN'S STATEMENT ABOUT WHAT ALCOVE MEANS TO HIM. IT'S NOT PLAYING. SORRY. HE SPOKE AT THE PUBLIC TOWN HALL MEETING THAT MARGARET HAD FOR US, TALKING ABOUT HIS ANXIETY AND HOW ALCOVE HAS BEEN VERY IMPORTANT TO HIM. HE'S A REGULAR PARTICIPANT. HE LOVES GOING THERE AND VOLUNTEERS THERE AS WELL. THANK YOU.
>> THANK YOU VERY MUCH.
>> AFTER OLGA, CAN WE HAVE SELENA GNEVAT. THANK YOU FOR THE HONETIC SPELLING, STEVEN. DAVID AND TESS.
>> START.
>> GOOD MORNING, I HAVE A VIDEO, THIS IS THE FIRST PART. [ VIDEO PLAYED ]L [ AUDIO PLAYED ]... PSYCHIATRY, PHYSICAL SUPPORT... I DON'T KNOW THAT I WOULD HAVE... I THINK MORE RECENTLY WHEN I... COUPLE OF WEEKS AGO... MORE GRATEFUL, THE FIRST THING I THOUGHT OF WAS...
>> THANK YOU.
>> THANK YOU. HELLO. WE ARE FINISHING THE YOUTH SPEECH. [ AUDIO PLAYED ] THANK YOU SO MUCH. SO REALLY, REALLY WORRIES ME TO... THOSE ARE HARDER TO ACCESS. THE AMAZING THING... SO REALLY HELPING THEM. THE BUDGET - SEE THAT IT'S AN ISSUE, ESPECIALLY WITH CRITICAL...
>>.
>> SORRY YOU ARE SELENA.
>> YES.
>> THANK YOU.
>> I'M GENEVIEVE. THE MENTAL HEALTH SUPERVISORS AT POOHO ALTO SCHOOL DISTRICT, IT'S BEEN IN THE DISTRICT SINCE 2016 AND HAVE THE OPPORTUNITY TO BUILD AND CREATE THE MENTAL HEALTH PROGRAM, SUPPORTING STUDENTS WITH THERAPISTS ON CALL SITES FROM IT. K TO UP GRADES. WE HAVE AN OPPORTUNITY TO WORK WORK ALCOVE WITH THE SECONDARY TUNES, AS WE KNOW, ONE IS COMING UP THERE'LL BE A LARGE BREAK WITH WINTER, SUMMER SPRING BREAK, AND SO WE ARE NOT AVAILABLE TO OUR STUDENTS AT THAT TIME. IT MEANS A LOT TO US AS A THERAPEUTIC TEAM, CLINICAL TEAM TO HAVE SOMEWHERE TO SEND THE STUDENTS THAT NEED THE REPORT. THAT MAY NOT BE ABLE TO ACCESS THAT. NOT SOME THAT, HAVING A SAFE SPACE FOR STUDENTS TO ENGAGE WITH ONE ANOTHER, HAVE FUN, ENGAGE IN ACTIVITIES, SEE MENTAL HEALTHRY AND WE'LL INNOCENCE IN A WAY.
>> AND ALSO PHYSICAL SUPPORT AS WELL.
>> STEPHEN LEE FROM PROJECT SAFETY ADMIT. WE HAVE OVER 300 MEMBERS OF THE COMMUNITY URGING THE COUNTRY TO SAVE AL-GOVE AND THAT INCLUDES E NEARLY 200 OF YOUTH. IT GROWS. YOUTH ARE IN FINAL SEEN. I WANTED TO READ A COUPLE OF NOTES. ONE FROM A SEVEN GRADER. I WALKED INTO ALCOVE ON A DAY I WASN'T SURE I WANTED TO KEEP FINING. EVERYTHING IN MY LIFE WAS HEAVY, I GOT GOOD AT PRETENDING I WAS FINE WHEN I WASN'T. SOMEONE REALLY LISTENED AND HELPED ME FINDING WORDS. I WENT BACK, LITTLE BY LITTLE THE PANIC WAS LESS, AND THE DARKNESS LESS SUFFOCATING. THEY REMINDED ME I WAS NOT ALONE AND I HAD ROOM FOR HPE. IT DIDN'T FIX EVERYTHING OVERNIGHT. BUT GAVE ME A LIFE LINE IN A REAL WAY IT SAVED MY LIFE. THANK YOU.
>> GOOD MORNING, SUPERVISORS LEE AND MARGARET ABE-KOYA, COUNTY ADMINISTRATION. I WANT TO THANK YOU ALL FOR YOUR LEADERSHIP ON THE ALCOVE CENTER AND SERVICES BALANCING FISCAL NEEDS, COMMUNITY BEHAVIORAL HEALTH NEEDS AND COMMUNITY INPUT. SINCE 209. THERE HAS BEEN ONE AREA IN THE COUNTY THAT HAS ENDURED THREE SUICIDE CLUSTERS. AND FROM MY EXPERIENCE, THERE'S A REASON WHY EVERY SEVEN PLUS YEARS THERE'S A NEW COHORT OF KIDS. THEY DON'T REMEMBER WHAT HAPPENED IN THE PREVIOUS - WHAT HAPPENS BEHAVIOR. SO, ALCOVE IS THAT LONGITUDINAL EFFORT TO BEND THAT TRAJECTORY. WE COMMIT TO DOING EVERYTHING WE CAN TO SUPPORT THE EFFORT IN NORTH COUNTY, IN THE REDO ON ALCOVE. THANK YOU ALL VERY MUCH.
>> GO AHEAD AND SPEAK TO THE PODIUM.
>> HI, SORRY. I'M TESS, AND I WOULDN'T BE HERE WITHOUT ALCOVE. ALCOVE SAVED MY LIFE BY NATURE OF OFFERING MENTAL HEALTH AND CAREER SUPPORT DURING A TIME UTE USE PERIOD. I'M APPLYING TO LAW SCHOOL, WITH ALCOVE'S HELP. IT'S A COMMUNITY HEALTH CENTER OFFERING SERVICES, IMPORTANT IN POOHO ALTO WHERE STUDENTS TURNED TO DRASTIC MEASURES DUE TO LACK OF SPOR OR COMMUNICATE WHY WERE, EVERYONE KNOWS SOMEONE OR NOSE SOMEONE THAT KNOWS SOMEONE THAT KILLED THEMSELVES WHEN PRESSURE IS HOTEL AT SCHOOL AND HOME. OF IT'S CRUCIAL THAT THEY ARE AFFIDAVIT A SPACE TO REAFFIRM AS A COMMUNITY MEMBER REMOVING, RESTRICTING ALO ALT YES RESTRICT INDIVIDUALISM IN PALO ALTO, OFFERING THE SERVICES MEANS IT WILL AFFECT YOUTH WITH NO OTHER OPTIONS FOR MENTAL HEALTH CARE OR CAREER ADVICE. THANK YOU.
>> AND FINALLY, PAYIN LEE AND ANALIDIA SOTO.
>> HI. EVERYONE, I'M DIRECTOR OF THE COMMUNITY AT PROJECT SAFETY NET. WE PROMOTE YOUTH SUICIDE PREVENTION AND MENTAL WELLNESS. ALTO AALTO HAS BEEN A PARTNER FOR THE ECHO SYSTEM SUPPORTING WELL BEING AND SUICIDE PREVENTION. IN THE PAST YEARS WE ARE WORKED CLOSE CLOSELY ON TEAM PROJECT OUTREACH SO FOLKS KNOW THAT IT'S AT ONE STOP HUB FOR MENTAL HEALTH SERVICES FOR YOUTH 20-25. WE HAVE WORKED CLOSELY M PROMOTING HEALING, GRIEF SUPPORT, AND ALCOVE IS A PLACE WHERE YOUNGEST PEOPLE CAN MAKE APPOINTMENTS AND WALK IN TO GET ACCESS TO A VARIETY OF SERVICES COMMUNITY SUPPORT, PEER SUPPORT, WHATEVER THEY NEED. SO, WE LOOK FORWARD TO WORKING WITH OUR PARTNERS FOR THE FUTURE. THANK YOU.
>> HELLO, I'LL SHARE SOX WORDS FROM THE TRADITIONAL YOUNG EXPERIENCE, SLOWY.
>> OH, NO.
>> I'M FROM THE SMALL IN 2017. I WAS A YOUTH ADVOCATE WORKING ON ALTOE.
>> WHILE I WAS AN UNDERGRAD.
>> DURING THE CLUSTER THAT BEGAN IN 2014.
>> LOST FRIENDS AND CLASSMATES. IT WAS MEANINGFUL THAT PALO ALTE'S YOUTH NEEDED HEALTH CARE, A PROGRAM THAT WAS ACCESSIBLE AND FREE SHAPED BY YOUNG PEOPLE ADDS EXPERIENCES, BEFORE ALTO, THE SUPPORTS DID NOT EXIST. WE FOUGHT FOR THE PROGRAM TO BE BUILT. THE LIVES OF PEERS DEPENDED ON IT, IT IS MORE THAN CLINICAL CARE OUT OUT
>> TECHNICAL DIFFICULTIES.
>> PAUSE IT FOR A SECOND. THAT THANK YOU.
>> HIGH SCHOOL IN 2017. I WAS A YOUTH ADVOCATE - I'LL SPEED IT UP.
>> MY TIME WITH ALCOVE INSPIRED ME TO STUDY PSYCHOLOGY AT STANFORD. PURSUE RESEARCH AND BECOME THE MANAGER OF A BEHAVIORAL HEALTH RESEARCH PROGRAM. I'M CORNERING MY MASTERS IN SOCIAL WORK THANKS TO THE OPPORTUNITY AND SUPPORT PROVIDED BY THE TEAM AT ALCOVE. TO CLOSE, I WANTED TO SHARE THAT SINCE LEAVING PALO ALTO, I HAVE BEEN CONTACT BY MULTIPLE STUDENTS TELLING ME THAT THE SERVICES SAVED THEIR LIVES OF PREVENTIVE YOUTH CARE IS A NECESSITY, NOT A LUXURY, OUR COMMUNITY SHOULD KNOW THAT. WITH ADOLESCENT HEALTH CHALLENGES, PROMOTING SERVICES IS ESSENTIAL, CONTINUE TO STAND WITH THE YOUTH. THANK YOU:.
>> WE THANK YOU.
>> WE'LL MOVE TO THE ONLINE SPEAKER, QUEUE AS CLOSED. I'LL GO OFF THE LIFT. FIRST SPEAKER IS SATAR.
>>. HE'LL HAVE ONE MINUTE. TIMER STARTS WHEN YOU BEGIN SPEAKING.
>> I'M S.A.T. A.R. I. SPEAKING AS A YOUTH ADVISOR WITH AND WE'LL BONING, I'M HERE TO T- ASK YOU TO CONSIDER THE CLOSURE DUE TO BUDGET CUTS. PAO ALTER HAVE LUSTERS IMPACTING YOUNG PEOPLE, FAMILIES, SCHOOLS AND SURVIVORS, YOUTH ADVISORS LIKE ME ARE NOT THERE FOR SHOW ARE WE HELP SHAPE SERVICES, OUT REACH AND ENGAGEMENT SO GOUTH QUEEL ABLE TO ACCESS SOMETHING. WHEN YOUTH LOSE SPACES. THEY ARE MARGINALIZED AND UNSURE WHEN ABOUT TO RECEIVE HELP. IT SENDS A MESSAGE THAT THE WELL BEING IS OGESAL WHEN THE CUTS ARE HAPPENING. THANK YOU FOR LISTENING TO YOUTH VOICES.
>> NEXT SPEAKER IS SHARSHENK. PLEASE GO AHEAD. TIMER STARTS WHEN YOU BEGIN SPEAKING. I SEOUR MICROPHONE IS ON. SEE IT ONE MORE TIME.
>> MICROPHONE IS OPENED WE ARE NOT GETTING AUDIO:
>>.
>> HELLO. CAN YOU HEAR ME.
>> YES, WE CAN HEAR ME OKAY.
>> PROFESSOR OF PSYCHIATRY, COVERAGE IS NOT JUST A ENTAL HEALTH CHIN, IT'S YOUTH ED DESIGNED WITH YOUTH FOR YOUTH, AS YOU HAVE HEARD. IT NOT ONLY REACHES OUTS EARLY, YOU HEARD FROM STUDENT WHO SAID IT SAVED THEIR LIVES THIS IS A FLAGSHIP MODEL. MORE THAN A THIRD WOULD NOT HAVE SOUGHT HEALTH. IT'S WORTH HIGHLIGHTING THAT THE HI NUMBER OF YOUTH HAVE MODERATE TO SEVERE MENTAL HEALTH ISSUES. OVER 10% SCREEN POSITIVE FOR POSSIBLE PSYCHOTIC ILLNESS, CUTTING ALCOVE SILENCES A PROVEN MED ELF INTERVENTION, PREVENTION AND LIFE SAVING HOME. YOUNG PEOPLE TOLD US WHAT THEY NEED, NOW IS THE TIME, ESPECIALLY IN FINANCIAL CRISIS, WE MUST STAND BY THEM.
>> OUR NEXT SPEAKER IS OB GONE. PLEASE GO AHEAD YOU'LL HAVE ONE MINUTE.
>> GOOD MORNING EVERYONE, CAN YOU HEAR ME.
>> YES.
>> I'M ROB JORT. PROJECT SAFETY NET BOARD TREASURER, MEMBER AND FATHER OF FOUR. I ENCOURAGE YOU TO SUPPORT A CRITICAL MEMBER OF OUR COLLECTIVE. ALCOVE. THE CLUSTER IS A TRAGEDY, PLEASE DO NOT CREATE A FUNDING TRAGEDY FOR THIS ORGANIZATION AND FURTHER DO NOT SILENCE THE YOUTH OF OUR COMMUNITY, THANK YOU.
>> ALISON ROSEN IS THE NEXT SPEAKER. PLEASE GO AHEAD.
>> ON THE CLINICAL STANFORD PSYCHIATRIST AND PARENT OF A CHILD THAT WENT THROUGH THE SYSTEM, I SENT YOU AN EXPLANATION OF WHY ALCOVE MATTERS TO THE COMMUNITY, ONE STORY HANDS ME, A PARENT REACHED OUT ABOUT HER SON'S FRIEND, A HAPPY CHILD FALLING INTO SEVERE DEPRESSION, THE FAMILY DIDN'T SPEAK FINISH AND LACKED SECURITY, WE COULDN'T FIND A PAEDIATRIC PSYCH IT REST THAT HAD A...
>>.
>> WE LOST YOU CAN WE PAUSE THE TIME. TRY ONE MORE TIME TO FINISH THAT.
>> THE FAMILY IDN'T SPEAK ENGLISH, LACKED INSURANCE AND WE COULDN'T FIND A PSYCHIATRIST THAT SPOKE THE LANGUAGE. THE POSITION WORSENED. WE WILL TO PERSUADE THE BOY TO BE HOSPITALIZED. THEY STRUGGLED TO NAVIGATE. AND I BELIEVE THAT COULD VERY CONNECTED TO TIMELY SERVICES AND PREFLENTED HIS HOSPITALIZATION. THANK YOU.
>> NEXT SPEAKER IS NAOMI GOMEZ, PLEASE GO AHEAD.
>> YES. I'M THE MOM OF YOU NATHAN, THE 12-YEAR-OLD THAT HAS ANXIETY, AND IT'S ADVOCATIVE. I'LL PLAY HIS VIDEO WHEN SUPERVISOR MARGARET WAS HERE, BY THE WAY, SOMETHING THAT HE SAID WAS LIKE AUTHORITIES DO NOT HEAR BOYS. THEY LISTEN O ADULTS. THEY SAID THAT TO SUPERVISOR SUPERVISOR ABE-KOGA AT THE TIME. AND HERE IS MINE. [ AUDIO PLAYED ].
>> OUR NEXT SPEAKER IS BECKY BEACOM. I'M BECKY WITH THE LONG TIME COMMUNITY MEMBER. ALSO A SUPPORTIVE OF ALCOVE. I'LL BE READING FROM A HIGH SCHOOL STUDENT ASKED TO REMAIN ANONYMOUS. WE NEED TO SHOW OW HARD IT IS. THE ALCOVE OF VIBE IS VALUABLE. ALCOVE IS SOMETHING UNIQUE ABOUT PALO ALT JOE, AND HOW MENTAL HEALTH IS AT A LOW FOR TEENS AT PAYO ALTO THE BIG PROBLEM IS NO ONE TALKS ABOUT MENTAL HEALTH. IF ALCOVE IS ABOLISHED. IT WILL MAKE IT WORSE. THE PROBLEM WILL BE SOLVED WITH THERAPY, AND THE ONLY FREE PLACE NOW IS ALCOVE.
>> NEXT SPEAKER IS JAULY LITH COT HAMES.
>> THANK YOU -- JULIE LITH COT HAMES. THANK YOU.
>> WE'LL CLOSE THE MICROPHONE FOR JULIE, SHE'LL SPEAK IN THE ROOM. WHENEVER YOU ARE RIGHTSIDE.
>> HELLO SUPERVISOR, I'M JULIE, A MEMBER OF THE PALO ALT JOE CITY COUNCIL. I WANT TO EXPRESS ATTITUDE FOR THE WORK IN COUNTY HEALTH AND GETTING THIS OFF THE GROUND IN FURTHERANCE OF SUPPORTING AND SAVING TESS AND THE OTHER YOUTH YOU HEARD FROM THIS MORNING. WITH BUDGET CUTS FACED AND THE BURDEN ON COUNTY STAFF, AND WITH THE DIRE YOUTH MENTAL HEALTH CRISIS OUR CITY FACES WE HOPE TO SEGUE RESPONSIBILITIES TO A DEPUTY PROVIDER, AND CONTINUING TO RECEIVE FINANCIAL SUPPORT FROM THE TRADITIONAL COUNTY IN THE EARS AS WE TRANSITION THAT TIME ALLOWS US TO BUILD PARTNERSHIPS TO SUPPORT ALCOVE OPERATIONALLY AND FINANCIALLY. THANK YOU FOR YOUR SERVICE AND YOUR CONSIDERATION.
>> WHO ELSE O WE HAVE.
>> TWO MORE ON ZOOM. I AN MARE.
>> ET HELLO MY NAME IS MARE LUCAS. AND I'M THE MOTHER OF A STUDENT FROM THE TRADITIONAL SECOND CUSTOMER DYING BY SUICIDE NAMED ZANE. I HAVE STARTED AN ACTION GROUP IN PALO ALTO COMMUNITY GROUP. I CAN'T TAKE ANOTHER STUDENT DYING HAAS HARD TO HEAR OF ANYONE CUTTING OR CHANGING ANYTHING WHEN WE NEED TO QUADRUPLE DOWN. I CAN'T THINK OF ANYTHING MORE IMPORTANT THAN THE LIVES OF OUR CHILDREN. WE HAVE TO THINK OF ANY CHILD AS OUR OWN, ONE IN FIVE CONSIDER SUICIDE. 16 PLAN AND 9% TEAM. IF I FILL IT IN WITH CANCER, EVERYONE WOULD HAVE A DIFFERENT REACTION. AND I IMPLORE YOU SO SEE AND GIVE MONEY TO SAVE YOUTH.
>> AND OUR FINAL SPEAKER IS SHRAVONTE. PLEASE GO AHEAD.
>> I GROUP UP IN THE SANTA CLARA COUNTY, I OUND MY VOICE THROUGH AL-GOUGH AND ADVOCACY I WAS A YOUTH ADVISOR, I WENT ON TO STUDY PSYCHOLOGY, I KNOW THE MODEL IS EVIDENCE BASED. AND I KNOW THAT IT SAVES LIVES, AND IT'S NECESSARY AND I KNOW THAT IF A CONCERN NOW IS SERVICE UTILIZATION, THAT THERE ARE A LOT OF REAL OUTREACH EFFORTS GOING ON, I WAS INVOLVED IN A RESEARCH PROJECTS WITH ALCOVE TO PUSH FOR NTIRACIST CARE AND ADDRESS THE FACT THAT PEOPLE OF COLOR ARE USING SERVICES LESS, AND I THINK THAT THIS MODEL WILL TAKE MORE TIME AND FUNDING TO GET TO THE PLACE THAT IT NEEDS, AND I HOPE THAT THAT CAN BE MAINTAINED.
>> THANK YOU, THAT ONCLUDES PUBLIC COMMENT AND A QUICK NOTE FROM THE TRADITIONAL CLERK THAT THERE WERE LATE PUBLIC COMMENTS EMAILED AND THEY WERE PRINT AND DISTRIBUTED TO THE MEMBERS ON THE DAIS. THIS CONCLUDES PUBLIC COMMENT.
>> I WILL CLOSE THE QUEUE IN TERMS OF SPEAKERS, 'LL ASK THE VICE CHAIR FOR QUESTIONS FROM STAFF ON THIS SUPPORT.
>> I DON'T HAVE A QUESTION. I HAVE COMMENTS.
>> GO AHEAD.
>> THANK YOU.
>> I WANT TO THANK STAFF FOR BRINGING THIS FORWARD AND THANK THE COMMUNITY FOR SHARING TESTIMONIY, IT'S HELPFUL TO HEAR. IT MEANS A LOT. AS A SHARED IN THE PAST I'M A COMMITTED ADVOCATE FOR HEALTH CARE SERVICES, FOUR YOUTH STEPPING FROM MY OWN LIVED EXPERIENCE WITH MY HOLDER DAUGHTER. AND SO WELL TREESHT THE THROUGHOUT AND CARE THAT'S GONE INTO THAT REPORT AND PROCESS. IT'S EVIDENT THAT TO ME AND MANY OTHERS THAT ALCOVE IS A MAJOR ASSET TO THE COMMUNITY AND BETTER UNDERSTAND THE BENEFIT NA ALCOVE PROVIDE TO THE OUNG PEOPLE, AS MENTIONED MY OFFICE ORGANIZED A COMMUNITY MEETING IN A LISTENING SESSION AND STAKEHOLDER. NEAR 150 AND 50 ON ZOOM. I WANT TO THANK SHERRY AND STAFF FOR BEING THERE. WITH EXPERTS FROM STANFORD. SHARING THE WAY THAT THEY HAVE POSITIVELY IMPACTING THEIR LIVES. AND SOME. HIGHLIGHTS THAT WE HEARD FROM THE TRADITIONAL YOUNG EOPLE WERE ABOUT HOW ALCOVE IS VALUABLE AND THAT INCLUDED BEING FREE AND AG A BARRIER TO ENTRY.
>> ALCOVE NOT REQUIRING CONDITION. IT WAS BUILT BY YOUTH, WITH AND FOR YUTH. AS MENTIONED SUICIDE HAS IMPACTED NUMEROUS STUDENTS IN THE COMMUNITY. AND MOST MENTIONED THAT THEY KNEW SOMEONE IMPACTED BY SUICIDE. WE HEARD THAT THIS MORNING. THEY SHARED THAT THEY WOULD NOT HAVE GONE ANYWHERE ELSE AS THERE ARE NO OTHER PLACES TO PROVIDE SERVICES. AFTER HEARING FROM THE TRADITIONAL PER SPECTIVES OF JOINING PEOPLE. THE OFFICE MET WITH STAKEHOLDERS, NO MATTER HOW WE PROCEED WE HAVE AN OBLIGATION TO HELP YOUNG PEOPLE THAT THRIVE. TRUSTING THAT PEOPLE HAVE IS IMMENSE. IT WILL BE NEARLY IMPOSSIBLE TO START FROM GRASP. I KEPT SUPPORT PROPOSAL THIS ILLUMINATES MENTAL HEALTH SERVICES AND FUNDING FOR PALO ALTO AND NORTH COUNTRY. I UNDERSTAND THE FINANCIAL CRISIS, I SHARED THAT. I TAKE THE BUDGET SERIOUSLY. I BELIEVE THE COMMUNITY IS STEPPING UP TO TAKE FINANCIAL OPPORTUNITY AND NEED TIME AND BRIDGE TO MAKE IT HAPPEN. I'D LIKE A SOLUTION PROVIDING FUNDING FOR HEALTH SERVICES. THE CITY OF PALO ALTO OUTLINED THOUGHTFUL PROPOSALS HAIRED WITH US, AND I BELIEVE THERE IS CONCERN ASSIST. HOW TO PRESERVE LIFE-SAVING SERVICES FOR THE YOUTH, I'D LIKE TO MAKE A MOTION TO MOVE TO DIRECT STAFF TO CREATE A PROPOSAL OF 1.75 MILLION WITH C PERFORM I TO BE PROVIDED TO A COMMUNITY BASED ORGANIZATION TO DELIVER BEHAVIORAL HEALTH SERVICES TO YOUTH. BHS ARE ENGAGED WITH ALCOVE AND YOUTH MENTAL HEALTH STAKEHOLDERS TO ENSURE IT PROVIDE TRANSITION FOR NORTH COUNTY HEALTH INTERFERESES. B.H.S.D. WILL RETURN TO H.H.S. D IN FEBRUARY WITH A PROPOSAL TO GAIN INPUT FROM THE TRADITIONAL COMMITTEE BEFORE BRINGING THE PROGRAMMES APPS TO THE BOARD OF SUPERVISORS.
>> I WANT TO SAY THE GOAL HERE IS TO CONTINUE TO MAINTAIN MENTAL HEALTH SERVICES, IN NORTH COUNTY. AND YOU KNOW, TO FRANKLY BE ABLE TO EXPAND UTILIZATION OF THE SERVICE, AND AGAIN, I LOOK AT IT, AND APPRECIATE THE COMMUNITY COMING FORWARD, IT REALLY TO ME IS A COMMUNITY. AND I LOOK T IT AS A POINT IN TIME. TIMES WILL CHANGE. AND THIS WILL BE A TIME THAT IT NEEDS TO LEAN ON THE COMMUNITY. IT'S A RELATIONSHIP. AND A PARTNERSHIP. THINGS WILL FLUKE CUTE AND I HOPE THAT WHEN THINGS GET BETTER WE'LL EXPAND SERVICES.
>> DEFINITELY I'LL SECOND NA. FIRST OF ALL I WANT TO THANK ALL THE SPEAKERS THAT CAME IN TODAY IN PERSON, AND ON ZOOM TO TALK ABOUT THE WORK OF ALCOVE. GOING BACK WHEN IT STARTED IT WAS THE BABY OF THE FORMER SUPERVISOR JOE SIM ITALIAN. IT'S A PROGRAM THAT IS GRATIFYING TO SEE HE COMMUNITY APPRECIATES THE WORK THAT ALCOVE HAS BEEN PROVIDING, AND VERY FEW TIMES - WE DO DIFFICULT WORK IN THE OUNTY ALL THE TIME. THAT HAS BEEN PROVAN. I DO STRONGLY SUPPORT THE PROGRAM. THAT IS EEDS TO CONTINUE. THE CURRENT FUNDING IS NOT SUSTAINABLE GIVEN ALL THE CHALLENGES, IF WE COME UP WITH ANOTHER AY TO RUN THE PROGRAM. IT'S SOMETHING THAT WE NEED TO MOVE FORWARD ON:
>> I WANTED TO MAKE A PARLIAMENTARIAN SHARING. I APPRECIATE THIS IMPORTANT DISCUSSION THE AGENDA IS NOTICED TO RECEIVE REPORT. AS OPPOSED TO MAKING MOTION AND GETTING INTO THINGS PROBABLY BETTER PRESERVED FOR A BUDGET DISCUSSION.
>> GO AHEAD.
>> WHAT I WOULD SHARE, WE ARE SUBMITTED SO WORKING WITH STAKEHOLDERS, PUTTING ON SOME TIME, BRINGING IS FORWARD, DISCUSSING IT AS PART OF THE PROCESS. AND WE HEAR LOUD AND CLEAR THE STRONG SUPPORT FOR AL-GOVE. AND THE REAL BUILDINGNESS AND ENGAGEMENT TO LOOK, AND COMMITTED TO WORKING ON A PROPOSAL AS PARTS OF THE COUNTY BUDGET ROCESS IN THE COMING MONTHS.
>> THANK YOU. AS A COMMITTEE. MY HOPE WAS THAT WE COULD MAKE THAT RECOMMENDATION I UNDERSTAND TODAY MAY NOT BE THE TIME. I DID INCLUDE THAT. IT'S THE STUFF TO BRING BACK A FINAL RECOMMENDATION TO MOVE FORWARD TO THE BOARD.
>> THE TIME LINE FOR THAT WOULD BE AS PART OF THE BUDGET PROCESS. SO WE - WE DON'T USUALLY PIECEMEAL INDIVIDUAL PROGRAMS AS PART OF BUDGET PROPOSALS EXCEPT THROUGH THE TIMELINE AND PROCESS. THE BANK ACCOUNT PROPOSALS IS IN FRONT OF THE COMMITTEE IN APRIL. THE BUDGET COMING OUT IN MAY. THAT WOULD BE THE APPROPRIATE TIMELINE AND PROCESS.
>> IN APRIL, IN THIS COMMITTEE, WILL WE HEAR...
>> IN APRIL IN THIS COMMITTEE WE'LL RECEIVE DEPARTMENTAL FROM BEHAVIORAL HEALTH AND HEALTH CARE DEPARTMENTS WILL BE ON THE AGENDA IN APRIL.
>> WE CAN EXPECT WHAT WE DISCUSS TO BE FRESH, TO COME BACK.
>> YOU CAN EXPECT PROPOSAL RELATED TO ALCOVE WILL BE A PART OF THAT.
>> TO CLARIFY BASED ON THE BUDGET JULY TO JUNE HAD HAS BEEN BUDGETED TO JUNE 30TH.
>> THAT WOULD NOT - NO ONE IS PROPOSING ANYTHING.
>> WHETHER OR NOT THE PROGRAM CONTINUES AFTER JULY 1ST IS WHAT WE'LL DISCUSS DURING THE BUDGET PROGRAM. IN THE MEANTIME DOESN'T MINE THAT FOLKS WILL BE WORKING TOGETHER TO FIND SOLUTIONS, BY THE TIME APRIL COMES, IT WILL BE A BETTER SOLUTION.
>> THE DEPARTMENT WILL WORK ON THE ALTERNATIVE MODELS, THERE HAS BEEN A FEW DIFFERENT THINGS DISCUSSED. AND FLESH THAT OUT AND PUT IT TOGETHER AS PART OF A PROPOSAL. THERE'LL BE OTHER BEHAVIORAL HEALTH PROPOSALS INCLUDED IN THAT BUDGET CONVERSATION OF WHICH AL-COE IS AN IMPORTANT PIECE. THE ENTIRETY OF ALL THE CHANGES. INTO WILL IT BE APPROPRIATE FOR US TO HEAR THIS AGAIN. IN FEBRUARY, IN A MEETING TO GET AN UPDATE ON THIS ALTERNATIVE METHOD OF DISCUSSION TO SEE IF THINGS ARE MOVING.
>> WE CAN RETURN WITH A REPORT IN FEBRUARY.
>> THAT WOULD BE HELPFUL. YES.
>> I WITHDRAW MY MOTION. YOU HAVE THE MOTION TO SUCCEED: .
>> I CHANGE MY MOTION TO RECEIVE THE REPORT.
>> AND THROUGHOUT THE REPORT COMING BACK IN FEBRUARY. AN UPDATE ON THE ALTERNATE MODEL FROM STAKEHOLDERS, THAT'S A MOTION. I SECOND THAT. GOOD.
>> SO THE MOTION IS TO RECEIVE THE REPORT, AND THE REQUEST FROM MARGARET ABE-KOGA TO RECEIVE ON UPDATE IN FEBRUARY.
>> CORRECT. CHAIR PERSON LEE.
>> AYE.
>> THANK YOU VERY MUCH.
>> ALL RIGHT. MOVING TO ITEM NUMBER 7, WHICH IS RESUME REPORT FROM CUSTODY HEALTH ON BEHAVIORAL HEALTH RELATING TO SUBSTANCE SERVICES. AND WE HAVE OUR DIRECTOR DR ROSHIELD LUNAR, AND I BELIEVE DR TERAO AS WELL. GOOD MORNING.
>> GOOD MORNING CHARLIE, AND VASE SHARE MARGARET ABE-KOGA. I'LL HAVE THE TEAM INTRODUCE THEMSELVES SO YOU KNOW WHO IS HERE, AND I'LL TURN IT OVER TO MY COLLEAGUES BEHIND ME FOR BEHAVIORAL.
>> I'M AN EX. THE MEDICAL DIRECTOR FOR ADULT CUSTODY HEALTH SERVICES.
>> GOOD MORNING, DR COAL. NELTH HEALTH SERVICES.
>> GOOD MORNING, I'M ONE OF THE PHYSICIANS WITH CUSTODY HEALTH SERVICES.
>> GOOD MORNING, OVERSEEING THE JUSTICE INVOLVED INITIATIVE. WE DON'T HAVE A FORMAL PRESENTATION WITH DEPARTMENT OF COLLEAGUES, THAT CO-WROTE THE LEGISLATIVE FILE AND REPORT. WE ARE OPEN TO ANY QUESTIONS THAT I MAY HAVE, WE DO NOT HAVE A FORMAL PRESENTATION.
>> ANY OF THE PUBLIC LIKE TO SPEAK ON THIS ITEM E.
>> LAST CALL FOR ITEM 7, I SEE NO REQUESTS TO SPEAK.
>> GOOD. LEAPT ME GO AND CLOSE HE PUBLIC QUEUE IN TERMS OF SPEAKING. CHECKING IN WITH MY VICE CHAIR, DO YOU HAVE COMMENTS AND QUESTIONS.
>> THANK YOU SO MUCH. I APPRECIATE THE WORK THAT'S BEEN DONE AS A COMPONENT OF HEALTH EQUITY AND JUSTICE REFORM WORK.
>> I HAD A FEW QUESTIONS. WHAT IS THE PROJECTED NEED FOR THE SETS SUTS ACROSS THE SYSTEM OVER THE NEXT 3-5 YEARS, AND CURRENT EXPANSION DOES IT MEET THAT NEED. MAY I ASK YOU TO CLARIFY. DO YOU MEAN SUBSTANCE ABUSE SERVICES BY THE HEALTH DEPARTMENT OR ADULT CUSTODY SERVICES SPECIFICALLY.
>> THROUGH ADULT CUSTODY HEALTH SERVICES.
>> WE ARE PREDICTING THAT THE NEED WILL INCREASE, I AM NOT SURE HAT WE CAN GIVE YOU IMPACT NUMBERS. THE FENTANYL EPIDEMIC CNTINUES, WE SEE A LITTLE BIT OF A LEVELLING OF DEATHS FROM OVERDOSE. THE NUMBER OF POSITIVE TOX SCREENS THAT WE SEE, A NUMBER OF PATIENTS THAT WE ARE SERVING IS INCREASING, AND WE ARE MIMENTED BY OUR RESOURCES AND STAFFING: IS THERE ANY FACILITIES CONSTRAINTS. DEFINITELY ARE CONSTRAINTS ON PROVISIONS. AS YOU KNOW, GAOL IS ON OLD INSTITUTION BUILDING HAS BEEN DATED FROM THE TRADITIONAL 50S, AND 60S. AND THERE'S LIMITED SPACE FOR PROVIDE INTERVIEW VIEWS. PRANCE INCLUDE COUNSELLING. INCLUDE AND ALL NEED SPACE THAT IS LACKING.
>> I'M NOT ON A PUBLIC SAFETY COMMITTEE, CURIOUS AS TO WHERE WE ARE ON THE PLANNING OF NEW FACILITY. THERE HAS BEEN UPDATES. NEEDING AN ASSESSMENT FOR ALL FACILITIES. I BELIEVE IT'S BEEN COMPLETED. ONCE THAT IS IT COMPLETED. IT FORMS THE BASE OF POPULATION RELATED SUGGESTIONS FOR PUTTING TOGETHER A FACILITIES PAN. THAT COMES BACK TO THE BOARD. IT IS CLEAR WE NEED A SIGNIFICANT OVERALL. ONE OF QUESTIONS IS WHAT ARE SOME OF THE INTERIM MEASURES, THEY ARE IN POOR CONTINUE IN THE INTERIM. IT WILL BE A MULTI-YEAR ENDEAVOUR AND COSTLY. THERE'S ISSUES AT THE CAMPUS, AND SPACE FOR PROGRAMMING AND HEALTH CARE DELIVER IS ONE MAJOR ISSUE, THE STAFFING REQUIRED TO MOVE AND MONITOR INMATES AS A MAJOR ISSUE, THAT IS IN EXTRICABLY INTERTWINED WITH THE LAYOUT OF THE FACILITY, AND THE FACT THAT IT REQUIRES LOTS OF MOVEMENT OF INDIVIDUALS ACROSS A LARGE CAMPUS IN ORDER TO TAKE THEM TO SPACES OR THE HEALTH CARE DELIVERY. THERE'S A BUNCH OF FACILITY RELATED ISSUES, E HAVE MAJOR ISSUES WITH THE CLASSIFICATION AT ELMWOOD OF THE NATURE OF THE INMATES IN CSTODY, NOT ALIGNING WITH THE ORIGINAL DESIGN OF THE FACILITIES. THE ASSESSMENTS ARE UNDER WAY. I DON'T KNOW AT THE TOP OF MY HEAD WHAT MONTH THAT IS SCHEDULED TO COME BACK TO THE COMMITTEE, TO PUBLIC SAFETY JUSTICE, THIS JANUARY - SOON. IT IS THE SUBJECT OF REGULAR UPDATES AT P.S.J.C.
>> APPRECIATE THAT. ONE OTHER QUESTION I WAS ASKED BY SOMEBODY. WHAT ARE HARM REDUCTION PROGRAM ENTAILS, AND SPECIFICALLY WHEN IT COMES TO SAFER CONSUMPTION OF SUPPLIES, INCLUDING NEEDLES, PIPES AND FOILS.
>> SURE. SUPERVISORS, I'M HAPPY TO ANSWER THAT QUESTION. DR SARAH RDMAN, HEALTH OFFICER, WE HAVE OPERATED ONE OF THE STATE'S LONGEST RUNNING HARM REDUCTION PROGRAMS STAYING AT THE FOREFRONT OF EVERYTHING THAT KINDS SHOWS US, HELPS PEOPLE STAY ALIVE WHILE THEY ARE STRUGGLING THROUGH ADDICTION AND DRUG USE IN ORDER TO GET TO RECOVERY IN A SAFER LIFE. THIS BEGAN WITH ACCESS TO SYRINGES AT A TIME WHEN H.I.V. THROUGH THE REST OF THE COUNTRY WAS WIDELY SPREAD THROUGH INJECTION DRUG USE, IT'S PART OF WHY HERE WE SEE VERY LITTLE H.I.V. SPREAD THROUGH INJECTION DRUG USE. SEVERAL YEARS AGO NOW, STARTING IN SAN FRANCISCO, SOME ROBUST STUDIES SHOWED THAT NOT ONLY ARE PEOPLE LESS LIKELY TO CONTRACT LIFE THREATENING NFECTIONS FROM INJECTING DRUGS, BUT LIKE LIP TO DIE
OF OVERDOSE WHEN INJECTING COMPARED TO USING DRUG THROUGH ANY OTHER MECHANISM. WE BEGAN WITH HARM REDUCTION THROUGHOUT THE COUNTRY AND THE WORLD OFFERING ALTERNATIVES TO INJECTION.
ANYONE THAT WAS NOT READY TO OFFER AND FACILITATE THE SERVICE FOR THOSE WILLING TO ACCEPT IT WE OFFERED ALTERNATE MECHANISMS ALLOWING PEOPLE TO SWITCH AWRA FROM INJECTING DRUG, KNOWING IT MAKES THEM LESS LIKING TO EXPERIENCE A DEADLY OVERDOSE. AN INFECTION THAT MAY LAND THEM IN THE HOSPITAL OR CAUSE SIGNIFICANT DISABILITY.
>> THANK YOU. APPRECIATE HAT INFORMATION. THANK YOU.
>> THANK YOU VERY MUCH. WHEN I READ THE REPORT I WILL SAY THE MOST EYE-OPENING THING IS THAT THE NUMBER OF PEOPLE THAT ARE ON THE MONITORING FOR ALCOHOL AND OPIOID ABUSE IS SO HIGH, AND HIGHLIGHT THE NEED FOR US TO TREAT FOLKS WHEN THEY ARE IN OUR CARE. SO THIS COMPANY CAME UP AT THE MEETING, WE ARE DOING A REPORT BACK EXPLORING OPTIONS FOR PATIENT ARE PROVIDED TO OUR RESIDENTS. SO, I LOOK FORWARD TO THAT COMING BACK O US. CERTAINLY IN THE MEANTIME TIME AWAY SAY THANK YOU STAFF FOR PRESENTING A REPORT. IT'S SOMETHING WE NEED TO FOCUS MORE ON TO MAKE SURE FOLKS IN OUR CARE SHOULD GET A DETOX. MAY I HAVE A MOTION.
>> I MAKE A MOTION TO RECEIVE THE REPORT.
>> I SECOND THAT.
>> LET'S TAKE A VOTE.
>> VICE CHAIRPERSON ABE-KOYA.
>> AYE.
>> CHAIRPERSON LEE.
>> AYE, AS WELL. INTO THANK YOU.
>> THANK YOU. MOVING TO ITEM NUMBER 8 RECEIVE REPORT FROM THE TRADITIONAL PUBLIC HEALTH DEMOCRAT. EXTENDING BLOOD INFANT HEALTH WELCOME.
>> THANK YOU MR CHAIR, MADAM VICE CHAIR, I'LL GET STARTED. MY TEAM HEADS OVER TO THE STAFF TABLE. TODAY I'M PLEASED TO INTRODUCE THREE LEADERS FROM OUR BLACK INFANT HEALTH AND PERRY MATAL EQUITY PROGRAM. WHICH ORDER WILL THEY SIT. MANY OF YOU RECOGNIZE IN THE RED JACKET DR BEVERLEY WHITE-MACKLIN, THE PROGRAM MANAGER THREE WHO OVERSEAS BOTH OF THE PROGRAMS. AND HAS BEEN WITH OUR DEPARTMENT FOR - SHE IS APPROACHING HER 25 YEAR ANNIVERSARY INCIDENTALLY. SHE HAS BEEN -- IMMINENTLY, SHE'S BEEN THE HEART AND SOUL OF WHAT YOU ARE READING ABOUT. PART OF IT IS IMPLEMENTATION FROM THE TRADITIONAL BEGINNING, AND PART OF THE REASON WE HAVE A POWERFUL SUITE OF PROGRAMS TO ADDRESS STRIKING DISPARITIES, AND WHICH WE FIND THAT BLACK INFANTS BORN IN OUR COUNTY ARE TWICE AS LIKELY TO DIE IN IN FANTASTIC AND OTHERS. THIS TEAM DEDICATED SERVICE TO DIRECT SERVICES TO FAMILIES, FOLKS WHO ARE PREGNANT. POST PARTEM, EXPANDING TO A PROGRAM CALLED ROLE OF MEN, SUPPORTING FATHERS AND FATHERS TO BE. AND EXPANDED INTO THE PERINATAL EQUITY INITIATIVE USING STATE AND FEDERAL RESOURCES TO OFFER SERVICES, DOULAS, AND MENTAL HEALTH SUPPORTS FOR THE COMMUNITY AND NECESSARY FOR THE SAFETY OF BLACK PARENTS AND FAMILIES, TO REPRESENT TWO COMPONENTS. TONYA ROBERTSON, DAY TO DAY OVERSIGHT OF THE BLACK INFANT HELD AND JOE PROGRAM MANAGER OVERSEEING THE PERINATALIC WITTIE INITIATIVE. WE HAVE NO FORM PRESENTATION, BUT THE FILE ITSELF WALKS THROUGH THE VARIOUS TYPES MUCH WORK WE DO IN THIS AREA. IN CREDIBLE ACHIEVEMENTS OF THE TEAM, AND A CHANCE TO ANSWER YOUR QUESTION.
>> THANK YOU, ANYONE FROM THE TRADITIONAL PUBLIC LIKE TO SPEAK.
>> I HAVE A CARD IN CHAMBERS.
>> 2 MINUTES.
>> AND NE HAND IN ZOOM.
>> YES.
>> BY THE PODIUM, PLEASE.
>> GO AHEAD. HELLO, HI, THANK YOU FOR HAVING ME, I APPRECIATE BEING A PART OF BLACK INFANT HEALTH, I'M ONE OF THE STAFF, A SOCIAL WORKER. MOLLY TILLMAN, HANK YOU. THE BIGGEST THING I WANTED TO BE HERE TO SUPPORT MY MANAGEMENT TEAM. DR BEVERLEY WHITE-MACKLIN HAS BEEN A PIVOTAL PART OF THE ORGANISATION, SHE IS BLACK INFANT HEALTH. YOU CAN'T SAY BLACK INFANT HEALTH WITHOUT SAYING DR MACKLIN. I'M HERE FOR SUPPORT. I KNOW WE HAVE A BUDGET CUTS, AND THIS IS A HARD CHALLENGING TIME FOR THE COUNTY, BUT IT CONTINUES TO STEP UP. WHERE WE NEED THE ASSISTANCE, AND ONE OF THE THINGS I SEE HAPPENING IS I KNOW WE HAVE TO DO RECONSTRUCTION AND CHANGE WHERE THE DIRECTORS HAVE TO B. IT'S AN ADVANTAGE AND DISSERVICE TO DR WHITE MACKLIN DUE TO THE FACT THAT SHE'S 25 YEARS IN, AND WE WANT HER TO RETIRE ON HER OWN TERMS, AND THAT LOOKS LIKE BEING ABLE TO RETIRE IN DECEMBER 2026, WITH DIGNITY AND PRIDE. WE NEED TO MAKE SURE THAT THAT HAPPENS, AND THE TEAM IS ABLE TO TRANSITION TO THAT AND PEOPLE THAT ARE PART OF THE FAMILY. WE ARE OPEN TO WORKING WITH THE COUNTY, MAKING SURE THAT THE EFFORTS TO FIND THE CUTS WHERE WE NEED TO. AND BEING CREATIVE SO THAT THE SERVICE AND CARE HAPPEN FOR OUR MOM. WE HAVE COMMUNITY ARTNERS THAT SUPPORT THAT. THANK YOU FOR THE TIME. CONSIDER LEAVING HER WHERE SHE'S AT SINCE SEPTEMBER 2026.
>> WE MOVE TO THE ZOOM SPEAKER. WALTER WILSON, YOU HAVE TWO MINUTES.
>> GO AHEAD.
>> GOOD MORNING MY NAME IS WALTER WILSON, I'M ONE OF THE AUTHORS AT THE AFRICAN AMERICAN HEALTH STUDY, OF WHICH DR MACKLIN WAS IMPORTANT. AND CREATE, ALSO FUNDING THE CLINIC HERE. MORE RECENTLY, DR MACKLIN HAS PROGRAM.OLVED IN THE ROLE OF ME- MANY OF YOU DON'T KNOW THE PERSON RUNNING THAT PROGRAM, MY SON, ROBERT WILSON. THE KEY IS THIS, HERE LEADER-IS CRUCIAL TO HELPING THE BLACK COMMUNITY WITH DOULAS, AND SO FORTH, CREATING A SITUATION WHERE THE CLINIC OF... WITH THE SUPPORT OF BLACK INFANT HEALTH CARE AND LEADERSHIP IN SUPPORTING. I'M SAYING TO YOU HERE TODAY. SHE NEEDS TO REMAIN IN THAT POSITION UNTIL HER RETIREMENT AND HER CONTINUED LEADERSHIP IS IMPORTANT TO HAVE A PROGRAM LIKE THIS I'M CONFIDENT THAT THE AFRICAN AMERICAN POPULATION, THANK YOU AND I APPRECIATE YOUR TIME.
>> THANK YOU.
>> THAT CONCLUDES PUBLIC EXTENT.
>> ALL RIGHT THANK YOU. VICE CHAIR, DO YOU HAVE QUESTIONS, COMMENTS.
>> THANK YOU, AND I JUST WANTED TO THANK STAFF FOR BRINGING THIS FORWARD, AND FOR THE INCREDIBLE WORK THAT IS EING DONE TO LESSEN THE GREATEST DISPARITY THAT WE ARE SEEING IN THE HEALTH CARE HERE IN OUR CUNTY. OBVIOUSLY I BELIEVE IN EQUITY, AND THIS IS REALLY GREAT WORK TOO, TOO GET US O A MORE EQUITABLE COMMUNITY. AND I JUST HAD ONE QUESTION. I WAS WONDERING HOW YOU MEASURE THE SUCCESS OF THE PROGRAM SUCH AS THE DUELLA CARE, OR THE GROUP GLASSES. CAN YOU HEAR ME.
>> YES.
>> OKAY, GREAT.
>> WHAT WE ARE DOING IS WORKING REALLY CLOSELY WITH THE CIENCE BRANCH. AND PUBLIC HEALTH, AND THEY ARE TAKING OUR DATA, AND REALLY TEASING OUT AND FISHING OUT ANYTHING THAT THEY SEE THAT IS ABNORMAL. OR PATTERNS IN THE WOMEN, WE WANT TO PULL THE DATA SO WE CAN SEE AND MEASURE CHANGES THAT WE MIGHT HAVE. BECAUSE OF THE PROGRAM, AND THE STATE HAS US AKING DATA EVERY DAY ON EACH CLIENT. THEY ARE ASSIGNED A NUMBER. THEY TAKE EXTENSIVE DATA, THEY ARE AYING THAT WE ARE LOCALLY IN OUR COUNTIES, IS SIMILARITIES, WHAT ARE WE SEEING, WHAT ARE THE CAUSE, AND THOSE HAVE BEEN OVER THE YEARS, THE PROBLEMS ARE ALL OVER THE BOARD. THERE'S NOT JUST ONE PARTICULAR THING THAT THE WOMEN EXPERIENCE BR THEY HAVE INFANT DEATH. SOME ARE LOW BIRTH WAIT. STILL BIRTHS, PRE-ECLAMPSIA. WE ARE SEEING THIS WHEN WE DID A CHART REVIEW, WHEN WE STARTED THE PEI PROGRAM, WE WERE ABLE TO GO IN THE ALLEY HOSPITAL AND GET A SAMPLE, AND WE WENT THROUGH THE CHART TO SEE IF WE COULD SEE ANYTHING ABNORMAL. IT'S ALL OVER THE BOARD. THAT'S WHAT WE ARE TRYING TO DO. TO LOOK DEEPER AND FIND THE SYSTEM STRUCTURAL CHANGES THAT WE NEED TO MAKE TO KEEP PROVIDERS IN THE LOOP WITH US. SO THAT THESE MOMS CAN HAVE QUALITY CARE.
>> THANK YOU SO MUCH.
>> THAT, YOU SO MUCH. DO YOU HAVE A MOTION TO RECEIVE REPORT.
>> YES, HAPPY TO MAKE A MOTION TO RECEIVE THE REPORT.
>> I WILL SECOND THAT. FIRST OF ALL, THANK YOU SO, SO MUCH FOR THIS REPORT. AND WANT TO, OF COURSE, THANK DR BEVERLEY WHITE-MACKLIN FOR ALL HER SERVICE AND YEARS, DECADES OF DEDICATION FOR THIS PROGRAM.
>> THANK YOU SUPERVISOR.
>> I DON'T HAVE SPECIFIC QUESTIONS, I'M THANKFUL THAT YOU ARE LOOKING AT THIS ISSUE CLOSER LOOK AT THE DATA. AND INTEROIFG PATTERNS. OF NORMAL YIG, WHERE WE COULD IDENTIFY WHAT IS TRULY HAPPENING THAT IS CAUSING THESE PROBLEMS IN OUR COMMUNITY STILL. WHAT IS SOMETHING UNAWARE BY A LOT OF FOLKS, PEOPLE THOUGHT THAT BLACK INFANT HEALTH, DEATH HAS MORE TO DO WITH ECONOMIC FACTORS. IT TURNS OUT IT'S NOT. IT'S NOT AT ALL. SO IF THAT'S THE CASE, ECONOMIC ISSUES, IT'S AFFECTING EVERY BLACK MOTHER AND BLACK INFANTS. THIS IS SOMETHING THAT IS PECULIAR TO THIS POPULATION, WE NEED TO WORK ON FIXING THIS. AND OUR COUNTY IS TRULY COMMITTED TO FIXING THAT. I WANT TO SAY THANK YOU FOR YOUR IMPORTANT WORK AND KEEP UP THE GOOD WORK. THANK YOU.
>> THANK YOU VERY MUCH.
>> WITHOUT ANY AFURTHER ADO LET'S TAKE THE VOTE. VAIB RSH. AYE. -- VICE CHAIRPERSON ABE-KOYA.
>> AYE Y.
>> CHAIRPERSON LEE.
>> AYE AS WELL. THANK YOU.
>> MERRY CHRISTMAS.
>> MERRY CHRISTMAS. HAPPY ANUKKAH AND ALL THAT.
>> AND HAPPY HOLIDAYS. MOVING TO ITEM 9, RECEIVING REPORT FROM THE TRADITIONAL SANTA CLARA VALLEY HEALTH CARE, RECORDING. ENZO WEST VALLEY CLINIC, BELIEVE WE HAVE JEFF DRAPER, FACILITIES DIRECTOR. AND OUR S.C.V.H. O PAUL.
>> WE HAVE SAM EEN HO THE RHYMARY DIRECTOR TO REPORT ON THE PROGRESS. GOOD MORNING. FOR THIS REPORT WE OVER THE PAST SEVERAL MONTHS WE HAVE ENGAGED DNZ ADMINISTRATION TO FIND SOME TEMPORARY SOLUTIONS TO PROVIDE A TEMPORARY CLINIC ON THE CAMPUS. TWO OF THE OPTIONS PRESENTED TO THE DEANZA ADMINISTRATION WAS AROUND CREATING A SATELLITE CLINIC OR PROVIDE A MEDICAL MOBILE UNIT N THE DE-ANZA CAMPUS TO PROVIDE SERVICES, AFTER SPEAKING TO DEANZA, FOE AGREED TO A SERVICE ON SITE. WE HAVE ENGAGED - THEY REACHED OUT TO US AND PROVIDED A TEMPORARY FACILITY LICENCE FOR WHICH COUNTY COUNCIL IS REVIEWING, ONCE THAT IS IMPLEMENTED. WE'LL HAVE A PLANNING SESSION IN TERMS OF THE DATES AND SCHEDULE TO PROVIDE THE SERVICES ON SITE.
>> OKAY, THANK YOU SO MUCH. ANYTHING TO ADD.
>> NO SIR, THANK YOU.
>> ANY PUBLIC SPEAKERS.
>> I HAVE NO REQUESTS TO SPEAK ON ITEM NINE.
>> I'LL CLOSE THE CUE, DO WE HAVE A MOTION.
>> I WANT TO SAY THANK YOU. THANK YOU TO STAFF, THANK YOU PAUL. AS YOU KNOW, I HAVE BEEN ASKING ABOUT IN ADVOCATING FOR IT SINCE I JOINED THE BOARD A YEAR AGO. I KNOW WITH SALLY AND IT WAS LONG ANTICIPATED, THIS FACILITY, AND THIS WILL BE A REAT FIRST STEP. I AM SURE OF THE COMMUNITY WILL BE EXCITED, AND THANK YOU AGAIN FOR WORKING CLOSELY WITH DEAXE NZA COLLEGE OWN MAKING SOMETHING HAPPEN, I'M EXCITED FOR THE NOBLE MEDICAL STUDENT. IT WILL BE WELLUED LIVED BY THE STUDENTS AND COMMUNITY AND HELP WITH EXPANDING THE PATIENT MIX. BEING A POSITIVE TTRIBUTE DECISION TO OUR HEALTH CARE SYSTEMS. AGAIN, JUST WANT TO SAY THANK YOU. WITH THAT I'M HAPPY TO MAKE A MOTION TO RECEIVE THE REPORT.
>> I WANT TO SECOND THAT. GLAD TO SEE THAT WE ARE HAVING A BACK UP OPTION ON THIS. AND MOBILE MEDICAL UNIT FOR ONE YEAR WOULD BE ESTABLISHED QUICKER, IT'S GOOD TO HAVE T START IT. GIVEN THE SERVICES. EVALUATE THE NUMBERS IS IT NEED: OF THE COMMUNITY, IT'S A GREAT WAY TO START. GIVEN THE FACT THERE HAS BEEN A LOT OF BUDGET IMPACTS. WE ARE LITERALLY STARING AT HALF A BILLION A YEAR DEFICIT. SO WE NEED TO MAKE SURE THAT WE ARE FISCALLY RESPONSIBLE IN MOVING FORWARD. AND SINCE OMEWHAT CHALLENGING TO SAY THE LEAST ESTABLISHED THIS CLINIC, GIVEN THESE BUDGET ENVIRONMENTS. I CERTAINLY DO HOPE THAT THE SERVICE IS BEING PROVIDED AT LEAST IN THE SHORT TERM, IN THE LONG TERM WHERE WE CAN BUILD THE CLINIC IS THE GOAL AS SUD BY MY FORMER SOL EEL JOE SIMMEDIAN. LET'S KNOW THAT COULD BE POSSIBLE. IN THE MEANTIME, IT IS THE WAY TO GO. . I HAVE A MENTION AND SECOND, LET'S TAKE THE VOTE. VICE CHAIRPERSON ABE-KOYA.
>> AYE.
>> CHAIRPERSON LEE.
>> AYE AS WELL.
>> MOVING TO ITEM 10, CONSIDER RECOMMENDATION RELATING TO CHILD ADOLESCENT HEALTH SERVICES CENTER.
>> SUPERVISOR JEFF DRAPER, YOU HAVE THE REPORT. LOOKS LIKE WE HAVE A FEW DIFFICULTIES WITH HE FIRE LIFE SAFETY SYSTEM MAKING SURE WE GET IT OVER THE FINISH LINE. THIS IS THE TIME IN THE PROJECT THAT IS THE MOST CHALLENGE OF COURSE,M LAST 5% OF THE POJECT. THERE'S WORK TO BE DONE ON THE OUTSIDE OF THE FACILITY, LOOK LIKE WE'LL FINISH UP MIDDLE OF FEBRUARY WITH A HOPEFUL OPENING DAY, FIRST PATIENT DAY OF ONE APRIL THAT'S THE REPORT. I JUST WANT TO REITERATE WE ARE STILL TARGETING APRIL 1ST, AND WE WILL ADVISE IF WE HAVE ANY CHALLENGES ELATIVE TO LICENSING, AND WE WILL WORK WITH YOUR OFFICE IN TERMS OF PLANNING FOR THAT EVENT.
>> THANK YOU.
>> AS WE KNOW, REGION MEDICAL CENTER AS OPEN ON APRIL 1ST LAST YEAR, IT'S THE DATE THAT THE - THAT A LOT OF EXCITING THINGS ARE HAPPENING. LET'S SHOOT FOR THAT DATE. IF NOT EARLIER, IF WE CAN DO THAT, THAT IS GREAT.
>> ANY PUBLIC LIKE TO SPEAK.
>> NO SPEAKER ON ITEM 10. DO WE HAVE A MOTION TO RECEIVER.
>> ON THE MOTION TO RECEIVE THE REPORT.
>> AND SECONDING THAT.
>> I SAY CERTAIN THERE'S SOME DELAY. THIS DELAY HAD NOT BEEN SIGNIFICANT AS IT USED TO BE. THAT WE HAVE SEEN A COUPLE OF YEARS AGO WHEN WE HAD SUPERVISOR SIMMEDIAN, IT'S A CONTENTIOUS MEETING. WHEN THEY SLIP FROM JOE. DOES NOT TAKE THOSE LIGHTLY, AND CERTAINLY THAT'S HOW WE NEED TO DO THE OVERSIGHT. MAKING SURE WE KEEP GOING, THE BIGGEST IS TO CHANGE A CONTRACTOR, THAT WAS DIFFICULT. WE GOT THAT TO HAPPEN, A GLAD TO SEE WHERE WE ARE MOVING FORWARD. LET'S MOVE THIS FORWARD. THANK YOU SO MUCH. APPRECIATE IT.
>> ON THAT, LET'S TAKE THE VOTE.
>> CAN I CONFIRM THE MOTION FOR A 10 A AND B.
>> ES, BOTH 10 A AND B.
>> VICE CHAIRPERSON ABE-KOYA.
>> YES.
>> CHAIRPERSON LEE.
>> AYE.
>> ITEM 11 - WE REMOVED TO CONSENT. LAST ITEM TODAY IS 12. RECORDING THE -- REGARDING THE EMERGING HEALTH CARE ISSUES. PAUL.
>> THANK YOU. JUST FEW UPDATES. ONE JAMES WILLIAMS MENTIONED AT THE FULL BOARD. VALLEY MEDICAL CENTER HAS BEEN NAMED A 2026 HIGH PERFORMING HOSPITAL FOR COMMUNITY CARE BY THE US WORLD NEWS AND REPORT, THE HIGHEST DISTINCTION AVAILABLE. IT'S THE FIFTH CONSECUTIVE YEAR FOR VALLEY MEDICAL CENTER, REFLECTING THE MATERNAL CARE, AND NEO NATELE BY THE STAFF AND SYSTEM. BEGINNING IN JANUARY. SANTA CLARA WILL LAUNCH A CARDIAC SERVICE LINE. THIS IS AN EXAMPLE OF A BUDGET INITIATIVE TO IMPROVE EFFICIENCY. THE APPROACH WILL CONSOLIDATE. AND ALLOWS TO BUILD A CAPACITY TO SERVE PATIENTS GOING FORWARD IN THE HEALTHCARE SYSTEM. THE OTHER ITEM I WANTED TO NOTE FOR THIS COMMITTEE, AT O'CONNOR HOSPITAL. C.D.P. H INCLUDED THE RENOVATED INFUSION CENTER. IT INCREASES CHEMOTHERAPY CAPACITY FROM 8-10 CHAIRS. OBVIOUSLY WILL PROVIDE ROOMS, AND IMPROVE TIMELY ACCESS TO ESSENTIAL CANCER TREATMENT. THEN I WILL ADD AS YOU KNOW IN JANUARY, WE ARE GOING TO HAVE A SPECIAL UDGET STUDY SESSION OR THE HEALTH SYSTEM. THAT'LL BE IN THE SECOND BOARD MEETING IN JANUARY, WHICH WILL STUMP ON STRATEGIES RELATIVE TO THE FINANCIAL CHALLENGES INCURRED BY HR1, ND ANTICIPATING OTHER CHALLENGES, SOME OF WHICH WERE MENTIONED TODAY. WE WILL OBVIOUSLY BE PRESENTING TO THE BOARD IN FEBRUARY OUR 200 MILLION TARGET REDUCTION PROPOSALS. AND WITH THAT SAID, I'M HAPPY TO ANSWER ANY QUESTIONS.
>> THANK YOU. LET'S SEE, FIRST OF ALL, DO WE HAVE PUBLIC THAT WANT TO SPEAK ON THE ITEM.
>> CONFIRMING NO REQUESTS TO SPEAK ON ITEM 12.
>> CLOSE THE PUBLIC QUEUE. QUESTIONS. OKAY. I WANT TO SAY THANK YOU SO MUCH FOR THE UPDATE. AND I WANT TO CONGRATULATE THE S.C.V.H. AND YOUR LEADERSHIP. ING WITH B E.C.B. -- HAVING B E.C.B.LE NAMED THE HIGHEST PERFORMING HOSPITAL. THE HIGHEST DISTINCTION IN - AS PART OF THE ANNUAL STUDY, THIS IS THE FIFTH CONSECUTIVE YEAR THAT WE RECEIVE THIS. THAT IS TREMENDOUS. YOUR LIGHT IS ON, DO YOU HAVE ANYTHING ELSE TO ADD. NO.
>> SO, ON THAT NOTE. I WANT TO SAY THANK YOU FOR THAT. THE TEAM FOR WORKING ON THE MATERNITY CARE, WORKING WITH HEALTH OUTCOMES, WE HAVE UNEXPECTED RATES. BREAST MILK FEEDING RATES AND ADOPTION OF BIRTHING FRIENDLY PRACTICES AS IDENTIFIED AND GREAT NEWS ON THAT. I DO WANT TO BRING UP SOME COMMENTS I HAVE BEEN RECEIVING, IS THERE WERE SOME CONCERNS ABOUT THE NUMBER OF BIRTH BEING DELIVERED OVER AT LINON MEDICAL CENTER, ALLEGATIONS, SAYING THAT SOME HAVE BEEN ASKED TO GO TO V.M.C. INSTEAD OF AT THE REGION DELIVER CENTER, IT DOESN'T MAKE SENSE, THESE ARE THINGS THAT WE ARE HEARING FROM CONCERNS FROM THE TRADITIONAL COMMUNITY I WANT TO MAKE SURE IF YOU HEARD OF THAT, PAUL.
>> THANK YOU SUPERVISOR. I WANT TO REASSURE YOU AND THE COMMUNITY THAT THE DECISIONS AROUND THE CLINICAL CARE AND SPOR OF OUR PATIENTS IN THIS AREA IS A TOP PRIORITY. ALL THE DECISIONS ARE MADE BY OUR CLINICIANS IN THE BEST INTERESTS OF PATIENT CARE. OBVIOUSLY THERE IS A VERY STRONG INTEREST TO BUILDUP THE VOLUME AT REGIONAL MEDICAL CENTER. AND AT THIS POINT IN TIME WE ARE ON PAR WITH WHAT THE O'CONNOR HOSPITAL DELIVERS WERE. THE NEONATAL INTENSIVE CARE UNIT. YOU ARE CORRECT. IT'S BEEN REPORTED, NUMBERS HAVE BEEN LOW. THAT IS NOT A BAD THING, AT THE SAME TIME, WE ARE JUST STARTING OUT. I THINK AS THE STAFF AND THE CLINICIANS GET ACCUSTOMED TO HAVING A EW LOENGS IN THAT PART OF THE COUNTY, WE'LL SEE THE NUMBERS IMPROVE. BUT AGAIN, OUR FOCUS IS ON PATIENT CARE, AND WE'LL DO WHATEVER IS IN THE RIGHT INTERESTS OF OUR PATIENTS, AND FRANKLY IN SUPPORT OF OUR STAFF. WE DO HAVE WORK TO DO. AND I ASSURE YOU WE WILL REPORT BACK ON ANY IMPROVEMENT.
>> THANK YOU VERY MUCH.
>> ON THAT NOTE. THAT'S ALL I HAVE. MOTION TO RECEIVE THE REPORT.
>> SO MOVED.
>> I HAVE A MOTION AND I SECOND THAT AS WELL. LET'S GO TO THE VOTE.
>> VICE CHAIRPERSON ABE-KOYA.
>> AYE.
>> CHAIRPERSON LEE.
>> IOWA, AS WELL.
>> -- AYE, AS WELL. I BELIEVE 12 - YES.
>> SUPERVISOR, I WAS CURIOUS, DID YOU WANT TO HEAR OTHER ELEMENTS.
>> SO SORRY, NEVER MIND I'M AHEAD OF MYSELF HERE. I JUMPED THE GUN. ABSOLUTELY.
>> THANK YOU.
>> IF MAY, I'LL JUMP IN. ON BEHALF OF THE PUBLIC HEALTH DEPARTMENT. TWO BRIEF UPDATES I WANT TO SHARE, THE FIRST IS TO MAKE YOU AWARE AN OPPORTUNITY FOR QUESTIONS AROUND THE A.C.I.P.S ACTION NOW I THINK IT'S TWO WEEKS AGO RELATED TO HEPATITIS B VACCINATION, THE IMPORTANT THING TO NOTE IT FIRST, WHILE THE FEDERAL A.C.I.P. DID CHANGE THE RECOMMENDATION FOR UNIVERSAL BIRTH DOSES OF HEPATITIS B VACCINE, THE STATE OF CALIFORNIA, AND THE COUNTY OF CALIFORNIA IND THAT THE BEST EVIDENCE RECOMMENDS UNIVERSAL OFFERING OF HEPATITIS B VACCINE, THAT'S IMPORTANT HERE IN SANTA CLARA COUNTY, WHERE WE HAVE A HIGHER POPULATION IMPACTED BY HELP SITIZE B. ASIAN AND ASIAN AMERICANS ARE HIT BY HEP B. MANY PEOPLE DO NOT KNOW THAT THEY HAVE HEP B. WHETHER THEY ARE BIRTHING PARENTS OR OTHERS IN THE HOUSEHOLD AROUND A YOUNG INFANT. THAT'S WHY T CONTINUES TO BE THE RIGHT THING FOR EVERY DELIVERY TO BE OFFERED AT BIRTH VACCINATION INITIAL AND FIRST VACCINATION AGAINST HEPATITIS B. WE ARE MAKING SURE THAT OUR HEALTHCARE PROVIDERS ARE AWARE THAT OUR RECOMMENDATION HAS NOT CHANGED AS WELL AS INFORMATION FOR THE GENERAL PUBLIC, THE CENTER ITEM IS A REMINDER THAT WE ARE SEEING HIGH RATES IN THE WASTE WATER OF INFLUENZA, AND R.S.V. WE ARE SMACK IN THE MIDDLE OF RESPIRATORY VIRUS AND FLU I WANT O MAKE SURE FOLKS REMEMBER IT'S INTO THE TOO LATE TO GET A FLU SOT. TO PROTECT YOURSELF AND FAMILY OVER THE HOLIDAYS TO HAVE THE HOLIDAY GATHERING, AND STILL KEEP YOUR VULNERABLE YOUNGER AND OLDER FAMILY MEMBERS HEALTHY. NOT LATE FOR A FLU SHOT. OLDER ADULTS AND IPP FANTASTIC ARE ELIGIBLE FOR EXAMPLE FOR R.S.V. AS WELL. JUST AS YOU ARE DEMONSTRATING SUPERVISOR, MASKING IN CROWDED PLACES, I'LL BE HEADED TO THE AIRPORT AND WEAR A WELL-FITTED MASK TO ADD AN EXTRA LAYER OF PROTECTION.
>> PROTECT YOU, PROTECT ME. THANK YOU FOR A GREAT REPORT. HEPATITIS B IS PREVENTIBLE DISEASE. THAT'S THE KEY, ABOUT THE PREVENT ABILITY. AND THE FACT THAT WITH THE HIGH OCCURRENCE OF HEPATITIS B. ESPECIALLY IN THE ASIAN COMMUNITIES, PROVEN BY THE NUMBERS SEEING NOW, WHICH, OF COURSE, COULD RESULT IN VERY SERIOUS LIVER FAILURE AND DISEASES. THAT IS WHY HEP B IS SOMETHING AS IMPORTANT. I'M FORTUNATE, KNOCK ON WOOD. BRINGING IN THE NAVY, THEY BRING YOU A LOT OF SHOTS. I HAVE A FULL SERIES OF HEP A AND B. SOMETHING THAT INFANTS NEED TO HAVE. DESPITE THE CONFLICTING GUIDANCE FROM THE TRADITIONAL FEDERAL GOVERNMENT. THANK YOU FOR THE GOOD WORK AND KEEP IT UP. ALL RIGHT, ANY NEED FOR COMMENTS.
>> IF YOU DON'T FIND, I HAD A DIFFERENT QUESTION, IN THE INTERESTS OF TIME, MAYBE THIS COULD COME BACK. DURING THE DISCUSSION ABOUT THE LATINO HEALTH ASSESSMENT LAST WEEK, THERE'S MENTION OF EXPANDING THE COMMUNITY HEALTH WORKER PROGRAM IN THE LATINO COMMUNITY, AND I KNOW WE DISCUSSED THE A.P.I. COMMUNITIES PROGRAM, AND I BELIEVE THAT THE FUNDING IS COMING TO AN END. I WONDER IF THERE'S AN UPDATE OF THE GROUPABLE SECURE OTHER FUNDING. BUT JUST IN GENERAL WITH THE CHW PROGRAM, WHAT IS THE INTENT. I DON'T WANT TO END ONE TO START - TO START ANOTHER, MY HOPE IS THAT WE CAN CONTINUE THE PROGRAM AS A WHOLE AND YOUR THOUGHTS NOW OR OFFLINE IS FINE TOO.
>> I'LL BE HAPPY TO COME BACK WITH THAT INFORMATION TOO. THANK YOU.
>> ALL RIGHT. OKAY. YES.
>> YOU HAVE OUR WRITTEN REPORT, NOTHING ELSE TO ADD ON THAT.
>> THANK YOU.
>> MAY I - I APPRECIATE THE WORK BEING DONE WITH THE PROGRAM. AGAIN, IF YOU COULD JUST PROVIDE A LITTLE MORE DETAIL ABOUT THE PROCESS AND THE REDEPLOYMENT OF THE CLINICIANS TO SANTA CLARA, THAT WOULD BE GREAT.
>> THERE WAS ONE STAFF INCUMBENTS SERVING ONE OF THE JURISDICTIONS, AND THERE'S A LABOR PROCESS RELATED TO FILLING THE PALO ALTO, POSITION, AND THE OTHER STAFF WILL BE PART OF THE LABOR PROCESS TO BE REASSIGNED TO AVAILABLE POSITIONS WITHIN THE DEPARTMENT.
>> OKAY.
>> AS WE MENTIONED IN THE REPORT, WE ARE CONTINUING TO WORK WITH JURISDICTIONS, THAT FORMERLY TO BE ABLE TO ENSURE THAT THE TRANSITION IS GOING SMOOTHLY, AND WORKING WITH ONES THAT WILL HAVE A NEW CLINICIAN OR RETAIN EXISTING CLINICIAN.
>> APPRECIATE THAT.
>> YES. YOUR MIC IS OFF. TRY AGAIN. THERE WE GO.
>> I DONE THIS SO MANY TIMES ALREADY AND I STILL NOT FAMILIAR WITH THE BUTTONS UP HERE.
>> NO WORRIES.
>> I DON'T HAVE ANYTHING ELSE TO REPORT BESIDES THE WRITTEN REPORT, AND HAPPY TO TAKE QUESTIONS.
>> I DON'T THINK WE HAVE ANY, THANK YOU.
>> ANYBODY ELSE? ALREADY. IF NOT. WE'LL HAVE THE MOTION, AND SECOND, AND TAKE A VOTE.
>> I THINK THE PREVIOUS VOTE STANDS. WE ARE ALL SET.
>> OKAY, GOOD. THANK YOU, TOO EASY, IF THAT'S THE CASE I BELIEVE WE ARE AT THE END OF OUR AGENDA, AM I CORRECT.
>> THAT'S WHAT I HAVE. GOOD. WE'LL GO AND ADJOURN THIS MEETING. AND PENDING FUTURE APPROVAL. THE NEXT MEETING IS PROPOSED SCHEDULED FOR THURSDAY, JANUARY 22nd. 9:30 HERE.
>> NOTE FROM THE TRADITIONAL CLERK, NO MEETING IN JANUARY.
>> SORRY.
>> FEBRUARY.
>> THANK YOU.
>> FEBRUARY 18TH.
>> FEBRUARY 18TH IS THE NEXT MEETING, THANK YOU SO MUCH. THANK YOU. HAPPY HOLIDAYS EVERYBODY, THANK YOU. [ END OF MEETING ]